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PubMed1988

Bran-induced small-intestinal obstruction in a patient with no history of abdominal operation.

An infrequently reported cause of small-bowel obstruction, but one with increasingly important implications in today's diet-conscious society, is bran. This report describes a patient with no history of abdominal operation who developed complete obstruction of the small bowel after the ingestion of two bowls of bran cereal. The obstructing mass of bran was removed by enterotomy and found to be an inspissated, toothpastelike plug. The patient recovered fully.

Dietary Fiber↗
PubMed1999

[Celioscopic treatment of small intestine obstructions].

We evaluated the reliability and immediate results of celioscopic management of acute small bowel obstruction. From January 1995 to April 1998, 39 patients underwent a primary celioscopic procedure for small bowel obstruction. The most common etiology was post operative adhesions (34 patients). The whole operation could be carried out exclusively by celioscopy in 22 patients (56%). A laparotomy had to be performed in 17 patients due to: impossibility to identify or treat the cause of obstruction, bowel necrosis or intraoperative complication (3 bowel wounds). Post operative complications were: 1 death (not directly related to the surgical procedure), 2 early recurrences of obstruction after exclusive celioscopy, 1 evisceration after laparotomy and 1 small bowel fistula after conversion to laparotomy. Mean hospital stay was 5 days after exclusive celioscopy and 9.5 days after conversion to laparotomy. Celioscopic management of small bowel obstruction is feasible, but it is often difficult and may be hazardous; a careful selection of patients must be made, based on the importance of obstruction and the type of previous abdominal surgery.

Adolescent↗