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      Small bowel emergency surgery: literature's review

      review-article

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          Abstract

          Emergency surgery of the small bowel represents a challenge for the surgeon, in the third millennium as well. There is a wide number of pathologies which involve the small bowel. The present review, by analyzing the recent and past literature, resumes the more commons. The aim of the present review is to provide the main indications to face the principal pathologies an emergency surgeon has to face with during his daily activity.

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          Guidelines for the Diagnosis and Treatment of Neuroendocrine Gastrointestinal Tumours

          U Plöckinger, G. Rindi, R. Arnold … (2005)
          Article 0 comments Cited 86 times – based on 0 reviews     Review now
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            Guidelines for the management of gastroenteropancreatic neuroendocrine (including carcinoid) tumours.

            A Gillams, N Bax, N Reed … (2005)
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              Pneumatosis intestinalis. Surgical management and clinical outcome.

              S J Knechtle, Stephanie Rice, A L Davidoff (1990)
              Pneumatosis intestinalis (PI) occurs in a wide variety of patients, some of whom require urgent surgery, while others can be observed with resolution of symptoms and radiographic findings. During 1 year, 27 patients with PI were prospectively evaluated for clinical, laboratory, and radiographic features that would be useful in predicting the need for surgery, the pathologic findings, and patient outcome. Sixteen of the twenty-seven patients underwent laparotomy, with only one negative exploration. Of the 11 patients not explored, there were two deaths in moribund patients. Seven of nine patients with jejunostomy tubes, recent gastrointestinal anastomoses, inflammatory bowel disease, lactulose therapy, or chemotherapy who did not have clinical evidence of an acute surgical abdomen or metabolic acidosis survived without surgery (two deaths unrelated to the gastrointestinal tract). Patients presenting with bowel obstruction and PI required surgery in seven of nine cases, did not have necrotic bowel, and had 11% mortality. Eight patients with ischemic bowel had a 75% mortality rate, despite surgery. Patients with PI and clinical evidence of bowel obstruction or ischemia usually require urgent surgery, while asymptomatic patients without metabolic acidosis can be safely observed.
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                Author and article information

                Journal
                Journal ID (nlm-ta): World J Emerg Surg
                Title: World Journal of Emergency Surgery : WJES
                Publisher: BioMed Central
                ISSN (Electronic): 1749-7922
                Publication date Collection: 2011
                Publication date (Electronic): 7 January 2011
                Volume: 6
                Page: 1
                Affiliations
                [1 ]General, Emergency and Transplant Surgery Dept., Sant'Orsola-Malpighi University Hospital, Bologna, Italy
                [2 ]General and Emergency Surgery Dept., Ospedali Riuniti Hospital, Bergamo, Italy
                [3 ]Emergency and Trauma Surgery Dept., Maggiore Hospital, Bologna, Italy
                Article
                Publisher ID: 1749-7922-6-1
                DOI: 10.1186/1749-7922-6-1
                PMC ID: 3025845
                PubMed ID: 21214933
                SO-VID: a5d5089c-39b6-4e9f-9516-8bc876e31969
                Copyright © Copyright ©2011 Vallicelli et al; licensee BioMed Central Ltd.
                License:

                This is an Open Access article distributed under the terms of the Creative Commons Attribution License (<url>http://creativecommons.org/licenses/by/2.0</url>), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

                History
                Date received : 6 December 2010
                Date accepted : 7 January 2011
                Categories
                Subject: Review

                ScienceOpen disciplines: Surgery
                Data availability:
                ScienceOpen disciplines: Surgery

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