volvulus of the small bowel, although being rare, carries a high risk of strangulation and ischemic necrosis. preoperative diagnosis is difficult and may be complicated by pregnancy, labor and the post-cesarean-section state. delay in diagnosis and surgical intervention increases morbidity and mortality rates. we present a 20- year- old primigravida woman (ga=10 weeks) with massive intestinal n...

Neuroblastoma is a neoplasm of the peripheral sympathetic nervous system. Depending upon primary location tumor, it can present as incidental finding, hypertension, abdominal pain, and distention with nonspecific clinical signs. Our patient was four-months-old when he developed excessive crying, increased frequency micturition, loose bowel movements. On CT scan, cystic mass found in left suprar...

Background and study aims: Previous studies have reported that diabetes mellitus is an independent risk factor for inadequate bowel preparation. Current guidelines do not recommend a specific preparation for this patient population. The aims of this study were to assess the efficacy, safety, and tolerability of an adapted preparation protocol for colon cleansing in patients with type 2 diabetes...

Background: There has recently been increasing interest in the role of the human microbiome in disease. Antibiotic use is known to disrupt the intestinal microbial environment and cause acute disease, for example pseudomembranous colitis. This study aimed to investigate the hypothesis that long-term antibiotic use is associated with the development of chronic diseases, i.e., Asthma, Rheumatoid ...

BACKGROUND Multimodal analgesia programs have been shown to decrease hospital stay, but it not clear which functions are restored after surgery. The objective of this study is to evaluate the impact of epidural anesthesia and analgesia on functional exercise capacity and health-related quality of life. METHODS Sixty-four patients undergoing elective colonic resection were randomized to either...

OBJECTIVES Evaluate the effect of combinations of green banana biomass and laxatives in children and adolescents with chronic constipation. METHODS This was a randomized study of 80 children and adolescents with functional constipation according to the Rome IV Criteria, who were divided into five groups: (1) green banana biomass alone; (2) green banana biomass plus PEG 3350 with electrolytes;...

BACKGROUND Both high-fibre dietary advice and the prescription of fibre as a bulking agent are very common in primary and secondary care management of irritable bowel syndrome. Irritable bowel syndrome patients with constipation may have delayed intestinal transit. Therefore, fibres that accelerate intestinal transit may be beneficial in these patients. The uncertain benefits reported in severa...

PURPOSE This study evaluated long-term results of transanal irrigation for defecation disturbances. METHODS Three hundred and forty-eight patients [248 women and 100 men; median age 52 years (range, 5-85)] suffering from constipation and fecal incontinence were introduced to transanal irrigation. Patients using transanal irrigation at follow-up received a mailed questionnaire describing bowel...

The incidence of intestinal volvulus gleaned from the world's medical literature spread over the past seven decades supports the contention that this bowel disorder has distinct geographical predilections. Sigmoid volvulus, invariably superimposed upon a redundancy of this part of the bowel, probably results from a functional disturbance of the colon mediated perhaps by a high-residue vegetable...

Gastrointestinal (GI) disorders, including functional bowel diseases such as irritable bowel syndrome (IBS) and inflammatory bowel diseases such as Crohnʹs disease (CD) and colitis, afflict more than one in five Americans, particularly women. While some GI disorders may be controlled by diet and pharmaceutical medications, others are poorly moderated by conventional treatments. Symptoms of GI d...