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Related Concept Videos

Acute Pancreatitis I: Introduction01:27

Acute Pancreatitis I: Introduction

1.2K
Pancreatitis is inflammation of the pancreas, an organ located behind the stomach. It can be either acute or chronic.
Acute pancreatitis is characterized by rapid inflammation of the pancreas, often caused by factors like gallstone blockage or excessive alcohol consumption. Chronic pancreatitis, on the other hand, is a slow, progressive inflammation that may result from long-term alcohol abuse, obstructions in the pancreatic duct, or genetic factors.
The causes of acute pancreatitis include:
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Esophageal Strictures-I: Introduction01:30

Esophageal Strictures-I: Introduction

843
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...
843
Acute Pancreatitis II: Clinical Manifestations and Management01:30

Acute Pancreatitis II: Clinical Manifestations and Management

822
Acute pancreatitis presents a complex medical emergency characterized by rapid onset inflammation of the pancreas, demanding timely diagnosis and management to prevent complications. The condition primarily manifests through severe upper abdominal pain that often radiates to the back. This pain intensifies following the consumption of fatty foods. Accompanying symptoms such as nausea, vomiting, abdominal distention, fever, dyspnea, cyanosis, and jaundice can vary in intensity but significantly...
822
The Colonization of Land02:22

The Colonization of Land

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Changes in the environment of the early Earth drove the evolution of organisms. As prokaryotic organisms in the oceans began to photosynthesize, they produced oxygen. Eventually, oxygen saturated the oceans and entered the air, resulting in an increase in atmospheric oxygen concentration, known as the oxygen revolution approximately 2.3 billion years ago. Therefore, organisms that could use oxygen for cellular respiration had an advantage. More than 1.5 years ago, eukaryotic cells and...
37.5K
Esophageal Strictures-II: Clinical Features and Management01:26

Esophageal Strictures-II: Clinical Features and Management

608
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...
608
Pancreatic Juice and Secretion01:26

Pancreatic Juice and Secretion

2.9K
Pancreatic juice is a clear fluid produced by the pancreas, containing water, salts, sodium bicarbonate, and enzymes vital for digestion in the small intestine. It helps break down large molecules, facilitating nutrient absorption.
When acidic chyme from the stomach enters the duodenum, it triggers the release of secretin, a hormone that prompts pancreatic juice secretion. After a fatty meal, cholecystokinin, another hormone, stimulates gallbladder contraction and enhances enzyme-rich...
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Updated: Jan 27, 2026

Urethroplasty with Pedicled Tunica Vaginalis for the Treatment of Long-segment Anterior Urethral Stricture Caused by Lichen Sclerosus of Glans Penis
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Urethroplasty with Pedicled Tunica Vaginalis for the Treatment of Long-segment Anterior Urethral Stricture Caused by Lichen Sclerosus of Glans Penis

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Acute Pancreatitis Causing Descending Colonic Stricture: A Rare Sequelae.

Amrendra Kumar Mandal1, Paritosh Kafle1, Pradip Puri1

  • 11 Interfaith Medical Center, Brooklyn, NY, USA.

Journal of Investigative Medicine High Impact Case Reports
|March 29, 2019
PubMed
Summary

Acute pancreatitis can rarely cause descending colonic strictures, mimicking Crohn's disease or tuberculosis. Diagnosis is challenging, often requiring surgery to confirm the cause.

Keywords:
Crohn’s diseaseacute pancreatitiscolon stricture

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Robotic-assisted Lateral Pancreaticojejunostomy for Chronic Pancreatitis
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Creation of Colonic Anastomosis in Mice
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Creation of Colonic Anastomosis in Mice
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Area of Science:

  • Gastroenterology
  • Surgical Pathology

Background:

  • Isolated descending colonic strictures present with nonspecific symptoms, complicating diagnosis.
  • Crohn's disease (CD) and tuberculosis (TB) are common causes, often indistinguishable from pancreatitis-related strictures.
  • Endoscopic and biopsy findings may be inconclusive, necessitating surgical intervention for definitive diagnosis and treatment.

Observation:

  • A young male presented with weight loss and abdominal pain, initially suspected to have CD based on negative TB testing and positive ELISA.
  • Despite sulfasalazine treatment for presumed CD, the patient's condition worsened.
  • Further investigation revealed a descending colonic stricture unrelated to CD, linked to a prior acute pancreatitis episode.

Findings:

  • The patient underwent segmentectomy for a colonic stricture adherent to the pancreas, confirmed to be a rare complication of acute pancreatitis.
  • The pathophysiology of pancreatitis-induced colonic stricture is likely inflammatory injury.
  • This case highlights the diagnostic challenges posed by colonic strictures secondary to pancreatitis.

Implications:

  • Clinicians should consider pancreatitis as a potential etiology for isolated colonic strictures, even with typical CD or TB presentations.
  • Advanced imaging and potentially surgical exploration are crucial for differentiating causes of colonic strictures.
  • Recognizing this rare complication can prevent delayed diagnosis and inappropriate treatment for pancreatitis-related colonic strictures.