The Experts below are selected from a list of 18108 Experts worldwide ranked by ideXlab platform
Fayez Shamoon - One of the best experts on this subject based on the ideXlab platform.
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Case Report Small Bowel Obstruction Mimicking Acute ST-Elevation
2016Co-Authors: Myocardial Infarction, Kunal Patel, Nailun Chang, Oleg Shulik, Joseph Depasquale, Fayez ShamoonAbstract:Copyright © 2015 Kunal Patel et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. We present a case of a 42-year-old female who presented to our institution with a small Bowel Obstruction and had emergent surgical decompression. Thirteen days postoperatively, the patient became tachycardic and had worsening epigastric pain. Electrocardiogram showed significant ST-segment elevations in leads II, III, aVF, and V3–V6, suggesting the possibility of acute inferolateral myocardial infarction. Subsequent workup revealed the cause of the ST-elevations to be due to recurrent small Bowel Obstruction. Although intra-abdominal causes of ST-elevation have been reported, our case may be the first to be associated with small Bowel Obstruction. 1
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small Bowel Obstruction mimicking acute st elevation myocardial infarction
Case Reports in Surgery, 2015Co-Authors: Kunal Patel, Nailun Chang, Oleg Shulik, Joseph Depasquale, Fayez ShamoonAbstract:We present a case of a 42-year-old female who presented to our institution with a small Bowel Obstruction and had emergent surgical decompression. Thirteen days postoperatively, the patient became tachycardic and had worsening epigastric pain. Electrocardiogram showed significant ST-segment elevations in leads II, III, aVF, and V3–V6, suggesting the possibility of acute inferolateral myocardial infarction. Subsequent workup revealed the cause of the ST-elevations to be due to recurrent small Bowel Obstruction. Although intra-abdominal causes of ST-elevation have been reported, our case may be the first to be associated with small Bowel Obstruction.
Scott A Shikora - One of the best experts on this subject based on the ideXlab platform.
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roux en y gastric bypass hyperamylasemia is associated with small Bowel Obstruction
Surgery for Obesity and Related Diseases, 2015Co-Authors: David L Spector, Zvi H Perry, Sajani Shah, Julie J Kim, Michael Tarnoff, Scott A ShikoraAbstract:Abstract Background Small Bowel Obstruction after Roux-en-Y gastric bypass (RYGB) can be difficult to diagnose, but usually requires surgical treatment; clinical presentation may be nonspecific. Delay in diagnosis can result in catastrophic outcomes. Patients who present with small Bowel Obstruction after gastric bypass occasionally have pancreatic enzyme elevation and have been misdiagnosed as having acute pancreatitis. The objective of this study was to determine if there was an association between small Bowel Obstruction and an elevated amylase or lipase after RYGB. Methods Ninety-nine cases of small Bowel Obstruction treated surgically were prospectively collected and retrospectively analyzed from a database of 4014 RYGB patients. Fifty-eight had a measurement of amylase or lipase at the time of operation. Results An elevated amylase or lipase was found in 48% of all patients. These elevated rates were higher in an acute Obstruction compared to those presenting with chronic symptoms (64% versus 28%; P = .007) and in Obstruction involving the biliopancreatic limb compared to those that did not involve that limb (65% versus 21%; P P Conclusion In RYGB patients, there is an association between small Bowel Obstruction and an elevated amylase or lipase. Acute Obstruction of the biliopancreatic limb can be difficult to diagnose, and in these patients, the sensitivity of elevated amylase or lipase is very high. RYGB patients with abdominal pain should have their amylase and lipase measured. It is important to recognize that an elevation of these enzymes is not likely a result of acute pancreatitis.
J R Salameh - One of the best experts on this subject based on the ideXlab platform.
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laparoscopic approach to acute small Bowel Obstruction review of 1061 cases
Surgical Endoscopy and Other Interventional Techniques, 2007Co-Authors: Bashar Ghosheh, J R SalamehAbstract:Background Acute small Bowel Obstruction has previously been considered a relative contraindication for laparoscopic management. As experience with laparoscopy grows, more surgeons are attempting laparoscopic management for this indication. The purpose of this study is to define the outcome of laparoscopy for acute small Bowel Obstruction through an analysis of published cases.
Andrzej Goscimski - One of the best experts on this subject based on the ideXlab platform.
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gallstone ileus of the sigmoid colon an unusual cause of large Bowel Obstruction
Hpb Surgery, 2010Co-Authors: Nadir Osman, Daren Subar, Mongyang Loh, Andrzej GoscimskiAbstract:Gallstone ileus of the colon is an exceedingly rare cause of large-Bowel Obstruction. It is usually the result of fistula formation between the gallbladder and large Bowel facilitating entry of the stone into gastrointestinal tract. Contrast enhanced abdominal computed tomography is an important diagnostic aid. Surgical management is the treatment of choice to prevent the disastrous complications of large-Bowel Obstruction. We describe the case of a 92-year-old man who presented with symptoms and signs of large-Bowel Obstruction. Radiological investigation showed a large gallstone impacted in the sigmoid colon. Open enterolithotomy was undertaken relieving the Obstruction and the patient made a full recovery.
David L Spector - One of the best experts on this subject based on the ideXlab platform.
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roux en y gastric bypass hyperamylasemia is associated with small Bowel Obstruction
Surgery for Obesity and Related Diseases, 2015Co-Authors: David L Spector, Zvi H Perry, Sajani Shah, Julie J Kim, Michael Tarnoff, Scott A ShikoraAbstract:Abstract Background Small Bowel Obstruction after Roux-en-Y gastric bypass (RYGB) can be difficult to diagnose, but usually requires surgical treatment; clinical presentation may be nonspecific. Delay in diagnosis can result in catastrophic outcomes. Patients who present with small Bowel Obstruction after gastric bypass occasionally have pancreatic enzyme elevation and have been misdiagnosed as having acute pancreatitis. The objective of this study was to determine if there was an association between small Bowel Obstruction and an elevated amylase or lipase after RYGB. Methods Ninety-nine cases of small Bowel Obstruction treated surgically were prospectively collected and retrospectively analyzed from a database of 4014 RYGB patients. Fifty-eight had a measurement of amylase or lipase at the time of operation. Results An elevated amylase or lipase was found in 48% of all patients. These elevated rates were higher in an acute Obstruction compared to those presenting with chronic symptoms (64% versus 28%; P = .007) and in Obstruction involving the biliopancreatic limb compared to those that did not involve that limb (65% versus 21%; P P Conclusion In RYGB patients, there is an association between small Bowel Obstruction and an elevated amylase or lipase. Acute Obstruction of the biliopancreatic limb can be difficult to diagnose, and in these patients, the sensitivity of elevated amylase or lipase is very high. RYGB patients with abdominal pain should have their amylase and lipase measured. It is important to recognize that an elevation of these enzymes is not likely a result of acute pancreatitis.
