GENERAL

Prevention and Management of Sepsis

Jul 15, 2019 by in GENERAL Comments Off on Prevention and Management of Sepsis

Background Sepsis is uncontrolled infection—a potentially fatal condition manifested by tachycardia, leukocytosis, fever, and hypotension. In the United States, the overall incidence is estimated to be more than 1.1 million…

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Small Bowel Neoplasms

Jul 15, 2019 by in GENERAL Comments Off on Small Bowel Neoplasms

Acknowledgment I thank Cory Sandone for her artwork on small bowel neoplasms. Introduction Neoplasms of the small intestine are rare, accounting for 3% to 6% of gastrointestinal neoplasms overall and…

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Colorectal Surgery in the High-Risk Patient

Jul 15, 2019 by in GENERAL Comments Off on Colorectal Surgery in the High-Risk Patient

Introduction Increasing life expectancy coupled with the growing incidence of both benign and malignant colorectal disease has resulted in a greater need for surgeons to operate on patients with a…

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Enterocutaneous Fistulas

Jul 15, 2019 by in GENERAL Comments Off on Enterocutaneous Fistulas

Introduction Enterocutaneous fistulas, defined as an abnormal communication between the small bowel and skin, are among the most daunting problems for an intestinal surgeon. The impact of an enterocutaneous fistula…

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Pneumatosis Cystoides Intestinalis

Jul 15, 2019 by in GENERAL Comments Off on Pneumatosis Cystoides Intestinalis

Introduction Pneumatosis cystoides intestinalis (PCI) is a condition in which multiple gas-filled cysts occur under the serosa or mucosa of the gastrointestinal tract. PCI is uncommon but increasingly is being…

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Medical Management of Short Bowel Syndrome

Jul 15, 2019 by in GENERAL Comments Off on Medical Management of Short Bowel Syndrome

Introduction Short bowel syndrome (SBS) is a form of intestinal failure that most often results from surgical resection related to Crohn disease, mesenteric infarction, radiation enteritis, or surgery for recurrent…

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Constipation

Jul 15, 2019 by in GENERAL Comments Off on Constipation

Introduction Constipation is the most common bowel complaint in the United States, with an estimated prevalence of 2% to 27%. The wide range is attributed to the variety of definitions…

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Small Bowel Obstruction

Jul 15, 2019 by in GENERAL Comments Off on Small Bowel Obstruction

Extent of the Problem Small bowel obstruction is a common problem that is responsible for more than 1 million inpatient hospital days and more than $1 billion in health care…

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Colon and Rectal Trauma

Jul 15, 2019 by in GENERAL Comments Off on Colon and Rectal Trauma

Introduction It seems as if surgeons have always debated the “proper” treatment of colorectal injuries, including the following issues: • When should continuity be restored, and when should diversion be…

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Endometriosis of the Colon and Rectum

Jul 15, 2019 by in GENERAL Comments Off on Endometriosis of the Colon and Rectum

Introduction Endometriosis is a disease characterized by the presence of endometrial glands and stroma outside the uterine cavity. A chronic inflammatory reaction induces scar tissue and adhesion formation that may…

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