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Hong Yoon Jeong 5 Articles
Benign bowel disease
Anal canal coronal-sagittal ratio: a novel parameter for diagnosing pelvic floor injury in 2-dimensional transanal ultrasound
Hong Yoon Jeong, Keehoon Hyun, Jong Kyun Lee
Ann Coloproctol. 2024;40(5):459-466.   Published online November 10, 2022
DOI: https://doi.org/10.3393/ac.2022.00129.0018
  • 2,291 View
  • 72 Download
AbstractAbstract PDF
Purpose
Pelvic floor injury diagnosis using 3-dimensional (3D) pelvic floor ultrasound or magnetic resonance imaging is unfeasible in many clinics. We assessed the efficacy of a novel diagnostic parameter, the anal canal coronal-sagittal (CS) ratio, for pelvic floor injury on 2D transanal ultrasound.
Methods
This retrospective study analyzed the data of 126 female patients who underwent 3D pelvic floor ultrasound (including 2D transanal ultrasound) at a pelvic floor center between August and December 2020. The anal canal CS ratio on 2D transanal ultrasound and pelvic floor avulsion injury measurements were recorded for all patients.
Results
A cutoff anal canal CS ratio of 1.15 was obtained using receiver operating characteristic analysis (sensitivity, 0.820; specificity, 0.763; and area under the curve, 0.838). Patients were categorized into the anal canal CS ratio ≥1.15 and the anal canal CS ratio <1.15 groups. Bilateral pelvic floor avulsion was more common in the anal canal CS ratio ≥1.15 group (n=35, 56.5%), and the incidence of pelvic floor avulsion was significantly different between the 2 groups (P=0.001). Existing parameters of pelvic floor injury, including minimal levator hiatus (P=0.001), levator plate descent angle (P=0.001), and levator ani deficiency score (P=0.001), were statistically different between the 2 groups.
Conclusion
The anal canal CS ratio was an efficient novel parameter that indirectly detected pelvic floor injury in 2D transanal ultrasound. It is a potential alternative indicator for pelvic floor injury on the widely popular 2D transanal ultrasound.
Benign proctology,Postoperative outcome & ERAS,Complication
Predictors of postoperative urinary retention after semiclosed hemorrhoidectomy
Hong Yoon Jeong, Seok Gyu Song, Jong Kyun Lee
Ann Coloproctol. 2022;38(1):53-59.   Published online July 21, 2021
DOI: https://doi.org/10.3393/ac.2021.00304.0043
  • 8,697 View
  • 171 Download
  • 8 Web of Science
  • 10 Citations
AbstractAbstract PDF
Purpose
This study was performed to analyze the predictors that might contribute to urinary retention following semiclosed hemorrhoidectomy under spinal anesthesia.
Methods
This retrospective study enrolled 2,176 consecutive patients with symptomatic grade III to IV hemorrhoids who underwent semiclosed hemorrhoidectomy between September 2018 and September 2019.
Results
Among the 2,176 patients, 1,878 (86.3%) had no postoperative urinary retention, whereas 298 (13.7%) developed urinary retention after hemorrhoidectomy. The percentage of males was significantly higher in the retention group than in the non-retention group (60.4% vs. 48.1%; P=0.001). The risk of urinary retention was 1.52-fold higher in males than in females (95% confidence interval [CI], 1.13–2.04; P=0.005), 1.62-fold higher in old age (95% CI, 1.14–2.28; P=0.006), and 1.37-fold higher with high body mass index (BMI) (95% CI, 1.04–1.81; P=0.025). Patients with ≥4 resected hemorrhoids had a higher odds ratio (OR) of 1.46 (95% CI, 1.12–1.89; P=0.005) than patients with <4 resected hemorrhoids. Among the supplementary medication, patients who used analgesics had a higher OR of 2.06 (95% CI, 1.57–2.68; P=0.001) than those who did not.
Conclusion
Male sex, age, high BMI, number of resected hemorrhoids, and supplementary analgesics are independent risk factors for urinary retention after semiclosed hemorrhoidectomy.

Citations

Citations to this article as recorded by  
  • Assessment of the efficacy and safety of pudendal nerve block in post-hemorrhoidectomy pain: A meta-analysis of randomized controlled trials
    Jun Li, Hai-Qiong Wu, Jun-Tao Zhang, Shi-Jian Liu, Ke-Lin Peng
    Asian Journal of Surgery.2025;[Epub]     CrossRef
  • Comparison of the effect of hot and cold compresses on post‐operative urinary retention in older patients: A clinical trial study
    Tayebeh Mirzaei, Farkhondeh Roudbari, Ali Ravari, Sakineh Mirzaei, Elham Hassanshahi
    International Journal of Urological Nursing.2024;[Epub]     CrossRef
  • General anesthesia with local infiltration reduces urine retention rate and prolongs analgesic effect than spinal anesthesia for hemorrhoidectomy
    Chun-Yu Lin, Yi-Chun Liu, Jun-Peng Chen, Pei-Hsuan Hsu, Szu-Ling Chang
    Frontiers in Surgery.2024;[Epub]     CrossRef
  • Effective non-surgical treatment of hemorrhoids with sclerosing foam and novel injection device
    Juan Cabrera Garrido, Gonzalo López González
    Gastroenterology & Endoscopy.2024; 2(4): 176.     CrossRef
  • Effect of incision location and type of fistula on postoperative urinary retention after radical surgery for anal fistula: a retrospective analysis
    Chen Li, Ningyuan Liu, Zichen Huang, Zijian Wei, Keyi Li, Wenxiao Hou, Sangyu Ye, Lihua Zheng
    BMC Gastroenterology.2024;[Epub]     CrossRef
  • Ten-year multicentric retrospective analysis regarding postoperative complications and impact of comorbidities in hemorrhoidal surgery with literature review
    Cosmin Moldovan, Elena Rusu, Daniel Cochior, Madalina Elena Toba, Horia Mocanu, Razvan Adam, Mirela Rimbu, Adrian Ghenea, Florin Savulescu, Daniela Godoroja, Florin Botea
    World Journal of Clinical Cases.2023; 11(2): 366.     CrossRef
  • Effect of single spinal anesthesia with two doses ropivacaine on urinary retention after hemorrhoidectomy in male patients
    Lei-lei Wang, Meng Kang, Li-xin Duan, Xu-fei Chang, Xiao-xin Li, Xiang-yang Guo, Zhi-yu Kang, Yong-zheng Han
    Frontiers in Surgery.2023;[Epub]     CrossRef
  • Efficacy of Low-Frequency Electroacupuncture on Urinary Retention After Spinal Anesthesia
    Mina Olia, Aliakbar Jafarian, Masood Mohseni
    Journal of PeriAnesthesia Nursing.2023; 38(5): 745.     CrossRef
  • Laser hemorrhoidoplasty combined with blind hemorrhoidal artery ligation compared to Milligan–Morgan hemorrhoidectomy in patients with second and third degree piles; a prospective randomized study
    Amir F. Abdelhamid, Mohamed M. Elsheikh, Osama H. Abdraboh
    The Egyptian Journal of Surgery.2023; 42(3): 669.     CrossRef
  • Tarlov cyst with self-healing cauda equina syndrome following combined spinal-epidural anesthesia: a case report
    Zhexuan Chen, Chuxi Lin
    BMC Anesthesiology.2023;[Epub]     CrossRef
Benign proctology
Three-Dimensional Pelvic Floor Ultrasound Assessment of Pelvic Organ Prolapse: Minimal Levator Hiatus and Levator Ani Deficiency Score
Yongwoo Yune, Hong Yoon Jeong, Duk Hoon Park, Jong Kyun Lee
Ann Coloproctol. 2021;37(5):291-297.   Published online August 9, 2021
DOI: https://doi.org/10.3393/ac.2020.01095.0156
  • 4,065 View
  • 72 Download
  • 6 Web of Science
  • 7 Citations
AbstractAbstract PDF
Purpose
The purpose of this study was to determine whether levator ani deficiency (LAD) scores and minimal levator hiatus (MLH) areas affect Pelvic Organ Prolapse Quantification (POP-Q) stage.
Methods
This study was a retrospective chart review of patients with pelvic organ prolapse (POP) at Seoul Songdo Hospital between August 2019 and August 2020. Three-dimensional (3D) pelvic floor ultrasound, preoperative anal manometry, and other physiological tests were performed in 78 patients with POP symptoms. We divided the patients into mild prolapse and severe prolapse groups based on the POP-Q. We examined the LAD and MLH areas. LAD scores were categorized as mild, moderate, or severe.
Results
There were 32 patients (41.0%) in the mild prolapse group (POP-Q stage I and II) and 46 (59.0%) in the severe prolapse group (POP-Q stage III and IV). The mean LAD score was significantly higher in severe prolapse group (13.33±2.49 vs. 8.19±2.92, P<0.001), and the rate of severe deficiency was also significantly higher in the severe prolapse group (29 [63.0%] vs. 2 [6.3%], P<0.001). The mean MLH was also significantly larger in the severe prolapse group (17.91±2.74 cm2 vs. 14.95±2.60 cm2, P<0.001). In addition, both MLH and LAD scores tended to increase at each stage.
Conclusion
There is a strong positive correlation between the POP-Q stage and the MLH and LAD scores that can be seen on 3D pelvic floor ultrasound. The findings of this study, by objectively demonstrating LAD and MLH in women with POP, are an important contribution to POP.

Citations

Citations to this article as recorded by  
  • Pelvic floor dysfunction in patients with gestational diabetes mellitus
    Mustafa Arslan, Ramazan Kozan
    World Journal of Diabetes.2025;[Epub]     CrossRef
  • The predicting value of the ratio of levator hiatus diameter to fetal head circumference in pregnant women at 37 weeks of gestation in the progression of the second stage of labor and levator ani injury 6 weeks postpartum
    Bei Gan, Shan Zheng, Xiuyan Wu, Xuemei Li
    Heliyon.2024; 10(4): e25636.     CrossRef
  • Advancements in artificial intelligence for pelvic floor ultrasound analysis
    Xinghua Huang
    American Journal of Translational Research.2024; 16(4): 1037.     CrossRef
  • Three‐dimensional endovaginal ultrasound assessment using the levator ani deficiency score in primiparas: A replication study
    Emilia Rotstein, Vilhelmina Ullemar, Marianne Starck, Gunilla Tegerstedt
    Acta Obstetricia et Gynecologica Scandinavica.2023; 102(9): 1236.     CrossRef
  • Correlation between clinical examination and perineal ultrasound in women treated for pelvic organ prolapse
    Célia Maheut, Thibaud Vernet, Hugo Le Boité, Hervé Fernandez, Perrine Capmas
    Journal of Gynecology Obstetrics and Human Reproduction.2023; 52(9): 102650.     CrossRef
  • Colonic pseudo-obstruction in a patient with dyssynergic defecation: A case report
    Yejun Jeong, Yongjae Kim, Wonhyun Kim, Seoyeon Park, Su-Jin Shin, Eun Jung Park
    International Journal of Surgery Case Reports.2022; 98: 107524.     CrossRef
  • Is It a Refractory Disease?- Fecal Incontinence; beyond Medication
    Chungyeop Lee, Jong Lyul Lee
    The Ewha Medical Journal.2022;[Epub]     CrossRef
Benign proctology
Puborectalis Muscle Involvement on Magnetic Resonance Imaging in Complex Fistula: A New Perspective on Diagnosis and Treatment
Hong Yoon Jeong, Seok Gyu Song, Woo Jung Nam, Jong Kyun Lee
Ann Coloproctol. 2021;37(1):51-57.   Published online September 18, 2020
DOI: https://doi.org/10.3393/ac.2020.08.26.1
  • 3,677 View
  • 111 Download
  • 5 Web of Science
  • 5 Citations
AbstractAbstract PDF
Purpose
According to recent studies, magnetic resonance imaging (MRI) assessment of complex fistulas provides a significant benefit compared to fistulography, computed tomography, and ultrasonography. The aim of this study was to describe the accuracy of MRI and the importance of identifying puborectalis muscle involvement on MRI in patients with complex fistula.
Methods
All patients who were clinically diagnosed with ‘complex’ or showed multiple fistula tracts underwent fistula MRI. Eligible patients were consecutive patients who underwent fistula MRI between September 2018 and September 2019 at our hospital.
Results
A total of 83 patients (74 males, 9 females; 116 tracts) were included in this study. The sensitivity and specificity of MRI in diagnosing fistula tracts were 94.8% and 98.2%, respectively. The sensitivity and specificity in identifying internal opening were 93.9% and 97.3%, respectively. Of the 35 patients with puborectalis muscle involvement in the MRI, 31 images of suprasphincteric-type patients on the Park’s classification were classified. The patients of puborectalis involvement were divided into 2 groups according to the surgical procedure that was performed. There were 12 sphincter-saving procedures and 19 sphincter division procedures performed. Recurrence was seen in 2 patients in the sphincter-saving procedure group, while no case was seen in the sphincter division procedure group. Five complications were found in the sphincter division procedure group, of which 2 reported incontinence.
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.

Citations

Citations to this article as recorded by  
  • Efficacy and safety of transanal opening of intersphincteric space in the treatment of high complex anal fistula: A meta‑analysis
    Chunqiang Wang, Tianye Huang, Xuebing Wang
    Experimental and Therapeutic Medicine.2024;[Epub]     CrossRef
  • Comparison of loose combined cutting seton and traditional cutting seton for high anal fistula: a meta-analysis
    Yi SUN, Chunqiang WANG, Tianye HUANG, Xuebing WANG
    Gazzetta Medica Italiana Archivio per le Scienze Mediche.2023;[Epub]     CrossRef
  • Guidelines to diagnose and treat peri-levator high-5 anal fistulas: Supralevator, suprasphincteric, extrasphincteric, high outersphincteric, and high intrarectal fistulas
    Pankaj Garg, Vipul D Yagnik, Sushil Dawka, Baljit Kaur, Geetha R Menon
    World Journal of Gastroenterology.2022; 28(16): 1608.     CrossRef
  • What Does Puborectalis Muscle Involvement on Magnetic Resonance Imaging Indicate in Patients With Complex Anal Fistula?
    Sung Uk Bae
    Annals of Coloproctology.2021; 37(1): 3.     CrossRef
  • Anal fistula at roof of ischiorectal fossa inside levator-ani muscle (RIFIL): a new highly complex anal fistula diagnosed on MRI
    Pankaj Garg, Sushil Dawka, Vipul D. Yagnik, Baljit Kaur, Geetha R. Menon
    Abdominal Radiology.2021; 46(12): 5550.     CrossRef
Benign proctology
Comparison of 3-Dimensional Pelvic Floor Ultrasonography and Defecography for Assessment of Posterior Pelvic Floor Disorders
Hong Yoon Jeong, Shi-Jun Yang, Dong Ho Cho, Duk Hoon Park, Jong Kyun Lee
Ann Coloproctol. 2020;36(4):256-263.   Published online March 16, 2020
DOI: https://doi.org/10.3393/ac.2020.02.09
  • 3,778 View
  • 124 Download
  • 5 Web of Science
  • 6 Citations
AbstractAbstract PDF
Purpose
The aim of this study was to determine the accuracy of 3-dimensional (3D) pelvic floor ultrasonography and compare it with defecography in assessment of posterior pelvic disorders.
Methods
Eligible patients were consecutive women undergoing 3D pelvic floor ultrasonography at one hospital between August 2017 and February 2019. All 3D pelvic floor ultrasonography was performed by one examiner. A total of 167 patients with suspected posterior pelvic disorder was retrospectively enrolled in the study. The patients were divided into 3 groups according to the main symptoms.
Results
There were 82 rectoceles on defecography (55 barium trapping) and 84 on 3D pelvic floor ultrasonography. Each modality identified 6 enteroceles. There were 43 patients with pelvic floor dyssynergia on defecography and 41 on ultrasonography. There were 84 patients with intussusception on defecography and 41 on 3D pelvic floor ultrasonography. Agreement of the 2 diagnostic tests was confirmed using Cohen’s kappa value. Rectocele (kappa, 0.784) and enterocele (kappa, 0.654) both indicated good agreement between defecography and 3D pelvic floor ultrasonography. In addition, pelvic floor dyssynergia (kappa, 0.406) showed moderate agreement, while internal intussusception (kappa, 0.296) had fair agreement.
Conclusion
This study showed good agreement for detection of posterior pelvic disorders between defecography and 3D pelvic floor ultrasonography.

Citations

Citations to this article as recorded by  
  • Clinical value of transperineal ultrasound in evaluating the diagnostic grade of rectocele in Chinese women with obstructed defecation syndrome: An observational study
    Yunlin Jiang, Zhimin Fan, Ling Gao, Guangshu Shen, Jingjing Yue, Xiaofeng Wang, Xueping Zheng, Yahong Xue
    Medicine.2024; 103(36): e39259.     CrossRef
  • Rectal prolapse and surgery for faecal incontinence
    Judith Johnston, Athur Harikrishnan
    Surgery (Oxford).2023; 41(7): 449.     CrossRef
  • Role of contrast-enhanced ultrasonography in MR-guided focused ultrasound ablation on uterus fibroids: lesion selection and assessment of ablative effects
    Wen Luo, Pei-di Zhang, Xiao Yang, Jian-min Zheng, Ying Liu, Xing Tang, Hai-jing Liu, Lei Ding, Li-na Pang, Xiao-dong Zhou, Li-wen Liu, Min-wen Zheng
    European Radiology.2022; 32(3): 2110.     CrossRef
  • Colonic pseudo-obstruction in a patient with dyssynergic defecation: A case report
    Yejun Jeong, Yongjae Kim, Wonhyun Kim, Seoyeon Park, Su-Jin Shin, Eun Jung Park
    International Journal of Surgery Case Reports.2022; 98: 107524.     CrossRef
  • Is It a Refractory Disease?- Fecal Incontinence; beyond Medication
    Chungyeop Lee, Jong Lyul Lee
    The Ewha Medical Journal.2022;[Epub]     CrossRef
  • Three-Dimensional Pelvic Floor Ultrasound Assessment of Pelvic Organ Prolapse: Minimal Levator Hiatus and Levator Ani Deficiency Score
    Yongwoo Yune, Hong Yoon Jeong, Duk Hoon Park, Jong Kyun Lee
    Annals of Coloproctology.2021; 37(5): 291.     CrossRef

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