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Topic: Small bowel



  
 Bowel retraining
Bowel movements may also be stimulated by using a suppository (glycerin or Dulcolax) or a small enema.
Prior to beginning a bowel training program, you should receive a thorough physical examination to identify the cause of the fecal incontinence and treat any correctable disorders (such as a fecal impaction or infectious diarrhea).
Strengthening the tone of the rectal muscles may help achieve some degree of bowel control in those people who have fecal incontinence caused by an incompetent rectal sphincter.
http://www.umm.edu/ency/article/003971.htm

  
 Bowel cancer
The small bowel is strikingly free from cancer risk, and almost all bowel cancers arise in the large bowel.
Bowel cancer may cause lower abdominal pain that is typically colicky.
In any form of bowel surgery, the patient is normally warned that the surgeon might have to create a colostomy stoma (opening of the bowel onto the abdomen that is covered by a bag).
http://www.netdoctor.co.uk/diseases/facts/bowelcancer.htm

  
 Postgraduate Medicine: Irritable bowel syndrome
Altered small bowel motility in irritable bowel syndrome is correlated with symptoms.
Camilleri M. Therapeutic approach to the patient with irritable bowel syndrome.
Several trials (2,6,25,26) have shown improvement in constipation, ease of stool passage, and frequency of satisfaction with bowel movements when sufficient quantities of fiber are used.
http://www.postgradmed.com/issues/2002/11_02/morgan1.htm

  
 Medical Acupuncture Online Journal, Volume 12 #2, case 2
Obstruction is the most common surgical condition of the small bowel, often occurring as a consequence of scarring within the abdominal cavity, secondary to a prior surgical procedure.
Martha M. Grout, MD Obstruction is the most common surgical condition of the small bowel.
She had symptoms suggestive of early small bowel obstruction, including cessation of functioning of her colostomy, severe cramping pain, and copious vomiting of feculent bile-stained liquid.
http://www.medicalacupuncture.org/aama_marf/journal/vol12_2/case2.html   (1512 words)

  
 CancerBACUP : Small bowel cancer
Occasionally chemotherapy may be given in combination with radiotherapy or surgery or on its own, to treat cancer of the small bowel.
Cancers affecting the small bowel are rare, making up less than 5% of all bowel cancers.
These symptoms may be caused by a number of conditions other than small bowel cancer, but symptoms which are severe, get worse or last for a few weeks should always be checked by your doctor.
http://www.cancerbacup.org.uk/Cancertype/Bowelcolonrectum/Smallbowel/Smallbowelcancer   (1512 words)

  
 eMedicine - IRRITABLE BOWEL SYNDROME - IBS, Irritable Colon, Nervous Bowel, Functional Bowel Disease : Article by Jenifer K Lehrer, MD
Small bowel dysmotility manifests in delayed meal transit in patients prone to constipation and in accelerated meal transit in patients prone to diarrhea.
The limbic system mediation of emotion and autonomic response enhances bowel motility and reduces gastric motility to a greater degree in patients who are affected than in controls.
Background: Irritable bowel syndrome (IBS) is a functional GI disorder characterized by abdominal pain and altered bowel habits in the absence of specific and unique organic pathology.
http://www.emedicine.com/med/topic1190.htm   (1512 words)

  
 MedlinePlus Medical Encyclopedia: Small bowel resection
Small intestine surgery; Bowel resection - small intestine; Resection of part of the small intestine
Small bowel resection is surgery to remove part of your small bowel, which is located between your stomach and large bowel (large intestine). The small bowel is also called the small intestine.
To help the small intestine heal, a procedure called an ostomy may be done.
http://www.nlm.nih.gov/medlineplus/ency/article/002943.htm   (450 words)

  
 Short bowel syndrome - Wikipedia, the free encyclopedia
Short bowel syndrome caused by the surgical removal of a portion of the bowel may be a temporary condition, due to the adaptive property of the small intestine.
Bowel bypass surgery to treat obesity, now a rarely performed surgical procedure to remove a portion of the small intestine.
Short bowel syndrome is a malabsorption disorder caused by either the surgical removal of the small intestine or the loss of its absorptive function due to diseases.
http://en.wikipedia.org/wiki/Short_bowel_syndrome   (447 words)

  
 Digestive Problems - Inflammatory Bowel Disease
There are also a lot of conditions that can be confused with inflammatory bowel disorders of the small intestine, like maldigestion syndromes, malabsorption syndromes, cancer, and large intestinal disorders.
Irritable bowel syndrome often appears to be very painful for the dog and this is an important sign if it is present.
In addition, there is a specific form of large intestinal diarrhea known as irritable bowel syndrome which is different
http://www.vetinfo.com/dinfbowel.html   (447 words)

  
 Bowel Obstruction
Most people who have small-bowel obstruction experience waves of crampy abdominal pain.
is in the small intestine (small-bowel obstruction) or the large intestine (colonic obstruction).
Someone with a complete obstruction may have a bowel movement if there is stool below the obstruction.
http://www.bchealthguide.org/kbase/topic/mini/uf4382/symptoms.htm   (421 words)

  
 eMedicine - Malignant Neoplasms of the Small Intestine : Article by Allen C Chen, MD, MS
Guaiac-positive stool suggests intestinal bleeding, although this occurs more frequently in persons with benign small-bowel tumors.
Background: Although the small bowel contains 90% of the mucosal surface area and 75% of the length of the alimentary tract and is located between 2 organs with high cancer prevalence (ie, stomach, colon), malignant neoplasms of the small bowel are among the rarest types of cancer, accounting for only 2% of all GI cancers.
Small bowel adenocarcinomas in persons with hereditary nonpolyposis colorectal cancer are distributed fairly evenly throughout the small bowel.
http://www.emedicine.com/med/topic2651.htm   (5351 words)

  
 The Small Intestine
In the past, the only effective way to reach the small bowel was via operative endoscopy, in which the patient underwent a formal open surgical procedure of their abdomen, and then a scope was advanced through the small bowel with the aid of the surgeons hands, as the endoscopist visualized the small bowel.
This is important because the digestive enzymes and processes of digestion in the small bowel occur in a neutral, not acidic, environment.
It may affect this area alone or in combination with other segments of the small intestine or colon.
http://www.borland-groover.com/articles/sintestine.htm   (920 words)

  
 eMedicine - Malignant Neoplasms of the Small Intestine : Article by Allen C Chen, MD
Although no survival benefit is achieved with adjuvant radiotherapy after surgery for small bowel adenocarcinoma or sarcoma, radiotherapy may be useful as a palliative procedure for pain relief or obstructive symptoms in patients with advanced disease.
As reported by Polyzos and colleagues in 2003, 3 subjects with 5-FU–refractory small bowel adenocarcinoma were treated with salvage irinotecan therapy.
Small bowel adenocarcinomas in persons with hereditary nonpolyposis colorectal cancer are distributed fairly evenly throughout the small bowel.
http://www.emedicine.com/med/topic2651.htm   (920 words)

  
 Pitt Campaign Chronicle: Radiation Could Reduce Small Intestine Transplant Rejection
Only one patient, a recipient of an isolated small bowel, had rejection.
Of the 13 study patients, nine received small bowel alone, one a liver/intestine transplant, and three multivisceral transplants involving various combinations of the liver, small bowel, duodenum, pancreas, and stomach.
Three of five patients in a control group — patients who received unconditioned small intestinal grafts and no donor bone marrow — each had at least one serious episode of rejection.
http://www.discover.pitt.edu/media/pcc010521/reducerejection.html   (615 words)

  
 Colonic cancer - symptoms, treatment of cancer of the colon
Cancer of the small bowel, the longer, thinner part of the intestines is much rarer.
Less commonly, bowel cancer can spread to other, more distant organs such as the lung or brain.
In general, the more bowel cancer has spread from the original site, the less likely it is that the condition will be cured.
http://hcd2.bupa.co.uk/fact_sheets/mosby_factsheets/colonic_cancer.html   (615 words)

  
 Responses - Bowel Obstruction
Colonic pseudo-obstruction has also been treated surgically, with diversion of the bowel at the level of the cecum, where the small and large intestines join together, and ileostomy.
Obviously, this form of treatment would not work if both large and small bowel are affected.
There may be newer drugs that can be used to improve bowel motility.
http://www.mdausa.org/experts/question.cfm?id=3167&disease=62   (720 words)

  
 OJHAS: 2005-1-6; Sherigar JM, Dalal AD, Patel JR. Uterine Perforation with subtotal small bowel prolapse –A rare complication of Dilatation and Curettage
In rare cases, in addition to colonic and small bowel perforations, bowel, ureter or fallopian tube may be inadvertently aspirated during abortion.
Remnants of the small bowel loops were clamped and four meters of bowel was resected.
Early surgical exploration with resection and anastomosis of bowel performed.
http://www.ojhas.org/issue13/2005-1-6.htm   (720 words)

  
 Adult Health Advisor 2005.2: Small Bowel Obstruction
If your small bowel is partly blocked, the treatment may include decreasing the pressure of bowel gas by passing a tube through your nose to your stomach.
A small bowel obstruction is a blockage of the small intestine.
If blood flow to the blocked part of the bowel is cut off and the bowel wall begins to die, it is said to be strangulated.
http://www.med.umich.edu/1libr/aha/aha_sbobstru_crs.htm   (624 words)

  
 Small Bowel Obstruction Caused by Metastasis
This patient presents with clinical and radiographic evidence of small bowel obstruction by two deeply invasive submucosal masses.
Although malignant tumors of the small intestine are rare (comprising only 3-6% of all gastrointestinal neoplasms), the risk of primary adenocarcinoma of the small bowel is increased following colorectal cancer (6).
A population based study of the incidence of malignant small bowel tumors, SEER, 1973-1990.
http://brighamrad.harvard.edu/Cases/bwh/hcache/212/full.html   (495 words)

  
 Bowel obstruction - Wikipedia, the free encyclopedia
In small bowel obstruction the pain tends to be colicky (cramping and intermittent) in nature, with spasms lasting a few minutes.
Contrast enema or small bowel series or CT scan can be used to define the level of obstruction, whether the obstruction is partial or complete, and to help define the cause of the obstruction.
Obstruction may be due to causes within the bowel lumen, within the wall of the bowel, or external to the bowel (such as compression, entrapment or volvulus).
http://en.wikipedia.org/wiki/Bowel_obstruction   (383 words)

  
 Constipation, impaction, and bowel obstruction: 303510
Small bowel obstructions are caused frequently by adhesions or hernias, whereas large bowel obstructions are caused commonly by carcinomas, volvulus, or diverticulitis.
Constipation, impaction, and bowel obstruction are common problems for oncology patients.
If the bowel obstruction is thought to be functional (rather than mechanical) in origin, metoclopramide is the drug of choice due to its prokinetic effects on the bowel.
http://www.acor.org/cnet/303510.html   (3993 words)

  
 NCCS: Palliative Care & Symptom Management - Side Effects - Bowel Obstruction
Symptoms of bowel obstruction will depend, to some degree, on the location of the obstruction — small or large intestine, as well as the degree of obstruction, ranging from partial to complete.
A bowel obstruction — the partial or complete blockage of the small or large intestine &; sometimes occurs in people with cancer.
In treating a bowel obstruction your health care team may include an internist, a gastroenterologist, an oncologist and/or a surgeon.
http://www.canceradvocacy.org/resources/essential/effects/bowel.aspx   (701 words)

  
 Cirugía Española: Texto completo: Pericarditis secundaria a perforación esofágica por espina de pescado
Does means of access affect the incidence of small bowel obstruction and ventral hernia after bowel resection?
Small bowel obstruction in patients previously operated on for colorectal cancer.
Laparoscopy and septic dissemination caused by perioperative perforation of the occluded small bowel: an experimental study.
http://db.doyma.es/cgi-bin/wdbcgi.exe/doyma/mrevista.fulltext?pident=13064346   (701 words)

  
 Bowel Obstruction - Quest Diagnostics Patient Health Library
The surgery for bowel obstruction, including those related to diverticulitis, Crohn's disease, twisting of the intestine, and some cancers, is often done laparoscopically.
In some cases of obstruction caused by inoperable cancer, doctors may place expandable metal tubes called stents in the large or small intestine to help intestinal contents move forward.
An obstruction caused by twisting of the intestine can be treated with several methods, such as by straightening out the twisting segment.
http://www.questdiagnostics.com/kbase/topic/mini/uf4382/treatmnt.htm   (590 words)

  
 TheFetus.net - Meconium peritonitis, spontaneous resolution -Luc De Catte, MD, An Loccufier, MD, Tony Waterschoot, MS, Carine Mares, MS, Claire Bourgain MD, Anto
Meconium peritonitis is a sterile inflammatory reaction in the fetal abdomen resulting from in utero bowel perforation that nearly always involves the small bowel.
Some authors suggest that an intestinal hypoperfusion, as a result of fetal hypoxia, is the primary cause of bowel atresia and perforation.
Fetal ascites regressed spontaneously and bowel peristalsis reappeared.
http://www.thefetus.net/page.php?id=253   (590 words)

  
 Inflammatory Bowel Disease
Inflammatory bowel disease (IBD) refers to chronic disorders of the small and/or large intestine characterised by inflammatory changes in the intestinal tissue.
The function of the small intestine differs from that of the large intestine; therefore, while the health consequences and treatment of Crohn’s disease and ulcerative colitis may be similar, there are important differences as well.
Crohn’s disease usually affects the small intestine but may extend into the large intestine as well.
http://www.gnc.co.uk/VF/HealthNotes/HN_live_uk/Concern/Inflammatory_Bowel.htm   (215 words)

  
 Gastoenterology Chapter 7 Short Bowel Syndrome
The severity of symptoms following resections of large segments of the small bowel relates to the extent of the resection, to the specific level of the resected small bowel and to the reason for which the resection was undertaken.
The most common cause of massive resection of the small bowel is small bowel ischemia, due to thrombosis or embolism of the superior mesenteric artery, thrombosis of the superior mesenteric vein, or low flow in the splanchnic vessels.
Resection of 50% of the small intestine results in significant malabsorption, and resection of 70% or more of the small intestine will result in severe malnutrition sufficient to cause death unless the patient's malnutrition is aggressively treated.
http://gastroresource.com/gitextbook/en/chapter7/7-14-pr.htm   (445 words)

  
 eMedicine - Short-Bowel Syndrome : Article by Michael AJ Sawyer, MD
Small bowel remnants 90-120 cm associated with rapid intestinal transit times were present in 14 patients.
Important cofactors that help to determine whether the syndrome will develop or not include the premorbid length of small bowel, the segment of intestine that is lost, the age of the patient at the time of bowel loss, the remaining length of small bowel and colon, and the presence or absence of the ileocecal valve.
Nontransplant components of the surgical armamentarium for the treatment of short-bowel syndrome include intestinal lengthening (Bianchi) procedures, intestinal tapering for dilated dysfunctional bowel segments, stricturoplasty, and creation of intestinal valves or reversed bowel segments for patients with rapid intestinal transit times.
http://www.emedicine.com/med/topic2746.htm   (10052 words)

  
 Small Bowel Obstruction
Alternatively, in patients with longstanding Crohn's, obstructions may stem from chronic scarring in the small bowel.
Small bowel obstruction (SBO) refers to a blockage of the small intestine.
However, in some cases, the obstruction worsens to the point that the blood supply to an area of bowel is jeopardized and immediate surgery is necessary.
http://health.ivillage.com/digestion/dibowel/0,,6ds7,00.html   (341 words)

  
 Picture pill takes ‘Fantastic Voyage’ through small intestine
“Diagnosing gastrointestinal bleeding from the small bowel is a challenge because the small intestine is less accessible than the stomach and colon,” noted Dr. Douglas Rex, a professor of medicine who specializes in colon, esophageal, stomach and small bowel diseases.
And it’s easier on the patient compared to current approaches of viewing the small intestine.
They board a small submarine, are shrunk to the size of invisibility and then are injected into the comatose patient.
http://www.indiana.edu/~ocmhp/051603/text/endoscopy.html   (727 words)

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