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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,...
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:
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 II: Crohn's Disease01:30

Inflammatory Bowel Disease II: Crohn's Disease

Introduction
Inflammatory bowel disease, commonly known as IBD, refers to a collection of disorders that lead to persistent inflammation of the gastrointestinal tract. The two types of IBD are ulcerative colitis, which impacts the colon, and Crohn's disease, which can involve any part of the gastrointestinal segment.
Crohn's disease
Crohn's disease is a chronic, systemic inflammatory bowel disease (IBD) that predominantly affects the gastrointestinal tract. It is marked by transmural...
Inflammatory Bowel Disease I: Introduction01:26

Inflammatory Bowel Disease I: Introduction

Inflammatory bowel disease is a group of chronic disorders marked by recurrent inflammation of the gastrointestinal tract due to an abnormal immune response against gut microflora. This leads to tissue damage. The two main forms are Crohn’s disease and ulcerative colitis.Crohn’s DiseaseCrohn’s disease is a relapsing inflammatory disorder that can affect any part of the GI tract, from the mouth to the anus. It involves all layers of the bowel wall (transmural) and shows “skip lesions” in which...
Inflammatory Bowel Disease I: Ulcerative Colitis01:27

Inflammatory Bowel Disease I: Ulcerative Colitis

Introduction
Inflammatory bowel disease, or IBD, encompasses a group of disorders characterized by chronic inflammation or ulceration of the gastrointestinal tract.
Risk Factors
The exact cause of IBD remains unclear, although it is believed to be due to a mix of genetic, environmental, microbial, and immune factors. Genetic factors are significant in determining susceptibility to IBD, with family history being a critical risk factor. Individuals with a first-degree relative who has IBD are at...

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Murine Ileocolic Bowel Resection with Primary Anastomosis
08:49

Murine Ileocolic Bowel Resection with Primary Anastomosis

Published on: October 29, 2014

[Intestinal occlusion by ileal carcinoid].

Giuseppe Marzocca1, Edda Caputo, Fabrizio Varrone

  • 1Dipartimento di Chirurgia Generale e Specialità Chirurgiche, Azienda Ospedaliera Universitaria "Santa Maria alle Scotte", Siena. marzocca@unisi.it

Annali Italiani Di Chirurgia
|April 10, 2009
PubMed
Summary
This summary is machine-generated.

Diagnosing ileal carcinoids is challenging due to vague symptoms, often leading to late detection. These aggressive tumors are frequently discovered during emergency surgery for intestinal blockages, indicating advanced disease.

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Area of Science:

  • Gastroenterology
  • Surgical Oncology
  • Endocrinology

Background:

  • Ileal carcinoids are rare neuroendocrine tumors.
  • Diagnosis is often delayed due to nonspecific symptoms.

Observation:

  • Two cases presented with chronic abdominal pain, vomiting, and weight loss.
  • Initial diagnoses included adhesion syndrome; carcinoids were found during emergency surgery for intestinal obstruction.

Findings:

  • Ileal carcinoids are frequently diagnosed at an advanced stage during emergency laparotomy for intestinal occlusion.
  • Tumors infiltrate the muscular wall and involve regional lymph nodes at diagnosis.

Implications:

  • Ileal carcinoids exhibit malignant behavior due to biologic aggressiveness and late diagnosis.
  • Symptomatology is nonspecific; carcinoid syndrome is rare and indicates liver metastases.
  • Octreoscan scintigraphy can aid in tumor localization when clinical suspicion exists.
  • Surgical treatment involves extensive resection, with a 5-year survival rate below 60%.