INTRODUCTION Despite optimized medical treatment, Crohn´s disease can cause gastrointestinal (GI) strictures, which requires surgical intervention. Lately, endoscopic balloon dilatation has been established as an alternative to surgery. In the following, we report our experiences with endoscopic dilatation of strictures in the gastrointestinal tract caused by Crohn´s disease. MATERIAL AND MET...

A clinicopathologic study was made of 16 patients with amyloidosis and with clinical signs of intestinal pseudo-obstruction. amyloid deposits in the small intestine were proved in all cases by endoscopic or intra-operative biopsies, and immunohistochemical study identified the chemical types of amyloid protein: amyloid A protein (AA) in 13 cases, light chain protein (AL) in two, and beta 2-micr...

The effect of active and passive manoeuvres on closing volume was studied in conscious subjects. There were no significant differences in closing volume in nine of 10 non-smokers. There was a significantly greater closing volume with the passive manoeuvre (airway pressure +3 kPa to --2 kPa) in seven of nine smokers and one non-smoker with evidence of mild obstructive airway disease. The sensiti...

Linaclotide (Linzess) for irritable bowel syndrome with constipation and for chronic idiopathic constipation.

Inflammatory fibroid polyp (known also as Vanek's tumor) is a type of localized, non-neoplastic inflammatory pseudotumor or inflammatory myofibroblastic tumor that occurs most commonly in the stomach but also in the small and large bowel. It is a documented cause of intussusception in adults. We report a case of a 40-year-old woman who presented with severe, postprandial abdominal pain followed...

Gastrointestinal diseases, including motility and obstructive disorders, are common in both human and veterinary medicine. Such disorders tend to be clinically important problems in both disciplines, with extensive impact on veterinary practice as well as having human public health and economic implications. Considerable time is lost from work due to gut disorders. Motor disorders of the gastro...

Endometriosis infiltrating the bowel can be treated medically in accurately selected women not seeking conception and without overt obstructive symptomatology. When rectosigmoid junction is involved, probabilities of intestinal symptoms relief, undergoing surgery after treatment failure, developing obstruction during hormonal are around 70%, 10%, 1–2%, respectively. lesion infiltrates exclusive...

BACKGROUND In the absence of symptoms related to their primary tumor, patients with stage IV colorectal cancer can undergo medical treatment with their primary tumor in situ. In these patients, bowel obstruction is the most common primary tumor-related complication. We hypothesized that left-sided, circumferential, near-obstructing lesions and/or inability to advance the colonoscope beyond the ...

A 52-year-old man originally diagnosed with ulcerative colitis presented with an inflamed small-bowel stricture in the ascending limb of an ileoanal J-pouch and was subsequently diagnosed with Crohn disease. The stricture did not respond to medical treatment with either methotrexate or adalimumab, and repeated endoscopic balloon dilation relieved the patient’s obstructive symptomsonly briefly. ...

A 91−year−old nursing−home resident with dementia was admitted as an emer− gency with a 1−week history of lethargy, anorexia, constipation and abdominal distension. She was dehydrated and was assessed as having a Glasgow Coma Scale score of 9/15, which improved with fluid resuscitation. Her abdomen was distend− ed and tympanic, with obstructive bowel sounds. There were no palpable masses. She h...