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6 results on '"Baifeng, Li"'

1. Diagnosis, treatment and prognosis of small bowel volvulus in adults: A monocentric summary of a rare small intestinal obstruction.

Author

Xiaohang Li, Jialin Zhang, Baifeng Li, Dehui Yi, Chengshuo Zhang, Ning Sun, Wu Lv, and Ao Jiao

Subjects
Medicine, Science
Abstract

OBJECTIVES:Small bowel volvulus is a rare disease, which is also challenging to diagnose. The aims of this study were to characterize the clinical and radiological features associated with small bowel volvulus and treatment and to identify risk factors for associated small bowel necrosis. METHODS:Patients with small bowel volvulus who underwent operations from January 2001 to December 2015 at the First Affiliated Hospital of China Medical University (Shenyang, China) were reviewed. Clinical, surgical and postsurgical data were registered and analyzed. RESULTS:Thirty-one patients were included for analysis. Fifteen patients were female (48.4%), with an average age of 47.7 years (18-79 years). The clinical signs and symptoms were unspecific and resembled intestinal obstruction. Clinical examination revealed abdominal distension and/or diffuse tenderness with or without signs of peritonitis. The use of CT scans, X-rays or ultrasound did not differ significantly between patients. In 9 of 20 patients that received abdominal CT scans, "whirlpool sign" on the CT scan was present. Secondary small bowel volvulus was present in 58.1% of patients, and causes included bands (3), adhesion (7), congenital anomalies (7) and stromal tumor (1). Out of the 31 patients, 15 with gangrenous small bowel had to undergo intestinal resection. Intestinal gangrene was present with higher neutrophils count (p

Published
2017
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2. Diagnosis, treatment and prognosis of small bowel volvulus in adults: A monocentric summary of a rare small intestinal obstruction

Author

Wu Lv, Chengshuo Zhang, Jialin Zhang, Baifeng Li, Ning Sun, Dehui Yi, Xiaohang Li, and Ao Jiao

Subjects
Male, Neutrophils, medicine.medical_treatment, lcsh:Medicine, Pathology and Laboratory Medicine, Diagnostic Radiology, White Blood Cells, 0302 clinical medicine, Animal Cells, Risk Factors, Laparotomy, Intestine, Small, Medicine and Health Sciences, lcsh:Science, Tomography, Multidisciplinary, medicine.diagnostic_test, Radiology and Imaging, Ascites, Middle Aged, Volvulus, 030220 oncology & carcinogenesis, Female, 030211 gastroenterology & hepatology, Radiology, Anatomy, Cellular Types, medicine.symptom, Research Article, Intestinal Volvulus, Adult, medicine.medical_specialty, Adolescent, Imaging Techniques, Immune Cells, Immunology, Perforation (oil well), Peritonitis, Surgical and Invasive Medical Procedures, Neuroimaging, Physical examination, Gastroenterology and Hepatology, Research and Analysis Methods, Necrosis, Digestive System Procedures, Young Adult, 03 medical and health sciences, Signs and Symptoms, Diagnostic Medicine, medicine, Humans, Aged, Blood Cells, Surgical Resection, business.industry, lcsh:R, Biology and Life Sciences, Small Intestinal Obstruction, Cell Biology, Abdominal distension, medicine.disease, Computed Axial Tomography, Gastrointestinal Tract, lcsh:Q, Intestinal Resection, business, Digestive System, Intestinal Obstruction, Neuroscience, Rare disease
Abstract

Objectives Small bowel volvulus is a rare disease, which is also challenging to diagnose. The aims of this study were to characterize the clinical and radiological features associated with small bowel volvulus and treatment and to identify risk factors for associated small bowel necrosis. Methods Patients with small bowel volvulus who underwent operations from January 2001 to December 2015 at the First Affiliated Hospital of China Medical University (Shenyang, China) were reviewed. Clinical, surgical and postsurgical data were registered and analyzed. Results Thirty-one patients were included for analysis. Fifteen patients were female (48.4%), with an average age of 47.7 years (18–79 years). The clinical signs and symptoms were unspecific and resembled intestinal obstruction. Clinical examination revealed abdominal distension and/or diffuse tenderness with or without signs of peritonitis. The use of CT scans, X-rays or ultrasound did not differ significantly between patients. In 9 of 20 patients that received abdominal CT scans, “whirlpool sign” on the CT scan was present. Secondary small bowel volvulus was present in 58.1% of patients, and causes included bands (3), adhesion (7), congenital anomalies (7) and stromal tumor (1). Out of the 31 patients, 15 with gangrenous small bowel had to undergo intestinal resection. Intestinal gangrene was present with higher neutrophils count (p

Published
2017

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