Food Obstruction of the Small Intestine

Davies, D. G. L.; Lewis, R.H.

doi:10.1136/bmj.2.5151.545

Cited by 29 publications

(10 citation statements)

References 7 publications

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“…It is worth mentioning that while previous reports of food obturation found no sex predominance, our series has a 4:1 female/male ratio [4,2].…”

Section: Discussioncontrasting

confidence: 51%

“…This can occur as the result of hurry, accident, drunkenness, or even politeness [2]. In the otherwise normal person with a full set of teeth, mere inadequate mastication may be the only contributory factor.…”

Section: Discussionmentioning

confidence: 99%

“…Impaction of the bolus is most common in the lower ileum where it is at its narrowest [1,2]. The bowel at this site is usually healthy, but occasionally lodgment of the bolus may occur at the site of a benign or a neoplastic stricture.…”

Section: Discussionmentioning

confidence: 99%

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Food as a cause of small intestinal obstruction

Strauß

Rubinstein

Shapira

et al. 1977

Gastrointest Radiol

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“…It is worth mentioning that while previous reports of food obturation found no sex predominance, our series has a 4:1 female/male ratio [4,2].…”

Section: Discussioncontrasting

confidence: 51%

Section: Discussionmentioning

confidence: 99%

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Food as a cause of small intestinal obstruction

Strauß

Rubinstein

Shapira

et al. 1977

Gastrointest Radiol

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“…Tradicionalmente, o tratamento cirúrgico da obstrução intestinal secundária ao bezoar consiste na migração forçada do material obstrutivo para o ceco, ou ainda enterotomia para sua retirada nos casos mais complexos 54,55 . O tratamento através da VL foi demonstrado como realizável, e extremamente vantajoso 56 .…”

Section: Obstrução De Intestino Delgado Provocada Por Bezoarunclassified

A videolaparoscopia no diagnóstico e tratamento da obstrução intestinal

Seid

Imperiale

Araújo

et al. 2007

Rev bras. colo-proctol.

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Resumo: A obstrução intestinal constitui complicação freqüente, de etiologia multifatorial, apresentação clínica variável e alta morbidade. Uma vez esgotados os recursos conservadores em casos específicos, a laparotomia exploradora é empregada para o diagnóstico final e tratamento em grande número de pacientes. Apesar do sucesso da via laparoscópica no manuseio de diversas afecções, a utilização desta via na abordagem inicial da obstrução do intestino delgado tem sido bastante limitada e alvo de numerosas críticas. Entretanto, o acúmulo de experiência com o método nos últimos anos, aliado ao avanço tecnológico e instrumental, têm permitido tratar número cada vez maior de pacientes obstruídos por meio do acesso laparoscópico. Assim, o surgimento de novos instrumentos como grampeadores laparoscópicos, pinças e trocáteres menos traumáticos ajudaram a tornar a videolaparoscopia factível e segura nestes pacientes. Neste artigo, os autores apresentam uma revisão sobre o papel da vídeo-cirurgia em casos selecionados de obstrução intestinal, ressaltando a contribuição dos métodos minimamente invasivos para o arsenal diagnóstico e terapêutico desta importante complicação. Descritores INTRODUÇÃOA obstrução intestinal é afecção freqüentemente encontrada em todo o mundo. Há grande diversidade entre os vários grupos de pacientes e civilizações, diferentes espectros de apresentação clínica, bem como etiologias diversas, que possibilitam uma larga faixa de diagnósticos e modalidades terapêuticas. Apesar dos avanços contínuos, todos os métodos diagnósticos apresentam limitações e, muitas vezes, o próprio procedimento terapêutico tem função diagnóstica 1 . A videolaparoscopia (VL) diagnóstica oferece vantagens de ser um procedimento pouco invasivo e de alta acurácia. Além disso o desconforto, os riscos, e os custos ao paciente são relativamente menores, podendo evitar investigações diagnósticas caras, e possibilitar tratamento definitivo no mesmo procedimento 2,3 .Tradicionalmente, a laparotomia exploradora é considerada a modalidade terapêutica de escolha para a grande maioria dos pacientes que necessitam de abordagem cirúrgica. Porém, os avanços na técnica videolaparoscópica e o aperfeiçoamento do instrumental têm encorajado a aplicação da VL nas doenças do intestino delgado.

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“…Of the known contributory factors, 2 the only one present in this patient was his absence of teeth, common enough in the elderly. Usually when food leads to small bowel obstruction it is due to the fibrous nature of the fruit pit or an aggregation of stones 4,5 . This man is particularly unusual in that he developed a small bowel obstruction on an intact grape: but food bolus obstruction should be borne in mind as a cause of small bowel obstruction in elderly, edentulous patients.…”

mentioning

confidence: 95%

Small Bowel Obstruction by an Intact Grape

Cox

Grigg

1986

J American Geriatrics Society

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We report an unusual case of small bowel obstruction in an elderly man. A previously fit, edentulous man of 87 years was recently admitted having suddenly developed expressive dysphasia. He was found to be in heart failure and fast atrial fibrillation. After treatment with digoxin and diuretics his heart failure improved and he returned to sinus rhythm. There was no evidence of myocardial infarction. He remained dysphasic but was soon mobile without aids and self-caring. On the day before his projected date of discharge, he developed vomiting and abdominal pain and was found to have small bowel obstruction. At surgery, the bowel was dilated to 30 cm proximal to the ileocecal valve, where there was an intraluminal cystic obstruction. A proximal enterotomy was performed and an intact grape, the cause of the obstruction, was removed. There was no evidence of any small bowel pathology. Thereafter, he made a satisfactory recovery.Food bolus obstruction occurs rarely in the large bowel, usually with constricting colonic lesions, or in one remarkable case in a man with a normal rectum that was obstructed by an aggregation of 1010 cherry seeds. * However, up to 2% of all cases of small bowel obstruction are due to f~o d .~,~ Of the known contrib- CatsTo the Editor:-If any domesticated animal could be selected to epitomize the effects of massage, it would be the cat. There is no animal to our knowlege that is so responsive to touch.Ever since the miniature lion condescended to accept the offer of human companionship of the overgrown ape called man, there has been a formal, warm but standoffish relationship. We have admired and respected the aloofness and dignity of the animal and the animal, it turn, has evinced its approval by the obvious pleasure that it derives from rubbing against us. Is this the cat's way of massaging us?The grace and the symmetry, the precise sense of balance, the coordinated leaping and stretching that the animal is capable of are all virtues and abilities that we humans admire.The art of massage can learn very much from the ways and the habits of this associate of ours.We do not know precisely what we do when we massage, what sources of response we touch. We do realize that we reach primitive impulses both in the utory factors,2 the only one present in this patient was his absence of teeth, common enough in the elderly. Usually when food leads to small bowel obstruction it is due to the fibrous nature of the fruit pit or an aggregation of stone^.^,^ This man is particularly unusual in that he developed a small bowel obstruction on an intact grape: but food bolus obstruction should be borne in mind as a cause of small bowel obstruction in elderly, edentulous patients.

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Food Obstruction of the Small Intestine

Cited by 29 publications

References 7 publications

Food as a cause of small intestinal obstruction

Food as a cause of small intestinal obstruction

A videolaparoscopia no diagnóstico e tratamento da obstrução intestinal

Small Bowel Obstruction by an Intact Grape

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