Bowel Preparation for Surveillance Colonoscopy After a Colorectal Resection: A New Perspective.
Authors: Kim JS Abstract PMID: 31288499 [PubMed] (Source: Annals of Coloproctology)
Source: Annals of Coloproctology - July 12, 2019 Category: Gastroenterology Tags: Ann Coloproctol Source Type: research

Clinical Implications of Lymph Node Metastasis in Colorectal Cancer: Current Status and Future Perspectives.
Authors: Kim HJ, Choi GS Abstract Lymph node metastasis is regarded as an indubitable prognostic factor for predicting disease recurrence and survival in patients with colorectal cancer. Lymph node status based on examination of a resected specimen is a key element of the current staging system and is also a crucial factor to determine use of adjuvant chemotherapy after surgical resection. However, the current tumor-node-metastasis (TNM) staging system only incorporates the number of metastatic lymph nodes in the N category. Numerous attempts have been made to supplement this simplified N staging including lymph no...
Source: Annals of Coloproctology - July 12, 2019 Category: Gastroenterology Tags: Ann Coloproctol Source Type: research

Bowel Preparation for Surveillance Colonoscopy After Colorectal Resection: A New Perspective.
CONCLUSION: For surveillance colonoscopy after colorectal resection, bowel preparation is affected by factors including colonoscopy timing after surgery and age. We recommend the use of conventional-volume 4-L polyethylene glycol solution when performing a surveillance colonoscopy, especially up to 1 year after surgery. PMID: 31288501 [PubMed] (Source: Annals of Coloproctology)
Source: Annals of Coloproctology - July 12, 2019 Category: Gastroenterology Tags: Ann Coloproctol Source Type: research

Oncologic Outcomes of Postoperative Chemoradiotherapy Versus Chemotherapy Alone in Stage II and III Upper Rectal Cancer.
CONCLUSION: Omission of radiotherapy in an adjuvant treatment setting may not jeopardize oncologic outcomes in stages II and III upper rectal cancer. PMID: 31288502 [PubMed] (Source: Annals of Coloproctology)
Source: Annals of Coloproctology - July 12, 2019 Category: Gastroenterology Tags: Ann Coloproctol Source Type: research

Effectiveness of Autologous Fat Graft in Treating Fecal Incontinence.
CONCLUSION: Autologous fat graft can be an effective alternative treatment for FI. It is safe and easy to perform, and cost effective. PMID: 31288503 [PubMed] (Source: Annals of Coloproctology)
Source: Annals of Coloproctology - July 12, 2019 Category: Gastroenterology Tags: Ann Coloproctol Source Type: research

Transanal Hemorrhoidal Dearterialization With Doppler Arterial Identification Versus Classic Hemorrhoidectomy: A Retrospective Analysis of 270 Patients.
Conclusion: The THD technique is a safe and effective procedure for grades II and III hemorrhoids, has lower rates of post-operative pain and bleeding, and allows faster hospital discharge; however, it also shows a higher rate of recurrence at three years of follow-up. PMID: 31142105 [PubMed - as supplied by publisher] (Source: Annals of Coloproctology)
Source: Annals of Coloproctology - June 2, 2019 Category: Gastroenterology Tags: Ann Coloproctol Source Type: research

Primary Undifferentiated Pleomorphic Sarcoma of the Colon Mesentery.
We report a rare case of a primary UPS of the colon mesentery and discuss the characteristics of this neoplasm in reference to the literature. PMID: 31142106 [PubMed - as supplied by publisher] (Source: Annals of Coloproctology)
Source: Annals of Coloproctology - June 2, 2019 Category: Gastroenterology Tags: Ann Coloproctol Source Type: research

A Rare Case of Posterior Horseshoe Abscess Extending to Anterolateral Extraperitoneal Compartment: Anatomical and Technical Considerations.
We present a very rare case involving a 52-year-old male patient who was admitted to our surgical department with an extraperitoneal purulent inflammation as a complication following multiple drainage procedures for a posterior horseshoe abscess. Emphasis is given to the anatomical and technical considerations of eradication of anorectal sepsis and the management of complex fistula-in-ano along with a concise review of the literature. PMID: 31142729 [PubMed - as supplied by publisher] (Source: Annals of Coloproctology)
Source: Annals of Coloproctology - June 2, 2019 Category: Gastroenterology Tags: Ann Coloproctol Source Type: research

Comparison of Limberg Flap and Karydakis Flap Surgery for the Treatment of Patients With Pilonidal Sinus Disease: A Single-Blinded Parallel Randomized Study.
Conclusion: Given the lower rate of postoperative complications and greater cosmetic satisfaction of patients, the Limberg flap procedure should be selected, instead of the Karydakis flap procedure, as the standard technique for treating patients with IPD. PMID: 31113167 [PubMed - as supplied by publisher] (Source: Annals of Coloproctology)
Source: Annals of Coloproctology - May 24, 2019 Category: Gastroenterology Tags: Ann Coloproctol Source Type: research

From Total Mesorectal Excision to Organ Preservation for the Treatment of Rectal Cancer.
Authors: Baek SK PMID: 31113169 [PubMed] (Source: Annals of Coloproctology)
Source: Annals of Coloproctology - May 24, 2019 Category: Gastroenterology Tags: Ann Coloproctol Source Type: research

Organ Preservation Strategies After Neoadjuvant Chemoradiotherapy for Locally Advanced Rectal Cancer.
Authors: Yoo RN, Kim HJ Abstract Standard use of neoadjuvant chemoradiotherapy, total mesorectal excision, and postoperative adjuvant chemotherapy in locally advanced rectal cancer has tremendously improved oncologic outcomes over the past several decades. However, these improvements come with costs of significant morbidity and poor quality of life. Along with developments in imaging techniques, clinical experience and evidence have identified a certain subgroup of patients that have exceptionally good clinical outcomes while preserving quality of life. Driven by patient demand and interest in preserving quality of...
Source: Annals of Coloproctology - May 24, 2019 Category: Gastroenterology Tags: Ann Coloproctol Source Type: research

Oncologic Outcomes of Organ Preserving Approaches in Patients With Rectal Cancer Treated With Preoperative Chemoradiotherapy.
CONCLUSION: WW and LE were comparable in terms of 5-year OS and RFS. In the LE group, salvage treatment was performed much less among indicated patients. Therefore, methods to improve the oncologic outcomes of patients indicated for salvage treatment should be considered before local excision. PMID: 31113171 [PubMed] (Source: Annals of Coloproctology)
Source: Annals of Coloproctology - May 24, 2019 Category: Gastroenterology Tags: Ann Coloproctol Source Type: research

Clinical Outcomes of Patients With Locally Advanced Rectal Cancer With Persistent Circumferential Resection Margin Invasion After Preoperative Chemoradiotherapy.
Authors: Kim CH, Yeom SS, Kwak HD, Lee SY, Ju JK, Kim YJ, Kim HR Abstract PURPOSE: Treatment after failure of circumferential resection margin (CRM) conversion after preoperative chemoradiotherapy (pCRT) for locally advanced rectal cancer (LARC) has not been evaluated well. We conducted a single-center, retrospective analysis to fill this information gap. METHODS: From 2008 to 2016, we included 112 patients who had predictive CRM involvement on baseline magnetic resonance imaging (MRI) and who underwent surgery following pCRT for LARC. Baseline and posttreatment radiologic and clinical factors were analyzed. ...
Source: Annals of Coloproctology - May 24, 2019 Category: Gastroenterology Tags: Ann Coloproctol Source Type: research

Oncologic Outcomes in Patients Who Undergo Neoadjuvant Chemoradiotherapy and Total Mesorectal Excision for Locally Advanced Rectal Cancer: A 14-Year Experience in a Single Institution.
This study evaluated the oncologic outcomes of locally advanced rectal cancer patients who underwent preoperative neoadjuvant chemoradiotherapy (CRT) followed by surgery and determined the prognostic significance of pathologic complete response (pCR). METHODS: Between January 2002 and December 2015, 580 patients with rectal cancer who underwent surgery after neoadjuvant CRT were identified. Survival according to tumor response to CRT and pathologic stage was analyzed using the Kaplan-Meier method, and the Cox proportional hazard model was used to identify factors associated with survival outcomes. RESULTS: A total ...
Source: Annals of Coloproctology - May 24, 2019 Category: Gastroenterology Tags: Ann Coloproctol Source Type: research

Early Systemic Failure After Preoperative Chemoradiotherapy for the Treatment of Patients With Rectal Cancer.
This study was conducted to evaluate the clinical characteristics of patients who developed early systemic failure. METHODS: The patients who underwent neoadjuvant CRT for a rectal adenocarcinoma between June 2007 and July 2015 were included in this study. Patients who developed distant metastasis within 6 months after CRT were identified. We compared short- and long-term clinicopathologic outcomes of patients in the early failure (EF) group with those of patients in the control group. RESULTS: Of 107 patients who underwent neoadjuvant CRT for rectal cancer, 7 developed early systemic failure. The lung was the most...
Source: Annals of Coloproctology - May 24, 2019 Category: Gastroenterology Tags: Ann Coloproctol Source Type: research

Neutrophil to Lymphocyte Ratio: A Predictive Marker for Treatment Outcomes in Patients With Rectal Cancer Who Underwent Neoadjuvant Chemoradiation Followed by Surgery.
CONCLUSION: Elevated NLR was a negative predictive marker for pCR and was independently associated with decreased RFS. For confirmation, a large-scale study with appropriate controls is needed. PMID: 31113175 [PubMed] (Source: Annals of Coloproctology)
Source: Annals of Coloproctology - May 24, 2019 Category: Gastroenterology Tags: Ann Coloproctol Source Type: research

Pneumatic Colorectal Injury Caused by High Pressure Compressed Air.
Authors: Lee JY, Sul YH, Go SJ, Ye JB, Choi JH Abstract The pneumatic colorectal injury caused by high pressure compressed air are rare and can be fatal. Herein, we present a case of 45-year-old male who developed sudden onset of severe abdominal pain after cleaning the dust on his pants with high pressure compressed air gun dust cleaner. Emergent exploratory laparotomy was done which findings are a huge rectal perforation with multiple serosal and subserosal tear in sigmoid to splenic flexure of colon. Anterior resection with left hemicolectomy, and temporary transverse colostomy was performed. Postoperative cours...
Source: Annals of Coloproctology - May 23, 2019 Category: Gastroenterology Tags: Ann Coloproctol Source Type: research

Inflammatory Myofibroblastic Tumor of the Retroperitoneum Including Chronic Granulomatous Inflammation Suggesting Tuberculosis: A Case Report.
We present a case involving a 41-year-old man who had an IMT combined with Mycobacterium tuberculosis infection in the retroperitoneum. He presented with only pain in the right lower abdomen without accompanying symptoms; a retroperitoneal mass was found on computed tomography. The tumor had invaded the end of the ileum and was attached to the omentum, so mass excision could not be performed. The tumor was completely excised surgically and had histological features diagnostic of an IMT. Histologic findings of the omentum were positive for Ziehl-Nielsen staining for acid-fast bacilli and for a positive polymerase chain reac...
Source: Annals of Coloproctology - March 22, 2019 Category: Gastroenterology Tags: Ann Coloproctol Source Type: research

Efficacy of Plug Treatment for Complex Anorectal Fistulae: Long-term Danish Results.
Conclusion: The use of bioprosthetic plugs to treat patients with complex anal fistulae seems to be a safe, viable option for complex fistula repair when other surgical attempts have failed. However, it should not be the treatment of choice. Further prospective randomized studies with a sufficient sample-size and standardized measurements are necessary to evaluate the efficacy of fistula plugs fully. PMID: 30889947 [PubMed - as supplied by publisher] (Source: Annals of Coloproctology)
Source: Annals of Coloproctology - March 22, 2019 Category: Gastroenterology Tags: Ann Coloproctol Source Type: research

Anastomotic Sinus Developed From Leakage in Rectal Cancer Resection: When Can We Reverse the Defunctioning Stoma?
Authors: Kim CH PMID: 30879277 [PubMed] (Source: Annals of Coloproctology)
Source: Annals of Coloproctology - March 18, 2019 Category: Gastroenterology Tags: Ann Coloproctol Source Type: research

How to Achieve a Higher Pathologic Complete Response in Patients With Locally Advanced Rectal Cancer Who Receive Preoperative Chemoradiation Therapy.
Authors: Lee SH Abstract The current standard of care for treating patients with locally advanced rectal cancer includes preoperative chemoradiation therapy (PCRT) followed by a total mesorectal excision and postoperative adjuvant chemotherapy. A subset of these patients has achieved a pathologic complete response (pCR) and they have shown improved disease-free and overall survival compared to non-pCR patients. Thus, many efforts have been made to achieve a higher pCR through PCRT. In this review, results from various ongoing and recently completed clinical trials that are being or have been conducted with an aim t...
Source: Annals of Coloproctology - March 18, 2019 Category: Gastroenterology Tags: Ann Coloproctol Source Type: research

Effect of Hyperoxygenation During Surgery on Surgical Site Infection in Colorectal Surgery.
This study was performed to evaluate the effect of hyperoxygenation during colorectal surgery on the incidence of wound infection. METHODS: This study was a prospective double-blind case-control study. The main aim of the study was to evaluate the effect of hyperoxygenation during colorectal surgery on the incidence of SSI. Also, secondary outcomes, such as atelectasis, pneumonia, respiratory failure, length of hospital stay, and required hospitalization in the intensive care unit were evaluated. RESULTS: SSI was recorded in 2 patients (2 of 40, 5%) in the hyperoxygenation group (FiO2 80%) and 6 patients (6 of 40, ...
Source: Annals of Coloproctology - March 18, 2019 Category: Gastroenterology Tags: Ann Coloproctol Source Type: research

Does the Different Locations of Colon Cancer Affect the Oncologic Outcome? A Propensity-Score Matched Analysis.
CONCLUSION: Although the results are inconclusive, tumor location tended to be associated with OS in CC patients with lymph node metastasis, but it was not related to oncologic outcome. PMID: 30879280 [PubMed] (Source: Annals of Coloproctology)
Source: Annals of Coloproctology - March 18, 2019 Category: Gastroenterology Tags: Ann Coloproctol Source Type: research

Variation in the Height of Rectal Cancers According to the Diagnostic Modalities.
Authors: Yeom SS, Park IJ, Yang DH, Lee JL, Yoon YS, Kim CW, Lim SB, Park SH, Kim HJ, Yu CS, Kim JC Abstract PURPOSE: Although the height of a rectal tumor above the anal verge (tumor height) partly determines the treatment strategy, no practical standard exists for reporting this. We aimed to demonstrate the differences in tumor height according to the diagnostic modality used for its measurement. METHODS: We identified 100 patients with rectal cancers located within 15 cm of the anal verge who had recorded tumor heights measured by using magnetic resonance imaging (MRI), colonoscopy, and digital rectal examin...
Source: Annals of Coloproctology - March 18, 2019 Category: Gastroenterology Tags: Ann Coloproctol Source Type: research

Cancer-Associated Fibroblasts and Desmoplastic Reactions Related to Cancer Invasiveness in Patients With Colorectal Cancer.
CONCLUSION: The maturity of CAFs and desmoplastic reactions were associated with cancer invasion. However, the cytomorphologic characteristics of CAFs were insufficient as an independent prognostic factor for patients with CRC. PMID: 30879282 [PubMed] (Source: Annals of Coloproctology)
Source: Annals of Coloproctology - March 18, 2019 Category: Gastroenterology Tags: Ann Coloproctol Source Type: research

Bilateral Rotational S Flap Technique for Preventing Restenosis in Patients With Severe Circular Anal Stenosis: A Review of 2 Cases.
In conclusion, the bilateral rotational S flap technique should be considered as a viable treatment because it can also prevent the occurrence of restenosis, especially given the consideration of adequate blood supply. PMID: 30781931 [PubMed - as supplied by publisher] (Source: Annals of Coloproctology)
Source: Annals of Coloproctology - February 22, 2019 Category: Gastroenterology Tags: Ann Coloproctol Source Type: research

Anastomotic Sinus That Developed From Leakage After a Rectal Cancer Resection: Should We Wait for Closure of the Stoma Until the Complete Resolution of the Sinus?
Conclusion: Patients with an anastomotic sinus who had been carefully selected underwent successful ileostomy closure without delay. PMID: 30727707 [PubMed - as supplied by publisher] (Source: Annals of Coloproctology)
Source: Annals of Coloproctology - February 9, 2019 Category: Gastroenterology Tags: Ann Coloproctol Source Type: research

Successful Conservative Management of Hepatic Portal Venous Gas due to Anastomosis Leakage After a Sigmoidectomy.
We present the case of a patient with HPVG due to anastomosis leakage after a sigmoidectomy for diverticulitis; the patient was cured with conservative management. PMID: 30678448 [PubMed - as supplied by publisher] (Source: Annals of Coloproctology)
Source: Annals of Coloproctology - January 27, 2019 Category: Gastroenterology Tags: Ann Coloproctol Source Type: research

What Are the Major Changes in Korean Inflammatory Bowel Disease Surgery?
Authors: Kim CN PMID: 30630300 [PubMed] (Source: Annals of Coloproctology)
Source: Annals of Coloproctology - January 13, 2019 Category: Gastroenterology Tags: Ann Coloproctol Source Type: research

Differences Regarding the Molecular Features and Gut Microbiota Between Right and Left Colon Cancer.
Authors: Kim K, Castro EJT, Shim H, Advincula JVG, Kim YW Abstract For many years, developmental and physiological differences have been known to exist between anatomic segments of the colorectum. Because of different outcomes, prognoses, and clinical responses to chemotherapy, the distinction between right colon cancer (RCC) and left colon cancer (LCC) has gained attention. Furthermore, variations in the molecular features and gut microbiota between right and LCCs have recently been a hot research topic. CpG island methylator phenotype-high, microsatellite instability-high colorectal cancers are more likely to occ...
Source: Annals of Coloproctology - January 13, 2019 Category: Gastroenterology Tags: Ann Coloproctol Source Type: research

Female Sex and Right-Sided Tumor Location Are Poor Prognostic Factors for Patients With Stage III Colon Cancer After a Curative Resection.
In this study, we aimed to determine the predictors of disease-free survival (DFS) in patients with stage-IIIC colon cancer. METHODS: From a multicenter database, we retrospectively enrolled 611 patients (355 men and 256 women) who had undergone a potentially curative resection for a stage-IIIC colon adenocarcinoma between 2003 and 2011. The primary end-point was the 5-year DFS. RESULTS: The median age was 62 years; 213 and 398 patients had right-sided colon cancer (RCC) and left-sided colon cancer (LCC), respectively. The 5-year DFS in all patients was 52.0%; median follow-up time was 35 months (range, 1-134 month...
Source: Annals of Coloproctology - January 13, 2019 Category: Gastroenterology Tags: Ann Coloproctol Source Type: research

Current Status and Trends in Inflammatory Bowel Disease Surgery in Korea: Analysis of Data in a Nationwide Registry.
CONCLUSION: The number of patients undergoing laparoscopic surgery for IBD in Korea has increased significantly. Biologics are actively used by patients with Crohn disease, with a high proportion of anal surgeries required. Many of the surgical indications for ulcerative colitis have shifted into colorectal cancer. PMID: 30630303 [PubMed] (Source: Annals of Coloproctology)
Source: Annals of Coloproctology - January 13, 2019 Category: Gastroenterology Tags: Ann Coloproctol Source Type: research

Chemotherapeutic Response and Survival for Patients With an Anal Squamous Cell Carcinoma and Low Hemoglobin Levels.
CONCLUSION: In this study, anemia did not influence disease-free survival or overall survival. We suggest that the interaction between anemia and survival is more complex than previously demonstrated and potentially reliant on other coexisting factors. PMID: 30630304 [PubMed] (Source: Annals of Coloproctology)
Source: Annals of Coloproctology - January 13, 2019 Category: Gastroenterology Tags: Ann Coloproctol Source Type: research

Reduced-Port Laparoscopic Surgery for Patients With Proximal Transverse Colon Cancer With Situs Inversus Totalis: A Case Report.
Authors: Yeom SS, Kim KH, Lee SY, Kim CH, Kim HR, Kim YJ Abstract Situs inversus is a rare hereditary disorder in which various anomalies have been reported with internal rotation abnormalities. This case involved an 85-year-old woman who had been diagnosed with transverse colon cancer and who underwent reduced-port laparoscopic surgery. All intra-abdominal organs were reversed left to right and right to left. The aberrant midcolic artery was identified during surgery. The total surgery time was 170 minutes, and the patient lost 20 mL of blood. The patient was discharged on the 8th postoperative day without complic...
Source: Annals of Coloproctology - January 13, 2019 Category: Gastroenterology Tags: Ann Coloproctol Source Type: research

Efficacy and Safety of Laparoscopic Hartmann Colostomy Reversal.
Conclusion: If no contraindications to laparoscopy exist, surgeons should favor a laparoscopic reversal of Hartmann operation over an open reversal. PMID: 30572420 [PubMed - as supplied by publisher] (Source: Annals of Coloproctology)
Source: Annals of Coloproctology - December 24, 2018 Category: Gastroenterology Tags: Ann Coloproctol Source Type: research

Transanal Tube Drainage as a Conservative Treatment for Anastomotic Leakage Following a Rectal Resection.
Conclusion: These results suggest that TD for management of patients with AL is safe, cheap, and effective. Salvaging the anastomosis will help decrease the need for Hartmann colostomy formation. Proper patient selection is important. PMID: 30572421 [PubMed - as supplied by publisher] (Source: Annals of Coloproctology)
Source: Annals of Coloproctology - December 24, 2018 Category: Gastroenterology Tags: Ann Coloproctol Source Type: research

Clinical Outcomes of Reduced-Port Laparoscopic Surgery for Patients With Sigmoid Colon Cancer: Surgery With 1 Surgeon and 1 Camera Operator.
This study compared the perioperative clinical outcomes of reduced-port laparoscopic surgery (RPLS) with those of conventional multiport laparoscopic surgery (MPLS) for patients with sigmoid colon cancer and investigated the safety and feasibility of RPLS performed by 1 surgeon and 1 camera operator. Methods: From the beginning of 2010 until the end of 2014, 605 patients underwent a colectomy for sigmoid colon cancer. We compared the characteristics, postoperative outcomes, and pathologic results for the patients who underwent RPLS and for the patients who underwent MPLS. We also compared the clinical outcomes of singl...
Source: Annals of Coloproctology - December 6, 2018 Category: Gastroenterology Tags: Ann Coloproctol Source Type: research

Anal Adenocarcinoma Can Masquerade as Chronic Anal Fistula in Asians.
Conclusion: A high index of suspicion is required to make a clinical diagnosis of an anal adenocarcinoma arising from a chronic fistula. Histologic diagnosis must be achieved to confirm the diagnosis. Multimodal therapy with neoadjuvant chemoradiotherapy followed by abdominoperineal resection is the treatment of choice. PMID: 30509019 [PubMed - as supplied by publisher] (Source: Annals of Coloproctology)
Source: Annals of Coloproctology - December 6, 2018 Category: Gastroenterology Tags: Ann Coloproctol Source Type: research

Waiting and Hope: Optimal Time Interval for Surgery After Long-Course Neoadjuvant Chemoradiotherapy in Patients With Locally Advanced Rectal Cancer.
Authors: Kim CH PMID: 30419719 [PubMed] (Source: Annals of Coloproctology)
Source: Annals of Coloproctology - November 14, 2018 Category: Gastroenterology Tags: Ann Coloproctol Source Type: research

Lateral Lymph Node Dissection With the Focus on Indications, Functional Outcomes, and Minimally Invasive Surgery.
Authors: Kim MJ, Oh JH Abstract The lateral lymph node dissection (LLND) is still a subject of great debate as to the appropriate treatment for patients with mid to low advanced rectal cancer. The guidelines of the Japanese Society for Cancer of the Colon and Rectum recommend a LLND for patients with T3/4 rectal cancer below the peritoneal reflection. However, in most Western countries, a routine LLND is not recommended unless a node or nodes are clinically suspicious for metastasis. Even after preoperative chemoradiotherapy (CRT), an 8% to 12% lateral pelvic recurrence was noted. The size of the lateral lymph node...
Source: Annals of Coloproctology - November 14, 2018 Category: Gastroenterology Tags: Ann Coloproctol Source Type: research

Optimal Time Interval for Surgery After Neoadjuvant Chemoradiotherapy in Patients With Locally Advanced Rectal Cancer: Analysis of Health Insurance Review and Assessment Service Data.
CONCLUSION: Delaying surgery by 9 to 11 weeks may increase TN downstaging, but delaying for over 11 weeks may not increase additional tumor downstaging from long-course CRT. PMID: 30419721 [PubMed] (Source: Annals of Coloproctology)
Source: Annals of Coloproctology - November 14, 2018 Category: Gastroenterology Tags: Ann Coloproctol Source Type: research

Discrepancy of Medical Terminology Regarding Colorectal Surgery Between South and North Korea.
CONCLUSION: The present study showed that less than 50% of the terms for the colorectal system used in South and North Korea were identical. As the division between South and North Korea persists, the heterogeneity of medical terminology is expected to increase. PMID: 30419722 [PubMed] (Source: Annals of Coloproctology)
Source: Annals of Coloproctology - November 14, 2018 Category: Gastroenterology Tags: Ann Coloproctol Source Type: research

Patient-Controlled Nutrition After Abdominal Surgery: Novel Concept Contrary to Surgical Dogma.
This study was carried out with a total of 179 consecutive patients who underwent a laparoscopic appendectomy between August 2014 and July 2016. In the PCN group, diet was advanced depending on the choice of the patients themselves; in the traditional group, diet was progressively advanced to a full liquid or soft diet and then a regular diet as tolerated. The primary endpoints were time to tolerance of regular diet and postoperative hospital stay. RESULTS: Time to tolerance of a regular diet (P
Source: Annals of Coloproctology - November 14, 2018 Category: Gastroenterology Tags: Ann Coloproctol Source Type: research

Clinical Outcomes of a Redo for a Failed Colorectal or Coloanal Anastomosis.
CONCLUSION: In our experience, a redo anastomosis is a feasible surgical option that allows closure of a stoma in nearly 80% of patients. Lower tumor height (
Source: Annals of Coloproctology - November 14, 2018 Category: Gastroenterology Tags: Ann Coloproctol Source Type: research

Postoperative Outcomes of Stoma Takedown: Results of Long-term Follow-up.
Conclusion: The postoperative clinical course and long-term outcomes following stoma takedown were acceptable. Stoma takedown is a procedure that can be performed safely. PMID: 30304929 [PubMed - as supplied by publisher] (Source: Annals of Coloproctology)
Source: Annals of Coloproctology - October 13, 2018 Category: Gastroenterology Tags: Ann Coloproctol Source Type: research

The Impact of the Outcome of Treating a High Anal Fistula by Using a Cutting Seton and Staged Fistulotomy on Saudi Arabian Patients.
Conclusion: The utilization of the cutting seton method in the treatment of patients with a high anal fistula is highly efficient as it simultaneously drains the abscess, cuts the fistulous tract, and causes fibrosis along the tract. Treatment of a high anal fistula by using a staged fistulotomy with a cutting seton was very rewarding to Saudi Arabian patients who feared anal incontinence for religious reasons and was associated with low postoperative complication and recurrence rates. PMID: 30304930 [PubMed - as supplied by publisher] (Source: Annals of Coloproctology)
Source: Annals of Coloproctology - October 13, 2018 Category: Gastroenterology Tags: Ann Coloproctol Source Type: research

Abdominosacral Resection in the Management of Large-Size Retrorectal Tumors: A Report of 2 Rare Cases.
We report 2 cases of patients with a retrorectal GIST and neurofibromatosis type 1, one in a 27-year-old woman with a defecation complaint and the other in a 58-year-old woman with a defecation and urination complaint. Based on the anatomical pathology, both patients were diagnosed with a GIST. The tumors were excised via an abdominosacral resection. Retrorectal GISTs are rare, and abdominosacral resection allows complete resection of a large-size retrorectal GIST with low morbidity and an absence of functional impairment. The abdominosacral resection should be considered in certain situations. PMID: 30304931 [PubMed -...
Source: Annals of Coloproctology - October 13, 2018 Category: Gastroenterology Tags: Ann Coloproctol Source Type: research

Complete Mesocolic Excision With Central Vascular Ligation for the Treatment of Patients With Colon Cancer.
Authors: Kim HR PMID: 30208678 [PubMed] (Source: Annals of Coloproctology)
Source: Annals of Coloproctology - September 14, 2018 Category: Gastroenterology Tags: Ann Coloproctol Source Type: research

Intersphincteric Resection for Patients With Low-Lying Rectal Cancer: Oncological and Functional Outcomes.
Authors: Park IJ, Kim JC Abstract The aim of this review is to evaluate the outcomes after an intersphincteric resection (ISR) for patients with low-lying rectal cancer. Reports published in the literature regarding surgical, oncological, and functional outcomes of an ISR were reviewed. The morbidity after an ISR was 7.7%-32%, and anastomotic leakage was the most common adverse event. Local recurrence rates ranged from 0% to 12%, 5-year overall survival rates ranged from 62% to 92%, and rates of major incontinence ranged from 0% to 25.8% after an ISR. An ISR is a safe procedure for sphincter-saving rectal surgery i...
Source: Annals of Coloproctology - September 14, 2018 Category: Gastroenterology Tags: Ann Coloproctol Source Type: research

Obstructive Ileocolitis in Patients With Obstructed Colorectal Cancer - A Matched Case Control Study.
We present a matched case control study of patients with obstructive ileocolitis caused by colorectal cancer to determine if any factors can predict this condition. METHODS: This is a retrospective review of 21 patients with obstructive colorectal cancer and histologically proven obstructive ileocolitis from 2005 to 2015 matched for age and sex with 21 controls with obstructing colorectal cancer without obstructive ileocolitis. RESULTS: The 21 patients with obstructive ileocolitis had a median age of 71 years (range, 52-86 years). The most common presenting symptom was abdominal pain (n = 16, 76.2%), followed by vo...
Source: Annals of Coloproctology - September 14, 2018 Category: Gastroenterology Tags: Ann Coloproctol Source Type: research