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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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Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy01:26

Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy

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Sigmoidoscopy and laparoscopy are distinct medical procedures that enable physicians to internally inspect different parts of the GI tract. Although they serve different purposes, each is essential for diagnosing and, in some cases, treating various medical conditions.
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
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Esophageal Varices-II: Clinical Features and Management01:28

Esophageal Varices-II: Clinical Features and Management

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Esophageal varices often manifest as gastrointestinal bleeding episodes, presenting symptoms like hematemesis (vomiting of blood), hematochezia (passing fresh blood via the rectum), and melena (black, tarry stools). Other signs can include weight loss, anorexia, abdominal discomfort, jaundice, pruritus, altered mental status, and muscle cramps.
In the initial assessment, a thorough review of the patient's medical history is vital to identify risk factors such as liver disease, alcohol...
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Peptic Ulcer Disease V: Surgical Management and Nursing Care01:25

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Surgical management and nursing care are crucial in treating Peptic Ulcer Disease (PUD). Here is an organized and enhanced overview of the surgical interventions and the associated nursing care for PUD:
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Esophageal Varices-I: Introduction01:24

Esophageal Varices-I: Introduction

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Esophageal varices are dilated, tortuous veins which are found mainly in the submucosa of the lower esophagus but which may also appear higher up or extend into the stomach. They develop due to increased pressure in the portal venous system, often as a result of liver cirrhosis. This condition scars and damages the liver, impeding normal blood flow through the portal vein. To compensate, blood seeks alternative pathways, forming fragile new vessels (varices) in the esophagus and stomach. These...
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Esophageal Strictures-II: Clinical Features and Management01:26

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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.
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One-anastomosis Gastric Bypass OAGB in Rats
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Volvulus 8 years after bariatric surgery.

B Jíšová, M Podhráský, P Hladík

    Rozhledy V Chirurgii : Mesicnik Ceskoslovenske Chirurgicke Spolecnosti
    |June 21, 2023
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    Summary
    This summary is machine-generated.

    Bariatric surgery patients can develop small intestine volvulus, a rare complication that may occur years after the initial procedure, often triggered by other surgeries like hip replacement.

    Keywords:
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    Area of Science:

    • Gastroenterology
    • Bariatric Surgery
    • Surgical Complications

    Background:

    • Obesity is a growing global health concern, driving the widespread adoption of bariatric surgery for long-term weight management.
    • Bariatric procedures, while effective, carry risks including potential complications like small intestine ileus and volvulus.
    • Early diagnosis and intervention are crucial for managing acute surgical complications.

    Observation:

    • A 58-year-old woman, who had a mini-gastric bypass in 2014, presented with ileus symptoms two days post-hip replacement surgery.
    • Computed Tomography (CT) revealed signs consistent with small intestine volvulus.
    • The patient underwent emergency surgery for the correction of enteroenteroanastomosis and intestinal decompression.

    Findings:

    • Small intestine volvulus occurred eight years after the initial bariatric surgery.
    • The patient's ileus symptoms were precipitated by paralytic ileus following hip replacement surgery.
    • Postoperative recovery showed slower bowel function restoration despite the absence of immediate complications.

    Implications:

    • Volvulus diagnosis can be challenging due to non-specific clinical presentations.
    • This case highlights the importance of considering delayed complications after bariatric surgery, especially in the context of subsequent procedures.
    • Further research into the long-term risks and management strategies for bariatric surgery patients is warranted.