Diverticular Disease and Colorectal Cancer: Incidental Diagnosis or Real Association? Final Answer.
Abstract
Associations between diverticular disease of the colon and the colorectal cancer has been studied for >60 years. Observational, cross-sectional, and case-control studies as well as large population-based studies gave conflicting results and association was not fully proven. Obtaining the proof was difficult because both diseases share similar clinical characteristics, both increase with age, and both involve similar dietary factors. Long-term observations are difficult as diagnostic methods changed over time from barium enema 50 to 60 years ago, through endoscopy, up to CT and MR in recent year...
Source: Clinical Colorectal Cancer - September 14, 2016 Category: Cancer & Oncology Authors: Regula J Tags: J Clin Gastroenterol Source Type: research
Diagnostic yield in barium enema examination.
Authors: Al-Shehri MY, Al-Tahir MI, Mahfouz MM, Ajao OA
Abstract
Full text is available as a scanned copy of the original print version.
PMID: 27605283 [PubMed] (Source: Saudi Medical Journal)
Source: Saudi Medical Journal - September 10, 2016 Category: Middle East Health Tags: Saudi Med J Source Type: research
Pathological changes of interstitial cells of Cajal and ganglion cells in the segment of resected bowel in Hirschsprung ’s disease
ConclusionsThe density of ICCs was significantly lower in the bowel segments that displayed barium retention. A CE may be a valuable tool for predicting the length of bowel resection in patients with HD. (Source: Pediatric Surgery International)
Source: Pediatric Surgery International - August 31, 2016 Category: Surgery Source Type: research
A case of Hirschsprung's disease underwent surgery in adulthood
We describe a 30-year-old patient with adult Hirschsprung's disease with a history of chronic constipation requiring daily enema. Barium enema and rectal biopsy showed short segment-type Hirschsprung's disease with a grossly distended sigmoid colon with fecal retention. Staged operations, including the Duhamel-GIA method as a definitive surgery, completely resolved the patient's symptoms. There were no complications by the end of a 7-year follow-up. Adult Hirschsprung's disease should be considered in the differential diagnosis of cases where adult patients present with chronic constipation. Despite technical difficulty of...
Source: Journal of Pediatric Surgery Case Reports - August 9, 2016 Category: Surgery Source Type: research
Per rectal endoscopic myotomy for the treatment of adult Hirschsprung's disease: First human case (with video)
Abstract
Hirschsprung's disease (HD) is a congenital disorder characterized by the absence of intrinsic ganglion cells in submucosal and myenteric plexuses of the hindgut; and presents with constipation, intestinal obstruction and/or megacolon. HD commonly involves the rectosigmoid region (short segment HD), although shorter and longer variants of the disease are described. Standard treatment involves pull‐through surgery for short segment HD or posterior anorectal myotomy in selected ultrashort segment candidates. Third space endoscopy has evolved during the past few years. Per oral endoscopic myotomy and per oral pylor...
Source: Digestive Endoscopy - July 28, 2016 Category: Gastroenterology Authors: Amol Bapaye, Gajanan Wagholikar, Sameer Jog, Aditi Kothurkar, Shefali Purandare, Nachiket Dubale, Rajendra Pujari, Mahesh Mahadik, Viral Vyas, Jay Bapaye Tags: Case Report Source Type: research
A case of Hirschsprung ’s disease underwent surgery in adulthood
We describe a 30-year-old patient with adult Hirschsprung’s disease with a history of chronic constipation requiring daily enema. Barium enema and rectal biopsy showed short segment-type Hirschsprung’s disease with a grossly distended sigmoid colon with fecal retention. Staged operations, including the Duhamel-GIA method as a definitive surgery, completely resolved the patient’s symptoms. There were no complications by the end of a 7-year follow-up. Adult Hirschsprung’s disease should be considered in the differential diagnosis of cases where adult patients present with chronic constipation. Despite technical diffi...
Source: Journal of Pediatric Surgery Case Reports - July 25, 2016 Category: Surgery Source Type: research
Per rectal endoscopic myotomy (PREM) for the treatment of adult Hirschsprung's disease – First human case (with video)
Abstract
Hirschsprung's disease (HD) is a congenital disorder characterized by absence of intrinsic ganglion cells in submucosal (SM) and myenteric plexuses of the hindgut; and presents with constipation, intestinal obstruction and / or megacolon. HD commonly involves the rectosigmoid region (short segment HD) although shorter and longer variants of the disease are described. Standard treatment involves pull‐through surgery for short segment HD or posterior anorectal myotomy (PARM) in selected ultra‐short segment candidates. Third space endoscopy has evolved during the last few years. Peroral endoscopic myotomy (POEM) ...
Source: Digestive Endoscopy - June 14, 2016 Category: Gastroenterology Authors: Amol Bapaye, Gajanan Wagholikar, Sameer Jog, Aditi Kothurkar, Shefali Purandare, Nachiket Dubale, Rajendra Pujari, Mahesh Mahadik, Viral Vyas, Jay Bapaye Tags: Case Report Source Type: research
Diagnostic reference levels for common paediatric fluoroscopic examinations performed at a dedicated paediatric Australian hospital
ConclusionThe dose delivered to patients depend on a number of factors particularly the experience of the operators. However, DRL are also important, as shown in this study, as they enable best practice by providing feedback to the operators on their performance and benchmarking the institution with other institutions. (Source: Australasian Radiology)
Source: Australasian Radiology - June 8, 2016 Category: Radiology Authors: Giovanni Bibbo, Debbie Balman, Rebecca Linke Tags: Medical Imaging —Original Article Source Type: research
MR colonography with a fecal tagging technique and water-based enema for the assessment of inflammatory bowel disease
Conclusion
MRC with a fecal tagging technique and water-based enema is a promising minimally invasive technique for evaluating the bowel in patients with a suspected or established diagnosis of IBD. (Source: Japanese Journal of Radiology)
Source: Japanese Journal of Radiology - May 20, 2016 Category: Radiology Source Type: research
Septicemia after Barium Reduction in a Pediatric Patient with Intussusception
Air, water, or contrast enema reduction is the modality of choice for managing intussusception. Fever, bowel perforation, and hypovolemic shock are potential postreduction complications.1 –3 Septicemia postreduction for intussusception has not been reported. (Source: Pediatrics and Neonatology)
Source: Pediatrics and Neonatology - May 19, 2016 Category: Perinatology & Neonatology Authors: Hung Chang, Hong-Hsiang Hu, Ming-Fang Cheng, Chi-Hsiang Kao, Ying-Tso Shen, Sheng-Kai Sheu, I-Fei Huang Tags: Brief communication Source Type: research
Septicemia after Barium Reduction in a Pediatric Patient with Intussusception
Air, water, or contrast enema reduction is the modality of choice for managing intussusception. Fever, bowel perforation, and hypovolemic shock are potential postreduction complications.1–3 Septicemia postreduction for intussusception has not been reported. (Source: Pediatrics and Neonatology)
Source: Pediatrics and Neonatology - May 19, 2016 Category: Perinatology & Neonatology Authors: Hung Chang, Hong-Hsiang Hu, Ming-Fang Cheng, Chi-Hsiang Kao, Ying-Tso Shen, Sheng-Kai Sheu, I-Fei Huang Tags: Brief communication Source Type: research
An Unusual Intussusception
A 6-year-old boy presented with a 1-week history of abdominal pain, anorexia, and rectal bleeding. Physical examination revealed right flank tenderness. Abdominal ultrasound showed an intra-cecal mass evocative of ileocolic intussusception. Barium enema showed a flow of contrast from the colon into the ileum but a filling defect in the cecum (Figure 1). Computed tomography scan revealed a contrast ring around an intra-cecal mass and contrast in the terminal ileum (Figure 2; available at www.jpeds.com). (Source: The Journal of Pediatrics)
Source: The Journal of Pediatrics - May 10, 2016 Category: Pediatrics Authors: Aude Merdrignac, Maia Proisy, Benjamin Fremond, Edouard Habonimana, Nicolas Nardi, Alexis Pierre Arnaud Tags: Insights and Images Source Type: research
An Unusual Intussusception
A 6-year-old boy presented with a 1-week history of abdominal pain, anorexia, and rectal bleeding. Physical examination revealed right flank tenderness. Abdominal ultrasound showed an intra-cecal mass evocative of ileocolic intussusception. Barium enema showed a flow of contrast from the colon into the ileum but a filling defect in the cecum (Figure 1). Computed tomography scan revealed a contrast ring around an intra-cecal mass and contrast in the terminal ileum (Figure 2; available at www.jpeds.com). (Source: The Journal of Pediatrics)
Source: The Journal of Pediatrics - May 10, 2016 Category: Pediatrics Authors: Aude Merdrignac, Maia Proisy, Benjamin Fremond, Edouard Habonimana, Nicolas Nardi, Alexis Pierre Arnaud Tags: Insights and Images Source Type: research
Rare Case of Retroperitoneal Lipomatosis in an Indian Woman
Retroperitoneal lipomatosis is a rare but distinct clinicopathological entity characterized by non encapsulated lipoma development in the retroperitoneum. Presenting complaints in the early stages are vague, and patients with retroperitoneal lipomatosis are often misdiagnosed because considerable abnormality is not detected by abdomino-pelvic sonography. However, because of the progressive nature of this lesion, most patients eventually present with varying degrees of urinary outflow obstruction and end stage renal disease, or bladder malignancies in few cases. Here we report a case of a 35-year-old Indian woman presenting...
Source: Journal of Radiology Case Reports - May 1, 2016 Category: Radiology Source Type: research
[Elective laparoscopic right colectomy for caecal volvulus: case report and literature review].
CONCLUSION: Caecal volvulus is a rare cause of intestinal obstruction, with high mortality rates, and is caused by excessive mobility of the caecum. Its incidence is increasing. Treatment depends on many factors. Early non-surgical untwisting, followed by an elective laparoscopic surgical procedure offers several advantages and reduces mortality.
PMID: 27133522 [PubMed - as supplied by publisher] (Source: Cirugia y Cirujanos)
Source: Cirugia y Cirujanos - April 27, 2016 Category: Surgery Authors: Ramírez-Ramírez MM, Villanueva-Sáenz E, Ramírez-Wiella-Schwuchow G Tags: Cir Cir Source Type: research
