ABSTRACT
OBJECTIVE: To describe conservative treatment of patients with small bowel fistula. MATERIAL AND METHODS: We report 3 patients with small bowel fistula. CONCLUSION: A personalized approach in patients with small bowel fistula and a modified treatment technique were effective for conservative treatment. Moreover, this approach was valuable to avoid surgical intervention.
Subject(s)
Conservative Treatment , Intestinal Fistula , Conservative Treatment/methods , Humans , Intestinal Fistula/therapy , Intestine, SmallABSTRACT
AIM: To present treatment of patients with ileocecal intussusception. MATERIAL AND METHODS: There were 3 patients with ileocecal intussusception for the period from June 2016 to August 2017. CONCLUSION: Abdominal sonography is main diagnostic method for intestinal intussusception. X-ray examination including contrast-enhanced irrigography gives more complete information about suspected intussusception. It is necessary to differentiate intestinal intussusception from other diseases accompanied by abdominal pain, vomiting, bloody discharge from rectum, abdominal neoplasm. Minimally invasive laparoscopic approach is advisable for diagnosis and treatment of intestinal intussusception.
Subject(s)
Ileal Diseases/diagnostic imaging , Ileocecal Valve/diagnostic imaging , Intussusception/diagnostic imaging , Contrast Media , Humans , Ileal Diseases/surgery , Ileocecal Valve/surgery , Intussusception/surgery , Laparoscopy , UltrasonographyABSTRACT
AIM: To review one of actual problems of emergency surgery - diagnosis and treatment of patients with non-occlusive mesenteric circulatory disorders. MATERIAL AND METHODS: The article presents the clinical observations showing the ambiguity of clinical picture, features and challenges of diagnosis, treatment of disease and opportunities for positive outcomes. Diagnostic methods are x-ray, abdominal ultrasonography according to which acute abdominal ischemia may be assumed. However, in all unclear cases diagnostic videolaparoscopy is mandatory to determine further tactics. Unfortunately diagnostic videolaparoscopy is not always interpreted comprehensively and not a definitive method of diagnosis. Wide surgical access is usually necessary for non-occlusal acute violation of mesenteric circulation and volume of surgery varies from segmental to subtotal intestinal and colic resection with obligatory enteral intubation and decompression. Thus, complex pre- and postoperative treatment is required.