There is considerable controversy on the role of physical activity in irritable bowel disease(IBD)since published reports are conflicting.It is well known that there is known relapse with specific treatment in IBD.Thi...There is considerable controversy on the role of physical activity in irritable bowel disease(IBD)since published reports are conflicting.It is well known that there is known relapse with specific treatment in IBD.This,in addition to onset of extraintestinal symptoms creates a need to think of alternate approaches.In this context,the current article describes the need of a multi-institutional study with standard protocol of physical activity for documenting its effect on both the primary disease and the extra alimentary manifestations.This paper also points out the possibility of using adjuvant complementary medicine such as yoga,whose effects have been documented in other diseases like irritable bowel syndrome.A third approach could be to focus on the intestinal dysbiosis in IBD and concentrate on research on restoring the microbial flora to normal,to see whether the extraintestinal symptoms are alleviated.展开更多
Delayed post-traumatic small bowel stricture is rare and differentiation from other more common causes of small intestinal stricture is difficult. Presentation may be delayed up to years after the injury. Very often t...Delayed post-traumatic small bowel stricture is rare and differentiation from other more common causes of small intestinal stricture is difficult. Presentation may be delayed up to years after the injury. Very often the findings mimic those of other causes of long segment strictures such as tuberculosis, Crohn’s disease, lymphoma etc. This study analyzes two cases of post-traumatic small bowel stricture, with different presentations and different therapeutic challenges. The literature on this condition is not well recognized and will be reviewed. Resection and reconstruction are diagnostic and therapeutic in patients who present with post-traumatic small bowel stricture, as inflammatory and neoplastic causes cannot be ruled out without histological diagnosis.展开更多
A new procedure known as mid-colon esophagocoloplasty for corrosive esophageal strictures is described. This has been used in 112 consecutive patients over thirty years from 1977 to 2010 with excellent results. The co...A new procedure known as mid-colon esophagocoloplasty for corrosive esophageal strictures is described. This has been used in 112 consecutive patients over thirty years from 1977 to 2010 with excellent results. The conduit is a modification of the left colon conduit. It is based primarily on the left colic pedicle and includes the entire transverse colon with both flexures. It has several advantages over conventional methods of esophageal bypass for corrosive strictures. The major advantages of this procedure are excellent vascularity of the conduit, adequate length giving scope for operative decision making on the length required for the conduit, the possibility of a wide cervical esophago-colic anastomosis, negligible necrosisand stricture rates and excellent long-term functional results. The procedure, its differences and merits compared to conventional colonic conduits for esophageal replacement are described in detail.展开更多
文摘There is considerable controversy on the role of physical activity in irritable bowel disease(IBD)since published reports are conflicting.It is well known that there is known relapse with specific treatment in IBD.This,in addition to onset of extraintestinal symptoms creates a need to think of alternate approaches.In this context,the current article describes the need of a multi-institutional study with standard protocol of physical activity for documenting its effect on both the primary disease and the extra alimentary manifestations.This paper also points out the possibility of using adjuvant complementary medicine such as yoga,whose effects have been documented in other diseases like irritable bowel syndrome.A third approach could be to focus on the intestinal dysbiosis in IBD and concentrate on research on restoring the microbial flora to normal,to see whether the extraintestinal symptoms are alleviated.
文摘Delayed post-traumatic small bowel stricture is rare and differentiation from other more common causes of small intestinal stricture is difficult. Presentation may be delayed up to years after the injury. Very often the findings mimic those of other causes of long segment strictures such as tuberculosis, Crohn’s disease, lymphoma etc. This study analyzes two cases of post-traumatic small bowel stricture, with different presentations and different therapeutic challenges. The literature on this condition is not well recognized and will be reviewed. Resection and reconstruction are diagnostic and therapeutic in patients who present with post-traumatic small bowel stricture, as inflammatory and neoplastic causes cannot be ruled out without histological diagnosis.
文摘A new procedure known as mid-colon esophagocoloplasty for corrosive esophageal strictures is described. This has been used in 112 consecutive patients over thirty years from 1977 to 2010 with excellent results. The conduit is a modification of the left colon conduit. It is based primarily on the left colic pedicle and includes the entire transverse colon with both flexures. It has several advantages over conventional methods of esophageal bypass for corrosive strictures. The major advantages of this procedure are excellent vascularity of the conduit, adequate length giving scope for operative decision making on the length required for the conduit, the possibility of a wide cervical esophago-colic anastomosis, negligible necrosisand stricture rates and excellent long-term functional results. The procedure, its differences and merits compared to conventional colonic conduits for esophageal replacement are described in detail.
