The gastroenterologist is frequently involved in the care of patients with bowel obstruction and pseudo-obstruction. In the case of obstruction, the central problem is determining which patients should be managed surgically. In both SBO and LBO, evidence of vascular compromise to the gut mandates surgical intervention. Most patients with pseudo-obstruction respond to conservative therapy or neo...

Sir We read this article with interest. The study sought to predict the risk of ischaemia in patients with small bowel obstruction (SBO). Existing evidence in the literature supports a strong association between metabolic acidosis and ischaemic bowel in SBO1,2. Surprisingly, metabolic acidosis was not included as a parameter for evaluating such patients in the study. Furthermore, the predictive...

INTRODUCTION The Elipse™ intragastric balloon (IGB) for weight loss is a swallowable capsule that is filled with 550mL of fluid and resides in the stomach for four months before being excreted from the gastrointestinal tract. Although initial data showed that use of this device is safe and free from serious complications, we report for the first time the successful management of an Elipse™ IGB-...

Abstract Aim Higher than average emergency laparotomy mortality rates had been identified via the National Emergency Laparotomy Audit (NELA), at a particular hospital. Small bowel obstruction (SBO) is commonest cause for laparotomy. The aim of this project was to evaluate management SBO, and implement changes reduce operative SBO rate. Method NELA used assess cases between 1st Dec 2018 - 30th N...

eosinophilic gastroenteritis is a rare disease of unknown etiology. it is characterized by eosinophilic infiltration of the gastrointestinal tract wall (especially stomach and small bowel). symptoms and signs of this disease depend on the involved layer of gastrointestinal tract. hereby, we are presenting a patient with abdominal pain since one month ago that aggregated with meals. the patient ...

BACKGROUND Postoperative adhesions are common after surgery and can cause small-bowel obstruction (SBO) and require adhesiolysis. The impact that laparoscopy and other surgical advances have had on rates of SBO and adhesiolysis remains controversial. This study examines trends in discharges from US hospitals for SBO and adhesiolysis from 1988 to 2007. METHODS We performed an analysis of secul...

Introduction Acute small bowel obstruction (SBO) is an urgent medical condition. Its diagnosis is based mainly on a clinical examination followed by confirmatory simple routine radiological examinations such as plain X-ray of the abdominal cavity or computed tomography (CT). However, a real surgical challenge is not a decision whether to perform a surgery, but a decision when and how to perform...

The aim of this study was to determine the computed tomography (CT) appearance of small intestine bezoar (SIB). Eight cases of proven SIB were included in this study. Four of these patients had undergone previous abdominal surgeries, including one patient who had undergone gastric surgery, and one patient who had jejunal diverticular disease. Six patients had bezoars in the ileum and two patien...