Editorial Material
Medicine, General & Internal
Lorraine Tong, Yu-Tang Chang
Summary: An 11-day-old boy presented with symptoms of necrotizing enterocolitis, including diarrhea, emesis, abdominal distention, and shock. Abdominal radiography revealed pneumatosis intestinalis. During surgery, gas bubbles were found in the bowel walls. The patient died intraoperatively due to worsening shock symptoms.
NEW ENGLAND JOURNAL OF MEDICINE
(2022)
Article
Radiology, Nuclear Medicine & Medical Imaging
Paul Lebert, Olivier Ernst, Marc Zins, Marie Lanchou, Jean-Robert Nzamushe, Mathilde Vermersch
Summary: This study evaluated the clinical significance of pneumatosis intestinalis (PI) and portal venous gas (PVG) in patients with mechanical small bowel obstruction. The results showed that PI and PVG are not specific signs of bowel necrosis in mechanical SBO, and surgical findings or clinical follow-up can be used as a reference standard.
DIAGNOSTIC AND INTERVENTIONAL IMAGING
(2021)
Article
Radiology, Nuclear Medicine & Medical Imaging
Giulia Lassandro, Stefano Giusto Picchi, Federica Romano, Giacomo Sica, Roberta Lieto, Giorgio Bocchini, Salvatore Guarino, Francesco Lassandro
Summary: Intestinal pneumatosis is a rare radiological sign associated with various clinical conditions that require prompt diagnosis and treatment. Imaging techniques play a crucial role in detecting and differentiating IP in emergency situations.
ABDOMINAL RADIOLOGY
(2022)
Article
Radiology, Nuclear Medicine & Medical Imaging
Simon D. Graber, Stefanie Sinz, Matthias Turina, Hatem Alkadhi
Summary: This study found that the location of PI in the colon, elevated blood AST levels, and the presence of perfusion inhomogeneities in parenchymatous organs are predictors of short-term mortality in patients with suspected mesenteric ischemia.
ABDOMINAL RADIOLOGY
(2022)
Letter
Gastroenterology & Hepatology
Serene S. N. Goh, Vishal Shelat
Summary: This article describes an asymptomatic patient with prednisolone-induced pneumatosis intestinalis and modifies the Naranjo score to aid in decision-making for emergency laparotomy vs non-operative management in immunocompromised patients.
WORLD JOURNAL OF GASTROENTEROLOGY
(2022)
Review
Oncology
Gianluca Gazzaniga, Federica Villa, Federica Tosi, Elio Gregory Pizzutilo, Stefano Colla, Stefano D'Onghia, Giusy Di Sanza, Giulia Fornasier, Michele Gringeri, Maria Victoria Lucatelli, Giulia Mosini, Arianna Pani, Salvatore Siena, Francesco Scaglione, Andrea Sartore-Bianchi
Summary: This systematic review investigates the occurrence of pneumatosis intestinalis (PI) during oncological therapies, particularly in patients with respiratory system cancers and those treated with targeted therapies. PI mostly presents with mild to absent symptoms, but can lead to severe complications. Therefore, it is important to consider PI as a potential adverse event in oncological patients.
Editorial Material
Medicine, General & Internal
Erika Yuki Yvamoto, Spencer Cheng, Guilherme Henrique Peixoto de Oliveira, Joao Guilherme Ribeiro Jordao Sasso, Mateus Bond Boghossian, Mauricio Kazuyoshi Minata, Igor Braga Ribeiro, Eduardo Guimaraes Hourneaux de Moura
Summary: Pneumatosis cystoid intestinalis (PCI) is a rare condition characterized by abnormal accumulation of gas within the submucosa, subserosa, or both layers of the intestine. It is classified into primary and secondary forms and can be associated with various underlying etiologies. Colonoscopy, surgery, and radiological findings are commonly used for diagnosis, but colorectal endoscopic ultrasound (EUS) can provide a reliable and non-radiation option. However, more studies are needed to define the best approach for PCI diagnosis due to its rarity.
Article
Medicine, General & Internal
Qiuyu Zhang, Xiangke Niu, Cong Wang, Qiang He, Junying Xiang
Summary: This case report describes a patient with PCI presenting with alternating bowel movement and intermittent bloody stool. The diagnosis was confirmed through colonoscopy and imaging techniques. The article highlights the rarity and potential misdiagnosis of PCI, as well as the diagnostic and treatment approaches.
Article
Surgery
Kadie Clancy, Esmaeel Reza Dadashzadeh, Robert Handzel, Caroline Rieser, J. B. Moses, Lauren Rosenblum, Shandong Wu
Summary: The study indicates that a combination of radiographic and clinical features can effectively identify pathologic pneumatosis intestinalis and assist in selecting patients for surgery. This tool may improve the surgical decision-making process for patients with pneumatosis intestinalis.
Review
Immunology
Jianwen Liu, Ling Zhang, Shuo Chen, Xin Lu, Shanshan Li
Summary: This report is a description of the clinical features and prognosis of pneumatosis cystoides intestinalis (PCI) in six adult patients with dermatomyositis (DM). Additionally, previous studies on this complication are reviewed.
FRONTIERS IN IMMUNOLOGY
(2023)
Review
Medicine, General & Internal
Diogo Alpuim Costa, Pedro Modas Daniel, Joao Vieira Branco
Summary: Pneumatosis cystoides intestinalis (PCI) is a rare condition characterized by gas-filled cysts in the gastrointestinal tract wall, with varying degrees of severity and potential complications. Treatment options range from conservative approaches to surgery, with hyperbaric oxygen therapy (HBOT) showing promising results in selected cases. Further research is needed to fully understand the pathophysiology and optimal management strategies for PCI.
FRONTIERS IN MEDICINE
(2021)
Article
Veterinary Sciences
Karin T. Spiller, Beth W. Eisenberg
Summary: A 15-year-old female neutered Domestic Long Hair cat presented with acute hematemesis, with subsequent diagnostic workup revealing hepatic portal venous gas accumulation and emphysematous gastritis. The patient deteriorated rapidly and was euthanized due to severe complications.
VETERINARY MEDICINE AND SCIENCE
(2021)
Article
Immunology
Steven C. Mehl, Richard S. Whitlock, Daniela C. Marcano, Kristy L. Rialon, Amy S. Arrington, Bindi Naik-Mathuria
Summary: This case report describes an infant with COVID-19 who developed significant gastrointestinal complications, but was successfully managed with conservative therapy, avoiding the need for surgical intervention.
PEDIATRIC INFECTIOUS DISEASE JOURNAL
(2021)
Article
Infectious Diseases
Dennis Gibson, Ashlie Watters, Fredric Pieracci, Rebecca Reiss, Philip S. Mehler
Summary: This study reports the clinical findings of seven patients with anorexia nervosa (AN) complicated by pneumatosis intestinalis (PI). The patients mainly had involvement of the right colon, with the possibility of involvement in other colonic areas. Most of the patients were also diagnosed with the binge-purge subtype of AN and were receiving tube feeds. The authors suggest a potential association between AN and PI.
SURGICAL INFECTIONS
(2022)
Article
Gastroenterology & Hepatology
Naoki Ohmiya, Ichiro Hirata, Hirotsugu Sakamoto, Toshifumi Morishita, Eiko Saito, Katsuyoshi Matsuoka, Tadanobu Nagaya, Shinji Nagata, Miyuki Mukae, Koji Sano, Takayoshi Suzuki, Ken-ichi Tarumi, Seiji Shimizu, Kousaku Kawashima, Toshifumi Hibi
Summary: This study found that older age and chronic kidney disease were independent predictors of small-bowel-involved type PI. Complicating PI was associated with small-bowel-involved type, small-bowel-only type, and symptomatic PI, indicating poor prognosis. Oxygen therapy and surgery were utilized in treatment, and exacerbation of PI was associated with antihypertensives and complicating PI.
BMC GASTROENTEROLOGY
(2022)
Editorial Material
Surgery
Esther Wu, Renzo Garberoglio, Keith Scharf
SURGERY FOR OBESITY AND RELATED DISEASES
(2016)
Article
Surgery
Ivo G. Tzvetanov, Mario Spaggiari, Kiara A. Tulla, Caterina Di Bella, Obi Okoye, Pierpaolo Di Cocco, Hoonbae Jeon, Jose Oberholzer, Pier Cristoforo Giulianotti, Enrico Benedetti
AMERICAN JOURNAL OF TRANSPLANTATION
(2020)
Article
Surgery
Mario Spaggiari, Kiara A. Tulla, Obi Okoye, Caterina Di Bella, Pierpaolo Di Cocco, Jorge Almario, Pearl Ugwu-Dike, Ivo G. Tzvetanov, Enrico Benedetti
TRANSPLANT INTERNATIONAL
(2019)
Review
Surgery
Pierpaolo Di Cocco, Obi Okoye, Jorge Almario, Enrico Benedetti, Ivo G. Tzvetanov, Mario Spaggiari
TRANSPLANT INTERNATIONAL
(2020)
Article
Surgery
Mario Spaggiari, Obi Okoye, Jorge Almario, Kiara Tulla, Pierpaolo Di Cocco, Enrico Benedetti, Ivo Tzvetanov
TRANSPLANT INTERNATIONAL
(2020)
Article
Surgery
Emily L. Lin, Agustin Sibona, Jiahao Peng, Pramil N. Singh, Esther Wu, Marcos J. Michelotti
Summary: This study evaluated the learning curve for robotic-assisted hiatal hernia repairs using CUSUM analysis, finding that the training phase is achieved after 40 cases and a high level of mastery is reached after approximately 85 cases. The three distinct phases identified provide valuable insights for surgical competency assessment during robotic surgery training.
SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES
(2022)
Article
Surgery
Stephen A. Iacono, Nicole J. Krumrei, Anna Niroomand, David O. Walls, Matthew Lissauer, Jennifer To, Christopher A. Butts
Summary: Damage control surgery (DCS) with temporary abdominal closure (TAC) in geriatric emergency general surgery (EGS) patients achieves similar outcomes and mortality to younger patients. Age should not be the sole factor in the decision to perform DCS.
JOURNAL OF SURGICAL RESEARCH
(2021)
Article
Surgery
Amanda C. Purdy, Brian R. Smith, Farin Amersi, Kristine E. Calhoun, Juliana Tolles, Christine Dauphine, Janell Holloway, Mayank Roy, Benjamin T. Jarman, Amy Y. Han, Angela L. Neville, Karen J. Dickinson, Edgardo S. Salcedo, Edgar Shields Frey, V. Prasad Poola, Kenric M. Murayama, Formosa Chen, Esther Wu, Ross J. Fleischman, Christian de Virgilio
Summary: The characteristics associated with outstanding graduating surgical residents were investigated in this study. Surgical judgment and leadership skills were found to have the strongest individual associations with overall performance. Evaluation of only three qualities, namely surgical judgment, leadership, and medical knowledge, was sufficient to predict overall resident performance ratings. This highlights the importance of developing specific curricula and assessments for surgical judgment and leadership skills in surgical residency.
Letter
Surgery
Ross Mudgway, Sharona Hariri, Luis Olmedo-Temich, Sophia Lee, Esther Wu, Jukes P. Namm, Sharon S. Lum
Article
Surgery
Nicole DePolo, Karen Bathan, Zachary Tran, Jiahao Peng, Pramil Singh, Sharon S. Lum, Esther Wu
Summary: This study evaluated the effects of social determinants of health on length of stay and readmissions among emergency general surgery and trauma patients. The results showed that substance use and insurance status significantly impacted the length of stay.
Meeting Abstract
Gastroenterology & Hepatology
Masuma Syed, Sang Hee K. Choi, Nikhil R. Thiruvengadam, Kendrick Che, Paul Leonor, Esther Wu, Jeffrey Kim, John J. Kim
GASTROINTESTINAL ENDOSCOPY
(2022)
Meeting Abstract
Oncology
Ross Mudgway, Zachary Tran, Ajith Subhash, Esther Wu, Jukes P. Namm, Sharon S. Lum, Mark E. Reeves, David Caba Molina
ANNALS OF SURGICAL ONCOLOGY
(2022)
Article
Pediatrics
Sarah Lee, Ann C. Lin, Joanne Baerg, Esther Wu
JOURNAL OF PEDIATRIC SURGERY CASE REPORTS
(2020)
Article
Surgery
Shannon Greenberg, Jared C. Inman, Esther Yung, Evelyn B. Choo
JOURNAL OF SURGICAL CASE REPORTS
(2020)
Article
Surgery
Mustafa Nazzal, Yifei Sun, Obi Okoye, Laurence Diggs, Neil Evans, Tamara Osborn, Kambiz Etesami, Chintalapati Varma
INTERNATIONAL JOURNAL OF SURGERY CASE REPORTS
(2017)