Adherence to post colorectal cancer surveillance colonoscopy guidelines at a tertiary care center
ConclusionOverall, post colorectal cancer resection to follow up surveillance is inadequate. There is a need to identify barriers to surveillance post colorectal cancer resection and address them.ResumoIntroduçãoA colonoscopia de rastreamento um ano após a ressecção do câncer colorretal é recomendada por todas as principais sociedades, incluindo a National Comprehensive Cancer Network e a Multi Society Task Force dos Estados Unidos.Objetivos do estudoAvaliar a adesão às diretrizes de colonoscopia de rastreamento após ressecção de cânce...
Source: Journal of Coloproctology - August 7, 2019 Category: Gastroenterology Source Type: research

Internal hernia through mesocolon defect after left laparoscopic colectomy
ConclusionIntestinal obstruction due to internal hernia after laparoscopic rectosigmoidectomy is a rare postoperative complication that can be avoided by the adequate closure of the mesocolon defect.ResumoIntroduçãoO desenvolvimento de hérnias internas pelo defeito mesocólico após a realização de colectomia laparoscópica é uma complicação rara com apenas 39 casos descritos. Existem controvérsias se fechamento do defeito após a ressecção do cólon preveniria o desenvolvimento desta complicação.Objetiv...
Source: Journal of Coloproctology - July 24, 2019 Category: Gastroenterology Source Type: research

Non-specific colitis among patients with colitis: frequency and relation to inflammatory bowel disease, a prospective study
ConclusionAmong our 80 patients with colonoscopy and biopsy 67 (83.75%) were diagnosed as NSC and out of them 6 patients (8.95%) were reexamined after 6 months and proved to have IBD this change was not linked to predictive factors.ResumoIntrodução e objetivosO termo colite inespecífica (CI) refere-se a uma condição inflamatória do cólon que microscopicamente não apresenta características de qualquer forma específica de colite; é comumente observada em relatórios patológicos de biópsias de colonoscopia. De fato, tem-se questio...
Source: Journal of Coloproctology - July 24, 2019 Category: Gastroenterology Source Type: research

A clinical study of newly-diagnosed colorectal cancer over 2 years in a gastroenterology center in Iraq
This study to describe the main characteristics of this malignancy regarding age, gender, and anatomical sub site distribution, as well as the main presenting symptoms in Iraqi patients.Patients and methodsPatients with newly-diagnosed CRC by colonoscopy findings and confirmed by histopathological examination of endoscopic colonic biopsies were studied.ResultsSixty three cases with a newly-diagnosed CRC were included in this study. There were 31 (49.2%) males and 32 (50.8%) females. CRC peaked in the 60–69 years old age group (p 
Source: Journal of Coloproctology - June 29, 2019 Category: Gastroenterology Source Type: research

Extensive colectomy in colorectal cancer and hereditary nonpolyposis colorectal cancer – long-term results
ConclusionTotal or subtotal colectomy for colorectal cancer provides a good survival. These surgical procedures should be considered the first option for colorectal cancer in young hereditary non polyposis colorectal cancer patients. In those cases, they provide good long-term results, avoiding the risk of metachronous colorectal cancer and the surveillance is restricted only to the remaining need for rectum.ResumoIntroduçãoA sobrevida do câncer colorretal é melhor em pacientes com câncer colorretal hereditário sem polipose do que em pacientes com câncer colorretal esporá...
Source: Journal of Coloproctology - June 26, 2019 Category: Gastroenterology Source Type: research

Implementation of an Enhanced Recovery After Surgery program in elective colorectal surgery: a prospective cohort study
ConclusionsERAS protocol and laparoscopic surgery decreased LOS without increasing 30 days readmission rate. Severe CDC increased LOS and readmissions.ResumoObjetivoAvaliar os resultados de um protocolo de recuperação aprimorada após a cirurgia (enhanced recovery after surgery [ERAS]) em cirurgia colorretal eletiva em comparação com a coorte histórica deste hospital, que recebeu o tratamento padrão, em termos de hospitalização, taxa de readmissão de 30 dias e graus 3 a 5 na escala de complicações cirúrgicas de Clavien-Dindo (CCD).Met...
Source: Journal of Coloproctology - June 26, 2019 Category: Gastroenterology Source Type: research

Perianal Paget's disease
We report a case of extramammary Paget's disease in the perianal region that initially presented as an irregular, circumferential, scaling lesion with eczematous eruptions. Immunology and immunohistochemistry confirmed the diagnosis. Although surgery is the standard treatment, the patient opted for pelvic radiotherapy associated with radiosensitizing chemotherapy.ResumoA doença de Paget acomete mais comumente a mama. Os focos extramamários são raros e os locais mais habitualmente acometidos são vulva, ânus, região perianal e axila. A patologia envolve a evolução da doe...
Source: Journal of Coloproctology - June 26, 2019 Category: Gastroenterology Source Type: research

Rectal carcinoma with synchronous liver metastases
ConclusionComplete resection of liver metastases is considered the major condition for a potential survival outcome in these patients. Management of these patients should include a multidisciplinary team with consideration of each individual specificities. Prospective randomized trials are needed to elucidate the optimal treatment strategy.ResumoIntroduçãoO câncer colorretal está entre as neoplasias mais prevalentes no mundo, apresentando a uma taxa de mortalidade relativamente alta. Ele corresponde a 20% a 30% de todos os casos de câncer colorretal; 25% dos casos apresentam doença m...
Source: Journal of Coloproctology - June 25, 2019 Category: Gastroenterology Source Type: research

The significance of retroflexion technique in the right colon on adenoma detection rates during colonoscopy
ConclusionColonoscopy with right-sided retroflexion after forward-view examination significantly increases the detection of adenomas compared with standard forward-view examination with a high success rate and small risk of adverse events.ResumoAntecedentes e objetivoOs adenomas do cólon direito podem não ser diagnosticados, apresentando uma elevada taxa de não detecção de adenoma, especialmente quando estão localizados atrás das pregas haustrais e flexões anatômicas. O objetivo deste estudo foi comparar, no cólon direito, a técnica de visualiza&cc...
Source: Journal of Coloproctology - June 22, 2019 Category: Gastroenterology Source Type: research

Management of rectal prolapse (Guda Bhramsa) through Kshara Karma (chemical cauterisation) – a case study
Publication date: Available online 17 June 2019Source: Journal of ColoproctologyAuthor(s): Madan Bhandari, Basavaraj Chanda, Prasanna N. Rao, B.J. Gopikrishna, K.R. SahanasheelaAbstractRectal Prolapse is a condition where the rectum protrudes beyond the anus. The explanation of this condition can be traced back to ancient Ayurveda text like Susruta Samhita, Ebers Pappyrus of 1500 B.C., etc. The exact cause of rectal prolapse is unclear but it is predominant on female gender and on people having constipation, previous anorectal surgeries etc. Both patial and complete varieties of rectal prolapse are extremely debilitating b...
Source: Journal of Coloproctology - June 19, 2019 Category: Gastroenterology Source Type: research

Other causes of intestinal obstruction actino-mycetoma – a case report and literature review
ConclusionIn low income countries, intestinal actinomycosis should be considered in the differential diagnosis of abdominal masses and chronic inflammatory processes, patient prognosis with proper management is excellent.ResumoIntroduçãoA actinomicose é uma doença infecciosa rara que acomete órgãos abdominais, simula doença oncológica e dificilmente causa de obstrução intestinal.SintomasPaciente do sexo masculino, 43 anos, com quadro de dor abdominal esquerda por dois meses, associado ao surgimento de massa e perda de peso de 8 kg, sem febre ou alte...
Source: Journal of Coloproctology - June 7, 2019 Category: Gastroenterology Source Type: research

Tumour sidedness and clinicopathological features of resected colon cancer in rural population of Northern Pakistan: single institutional analysis
ConclusionOur study is the first report of colon cancer in a rural population in north-Pakistan. An earlier onset of tumours (44–50 years) was observed in comparison with global data.ResumoObjetivoCaracterísticas clínico-patológicas e moleculares distintas foram observadas em tumores de cólon no lado direito ou esquerdo. O presente estudo teve como objetivo caracterizar o câncer de cólon e sua lateralidade em uma população rural norte-paquistanesa diagnosticada com câncer de cólon nesta instituição.MétodosO estudo incluiu 70 paci...
Source: Journal of Coloproctology - June 4, 2019 Category: Gastroenterology Source Type: research

Laparoscopic versus robotic approach in rectal cancer
Publication date: Available online 1 June 2019Source: Journal of ColoproctologyAuthor(s): Marcus Valadão, Rodrigo Otavio Araujo, Eduardo Linhares, José Paulo de JesusAbstractThe treatment of rectal cancer is complex and responsible for sequelae due to the various therapeutic modalities, especially the surgical resection. The advent of minimally invasive surgery provided a faster postoperative recovery and a lower complication rate when compared to conventional surgery. The implementation of laparoscopic approach in rectal cancer was responsible for these better results, but the limitations of this method adde...
Source: Journal of Coloproctology - June 2, 2019 Category: Gastroenterology Source Type: research

Evaluation of polypropylene and polyglactin sutures in primary sphincteroplasty for the treatment of anal fistula in rats
ConclusionThere was no persistence of the fistula in any of the treated animals; there was no difference in the distance between the muscle fibers between the groups subjected to primary sphincteroplasty with polypropylene or polyglactin, or between these groups and the one treated only by fistulotomy. There was greater fibrosis in animals treated with primary sphincteroplasty with polyglactin.ResumoRacionalA fistulotomia seguida de esfincteroplastia primária é uma das opções terapêuticas nas fístulas transesfincterianas, porém, não se sabe ao certo qual fio poderia ap...
Source: Journal of Coloproctology - June 1, 2019 Category: Gastroenterology Source Type: research

Anal position index; can it predict pelvic organ disorders in adults?
DiscussionAnal position index can be a prognostic factor to predict chronic constipation and pelvic floor anatomy disturbance in adults as well as pediatrics.ResumoIntroduçãoO índice de posição anal é calculado com uma fórmula simples, usada para determinar a posição exata do ânus no períneo. Atualmente, esse índice é usado apenas em neonatos e bebês. O deslocamento anterior do ânus é uma causa comum de constipação crônica. No presente estudo, avaliou-se a associação entre o í...
Source: Journal of Coloproctology - June 1, 2019 Category: Gastroenterology Source Type: research

Jejunal stromal tumor and neurofibromatosis
This study aimed to report a case of gastrointestinal stromal tumor in the jejunal region in a patient with type 1 neurofibromatosis, followed-up for two years, who underwent laparoscopic segmental enterectomy and diagnosis determined by histopathology and immunohistochemistry. The diagnosis of small intestine gastrointestinal stromal tumor is challenging because of its low incidence, nonspecific symptoms, relative inaccessibility of the small intestine to conventional endoscopic examination, broad spectrum of radiological appearances, and the fact that the nature of the mass is difficult to determine with imaging examinat...
Source: Journal of Coloproctology - June 1, 2019 Category: Gastroenterology Source Type: research

Visceral obesity is not correlated with lymph node metastases nor Colorectal cancer survival
ConclusionIn this study, no significant association was observed between visceral obesity and the number of metastatic lymph node, nor with survival at 5 and 10 years.ResumoIntroduçãoA presença de metastização ganglionar no câncer colorretal é determinante como fator de prognóstico e para planear o tratamento. A relação entre a presença de gordura visceral e o prognóstico não está totalmente documentada na literatura. Assim, pretende-se avaliar a existência de relação entre obesidade visceral e a presen&cced...
Source: Journal of Coloproctology - May 31, 2019 Category: Gastroenterology Source Type: research

Congenital abnormalities and anatomical variations of the vermiform appendix and mesoappendix
ConclusionThis review sought to present and discuss the anatomical variations and congenital abnormalities of the vermiform appendix and mesoappendix reported in recent years, and their associations with acute appendicitis and other associated pathologies, contributing to aid in clinical diagnosis and surgical interventions in patients with suspected acute appendicitis.ResumoObjetivoO objetivo desta revisão foi apresentar e discutir as variações anatômicas e anomalias congênitas do apêndice vermiforme e mesoapêndice relatados nos últimos anos e suas associaçõ...
Source: Journal of Coloproctology - May 29, 2019 Category: Gastroenterology Source Type: research

Endoscopic stent in malignant colonic obstruction: the risk of tumor seeding
Discussion and conclusionObservational studies and clinical trials show discrepant results. Metal stents are increasingly accepted in palliative care but are not yet recommended as a bridge to curative surgery. Treatment should be individualized, according to surgical risk and the probability of endoscopic complications.ResumoIntroduçãoA oclusão intestinal aguda maligna é tradicionalmente considerada uma emergência cirúrgica. Com o desenvolvimento das técnicas endoscópicas surgiram os stents metálicos que asseguram a patência do cólon em doentes n&a...
Source: Journal of Coloproctology - May 29, 2019 Category: Gastroenterology Source Type: research

Visceral obesity is not correlated with lymph node metastases nor CRC survival
ConclusionIn this study, no significant association was observed between visceral obesity and the number of metastatic lymph node, nor with survival at 5 and 10 years.ResumoIntroduçãoA presença de metastização ganglionar no câncer colorretal é determinante como fator de prognóstico e para planear o tratamento. A relação entre a presença de gordura visceral e o prognóstico não está totalmente documentada na literatura. Assim, pretende-se avaliar a existência de relação entre obesidade visceral e a presen&cced...
Source: Journal of Coloproctology - May 26, 2019 Category: Gastroenterology Source Type: research

Is total mesocolon excision necessary? A systematic review
This study aimed to evaluate the results of videolaparoscopic complete mesocolon excision. A systematic review of the literature was performed for this study. Nine articles were selected, comprising 860 patients. The surgical results demonstrate the quality of the videolaparoscopic technique, which presents low morbidity and mortality and high survival rates after five years. Videolaparoscopy is a safe and effective method for complete mesocolon excision.ResumoA excisão completa do mesocolon constitui-se como alternativa para o tratamento de neoplasias. A técnica aberta foi descrita inicialmente para a realiz...
Source: Journal of Coloproctology - May 26, 2019 Category: Gastroenterology Source Type: research

Postoperative results of 407 patients submitted to Doppler-guided transanal hemorrhoidal dearterialization
ConclusionThe hemorrhoidal dearterialization technique presents good results, with light and easy-to-resolve complications and little postoperative pain.ResumoIntroduçãoO tratamento da doença hemorroidária pelas técnicas convencionais cursa com significante redução da qualidade de vida do doente, principalmente relacionada à dor pós-operatória e ao considerável tempo de afastamento do trabalho. A técnica de desarterialização hemorroidária associada à mucopexia retal é uma opção cirúrgi...
Source: Journal of Coloproctology - May 25, 2019 Category: Gastroenterology Source Type: research

Standardization of endometriosis surgery – the coloproctologist's vision
ConclusionSurgical standardization is important to guide the general/colorectal surgeon in the effective approach of intestinal endometriosis.ResumoObjetivoDemonstrar a padronização da cirurgia de endometriose profunda com acometimento intestinal.MétodosEstudo prospectivo que avaliou 74 mulheres submetidas à cirurgia padronizada para endometriose profunda intestinal. Divididas em dois grupos, segundo os achados da ultrassonografia anorretal tridimensional, o Grupo I com lesões acometendo a gordura perirretal e o Grupo II com lesões acometendo, pelo menos, a camada muscular pr&oacut...
Source: Journal of Coloproctology - April 14, 2019 Category: Gastroenterology Source Type: research

Rectal carcinoid tumor: diagnosis and management
Publication date: Available online 10 April 2019Source: Journal of ColoproctologyAuthor(s): Charlene Viana, Isabel Marques, Adriano Staubus, Sandra F. MartinsAbstractThe authors present a case of rectal carcinoid tumor in an asymptomatic patient who sought a coloproctology service with the purpose of colorectal cancer prevention. During colonoscopy, a polyp lesion was found in the rectum, and it was resected with a polypectomy loop. Anatomopathological examination revealed a rectal carcinoid tumor with compromised margins. The lesion site was resected again and pathological exam no longer showed neoplasia. A systematic rev...
Source: Journal of Coloproctology - April 11, 2019 Category: Gastroenterology Source Type: research

Clinical and manometric investigation in constipated Chagasic patients with and without megacolon
Publication date: Available online 9 April 2019Source: Journal of ColoproctologyAuthor(s): Arminda Caetano de Almeida e Leite, Marise Amaral Rebouças Moreira, Maria Alves Barbosa, Hélio Moreira Júnior, Paula Chrystina Caetano Almeida Leite, José Paulo Teixeira MoreiraAbstractBackgroundChagasic colopathy is the second most common digestive manifestation, and constipation is the main symptom. The absence of the Rectoanal Inhibitory Reflex plays an important role in constipation and anal manometry is crucial for appropriate evaluation.PurposeEvaluate anal manometry findings (mainly Rectoanal Inhibi...
Source: Journal of Coloproctology - April 11, 2019 Category: Gastroenterology Source Type: research

Critical assessment of the surgical treatment of low rectal adenocarcinoma in a reference hospital in Recife
ConclusionThere was a high rate of non-sparing anal sphincter surgeries. The only predictive factor for abdominoperineal resection was the presence of tumors classified as Rullier type III and IV.ResumoObjetivosAvaliar a taxa de ressecção abdominoperineal em portadores de adenocarcinoma de reto inferior no Hospital Barão de Lucena – SES/PE.MetodologiaTrata-se de um estudo baseado na análise de prontuários de pacientes com adenocarcinoma de reto inferior submetidos a tratamento cirúrgico no serviço de Coloproctologia do Hospital Barão de Lucena entre 2013 e 2016....
Source: Journal of Coloproctology - March 16, 2019 Category: Gastroenterology Source Type: research

Colorectal robotic surgery: INCA's experience
ConclusionRobotic surgery is safe and feasible for approaching colorectal cancer surgeries, presenting satisfactory results regarding length of hospital stay and rate of operative complications, as well as presenting a low rate of conversion. Obesity has been shown to be a risk factor for surgical complication in robotic colorectal surgery.ResumoIntroduçãoA cirurgia minimamente invasiva revolucionou o tratamento cirúrgico no manejo das neoplasias colorretais, reduzindo a morbidade e mortalidade, a hospitalização, o tempo de inatividade e minimizando os custos, além de fornecer resu...
Source: Journal of Coloproctology - March 4, 2019 Category: Gastroenterology Source Type: research

Self-care of elderly people with ostomy by colorectal cancer
ConclusionThe nurse is one of the professionals closest to the person with the stoma and his family, and should act as a link between the elderly person, the family and the multi-professional health team. In this sense, health professionals, especially nurses, should be trained and competent in assisting the diverse demands of care of this specific population, so that it is effective, resolutive, integral and, above all, humanized, aiming at the improvement of quality of life.ResumoObjetivoIdentificar na literatura a produção científica sobre o autocuidado em pessoas idosas com estomia por câncer...
Source: Journal of Coloproctology - March 1, 2019 Category: Gastroenterology Source Type: research

Colorectal cancer epidemiology and clinical study in Misan
ConclusionMost common site of colorectal carcinoma left colon, which present in 61.97%. There is increase in new cases detection of colorectal carcinoma from 2013 to 2016. Advanced stages cancer were most common stages description as IIIA, IIIB, IIIC and IV in 12.67%, 16.90%, 19.72% and 15.49%. The common histopathological pattern is differentiated adenocarcinoma as 53.52%.ResumoIntroduçãoO carcinoma colorretal é o câncer mais comum do trato gastrointestinal. É o terceiro tipo de câncer mais observado no sexo masculino mundialmente, atrás dos cânceres de pulmão e ...
Source: Journal of Coloproctology - February 19, 2019 Category: Gastroenterology Source Type: research

Exacerbation causes among inflammatory bowel disease patients in Guilan Province north of Iran
ConclusionIt is suggested that in future studies, the evidences of distribution of SS infections among patients with inflammatory bowel disease and the history of exacerbation along with other environmental factors such as enhancing nutritional quality and surface water be taken into consideration.ResumoObjetivoEm pacientes com doença inflamatória intestinal, vários fatores podem servir como gatilhos para a exacerbação do quadro.MétodosOs prontuários de 109 pacientes com história de exacerbação da doença inflamatória intestinal entre mar&cc...
Source: Journal of Coloproctology - December 25, 2018 Category: Gastroenterology Source Type: research

Mucocele of the vermiform appendix: diagnostic challenges and therapeutic approach
DiscussionMucocele is rarely diagnosed effectively in the preoperatively. In this context, imaging tests do rarely evidence such etiology. Given the importance of preoperative diagnosis for the definition of conduct, it is essential that this condition be always taken into account as a diagnostic hypothesis.ResumoIntroduçãoA mucocele do apêndice é definida como a dilatação obstrutiva do apêndice vermiforme pelo acúmulo anormal de substância mucinosa em seu lúmen. Os exames de imagem podem ser úteis, porém não raramente falham em evidenc...
Source: Journal of Coloproctology - December 25, 2018 Category: Gastroenterology Source Type: research

A combination treatment of transanal total mesorectal excision and Turnbull–Cutait abdominoperineal pull-through procedure for a low rectal cancer
Publication date: Available online 21 December 2018Source: Journal of ColoproctologyAuthor(s): Suleyman Utku Celik, Omer Arda Cetinkaya, Furkan Atakan Akin, Stéfano do Amaral Fiúza, Ibrahim Ethem GecimAbstractSurgical treatment for low rectal cancer has changed dramatically during the preceding several decades, and the optimal surgical approach remains incompletely developed. Transanal total mesorectal excision is likely the most promising approach for the dissection of the distal part of the mesorectum in a manner that allows for a technically easy and oncologically safe operation. Long after it was first de...
Source: Journal of Coloproctology - December 22, 2018 Category: Gastroenterology Source Type: research

Timing of neoadjuvant therapy and surgical treatment in rectal cancer
ConclusionProgramming surgery more than eight weeks after chemoradiotherapy seems preferable to the six to eight weeks most recently practiced, increasing tumor downstaging and having higher complete pathological response rates.ResumoObjetivos do estudoAvaliar o timing ideal entre a terapêutica neoadjuvante e cirúrgica no carcinoma do reto e a sua influência nos outcomes de tratamento.Material e métodosUtilizando a “PubMed”, foi feita uma revisão sistemática da literatura disponível acerca da influência do timing cirúrgico após quimiorradioterap...
Source: Journal of Coloproctology - December 19, 2018 Category: Gastroenterology Source Type: research

Intestinal constipation in the elderly and associated factors – SABE Study
Publication date: Available online 19 December 2018Source: Journal of ColoproctologyAuthor(s): Sâmia Gomes, Yeda Aparecida de Oliveira Duarte, Jair Licio Ferreira SantosAbstractIntroductionConstipation is understood to be a chronic problem related to a multi-functional disorder that affects approximately 20% of the world population, and it is more prevalent in women and in the elderly.ObjectiveTo measure the prevalence of intestinal constipation in elderly people living in São Paulo, as well as the factors associated with this condition.MethodsThis was a cross-sectional study using the SABE study database (Hea...
Source: Journal of Coloproctology - December 19, 2018 Category: Gastroenterology Source Type: research

Assessment of the non-surgical treatment of patients with rectal cancer who underwent neoadjuvant treatment with chemotherapy and radiotherapy at the oncology department
ConclusionsAdvances in the neoadjuvant treatment of rectal tumors contributed to better rates of complete pathological responses. New paradigms promote an increase in the complete clinical response rates, which would allow organ preservation and consequent reduction of surgical morbidity.ResumoObjetivoDescrever os resultados parciais de estudo em pacientes com câncer de reto submetidos a tratamento neoadjuvante com quimioterapia e radioterapia quanto à taxa resposta clínica completa, sobrevida livre de doença, função anorretal e qualidade de vida.Material e métodosEstudo pros...
Source: Journal of Coloproctology - December 19, 2018 Category: Gastroenterology Source Type: research

Colonoscopic findings in patients younger than 40 years
ConclusionWith the analysis of the data provided by the colonoscopies, it was possible to conclude that, when the investigation is adequate and the examination is well indicated, even under the age of 40, colonoscopy can help in the diagnostic and treatment of several pathologies, including those that may increase the risk of colorectal cancer.ResumoObjetivoAnalisar os principais achados endoscópicos nos pacientes com idade inferior a 40 anos e as principais indicações para realização das colonoscopias.MétodoEstudo retrospectivo, com análise de 362 laudos de pacientes com id...
Source: Journal of Coloproctology - December 15, 2018 Category: Gastroenterology Source Type: research

Multiple approaches to sexually transmitted infections: from diagnosis to treatment
This study aimed to present six clinical cases with the diagnosis of sexually transmitted infections, but in which different treatment approaches were required. This demonstrates the dynamic and unique character of the disease in each individual. That is, the behavior of sexually transmitted infections will vary not only according to its causative microorganism (virus or bacteria), but also according to the characteristics of the combination of etiologic agent and host.ResumoAs infecções sexualmente transmissíveis são causadas, principalmente, por vírus e bactérias. Por meio do con...
Source: Journal of Coloproctology - December 15, 2018 Category: Gastroenterology Source Type: research

Fecal calprotectin role in diagnosis of ulcerative colitis and treatment follow-up
ConclusionIt seems fecal calprotectin levels are related to the disease severity. Non-invasive methods, such as fecal calprotectin assay, may seem to be an alternative to aggressive, costly and time-consuming methods, such as colonoscopy and biopsy, to reduce the suffering of patients and ultimately help improve the patients’ life quality.ResumoObjetivoA colite ulcerativa geralmente afeta o reto, podendo acometer todo o cólon. Métodos não invasivos, como a dosagem de calprotectina fecal, podem ser uma abordagem confiável e barata para a avaliação da gravidade da doença...
Source: Journal of Coloproctology - December 7, 2018 Category: Gastroenterology Source Type: research

Quality of life of patients with inflammatory bowel disease using immunobiological therapy
Publication date: Available online 5 December 2018Source: Journal of ColoproctologyAuthor(s): Raphael Souza de Almeida, Ana Carolina Ribeiro Lisboa, Alex Rodrigues MouraAbstractObjectivesTo assess the quality of life of patients diagnosed with inflammatory bowel disease (IBD) using immunobiological therapy and to relate the general and domain scores of the Inflammatory Bowel Disease Questionnaire (IBDQ) to the immunobiological drug in use and the clinical and sociodemographic variables.MethodsThis was a descriptive observational cross-sectional study, conducted from June to September 2018 in a tertiary hospital in Sergipe,...
Source: Journal of Coloproctology - December 6, 2018 Category: Gastroenterology Source Type: research

Association of fecal occult blood tests results with colonoscopic findings in a general hospital and validation of the screening test
Publication date: Available online 23 November 2018Source: Journal of ColoproctologyAuthor(s): Ana Flávia Saraceni, Rodrigo Azevedo, Clarissa Maria Gomes Almeida, Antônio Carlos Baraviera, Desiderio Roberto Kiss, Maristela Gomes AlmeidaAbstractGlobally, colorectal cancer is the third leading cause of cancer death among men and the second among women, corresponding to about 10% of all cancers. The Brazilian Ministry of Health and National Cancer Institute recommend the screening of colorectal cancer for people over 50 years-old with Fecal Occult Blood Test. Endoscopy is limited to patients with positive screeni...
Source: Journal of Coloproctology - November 24, 2018 Category: Gastroenterology Source Type: research

Anal dysplasia among solid organ transplant recipients; a cross sectional study
ConclusionsThe rate of anal dysplasia detectable on cytology is high enough to warrant anal dysplasia screening in transplant recipients, which can then be followed up with high-resolution anoscopy with biopsy. Defining a cohort of patients among solid organ transplant recipients who are at an increased risk for the development of anal dysplasia mandating screening continues to be a challenge.ResumoIntroduçãoA incidência de câncer anal nos Estados Unidos aumentou nas últimas décadas, afetando populações imunossuprimidas, especialmente receptores de órgãos ...
Source: Journal of Coloproctology - November 14, 2018 Category: Gastroenterology Source Type: research

Effects of Aloe Vera on healing of colonic anastomoses: experimental rat study
ConclusionAloe Vera decreased tissue collagen content in the early postoperative period. It is advisable to call into question the concomitant usage of conventional medicine and the herbal supplements for the surgeons in their clinical practice.ResumoFundamentaçãoEmbora os medicamentos à base de plantas sejam amplamente utilizados no mundo inteiro, seus efeitos (benéficos e prejudiciais) não estão bem documentados. Este estudo teve como objetivo avaliar os efeitos da Aloe vera (AV) na cicatrização de anastomoses colônicas.Material e métodos112 ratos Wista...
Source: Journal of Coloproctology - November 14, 2018 Category: Gastroenterology Source Type: research

Quality of Life (QoL) Among Ostomized Patients – a cross-sectional study using Stoma-care QoL questionnaire about the influence of some clinical and demographic data on patients’ QoL
ConclusionsIleostomy and colostomy patients have a significantly lower QoL than urostomy patients mostly because of its impact on social relations and self-esteem and self-image.ResumoIntroduçãoEm Portugal estima-se que cerca de 20.000 indivíduos sejam portadores de estoma, com todas as alterações associadas que podem comprometer a sua Qualidade de Vida (QdV).ObjectivosAvaliar a QdV de doentes ostomizados de acordo com o sexo, idade, tipo de cirurgia, doença primária, duração e tipo de estoma.Materiais e métodosForam incluídos todos os avaliados n...
Source: Journal of Coloproctology - November 6, 2018 Category: Gastroenterology Source Type: research

Adoption rates of laparoscopic techniques for colorectal resections among Brazilian surgeons: limiting factors affecting incorporation into daily practice
ConclusionsAdoption rate of laparoscopic techniques to treat colorectal diseases is still low (at least 17%). Future efforts should focus on providing supervised training, proctorship during the initial experience and help instrumental acquisition in centers willing to change their routine and perspectives.ResumoDurante as últimas décadas, a incorporação de técnicas minimamente invasivas no tratamento de doenças colorretais testemunhou um progresso lento e firme, principalmente após o reconhecimento da segurança oncológica e melhor evolução. A ado...
Source: Journal of Coloproctology - November 6, 2018 Category: Gastroenterology Source Type: research

Evidence-based review of methods used to reduce pain after excisional hemorrhoidectomy
ConclusionThe use of LigaSure in performing excisional hemorrhoidectomy and the application of topical glyceryl trinitrate ointment contributed to remarkable relief of postoperative pain after excisional hemorrhoidectomy according to the highest level of evidence. Perhaps a multimodality strategy that combines systemic and topical agents can be the optimal method for control of pain after excisional hemorrhoidectomy, yet further prospective trials are required to draw such conclusion.ResumoIntroduçãoA hemorroidectomia excisional (HE) é um dos procedimentos anorretais mais comumente realizados. Apesar d...
Source: Journal of Coloproctology - November 6, 2018 Category: Gastroenterology Source Type: research

Experiences of patients with haemorrhoidal disease – a qualitative study
ConclusionThis first qualitative study provides detailed insight into the patients’ experiences with HD, impact on daily life and results of treatment. This information may be used in daily practice to create awareness among clinicians.ResumoObjetivoEste estudo qualitativo teve como objetivo propiciar uma melhor compreensão das experiências dos pacientes com DH, o impacto em sua vida diária e os resultados do tratamento.MétodosEntre 2016 e 2017, pacientes com DH foram entrevistados individualmente. Cada entrevista foi gravada usando um gravador de áudio e transcrita na íntegra...
Source: Journal of Coloproctology - November 3, 2018 Category: Gastroenterology Source Type: research

Local irrigation with silver nitrate, a non-surgical approach for persistent anal fistula
ConclusionsTreatment with silver nitrate 1% solution is a minimally invasive procedure, with a favourable safety profile, that can be performed in an outpatients’ basis achieving a complete healing rate of 44.4%. Therefore, this method should be considered for the treatment of recurrent or persistent anal fistula.ResumoObjetivoO tratamento da fístula anal persistente é um grande desafio para os cirurgiões, com risco de recorrência adicional e potencial comprometimento da continência. Os autores apresentam um tratamento não cirúrgico baseado na irrigação com...
Source: Journal of Coloproctology - November 3, 2018 Category: Gastroenterology Source Type: research

A new defecographic parameter for assessing rectal emptying
Publication date: Available online 2 November 2018Source: Journal of ColoproctologyAuthor(s): Fábio Alves Soares, Juliana Portella Fontana, Erivaldo Fernandes de Lira, Silvana Marques e Silva, Alexandre Gheller, Maurício Cotrim do NascimentoAbstractPurposeTo validate a new defecographic parameter to assess rectal empyting correlating the percentage of weight reduction of barium paste and the variation in the percentage of area reduction of rectum compared before and after defecation during cinedefecography.MethodThirty-two consecutive female patients with dyschezia who had clinical indication for cinedefecogr...
Source: Journal of Coloproctology - November 3, 2018 Category: Gastroenterology Source Type: research

Efficacy of low residue enteral formula versus clear liquid diet during bowel preparation for colonoscopy: a randomised controlled pilot trial
ConclusionsThese data suggest that the addition of oral PEPTAMEN® as part of the bowel preparation regimen did not significantly alter the luminal cleanliness score during colonoscopy while alleviating hunger.ResumoObjetivoA preparação intestinal convencional para a colonoscopia confina o paciente à dieta líquida clara no dia anterior; esse regime dietético não nutritivo frequentemente causa desconforto e fome. O presente estudo teve como objetivo determinar a viabilidade de alimentar o paciente com fórmula enteral semielementar sem lactose e pobre em resíduos (PE...
Source: Journal of Coloproctology - November 3, 2018 Category: Gastroenterology Source Type: research

Colonoscopic findings in patients aged 50 years and older: a critical analysis of 1614 exams
ConclusionThe present study, which demonstrated a majority of exams with considerable alterations, shows the usefulness of the examination, besides other advantages, as a form of diagnosis of colorectal cancer.ResumoIntroduçãoA colonoscopia mostra-se útil no diagnóstico de diversas patologias. Ao permitir a visualização direta da mucosa, possibilita a tomada de medidas terapêuticas, como a remoção de pólipos, dilatação de estenoses e realização de biopsias. Tal método pode ser empregado também no rastreio do c&aci...
Source: Journal of Coloproctology - October 10, 2018 Category: Gastroenterology Source Type: research