how to write an academic essay?
- 1. How to Write anAcademic Essay?
By Dr.NuamanDanawar
generalandlaparoscopicsurgeon
Syrianandarabboard
memberoftheroyalcollegeofsurgeons
fellowshipanddiplomainlaparoscopicsurgery
diplomainmedicalreserch
MemberoftheeditorialboardofOceanJournalofPsychiatryandMental
HealthResearch
peerreviewerintheCUREUSthejournalofmedicalscienceinCalifornia.
- 15. Bodyparagraph1
Introduction:topicsentence.
Thefirsttypeoftheintussusceptioninadultisthesecondaryintussusception
Body:supportingsentences,usually2-3sentences.Statistics,facts,studies,news…..
80-92%ofcasesaresecondarytoanunderlyingpathologywhichformtheleadpointlesionsuchasprimaryor
metastaticneoplasms,lymphadenopathy,inflammatoryboweldisease,postoperativeadhesions,Meckel's
diverticulum,oreveniatrogenically,duetothepresenceofintestinaltubes,jejunostomyfeedingtubes.Computed
tomographyisthemostsensitivediagnosticmodalityandcandistinguishbetweenintussusceptionswithandwithout
aleadpoint.Surgeryisthedefinitivetreatmentofadultintussusceptions.
Conclusion:concludingsentence(-/+):Thus,thesecondaryintussusceptioninadultsisthecommonest
typeandthediagnosisistypicallymadebyCTandthesurgeryisthepreferredtreatment.
Signalingsentence:tojoinparagraphswitheachothers.
- 22. Howtotreattheintussusceptioninadult?
Recently,theintussusceptioninadulthasreceivedamuchdebateinliterature.Despiteitsrarity,itischallengingwhen
present.Theintussusceptionaccountingfor5%ofallcasesofintussusceptionsandalmost1%-5%ofbowel
obstruction.Intussusceptionofthebowelisdefinedasthetelescopingofaproximalsegmentofthegastrointestinal
tractwithinthelumenoftheadjacentsegment.Thetreatementofintussusceptioninadultisgreatlydependonits
type.Therearetwotypes:ofintussusceptioninadultsprimaryandsecondary.Knowingthesetypesiscrucialfor
optimalmanagementofthischallengingdiagnosis.
Thefirsttypeoftheintussusceptioninadultisthesecondaryintussusception.80-92%ofcasesaresecondarytoan
underlyingpathologywhichformtheleadpointlesionsuchasprimaryormetastaticneoplasms,lymphadenopathy,
inflammatoryboweldisease,postoperativeadhesions,Meckel'sdiverticulum,oreveniatrogenically,duetothe
presenceofintestinaltubes,jejunostomyfeedingtubes.Computedtomographyisthemostsensitivediagnostic
modalityandcandistinguishbetweenintussusceptionswithandwithoutaleadpoint.Surgeryisthedefinitive
treatmentofadultintussusceptions.Thus,thesecondaryintussusceptioninadultsisthecommonesttypeandthe
diagnosisistypicallymadebyCTandthesurgeryisthepreferredtreatment.
Thesecondtypeoftheintussusceptioninadultistheprimaryintussusceptionandaccounts8-20%ofcases.Inprimary
intussusceptionthereisnounderlyingpathologyworkingasleadingpoint,thusthistypecalledidiopathic.Because
thereisnopathology,somesurgeonstreatthistypebysimplereduction,andothersurgeonsadvocatetheresection
andanastomosis,astheleadingpointmaybeinvisible.Theabsenceofobviousunderlyingpathologymakesthe
decisionisdifficult.
Inbrief,intussusceptioninadultisnotcommon,butitisdifficultifpresent,especiallytheprimarytypewhenthereisno
detectablepathology.Mostofsurgeonsadvocatethesurgicalresectionoftheaffectedsegment,becausethe
secondarytypeisthemostcommon.
title
Body paragraph1
Body paragraph2
conclusion
introduction