Common operation, uncommon complication. Bleeding from superior haemorrhoidal artery after minimally invasive procedure for hemorrhoids – a case report
Publication date: Available online 5 October 2018Source: Journal of ColoproctologyAuthor(s): J.S. Rajkumar, A. Jayakrishna Reddy, R. Ravikumar, Anirudh Rajkumar, Syed Akbar, K.R. DharemendraAbstractMinimally invasive procedure for hemorrhoids is one of the commonest new wave operations done for prolapsed hemorrhoids. The diameter of the stapled tissue is critical in this operation, and an increase in the same could include more tissue in the anvil, with disastrous results. This is a case report of a post minimally invasive procedure for hemorrhoids bleed, which was refractory to two local oversewing attempts. When the blee...
Source: Journal of Coloproctology - October 7, 2018 Category: Gastroenterology Source Type: research
Extralevator abdominoperineal excision: a technique moving towards definitions and standardization
Publication date: Available online 5 October 2018Source: Journal of ColoproctologyAuthor(s): Fábio Guilherme Campos, Carlos Augusto Real Martinez (Source: Journal of Coloproctology)
Source: Journal of Coloproctology - October 7, 2018 Category: Gastroenterology Source Type: research
Long-term outcomes of (Gore) fistula plug versus ligation of intersphincteric fistula tract for anal fistula
ConclusionsLIFT and anal plug are safe procedures for patients with primary and recurrent anal fistula. Both techniques showed excellent results in terms of healing and complication rate. None of our patients had incontinence after 5 years follow-up. The best success rate in our patients was seen after LIFT procedure with mucosal advancement flap. Larger and controlled randomized trials are needed for better assessment of treatment options.ResumoIntroduçãoO tratamento cirúrgico da fístula anal é complexo devido à possibilidade de incontinência fecal. A fistulotomia e o seton de corte têm a mesma incidência da inco...
Source: Journal of Coloproctology - October 5, 2018 Category: Gastroenterology Source Type: research
Laparoscopic colorectal cancer resection with natural orifice specimen extraction: a prospective study
ConclusionThe technique is reproducible and can be more widely adopted.ResumoIntroduçãoA ressecção colorretal laparoscópica está sendo cada vez mais empregada na prática diária de oncologia. Observa-se uma evolução nas técnicas que usam orifícios naturais de modo a evitar a necessidade de uma incisão para extração de espécimes.Materiais e métodosO estudo avaliou prospectivamente a extração transanal e transvaginal de espécimes após ressecções colorretais laparoscópicas em 16 pacientes.ResultadosA técnica foi implementada com sucesso em 75% dos casos. A localização do tumor e a idade do paciente f...
Source: Journal of Coloproctology - October 5, 2018 Category: Gastroenterology Source Type: research
Validation of Portuguese version of the low anterior resection syndrome score
ConclusionsLARS questionnaire has been properly translated into European Portuguese, demonstrating high construct validity and reliability. This is a precise, reproducible, simple, clear and user-friendly tool for evaluating bowel function in rectal cancer patients after sphincter saving operation.ResumoObjetivoOs autores pretendem fazer uma tradução minuciosa e culturalmente adaptada para a língua portuguesa do escore da Síndrome de Ressecção Anterior Baixa (Low Anterior Resection Syndrome [LARS]), um instrumento de desfecho relatado pelo paciente, na população portuguesa com câncer retal após proctectomia com a...
Source: Journal of Coloproctology - October 5, 2018 Category: Gastroenterology Source Type: research
Meta-analysis – perineural invasion as prognostic factor in rectal cancer
ConclusionThis study shows that presence of perineural invasion is associated with poor prognosis in rectal cancer.ResumoObjetivoEste estudo buscou determinar o valor prognóstico da invasão perineural no câncer retal.MétodosRelatos relevantes publicados entre janeiro de 1980 e dezembro de 2017 foram buscados nas bases de dados Medline (PubMed, Ovid), Embase e Cochrane Library. Todos os ensaios clínicos que avaliaram a IPN no câncer de reto, estudos observacionais prospectivos, dados de registro clínico e séries de casos retrospectivos que relataram IPN como um desfecho foram incluídos. Relatos de casos, resumos, c...
Source: Journal of Coloproctology - October 5, 2018 Category: Gastroenterology Source Type: research
Computed tomography enterography or magnetic resonance enterography in Crohn's disease – which to choose?
ConclusionsAlthough computed tomography enterography presents better sensitivity and specificity than magnetic resonance imaging enterography, both present high agreement values in detection of characteristic Crohn's disease findings, therefore the selection of the best test to monitor Crohn's disease should take into account aspects such as age, tolerability, disease phenotype and resources availability.ResumoFundamentação e objetivosA avaliação da doença de Crohn por enterografia por tomografia computadorizada, enterografia por ressonância magnética e colonoscopia é essencial para o monitoramento da doença. Este...
Source: Journal of Coloproctology - October 5, 2018 Category: Gastroenterology Source Type: research
Standardization of the technique to perform the transanal therapeutic irrigation
ConclusionTransanal therapeutic irrigation is an effective, well-tolerated and safe procedure, which is better compared to the standard clinical care.ResumoObjetivoEste artigo tem como objetivo apresentar uma padronização da técnica de irrigação transanal terapêutica, uma técnica antiga que passou pela história e tem sido utilizada como procedimento médico para auxiliar no tratamento de distúrbios de defecação.MétodosEste protocolo foi desenvolvido em pacientes com mielomeningocele submetidos à técnica de irrigação terapêutica transanal padrão, de acordo com o protocolo estabelecido na Clínica de Distú...
Source: Journal of Coloproctology - August 23, 2018 Category: Gastroenterology Source Type: research
Anal canal adenocarcinoma with a late brain metastatic lesion – a case report
Publication date: Available online 21 August 2018Source: Journal of ColoproctologyAuthor(s): Ashraf Imam, Daniel Gold, Guy Pines, Arie Pelta, Eli Mavor, Efraim Idelevich, Harbi KhalaylehAbstractHerein we present a rare case of anal canal adenocarcinoma manifesting as non-healing perianal abscess that subsequently underwent radiochemotherapy followed by abdominoperineal resection for residual disease. The patient recovered, and a year later presented with a single brain metastasis. The lesion was successfully resected, and the patient is now disease free.ResumoApresentamos aqui um caso raro de adenocarcinoma de canal anal q...
Source: Journal of Coloproctology - August 21, 2018 Category: Gastroenterology Source Type: research
Role of adiponectin in patients with inflammatory bowel disease unclassified
ConclusionsIBDU is associated with increased level of adiponectin which is positively associated with BMI and triglyceride. It is negatively correlation with height, waist to hip ratio, cholesterol, HDL and LDL.ResumoFundamentoA doença intestinal inflamatória é um distúrbio intestinal idiopático, crônico e inflamatório devido ao estilo de vida que requer medicamentos de longo prazo e cuidados.Objetivo do estudoAvaliar o nível de adiponectina na doença intestinal inflamatória não classificada e sua relação com diferentes parâmetros, como o perfil lipídico e o índice de massa corporal.Tipo de estudoEstudo de ...
Source: Journal of Coloproctology - August 19, 2018 Category: Gastroenterology Source Type: research
Long-term outcomes of (Gore) fistula plug versus ligation of intersphincteric fistula tract (LIFT) for anal fistula
ConclusionsLIFT and anal plug are safe procedures for patients with primary and recurrent anal fistula. Both techniques showed excellent results in terms of healing and complication rate. None of our patients had incontinence after 5 years follow-up. The best success rate in our patients was seen after LIFT procedure with mucosal advancement flap. Larger and controlled randomized trials are needed for better assessment of treatment options.ResumoIntroduçãoO tratamento cirúrgico da fístula anal é complexo devido à possibilidade de incontinência fecal. A fistulotomia e o seton de corte têm a mesma incidência da inco...
Source: Journal of Coloproctology - August 16, 2018 Category: Gastroenterology Source Type: research
Effects of Cupressus sempervirens extract on the healing of acetic acid-induced ulcerative colitis in rat
In this study, we aimed to evaluate the therapeutic effects of Cupressus sempervirens extract on the healing of acetic acid-induced ulcerative colitis in rat. Fifty-five male rats divided into five equal treatment groups were used for this study and received the following treatments: Group 1, 250 mg/kg asacol; Group 2, 1 ml gel base (carboxymethyl cellulose); Group 3, 0.5% gel form of C. sempervirens extract; Group 4, 1% gel form of C. sempervirens extract, and; Group 5, considered as negative control and received 1 ml of normal saline. Body weight changes, histopathological and antioxidant changes in the colon tissu...
Source: Journal of Coloproctology - August 7, 2018 Category: Gastroenterology Source Type: research
Double blinded randomized clinical trial to assess the effectiveness of several preparations for colonoscopy
ConclusionThe four preparations were effective for colon cleansing, with good acceptance, differing only as for costs.ResumoIntrodução: a colonoscopia é o padrão ouro de triagem para pesquisa de várias doenças colônicas. A excelência de preparação é um fator determinante para uma colonoscopia de qualidade.ObjetivoComparar a qualidade das preparações do cólon para colonoscopia com diferentes tipos de medicamentos laxantes em um hospital público de Belo Horizonte, Brasil.MétodoFoi realizado um ensaio clínico randomizado duplo cego prospectivo de junho de 2016 a março de 2017. Um total de 117 pacientes foi r...
Source: Journal of Coloproctology - July 20, 2018 Category: Gastroenterology Source Type: research
Comparison of conventional and structured report in the evaluation of Crohn’s disease through enterography
ConclusionIn the specialists’ evaluation, the structured report was shown to be of better quality than the unstructured one in the CT enterography of patients with Crohn’s Disease.ResumoContextoHá cada vez maior interesse em padronização na avaliação de exames de imagem, em especial a enterografia na Doenca de Crohn.ObjetivoComparar a qualidade do laudo convencional com o estruturado na enterografia por tomografia computadorizada na Doença de Crohn.MétodoForam realizados nove enterografias por TC de pacientes com Doença de Crohn com laudos convencionais; após a padronização do laudo estruturado pelo serviço...
Source: Journal of Coloproctology - July 18, 2018 Category: Gastroenterology Source Type: research
Crohn's disease versus Yersinia enterocolitica infection ‒ case report ‒ a difficult differential diagnosis
Publication date: Available online 28 June 2018Source: Journal of ColoproctologyAuthor(s): Clarissa Maria Gomes de Almeida, Fauze Camargo Maluf, Feres Camargo Maluf, Valeria P. Lanzoni, Desidério Roberto Kiss, Maristela Gomes de AlmeidaAbstractThe aim of this report is to present an unusual case of Crohn's disease affecting the terminal ileum; whose principal differential diagnosis was Yersinia enterolocolitica infection, as the histological features of the resected ileum was common to both diseases. We also describe how the infectious etiology was discarded and the implications for the patient follow-up.ResumoO objetivo ...
Source: Journal of Coloproctology - July 18, 2018 Category: Gastroenterology Source Type: research
