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Related Concept Videos

Esophageal Strictures-I: Introduction01:30

Esophageal Strictures-I: Introduction

Esophageal strictures involve abnormal narrowing or tightening of the esophagus. They vary in length and severity, ranging from mild constriction to complete obstruction, and are classified as benign (noncancerous) or malignant (cancerous).
Etiology
The primary cause of esophageal strictures is long-standing gastroesophageal reflux disease (GERD), accounting for about 70 to 80% of adult cases. Chronic acid reflux can lead to injury and scarring of the esophageal lining, culminating in...
Assessment of the Rectum and Anus01:25

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.
Rectal Inspection
Begin by inspecting the perianal and anal areas for color, texture, rashes,...
Esophageal Strictures-II: Clinical Features and Management01:26

Esophageal Strictures-II: Clinical Features and Management

Patients with esophageal strictures often experience a range of symptoms. Initially, they may have difficulty swallowing solid foods, which can progress to include liquids. Additional symptoms may involve chest pain or discomfort, regurgitating food and fluids, heartburn, unintentional weight loss, coughing or choking during meals, and hoarseness.
Healthcare providers should gather a comprehensive medical history and conduct a physical examination for diagnosis. If esophageal stricture is...
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,...
Inflammatory Bowel Disease V: Surgical Management01:21

Inflammatory Bowel Disease V: Surgical Management

Surgical interventions for inflammatory bowel disease (IBD), which includes ulcerative colitis and Crohn's disease, are essential in managing symptoms and addressing complications. The selection of surgical procedures is contingent upon the specific conditions and complications that stem from these illnesses.
Here are some common surgical interventions for IBD:
Diverticular Disease of the Colon01:27

Diverticular Disease of the Colon

Diverticular disease involves the formation of diverticula—small sac-like outpouchings of the colonic wall—and their complications. It most commonly affects the sigmoid colon due to higher intraluminal pressure and structural vulnerability. It results from structural weakness and increased pressure in the colon, producing pseudodiverticula that may remain silent or progress to inflammation and serious complications.Structure of DiverticulaIn diverticulosis, these outpouchings are...

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Related Experiment Video

Updated: Jul 4, 2026

Vessel-sparing Excision and Primary Anastomosis
08:09

Vessel-sparing Excision and Primary Anastomosis

Published on: January 7, 2019

Unusual rectal stricture.

Vivek Agrawal1, Mohit Kumar Joshi, Bhupendra Kumar Jain

  • 1Department of Surgery, University College of Medical Sciences & Guru Teg Bahadur Hospital, Delhi, India. vivekgtbh@gmail.com

Tropical Gastroenterology : Official Journal of the Digestive Diseases Foundation
|June 21, 2008
PubMed
Summary
This summary is machine-generated.

Rectal strictures often stem from cancer, but this case highlights a benign cause in a young man. Long rectal strictures can sometimes be due to non-specific inflammation, not malignancy.

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Last Updated: Jul 4, 2026

Vessel-sparing Excision and Primary Anastomosis
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Published on: April 28, 2023

Area of Science:

  • Gastroenterology
  • Colorectal Surgery
  • Pathology

Background:

  • Rectal strictures are commonly caused by malignancy.
  • Differential diagnosis is crucial for appropriate management.

Observation:

  • A 26-year-old male presented with large bowel obstruction symptoms.
  • Imaging revealed a significant rectal stricture.
  • Initial biopsy showed non-specific inflammation.

Findings:

  • Surgical intervention (anterior resection) was performed due to diagnostic uncertainty.
  • Histopathological examination confirmed non-specific inflammation, ruling out malignancy.
  • The case demonstrates a benign etiology for a long rectal stricture.

Implications:

  • This case underscores the importance of considering benign causes for rectal strictures, even when long.
  • It highlights the challenges in differentiating benign from malignant strictures pre-operatively.
  • Emphasizes the role of histopathology in definitive diagnosis.