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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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Inflammatory Bowel Disease II: Crohn's Disease01:30

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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.
Crohn's disease
Crohn's disease is a chronic, systemic inflammatory bowel disease (IBD) that predominantly affects the gastrointestinal tract. It is marked by...
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Inflammatory Bowel Disease III: Diagnostic Studies and Management I-Nutritional Therapy01:30

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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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Chronic Bowel Disorders: Introduction01:17

Chronic Bowel Disorders: Introduction

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Chronic bowel diseases are a group of long-term conditions affecting the digestive tract, characterized by inflammation and damage to the gut lining. These conditions primarily include irritable bowel syndrome and inflammatory bowel disease.
Irritable Bowel Syndrome (IBS) is a common disorder affecting the gastrointestinal tract. The distinctive feature is recurrent abdominal pain associated with altered bowel movements, manifesting as constipation, diarrhea, or fluctuating between both. The...
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Irritable Bowel Syndrome II: Clinical Features and Diagnostic Evaluation01:30

Irritable Bowel Syndrome II: Clinical Features and Diagnostic Evaluation

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Irritable Bowel Syndrome II: Clinical Features and Diagnostic Evaluation
Irritable Bowel Syndrome (IBS) is classified into subtypes based on the predominant bowel habits as determined by the Bristol Stool Form Scale (BSFS). The subtypes are:
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Irritable Bowel Syndrome I: Introduction01:17

Irritable Bowel Syndrome I: Introduction

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Irritable Bowel Syndrome (IBS) is characterized by functional disturbances in the gastrointestinal system, presenting a cluster of symptoms without evident structural or biochemical abnormalities. It primarily affects the large intestine and may cause abdominal pain, bloating, excessive gas, diarrhea, constipation, or both.
IBS is a chronic condition that can persist over a long period or recur frequently.
The pathogenesis of IBS involves a complex interplay of the following factors:
Altered...
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Ileectomy-induced Bile Overaccumulation in Mouse Intestine
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Recurrent Intestinal Obstruction in a Patient with Selective IgA Deficiency.

Chee-Kin Hui1

  • 1Centre for Alimentary Studies, Endoscopy Centre 1, Lower Albert Road, Central Hong Kong, Hong Kong SAR, China; Quality Healthcare Medical Services, 6/F HK Pacific Centre, 28 Hankow Road, Tsim Sha Tsui, Hong Kong, China.

The Malaysian Journal of Medical Sciences : MJMS
|January 17, 2017
PubMed
Summary

Selective IgA deficiency can cause recurrent intestinal obstruction, even without anatomical blockages. This diagnosis should be considered in patients with unexplained, recurring bowel obstructions.

Keywords:
antibiotic prophylaxisintestinal obstructionselective IgA deficiency

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Area of Science:

  • Gastroenterology
  • Immunology

Background:

  • Recurrent intestinal obstruction can present diagnostic challenges.
  • Identifying underlying causes is crucial for effective patient management.

Observation:

  • A 32-year-old woman experienced recurrent small bowel obstructions.
  • Initial investigations including CT scans and biopsies were inconclusive.
  • Imaging revealed changes suggestive of post-inflammatory processes.

Findings:

  • The patient was diagnosed with selective IgA deficiency.
  • This deficiency was linked to recurrent infections in the terminal ileum.
  • These infections led to the observed intestinal obstructions.

Implications:

  • Selective IgA deficiency is a potential cause of recurrent intestinal obstruction.
  • Consider immunological evaluation in cases of unexplained bowel obstruction.
  • Early diagnosis can prevent complications and guide treatment.