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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 I: Ulcerative Colitis01:27

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

Inflammatory Bowel Disease II: Crohn's Disease

410
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
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Small Bowel Volvulus Complicated by Bowel Infarction.

Birgitt Janssens1, Adelard De Backer1, Filip Vanhoenacker2

  • 1AZ Sint Lucas Gent, BE.

Journal of the Belgian Society of Radiology
|May 18, 2022
PubMed
Summary
This summary is machine-generated.

Small bowel volvulus with closed loop obstruction and absent bowel wall enhancement indicates acute bowel infarction. This finding is a critical alarm sign for surgical intervention in patients with small bowel volvulus.

Keywords:
abdominal computed tomographysmall bowel infarctionsmall bowel volvulus

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Area of Science:

  • Gastroenterology
  • Abdominal Imaging
  • Surgical Pathology

Background:

  • Small bowel volvulus is a rare but serious condition characterized by the twisting of the small intestine.
  • Early diagnosis is crucial to prevent complications such as bowel ischemia and infarction.
  • Radiological findings play a key role in the timely identification of this surgical emergency.

Observation:

  • Torsion of a small bowel segment and its mesentery can lead to closed-loop obstruction.
  • The small bowel walls may appear paper-thin on imaging studies.
  • Absent enhancement of the bowel wall suggests compromised blood supply.

Findings:

  • The combination of torsion, closed-loop obstruction, and non-enhancing, thin bowel walls is a significant indicator of small bowel volvulus.
  • This constellation of findings strongly correlates with acute bowel infarction.
  • These imaging features serve as an alarm sign for clinicians.

Implications:

  • Prompt recognition of these radiological signs can facilitate early surgical intervention.
  • Timely treatment can prevent or mitigate the severity of bowel infarction and associated complications.
  • This teaching point aids in differentiating simple obstruction from ischemic events in small bowel volvulus.