Large Diverticulum and Volvulus of the Small Bowel in Adults
The purpose of this study was to evaluate the relationship of large diverticulum (>3 cm) and volvulus of the small bowel (SB) in adults. A computer search of the medical records between January 1995 and December 2002 revealed 94 surgically proved cases of small bowel volvulus in adults. We review...
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| Veröffentlicht in: | World journal of surgery 2005-01, Vol.29 (1), p.80-82 |
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| creator | Chou, Chung Kuao Mark, Chee‐Wai Wu, Reng‐Hong Chang, Jinn‐Ming |
| description | The purpose of this study was to evaluate the relationship of large diverticulum (>3 cm) and volvulus of the small bowel (SB) in adults. A computer search of the medical records between January 1995 and December 2002 revealed 94 surgically proved cases of small bowel volvulus in adults. We reviewed the surgical records and recorded any specific condition found during laparotomy. The control group included 107 consecutive patients receiving a laparotomy with a diagnosis other than SB volvulus. In the 94 surgically proved cases of SB volvulus, the surgical records described presence of adhesion in 47 cases, adhesions around large SB diverticulum (>3 cm) in 5 cases, coexistence of large SB diverticulum and adhesions around the narrowed mesenteric root in 4 cases, large SB diverticulum without a specific description of the presence of adhesion or narrowed mesenteric root in 24 cases, narrowed mesenteric root without large SB diverticulum in 3 cases, internal hernia in 4 cases, tumors in 3 cases, and absence of any specific lesion in 4 cases. Only one case was found to have a large SB diverticulum in the control group. The incidence of large SB diverticulum in SB volvulus of adults was 35% (33/94), significantly higher than that of the control group (1%, 1/107) (p < 0.01). Large diverticulum of the small bowel might play a contributing role in the occurrence of SB volvulus in adults. |
| doi_str_mv | 10.1007/s00268-004-7454-9 |
| format | Article |
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A computer search of the medical records between January 1995 and December 2002 revealed 94 surgically proved cases of small bowel volvulus in adults. We reviewed the surgical records and recorded any specific condition found during laparotomy. The control group included 107 consecutive patients receiving a laparotomy with a diagnosis other than SB volvulus. In the 94 surgically proved cases of SB volvulus, the surgical records described presence of adhesion in 47 cases, adhesions around large SB diverticulum (>3 cm) in 5 cases, coexistence of large SB diverticulum and adhesions around the narrowed mesenteric root in 4 cases, large SB diverticulum without a specific description of the presence of adhesion or narrowed mesenteric root in 24 cases, narrowed mesenteric root without large SB diverticulum in 3 cases, internal hernia in 4 cases, tumors in 3 cases, and absence of any specific lesion in 4 cases. Only one case was found to have a large SB diverticulum in the control group. The incidence of large SB diverticulum in SB volvulus of adults was 35% (33/94), significantly higher than that of the control group (1%, 1/107) (p < 0.01). Large diverticulum of the small bowel might play a contributing role in the occurrence of SB volvulus in adults.</description><identifier>ISSN: 0364-2313</identifier><identifier>EISSN: 1432-2323</identifier><identifier>DOI: 10.1007/s00268-004-7454-9</identifier><identifier>PMID: 15599741</identifier><identifier>CODEN: WJSUDI</identifier><language>eng</language><publisher>New York: Springer‐Verlag</publisher><subject>Adult ; Aged ; Ascariasis ; Biological and medical sciences ; Compute Tomography Examination ; Diverticulum, Colon - complications ; Female ; General aspects ; Humans ; Ileal Diseases - complications ; Internal Hernia ; Intestinal Volvulus - diagnostic imaging ; Intestinal Volvulus - etiology ; Jejunal Diseases - complications ; Male ; Medical sciences ; Middle Aged ; Reversible Ischemia ; Small Bowel ; Tomography, X-Ray Computed</subject><ispartof>World journal of surgery, 2005-01, Vol.29 (1), p.80-82</ispartof><rights>2005 The Author(s) under exclusive licence to Société Internationale de Chirurgie</rights><rights>2005 INIST-CNRS</rights><rights>Société Internationale de Chirurgie 2005</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4726-e417125681d4ced47995fe1b1c5728ff28d985196e0b0c575baebdd0a5b0d2a13</citedby><cites>FETCH-LOGICAL-c4726-e417125681d4ced47995fe1b1c5728ff28d985196e0b0c575baebdd0a5b0d2a13</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1007%2Fs00268-004-7454-9$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1007%2Fs00268-004-7454-9$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,780,784,1417,27924,27925,45574,45575</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=16515982$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/15599741$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Chou, Chung Kuao</creatorcontrib><creatorcontrib>Mark, Chee‐Wai</creatorcontrib><creatorcontrib>Wu, Reng‐Hong</creatorcontrib><creatorcontrib>Chang, Jinn‐Ming</creatorcontrib><title>Large Diverticulum and Volvulus of the Small Bowel in Adults</title><title>World journal of surgery</title><addtitle>World J Surg</addtitle><description>The purpose of this study was to evaluate the relationship of large diverticulum (>3 cm) and volvulus of the small bowel (SB) in adults. A computer search of the medical records between January 1995 and December 2002 revealed 94 surgically proved cases of small bowel volvulus in adults. We reviewed the surgical records and recorded any specific condition found during laparotomy. The control group included 107 consecutive patients receiving a laparotomy with a diagnosis other than SB volvulus. In the 94 surgically proved cases of SB volvulus, the surgical records described presence of adhesion in 47 cases, adhesions around large SB diverticulum (>3 cm) in 5 cases, coexistence of large SB diverticulum and adhesions around the narrowed mesenteric root in 4 cases, large SB diverticulum without a specific description of the presence of adhesion or narrowed mesenteric root in 24 cases, narrowed mesenteric root without large SB diverticulum in 3 cases, internal hernia in 4 cases, tumors in 3 cases, and absence of any specific lesion in 4 cases. Only one case was found to have a large SB diverticulum in the control group. The incidence of large SB diverticulum in SB volvulus of adults was 35% (33/94), significantly higher than that of the control group (1%, 1/107) (p < 0.01). Large diverticulum of the small bowel might play a contributing role in the occurrence of SB volvulus in adults.</description><subject>Adult</subject><subject>Aged</subject><subject>Ascariasis</subject><subject>Biological and medical sciences</subject><subject>Compute Tomography Examination</subject><subject>Diverticulum, Colon - complications</subject><subject>Female</subject><subject>General aspects</subject><subject>Humans</subject><subject>Ileal Diseases - complications</subject><subject>Internal Hernia</subject><subject>Intestinal Volvulus - diagnostic imaging</subject><subject>Intestinal Volvulus - etiology</subject><subject>Jejunal Diseases - complications</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Reversible Ischemia</subject><subject>Small Bowel</subject><subject>Tomography, X-Ray Computed</subject><issn>0364-2313</issn><issn>1432-2323</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2005</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><recordid>eNqFkMtO3DAUQK2Kqgy0H8AGWUh0l_Zex49YYjPQUkAjdUEfS8uJHQhyErAng-bv8WhGQmLD6j507kOHkCOEbwigvicAJqsCgBeKC17oD2SGvGQFK1m5R2ZQSp5zLPfJQUoPAKgkyE9kH4XQWnGckbOFjXee_uhWPi67ZgpTT-3g6L8xrHKR6NjS5b2nt70NgZ6Pzz7QbqBzN4Vl-kw-tjYk_2UXD8nfy59_Lq6Kxe9f1xfzRdFwxWThOSpkQlboeOMdV1qL1mONjVCsaltWOV0J1NJDDbknautr58CKGhyzWB6Sr9u9j3F8mnxamr5LjQ_BDn6ckpFKKBRcZvDkDfgwTnHIvxmG-aqqSp0h3EJNHFOKvjWPsettXBsEs_Fqtl5N9mo2Xs1m5ni3eKp7714ndiIzcLoDbGpsaKMdmi69clKg0BXLnN5yz13w6_cvm_83t-eXwLiQ5QvbDo7h</recordid><startdate>200501</startdate><enddate>200501</enddate><creator>Chou, Chung Kuao</creator><creator>Mark, Chee‐Wai</creator><creator>Wu, Reng‐Hong</creator><creator>Chang, Jinn‐Ming</creator><general>Springer‐Verlag</general><general>Springer</general><general>Springer Nature B.V</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7QO</scope><scope>7T5</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FD</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FR3</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>H94</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>P64</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>7X8</scope></search><sort><creationdate>200501</creationdate><title>Large Diverticulum and Volvulus of the Small Bowel in Adults</title><author>Chou, Chung Kuao ; Mark, Chee‐Wai ; Wu, Reng‐Hong ; Chang, Jinn‐Ming</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4726-e417125681d4ced47995fe1b1c5728ff28d985196e0b0c575baebdd0a5b0d2a13</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2005</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Ascariasis</topic><topic>Biological and medical sciences</topic><topic>Compute Tomography Examination</topic><topic>Diverticulum, Colon - complications</topic><topic>Female</topic><topic>General aspects</topic><topic>Humans</topic><topic>Ileal Diseases - complications</topic><topic>Internal Hernia</topic><topic>Intestinal Volvulus - diagnostic imaging</topic><topic>Intestinal Volvulus - etiology</topic><topic>Jejunal Diseases - complications</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Reversible Ischemia</topic><topic>Small Bowel</topic><topic>Tomography, X-Ray Computed</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Chou, Chung Kuao</creatorcontrib><creatorcontrib>Mark, Chee‐Wai</creatorcontrib><creatorcontrib>Wu, Reng‐Hong</creatorcontrib><creatorcontrib>Chang, Jinn‐Ming</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Biotechnology Research Abstracts</collection><collection>Immunology Abstracts</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Technology Research Database</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Engineering Research Database</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>MEDLINE - Academic</collection><jtitle>World journal of surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Chou, Chung Kuao</au><au>Mark, Chee‐Wai</au><au>Wu, Reng‐Hong</au><au>Chang, Jinn‐Ming</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Large Diverticulum and Volvulus of the Small Bowel in Adults</atitle><jtitle>World journal of surgery</jtitle><addtitle>World J Surg</addtitle><date>2005-01</date><risdate>2005</risdate><volume>29</volume><issue>1</issue><spage>80</spage><epage>82</epage><pages>80-82</pages><issn>0364-2313</issn><eissn>1432-2323</eissn><coden>WJSUDI</coden><abstract>The purpose of this study was to evaluate the relationship of large diverticulum (>3 cm) and volvulus of the small bowel (SB) in adults. A computer search of the medical records between January 1995 and December 2002 revealed 94 surgically proved cases of small bowel volvulus in adults. We reviewed the surgical records and recorded any specific condition found during laparotomy. The control group included 107 consecutive patients receiving a laparotomy with a diagnosis other than SB volvulus. In the 94 surgically proved cases of SB volvulus, the surgical records described presence of adhesion in 47 cases, adhesions around large SB diverticulum (>3 cm) in 5 cases, coexistence of large SB diverticulum and adhesions around the narrowed mesenteric root in 4 cases, large SB diverticulum without a specific description of the presence of adhesion or narrowed mesenteric root in 24 cases, narrowed mesenteric root without large SB diverticulum in 3 cases, internal hernia in 4 cases, tumors in 3 cases, and absence of any specific lesion in 4 cases. Only one case was found to have a large SB diverticulum in the control group. The incidence of large SB diverticulum in SB volvulus of adults was 35% (33/94), significantly higher than that of the control group (1%, 1/107) (p < 0.01). Large diverticulum of the small bowel might play a contributing role in the occurrence of SB volvulus in adults.</abstract><cop>New York</cop><pub>Springer‐Verlag</pub><pmid>15599741</pmid><doi>10.1007/s00268-004-7454-9</doi><tpages>3</tpages></addata></record> |
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| subjects | Adult Aged Ascariasis Biological and medical sciences Compute Tomography Examination Diverticulum, Colon - complications Female General aspects Humans Ileal Diseases - complications Internal Hernia Intestinal Volvulus - diagnostic imaging Intestinal Volvulus - etiology Jejunal Diseases - complications Male Medical sciences Middle Aged Reversible Ischemia Small Bowel Tomography, X-Ray Computed |
| title | Large Diverticulum and Volvulus of the Small Bowel in Adults |
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