Category: GI

Paralytic ileus (Adynamic bowel obstruction)

Paralytic ileus (Adynamic bowel obstruction)

Paralytic ileus is a condition characterized by the symptoms of abdominal bowel obstruction like nausea, vomiting, and vague abdominal discomfort due to neuromuscular failure

Juvenile polyposis syndrome

Juvenile polyposis syndrome

Juvenile polyposis syndrome is the autosomal dominantly inherited condition is characterized by the development of multiple rectal and colonic polyps around puberty

Short bowel syndrome

Short bowel syndrome

Short bowel syndrome is a condition of malabsorption (nutrients are not properly absorbed) due to extensive resection (<150cm of remaining) of small intestine or severe intestinal

Gastric dumping syndrome

Gastric dumping syndrome

Dumping syndrome is a group of symptoms that occurs following ingestion of a meal when who have undergone gastric bypass surgery. It is typically induced when

Hirschsprung’s disease

Hirschsprung’s disease

Hirschsprung’s disease is a developmental disorder that is present at birth but may not be diagnosed until later childhood. It is characterized by defecation difficulty of failure.

Delay Emptying and Rapid Emptying: Disorder of Gastric Motility

Delay Emptying and Rapid Emptying: Disorder of Gastric Motility

Disorder of gastric motility can be divided into the broad categories of delay and rapid emptying. The generalized symptoms of both disorder overlap.

Chronic Intestinal pseudoobstruction

Chronic Intestinal pseudoobstruction

Intestinal pseudoobstruction is characterized by symptoms of intestinal intestine obstruction in the absence of a mechanical obstruction. The mechanisms for controlling orderly propulsive motility fail while the intestinal lumen is free form obstruction. This syndrome may result from abnormalities of the muscles of ENS. In general symptoms of colicky abdominal pain, nausea and vomiting, and [...]

Dysphagia, Diffuse Spasm, and Achalasis: Motor Disorder of the Esophagus

Dysphagia, Diffuse Spasm, and Achalasis: Motor Disorder of the Esophagus

Failure of peristalsis in the esophageal body or failure of the lower esophageal sphincter to relax will result in dysphagia or difficulty in swallowing. Some people show abnormally high

A Randomized Phase III Study Comparing Adjuvant 5-fluorouracil/Folinic Acid with FOLFIRI in Patients Following Complete Resection of Liver Metastases from Colorectal Cancer

A Randomized Phase III Study Comparing Adjuvant 5-fluorouracil/Folinic Acid with FOLFIRI in Patients Following Complete Resection of Liver Metastases from Colorectal Cancer

Abstract Background: Studies indicate that adjuvant 5-fluorouracil (5-FU) with folinic acid (FA) in colorectal cancer patients with completely resectable liver-limited metastases (LMCRC) offers clinical benefit over surgery alone. This phase III trial compared FOLFIRI with simplified 5-FU/FA in this setting. Patients and methods: LMCRC patients were randomized to receive every 14 days, FA, 400 mg/m2 [...]

Advances in the Diagnosis and Treatment of Small Bowel Lesions with Crohn’s Disease using Double-balloon Endoscopy

Advances in the Diagnosis and Treatment of Small Bowel Lesions with Crohn’s Disease using Double-balloon Endoscopy

Crohn’s disease was first reported by Crohn et al. in 1932 as ‘regional ileitis’ with chronic granulomatous inflammation of the terminal ileum [Chron et al. 2000].

In the Neo-adjuvant Treatment of Gastro-esophageal Cancers

In the Neo-adjuvant Treatment of Gastro-esophageal Cancers

Pre- and peri-operative strategies are becoming standard for the management of Localized gastro-esophageal cancer. For localized gastric/gastro-esophageal junction (GEJ) cancer there are conflicting data that a peri-operative approach with cisplatin-based chemotherapy improves survival, with the benefits seen in esophageal cancer likely less than a 5—10% incremental improvement. Further trends toward improvement in local control and [...]

Incision less Procedure for Acid Reflux/GERD

Incision less Procedure for Acid Reflux/GERD

Surgeons form Bolton Medical College are using incision less alternative to traditional surgery and laparoscopic treatment for acid reflux of GERD  Surgeon are using the new procedure called EsophyX TIF (Transoral Incisionless Fundaplication) according to them they can repair the valve between the esophagus and stomach which effectively stop GERD.  GERD is gastro esophageal reflex disease [...]

Recurrent Abdominal Pain .

Recurrent Abdominal Pain .

A 51-year-old woman presents to an outpatient surgical consultation for abdominal pain. She first noted the pain 9 months ago. She states that the pain occurs about every 3-4 weeks, and that each episode lasts 2-3 days at a time. The pain is described as “excruciating” when it occurs, causing her to double over, and [...]

Recurrent Abdominal Pain With Abdominal Distention

Recurrent Abdominal Pain With Abdominal Distention

A 70-year-old woman presents to the emergency department (ED) with progressive abdominal pain (this is her second presentation; she recently presented to the ED with similar complaints). Over the last few years, she has experienced multiple short periods of abdominal pain that always resolve spontaneously a few hours after taking over-the-counter analgesics or with the [...]