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Related Concept Videos

Esophageal Strictures-II: Clinical Features and Management01:26

Esophageal Strictures-II: Clinical Features and Management

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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...
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Esophageal Strictures-I: Introduction01:30

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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...
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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.
Here are some common surgical interventions for IBD:
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Esophageal Perforation-II: Clinical Manifestations and Management01:28

Esophageal Perforation-II: Clinical Manifestations and Management

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Esophageal perforations manifest in various clinical forms, influenced by factors such as the perforation's cause and location (cervical, intrathoracic, or intra-abdominal), the extent of contamination, and potential injury to adjacent mediastinal structures. The timing between the perforation occurrence and treatment initiation also affects the clinical presentation.
Clinical Manifestations:
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Barrett Esophagus-II: Clinical Manifestations and Management01:21

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Individuals with Barrett's esophagus are often asymptomatic, but they may experience symptoms commonly associated with GERD, such as heartburn and acid regurgitation. Additional symptoms can include difficulty swallowing, chest pain, unintentional weight loss, blood in the stool (which may appear black, tarry, or bloody), and episodes of vomiting.
To diagnose Barrett's esophagus, healthcare providers often recommend an endoscopy for those showing symptoms of acid reflux. The procedure...
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Peptic Ulcer Disease V: Surgical Management and Nursing Care01:25

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Surgical management and nursing care are crucial in treating Peptic Ulcer Disease (PUD). Here is an organized and enhanced overview of the surgical interventions and the associated nursing care for PUD:
Surgical Interventions for Peptic Ulcer Disease
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Multimodality Diagnosis of Mesenteric Ischemia
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Recognizing and treating Meckel diverticulum.

Allison Alexander1, Hannah Farish-Williford, Masud Hashmi

  • 1Allison Alexander and Hannah Farish-Williford are PA students at Elon University in Elon, N.C. Masud Hashmi is a general surgeon at Alliance Medical Associates in Burlington, N.C. The authors have disclosed no potential conflicts of interest, financial or otherwise.

JAAPA : Official Journal of the American Academy of Physician Assistants
|August 25, 2015
PubMed
Summary

Meckel diverticulum, a rare congenital GI abnormality, is often asymptomatic but can cause serious complications like bleeding or obstruction, primarily in children. This review covers diagnosis and management of symptomatic and incidental cases.

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Area of Science:

  • Gastroenterology
  • Pediatric Surgery
  • Congenital Abnormalities

Background:

  • Meckel diverticulum is a congenital anomaly of the small intestine.
  • It is typically asymptomatic but can lead to significant complications.

Observation:

  • Complications include gastrointestinal bleeding and small bowel obstruction.
  • These complications are more common in children than adults.

Findings:

  • This review examines the clinical presentation of Meckel diverticula.
  • It also covers diagnostic approaches and treatment strategies.
  • Management options for both symptomatic and incidentally discovered diverticula are discussed.

Implications:

  • Understanding Meckel diverticulum presentation is crucial for timely diagnosis.
  • Appropriate management can prevent severe complications.
  • Further research may refine treatment protocols for this condition.