Two-stage Complete Deroofing Fistulotomy Approach for Horseshoe Fistula: Successful Surgery Leaving Continence Intact.
Conclusion: Managing horseshoe fistula with the 2-stage deroofing fistulotomy approach allows for eradication of the fistula tract without compromising anal sphincter function. PMID: 33445836 [PubMed - as supplied by publisher] (Source: Annals of Coloproctology)
Source: Annals of Coloproctology - January 17, 2021 Category: Gastroenterology Tags: Ann Coloproctol Source Type: research

Robotic Partial Excision of Levator-ani Muscle (PELM) for Locally Advanced Low Rectal Cancer Invading Ipsilateral Pelvic Floor.
Conclusion: Robotic PELM is the sphincter-preserving technique that can be an alternative treatment option for low rectal cancer invading the ipsilateral LAM, which has been an indication for abdominoperineal resection (APR) or extralevator APR. PMID: 33445837 [PubMed - as supplied by publisher] (Source: Annals of Coloproctology)
Source: Annals of Coloproctology - January 17, 2021 Category: Gastroenterology Tags: Ann Coloproctol Source Type: research

Factors predicting the presence of concomitant enterocele and rectocele in patients with external rectal prolapse.
Conclusion: Patients with ERP often have associated anatomical abnormalities and should be investigated thoroughly before planning surgical treatment. PMID: 33445838 [PubMed - as supplied by publisher] (Source: Annals of Coloproctology)
Source: Annals of Coloproctology - January 17, 2021 Category: Gastroenterology Tags: Ann Coloproctol Source Type: research

Surgical management of sigmoid volvulus: a multicenter observational study.
This study aimed to evaluate real-world clinical outcomes from surgically treated patients for sigmoid volvulus. Methods: Five tertiary centers participated in this retrospective study with data collected from October 2003 through September 2018, including demographic information, preoperative clinical data, and information on laparoscopic/open and elective/emergency procedures. Outcome measurements included operation time, postoperative hospitalization, and postoperative morbidity. Results: Among 74 patients, sigmoidectomy was the most common procedure (n = 46), followed by Hartmann's procedure (n = 23), and subto...
Source: Annals of Coloproctology - January 17, 2021 Category: Gastroenterology Tags: Ann Coloproctol Source Type: research

A Development study of Drain Fluid Gastrografin as a Biomarker of Anastomotic Leak.
Conclusions: This observational 2a development study demonstrates the safety of a novel approach to the early detection of AL from extraperitoneal colorectal anastomoses. The technique requires validation in a larger cohort and a multicentre study is planned to investigate the efficacy of GG rectal tube flushes as an early biomarker of AL in low pelvic anastomoses. PMID: 33445840 [PubMed - as supplied by publisher] (Source: Annals of Coloproctology)
Source: Annals of Coloproctology - January 17, 2021 Category: Gastroenterology Tags: Ann Coloproctol Source Type: research

The "Reverse Air-Leak Test" : A New Technique for the Assessment of Low Colorectal Anastomosis.
Conclusion: The reverse air-leak test is a simple, feasible and effective procedure to identify anastomotic leak in low colorectal anastomoses. PMID: 33332954 [PubMed - as supplied by publisher] (Source: Annals of Coloproctology)
Source: Annals of Coloproctology - December 19, 2020 Category: Gastroenterology Tags: Ann Coloproctol Source Type: research

Laparoscopic Hartmann's reversal: application of a single-port approach through the colostomy site.
Conclusion: The single-port laparoscopic procedure through the colostomy site is sufficiently safe in order to complete the Hartmann reversal. We recommend that the colostomy site should be used as the access route into the abdominal cavity for the Hartmann reversal. PMID: 33332955 [PubMed - as supplied by publisher] (Source: Annals of Coloproctology)
Source: Annals of Coloproctology - December 19, 2020 Category: Gastroenterology Tags: Ann Coloproctol Source Type: research

Comprehensive Approach for Older Cancer Patients: New Challenge in an Aging Society.
Authors: Lee DY, Kwak JM PMID: 33207110 [PubMed] (Source: Annals of Coloproctology)
Source: Annals of Coloproctology - November 21, 2020 Category: Gastroenterology Tags: Ann Coloproctol Source Type: research

The Effort to Reduce Vasovagal Reaction and Abdominal Pain During Stapled Hemorrhoidopexy.
Authors: Jeong H PMID: 33207111 [PubMed] (Source: Annals of Coloproctology)
Source: Annals of Coloproctology - November 21, 2020 Category: Gastroenterology Tags: Ann Coloproctol Source Type: research

Robotic Total Mesorectal Excision for Rectal Cancer: Current Evidences and Future Perspectives.
Authors: Jang JH, Kim CN Abstract Despite the technical limitations of minimally invasive surgery, laparoscopic total mesorectal excision (LTME) for rectal cancer has short-term advantages over open surgery, but the pathological outcomes reported in randomized clinical trials are still in controversy. Minimally invasive robotic total mesorectal excision (RTME) has recently been gaining popularity as robotic surgical systems potentially provide greater benefits than LTME. Compared to LTME, RTME is associated with lower conversion rates and similar or better genitourinary functions, but its long-term oncological outc...
Source: Annals of Coloproctology - November 21, 2020 Category: Gastroenterology Tags: Ann Coloproctol Source Type: research

Colorectal Cancer in Octogenarian and Nonagenarian Patients: Clinicopathological Features and Survivals.
We examined patients older than 80 years according to their clinical and pathological characteristics to fully understand the elderly patients. METHODS: CRC patients, 60 years or older at diagnosis, admitted between 2009 and 2014 at our hospital were enrolled. The patients were divided into 2 groups: elderly (aged> 80 years, n = 133), and controls (aged 60 to 79 years, n = 596). Patient's demographics, risk factors for prognosis of CRC, Clinicopathological parameters, treatment, and survival rates were compared. RESULTS: The mean ages were 83.9 and 64.8 years, respectively. Male-to-female ratio and tumor sidedne...
Source: Annals of Coloproctology - November 21, 2020 Category: Gastroenterology Tags: Ann Coloproctol Source Type: research

Early Postoperative Anastomotic Obstruction Due to an Intraluminal Blood Clot After Laparoscopic Anterior Resection: A Case Report.
Authors: Kwon SK, Han JS, Seo J, Yoon YS Abstract Early postoperative anastomotic obstruction after colorectal surgery rarely develops. Herein, we present a case of a 50-year-old healthy woman who had an early postoperative anastomotic obstruction which was revealed caused by a blood clot and successfully managed by endoscopic approach. The patient was discharged after laparoscopic anterior resection and visited the emergency department one day after because of abdominal pain. Computed tomography showed that the anastomosis site was obstructed with low-density material. Intraoperative endoscopy was performed under ...
Source: Annals of Coloproctology - November 21, 2020 Category: Gastroenterology Tags: Ann Coloproctol Source Type: research

Pilonidal sinus management: bascom flap versus pilonidal pits excision, a single center experience.
This study aimed to evaluate the outcomes of the Bascom cleft lift (flap) and the pilonidal pits excision (Gips procedure). Methods: The records of all the patients who underwent pilonidal sinus excision between November 2013 and August 2017 were reviewed. Inclusion criteria included either pilonidal pits excision or the Bascom cleft lift procedure. All procedures were performed by a single surgeon. Perioperative complications and recurrence rates were reviewed. Results: Fifty-three patients met the inclusion criteria. Male/female ratio was 36/17, with a mean age of 23.4 ± 7 years. In this study, 21 patients...
Source: Annals of Coloproctology - November 12, 2020 Category: Gastroenterology Tags: Ann Coloproctol Source Type: research

Comparing the postoperative outcomes of single incision laparoscopic appendectomy and three port appendectomy with enhanced recovery after surgery protocol for acute appendicitis: A propensity score matching analysis.
Conclusion: SILA resulted in shortening the length of hospitalization without increase in complications or readmission rates compared to CLA with ERAS protocol. PMID: 33092315 [PubMed - as supplied by publisher] (Source: Annals of Coloproctology)
Source: Annals of Coloproctology - October 24, 2020 Category: Gastroenterology Tags: Ann Coloproctol Source Type: research

Standardized step-by-step technique using surgical landmarks in robotic lateral pelvic lymph node dissection.
Authors: Bae JH, Koh W, Kim HH, Lee YS Abstract We aimed to show that a standardized step-by-step robotic approach using surgical landmarks could make lateral pelvic lymph node dissection (LPND) less complicated. We performed robot-assisted LPND consisting of four steps using surgical landmarks. The first step is a dissection of uretero-hypogastric fascia, which envelopes the ureter and the hypogastric nerve. The second step is a dissection of the medial side of the external iliac vein located at the lateral border of the obturator LNs group. The third step is a dissection of the vesico-hypogastric fascia, which is...
Source: Annals of Coloproctology - September 27, 2020 Category: Gastroenterology Tags: Ann Coloproctol Source Type: research

Characteristics of patients presented with metastases during or after completion of chemo-radiation therapy (CRT) for locally advanced rectal cancer: a case series.
Conclusion: Patients with metastases after CRT showed higher rate of positive mrCRM, mrEMVI, mesorectal LNs, and poor tumor response. Further studies with large number of patients are necessary for better survival outcomes in LARC. PMID: 32972094 [PubMed - as supplied by publisher] (Source: Annals of Coloproctology)
Source: Annals of Coloproctology - September 27, 2020 Category: Gastroenterology Tags: Ann Coloproctol Source Type: research

Acute ileal perforation caused by radiation enteritis after restoration.
We report the case of a 61-year-old man who was administered preoperative chemoradiotherapy for advanced rectal cancer. The patient underwent ultra-low anterior resection with ileal diversion, followed by ileal restoration. Perforation was detected nine days after restoration, and he underwent a right hemicolectomy. Histologic evaluation indicated ileal perforation caused by acute radiation enteritis. PMID: 32972095 [PubMed - as supplied by publisher] (Source: Annals of Coloproctology)
Source: Annals of Coloproctology - September 27, 2020 Category: Gastroenterology Tags: Ann Coloproctol Source Type: research

Synchronous quadruple colon cancer with two lesions previously obscured by ischemic colitis, plus bladder cancer and thymoma: a case report.
We present a case of synchronous quadruple CRC with 2 lesions previously obscured by ischemic colitis. A 73-year-old woman was admitted to our emergency department. An abdominal computed tomography revealed ischemic colitis and irregular wall thickening of the sigmoid colon and sigmoid-descending junction, suspicious of 2 colon cancers. A colonoscopy examination revealed a fungating mass 20 cm from the anal verge, as well as ischemic colitis spanning the mucosa from the sigmoid colon to the transverse colon. The patient underwent laparoscopic Hartmann procedure. Pathologic examination confirmed both lesions as adenocarcino...
Source: Annals of Coloproctology - September 27, 2020 Category: Gastroenterology Tags: Ann Coloproctol Source Type: research

Puborectalis Muscle Involvement on MRI in Complex Fistula.
Conclusion: Fistula MRI is a highly accurate examination for evaluating complex fistulas, and the puborectalis muscle involvement findings are very important for diagnosis and treatment. PMID: 32972097 [PubMed - as supplied by publisher] (Source: Annals of Coloproctology)
Source: Annals of Coloproctology - September 27, 2020 Category: Gastroenterology Tags: Ann Coloproctol Source Type: research

Long-term evolution of continence and quality of life after sphincteroplasty for obstetric fecal incontinence.
LONG-TERM EVOLUTION OF CONTINENCE AND QUALITY OF LIFE AFTER SPHINCTEROPLASTY FOR OBSTETRIC FECAL INCONTINENCE. Ann Coloproctol. 2020 Sep 18;: Authors: Pla-Mart V, Martín-Arévalo J, Marti-Fernandez R, Moro-Valdezate D, Garcia-Botello S, Espi-Macias A, Minguez-Perez M, Ruiz-Carmona MD, Roig-Vila JV Abstract Purpose: Evaluate the long-term evolution of continence and patient's quality of life after surgical treatment for obstetric fecal incontinence. Methods: A prospective longitudinal study was conducted including consecutive patients who underwent sphincteroplasty for severe obstetric ...
Source: Annals of Coloproctology - September 27, 2020 Category: Gastroenterology Tags: Ann Coloproctol Source Type: research

Geographical variation in the use of diverting loop ileostomy in Australia and New Zealand Colorectal Surgeons.
Conclusions: There is considerable geographical variation in colorectal surgical practice throughout Australia and New Zealand. Whilst surgeons interrogate the same literature, there are presumably other factors that see translation into variations in clinical practice. PMID: 32972099 [PubMed - as supplied by publisher] (Source: Annals of Coloproctology)
Source: Annals of Coloproctology - September 27, 2020 Category: Gastroenterology Tags: Ann Coloproctol Source Type: research

The prognosis and recurrence pattern of right- and left- sided colon cancer in Stage II, Stage III, and liver metastasis after curative resection.
Conclusion: Sidedness of colon cancer had a significant and varied prognostic impact in patients with Stage II, III, and liver metastasis after curative resection. PMID: 32972100 [PubMed - as supplied by publisher] (Source: Annals of Coloproctology)
Source: Annals of Coloproctology - September 27, 2020 Category: Gastroenterology Tags: Ann Coloproctol Source Type: research

The relationship between high-output stomas, postoperative ileus, and readmission after rectal cancer surgery with diverting ileostomy.
This study aimed to evaluate the relationship between high-output stomas (HOSs), postoperative ileus (POI), and readmission after rectal cancer surgery with diverting ileostomy. Methods: We included 302 patients with rectal cancer who underwent restorative resection with diverting ileostomy between January 2011 and December 2015. HOSs were defined as stomas with ≥2000 mL/day output. We analyzed predictive factors for readmission of these patients. Results: Forty-eight (15.9%) patients had HOSs during the hospital stay, and 41 (13.6%) patients experienced POI. HOSs were strongly associated with POI (45.8 vs. 7.5%, p
Source: Annals of Coloproctology - September 27, 2020 Category: Gastroenterology Tags: Ann Coloproctol Source Type: research

Proposal for a new score: hemorrhoidal bleeding score (hbs).
PROPOSAL FOR A NEW SCORE: HEMORRHOIDAL BLEEDING SCORE (HBS). Ann Coloproctol. 2020 Sep 18;: Authors: Fathallah N, Beaussier H, Chatellier G, Meyer J, Sapoval M, Moussa N, de Parades V Abstract Purpose: We conducted a prospective study to evaluate a new hemorrhoidal bleeding score (HBS). Methods: All consecutive patients who had consulted between May 1, 2016, and June 30, 2017 for bleeding hemorrhoidal disease were prospectively assessed at a proctological department. The study was conducted in two stages. A first stage assessed the validity of the score on a prospective patient cohort. A second sta...
Source: Annals of Coloproctology - September 27, 2020 Category: Gastroenterology Tags: Ann Coloproctol Source Type: research

Improved outcomes with implementation of an enhanced recovery after surgery (eras) pathway for patients undergoing elective colorectal surgery in the philippines.
Conclusion: Implementation of ERAS improved outcomes, particularly length of stay. Although an actual increase in morbidity was noted, that may be explained by the improved reporting and documentation that accompanied the implementation of the protocol, a decreased likelihood of developing complications is foreseen with increased compliance to ERAS. PMID: 32972103 [PubMed - as supplied by publisher] (Source: Annals of Coloproctology)
Source: Annals of Coloproctology - September 27, 2020 Category: Gastroenterology Tags: Ann Coloproctol Source Type: research

Prognostic factors and survival benefit of adjuvant chemotherapy in stage IIA colon cancer.
Conclusion: The number of retrieved lymph nodes and the presence of tumor complications were prognostic factors for stage IIA colon cancer but lymphovascular and perineural invasion were not. Sidedness and preoperative CEA could be used as factors to predict the benefit of adjuvant chemotherapy. Currently, it is believed that there is no benefit of AC for stage IIA colon cancer. Further studies are needed to determine the survival benefit of adjuvant chemotherapy in stage IIA colon cancer. PMID: 32972104 [PubMed - as supplied by publisher] (Source: Annals of Coloproctology)
Source: Annals of Coloproctology - September 27, 2020 Category: Gastroenterology Tags: Ann Coloproctol Source Type: research

The use of M2-pyruvate kinase as a stool biomarker for detection of colorectal cancer in tertiary teaching hospital: A comparative study.
Conclusion: Faecal M2-PK Quick test has a high sensitivity for detection of colorectal cancer when compared to gFOBT, making it the potential choice for colorectal tumour screening biomarker in the future. PMID: 32972105 [PubMed - as supplied by publisher] (Source: Annals of Coloproctology)
Source: Annals of Coloproctology - September 27, 2020 Category: Gastroenterology Tags: Ann Coloproctol Source Type: research

Ileal pouch-anal anastomosis for ulcerative colitis: an Australian institution's experience.
We report outcomes and evaluate patient factors and the impact of surgical evolution on outcomes in consecutive ulcerative colitis patients who had restorative proctocolectomy with ileal pouch-anal anastomosis (IPAA) at an Australian institution over 26 years. Methods: Data including clinical characteristics, medical therapy pre-surgery and surgical outcomes were collected. We divided eligible patients into three period arms (period 1: 1990-1999; period 2: 2000-2009; period 3: 2010-2016). Outcomes of interest were IPAA leak and pouch failure. Results: Two hundred and twelve patients were included. Median follow up ...
Source: Annals of Coloproctology - September 27, 2020 Category: Gastroenterology Tags: Ann Coloproctol Source Type: research

Is there a relationship between stool consistency and pain at first defecation after limited half hemorrhoidectomy?-a pilot study.
Conclusion: This pilot study demonstrated that there were no clear differences in pain intensity during the first defecation after surgery among the three groups with different levels of stool consistency. PMID: 32972107 [PubMed - as supplied by publisher] (Source: Annals of Coloproctology)
Source: Annals of Coloproctology - September 27, 2020 Category: Gastroenterology Tags: Ann Coloproctol Source Type: research

Surgical Treatment of Upper Gastrointestinal Tract Crohn Disease: A Long Way to Go to Identify the Optimal Method.
Authors: Park SY PMID: 32919433 [PubMed] (Source: Annals of Coloproctology)
Source: Annals of Coloproctology - September 16, 2020 Category: Gastroenterology Tags: Ann Coloproctol Source Type: research

Effect of the Enhanced Recovery After Surgery protocol After Colorectal Cancer Surgery.
Authors: Lim DR PMID: 32919434 [PubMed] (Source: Annals of Coloproctology)
Source: Annals of Coloproctology - September 16, 2020 Category: Gastroenterology Tags: Ann Coloproctol Source Type: research

Hepatic Portal Venous Gas and Anastomotic Leakage.
Authors: Carannante F, Capolupo GT, Mascianà G, Caricato M PMID: 32919435 [PubMed] (Source: Annals of Coloproctology)
Source: Annals of Coloproctology - September 16, 2020 Category: Gastroenterology Tags: Ann Coloproctol Source Type: research

Reply on "Successful Conservative Management of Hepatic Portal Venous Gas due to Anastomosis Leakage After a Sigmoidectomy".
Reply on "Successful Conservative Management of Hepatic Portal Venous Gas due to Anastomosis Leakage After a Sigmoidectomy". Ann Coloproctol. 2020 Aug;36(4):212 Authors: Hong S PMID: 32919436 [PubMed] (Source: Annals of Coloproctology)
Source: Annals of Coloproctology - September 16, 2020 Category: Gastroenterology Tags: Ann Coloproctol Source Type: research

How to Prevent Anastomotic Leak in Colorectal Surgery? A Systematic Review.
Authors: Chaouch MA, Kellil T, Jeddi C, Saidani A, Chebbi F, Zouari K Abstract Anastomosis leakage (AL) after colorectal surgery is an embarrassing problem. It is associated with poor consequence. This review aims to summarize published evidence on prevention of AL after colorectal surgery and provide recommendations according to the Oxford Centre for Evidence-Based Medicine. We conducted bibliographic research on January 15, 2020, of PubMed, Cochrane Library, Embase, Scopus, and Google Scholar. We retained meta-analysis, reviews, and randomized clinical trials. We concluded that mechanical bowel preparation did no...
Source: Annals of Coloproctology - September 16, 2020 Category: Gastroenterology Tags: Ann Coloproctol Source Type: research

Small Bowel Perforation Associated With Gastrointestinal Graft-Versus-Host Disease and Cytomegalovirus Enteritis in a Patient With Leukemia: A Case Report With Literature Review.
We report a case of small bowel perforation associated with gastrointestinal GVHD and CMV enteritis in a patient with leukemia who was successfully treated surgically. A 39-year-old man presented with intestinal perforation necessitating emergency surgical intervention. He was diagnosed with T-cell acute lymphoblastic leukemia and developed severe gastrointestinal GVHD and CMV enteritis after hematopoietic stem cell transplantation. His terminal ileum showed a perforation with diffuse wall thinning, and petechiae were observed over long segments of the distal ileum and the proximal colon. Small bowel segmental resection an...
Source: Annals of Coloproctology - September 16, 2020 Category: Gastroenterology Tags: Ann Coloproctol Source Type: research

Anal dysplasia among patients with multiple HPV anal lesions: mosaic or homogeneity?
Conclusion: Anal dysplasia is heterogeneously distributed in the anal canal as well as between anal canal and anal margin. The diagnostic of the grade of dysplasia for a person should require multiple biopsies on the canal and anal margin. PMID: 32777924 [PubMed - as supplied by publisher] (Source: Annals of Coloproctology)
Source: Annals of Coloproctology - August 14, 2020 Category: Gastroenterology Tags: Ann Coloproctol Source Type: research

Simplification or Accuracy: In Assessing Functional Outcomes After Intersphincteric Resection for Low Rectal Cancer.
Authors: Kim KJ PMID: 32674543 [PubMed] (Source: Annals of Coloproctology)
Source: Annals of Coloproctology - July 19, 2020 Category: Gastroenterology Tags: Ann Coloproctol Source Type: research

Is Whole-Mount Section in Rectal Cancer Effective for Measuring Lateral Margin?
Authors: Chung JS, Kwak HD, Ju JK PMID: 32674544 [PubMed] (Source: Annals of Coloproctology)
Source: Annals of Coloproctology - July 19, 2020 Category: Gastroenterology Tags: Ann Coloproctol Source Type: research

Still a Case of "No Pain, No Gain"? An Updated and Critical Review of the Pathogenesis, Diagnosis, and Management Options for Hemorrhoids in 2020.
Still a Case of "No Pain, No Gain"? An Updated and Critical Review of the Pathogenesis, Diagnosis, and Management Options for Hemorrhoids in 2020. Ann Coloproctol. 2020 Jun;36(3):133-147 Authors: Ng KS, Holzgang M, Young C Abstract The treatment of haemorrhoids remains challenging: multiple treatment options supported by heterogeneous evidence are available, but patients rightly demand a tailored approach. Evidence for newer surgical techniques that promise to be less painful has been conflicting. We review the current evidence for management options in patients who present with varying haemo...
Source: Annals of Coloproctology - July 19, 2020 Category: Gastroenterology Tags: Ann Coloproctol Source Type: research

Routine Intraoperative Bacterial Culture May Be Needed in Complicated Appendicitis.
CONCLUSION: The rate of antibiotic resistance organisms was high in community-acquired complicated appendicitis in Koreans. Additionally, IEAT in complicated appendicitis may lead to increased rates of SSI. Routine intraoperative culture in patients with complicated appendicitis may be an effective strategy for appropriate antibiotic regimen. PMID: 32674546 [PubMed] (Source: Annals of Coloproctology)
Source: Annals of Coloproctology - July 19, 2020 Category: Gastroenterology Tags: Ann Coloproctol Source Type: research

Prognostic Factors and Management for Left Colonic Perforation: Can Hartmann's Procedure Be Preventable?
CONCLUSION: 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 the hospital mortality of the patients without leukopenia. For such patients, PR or PA may be suggested as an alternative option for left colonic perforation. PMID: 32674547 [PubMed] (Source: Annals of Coloproctology)
Source: Annals of Coloproctology - July 19, 2020 Category: Gastroenterology Tags: Ann Coloproctol Source Type: research

Feasibility and outcomes of multi-visceral resection in locally advanced colorectal cancer: experience of a tertiary cancer centre in north-east india.
CONCLUSION: Multi-visceral resection for advanced colorectal cancer invading into the adjacent organ may be performed with acceptable morbidity and mortality. PMID: 32674548 [PubMed - as supplied by publisher] (Source: Annals of Coloproctology)
Source: Annals of Coloproctology - July 19, 2020 Category: Gastroenterology Tags: Ann Coloproctol Source Type: research

Beware of Early Relapse in Rectal Cancer Patients treated with Preoperative Chemoradiotherapy.
CONCLUSION: Early recurrence within first 1 year after surgery was more common in patients treated with PCRT. This difference would be considered for surveillance protocols and need to be evaluated in further studies. PMID: 32674549 [PubMed - as supplied by publisher] (Source: Annals of Coloproctology)
Source: Annals of Coloproctology - July 19, 2020 Category: Gastroenterology Tags: Ann Coloproctol Source Type: research

A New Classification for Hemorrhoid Disease: The Creation of the BPRST Staging and its Application on Clinical Practice.
CONCLUSION: Although there is much disagreement about how the classification of hemorrhoid disease should be updated, it is accepted that some kind of revision is needed. The BPRST method showed a strong association with the management that should be adopted for each stage of the disease. Further studies are needed for its validation, but the current results are encouraging. PMID: 32674550 [PubMed - as supplied by publisher] (Source: Annals of Coloproctology)
Source: Annals of Coloproctology - July 19, 2020 Category: Gastroenterology Tags: Ann Coloproctol Source Type: research

Late recurrence in a rectal cancer patient who underwent preoperative chemoradiotherapy followed by local excision: a case report.
Authors: Han JS, Lim SB, Park JH, Hong YS Abstract Some patients who have undergone preoperative chemoradiotherapy (CRT) following surgery have been diagnosed with late recurrence more than 5 years after treatment, raising questions about the possible benefit extending surveillance beyond the recommended 5 years. In 2011, a 71-year-old male was diagnosed with T3N+ low-lying rectal cancer located 3 cm from the anal verge before undergoing long-course preoperative CRT. After CRT, the patient was re-examined and diagnosed with ycT1-2N0 lesion, so local excision(LE) was performed. The patient underwent intensive survei...
Source: Annals of Coloproctology - July 19, 2020 Category: Gastroenterology Tags: Ann Coloproctol Source Type: research

Intestinal Perforation as a Paradoxical Reaction to Antitubercular Therapy: A Case Report.
This report describes the case of intestinal perforation presenting as a paradoxical reaction to antitubercular, and provides a brief literature review. PMID: 32674552 [PubMed - as supplied by publisher] (Source: Annals of Coloproctology)
Source: Annals of Coloproctology - July 19, 2020 Category: Gastroenterology Tags: Ann Coloproctol Source Type: research

Transmural mesh migration from the abdominal wall to the rectum after hernia repair using a Prolene mesh: A case report.
Authors: Lee Y, Bae BN Abstract Mesh erosion or migration is a rare and late complication after hernia repair. Its incidence is increasing as the utilization of prosthetic mesh gains popularity for abdominal hernia repair. However, mesh migration is exceedingly rare and its clinical presentation is atypical and diverse. Therefore the management of mesh migration should be individualized to each patient. This research reports the case of a 94-year-old man with transmural migration of Prolene mesh from the abdominal wall to the rectum 14 years after incisional hernia repair. He presented with only chronic abdominal p...
Source: Annals of Coloproctology - July 19, 2020 Category: Gastroenterology Tags: Ann Coloproctol Source Type: research

Treatment of a Total Obstructive Anastomosis Stricture Using a Transanal Laparoscopic Approach and Intraoperative Colonoscopic Balloon Dilatation.
We describe our experience with a combination of a single port transanal laparoscopic approach and intraoperative colonoscopic balloon dilatation. The patient was a 48-year-old man with a rectal cancer. A laparoscopic single port lower anterior resection and diverting ileostomy was performed followed by a colon study and ileostomy take down. The colon study and sigmoidoscopy revealed total obstruction of the rectum at the anastomosis level. We employed a transanal approach using a single port to correct this. We located the anastomosis stricture site and generated a lumen using a dissector and bovie to insert the balloon d...
Source: Annals of Coloproctology - July 19, 2020 Category: Gastroenterology Tags: Ann Coloproctol Source Type: research

High compliance with surgical site infection (SSI) prevention bundle reduces incisional SSI after colorectal surgery.
This study included 600 patients with a median age of 64 years (range 18-102). Some 126 patients (21%) had stoma formation and 52 (9%) underwent laparoscopy. The incidence of incisional SSI was 5.5% (n=33, 32 superficial incisional SSI and 1 deep incisional SSI). Higher compliance with care bundle tended to decrease incisional SSI (p=0.20). In multivariate analysis, compliance of 70% or more was the only dependent factor for reducing incisional SSI (OR 0.39, 95%CI 0.15-0.99; p=0.047). None of the individual interventions were significantly associated with a lower probability of incisional SSI. Compared with counterparts, p...
Source: Annals of Coloproctology - July 19, 2020 Category: Gastroenterology Tags: Ann Coloproctol Source Type: research

Endorectal advancement flap with muscular plication in anovaginal and anterior perineal fistulas.
CONCLUSION: This study demonstrates the efficacy of transanal advancement flap repair with muscular plication for anovaginal and anterior perineal fistulas. Similar closure rates and smaller post-operative incontinency rates compared to the classical technique make this surgery an optimal solution whose efficacy appears to be sustainable over time. PMID: 32674556 [PubMed - as supplied by publisher] (Source: Annals of Coloproctology)
Source: Annals of Coloproctology - July 19, 2020 Category: Gastroenterology Tags: Ann Coloproctol Source Type: research