Small bowel prolapse | Germany| PDF | PPT| Case Reports | Symptoms | Treatment

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Small Bowel Prolapse

  • Small bowel prolapse

    Definition: Small bowel prolapse, also called enterocele (EN-tur-o-seel), occurs when the small intestine (small bowel) descends into the lower pelvic cavity and pushes at the top part of the vagina, creating a bulge. The word "prolapse" means to slip or fall out of place.

  • Small bowel prolapse

    Symptoms: A pulling sensation in your pelvis that eases when you lie down, A feeling of pelvic fullness, pressure or pain, Low back pain that eases when you lie down, A soft bulge of tissue in your vagina, Vaginal discomfort and painful intercourse (dyspareunia).

  • Small bowel prolapse

    Statistics: The participation rate of 85 endoscopic centres using the DBE technique was 75 % (64 centres). They reported 3894 DBE examinations (2685 using the oral route, 1209 using the anal route) with 1086 interventions. 48 complications were reported (1.2 %). Acute pancreatitis occurred in 9 patients with 1 lethal course of disease, all of them receiving a DBE using the oral route. Thus, the pancreatitis rate after oral DBE was 0.34 %. Perforation happened in 8 cases, all of them needed surgery. One patient died during the course of the disease. 6 perforations occurred after polypectomy, so the perforation rate after polypectomy during DBE is 3.4 % in this study. In 6 cases major bleeding was reported, 4 in the context of polypectomy and 2 after biopsy. All patients received endoscopic treatment and recovered from this complication.

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