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Related Concept Videos

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 I: Introduction01:17

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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.
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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...
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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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Inflammatory Bowel Disease II: Crohn's Disease01:30

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COPD is defined as a heterogeneous lung condition marked by persistent respiratory symptoms such as dyspnea, cough, and sputum production, caused by abnormalities in the airways that cause airflow obstruction.
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Related Experiment Video

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Dermoscopy Aids in the Diagnosis of Discoid Lupus Erythematosus
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Lupus causing small bowel obstruction.

Yunfei Yang1, Anne-Marie Bartsch1, Eve Fryer2

  • 1Oxford University Medical School, John Radcliffe Hospital, Oxford University Hospitals NHS Trust, Oxford, UK.

BMJ Case Reports
|September 29, 2018
PubMed
Summary
This summary is machine-generated.

Systemic lupus erythematosus (SLE) can cause rare autoimmune enteritis leading to bowel obstruction. This case highlights the challenges of surgical management and the potential for complications like short gut syndrome.

Keywords:
malabsorptionnephrotic syndromesmall intestinesurgerysystemic lupus erythematosus

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Area of Science:

  • Gastroenterology
  • Rheumatology
  • Surgical Pathology

Background:

  • A 20-year-old female with a 4-year history of systemic lupus erythematosus (SLE) presented with a year of recurrent abdominal pain, distension, nausea, and borborygmi.
  • SLE involvement included skin, joints, and kidneys, with initial investigations revealing long-segment ileal inflammation and upstream obstruction.

Observation:

  • Differential diagnoses included SLE enteritis and Crohn's disease.
  • Conservative management failed, necessitating a laparotomy with small bowel (SB) resection and ileostomy.
  • Histology suggested autoimmune enteritis, a rare manifestation of SLE requiring surgical intervention for obstruction.

Findings:

  • Postoperatively, the patient experienced SB volvulus with perforation, requiring further resection and stoma refashioning.
  • This led to the development of short gut syndrome.
  • Ultimately, the stoma was reversed, parenteral nutrition was discontinued, and the patient achieved weight stability.

Implications:

  • This case underscores the rarity of surgical intervention for SLE-related bowel obstruction.
  • It highlights the complex management of autoimmune enteritis and its potential complications.
  • Successful stoma reversal and nutritional stabilization demonstrate favorable outcomes despite severe complications.