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Related Concept Videos

Intestinal Obstruction I: Introduction01:29

Intestinal Obstruction I: Introduction

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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,...
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Intestinal Obstruction II: Pathophysiology01:07

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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...
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Diverticular Disease of the Colon01:27

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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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Inflammatory Bowel Disease V: Surgical Management01:21

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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.
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Appendicitis01:19

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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...
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Related Experiment Video

Updated: May 5, 2026

Quantification of Levator Ani Hiatus Enlargement by Magnetic Resonance Imaging in Males and Females with Pelvic Organ Prolapse
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Rectal prolapse and intussusception.

Quinton Hatch1, Scott R Steele

  • 1Department of Surgery, Madigan Army Medical Center, 9040A Fitzsimmons Drive, Fort Lewis, WA 98431, USA.

Gastroenterology Clinics of North America
|November 28, 2013
PubMed
Summary
This summary is machine-generated.

Rectal prolapse surgery has high recurrence rates. While operations resolve prolapse, functional outcomes can remain challenging for patients undergoing surgical repair.

Keywords:
Altemeier procedureDelorme procedureInternal intussusceptionPerineal rectosigmoidectomyRectal prolapseRectopexyResection rectopexySTARR

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Area of Science:

  • Gastroenterology
  • Colorectal Surgery

Background:

  • Rectal prolapse presents ongoing challenges due to high recurrence rates after surgical intervention.
  • Patient outcomes are affected by both the resolution of prolapse and functional results post-surgery.

Purpose of the Study:

  • To outline the recommended evaluation and diagnostic strategies for rectal prolapse.
  • To discuss the outcomes associated with both perineal and abdominal surgical approaches for rectal prolapse.

Main Methods:

  • Review of current literature on rectal prolapse management.
  • Analysis of outcomes from perineal and abdominal surgical techniques.
  • Description of diagnostic workup and adjunctive testing.

Main Results:

  • Surgical therapy effectively resolves rectal prolapse.
  • Functional outcomes may remain suboptimal despite successful prolapse repair.
  • Recurrence rates highlight the complexity of achieving long-term success.

Conclusions:

  • Comprehensive evaluation and appropriate surgical approach are crucial for managing rectal prolapse.
  • Patients must be counseled on the potential for persistent functional issues post-operatively.
  • Further research may be needed to improve long-term functional outcomes in rectal prolapse surgery.