Preview

Experimental and Clinical Gastroenterology

Advanced search

Small intestinal polyps in adults: complications, diagnosis and treatment problems

https://doi.org/10.31146/1682-8658-ecg-219-11-75-80

Abstract

A case from practice is presented, demonstrating the development of small-intestinal intussusception in a patient, the pathogenetic cause of which was polyps of the small intestine. Despite the fact that the patient twice, before entering the surgical clinic with acute intestinal obstruction, came to the attention of medical workers (the first time with signs of gastrointestinal bleeding, the second time with abdominal pain), the patient was not properly examined, although, retrospectively, it can be assumed that the arsenal of diagnostic methods that were at the disposal of physicians made it possible to make a correct clinical diagnosis. With a very high degree of probability, it can be argued that in both cases, the cause of the patient's problems was the polyps of the small intestine. During the last hospitalization, the patient, despite the preoperative diagnosis that was not entirely accurate in terms of the wording, but absolutely correct in terms of tactics, was promptly performed an adequate surgical intervention in terms of volume. Particular attention of surgeons is drawn to the mandatory need for careful palpation and visual revision of all parts of the small intestine when performing surgical interventions for completed small intestinal intussusceptions.

About the Author

I. V. Melnyk
Tashkent Pediatric Medical Institute
Russian Federation


References

1. Dekhnich V.M., Kazakov V.A., Medvedev N.V., Sadakh M.V., Grigoryev E.G. Small intestine tumor complicated by intestinal-intestinal intussusception and ileus. Pirogov Russian Journal of Surgery=Khirurgiya. Zurnal im. N.I. Pirogova. 2016;(11):86-87.(In Russ.) doi: 10.17116/hirurgia20161186-87.@@ Дехнич В.М., Казаков В.А., Медведев Н.В., Садах М.В., Григорьев Е.Г. Опухоль тонкой кишки, осложнившаяся тонко-тонкокишечной инвагинацией и кишечной непроходимостью. Хирургия. Журнал им. Н.И. Пирогова. 2016; (11): 86-87. doi: 10.17116/hirurgia20161186-87.

2. Ermolov A.S., Yartsev P.A., Lebedev A.G. et al. Ileocecal intussusceptions. Pirogov Russian Journal of Surgery=Khirurgiya. Zurnal im. N.I. Pirogova. 2018;(9):77-81. (In Russ.). doi: 10.17116/hirurgia2018090177.@@ Ермолов А.С., Ярцев П.А., Лебедев А.Г., Кирсанов И.И., Селина И.Е., Шаврина Н.В., Рогаль М.М., Калоева О.Х., Казакова В.В. Илеоцекальная инвагинация кишечника. Хирургия. Журнал им. Н.И. Пирогова. 2018;(9):77-81. doi: 10.17116/hirurgia2018090177.

3. Nakatis Y. A., Borisov A. E., Kashchenko V. A. et al. Video capsule endoscopy in the diagnosis of diseases of the small intestine. Bulletin of surgery named after I. I. Grekov. 2008;167(6), 34-39. (in Russ.)@@ Накатис, Я.А., Борисов, А.Е., Кащенко, В.А., Сишкова, Е.А., Распереза, Д.В., Лобач, С.М., Тинякова, Т.В., & Павлов, А.В. Видеокапсульная эндоскопия в диагностике заболеваний тонкой кишки. Вестник хирургии имени И.И. Грекова. 2008;167 (6), 34-39.

4. Pugaev A.V., Achkasov E.E., Negrebov M.G. et al.Intussusception followed by intestinal obstruction in adults. Pirogov Russian Journal of Surgery=Khirurgiya. Zurnal im. N.I. Pirogova. 2018;(5):40-44. (In Russ.) doi: 10.17116/hirurgia2018540-44.@@ Пугаев А.В., Ачкасов Е.Е., Негребов М.Г., Александров Л.В., Алекперов С.Ф., Посудневский В.И., Пугаев Д.М., Колпаков М.В. Инвагинационная кишечная непроходимость у взрослых. Хирургия. Журнал им. Н.И. Пирогова. 2018;(5):40-44. doi: 10.17116/hirurgia2018540-44.

5. Barussaud M., Regenet N., Briennon X. et al. Clinical spectrum and surgical approach of adult intussusceptions: a multicentric study.Int J Colorectal Dis. 2006 Dec;21(8):834-9. doi: 10.1007/s00384-005-0789-3.


Review

For citations:


Melnyk I.V. Small intestinal polyps in adults: complications, diagnosis and treatment problems. Experimental and Clinical Gastroenterology. 2023;(11):75-80. (In Russ.) https://doi.org/10.31146/1682-8658-ecg-219-11-75-80

Views: 138


Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 License.


ISSN 1682-8658 (Print)