Dear Authors and Colleagues.
Authors: Baek MJ PMID: 32429007 [PubMed] (Source: Annals of Coloproctology)
Source: Annals of Coloproctology - May 20, 2020 Category: Gastroenterology Tags: Ann Coloproctol Source Type: research

Annals of Coloproctology to be an Official Journal of APFCP.
Authors: Maeda K PMID: 32429008 [PubMed] (Source: Annals of Coloproctology)
Source: Annals of Coloproctology - May 20, 2020 Category: Gastroenterology Tags: Ann Coloproctol Source Type: research

Safe Colorectal Surgery in the COVID-19 Era - A Singapore Experience.
Authors: Tan WJ, Foo FJ, Sivarajah SS, Li LHM, Koh FH, Chew MH PMID: 32429009 [PubMed] (Source: Annals of Coloproctology)
Source: Annals of Coloproctology - May 20, 2020 Category: Gastroenterology Tags: Ann Coloproctol Source Type: research

The Benefits of Colorectal Surgery Surveys in Australia and New Zealand.
CONCLUSION: Most of the CSSANZ-distributed surveys resulted in publications, and one third of the surveys contributed to higher degrees obtained by investigators. These surveys aid research into areas that are otherwise difficult to assess, often indicating areas for future research. PMID: 32429010 [PubMed] (Source: Annals of Coloproctology)
Source: Annals of Coloproctology - May 20, 2020 Category: Gastroenterology Tags: Ann Coloproctol Source Type: research

Early and late functional outcomes of anal sphincter sparing procedures (SSP) with total mesorectal excision (TME) for anorectal adenocarcinoma.
Conclusion: Sphincter preservation with TME for anorectal adenocarcinoma helps avoid permanent stoma and provides a reasonable functional outcome. PASS is a new application for postoperative assessment of anal function. PMID: 32311866 [PubMed - as supplied by publisher] (Source: Annals of Coloproctology)
Source: Annals of Coloproctology - April 22, 2020 Category: Gastroenterology Tags: Ann Coloproctol Source Type: research

Combined Fistulotomy and Contralateral Anal Internal Sphincterotomy for Recurrent and Complex Anal Fistula to Prevent Recurrence.
This study reported a combination of fistulotomy and contralateral internal sphincterotomy procedures on recurrent and complex perianal fistula to prevent recurrence. Here we report 5 cases of recurrent and complex perianal fistula. The combination of fistulotomy and contralateral internal sphincterotomy is a relatively easy and safe procedure for complex perianal fistulae. In our cases, we found neither recurrence nor postoperative anal incontinence. PMID: 32178490 [PubMed - as supplied by publisher] (Source: Annals of Coloproctology)
Source: Annals of Coloproctology - March 18, 2020 Category: Gastroenterology Tags: Ann Coloproctol Source Type: research

Clostridium difficile infection after ileostomy reversal: A Case Report.
We describe two patients with a positive C. difficile toxin assay result on stool cultures performed after ileostomy reversal. Clinical progression differed between these patients: the patient who presented with severe CDI and shock was successfully treated following a prolonged intensive care unit stay for management of vital signs and underwent hemodialysis. The other patient showed symptoms of mild colitis; however, we could not confirm whether diarrhea was associated with CDI or with the usual postoperative state. To our knowledge, this is one of the few cases reported in the literature describing CDI after ileostomy r...
Source: Annals of Coloproctology - March 18, 2020 Category: Gastroenterology Tags: Ann Coloproctol Source Type: research

An unusual case of colon perforation with multiple transmural ulcers after use of polmacoxib and everolimus in a metastatic breast cancer patient: A case report.
We present here a case of colon perforation that occurred after use of polmacoxib in a metastatic breast cancer patient who had been treated with everolimus for the preceding six months. PMID: 32178492 [PubMed - as supplied by publisher] (Source: Annals of Coloproctology)
Source: Annals of Coloproctology - March 18, 2020 Category: Gastroenterology Tags: Ann Coloproctol Source Type: research

Actinomycosis of the appendix mimicking cecal tumor treated by single-port laparoscopic approach.
We present this rare case of mass-like appendiceal actinomycosis treated with single-port laparoscopic method. PMID: 32178493 [PubMed - as supplied by publisher] (Source: Annals of Coloproctology)
Source: Annals of Coloproctology - March 18, 2020 Category: Gastroenterology Tags: Ann Coloproctol Source Type: research

Enterovesical fistula from Meckel.
This report describes a very rare complication of an enterovesical fistula associated with chronic Meckel diverticulum. A 51-year-old male presented with over 10 years of persistent pyuria. Tests were performed to rule out malignancy, including serum prostate-specific antigen level, urine cytology, bacterial culture, cystoscopy, and bladder computed tomography. An enterovesical fistula was identified, and laparoscopic exploration was performed. The findings suggested enterovesical fistula formation caused by chronic inflammation at the tip of a Meckel diverticulum. Segmental resection of the small bowel including the diver...
Source: Annals of Coloproctology - March 18, 2020 Category: Gastroenterology Tags: Ann Coloproctol Source Type: research

Long pedunculated, large hyperplastic polyp of the terminal ileum protruding through ileocecal valve: a case report.
Authors: Seo GJ, Cho HS Abstract Small bowel tumors, both benign and malignant, are rare lesions that clinicians often do not encounter, accounting for
Source: Annals of Coloproctology - March 18, 2020 Category: Gastroenterology Tags: Ann Coloproctol Source Type: research

Transanal Endoscopic Microsurgery - Endoscopy assisted treatment of colorectal anastomotic stenosis.
We present the case of a 36 year-old woman with a diagnosis of Hirschsprung Disease that was submitted to a modified Duhamel operation. A postoperative barium enema showed a complete stricture of the anastomosis that was impossible to resolve by flexible endoscopic approach. Then an intraoperative endoscopic approach to facilitate the localization of pre-anastomotic colon was performed by a small colotomy and the colonic recanalization was obtained by the creation of a neo-anastomosis by TEM, under fluoroscopic-endoscopic control. The patient underwent a control barium enema showing regular retrograde transit of contrast m...
Source: Annals of Coloproctology - March 18, 2020 Category: Gastroenterology Tags: Ann Coloproctol Source Type: research

Comparison of three-dimensional pelvic floor ultrasonography and defecography for assessment of posterior pelvic floor disorders.
CONCLUSION: This study showed good agreement for the detection of posterior pelvic disorders between defecography and 3D pelvic floor ultrasonography. PMID: 32178497 [PubMed - as supplied by publisher] (Source: Annals of Coloproctology)
Source: Annals of Coloproctology - March 18, 2020 Category: Gastroenterology Tags: Ann Coloproctol Source Type: research

Prospective Comparative Analysis of the Incidence of Vasovagal reaction and the effect of Rectal Submucosal Lidocaine Injection in Stapled Hemorrhoidopexy: A randomized controlled trial.
Conclusion: Patients who received a submucosal lidocaine injection prior to SH experienced lesser lower abdominal pain and dizziness, than those who received standard treatment. A larger, more detailed prospective study is needed for further analysis. PMID: 32178498 [PubMed - as supplied by publisher] (Source: Annals of Coloproctology)
Source: Annals of Coloproctology - March 18, 2020 Category: Gastroenterology Tags: Ann Coloproctol Source Type: research

Propiverine Hydrochloride as a Treatment for Fecal Incontinence.
Conclusion: Propiverine reduced the frequency of FI in patients with both FI and UI. This study introduces a possible therapeutic option for the pharmacological treatment of FI. PMID: 32178499 [PubMed - as supplied by publisher] (Source: Annals of Coloproctology)
Source: Annals of Coloproctology - March 18, 2020 Category: Gastroenterology Tags: Ann Coloproctol Source Type: research

Clinical characteristics and postoperative outcomes of patients presenting with upper gastrointestinal tract Crohn.
Conclusion: Upper GI CD is rare among CD types (2.96%). In patients with upper GI CD, penetrating fistula was associated with longer hospital stay and more complications. PMID: 32178500 [PubMed - as supplied by publisher] (Source: Annals of Coloproctology)
Source: Annals of Coloproctology - March 18, 2020 Category: Gastroenterology Tags: Ann Coloproctol Source Type: research

First feasibility study and short-term outcomes of laparoscopic-assisted anterior resection in colorectal cancer in Malaysia.
Conclusions: From this study, there was an observed shorter length of stay in the minimally invasive group of two days with similar oncologic resection outcomes. This shows that laparoscopic-assisted anterior resection is feasible in Malaysia with its potential benefits. PMID: 32178501 [PubMed - as supplied by publisher] (Source: Annals of Coloproctology)
Source: Annals of Coloproctology - March 18, 2020 Category: Gastroenterology Tags: Ann Coloproctol Source Type: research

Technical and clinical outcomes after colorectal stenting in malignant large bowel obstruction: A single centre experience.
Conclusion: In our experience colorectal stents can be used effectively to manage malignant large bowel obstruction, with only selective endoscopic input. As a bridge to surgery, most patients can avoid emergency surgery and have a primary anastomosis. In the palliative setting, the complication rate is acceptable and two-thirds avoid a permanent stoma. PMID: 32178502 [PubMed - as supplied by publisher] (Source: Annals of Coloproctology)
Source: Annals of Coloproctology - March 18, 2020 Category: Gastroenterology Tags: Ann Coloproctol Source Type: research

Analyzing the Role of Anal Sphincter Pressure in Rectocele Formation.
Conclusion: We have proved the hypothesis arguing that increased sphincter pressures do not play a role in the formation of rectocele by inducing an obstruction and the formation of dilation in proximal bowel, and demonstrated that the presence of rectocele is not dependent on an increase in sphincter pressures. PMID: 32178503 [PubMed - as supplied by publisher] (Source: Annals of Coloproctology)
Source: Annals of Coloproctology - March 18, 2020 Category: Gastroenterology Tags: Ann Coloproctol Source Type: research

Surgical Risk and Pathological Results of Emergency Resection in the Treatment of Acutely Obstructing Colorectal Cancers: A Retrospective Cohort Study.
Conclusion: Immediate resection is a safe and reliable option in patients with acutely obstructing colorectal cancer. PMID: 32178504 [PubMed - as supplied by publisher] (Source: Annals of Coloproctology)
Source: Annals of Coloproctology - March 18, 2020 Category: Gastroenterology Tags: Ann Coloproctol Source Type: research

Initial experience with video-assisted anal fistula treatment in the philippines.
CONCLUSION: Our study results suggest that VAAFT is a safe, minimally-invasive technique for the treatment of anal fistula that is able to preserve anal sphincter function. It has an acceptable healing rate, with minimal complications. PMID: 32178505 [PubMed - as supplied by publisher] (Source: Annals of Coloproctology)
Source: Annals of Coloproctology - March 18, 2020 Category: Gastroenterology Tags: Ann Coloproctol Source Type: research

The long-term effect of standardized anal dilatation for chronic anal fissure on anal continence.
Conclusions: Anal dilatation, performed in a systematic and standardized way, has successful outcome with no complications and has no clear long-term negative impact on anal sphincter function. PMID: 32178506 [PubMed - as supplied by publisher] (Source: Annals of Coloproctology)
Source: Annals of Coloproctology - March 18, 2020 Category: Gastroenterology Tags: Ann Coloproctol Source Type: research

Acknowledging the Unsung Role of the Cancer Registry in Rare Cancers.
Authors: Kwak JM PMID: 32146780 [PubMed] (Source: Annals of Coloproctology)
Source: Annals of Coloproctology - March 11, 2020 Category: Gastroenterology Tags: Ann Coloproctol Source Type: research

Benefits of Elective Laparoscopic 2-Stage Restorative Proctocolectomy for Ulcerative Colitis in Korea.
Authors: Park SM, Kang WK PMID: 32146781 [PubMed] (Source: Annals of Coloproctology)
Source: Annals of Coloproctology - March 11, 2020 Category: Gastroenterology Tags: Ann Coloproctol Source Type: research

Metronidazole in the Management of Post-Open Haemorrhoidectomy Pain: Systematic Review.
Authors: Re AD, Toh JWT, Iredell J, Ctercteko G Abstract PURPOSE: Open haemorrhoidectomy is associated with significant postoperative pain. Metronidazole is commonly prescribed in the postoperative period as an adjunct to analgesia in pain management. METHODS: In our systematic review, studies were identified using PubMed/MEDLINE, Embase/Ovid and Cochrane Register of Controlled Trials databases. Studies were included if they were randomised controlled trials (RCTs) involving interventions with oral metronidazole at any dose over any time period. The primary outcome was pain score (visual analogue scale, VAS) af...
Source: Annals of Coloproctology - March 11, 2020 Category: Gastroenterology Tags: Ann Coloproctol Source Type: research

Evaluation of Invasive Intra-abdominal Candidiasis in Crohn Disease at the Time of Surgery.
Authors: Šašala M, Majorová E, Vrzgula A, Fandáková I Abstract PURPOSE: The aim of this study was to determine whether a connection exists between Crohn disease and fungi, specifically Candida albicans, because one possible cause of disease is thought to be the presence of fungi in the intra-abdominal cavity. The diagnosis of invasive candidiasis is difficult due to the lack of specific clinical manifestations of the disease. A retrospective evaluation of the presence of invasive candidiasis was done in a group of 54 patients with Crohn disease and in a group of 31 patients who re...
Source: Annals of Coloproctology - March 11, 2020 Category: Gastroenterology Tags: Ann Coloproctol Source Type: research

Safety and Efficacy of Single-Port Laparoscopic Ileostomy in Palliative Settings.
CONCLUSION: Single-port laparoscopic ileostomy in patients with a palliative setting could be a safe and feasible option for fecal diversion. PMID: 32146784 [PubMed] (Source: Annals of Coloproctology)
Source: Annals of Coloproctology - March 11, 2020 Category: Gastroenterology Tags: Ann Coloproctol Source Type: research

Cytoreductive Surgery and Hyperthermic Intraperitoneal Chemotherapy With Mitomycin C Used for Colorectal Peritoneal Carcinomatosis.
This study aimed to assess the evaluation of clinical outcomes and consequences of complications after cytoreductive surgery (CRS) and hyperthermic intraperitoneal chemotherapy (HIPEC) for the peritoneal carcinomatosis (PC) from colorectal cancer. METHODS: A total 26 patients underwent CRS and HIPEC for PC from colorectal cancer between March 2009 and April 2018. All the patients underwent CRS with the purpose of complete or near-complete cytoreduction. Intraoperative HIPEC was performed simultaneously after the CRS. Mitomycin C was used as chemotherapeutic agent for HIPEC. RESULTS: Median disease-free survival was...
Source: Annals of Coloproctology - March 11, 2020 Category: Gastroenterology Tags: Ann Coloproctol Source Type: research

Irrigation Versus Suction Alone During Laparoscopic Appendectomy for Uncomplicated Acute Appendicitis.
CONCLUSION: There is no advantage to irrigating the peritoneal cavity over suction alone during laparoscopic appendectomy for uncomplicated acute appendicitis. Irrigation may actually prolong the operative time and therefore be detrimental. PMID: 32146786 [PubMed] (Source: Annals of Coloproctology)
Source: Annals of Coloproctology - March 11, 2020 Category: Gastroenterology Tags: Ann Coloproctol Source Type: research

Long-term Oncologic Outcome and Its Relevant Factors in Anal Cancer in Korea: A Nationwide Data Analysis.
CONCLUSION: The survival rate for anal cancer in Korea has improved steadily over time. The characteristics related to survival were the histological type, sex, and age. These statistics will be fundamental for future Korean anal cancer research. PMID: 32146787 [PubMed] (Source: Annals of Coloproctology)
Source: Annals of Coloproctology - March 11, 2020 Category: Gastroenterology Tags: Ann Coloproctol Source Type: research

Short-term Outcomes of Elective 2-Stage Restorative Proctocolectomy for Ulcerative Colitis in Korea: Does Laparoscopy Have Benefits?
CONCLUSION: Laparoscopic RPC was associated with acceptable morbidity and faster recovery than the open approach. The laparoscopic approach is a feasible and safe option for surgical treatment for UC in selective cases. PMID: 32146788 [PubMed] (Source: Annals of Coloproctology)
Source: Annals of Coloproctology - March 11, 2020 Category: Gastroenterology Tags: Ann Coloproctol Source Type: research

Laparoscopic Resection of a Huge Retrorectal Tumor.
Authors: Kwak HD, Ju JK Abstract Retrorectal space tumors are rare, and so are frequently unrecognized, misdiagnosed, and mistreated. A 57-year-old man visited the outpatient clinic with the chief complaints of thin stool and lower pelvic heaviness. A smooth, round huge palpable mass on the right posterolateral rectal wall was detected and pelvic computed tomography showed a 7.8-cm cystic lesion in the right retrorectal space. Laparoscopic procedures were initiated with perirectal dissection for rectal mobilization. After fixation of the peritoneum and tying the rectum for intracorporeal traction, the rectum was mo...
Source: Annals of Coloproctology - March 11, 2020 Category: Gastroenterology Tags: Ann Coloproctol Source Type: research

Complex Obstetric Perineal Injury Reconstruction Using Antropyloric Valve Transposition.
We describe this technique in the case of complex obstetric perineal trauma with extensive tissue loss, presenting with end stage fecal incontinence. The functional outcome after this procedure was evaluated. The patient tolerated the surgery well, and there were no procedure-related upper gastrointestinal disturbances. Short-term functional outcomes were encouraging. At the 36-month follow-up, the patient's neoanal resting and squeeze pressures were 50 and 70 mmHg, respectively. The postoperative St. Mark's incontinence score was 7. Perineal antropyloric valve transposition is feasible and can be successfully applied in t...
Source: Annals of Coloproctology - March 11, 2020 Category: Gastroenterology Tags: Ann Coloproctol Source Type: research

Early metabolic and inflammatory intraperitoneal changes after rectum perforation.
Conclusion: In this study several significant differences between the groups in metabolic and inflammatory values were detected. Further clinical studies are recommended to evaluate the importance of intraperitoneal metabolic and inflammatory analyses as a diagnostic tool for early identification of an anastomotic leakage. PMID: 32106663 [PubMed - as supplied by publisher] (Source: Annals of Coloproctology)
Source: Annals of Coloproctology - March 1, 2020 Category: Gastroenterology Tags: Ann Coloproctol Source Type: research

Identification of risk factors associated with stage III disease in non-metastatic colon cancer: Results from a prospective national cohort study.
Conclusion: In this study, stage III disease in colon cancer was significantly associated with age, lymph node yield, pT-stage, tumor subsite and priority of surgery, but not right sided location, compared with stage I and II cancers. PMID: 32079050 [PubMed - as supplied by publisher] (Source: Annals of Coloproctology)
Source: Annals of Coloproctology - February 22, 2020 Category: Gastroenterology Tags: Ann Coloproctol Source Type: research

Acute colonic volvulus in a mexican population: a case series.
Conclusion: Acute colonic volvulus in our region is not as uncommon as in other parts of the world. This disorder must be suspected, when a patient presents with abdominal pain, abdominal distension, a bean sign on plain X rays or/and a whirl sign in a CT scan. PMID: 32079051 [PubMed - as supplied by publisher] (Source: Annals of Coloproctology)
Source: Annals of Coloproctology - February 22, 2020 Category: Gastroenterology Tags: Ann Coloproctol Source Type: research

Resident learning curve for laparoscopic appendectomy according to seniority.
Conclusion: The LC for LA by residents was 11-35 cases according to multidimensional statistical analyses. The accumulation of surgical experience of residents might affect the LC, especially for surgical completion rather than for operation time. PMID: 32054238 [PubMed - as supplied by publisher] (Source: Annals of Coloproctology)
Source: Annals of Coloproctology - February 16, 2020 Category: Gastroenterology Tags: Ann Coloproctol Source Type: research

Validation of the Korean Version of the Low Anterior Resection Syndrome Score Questionnaire.
Authors: Kim CW, Jeong WK, Son GM, Kim IY, Park JW, Jeong SY, Park KJ, Lee SH Abstract Purpose: Patients who undergo radical surgery for rectal cancer often suffer from low anterior resection syndrome (LARS). Symptoms of this syndrome include frequent bowel movements, gas incontinence, fecal incontinence, fragmentation, and urgency. The aim of this study was to investigate the convergent validity, discriminative validity, and reliability of the Korean version of the LARS score questionnaire. Methods: The English LARS score questionnaire was translated into Korean using the forward-and-back translation method. A...
Source: Annals of Coloproctology - February 16, 2020 Category: Gastroenterology Tags: Ann Coloproctol Source Type: research

Triple-Stapled Technique Effectively Reduces the Operating Time for Rectal Anastomosis.
Conclusion: The triple-staple technique is a safe alternative to the double-staple anastomosis after anterior resection. It also effectively shortens the operating time. PMID: 32054240 [PubMed - as supplied by publisher] (Source: Annals of Coloproctology)
Source: Annals of Coloproctology - February 16, 2020 Category: Gastroenterology Tags: Ann Coloproctol Source Type: research

Analysis of predictive factors requiring early surgical interventions in small bowel obstruction.
Conclusion: The number of operations before SBO, leukocyte count, CRP level, and BMI were useful parameters for selecting patients who need urgent operation for SBO. PMID: 32054241 [PubMed - as supplied by publisher] (Source: Annals of Coloproctology)
Source: Annals of Coloproctology - February 16, 2020 Category: Gastroenterology Tags: Ann Coloproctol Source Type: research

Thirty-Day Readmission after Elective Colorectal Surgery for Colon Cancer: A Single-Center Cohort Study.
Authors: Chung JS, Kwak HD, Ju JK Abstract Purpose: There has been a concern that the concept of enhanced recovery after surgery could affect other proposed quality measures, including the rate of readmission due to early discharge. We aimed to examine the 30-day readmission rate, risk factors associated with readmission after elective colorectal surgery for colon cancer, causes of readmission, disease-free survival (DFS), and overall survival (OS) in a single institution. Methods: We retrospectively investigated 292 patients who underwent elective colorectal surgery for colon cancer between 2010 and 2015. Base...
Source: Annals of Coloproctology - February 16, 2020 Category: Gastroenterology Tags: Ann Coloproctol Source Type: research

The management of retained rectal foreign body.
Authors: Kim JH, Choi PW, Um E, Jung SM, Shin YC, Jung SW, Kim JI, Heo TG, Lee MS, Jun H Abstract Purpose: Since insertion of foreign body (FB) into the anus is considered as taboo practice, the patients may impose therapeutic dilemma on attending surgeon. Herein, we performed present study to evaluate the clinical characteristics of patient with retained rectal FB in Koreans, and to suggest management guideline for such cases. Methods: We retrospectively investigated 14 patients between January 2006 and December 2018. We assessed demographic features, mechanism of FB insertion, clinical course between diagnosi...
Source: Annals of Coloproctology - February 16, 2020 Category: Gastroenterology Tags: Ann Coloproctol Source Type: research

Increased Risk of Neoplasms in Adult Patients Undergoing Interval Appendectomy.
This study retrospectively analyzed consecutive cases of appendicitis that were treated surgically between January 2014 and December 2018 at a single tertiary referral center. Patients were divided into two groups depending on whether they underwent immediate or interval appendectomy. Demographics and perioperative clinical and pathologic parameters were analyzed. Results: All 2013 adults included in the study underwent surgical treatment because of an initial diagnosis of acute appendicitis. Of these, 5.5% (111/2013) underwent interval appendectomy. Appendiceal neoplasms were identified on pathologic analysis in 36 (1...
Source: Annals of Coloproctology - February 16, 2020 Category: Gastroenterology Tags: Ann Coloproctol Source Type: research

Effect of age on laparoscopic surgery and adjuvant chemotherapy in elderly colorectal cancer patients.
Conclusion: This study shows that laparoscopic CRC surgery and postoperative chemotherapy were feasible in elderly patients. Further efforts are needed to ensure that elderly patients have the opportunity to make informed decisions regarding postoperative chemotherapy. PMID: 32054245 [PubMed - as supplied by publisher] (Source: Annals of Coloproctology)
Source: Annals of Coloproctology - February 16, 2020 Category: Gastroenterology Tags: Ann Coloproctol Source Type: research

Risk factors and management for left colonic perforation.
Conclusions: Leukopenia could be an objective prognostic factor for left colonic perforation. Although HP is the gold standard for septic left colonic perforation, it did not improve overall mortality of the patients without leukopenia. For such patients, PR or PA could be a good option for left colonic perforation. PMID: 32054246 [PubMed - as supplied by publisher] (Source: Annals of Coloproctology)
Source: Annals of Coloproctology - February 16, 2020 Category: Gastroenterology Tags: Ann Coloproctol Source Type: research

Clinicopathologic Analysis of Lateral Margin Measured by Whole-mount Section in T3 Rectal Cancer.
Authors: Nam S, Hong Y, Choi YJ, Kang JG Abstract Purpose: Total mesorectal excision is a standard technique for rectal cancer. The whole-mount section can encompass the entire specimen, so it is a more appropriate for measuring circumferential margin than conventional section. We analyzed the clinical characteristics and prognosis based on lateral margins measured by whole-mount sections. Materials and Methods: Medical records of patients who were operated on for T3 rectal cancer from 2005 to 2015 were reviewed retrospectively. A total of 154 patients were included. The slides of the whole-mount sections were ...
Source: Annals of Coloproctology - February 16, 2020 Category: Gastroenterology Tags: Ann Coloproctol Source Type: research

Colorectal Cancer in Thailand: A Summary of Current Status.
This article aimed to summarize current status of colorectal cancer (CRC) in Thailand. In brief, CRC is the third most common cancer and accounts for 11% of cancer burden in Thailand. It was the only malignancy with increased incidence in both genders in Thailand. Over 10,000 new CRC cases occurred annually and about 40% were rectal cancer. Due to the lack of CRC screening and public awareness, non-metastatic cancer was accounted only for 20-30% of overall cases. The demand for general or colorectal surgeons outmatches the supply with a ratio of 1 general surgeon to 35,000 individuals. There are about 70 board-certified co...
Source: Annals of Coloproctology - February 16, 2020 Category: Gastroenterology Tags: Ann Coloproctol Source Type: research

Extraperitoneal spread of anorectal abscess presented only as acute abdomen. A case report of a rare pathology and mini-review.
Conclusion: Abdominal pain is a dominant feature of extraperitoneal inflammation originating from anorectal abscesses. The absence of perianal signs is rare and proper inspection of the patient along with the medical history can lead to quicker diagnosis and decisive treatment. PMID: 32054249 [PubMed - as supplied by publisher] (Source: Annals of Coloproctology)
Source: Annals of Coloproctology - February 16, 2020 Category: Gastroenterology Tags: Ann Coloproctol Source Type: research

Current Status of "Watch-and-Wait" Rectal Cancer Treatment in Asia-Pacific Countries.
Conclusion: Watch-and-wait is supported by 80% of Asia-Pacific surgeons and is being practiced in 65%, although heterogeneous hospital or society protocols were observed. These results inform oncologists of future clinical study participation. PMID: 32054250 [PubMed - as supplied by publisher] (Source: Annals of Coloproctology)
Source: Annals of Coloproctology - February 16, 2020 Category: Gastroenterology Tags: Ann Coloproctol Source Type: research

Increased long-term risk of anal fistula after proctologic surgery: a case-control study.
Authors: Assaraf J, Lambrescak E, Lefèvre JH, de Parades V, Bourguignon J, Etienney I, Taouk M, Atienza P, Zeitoun JD Abstract Purpose: Anal fistula is a common condition in proctology, usually requiring surgical treatment. Few risk factors are clearly identified based on solid evidence. Our research objective was to determine whether a history of anal surgery was a risk factor for subsequent anal fistula. Methods: We conducted a case-control study from January 1st 2012 through December 31st 2013 in our tertiary center. 280 cases that underwent surgery for anal fistula and 123 control patients seeking a ...
Source: Annals of Coloproctology - February 16, 2020 Category: Gastroenterology Tags: Ann Coloproctol Source Type: research