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Related Concept Videos

Inflammatory Bowel Disease V: Surgical Management01:21

Inflammatory Bowel Disease V: Surgical Management

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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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Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy01:26

Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy

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Sigmoidoscopy and laparoscopy are distinct medical procedures that enable physicians to internally inspect different parts of the GI tract. Although they serve different purposes, each is essential for diagnosing and, in some cases, treating various medical conditions.
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
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Appendicitis-II: Diagnostic Studies and Management01:29

Appendicitis-II: Diagnostic Studies and Management

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Diagnosing and managing appendicitis requires a structured and comprehensive approach that spans from initial assessment to postoperative care. Here is an overview of the process:
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Peptic Ulcer Disease V: Surgical Management and Nursing Care01:25

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Inflammatory Bowel Disease III: Diagnostic Studies and Management I-Nutritional Therapy01:30

Inflammatory Bowel Disease III: Diagnostic Studies and Management I-Nutritional Therapy

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Various diagnostic tests are employed in the diagnostic process for Inflammatory Bowel Disease (IBD), particularly to differentiate between Crohn's disease and ulcerative colitis.
Diagnostic studies
A colonoscopy is the definitive screening test, distinguishing ulcerative colitis from other colon diseases with similar symptoms. During a colonoscopy test, inflamed mucosa with exudate ulcerations can be observed, and biopsies are taken to determine the histologic characteristics of the...
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Inflammatory Bowel Disease II: Crohn's Disease01:30

Inflammatory Bowel Disease II: Crohn's Disease

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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.
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Related Experiment Video

Updated: Mar 9, 2026

Intraoperative Strategy under Complex Vascular Adhesion for Laparoscopic Radical Resection of Bismuth-Corlette Type IIIb Perihilar Cholangiocarcinoma
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Intraoperative Strategy under Complex Vascular Adhesion for Laparoscopic Radical Resection of Bismuth-Corlette Type IIIb Perihilar Cholangiocarcinoma

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Decision Making in Bowel Obstruction: A Review.

Aswini Kumar Pujahari1

  • 1Professor, Department of Surgery and Surgical Gastroenterology, Vydehi Institute of Medical Sciences and Research Institute , Whitefield, Bangalore, India .

Journal of Clinical and Diagnostic Research : JCDR
|January 5, 2017
PubMed
Summary
This summary is machine-generated.

Managing acute intestinal obstruction is challenging due to increasing patient age and comorbidities. Early surgical decisions are crucial, especially in younger patients or large bowel obstructions, to improve outcomes.

Keywords:
Adhesive obstructionIntestinal obstructionNon adhesive obstructionTiming of surgeryVirgin abdomen

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Area of Science:

  • Gastroenterology
  • Surgical Gastroenterology
  • Abdominal Surgery

Background:

  • Acute intestinal obstruction (BO) presentation age has increased, leading to higher risks and complex management.
  • Age-related comorbidities complicate treatment decisions for patients with bowel obstruction.
  • Standardized decision-making protocols are essential for effective management of acute intestinal obstruction.

Approach:

  • A selective literature review of evidence-based publications was conducted.
  • Focus on randomized controlled studies and meta-analyses for common age-related etiologies.
  • Analysis of diagnostic methods, decision-making, and treatment strategies for acute intestinal obstruction.

Key Points:

  • Predicting conservative versus operative management for bowel obstruction remains difficult.
  • Early surgical intervention is indicated for BO in young patients, unscarred abdomens, and large bowel obstructions (LBO).
  • Surgical timing recommendations: by day 2 for pediatric patients, and 3-5 days post-admission for adults.

Conclusions:

  • Higher American Society of Anaesthesiologists (ASA) grades correlate with increased mortality in bowel obstruction cases.
  • The article critically analyzes surgical timing, methods to avoid bowel resection, and surgical approaches for various BO causes.
  • Optimizing surgical timing and technique is vital for improving patient outcomes in acute intestinal obstruction.