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Related Concept Videos

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,...
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...
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:
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,...
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...
Anatomy of the Intestines01:23

Anatomy of the Intestines

Although digestion of proteins, carbohydrates, and lipids may begin in the stomach, it is completed in the intestine. The absorption of nutrients, water, and electrolytes from food and drink also occurs in the intestine. The intestines can be divided into two structurally distinct organs—the small and large intestines.
Small Intestines
The small intestine is an ~7 meter-long tube with an inner diameter of just 2.5 cm. Since most nutrients are absorbed here, the inner lining of the small...

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Small Bowel Transplantation In Mice
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Intestinal intussusception in elderly patients.

S H Israelit1, O R Brook, B Abbou

  • 1Departments of Surgery A, Rambam Medical Center, Haifa 31096, Israel.

Maturitas
|January 3, 2009
PubMed
Summary
This summary is machine-generated.

Intussusception is rare in the elderly but causes bowel obstruction. Diagnosis relies on CT scans, and treatment requires surgical resection of affected bowel segments.

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Area of Science:

  • Gastroenterology
  • Surgical Oncology
  • Radiology

Background:

  • Intussusception, a leading cause of bowel obstruction in children, is exceptionally rare in the elderly.
  • Early diagnosis and prompt surgical intervention are crucial for managing this condition in geriatric patients.

Observation:

  • A case of ileocecal intussusception in an 82-year-old patient is presented.
  • Diagnosis was established using abdominal CT scans, demonstrating high sensitivity and accuracy.
  • Physical examination and patient history were also key diagnostic components.

Findings:

  • Abdominal CT scans are highly sensitive and accurate for diagnosing intussusception in adults.
  • Surgical intervention is the definitive treatment for adult intussusception.
  • Segmental bowel resection, including nonviable bowel and the leading point, is mandatory.

Implications:

  • This case highlights the importance of considering intussusception in elderly patients presenting with bowel obstruction.
  • Accurate and timely diagnosis via CT imaging can significantly improve patient outcomes.
  • Surgical resection remains the gold standard, emphasizing the need for experienced surgical management.