A novel approach for rectal trauma. The use of a transanal platform to repair a combined high-velocity rectal gun fire wound
We present a case of a young male that suffered a combined (intra-extraperitoneal) gun shot gun to the rectus and the use of a transanal platform to repair it.ResumoAté 80 % das lesões retais relatadas nos centros de trauma dos EUA ocorrem secundariamente às lesões por armas de fogo. Ferimentos retais por arma de fogo estão associados a significativa morbimortalidade. Foram descritas diversas abordagens e técnicas cirúrgicas; no entanto, ainda há controvérsias quanto qual é o melhor tratamento para essas lesões complexas. Atualmente, nenhuma abordagem isolada provou ótimos resultados ao lidar com essas lesões....
Source: Journal of Coloproctology - January 25, 2020 Category: Gastroenterology Source Type: research
Added value of dynamic magnetic resonance images in pelvic floor dysfunction
ConclusionThe Dynamic and Multiplanar Evaluation of the Pelvic Floor allows the detection of multi-compartment defects that could otherwise go undetected, or even alter the initial clinical diagnosis, representing an ideal tool for multidisciplinary approach of pelvic floor dislocations, allowing a comprehensive therapeutic planning.ResumoObjetivoA disfunção do assoalho pélvico tem alta prevalência na população adulta. A avaliação dinâmica e multiplanar do assoalho pélvico (DMRIPF) representa uma ferramenta ideal para o gerenciamento multidisciplinar. O objetivo desta análise é avaliar o valor agregado da avali...
Source: Journal of Coloproctology - January 25, 2020 Category: Gastroenterology Source Type: research
Epidemiological and prognostic single center study of anal carcinoma
ConclusionAnal canal cancer has poorer prognosis than anorectal. The early-stage has a better OS that needs more effort for early diagnosis and treatment.ResumoAntecedentesO carcinoma anorretal inclui a margem anal, o canal anal e o reto inferior. A incidência de tumores anais representa 1.4 % de todos os tumores gastrointestinais.Pacientes e métodosNosso estudo é retrospectivo e foi realizado no Baghdad Medical City. Os dados do paciente foram coletados dos registros médicos por meio de uma folha pré-projetada que incluía as seguintes informações: dados demográficos, histórico médico, histórico anterior, sinto...
Source: Journal of Coloproctology - January 25, 2020 Category: Gastroenterology Source Type: research
Circulating level of 25(OH)D3 with risk factors of asymptomatic adenoma and proximal non-adenoma colorectal polyps
ConclusionLow vitamin D and smoking are common risk factors for both adenomatous and proximal inflammatory hyperplastic polyps. Old age and BMI are additional risk factors for the development of adenomatous and non-adenomatous colorectal polyps.ResumoJustificativaUma associação inversa entre a vitamina D circulante e o risco de adenoma foi relatada, mas há pouco conhecimento sobre os pólipos hiperplásico-inflamatórios proximais.ObjetivoInvestigar os níveis circulantes de 25(OH)D3 e os fatores de risco de pólipos colorretais hiperplásico-inflamatórios e pólipos adenomatosos no colo proximal.MétodosDe janeiro de ...
Source: Journal of Coloproctology - December 24, 2019 Category: Gastroenterology Source Type: research
Application for prevention and treatment of complications of intestinal peristomal skin
ConclusionThis study made it possible to describe the stages of planning and development of the mobile application “Dermatite Periestoma App”. The steps taken indicate that the “Dermatite Periestoma App” has great potential for clinical practice in the evaluation of patients with stomal complications or at risk for developing peristomal skin complications, preventive measures, therapeutic approaches, and for nursing education through the use of technology.ResumoObjetivosDesenvolver um aplicativo para prevenção e tratamento de complicações da pele periestoma intestinal.MétodoAs fases de desenvolvimento da estru...
Source: Journal of Coloproctology - December 24, 2019 Category: Gastroenterology Source Type: research
Management of inflammatory bowel diseases in urgent and emergency scenario
ConclusionMost emergencies related to inflammatory bowel disease should be treated non-operatively firstly, prioritizing patient hemodynamic state. In selected cases of life-threatening complications emergent operative treatment are mandatory. The timing of procedure is the most important aspect. As general rule, in Crohn’s Disease, operative treatment should be postponed as much as possible and the resection as small as possible. In case of ulcerative rectocolitis, if the hemodynamic state of the patient allows, proctocolectomy should be expedited with curative intention.ResumoObjetivoRevisar as principais complicaçõe...
Source: Journal of Coloproctology - December 24, 2019 Category: Gastroenterology Source Type: research
Effect of Acacia catechu and alum hot sitzbath on post-operative pain in patients treated with herbal seton
ConclusionOn comparative analysis Acacia and Alum hot sitzbath was more effective in outcomes like pain, surgical satisfaction, burning sensation and discharge. There was no difference in the effect of both interventions with respect to outcome measures like constipation, itching and incontinence.ResumoJustificativaA dor pós-operatória é a principal consequência da técnica que utiliza seton de Kṣārasūtra no tratamento ayurvédico de fístula anal baixa. Os cirurgiões são impelidos a prescrever opiáceos e AINEs que possuem efeitos indesejáveis pronunciados. Medidas não farmacológicas como a balneoterapia são...
Source: Journal of Coloproctology - December 19, 2019 Category: Gastroenterology Source Type: research
Anal abscess microbiology as an anal fistula predictor
In this study, the population consisted of patients with a diagnosis of anal abscess, without associated comorbidities or contraindications for surgery, who agreed to be included in the study. A non-probabilistic, intentional sample consisting of 42 patients was determined. An appointment-based study protocol was applied by outpatient for patients who met the inclusion criteria applied, to perform due medical history through anamnesis, physical examination and culture taking of suppuration from the anal abscess to subsequently establish medical and surgical behavior thereof. The results were expressed in absolute numbers a...
Source: Journal of Coloproctology - December 13, 2019 Category: Gastroenterology Source Type: research
Buschke-Lowenstein tumor in a patient with HIV and psoriasis
Publication date: Available online 11 December 2019Source: Journal of ColoproctologyAuthor(s): José Antonio Dias da Cunha e Silva, Laís Lima, Lygia De George, Thalita Araújo Sant’Ana, Marcus ValadãoAbstractThe Buschke-Lowenstein tumor, known as the giant condyloma acuminatum, is a rare lesion of the anorectal and PerianaL region; it is sexually transmitted and associated with human papilloma virus, types 6 and 11. Histologically, it is a benign tumor, but it can reach big proportions and may behave aggressively. The purpose of this study is to report the case of a patient diagnosed with HIV and psoriasis 14 years ago...
Source: Journal of Coloproctology - December 12, 2019 Category: Gastroenterology Source Type: research
The fluctuation of APC gene in WNT signaling with adenine deletion of adenomatous polyposis coli, is associated in colorectal cancer
Publication date: Available online 9 December 2019Source: Journal of ColoproctologyAuthor(s): Seyedeh Elham Norollahi, Seyed Mohammad Taghi Hamidian, Zeynab Khazaee Kohpar, Rezvan Azadi, Pooya Rostami, Sogand Vahidi, Sahar Ghazanfari, Farnaz Azar Shabe, Roya Khaksar, Ali Akbar SamadaniAbstractColorectal cancer is one of the most important malignancies in the classification of gastrointestinal cancers. One of the predisposing factors at molecular level for this cancer is via WNT signaling which is associated with the vast numbers of different genes. Thus, in this study, we aimed to investigate whether Adenomatous Polyposis ...
Source: Journal of Coloproctology - December 10, 2019 Category: Gastroenterology Source Type: research
Primary extraperitoneal rectum lymphoma in AIDS patient
ConclusionAs rare as this pathology is, this article aims to improve the available data and provide useful information regarding diagnosis and therapy.ResumoIntroduçãoO linfoma do TGI pode ser dividido entre primário e secundário, com importância diagnóstica e terapêutica. O linfoma primário de reto é patologia rara, pouco relatada em literatura médica. Sua incidência tem aumentado e possivelmente esse fenômeno esteja associado ao aumento no numero de pacientes com imunossupressão (seja por SIDA ou drogas imunossupressoras).MetodologiaForam revisados 19 artigos nas bases de dados Scielo e PubMed, com o objetiv...
Source: Journal of Coloproctology - December 9, 2019 Category: Gastroenterology Source Type: research
Use of local anesthetic for the resolution of benign anorectal pathology in the Social Security Institute of Guatemala (IGSS)
Conclusions68% of all the patients obtained good pain tolerance through anal anesthetic block, females manifested better pain tolerance than males, in non-complicated anorectal pathology local block ha shown to be safe and reproductible for the treatment of benign anorectal pathology in the Guatemalan Institute for Social Security.ResumoIntroduçãoO uso de bloqueio anestésico regional aumentou ao mesmo tempo em que diminuiu o uso do anestésico espinhal nesse campo específico da atividade cirúrgica. Na última década, a cirurgia ambulatorial e o anestésico local apresentaram um tempo cirúrgico menor, menos complica...
Source: Journal of Coloproctology - November 14, 2019 Category: Gastroenterology Source Type: research
Use of local anesthetic for the resolution of benign anorectal pathology in the Guatemalan institute of social security
Conclusions68% of all the patients obtained good pain tolerance through anal anesthetic block, females manifested better pain tolerance than males, in non-complicated anorectal pathology local block ha shown to be safe and reproductible for the treatment of benign anorectal pathology in the Guatemalan Institute for Social Security.ResumoIntroduçãoO uso de bloqueio anestésico regional aumentou ao mesmo tempo em que diminuiu o uso do anestésico espinhal nesse campo específico da atividade cirúrgica. Na última década, a cirurgia ambulatorial e o anestésico local apresentaram um tempo cirúrgico menor, menos complica...
Source: Journal of Coloproctology - November 8, 2019 Category: Gastroenterology Source Type: research
Role of micronize purified flavonoid fraction and ethanol Graptophyllum pictum extract on experimental anal ulcer healing. Study on Wistar rat
Publication date: Available online 6 November 2019Source: Journal of ColoproctologyAuthor(s): Sigit Adi Prasetyo, Yan Wisnu, Eriawan Agung Nugroho, Edi Dharmana, Neni Susilaningsih, Ignatius RiwantoAbstractAim of the studyTo evaluate the role of micronized purified flavanoid fraction and ethanol Graptophyllum pictum extract in the treatment of anal ulcer.MethodTwenty-eight Wistar rats were randomly allocated into four groups. Groups 2, 3 and 4 the anus were induced with croton oil, but was not induced on group 1. Groups 1 and 2 were treated with normal saline, while groups 3 and 4 were treated with micronized purified flav...
Source: Journal of Coloproctology - November 7, 2019 Category: Gastroenterology Source Type: research
Laser pilonidotomy — a new approach in management of complex pilonidal sinus disease: an exploratory study
ConclusionLaser Pilonidotomy is effective in destruction of a pilonidal cyst with good success rate, fewer complications and with high patient’s satisfaction.ResumoJustificativaO tratamento da doença do seio pilonidal ainda permanece desafiador, principalmente devido a vários fatores responsáveis pela cicatrização das feridas e sua recorrência. Com os recentes avanços no campo cirúrgico, o uso do laser mostrou ser uma técnica eficaz na destruição de um cisto pilonidal. A piolonidotomia a laser é uma nova técnica promissora.MetodologiaFoi planejado um estudo exploratório com o objetivo de avaliar uma nova t...
Source: Journal of Coloproctology - November 2, 2019 Category: Gastroenterology Source Type: research
