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Related Concept Videos

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:
Ostomy Care01:24

Ostomy Care

Introduction
An ostomy is a surgical procedure that creates an artificial opening from the intestines to the outside of the body, allowing for the rerouting of effluent. This opening is known as a stoma. A stoma usually protrudes above the skin surface, appearing pink or red, moist, and round, and it lacks nerve sensations.
There are different types of ostomies, including colostomies, ileostomies, and urostomies:
Enteral Nutrition II: Nasointestinal and Gastrostomy Feeding01:15

Enteral Nutrition II: Nasointestinal and Gastrostomy Feeding

Enteral nutrition encompasses various methods of delivering nutrition directly to the gastrointestinal (GI) tract, bypassing traditional oral intake. It is particularly beneficial for patients who cannot eat by mouth but have a functioning digestive system. Key methods include nasointestinal feeding, gastrostomy, and jejunostomy, each suited to different clinical scenarios based on the patient's needs and condition.
Nasointestinal Feeding
Nasointestinal feeding involves placing a tube through...
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 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...
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: May 29, 2026

Murine Distal Colostomy, A Novel Model of Diversion Colitis in C57BL/6 Mice
08:20

Murine Distal Colostomy, A Novel Model of Diversion Colitis in C57BL/6 Mice

Published on: July 12, 2018

Defunctioning loop ileostomy: not always a safe option.

Philip T Davey1, Nathan Burnside, Niall MacKenzie

  • 1Department of General Surgery, Causeway Hospital, Coleraine, UK. phildavey@doctors.net.uk

Annals of the Royal College of Surgeons of England
|September 21, 2011
PubMed
Summary
This summary is machine-generated.

Necrotising fasciitis, a severe soft tissue infection, developed in a patient following rectal cancer surgery. Prompt diagnosis and emergency debridement were crucial for managing this life-threatening complication.

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Murine Distal Colostomy, A Novel Model of Diversion Colitis in C57BL/6 Mice
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Robot-assisted Total Mesorectal Excision and Lateral Pelvic Lymph Node Dissection for Locally Advanced Middle-low Rectal Cancer
12:45

Robot-assisted Total Mesorectal Excision and Lateral Pelvic Lymph Node Dissection for Locally Advanced Middle-low Rectal Cancer

Published on: February 12, 2022

Area of Science:

  • Gastroenterology
  • Surgical Oncology
  • Infectious Diseases

Background:

  • Rectal adenocarcinoma management often involves surgical resection and ostomy creation.
  • Loop ileostomies are utilized to protect low anterior resections but can be associated with complications.
  • Post-operative complications require vigilant monitoring and timely intervention.

Observation:

  • A 74-year-old female presented with abdominal pain three months after a low anterior resection and loop ileostomy for rectal cancer.
  • Clinical examination revealed extensive cellulitis, crepitus, and skin necrosis inferior to the ileostomy.
  • These signs indicated a rapidly progressing soft tissue infection.

Findings:

  • Radiological confirmation via emergency computed tomography established the diagnosis of necrotising fasciitis.
  • The patient's presentation suggested a severe bacterial infection of the abdominal wall.
  • Necrotising fasciitis is a surgical emergency requiring immediate treatment.

Implications:

  • Early recognition and aggressive surgical debridement are critical for improving outcomes in necrotising fasciitis.
  • This case highlights the importance of considering rare but severe infectious complications after gastrointestinal surgery.
  • Multidisciplinary management involving surgical, radiological, and infectious disease expertise is essential.