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Related Concept Videos

Intestinal Obstruction II: Pathophysiology01:07

Intestinal Obstruction II: Pathophysiology

Intestinal obstruction triggers a series of physiological responses, starting with gas and fluid accumulation in the bowel segment proximal to the obstruction, leading to distension. This distended intestine compresses the diaphragm, hindering lung expansion and potentially leading to reduced respiratory effort, atelectasis, and pneumonia.To overcome the blockage, the gut intensifies contractions, causing colicky abdominal pain, nausea, and vomiting, which reduces fluid and food intake and...
Esophageal Perforation-II: Clinical Manifestations and Management01:28

Esophageal Perforation-II: Clinical Manifestations and Management

Esophageal perforations manifest in various clinical forms, influenced by factors such as the perforation's cause and location (cervical, intrathoracic, or intra-abdominal), the extent of contamination, and potential injury to adjacent mediastinal structures. The timing between the perforation occurrence and treatment initiation also affects the clinical presentation.
Clinical Manifestations:
Intestinal Obstruction I: Introduction01:29

Intestinal Obstruction I: Introduction

Intestinal obstruction is a partial or complete blockage of the small or large intestine that disrupts the normal flow of intestinal contents through the lumen. This interruption impairs digestion, absorption, and fluid balance, and may lead to serious complications if not treated promptly.Mechanical ObstructionMechanical obstruction occurs when a physical blockage prevents intestinal contents from passing, arising from within the lumen or the bowel wall, or from external compression.Adhesions,...
Appendicitis01:19

Appendicitis

Appendicitis is an acute inflammatory condition of the vermiform appendix, most commonly caused by obstruction of its lumen. The appendix is a narrow, blind-ended pouch that extends from the cecum, making it particularly prone to obstruction. Causes include fecaliths, lymphoid hyperplasia (often after viral infections), parasites, tumors, or foreign bodies. This obstruction initiates a cascade of pathological changes.Luminal Obstruction and Early InflammationAfter obstruction, normal mucosal...
Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy01:26

Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy

Sigmoidoscopy and laparoscopy are distinct medical procedures that enable physicians to internally inspect different parts of the GI tract. Although they serve different purposes, each is essential for diagnosing and, in some cases, treating various medical conditions.
Sigmoidoscopy
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Assessment of the Rectum and Anus

Evaluating the rectum and anus plays a crucial role in conducting a thorough physical examination of the gastrointestinal system. Although it may be uncomfortable and often embarrassing for the patient, it holds immense diagnostic value, particularly in detecting gastrointestinal diseases and abnormalities. This guide will explain how to perform this assessment using inspection and palpation methods.
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Related Experiment Video

Updated: Jul 10, 2026

Colon Ascendens Stent Peritonitis (CASP) - a Standardized Model for Polymicrobial Abdominal Sepsis
06:45

Colon Ascendens Stent Peritonitis (CASP) - a Standardized Model for Polymicrobial Abdominal Sepsis

Published on: December 18, 2010

Experience with meconium peritonitis.

So Hyun Nam1, Seong Chul Kim, Dae Yeon Kim

  • 1Department of Pediatric Surgery, University of Ulsan College of Medicine and Asan Medical Center, Seoul 138-736, South Korea.

Journal of Pediatric Surgery
|November 21, 2007
PubMed
Summary

Meconium peritonitis, a condition from intrauterine bowel perforation, has improved prognoses due to advanced neonatal care. This study reviews clinical experience, noting high survival but significant morbidity, suggesting a need for gentler treatment approaches.

Related Experiment Videos

Last Updated: Jul 10, 2026

Colon Ascendens Stent Peritonitis (CASP) - a Standardized Model for Polymicrobial Abdominal Sepsis
06:45

Colon Ascendens Stent Peritonitis (CASP) - a Standardized Model for Polymicrobial Abdominal Sepsis

Published on: December 18, 2010

Area of Science:

  • Neonatal Surgery
  • Pediatric Gastroenterology
  • Fetal Medicine

Background:

  • Meconium peritonitis is a sterile chemical peritonitis caused by intrauterine bowel perforation.
  • Advances in neonatal care have significantly improved outcomes for meconium peritonitis.
  • This study details clinical experiences with this condition.

Purpose of the Study:

  • To review the clinical experience and outcomes of patients with meconium peritonitis.
  • To analyze diagnostic findings, management strategies, and associated morbidities.
  • To evaluate the effectiveness of current treatment approaches.

Main Methods:

  • Retrospective review of medical records of patients with meconium peritonitis.
  • Data collected from June 1989 to July 2006 at Asan Medical Center.
  • Analysis of prenatal diagnosis, surgical interventions, and patient outcomes.

Main Results:

  • Out of 41 patients, 92.7% were suspected prenatally, with fetal ascites and dilated bowel as common findings.
  • Surgical intervention was required for 31 patients, with resection and anastomosis being the most common procedure.
  • The study reported a low mortality rate (2.4%) but a high morbidity rate (34.1%).

Conclusions:

  • A high survival rate was achieved in the management of meconium peritonitis.
  • However, the morbidity rate remains a significant concern.
  • A more delicate and conservative approach is recommended to reduce morbidity.