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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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Assessment of the Rectum and Anus01:25

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Evaluating the rectum and anus plays a crucial role in conducting a thorough physical examination of the gastrointestinal system. Although it may be uncomfortable and often embarrassing for the patient, it holds immense diagnostic value, particularly in detecting gastrointestinal diseases and abnormalities. This guide will explain how to perform this assessment using inspection and palpation methods.
Rectal Inspection
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Introduction
Inflammatory bowel disease, or IBD, encompasses a group of disorders characterized by chronic inflammation or ulceration of the gastrointestinal tract.
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The appendix, a small, narrow, blind tube extending from the inferior part of the cecum, is widely regarded as a vestigial organ, having lost much of its original function through evolution. Despite its diminished role, the appendix can become inflamed, a condition known as appendicitis.
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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.
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Although digestion of proteins, carbohydrates, and lipids may begin in the stomach, it is completed in the intestine. The absorption of nutrients, water, and electrolytes from food and drink also occurs in the intestine. The intestines can be divided into two structurally distinct organs—the small and large intestines.
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Adult Intestinal Intussusception: Practical Issues and Concerns.

Carlos Cerdán Santacruz1, Javier García Septiem

  • 1Unidad de Coloproctología, Servicio de Cirugía General y Aparato Digestivo, Hospital Universitario de la Princesa, Madrid, Spain.

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A 37-year-old woman presented with abdominal pain and vomiting, found to have ileocecal intussusception. Surgery revealed colon adenocarcinoma, highlighting the importance of investigating intussusception in adults.

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Area of Science:

  • Gastroenterology
  • Surgical Oncology
  • Abdominal Imaging

Background:

  • Adult intussusception is rare, often associated with underlying pathology.
  • Ileocecal intussusception can present with non-specific gastrointestinal symptoms.

Observation:

  • A 37-year-old woman presented with acute abdominal pain and vomiting.
  • Abdominal CT scan identified ileocecal intussusception.
  • Laparoscopic surgery revealed a cecal neoplasm as the cause.

Findings:

  • The patient underwent successful laparoscopic reduction of intussusception and right hemicolectomy.
  • Pathological analysis confirmed well-differentiated colon adenocarcinoma (pT2N1aMx).
  • One out of 49 lymph nodes were positive for malignancy.

Implications:

  • This case underscores the need to consider malignancy in adult intussusception.
  • Early diagnosis and surgical management are crucial for favorable outcomes.
  • Complete mesocolic excision is vital for accurate staging and oncological control.