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| 1 | Acute mechanical bowel obstruction: Clinical presentation, etiology, management and outcome显示文摘AIM: To identify and analyze the clinical presentation, management and outcome of patients with acute mechanical bowel obstruction along with the etiology of obstruction and the incidence and causes of bowel ischemia, necrosis, and perforation. METHODS: This is a prospective observational study of all adult patients admitted with acute mechanical bowel obstruction between 2001 and 2002. RESULTS: Of the 150 consecutive patients included in the study, 114 (76%) presented with small bowel and 36 (24%) with large bowel obstruction. Absence of passage of flatus (90%) and/or feces (80.6%) and abdominal distension (65.3%) were the most common symptoms and physical finding, respectively. Adhesions (64.8%), incarcerated hernias (14.8%), and large bowel cancer (13.4%) were the most frequent causes of obstruction. Eighty-eight patients (58.7%) were treated conservatively and 62 (41.3%) were operated (29 on the first day). Bowel ischemia was found in 21 cases (14%), necrosis in 14 (9.3%), and perforation in 8 (5.3%). Hernias, large bowel cancer, and adhesions were the most frequent causes of bowel ischemia (57.2%, 19.1%, 14.3%), necrosis (42.8%, 21.4%, 21.4%), and perforation (50%, 25%, 25%). A significantly higher risk of strangulation was noticed in incarcerated hernias than all the other obstruction causes. CONCLUSION: Absence of passage of flatus and/or feces and abdominal distension are the most common symptoms and physical finding of patients with acute mechanical bowel obstruction, respectively. Adhesions, hernias, and large bowel cancer are the most commoncauses of obstruction, as well as of bowel ischemia, necrosis, and perforation. Although an important proportion of these patients can be nonoperatively treated, a substantial portion requires immediate operation. Great caution should be taken for the treatment of these patients since the incidence of bowel ischemia, necrosis, and perforation is significantly high. | Haridimos Markogiannakis Evangelos Messaris Dimitrios Dardamanis Nikolaos Pararas Dimitrios Tzertzemelis Panagiotis Giannopoulos Andreas Larentzakis Emmanuel Lagoudianakis Andreas Manouras Ioannis Bramis | 2007 | World Journal of Gastroenterology2007，13，3： | 7 |
| 2 | Lipoma induced jejunojejunal intussusception显示文摘Intussusception in adults is rare. The clinical picture of intussusception in adults is subtle and the diagnosis is,therefore,elusive. The presence of a structural abnor- mality in the great majority of the adult cases mandates high clinical suspicion. Gastrointestinal lipomas are rare benign tumors and intussusception due to a gastrointes- tinal lipoma constitutes an infrequent clinical entity. The present report describes a case of jejunojejunal intus- susception in an adult with a history of severe episodes of hematochezia and colicky upper abdominal pain. The diagnosis was suspected preoperatively but computed tomography scan could not rule out malignancy. Explor- atory laparotomy revealed jejunojejunal intussusception secondary to a lipoma which was successfully treated with segmental intestinal resection. | Andreas Manouras Emmanuel E Lagoudianakis Dimitrios Dardamanis Dimitrios K Tsekouras Haridimos Markogiannakis Michael Genetzakis Nikolaos Pararas Artemisia Papadima Christos Triantafillou Vagelogiannis Katergiannakis | 2007 | World Journal of Gastroenterology2007，13，26： | 4 |
| 3 | Single nucleotide polymorphisms of Toll-like receptors and susceptibility to infectious diseases 显示文摘 | Skevaki C Pararas M Kostelidou K Tsakris A Routsias JG | 2015 | Clin Exp Immunol2015，180，2： | 1 |
| 4 | Microsystems technologies for drug delivery to the inner ear显示文摘 | Pararas E E Borkholder D A Borenstein J T | 2012 | Adv Drug Deliv Rev2012，64，14： | 1 |
| 5 | Preterm birth due to maternal infection : causative pathogens and modes of prevention 显示文摘 | Pararas MV Skevaki CL Kafetzis DA | 2006 | European Journal of Clinicalmicrobiology&Infectious Diseases2006，25，9： | 1 |
| 6 | Cell kinetics and apoptosis in laryngeal carcinoma patients显示文摘 | Georgiou A Gomatos I P Pararas N B Giotakis J Ferekidis E | 2003 | Ann Otol Rhinol Laryngol2003，112，： | 1 |
| 7 | Cell ki-netics and apoptosis inaryngeal carcinoma patients显示文摘 | Georgiou A Gomatos IP Pararas NB | 2003 | Ann Otol Rhino Aryngol2003，112，： | 1 |
| 8 | A Case of Successfully Treated Rhinocerebral Mucormycosis: Dental Implications显示文摘 | Nikolaos Papadogeorgakis Eleni Parara Vassilios Petsinis Christina Vourlakou Philip J. Lamey | 2011 | International Journal of Dentistry2011，，： | 1 |
| 9 | Significant differences inskin irritation by common suture materials assessed by acomparative computerized objective method 显示文摘 | Parara S M Mamios A de Bree E | 2011 | Plast Reconstr Surg2011，127，3： | 1 |
| 10 | Significant differences in skin irritation by common suture materials assessed by common suture materials assessed by a comparative computerized objective method显示文摘 | Parara SM Mamios A de Bree E | 2001 | Plast Reconstr Surg2001，107，1： | 1 |
| 11 | Significant differences in skin irritation by common suture materials assessed by a comparative computerized objective method 显示文摘 | Parara SM Manios A de Bree E | 2011 | Plast Reeonstr Surg2011，127，3： | 1 |
| 12 | Microsystems tech- nologies for drug delivery to the inner ear显示文摘 | Pararas EE Borkholder DA Borenstein JT | 2012 | Adv Drug DelivRev2012，64，： | 1 |
| 13 | Single nucleotide polymorphisms of Toll-like receptors and susceptibihty to infectious diseases 显示文摘 | SKEVAKI C PARARAS M KOSTELIDOU K | 2015 | CUn Exp Imnmnol2015，180，2： | 1 |
| 14 | Cell kinetics and apoptosis in laryngeal carcinoma patients显示文摘 | GEORGIOU A GOMATOS IP PARARAS NB | 2003 | Ann Otol Rhinol Laryngol2003，112，3： | 1 |
| 15 | Branchial cleft cysts in adults:diagnostic procedures and treatment in a series of 18 cases 显示文摘 | Papadogeorgakis N Petsinis V Parara E | 2009 | Oral Maxillofac Surg2009，13，2： | 1 |
| 16 | Cell kinetics and apoptosis in aryngeal carcinoma patients显示文摘 | Georgiou A Gomatos IP Pararas NB | 2003 | Ann Otolrhinoaryngol2003，112，： | 1 |
| 17 | Cell kinetics and opoptosis in laryngeal carcinoma patients显示文摘 | Goamatos IP Pararas NB | 2003 | Ann Otol Rhinol Laryngol2003，112，3： | 1 |
| 18 | Single nucleotide polymorphisms of Toll-like receptors and susceptibility to infectious diseases显示文摘 | Skevaki C Pararas M Kostelidou K | 2015 | Clin Exp Immunol2015，180，2： | 1 |
| 19 | Heterotopic Uterus Transplantation in a Swine Model显示文摘 | Donna L. Avison Werviston DeFaria Panagiotis Tryphonopoulos Akin Tekin George R. Attia Hidenori Takahashi Yide Jin Emmanouil Palaios Nikolaos Pararas Manuel R. Carreno Sergio Santiago Fuller Bazer Phillip Ruiz Andreas Tzakis | 2009 | Transplantation2009，，4： | 1 |
| 20 | Seismic wave amplification: Basin geometry vs soil layering显示文摘 | J.F. Semblat M. Kham E. Parara P.Y. Bard K. Pitilakis K. Makra D. Raptakis | 2005 | Soil Dynamics and Earthquake Engineering2005，，7： | 1 |
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