Epidemiological study on Fournier syndrome in a tertiary hospital in Jundiaí-SP from October 2016 to October 2018†
ConclusionDespite the recognized severity of Fournier’s Syndrome, early diagnosis combined with extensive surgical debridement, broad-spectrum antibiotic therapy and measures and oxygen therapy when available are important measures to contain the rapid progression of the disease, thus decreasing its levels of mortality.ResumoIntroduçãoA Gangrena de Fournier é uma infecção polimicrobiana ocasionada por microrganismos aeróbios e anaeróbios, que determinam uma fascite necrosante rápida e progressiva, comprometendo principalmente a região do períneo e a região genital, podendo evoluir para sepse, falência de múl...
Source: Journal of Coloproctology - November 2, 2019 Category: Gastroenterology Source Type: research
Nutritional status and consumption of inflammatory and anti-inflammatory foods by patients with inflammatory bowel diseases
ConclusionAccording to the results, most of the patients were overweight. The most commonly consumed inflammatory foods were beef and coffee and the anti-inflammatory ones were garlic, olive oil, and sweet potatoes.ResumoObjetivoAvaliar o estado nutricional e a frequência de consumo de alimentos inflamatórios e anti-inflamatórios por portadores de doenças inflamatórias intestinais.MetodologiaEstudo transversal com indivíduos assistidos pelo ambulatório interdisciplinar de doenças inflamatórias intestinais da UNIVALI-SC. Avaliados por meio do estado nutricional e classificados de acordo com o índice de massa corpo...
Source: Journal of Coloproctology - November 2, 2019 Category: Gastroenterology Source Type: research
Comparison between conventional and structured magnetic resonance imaging reports in perianal fistula
ConclusionThe structured magnetic resonance report presented clearer information and was better evaluated in relation to the conventional one in the analysis of proctologists in the study of anal fistulae.ResumoRacionalCom muita frequência utiliza-se ressonância magnética no estudo de fístulas anais complexas, porém, laudos convencionais podem contribuir pouco para o que realmente importa ao coloproctologista.ObjetivoComparar a clareza e utilidade do laudo convencional com uma proposta de laudo estruturado de ressonância magnética em casos de fístula anal.Método30 exames de ressonância magnética já com laudo re...
Source: Journal of Coloproctology - November 1, 2019 Category: Gastroenterology Source Type: research
Trends in colorectal cancer incidence in western Kazakhstan through the first decade of the screening implementation, 2009‒2018
ConclusionOverall, during the last decade colorectal cancer incidence increased 1.5 fold with expected further rise. However, the increment of Stage I portion by 2018 vs. advanced stages at diagnosis and the trend to decrease in rates among urban population inspire a definite assurance in potential efficiency of the screening program in long run. The next researches on colorectal cancer should include scenarios to reveal the role of disadvantaged environment in the region and consuming unhealthy ultra-processed food.ResumoIntroduçãoO objetivo do estudo é delinear o vetor da incidência do câncer colorretal na provínci...
Source: Journal of Coloproctology - November 1, 2019 Category: Gastroenterology Source Type: research
Chagasic megacolon in Venezuela ‒ case report
Publication date: Available online 30 October 2019Source: Journal of ColoproctologyAuthor(s): Victoria Dowling Enez, Carla Izarra HenriquezAbstractChagasic megacolon is the second most frequent cause of manifestation of the digestive forms of Chagas disease (trypanosoma cruzi parasitosis), characterized by progressive pseudo-occlusive symptoms or chronic constipation, caused by an alteration in the functioning of the colonic wall musculature. In Venezuela, cases of chagasic disease reported in the past are referred to chagasic heart disease, this being the first documented case of chagasic megacolon. We broach herein a cas...
Source: Journal of Coloproctology - October 31, 2019 Category: Gastroenterology Source Type: research
One hundred citation classics in benign anorectal disease: a bibliometric analysis of seven decades (1950‒2019)
ConclusionThe most highly cited manuscripts in benign anorectal disease cover a wide range of topics. Faecal incontinence and sphincter related articles had the highest number of citations. This review serves as a reference for researchers to find the influential papers in this field.ResumoJustificativa e objetivoA análise bibliométrica é usada para explorar o desenvolvimento histórico em um campo específico. O objetivo é identificar e analisar os artigos mais citados em doença anorretal benigna nas últimas 7 décadas (1950–2018).MétodoA base de dados Thomson Reuters Web of Science foi usada para encontrar os 10...
Source: Journal of Coloproctology - October 31, 2019 Category: Gastroenterology Source Type: research
Anal mycobacterial infections†
ConclusionsMycobacterial infections of the anus and perineum are rare. The most common clinical presentations are the presence of ulceration and fistulization. The diagnosis involves more than one procedure for identifying the bacilli and should consider the presence of manifestations in more than one organ. The treatment is based on pharmacological intervention. Surgery is recommended for acute complications or chronic sequelae of the disease.ResumoIntroduçãoInfecções micobacterianas constituem um grave problema de saúde pública a nível mundial. As manifestações anoperineais são raras, mas constituem um importan...
Source: Journal of Coloproctology - October 31, 2019 Category: Gastroenterology Source Type: research
Epidemiological profile of patients with fistula in ano
ConclusionIn the studied group, there was a predominance of anal fistulae in men under 60 years old and without comorbidities, diagnosed for up to one year, most of them submitted to fistulotomy or fistulectomy at one time. Patients operated after one year of illness and also those with Crohn’s disease were submitted mainly to curettage + seton and multiple procedures.ResumoRacionalFaltam dados nacionais sobre a avaliação do perfil epidemiológico dos pacientes com fístula anal.ObjetivoAvaliar o perfil epidemiológico dos pacientes portadores de fístula anal em um centro especializado em coloproctologia.MétodoEs...
Source: Journal of Coloproctology - October 31, 2019 Category: Gastroenterology Source Type: research
Tansanal total mesorectal excision (TaTME): systematization and mediated results in 10 patients
ConclusionTotal transanal mesorectal excision has been shown to be a viable method for oncologic resection of locally advanced rectal cancer with curative intent.ResumoContextoA excisão total do mesorreto por via transanal é uma aborgadem crânio-caudal para a realização de ressecção minimamente invasiva do reto e tecidos perirretais em monobloco. É adequada para pacientes com câncer de reto médio e distal confinados ao envelope mesorretal. Aqui relatamos uma série de pacientes submetidos à excisão total do mesorreto por via transanal.MétodosDez pacientes foram selecionados para serem submetidos à excisão to...
Source: Journal of Coloproctology - October 29, 2019 Category: Gastroenterology Source Type: research
Evaluating the effect of gentamicin-clindamycin lavage on post-operational pain and infection through laparoscopic colectomy surgery
ConclusionUsing gentamicin-clindamycin peritonea lavage helps patients undergoing laparoscopic colectomy surgery in pain reduction, need for painkillers and hospitalization duration.ResumoIntroduçãoA lavagem peritoneal com antibiótico ou com soro fisiológico normal é benéfica para reduzir o risco de dor ou de infecção durante cirurgias laparoscópicas, além de poder ser aplicada também em colectomias laparoscópicas. Neste estudo, comparamos os efeitos da lavagem com solução antibiótica (gentamicina-clindamicina) e da lavagem com solução salina normal em pacientes submetidos à colectomia laparoscópica.Mét...
Source: Journal of Coloproctology - October 28, 2019 Category: Gastroenterology Source Type: research
Clinic-pathological aspect of gastro-intestinal stromal tumors at tertiary care Hospital India
ConclusionAbdominal pain was the most common presenting complaint. Majority of the tumors aroused from the stomach. The majority of the tumors had pure spindle cell morphology and 93% of the tumors were CD-117 positive. A significant relationship between tumor size, tumor necrosis and mitotic activity with large tumors having necrosis and high mitotic rate having high risk of malignancy, was observed. Surgical resection is considered mainstay of treatment of gastro-intestinal stromal tumor. Imatinib therapy should be given to patients in moderate to severe risk categories.ResumoJustificativaEste estudo define o perfil da d...
Source: Journal of Coloproctology - October 28, 2019 Category: Gastroenterology Source Type: research
Pneumatosis cystoides intestinalis – an incidental finding with unpredictable evolution
ConclusionThe treatment plan of patient with PCI depends on underlying cause and clinical condition severity. When conservative treatment is adopted the clinical evolution of pneumatosis cystoides intestinalis is unpredictable and can even disappear in an indeterminate number of patients.ResumoA pneumatose cistoide intestinal é uma doença incomum, de etiologia desconhecida, caracterizada pela presença de múltiplos cistos preenchidos com gás na submucosa ou subserosa da parede intestinal. O pneumoperitônio e/ou a perfuração intestinal são complicações que podem estar associadas à pneumatose cistoide intestinal. ...
Source: Journal of Coloproctology - October 28, 2019 Category: Gastroenterology Source Type: research
Influence of the cotton and silastic seton on the distance of the anal sphincter cables after fistulotomy in rats
ConclusionThe silastic seton prior to fistulotomy caused less detachment of the muscular cables and less local inflammatory process.ResumoRacionalA fistulotomia é um procedimento muito utilizado no tratamento das fístulas anais mas está associado a graus variáveis de incontinência fecal que poderia ser minimizado pelo uso prévio de sedenho, sendo que o material utilizado pode ter influência no resultado.ObjetivoComparar os fios de algodão e sonda de silastic utilizados como sedenhos no afastamento dos cabos musculares do esfíncter anal de ratos submetidos a fistulotomia.MétodoUtilizou-se 30 ratos Wistar, que apó...
Source: Journal of Coloproctology - October 21, 2019 Category: Gastroenterology Source Type: research
Effectiveness of the Aloe Vera extract in the treatment of fistula-in-ano
ConclusionThe extract of Aloe vera was able to reduce the lumen of the fistulous tract and reduce the degree of vascular congestion; however, it did not allow the complete closure of the fistulous tract nor diminished the inflammatory process.ResumoRacionalConsiderando que o tratamento das fístulas anais tem risco de incontinência fecal e o crescente uso do Aloe Vera na medicina, há interesse em se pesquisar este fármaco.ObjetivoAvaliar a eficácia do extrato de Aloe vera no tratamento das fístulas anais em ratos.MétodoUtilizou-se 30 ratos Wistar, os quais foram submetidos à criação de fístula anal e após 30 dia...
Source: Journal of Coloproctology - October 19, 2019 Category: Gastroenterology Source Type: research
Efficacy of Baccharis dracunculifolia in the treatment of diversion colitis in rats
ConclusionIntra-rectal infusion ofBaccharis dracunculifolia extract significantly minimized the inflammatory process in the exclusion colitis of rats submitted to colostomy, without altering the degree of vascular congestion.ResumoRacionalA colite de desuso é frequente em nosso meio e o tratamento de maior eficácia é de alto custo, havendo necessidade de se encontrar uma terapêutica eficaz e de baixo custo.ObjetivoAvaliar a eficácia da Baccharis dracunculifolia (alecrim-do-campo) no tratamento da colite de exclusão em ratos.MétodoUtilizou-se 18 ratos Wistar, os quais foram anestesiados e submetidos à colostomia; em...
Source: Journal of Coloproctology - October 19, 2019 Category: Gastroenterology Source Type: research
