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Updates in Gastrointestinal Emergencies: Inflammatory Conditions and Obstructions

  • Pietro Gambitta
  • Emilia Bareggi
  • Francesca Iannuzzi
  • Domenico Lo Conte
  • Alessandra D’Alessandro
  • Alessandro Ballerini
  • Stefano Pallotta
  • Antonio Armellino
  • Paolo Aseni
Chapter

Abstract

In this chapter, we aim to highlight some of the new developments and trends in the emergency treatment of the gastrointestinal emergencies. There are only four pathologic processes that occur as an emergency of the inflammatory conditions and obstruction of the gastrointestinal tract: hemorrhage, ischemia, obstruction, and infection. Most abdominal pathology involves one or a combination of these processes and may give rise to severe clinical conditions of sufficient gravity to constitute an emergency. Gastrointestinal emergencies due to an acute inflammatory diseases and acute obstruction of the abdominal viscera and their complications may be roughly classified as follows: peritonitis, intussusception, torsion, perforation with abscess formation, complications involving chronic lesions of the upper part of the digestive tract such as acute perforation of peptic ulcer, duodenal obstruction, and bleeding. Despite the new and ever-expanding array of medications for the treatment of inflammatory diseases, there are still clear indications for operative management for the majority of complications of acute inflammatory conditions. We present here an overview of indications, procedures, considerations, and controversies in the diagnostic strategies and therapies for the most important gastrointestinal emergencies.

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Copyright information

© Springer International Publishing AG, part of Springer Nature 2019

Authors and Affiliations

  • Pietro Gambitta
    • 1
  • Emilia Bareggi
    • 1
  • Francesca Iannuzzi
    • 1
  • Domenico Lo Conte
    • 2
  • Alessandra D’Alessandro
    • 3
  • Alessandro Ballerini
    • 1
  • Stefano Pallotta
    • 1
  • Antonio Armellino
    • 4
  • Paolo Aseni
    • 5
  1. 1.Endoscopy DivisionLuigi Sacco Hospital, University of MilanMilanItaly
  2. 2.Unit of Hepatobiliary and Colorectal Surgical Oncology, Candiolo Cancer Institute, FPO-IRCCSTorinoItaly
  3. 3.Department of Clinical Medicine and SurgeryUniversity of Naples Federico IINaplesItaly
  4. 4.Endoscopy DivisionOspedale San Leopoldo Mandic di Merate, ASST LeccoLeccoItaly
  5. 5.Department of EmergencyASST Grande Ospedale Metropolitano NiguardaMilanItaly

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