The Experts below are selected from a list of 264 Experts worldwide ranked by ideXlab platform
Herand Abcarian - One of the best experts on this subject based on the ideXlab platform.
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treatment of Fecal Impaction with pulsed irrigation enhanced evacuation
Diseases of The Colon & Rectum, 1994Co-Authors: Joseph Kokoszka, Richard L Nelson, Margaret Falconio, Herand AbcarianAbstract:PURPOSE: A new method of treating Fecal Impaction is described, selecting patients that would otherwise have required operative disImpaction. METHOD: Using the pulsed irrigation enhanced evacuation device, individuals were selected for treatment based on evidence of massive Fecal Impaction on physical examination or abdominal x-ray. RESULTS: Fourteen individuals were treated for Fecal Impaction. The patients ranged in age from 13 to 86 years. Only one patient required intravenous sedation, an elderly patient with Alzheimer's disease. The treatment was successful in each case, although repeated treatment was often necessary. No morbidity arose from the treatment. By the midpoint in our study, because of the success of this treatment, no patient required hospitalization for Impaction. CONCLUSION: Pulsed irrigation enhanced evacuation has been in our experience a simple, quick, and effective treatment for severe Fecal Impaction.
Dorothy L Hurst - One of the best experts on this subject based on the ideXlab platform.
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pulsed irrigation enhanced evacuation new method for treating Fecal Impaction
Archives of Physical Medicine and Rehabilitation, 1991Co-Authors: Terry Puet, Lovsho Phen, Dorothy L HurstAbstract:Abstract Fecal Impaction is a common problem in patients with neurologic impairment. The pulsed irrigation enhanced evacuation (PIEE) procedure is a new method of clearing Fecal Impactions using pulses of small amounts of warm water to rehydrate stool and improve peristalsis. Thirty-seven PIEE procedures were performed on 28 patients with a variety of neurologic problems. The PIEE procedure was observed to be effective and safe. It should be a useful adjunct to a proper bowel management program.
Joseph Kokoszka - One of the best experts on this subject based on the ideXlab platform.
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treatment of Fecal Impaction with pulsed irrigation enhanced evacuation
Diseases of The Colon & Rectum, 1994Co-Authors: Joseph Kokoszka, Richard L Nelson, Margaret Falconio, Herand AbcarianAbstract:PURPOSE: A new method of treating Fecal Impaction is described, selecting patients that would otherwise have required operative disImpaction. METHOD: Using the pulsed irrigation enhanced evacuation device, individuals were selected for treatment based on evidence of massive Fecal Impaction on physical examination or abdominal x-ray. RESULTS: Fourteen individuals were treated for Fecal Impaction. The patients ranged in age from 13 to 86 years. Only one patient required intravenous sedation, an elderly patient with Alzheimer's disease. The treatment was successful in each case, although repeated treatment was often necessary. No morbidity arose from the treatment. By the midpoint in our study, because of the success of this treatment, no patient required hospitalization for Impaction. CONCLUSION: Pulsed irrigation enhanced evacuation has been in our experience a simple, quick, and effective treatment for severe Fecal Impaction.
Israel M Katz - One of the best experts on this subject based on the ideXlab platform.
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Fecal Impaction in children report of 53 cases of rectal seed bezoars
Journal of Pediatric Surgery, 2007Co-Authors: Arie Eitan, Israel M Katz, Yekiel Sweed, Amitai BickelAbstract:Abstract Background Rectal seed bezoars in children seem to present an uncommon problem that necessitates some operative intervention. Purpose Our objective is to determine the occurrence and clinical characteristics of rectal seed bezoars in children with Fecal Impaction. Methods A retrospective review of hospital records of children with discharge diagnosis of Fecal Impaction was conducted from 1996 to 2005 in a university-affiliated general hospital Results The study group is composed 59 children. A total of 53 had rectal seed bezoars: watermelon seeds in 43 children, prickly pear seeds in 6, sunflower seeds in 3, and pumpkinseeds in 1. Six children had seedless Fecal Impaction. All the children with seed bezoars were of Arab origin. Fifty children were treated under general anesthesia. Of the remaining 9 children, 5 underwent digital disImpaction without general anesthesia: 3 with seedless feces and 2 with rectal seed bezoars. Four children with rectal seed bezoars evacuated spontaneously without digital disImpaction. There was summer seasonal preference for watermelon and prickly pear seed bezoars, whereas sunflower seed bezoars occurred in the spring. Conclusions Fecal Impaction owing to rectal seed bezoars is more common than previously believed. Its occurrence among Arab children alone in this study might indicate a high proportion of Fecal seed bezoars throughout the Middle East. We propose that the preferred treatment should include disImpaction and irrigation of the rectal content under anesthesia. Greater awareness by primary care practitioners and parents might be beneficial in its prevention in the future.
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Fecal Impaction in adults report of 30 cases of seed bezoars in the rectum
Diseases of The Colon & Rectum, 2006Co-Authors: Arie Eitan, Amitai Bickel, Israel M KatzAbstract:PURPOSE: Seed bezoars in the rectum have been considered an uncommon cause of Fecal Impaction in adults. Although there have been several reports on sunflower seed bezoars, seed bezoars from the fruit of the prickly pear cactus and watermelon have received little notice. This study was designed to determine the frequency of Fecal Impaction by seed bezoars in the rectum and their clinical characteristics in adults. METHODS: A retrospective review of the medical records of patients hospitalized with the diagnosis of Fecal Impaction during a ten-year period. RESULTS: During the study period (January 1996 to December 2005), 55 patients were hospitalized at the Western Galilee Hospital, in northern Israel, with the diagnosis of Fecal Impaction. Phytobezoars were found in 30 patients (55 percent). The seed bezoars were composed of prickly pear seeds in 12 patients, watermelon seeds in 10 patients, sunflower seeds in 4 patients, popcorn kernels in 1 patient, and pomegranate seeds in 1 patient. The Jew:Arab ratio for seed bezoars was 7:23. Seventy-three patients had seedless Fecal masses with a Jew:Arab ratio of 58:15. All 30 patients with bezoar underwent digital disImpaction under general anesthesia. Only 21 of 73 patients with seedless Fecal masses were treated under general anesthesia. CONCLUSIONS: Seed bezoars found in the rectum were the most common cause of Fecal Impaction requiring hospitalization, probably to the result of the eating habits in the Middle East. The consumption of seeds with shell fragments or fruits containing many seeds (such as the prickly pear) should be accompanied by the awareness that large quantities may cause Fecal Impaction.
Terry Puet - One of the best experts on this subject based on the ideXlab platform.
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pulsed irrigation enhanced evacuation new method for treating Fecal Impaction
Archives of Physical Medicine and Rehabilitation, 1991Co-Authors: Terry Puet, Lovsho Phen, Dorothy L HurstAbstract:Abstract Fecal Impaction is a common problem in patients with neurologic impairment. The pulsed irrigation enhanced evacuation (PIEE) procedure is a new method of clearing Fecal Impactions using pulses of small amounts of warm water to rehydrate stool and improve peristalsis. Thirty-seven PIEE procedures were performed on 28 patients with a variety of neurologic problems. The PIEE procedure was observed to be effective and safe. It should be a useful adjunct to a proper bowel management program.
