The Kock continent ileostomy (KCI) was designed by Nik Kock, who used an intussuscepted ileostomy loop to create a nipple valve (●" Fig.1) that would not leak and would allow ileal effluent to be evacuated with a catheter [1]. Enterolith formation is a rarely reported long-term complication of KCI that can lead to disabling symptoms mandating treatment [2–4]. We report the case of a 65-year-old...

BACKGROUND Benign ileal strictures can cause considerable morbidity and they have been conventionally treated with surgery. The aim of this study was to report our experience of endoscopic balloon dilatation (EBD) in patients with terminal ileal strictures because of Crohn's disease and tuberculosis. METHODS Over the last 8 years, 9 patients (6 males; mean age 39.7±13.2 years) with benign ter...

Abstract Background Lemmel syndrome, first described in 1934, is the presence of biliary obstruction as a consequence duodenal diverticula. The precise aetiology remains uncertain. Multiple causative theories have been proposed. These include mechanical biliopancreatic duct occlusion, functional disruption sphincter Oddi and alteration course distal pancreatic ducts. We present case caused by d...

Meckel's diverticulum is the commonest congenital anomaly of the gastro-intestinal tract, being present at 2 % of autopsies.1 Approximately 4% cause symptoms and most present during the first decade of life.2 Hence, there is an awareness among clinicians of the possibility of the lesion presenting in infancy or childhood, but a clinical diagnosis of Meckel's diverticulum is rarely considered pr...

with diffuse abdominal pain, melena, and iron-deficiency anemia. Gastroscopy and colonoscopywere unremarkable.Wireless capsule endoscopy (WCE) (PillCam SB2; Given Imaging, Yoqneam, Israel) was then carried out. The video sequence showed the capsule passing through a narrow orifice of the distal ileum into a cavity containing multiple enteroliths swirling in a greenish fluid with debris (●" Figs...

The principles governing the in vitro solubility of the common natural conjugated and unconjugated bile acids and salts in relation to pH, micelle formation, and Ca2+ concentration are considered from a theoretical standpoint and then correlated first with experimental observations on model systems and second with the formation of precipitates containing bile acids in health and disease. In vit...

The principles governing the in vitro solubility of the common natural conjugated and unconjugated bile acids and salts in relation to pH, micelle formation, and Ca2' concentration arc considered from a theoretical standpoint and then correlated first with experimental observations on model systems and second with the formation of precipitates containing bile acids in health and disease. In vit...