0
yes anastomotic leakage
1 answer
The other most common complication is pancreatic anastomotic leak. This is a leak in the connection that the surgeon makes between the remainder of the pancreas and the other structures in the abdomen.
1 answer
Most surgeons handle the potential for this problem by checking the connection during surgery.
1 answer
it is important especially in joints where joint movements can impede major arterial channels to supply blood to the joint, therefore anastomosis helps to insure blood flow. Besides this, anastomosis is important when a major artery has been blocked and the blood then can be carried through anastomotic arteries.
1 answer
Objective: The purpose of the study was to compare in prospective randomized fashion a manually sutured esophagogastric anastomosis in the neck and a stapled in the chest after esophageal resection and gastric tube reconstruction.
Summary Background Data: Despite the fact that all reconstructions after esophagectomy will result in a cervical or a thoracic anastomosis, controversy still exists as to the optimal site for the anastomosis. In uncontrolled studies, both neck and chest anastomoses have been advocated. The only reported randomized study is difficult to evaluate because of varying routes of the substitute and different anastomotic techniques within the groups. The reported high failure rate of stapled anastomoses in the neck and the fact that most surgeons prefer to suture cervical anastomoses made us choose this technique for anastomosis in the neck. Our routine and the preference of most surgeons to staple high thoracic anastomoses became decisive for type of thoracic anastomoses.
Methods: Between May 9, 1990 and February 5, 1996, 83 patients undergoing esophageal resection were prospectively randomized to receive an esophagogastric anastomosis in the neck (41 patients) or an esophagogastric anastomosis in the chest (42 patients). To evaluate selection bias, patients undergoing esophageal resection during the same period but not randomized (n = 29) were also followed and compared with those in the study (n = 83). Objective measurements of anastomotic level and diameter were assessed with an endoscope and balloon catheter 3, 6, and 12 months after surgery. The long-term survival rates were compared with the log-rank test.
Results: Two patients (1.8%) died in hospital, and the remaining 110 patients were followed until death or for a minimum of 60 months. The genuine 5-year survival rate was 29% for chest anastomoses and 30% for neck anastomoses. The overall leakage rate was 1.8% (2 cases of 112) with no relation to mortality or anastomotic method. All patients in the randomized group had tumor-free proximal and distal resection lines, but 1 patient in the nonrandomized group had tumor infiltrates in the proximal resection margin. At 3, 6, and 12 months after operation, there was no difference in anastomotic diameter between the esophagogastric anastomosis in the neck and in the thorax (P = 0.771), and both increased with time (P = 0.004, ANOVA repeated measures). Body weight development was the same in the two groups. With similar results in randomized and nonrandomized patients, study bias was eliminated.
Conclusions: When performed in a standardized way, neck and chest anastomoses after esophageal resection are equally safe. The additional esophageal resection of 5 cm in the neck group did not increase tumor removal and survival; on the other hand, it did not adversely influence morbidity, anastomotic diameter, or eating as reflected by body weight development.
The organ most used for reconstruction after esophagectomy is the stomach.[1,2] Advantages include ease of construction and the prospect to achieve a substitute of sufficient length. Proximal gastric necrosis, with subsequent gastroduodenal content contaminating the anastomotic area, is a disastrous complication, however, and bears a high mortality rate irrespective of whether the anastomosis is in the neck or in the thorax.[3,4] The ideal anastomotic localization has been the subject of several clinical investigations[1,3-5] but has not been adequately evaluated. Some authors favor cervical esophagogastric anastomoses despite an increased incidence of leakage,[5]stricture formation,[6] and damage to the recurrent laryngeal nerve[7] because of better tumor eradication[5] and reduced mortality and morbidity associated with an anastomotic breakdown.[1,2,4] Others deny a difference in leakage rates,[3] stricture frequency,[3,5] and the innocence of dehiscence in cervical anastomoses[3,5,8] or a better long-term survival.[5] The variation in the results might be explained by different methods of preparing, localizing, and anastomosing the esophageal substitute.
The quality of an anastomosis is infrequently expressed as anastomotic diameter but more often is judged by the frequency of stricture during follow-up. This may be misleading because there is no accepted definition of a stricture. Nor is dysphagia a good marker because it is well known that patients can experience dysphagia with a wide anastomosis and, vice versa, patients may not seek medical attention because of dysphagia until the anastomosis is only a couple of millimeters wide.[9] Moreover, it is not reported the length of the additional esophageal resection necessary for a neck anastomosis. The consequence of this on anastomotic width and postoperative weight development has not been studied.
This trial was designed to compare in a prospective randomized fashion two methods of esophagogastric anastomosis, one in the neck and the other in the apex of the right chest, in a group of patients not affected by perioperative radiochemotherapy. The number of patients required in the study to reach 80% power was based on the high radiologic leakage frequency of about 20% for neck anastomoses reported at study start[5] and the hope to improve it to the more acceptable level of 2% for intrathoracic anastomoses.[10] Hospital mortality and morbidity, anastomotic level and diameter, body weight development, and long-term survival were the endpoints.
1 answer
The sural nerve (short saphenous nerve), formed by the junction of the medial sural cutaneous with the peroneal anastomotic branch of the lateral sural cutaneous nerve, passes downward near the lateral margin of the tendo calcaneus, lying close to the small saphenous vein, to the interval between the lateral malleolus and the calcaneus. It runs forward below the lateral malleolus, and is continued as the lateral dorsal cutaneous nerve along the lateral side of the foot and little toe (via a dorsal digital nerve), communicating on the dorsum of the foot with the intermediate dorsal cutaneous nerve, a branch of the superficial peroneal
It's the calf.
2 answers
The obstructed area is removed and part of the bowel is cut away. If the obstruction is caused by tumors, polyps, or scar tissue, they are removed. Hernias, if present, are repaired. Antibiotics are given to reduce the possibility of infection.
4 answers
Workup: CBC with differential, CXR, 2 blood cultures, UA, Urine Cx
1) Atelectasis (POD 1-2)
a. Most common cause of post-op fever
b. Risk factors: prolonged immobilization, smoking hx, lung dz
c. Sx: low grade fever, rales on auscultation, tachycardia, tachypnea
d. Tx: bronchoscopy
2) Pneumonia (POD 1-2)
a. Risk factors:
i. Respirator use (Pseudomonas, Klebsiella)
1. Tx: aminoglycosides + penicillin
ii. Aspiration
1. Tx: NGT for decompression, oxygenation
b. Sx: cough, sputum production; Vitals: fever, ↑ RR
c. Findings: CXR infiltrate, Leukocytes on CBC
3) UTI (POD3+)
a. 5% chance per each day foley is in
b. Sx: burning sensation upon urination; no pain if Foley still in
c. Risk factors: prostate hypertrophy, diabetes, catheters, urinary retention
d. Microorganisms: Pseudomonas, Serratia, Enterococcus, E.Coli, Proteus, Klebsiella
e. Findings: leukocyte esterase and nitrite changes on UA; growth on Urine Cx, leukocytes on CBC
f. Tx: remove foley, increase fluids, Abx
4) Wound (POD 5+)
a. Sx: >2cm erythema, swelling, warmth, pain around incision site
b. Microorganisms: Staph most common
c. GI infections: E. coli, Bacteroides, Enterococcus
d. GU infections: Pseudomonas, Proteus
e. Tx: drain and wet-to-dry dressings twice daily
f. Other complications: hematoma, seroma, dehiscence (fascial opening)
5) DVTs (POD7+)
a. Sx: leg edema, tender superficial veins, chest pain, tachycardia, tachypnea, SOB
b. Studies: Doppler, venogram, CT (look for occlusion in pulmonary arteries)
c. Tx: ambulate, SCDs, systemic heparin, consult cardio
6) Medications - drug rxn can occur anytime
7) Line infections
a. IV lines need to come out after 72hrs
b. Sx: fever, leukocytosis on CBC, bacteremia on blood Cx, (+) culture from line tip
c. Micro: S. aureus, S. epidermidis
d. Tx: removal of line and +/- IV Abx
8) Peritonitis
a. Perforation of GI tract à abdominal pain, fever, sepsis
b. Studies: KUB (check for free air)
c. Tx: NPO with NGT, Abx, IVF, operate to irrigate abdomen
d. Complications: abscess formation
i. Tx: localize with CT scan or Gallium study (xrays while injecting radioactive gallium into bloodstream), drain, Abx
Fever occurring during operation
1) Transfusion rxn
a. Sx: fever, excess bleeding, urticaria, red urine
b. Tx: stop transfusion, hydrate with NS, mannitol for osmotic diuresis
2) Intraoperative Septicemia
a. Release of abscess
b. Tx: copious irrigation
3) Malignant hyperthermia
a. Sx: fever, tachycardia, tachypnea, acidosis with hyperkalemia, shock
b. Causes: halothane, succinylcholine, MAOi + meperidine
c. Tx:
i. stop surgery/anesthesia
ii. dantrolene (muscle relaxant)
iii. cool patient
iv. hyperventilate to ¯ acidosis
v. bicarb + insulin to ¯ hyperkalemia and ¯ acidosis
vi. mannitol for diuresis
d. mortality 60%
Fever occurring few hours post-op
1) Thyroid storm
2) Addisonian crisis
a. Tx: resume steriod therapy for Addison's dz
3) EtOH withdrawal
a. Sx: low grade fever, tremors, seizures
b. Wernicke's encephalopathy: confusion, nystagmus, ataxia
c. Korsakoff's: confabulation, amnesia caused by damage to mamillary bodies
d. Tx: thiamine
4) Anastomotic leak
5) Clostridium perfringens wound infection
1 answer
Possible Meanings
Rank
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Florence Alabama AL
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Fall in Accordance
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Federal Aviation Authority
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Fine Aggregate Angularity
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Fuerza Aerea Argentina
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Federation of Airworthiness
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Folic Acid Antagonist
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futbolistas argentinos agremiados
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Fire Affected Area
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Fremont Art Association
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Federal Aviation Adminstration
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Financial Advisers Act
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Foothill Autism Alliance
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Following an Aircraft Accident
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Fined American Airlines
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Facility Applications Are
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Folk Alliance Australia
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Function of the Aircraft
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Federal Avaiation Administration
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Fellow of the Australian Academy
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Formed an Aviation
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Florida Academy of Audiology
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For an Alternate
***
fabasoft ag at0000785407
***
FL in Accordance
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Federal Administration Agency
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Formalin Acetic Acid
***
Finnish Aeronautical Association
***
Folic Acid Action
***
Federal Aeronautics Administration
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Follow the Appropriate
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Federal Aviation Administrations
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Fun and Adventure
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Foreign Arbitral Awards
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Federal Aviation Authorities
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Future Astronauts of America
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Federation Aviation Administration
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Facility from Airport
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Forces of Angola
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For Aircraft Aircraft
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From Almost All
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For the Automation
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free amino acids
***
Federal Airport Act
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For the Ag Aircraft
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Financial Assistance Agreement
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Found from Analyzing
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Florissant Area Athletic
***
Fairfax Anesthesiology Associates
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Federal Aviation Admistration
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French Alumni Association
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Fairbanks Art Association
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Federation of Agricultural Associations
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Florida Air Academy
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Franklin Art Association
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Failure Analysis Associates
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Fraunhofer Allianz Adaptronik
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Furnace Atomic Absorption
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Find Articles Also
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free amino acid
***
Federal Aviation Administraion
***
Fine Art Association
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For Aviation Administration
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Fairfield Art Association
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Focal Area Approach
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Forestry and Agrifoods Agency
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Funding and Approval
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False Amber Alerts
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For Acronym Attic
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Fertility Associated Antigen
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Finnish Asphalt Association
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Flights and in Addition
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Faith and Action
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Fanconi Anemia A
***
Foundation for American
***
Football Association of Australia
***
Financial Aid Advisors
**
For the AHRS500GA
**
3H-folic acid activity
**
4-formyl-amino-antipyrine
**
false anastomotic aneurysms
**
fatty acid activation
**
fatty acid anilides
**
fatty-acid anilides
**
feeding anticipatory activity
**
fetal abdominal area
**
Fibrinolytic activator activity
**
fluorescent (-)alprenolol antibodies
**
focal adenomatous areas
**
Food anticipatory activity
**
food-anticipatory activity
**
formalin acetic alcohol
**
formic acid-acetone
**
formol-acetic-alcohol
**
fractionated atrial activity
**
fragmented atrial activity
**
free antibody activity
**
free arachidonic acid
**
fumaric acid aldehyde
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From an Avionics
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Florida Aviation Academy
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Form of Acceptance and Authorisation
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Formulation of an Advisory
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Federal Airport Administration
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FAX Auto Answer
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Football Americano Argentina
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Flavone 8-acetic acid
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fluorouracil induced AgNOR aggregations
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focal areas of atypism
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Formalin-acetic acid alcohol
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formalin-acetic acid-alcohol
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fragmentation of atrial activity
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free-amino-acids contents
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Freund's adjuvant arthritis
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fumaric acid semialdehyde
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Free Artists Association
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First Annual Airport
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Fresno Adventist Academy
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finance appropriation and
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Former Acting Administrator
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film artistes association
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Fasta Amino Acid
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1 answer
abandonment
abbreviated
abbreviates
abbreviator
abdications
abdominally
abecedarian
aberrancies
aberrations
abhorrences
abhorrently
abiogeneses
abiogenesis
abiogenists
abiological
abiotically
abjurations
ablutionary
abnegations
abnormality
abolishable
abolishment
abominating
abomination
abominators
aboriginals
abortionist
aboveground
abracadabra
abreactions
abridgement
abridgments
abrogations
abscissions
absenteeism
absolutions
absolutisms
absolutists
absolutized
absolutizes
absorbances
absorbingly
absorptance
absorptions
abstentions
abstentious
abstinences
abstinently
abstracters
abstractest
abstracting
abstraction
abstractive
abstractors
abstricting
absurdities
abusiveness
academician
academicism
acatalectic
acaulescent
accelerando
accelerants
accelerated
accelerates
accelerator
accentually
accentuated
accentuates
acceptances
acceptation
acceptingly
accessaries
accessional
accessioned
accessorial
accessories
accessorise
accessorize
accidentals
accipitrine
acclamation
acclimating
acclimation
acclimatise
acclimatize
acclivities
accommodate
accompanied
accompanies
accompanist
accomplices
accordances
accordantly
accordingly
accoucheurs
accountable
accountably
accountancy
accountants
accountings
accoutering
accrediting
accruements
acculturate
accumulated
accumulates
accumulator
accusations
accusatives
accustoming
acerbically
acetabulums
acetanilide
acetanilids
acetylating
acetylation
acetylative
achievement
achondrites
achondritic
achromatism
achromatize
acidimeters
acidimetric
acidophiles
acidophilic
acidulating
acidulation
acknowledge
acoelomates
acoustician
acquainting
acquiescent
acquiescing
acquirement
acquisition
acquisitive
acquisitors
acquittance
acridnesses
acriflavine
acrimonious
acrocentric
acromegalic
acropetally
acrophobias
acropolises
acrylamides
actinically
actinolites
actinometer
actinometry
actinomyces
actinomycin
activations
actomyosins
actualities
actualizing
actuarially
acupressure
acupuncture
acutenesses
adaptations
adaptedness
addressable
adenomatous
adeptnesses
adiposities
adjacencies
adjectively
adjournment
adjudicated
adjudicates
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adjunctions
adjurations
adjustments
adjutancies
admeasuring
administers
admiralties
admirations
admittances
admonishers
admonishing
admonitions
adolescence
adolescents
adoptianism
adoptionism
adoptionist
adorability
adrenalines
adrenalized
adsorptions
adulterants
adulterated
adulterates
adulterator
adultnesses
adumbrating
adumbration
adumbrative
advancement
advantaging
adventitial
adventitias
adventurers
adventuress
adventuring
adventurism
adventurist
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adverbially
adversarial
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advertences
advertently
advertisers
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advocations
aeciospores
aepyornises
aerenchymas
aerobically
aerobicized
aerobicizes
aerobiology
aerobraking
aerodynamic
aeroelastic
aerogrammes
aeromedical
aeronautics
aeronomical
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affirmation
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aftertastes
afterworlds
agamospermy
agelessness
agglomerate
agglutinate
agglutinins
aggradation
aggrandised
aggrandises
aggrandized
aggrandizer
aggrandizes
aggravating
aggravation
aggregately
aggregating
aggregation
aggregative
aggressions
aggrievedly
agitational
agnosticism
agonizingly
agoraphobes
agoraphobia
agoraphobic
agrarianism
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ahistorical
aiguillette
ailanthuses
ailurophile
ailurophobe
aimlessness
airbrushing
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alabastrine
albatrosses
albuminuria
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alchemistic
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alexandrine
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algebraists
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algological
algologists
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alkylations
allantoides
allegations
allegiances
allegorical
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allegorists
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allegrettos
allelomorph
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amazonstone
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ambiguities
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ameliorates
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ameloblasts
amenability
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aminopyrine
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amontillado
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amoxicillin
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amphetamine
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amphibrachs
amphictyony
amphimacers
amphioxuses
amphipathic
amphiphiles
amphiphilic
amphiploids
amphiploidy
amphisbaena
ampicillins
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amyloidoses
amyloidosis
amylopectin
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anabaptisms
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anacoluthon
anacreontic
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analogously
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anaphylaxis
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2 answers
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6 answers
Small bowel resection is surgery to remove part or all of your small bowel. It is done when part of your small bowel is blocked or diseased.
The small bowel is also called the small intestine. Most digestion (breaking down and absorbing nutrients) of the food you eat takes place in the small intestine.
Alternative NamesSmall intestine surgery; Bowel resection - small intestine; Resection of part of the small intestine; Enterectomy
DescriptionYou will receive general anesthesia right before your surgery. This will make you unconscious and unable to feel pain.
If you have laparoscopic surgery:
- You will have 3 to 5 small incisions (cuts) in your lower belly. The surgeon passes a camera and medical instruments through these cuts.
- You may also have a cut of about 2 to 3 inches if your surgeon needs to put a hand inside your belly.
- Your belly will be filled with gas to expand it. This makes the area easier to see and work in.
If you have open surgery, you will probably have an incision about6 inches long in your mid-belly.
- Your surgeon will locate the part of your small intestine that is diseased.
- Then your surgeon will put clamps on both ends of this part to close it off.
- Then the surgeon will remove the diseased part.
In both kinds of surgery:
- If there is enough healthy small intestine left, your surgeon will sew or staple the healthy ends of the small intestine back together. Most patients have this done.
- If you do not have enough healthy small intestine to reconnect, your surgeon will make an opening called a stoma through the skin of your belly. Your small intestine will be attached to the outer wall of your belly. Stool will go through the stoma into a drainage bag outside your body. This is called an iIeostomy.
Your surgeon may also look at lymph nodes and other organs in your belly area and may remove some of them.
This surgery usually takes 1 to 4 hours.
Why the Procedure Is PerformedSmall bowel resection may be recommended for:
- A blockage in the intestine caused by scar tissue or deformities
- Bleeding, infection, or ulcers caused by inflammation of the small intestine. Three conditions that may cause inflammation are regional ileitis, regional enteritis, and Crohn's disease.
- Injuries to the small intestine
- Cancer
- Precancerous polyps (nodes)
- Benign tumors
Risks for any surgery are:
- Blood clots in the legs that may travel to the lungs
- Breathing problems
- Bleeding inside your belly
- Heart attack or stroke
- Infection, including in the lungs, urinary tract, and belly
Risks for this surgery include:
- Damage to nearby organs in the body
- Wound infections
- Wound breaking open
- Bulging tissue through the incision, called an incisional hernia
- Short bowel syndrome (when a large amount of the small intestine needs to be removed)
- The ends of your intestines that are sewn together may come open. This is called anastomosis. This may be life threatening.
- Scar tissue may form in your belly and cause blockage of your intestines.
- Problems with your ileostomy
Always tell your doctor or nurse what drugs you are taking, even drugs, supplements, or herbs you bought without a prescription.
Talk with your doctor or nurse about these things before you have surgery:
- Intimacy and sexuality
- Sports
- Work
- Pregnancy
During the 2 weeks before your surgery:
- Two weeks before surgery you may be asked to stop taking drugs that make it harder for your blood to clot. These include aspirin, ibuprofen (Advil, Motrin), Naprosyn (Aleve, Naproxen), and others.
- Ask your doctor which drugs you should still take on the day of your surgery.
- If you smoke, try to stop. Ask your doctor for help.
- Always let your doctor know about any cold, flu, fever, herpes breakout, or other illness you may have before your surgery.
- Eat high fiber foods and drink 6 to 8 glasses of water every day.
The day before your surgery:
- Eat a light breakfast and lunch.
- You may be asked to drink only clear liquids such as broth, clear juice, and water after noontime.
- Do NOT drink anything after midnight, including water. Sometimes you will not be able to drink anything for up to 12 hours before surgery.
- Your doctor or nurse may ask you to use enemas or laxatives to clear out your intestines. They will give you instructions for this.
On the day of your surgery:
- Take your drugs your doctor told you to take with a small sip of water.
- Your doctor or nurse will tell you when to arrive at the hospital.
You will be in the hospital for 3 to 7 days. You may have to stay longer if your surgery was an emergency operation.
You also may need to stay in longer if a large amount of your small intestine was removed, or if you develop any other problems.
By the second day, you will most likely be able to drink clear liquids. Your doctor or nurse will slowly add thicker fluids and then soft foods as your bowel begins to work again.
If a large amount of your small intestine was removed, you may need to receive liquid nutrition through a tube for a period of time. First you will have a tube that delivers nutrition into your veins, and then you will have a feeding tube that goes into your stomach.
Outlook (Prognosis)Most people who have a small bowel resection recover fully. Even with an ileostomy, most people are able to do most activities they were doing before their surgery. This includes most sports, travel, gardening, hiking, and other outdoor activities, and most types of work.
If a large part of your small intestine was removed, you may have problems with loose stools and getting enough nutrients from the food you eat.
If you have a chronic condition, such as cancer, Crohn's disease or ulcerative colitis, you may need ongoing medical treatment.
ReferencesFry RD, Mahmoud N, Maron DJ, Ross HM, Rombeau J. Coln and rectum. In: Townsend CM, Beauchamp RD, Evers BM, Mattox KL, eds. Sabiston Textbook of Surgery. 18th ed. Philadelphia, Pa: Saunders Elsevier; 2007:chap 50.
2 answers
Bowel resection is a surgical procedure in which a diseased part of the large intestine is removed. The procedure is also known as colectomy, colon removal, colon resection, or resection of part of the large intestine.
5 answers
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375. autistic
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630. scotian
631. notations
632. truants
633. antarctic
634. instar
635. mutation
636. stout
637. moats
638. antis
639. tana
640. naturist
641. crouton
642. racoons
643. trout
644. instant
645. musca
646. acromion
647. stroma
648. mortis
649. contra
650. strati
651. ictus
652. nisin
653. torus
654. ascitic
655. antimonous
656. maims
657. cautio
658. sari
659. am
660. tract
661. aconitum
662. animations
663. mittimus
664. critics
665. intact
666. comitas
667. traumatism
668. macrostomia
669. iura
670. accustom
671. moat
672. antinarcotic
673. moi
674. mar
675. saron
676. siam
677. aoristic
678. tactician
679. tuan
680. contaminator
681. incisura
682. nutant
683. coruscation
684. martinis
685. stoic
686. animo
687. trots
688. samarium
689. moccasin
690. cutis
691. incrust
692. mora
693. ar
694. communi
695. tammar
696. mansion
697. aunt
698. norm
699. omits
700. namma
701. rustication
702. tomcats
703. mosaic
704. striation
705. scorn
706. tits
707. Iran
708. trustman
709. martins
710. unaim
711. in
712. sanction
713. anionic
714. sot
715. ammonia
716. carnation
717. saturnian
718. runic
719. rota
720. rumina
721. mitior
722. atonia
723. mourn
724. sat
725. ascii
726. auto
727. microcosm
728. macaronic
729. anion
730. concurso
731. anoia
732. monomaniacs
733. motorist
734. stricti
735. tsunamic
736. anosmia
737. raccoons
738. motu
739. maccaronis
740. mama
741. mucostatic
742. omasum
743. inn
744. sanitorium
745. cinnamic
746. anosmic
747. anita
748. arista
749. arcanum
750. mauritian
751. autos
752. amnia
753. acousma
754. animation
755. incrustation
756. ironic
757. antrim
758. maoism
759. maoris
760. macaroons
761. accts
762. Anna
763. arson
764. cartoonist
765. suction
766. Samoa
767. ruins
768. instr
769. marcia
770. astrict
771. Satan
772. inaction
773. cratonic
774. cot
775. coati
776. arums
777. urtication
778. ant
779. incurs
780. ana
781. iota
782. mrs
783. onomastic
784. raincoat
785. tori
786. maroon
787. manumit
788. cars
789. aaronic
790. trouts
791. Montana
792. roast
793. ostracon
794. uranic
795. triatic
796. tonic
797. maar
798. automatic
799. rims
800. castration
801. coatis
802. ruin
803. roist
804. citrin
805. tamarin
806. ca
807. maticos
808. incan
809. arsonic
810. contours
811. Manson
812. moist
813. attain
814. tutors
815. titis
816. not
817. intra
818. unromantic
819. nitrous
820. catamounts
821. catatonics
822. mats
823. marinas
824. custom
825. scum
826. notornis
827. cancra
828. onion
829. Scott
830. taint
831. toric
832. ro
833. accusation
834. sanitoria
835. sinai
836. micromastia
837. tracts
838. tium
839. maars
840. tors
841. micro
842. no
843. crimson
844. incisor
845. circuit
846. sic
847. turacin
848. cation
849. urinomas
850. mutism
851. sonic
852. mo
853. coconuts
854. outran
855. microsomia
856. ours
857. titan
858. incur
859. caroms
860. ins
861. tarn
862. annotator
863. maim
864. ai
865. out
866. cant
867. acrostic
868. ii
869. carts
870. sonantic
871. cost
872. minims
873. nasa
874. causation
875. arian
876. nun
877. scatoma
878. arcuation
879. transactio
880. instrictu
881. sun
882. citrus
883. ostia
884. martin
885. contour
886. coronia
887. stricto
888. ma
889. ascot
890. statio
891. man
892. untrain
893. strain
894. cons
895. mucro
896. romanticism
897. morns
898. ratios
899. smart
900. macaroni
901. santorini
902. arts
903. canon
904. amon
905. nunc
906. rot
907. summation
908. accusor
909. namium
910. normans
911. nisi
912. manum
913. mana
914. count
915. macros
916. inamoratos
917. torn
918. sirocco
919. matrimonio
920. innuit
921. matai
922. Truman
923. coins
924. anus
925. coria
926. socii
927. satiric
928. anacoustic
929. staccato
930. tour
931. mortua
932. anatomic
933. romantic
934. canst
935. nominators
936. rican
937. cut
938. notation
939. nocturia
940. circs
941. stir
942. marmots
943. actuation
944. anon
945. atomistic
946. ms
947. sonata
948. mucin
949. scotoma
950. craton
951. titanic
952. taut
953. simian
954. ansa
955. aorist
956. communication
957. macro
958. anions
959. strait
960. sa
961. auras
962. soma
963. canonicum
964. acinar
965. tunica
966. introns
967. animist
968. sciomantic
969. curio
970. sui
971. cartoon
972. nonsuit
973. ia
974. trisomic
975. moots
976. monomaniac
977. actinium
978. tsar
979. cart
980. anta
981. onto
982. anoints
983. tantrum
984. oniomaniac
985. turns
986. actors
987. mascot
988. triatomic
989. marconi
990. coact
991. stain
992. attic
993. contractions
994. cotan
995. mauritians
996. sarin
997. amtrac
998. coronas
999. sarcina
1000. mortmain
1001. unto
1002. uniron
1003. munitions
1004. tricot
1005. actinism
1006. outsat
1007. triticum
1008. miasmatic
1009. cacao
1010. rima
1011. outsmart
1012. sri
1013. mann
1014. mots
1015. cm
1016. minn
1017. arsonium
1018. Romania
1019. carum
1020. cum
1021. miasma
1022. contains
1023. cast
1024. sacra
1025. oniomania
1026. narcotic
1027. scrim
1028. tunc
1029. Inca
1030. inactions
1031. cosmin
1032. ua
1033. atria
1034. triatoma
1035. oncost
1036. antics
1037. Mormon
1038. tonics
1039. mutton
1040. raman
1041. unair
1042. motoria
1043. arcus
1044. ran
1045. ccitt
1046. to
1047. somatic
1048. mucros
1049. crus
1050. matric
1051. snort
1052. macaronis
1053. so
1054. mucor
1055. ion
1056. maomao
1057. Iranian
1058. mart
1059. anticus
1060. marina
1061. tortious
1062. nuts
1063. noncom
1064. numina
1065. inst
1066. mancinism
1067. marantic
1068. automat
1069. samurai
1070. sima
1071. rotations
1072. cotton
1073. inc
1074. auris
1075. carats
1076. maori
1077. causa
1078. mainmast
1079. cartoons
1080. microtomic
1081. matrons
1082. sanitarium
1083. torso
1084. roan
1085. unarm
1086. mit
1087. sortition
1088. monitor
1089. riotous
1090. atomics
1091. unmoors
1092. cat
1093. cannas
1094. carnations
1095. rictus
1096. comatous
1097. strum
1098. tn
1099. tat
1100. anima
1101. manu
1102. cants
1103. scour
1104. taction
1105. unit
1106. scoot
1107. consummation
1108. nr
1109. sort
1110. tatami
1111. Miami
1112. imitator
1113. nanitic
1114. stucco
1115. icon
1116. comitia
1117. conus
1118. conn
1119. scut
1120. ammunition
1121. runt
1122. constat
1123. acrotic
1124. moor
1125. Oscar
1126. moras
1127. trios
1128. acinic
1129. irons
1130. conic
1131. oat
1132. motor
1133. commit
1134. IRS
1135. comminations
1136. tom
1137. isonomic
1138. communicants
1139. macrocosm
1140. train
1141. oman
1142. unci
1143. accounts
1144. inamorato
1145. main
1146. aortic
1147. automatism
1148. saint
1149. counts
1150. scrota
1151. actio
1152. sitomania
1153. scotia
1154. tinnitus
1155. urim
1156. artisan
1157. sonorant
1158. tunas
1159. arcs
1160. masticator
1161. actin
1162. atriums
1163. trams
1164. tomato
1165. norma
1166. noons
1167. marcato
1168. surinam
1169. tuscan
1170. actinic
1171. outacts
1172. cousin
1173. nitration
1174. mortician
1175. citatum
1176. carina
1177. unction
1178. cumin
1179. toots
1180. coon
1181. trias
1182. mums
1183. ton
1184. oamaru
1185. tannic
1186. taoist
1187. aconitic
1188. cors
1189. auctors
1190. nitric
1191. caimans
1192. actuator
1193. oscitation
1194. tons
1195. cantor
1196. Rosa
1197. manias
1198. mantras
1199. actuators
1200. stromatin
1201. amotion
1202. coo
1203. armis
1204. uncinaria
1205. stun
1206. monitors
1207. roust
1208. titans
1209. ammunitions
1210. cottons
1211. ious
1212. commutations
1213. noun
1214. mutator
1215. uranian
1216. corsican
1217. micra
1218. amos
1219. autocrats
1220. asarum
1221. mi
1222. mat
1223. torts
1224. tint
1225. mu
1226. intimas
1227. trust
1228. soar
1229. transact
1230. ir
1231. mantas
1232. OS
1233. autonomic
1234. cocos
1235. ta
1236. ramus
1237. mimic
1238. corm
1239. intron
1240. Marc
1241. ransom
1242. mia
1243. tatar
1244. curtin
1245. rattus
1246. routs
1247. cainca
1248. turncoats
1249. una
1250. cur
1251. consortia
1252. astatic
1253. our
1254. auction
1255. occur
1256. account
1257. octanoic
1258. uart
1259. smarm
1260. autocratic
1261. comsat
1262. cmcumarin
1263. maniacs
1264. satiation
1265. stromatic
1266. coarct
1267. sumatran
1268. tomtoms
1269. numismatic
1270. narcism
1271. outact
1272. ostium
1273. ironist
1274. tattoos
1275. staurion
1276. rani
1277. mantis
1278. ministrant
1279. atonic
1280. Asian
1281. rumanians
1282. runts
1283. autism
1284. tarns
1285. saran
1286. transit
1287. music
1288. mom
1289. roots
1290. root
1291. scoria
1292. astronaut
1293. minora
1294. citator
1295. monomania
1296. inns
1297. contactors
1298. its
1299. transonic
1300. on
1301. ruction
1302. aaron
1303. tit
1304. acrimonious
1305. unstain
1306. introits
1307. tourism
1308. cunni
1309. romanist
1310. trans
1311. tuition
1312. morticians
1313. osmotic
1314. torsi
1315. action
1316. curtains
1317. unionism
1318. rums
1319. astronomic
1320. croat
1321. aran
1322. Castro
1323. somatomic
1324. aura
1325. tunics
1326. atocia
1327. muttons
1328. crista
1329. cocao
1330. mitotic
1331. canonist
1332. romanian
1333. citations
1334. asti
1335. striata
1336. cancan
1337. crocus
1338. continuator
1339. instinct
1340. comic
1341. acto
1342. taciturn
1343. moons
1344. romanisation
1345. scion
1346. amniota
1347. simatic
1348. nut
1349. us
1350. tt
1351. actus
1352. ottoman
1353. concision
1354. carcinomas
1355. rumanian
1356. runs
1357. Norman
1358. anno
1359. cairns
1360. amu
1361. cots
1362. smut
1363. mans
1364. anastomotic
1365. mon
1366. casu
1367. moans
1368. arc
1369. conc
1370. nata
1371. manioc
1372. macaroon
1373. naturism
1374. min
1375. astr
1376. acorns
1377. unman
1378. cotta
1379. stunt
1380. orison
1381. summit
1382. nastic
1383. macacos
1384. omnia
1385. coons
1386. citato
1387. casino
1388. narcoma
1389. minor
1390. artist
1391. imam
1392. concurs
1393. cont
1394. commutation
1395. contort
1396. mannitic
1397. outman
1398. osmatic
1399. isocoria
1400. nasion
1401. stromata
1402. uria
1403. cosmonaut
1404. sam
1405. curtain
1406. mucic
1407. sci
1408. commis
1409. omnium
1410. ama
1411. tin
1412. minions
1413. court
1414. scrum
1415. Matt
1416. Tao
1417. stint
1418. antinomic
1419. commination
1420. communitarians
1421. suramin
1422. situation
1423. ructions
1424. natrium
1425. taoism
1426. Stan
1427. airman
1428. siccant
1429. rain
1430. stoat
1431. corona
1432. Cain
1433. imitators
1434. minutia
1435. matima
1436. aromatic
1437. tucson
1438. arias
1439. stoa
1440. cancrum
1441. microsmatic
1442. sitar
1443. actinon
1444. nota
1445. tarot
1446. isocratic
1447. coca
1448. coast
1449. soritic
1450. aunts
1451. continua
1452. tinction
1453. mouton
1454. Inuits
1455. mutations
1456. sum
1457. manus
1458. crotonic
1459. trio
1460. motions
1461. atrocious
1462. muons
1463. marocain
1464. conation
1465. nonautomatic
1466. intrans
1467. toms
1468. monistic
1469. intuit
1470. rami
1471. suitor
1472. octroi
1473. curios
1474. is
1475. macaco
1476. cormous
1477. cactus
1478. aorta
1479. rotc
1480. concur
1481. incursion
1482. otic
1483. cit
1484. cummins
1485. rout
1486. Sinatra
1487. mansonia
1488. raincoats
1489. cc
1490. acorn
1491. sonicator
1492. unitarian
1493. run
1494. anticommunist
1495. atoms
1496. aria
1497. toitoi
1498. coconut
1499. intuits
1500. traumas
1501. iniac
1502. moronism
1503. communion
1504. amounts
1505. con
1506. crt
1507. Triton
1508. rata
1509. mons
1510. uric
1511. amorous
1512. aim
1513. rumania
1514. santa
1515. rats
1516. tartan
1517. an
1518. manitous
1519. nomoi
1520. tort
1521. anisic
1522. acinus
1523. titanium
1524. Orion
1525. antrum
1526. suint
1527. monatomic
1528. constriction
1529. ut
1530. sura
1531. coronitis
1532. croats
1533. cornu
1534. rous
1535. moan
1536. incus
1537. nor
1538. cornua
1539. oris
1540. miriam
1541. union
1542. aortitis
1543. auric
1544. ricco
1545. room
1546. contr
1547. conarium
1548. moron
1549. insurant
1550. nomos
1551. nocturns
1552. tan
1553. ruts
1554. tatamis
1555. tours
1556. tunicin
1557. amino
1558. outsit
1559. sir
1560. incr
1561. unmans
1562. intromit
1563. oars
1564. sanatorium
1565. atomic
1566. cocainism
1567. moos
1568. units
1569. canons
1570. naris
1571. instruction
1572. commutators
1573. castrato
1574. ranis
1575. martinson
1576. tsarina
1577. rum
1578. maturation
1579. satin
1580. tsunami
1581. ration
1582. tuis
1583. annatto
1584. asci
1585. oats
1586. costumor
1587. titus
1588. monist
1589. cram
1590. trainman
1591. munition
1592. martians
1593. construct
1594. mancunia
1595. comminution
1596. accurst
1597. animators
1598. scutation
1599. natant
1600. sao
1601. isotactic
1602. moo
1603. nutrias
1604. strict
1605. snout
1606. storm
1607. contact
1608. natis
1609. numis
1610. succi
1611. arianism
1612. nitroso
1613. aurist
1614. noscitur
1615. continuators
1616. atrium
1617. strontia
1618. constr
1619. sonar
1620. rimous
1621. tonus
1622. Austrian
1623. coir
1624. transmit
1625. instruct
1626. un
1627. continuo
1628. automaton
1629. ism
1630. totara
1631. attorn
1632. macrosmatic
1633. narcotics
1634. orations
1635. natron
1636. cocoa
1637. co
1638. contract
1639. tics
1640. transition
1641. rooms
1642. cuts
1643. too
1644. acoin
1645. oar
1646. acinous
1647. carcinoma
1648. automation
1649. arms
1650. ram
1651. mimosa
1652. tams
1653. ocarinas
1654. tatoo
1655. surcoat
1656. coma
1657. scar
1658. citrons
1659. acoustic
1660. tints
1661. incaution
1662. icao
1663. ricin
1664. inmost
1665. marino
1666. Croatia
1667. nomina
1668. casta
1669. manna
1670. unstint
1671. narcs
1672. roost
1673. nations
1674. crust
1675. roos
1676. minus
1677. tricots
1678. insinuator
1679. mortuam
1680. cion
1681. amt
1682. uratic
1683. sitcom
1684. maintainor
1685. torsion
1686. osmic
1687. coaction
1688. snot
1689. sacrum
1690. muramic
1691. cans
1692. tart
1693. scrotum
1694. iranians
1695. onium
1696. contacts
1697. scout
1698. Marian
1699. mints
1700. noma
1701. matin
1702. toto
1703. ac
1704. aortas
1705. mania
1706. insomnia
1707. suntan
1708. nominatum
1709. croton
1710. tain
1711. costa
1712. morn
1713. mourns
1714. Austin
1715. circuits
1716. atomism
1717. st
1718. muon
1719. onanistic
1720. sauna
1721. racist
1722. toccata
1723. communicans
1724. moria
1725. monism
1726. citata
1727. raccoon
1728. castor
1729. taunts
1730. communicators
1731. noncoms
1732. tout
1733. samian
1734. mountain
1735. attics
1736. ruination
1737. amniotic
1738. tnt
1739. crania
1740. riots
1741. cumins
1742. canonistic
1743. cummin
1744. mantic
1745. comas
1746. musician
1747. ions
1748. anamniotic
1749. snoot
1750. ti
1751. motion
1752. can
1753. cantors
1754. ainu
1755. scat
1756. curia
1757. comm
1758. trains
1759. mist
1760. tram
1761. macrotia
1762. anisocoria
1763. constant
1764. act
1765. moms
1766. aut
1767. urns
1768. unconstrict
1769. Nina
1770. autonomist
1771. ionian
1772. statui
1773. tactics
1774. ricans
1775. amount
1776. caroticum
1777. rias
1778. manic
1779. marasmic
1780. oratio
1781. rumination
1782. mono
1783. critic
1784. scimitar
1785. ruminants
1786. curt
1787. scant
1788. onus
1789. ainus
1790. marcan
1791. constrain
1792. itaconic
1793. minis
1794. atomist
1795. Mormons
1796. coni
1797. minima
1798. corns
1799. stamina
1800. rna
1801. coarctation
1802. nutrition
1803. sinn
1804. rim
1805. accost
1806. nana
1807. raison
1808. amnions
1809. oast
1810. tarmacs
1811. imams
1812. toot
1813. ruinations
1814. tractus
1815. accountants
1816. anum
1817. cran
1818. curiam
1819. isotonic
1820. NATO
1821. tomcat
1822. autocrat
1823. stomata
1824. communicator
1825. ni
1826. communist
1827. iotas
1828. rustic
1829. anomic
1830. cations
1831. tarmac
1832. mc
1833. octant
1834. com
1835. actant
1836. tortoni
1837. titi
1838. scan
1839. osmium
1840. rainout
1841. cacti
1842. intima
1843. tots
1844. orotic
1845. occurs
1846. octo
1847. oration
1848. ratoon
1849. ionium
1850. constraint
1851. rotacism
1852. rains
1853. moors
1854. nomic
1855. stiction
1856. stannum
1857. carious
1858. caution
1859. strictum
1860. unstrain
1861. moro
1862. ostinato
1863. utmost
1864. ratio
1865. cosa
1866. coco
1867. contaminators
1868. coitus
1869. nutation
1870. cortin
1871. ruminant
1872. maturations
1873. romanticist
1874. cortico
1875. accountant
1876. touts
1877. const
1878. isotron
1879. truism
1880. rants
1881. rots
1882. attars
1883. strontian
1884. rant
1885. mansoni
1886. omasa
1887. turn
1888. nit
1889. oscitant
1890. cartons
1891. astir
1892. stoma
1893. intortion
1894. communions
1895. manors
1896. anoint
1897. natura
1898. turin
1899. microstomi
1900. cannot
1901. nanosomia
1902. mariti
1903. miasm
1904. scuta
1905. ami
1906. nomism
1907. tutiorism
1908. na
1909. outs
1910. strontium
1911. sturin
1912. amman
1913. ricotta
1914. cistron
1915. romantics
1916. strumatic
1917. unions
1918. somitic
1919. miction
1920. stria
1921. sotto
1922. taro
1923. macrons
1924. cranium
1925. otitis
1926. mast
1 answer
