Patrick Fa-Si-Oen

St. Elisabeth Hospital, Curacao, Dutch Caribbean · General Surgery

An 84-year-old woman was admitted to the emergency department of the St. Elisabeth Hospital in Curaçao for acute diffuse abdominal pain. Her medical history revealed an 'irritable bowel syndrome' with symptoms of chronic progressive abdominal pain. Plain abdominal radiography and computed tomography showed a substantially dilated bowel with torsion...

Body packing is a way to deliver packages of drugs hidden in body cavities, across international borders. This may cause mechanical bowel obstruction and intoxication leading to emergency surgery. The objective of this retrospective study is to evaluate pre-, per- and postoperative characteristics of body packing and its complications and prognosis...

Background: The use of mechanical bowel preparation is much debated. Methods: We evaluated the effects of polyethylene glycol (PEG), with or without a single dose of 3.0 mmol butyrate (BUT), on the bursting pressure (BP) of an intact colon segment and a colon anastomosis in rats. Also, histopathologic damage was studied. Results: In rats witho...

Mechanical bowel preparation is common practice in elective colon surgery. In recent literature the value of this procedure is under discussion. To verify the value of mechanical bowel preparation in elective open colon surgery, a randomized clinical trial was conducted. During a prospective, multicenter, randomized study, 250 patients undergoing e...

This article describes a prospective bacteriological study designed to assess the value of bacterial sampling during elective open colon surgery. Swabs of the subcutaneous tissue were taken after closure of the abdominal fascia, but before closure of the skin, in 100 patients during elective colon surgery. Of the 100 swabs, 52 were sterile with no...

Mechanical bowel preparation is common practice in elective colon surgery. In order to verify the effect of mechanical bowel preparation on the colonic flora, this study followed 185 patients undergoing elective open colon surgery, 90 of whom were assigned randomly to receive mechanical bowel preparation with polyethyleneglycol. Swabs of the anasto...

The current practice of mechanical bowel preparation (MBP) before colorectal surgery is questionable. Mechanical bowel preparation is unpleasant for the patient, often distressful, and potentially harmful. The results are often less than desired, increasing the risk of contamination. Cleansing the colon and rectum before surgery has never been show...

To review the anatomy, symptomatology, diagnosis, complications and management of symptomatic and asymptomatic Meckel's diverticula. Retrospective study. Teaching hospital, The Netherlands. 27 consecutive patients who underwent resection of a Meckel's diverticulum during the 16 year period 1 January 1981-31 August 1997. The symptomatology and histo...

Mechanical bowel preparation is a long standing practice in elective open colon surgery dating from the 1970's. It has always been believed to reduce the rate of postoperative complications in the form of anastomotic leakage and wound infection. In this thesis we broadly and thoroughly examine the various aspects and the value of mechanical bowel p...