Annals of Coloproctology

Volume 26(2); April 2010

Review

Fast-Track Colorectal Surgery.: Lee, In Kyu; J Korean Soc Coloproctol. 2010;26(2):87-92.; DOI: https://doi.org/10.3393/jksc.2010.26.2.87

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Conventional treatment after intra-abdominal surgery has emphasized prolonged rest of the gastrointestinal tract. The postoperative patient suffers a certain amount of functional or nutritional decline. However, using the fast-track protocol through a multidisciplinary team approach, the patient can overcome post-surgical troubles. Decrease of stress, return to normal functions, and avoidance of after effects can be achieved. The main elements of the fast track are epidural anesthesia, sublating the routine use of nasogastric tubes, enforced postoperative mobilization, and oral feeding. These prove to be effective in improving the patients' status, in reducing the overall hospital stay, and in reducing postoperative complications. The ultimate aim of enhanced recovery after surgery should not be based on practical reasons such as early patient discharge, but should be founded on evidence-based medicine focusing on improving quality of life through standardized treatment.

Citations

Citations to this article as recorded by

Development and Evaluation of Enhanced Recovery After Surgery Program for Patients with Colorectal Cancer Surgery
Eun Ja Kim, Jeong Sook Park
Korean Journal of Adult Nursing.2019; 31(6): 677. CrossRef
Outcomes of Fast-Track Program after Colorectal Cancer Surgery - Comparison with Conventional Method
Boyoul Kim, Seung-Bum Ryoo, Kyu Joo Park, Sung Hee Park
Asian Oncology Nursing.2014; 14(4): 249. CrossRef

Original Articles

Anticancer Effects of IP6 in a Human Colon Carcinoma Cell Line in Nude Mice Xenografts.: Kim, Chan Dong , Lee, Jeong Eun , Lee, Ryung Ah , Kim, Kwang Ho; J Korean Soc Coloproctol. 2010;26(2):93-97.; DOI: https://doi.org/10.3393/jksc.2010.26.2.93

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Abstract PDF: PURPOSE
Inositol hexaphosphate (IP6) is a naturally occurring polyphosphorylated carbohydrate that has been shown to suppress the growth of epithelial cancer. Because IP6 is a dietary phytochemical present in cereals, soy, legumens, and fiber-rich foods, we evaluated the efficacy of IP6 against colon cancer formation.
METHODS
HT-29 cells were injected into nude mice. The animals were fed a normal diet (group 1), a low IP6 diet (group 2), and a high IP6 diet (group 3) for 4 wk. Body weight, tumor volume, tumor growth rate, growth inhibition rate, and therapeutic ratio were monitored after injection of HT-29 cells.
RESULTS
HT-29-cell human-colon-carcinoma xenograft mice treated with IP6 showed a significant reduction in tumor growth rate, irrespective of the IP6 dose compared to normal diet group. Compared with the control group, group 3 showed a significant reduction (45%) in tumor volume. In the therapeutic ratio gain profiles, IP6 diet groups showed a significant alteration of therapeutic ratio when compared with the normal diet group (0% vs. 11%, P=0.014). In the body weight gain profiles, group 3 showed a significant reduction of body weight compared with the other two groups (20.25 g vs. 21.6 g, 21.7 g, P=0.009). Groups 1 and 2 showed similar changes in body weight. Tumor xenografts from IP6-fed mice showed significantly decreased cancer formation and growth, but increased toxicity was noted for high doses of IP6.
CONCLUSION
These results indicate that in the future, IP6 could be an effective chemopreventive or chemotherapeutic agent for use in the treatment of colon cancer.

Invasiveness of and Drug Sensitivity to Various Anti-cancer Regimens in Five Colorectal Cancer Cell Lines.: Lee, Yoo Mi , Yoon, Yong Sik , Roh, Seon Ae , Cho, Dong Hyung , Kim, Jin Cheon; J Korean Soc Coloproctol. 2010;26(2):98-104.; DOI: https://doi.org/10.3393/jksc.2010.26.2.98

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Abstract PDF

PURPOSE
Colorectal cancer (CRC) is one of the leading causes of cancer death in South Korea. Angiogenesis has been associated with invasion and metastasis of tumors and with the secretion of various growth factors. Bevacizumab is a humanized monoclonal antibody that recognizes and blocks vascular endothelial growth factor (VEGF) and that targets integrin alphaVbeta3 and matrix metalloproteinases (MMPs) as angiogensis inhibitors. The aims of this study were identification of the mechanism of target molecules related to angiogenesis and demonstration of identifiable invasion by using chemotherapeutic regimens in vitro.
METHODS
The five colorectal cancer cell lines were treated with bevacizumab using standard or combined regimens. The expression of integrin alphaVbeta3 was detected and the investigation of apoptosis was done by using flow cytometry. The activations of MMP-2 and MMP-9 were measured by using gelatin zymography.
RESULTS
The apoptotic cell death was significantly increased for the combined regimens, especially for FOLFOX (5-FU, leucovorin, and oxaliplatin) with bevacizumab. Bevacizumab inhibited the expression of integrin alphaVbeta3 in the HT29 (59%), LoVo (67%), and SW480 (17%) cell lines, but did not in the AMC5 and the RKO cell lines. The activations of MMP-2 and MMP-9 were significantly reduced by treatment with bevacizumab in the HT29 and the LoVo cell lines. In the HT29 and the LoVo cell lines, thus, bevacizumab inhibited invasion and metastasis activity through down-regulation of integrin alphaVbeta3 and MMPs.
CONCLUSION
Our results provide biological evidence of potent angiogenic activity and indicate that angiogenesis is a complex process that involves multiple factors, including VEGF, integrin alphaVbeta3, and MMPs.

Citations

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RGD peptide in cancer targeting: Benefits, challenges, solutions, and possible integrin–RGD interactions
Hossein Javid, Mahsa Akbari Oryani, Nastaran Rezagholinejad, Ali Esparham, Mahboubeh Tajaldini, Mehdi Karimi‐Shahri
Cancer Medicine.2024;[Epub] CrossRef

Electrophysiological Characteristics of Human Colon Circular Muscle.: Choe, Eun Kyung , Ryoo, Seung Bum , Moon, Sang Hui , Moon, Jung Sun , Park, Kyu Joo; J Korean Soc Coloproctol. 2010;26(2):105-110.; DOI: https://doi.org/10.3393/jksc.2010.26.2.105

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Abstract PDF: PURPOSE
Interstitial cells of Cajal (ICC) play a core function in colonic motility as a pacemaker by regulating the slow wave. We intended to investigate the electrophysiological characteristics of the circular smooth muscle in the human colon, especially in Koreans.
METHODS
Colon tissues were obtained from patients undergoing an elective colectomy for non-obstructive lesions. Tissues were immediately stored in oxygenated Krebs-Ringer's bicarbonate solution, and conventional microelectrode recordings of the colonic circular muscle were done from muscle cells.
RESULTS
The trans-membrane potentials from 100 tissues were recorded. Regular slow-wave patterns were observed in 36 patients, and 64 patients showed irregular wave patterns. In the tissues exhibiting regular slow-wave patterns, 20 tissues were recorded from the proximal colon and 16 from the distal colon. The frequency of the slow wave from the proximal part was significantly higher than that from the distal part. The resting membrane potential, the upstroke amplitude, the spike amplitude, and the maximal rate of rise showed no significant difference between the two parts, but the time to reach half amplitude did show a significant difference between the two parts. No significant differences in parameters were observed based on the patients' demographics such as sex and age (younger or older than 60). We were able to divide the irregular waves into 3 groups. Irregular slow waves were observed in 35 tissues, irregular slow waves mixed with spike waves were observed in 26 tissues, and spike waves alone were observed in 3 tissues.
CONCLUSION
We analyzed the electrophysiological characteristics of the human colonic circular smooth muscle, especially those of the slow wave originating from ICC of patients who had not been pretreated with drugs.

Usefulness of an Open Cecostomy in the Treatment of a Distal Colon Obstruction.: Kuk, Jung Cheol , Jung, Eun Joo , Ryu, Chun Geun , Moon, Sun Mi , Hwang, Dae Yong; J Korean Soc Coloproctol. 2010;26(2):111-115.; DOI: https://doi.org/10.3393/jksc.2010.26.2.111

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Abstract PDF

PURPOSE
Stoma formation has usually been used for bowel decompression or fecal diversion. For these, a cecostomy is rarely performed because of disadvantages such as incomplete fecal diversion or fatal complications. The aim of this study was to evaluate the usefulness of an open cecostomy in treating patients with colonic obstruction.
METHODS
Between May 2005 and August 2008, 20 patients underwent an open cecostomy because of colonic obstruction. All information on the patients was reviewed retrospectively for underlying disease, obstruction site, diameter of the cecum and transverse colon, and complications.
RESULTS
Of the 20 patients, 14 had colorectal cancer, 3 had stomach cancer, 1 had cervical cancer, 1 had a carcinoid tumor, and 1 had an osteosarcoma. The cause of the obstruction was the primary tumor in 7 patients, peritoneal carcinomatosis in 7 patients, local recurrence in 5, and tissue edema after cyberknife treatment in 1 patient. All patients, except for 1 patient with a hopeless discharge due to rapid disease progression, were discharged on the tenth day postoperatively. No fatal complication developed. In 2 patients, the cecostomy closed spontaneously at 5.5 mo postoperatively after the distal obstruction had been resolved.
CONCLUSION
An open cecostomy may be a useful and simple method for the decompression of a colonic obstruction, even though the diversion may not be complete.

Citations

Citations to this article as recorded by

Comparison of blowhole colostomy and loop ostomy for palliation of acute malignant colonic obstruction
Yongjun Park, Dong Uk Choi, Hyung Ook Kim, Yong Bog Kim, Chungki Min, Jung Tack Son, Sung Ryol Lee, Kyung Uk Jung, Hungdai Kim
Annals of Coloproctology.2022; 38(4): 319. CrossRef

Efficacy of Transparent Cap-attached Colonoscopy: Does It Improve the Quality of Colonoscopy?.: Choi, Dong Hyun , Shin, Hyeon Keun , Lee, Young Chan , Lim, Cheong Ho , Jeong, Seung Kyu , Lee, Suk Hwan , Yang, Hyung Kyu; J Korean Soc Coloproctol. 2010;26(2):116-122.; DOI: https://doi.org/10.3393/jksc.2010.26.2.116

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Abstract PDF

PURPOSE
Recently, the use of a transparent cap attached to the tip of the colonoscope has been revealed to be helpful in both detecting colorectal polyps and shortening the intubation time to the cecum. The aim of this study was to examine the usefulness of transparent cap-attached colonoscopy (CAC) as compared with conventional colonoscopy (CC) in terms of the technical ease and efficiency.
METHODS
Colonoscopies from a total of 228 patients between May and October 2008 were prospectively collected. All colonoscopies were performed by single colorectal surgeon whose experience exceeded 3,000 colonoscopies. Patients were assigned to the CAC group (n=114) or to the CC group (n=114). The cecal intubation rate and time, the polyp detection rate, the adenoma detection rate, the withdrawal time, and the visual analogue scale (VAS) of the patient's pain were compared.
RESULTS
There were no significant differences in the age, sex, body mass index, previous history of abdominal operation, diverticulosis, and the degree of bowel preparation between the two groups. The cecal intubation rate was 100% in both groups. The cecal intubation time was significantly shorter in the CAC group than in the CC group overall (5.3+/-4.0 min vs. 7.6+/-4.3 min, P<0.001), as well as for female (6.1+/-2.8 min vs. 9.1+/-4.7 min, P<0.001) patients. There were no statistically significant differences in the total colonoscopy time (13.1+/-6.3 min vs. 14.5+/-5.2 min, P=0.066), the polyp detection rate (38.6% vs. 33.3%, P=0.408), the adenoma detection rate (28.1% vs. 25.4%, P=0.654), and the VAS scale of pain (2.48 vs. 2.74, P=0.353) between the CAC and the CC groups.
CONCLUSION
The transparent cap is effective in shortening the cecal intubation time, especially in female patients.

Citations

Citations to this article as recorded by

Cap-assisted endoscopy: Do we have enough evidence?
Thomas Frieling
Endoscopy International Open.2018; 06(10): E1224. CrossRef
Improving the utility of colonoscopy: Recent advances in practice
Crispin J Corte, Rupert W Leong
Journal of Gastroenterology and Hepatology.2016; 31(1): 32. CrossRef
The Effect of Indigocarmine on Improvement of the Polyp Detection Rate during Colonoscopic Examination with Hood Cap
Sang Chang Kwon, Sung Won Choi, Seong Ho Choi, Hee Seung Park, Seung Heon Lee, Bong Gun Kim, Eun Hee Seo, Mun Jang, Seung Min Ryu, Dong Hyun Kim, Young Hoon Kim, Jun Ouk Ha, Jae Seung Lee
Intestinal Research.2014; 12(1): 60. CrossRef
Image-enhanced, chromo, and cap-assisted colonoscopy for improving adenoma/neoplasia detection rate: a systematic review and meta-analysis
Fumio Omata, Sachiko Ohde, Gautam A. Deshpande, Daiki Kobayashi, Katsunori Masuda, Tsuguya Fukui
Scandinavian Journal of Gastroenterology.2014; 49(2): 222. CrossRef
Transparent cap colonoscopy versus standard colonoscopy: a systematic review and meta-analysis
Jenna L. Morgan, Kathryn Thomas, Sarah Braungart, Richard L. Nelson
Techniques in Coloproctology.2013; 17(4): 353. CrossRef
Can Cap-Assisted Colonoscopy Be a Savior for Right Side Interval Cancer?
Hyung Hun Kim
Digestive Diseases and Sciences.2013; 58(2): 289. CrossRef
Efficacy of Hood-cap Assisted Colonoscopy; Comparison with Conventional Colonoscopy
Sung Won Choi, Hee Seung Park, Jae Seung Lee, Sang Yon Hwang, Sung Dong Kwak, Seong Ho Choi
Intestinal Research.2012; 10(3): 280. CrossRef
Transparent Cap Colonoscopy versus Standard Colonoscopy to Improve Caecal Intubation
Jenna Morgan, Kathryn Thomas, Heather Lee-Robichaud, Richard L Nelson, Sarah Braungart
Cochrane Database of Systematic Reviews.2012;[Epub] CrossRef

Randomized Controlled Trial

A Prospective, Multicenter, Randomized Trial for Duration of the Prophylactic Antibiotics after Elective Colorectal Surgery: 3 Days versus 5 Days.: Park, Ji Won , Oh, Jae Hwan , Choi, Hyo Seong , Yoo, Sang Bum , Choe, Young Ju , Park, Sohee , Kim, Jung Man , Lee, Kang Young , Sohn, Seung Kook , Yun, Hae Ran , Chun, Ho Kyung , Lee, Woo Yong; J Korean Soc Coloproctol. 2010;26(2):123-128.; DOI: https://doi.org/10.3393/jksc.2010.26.2.123

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Abstract PDF

PURPOSE
The use of prophylactic antibiotics in elective colorectal surgery is essential. Although postoperative prophylactic antibiotics are recommended within 24 hr, the optimal duration of the use of prophylactic antibiotics after colorectal surgery has not yet been fully proven in Korea. The aim of this study was to compare infectious outcomes in elective colorectal cancer surgery between postoperative 3-day antibiotic therapy and 5-day therapy.
METHODS
We conducted a multicenter, randomized trial of a 3-day use vs. a 5-day use of the second-generation cephalosporin cefotetan after elective colorectal surgery. The main outcome measures were the incidences of surgical site infection and all other infectious complications within 21 days after surgery.
RESULTS
A total of 306 patients were enrolled. Fifty-one patients were excluded because they received additional surgery or dropped out during the study. Two-hundred fifty-five patients were analyzed in this study. The two groups were similar in terms of demographics, ASA score, tumor location, tumor stage, surgical approach (conventional open vs. laparoscopy-assisted vs. robotic-assisted), and type of operation. The incidences of surgical site infection were not significantly different between the 3-day use group (4/130 or 3.1%) and the 5-day use group (3/125 or 2.4%) (P=1.000). Incidences of overall infectious diseases did not differ significantly between the two groups. Postoperatively, both groups had similar values in their white blood cell count, absolute neutrophil count, and C-reactive protein levels. However, the number of patients is small to draw a definite conclusion in this study.
CONCLUSION
Three-day cefotetan administration may be not inferior in preventing surgical site infection compared to 5-day antibiotic administration. However, further studies with a large number of patients are needed before a definite conclusion can be drawn.

Citations

Citations to this article as recorded by

Comparing the Postoperative Complications, Hospitalization Days and Treatment Expenses Depending on the Administration of Postoperative Prophylactic Antibiotics to Hysterectomy
Mi Young Jung, Kyung-Yeon Park
Korean Journal of Women Health Nursing.2017; 23(1): 42. CrossRef
Influence of Shorter Duration of Prophylactic Antibiotic Use on the Incidence of Surgical Site Infection Following Colorectal Cancer Surgery
Youn Young Park, Chang Woo Kim, Sun Jin Park, Kil Yeon Lee, Jung Joo Lee, Hye Ok Lee, Suk-Hwan Lee
Annals of Coloproctology.2015; 31(6): 235. CrossRef
Antimicrobial prophylaxis for colorectal surgery
Richard L Nelson, Ed Gladman, Marija Barbateskovic
Cochrane Database of Systematic Reviews.2014;[Epub] CrossRef
Impact of a national hospital evaluation program using clinical performance indicators on the use of surgical antibiotic prophylaxis in Korea
Eu Suk Kim, Sang-Won Park, Chang-Seop Lee, Yee Gyung Kwak, Chisook Moon, Baek-Nam Kim
International Journal of Infectious Diseases.2012; 16(3): e187. CrossRef
Overview of Antibiotic Use in Korea
Baek-Nam Kim
Infection & Chemotherapy.2012; 44(4): 250. CrossRef

Original Articles

Abdominoperineal Resection in the Treatment of Locally-advanced Low Rectal Cancer: Is Preoperative Chemoradiation Advantageous?.: Kim, Jeong Yeon , Kim, Jin Soo , Kim, Young Wan , Hur, Hyuk , Min, Byung Soh , Kim, Nam Kyu; J Korean Soc Coloproctol. 2010;26(2):129-136.; DOI: https://doi.org/10.3393/jksc.2010.26.2.129

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Abstract PDF: PURPOSE
An abdominoperineal resection (APR) has a poor prognosis. However, limited studies about the prognostic factors in APR and the role of preoperative chemoradiotherapy (CRT) have been performed even though in rectal cancer, the application of preoperative CRT provides better local control compared to postoperative CRT. The aim of this study was to identify the prognostic factors and the impact of preoperative CRT in patients who undergo an APR.
METHODS
A retrospective analysis was conducted with a total of 133 patients who underwent an APR, cT3, cT4, or cN(+) patients, for rectal cancer between January 1995 and October 2004. Fifty-one patients treated with preoperative CRT (Group 1) were compared with 82 APR patients treated with postoperative CRT (Group 2). Oncologic outcomes were compared between the two groups, and the clinicopathologic factors affecting the treatment outcomes were evaluated.
RESULTS
The median follow-up period was 61.2 mo (range 6 to 194 mo). Circumferential margin (CRM) involvement was significantly associated with local recurrence (LR) and with disease-free survival in APR patients (P<0.001, P=0.011). The 5-yr LR rate was significantly lower in Group 1 than in Group 2 (P=0.013) in the univariate analysis, but no difference was noted in multivariate analysis (P=0.315). In Group 1, CRM involvement, tumor size, and lymph node metastasis were significantly lower than they were in Group 2 (P=0.043, P=0.003, P<0.001).
CONCLUSION
For achieving adequate oncologic outcomes in APR patients, an adequate CRM should be acquired with an optimal operation. In addition, preoperative CRT would be helpful for high-risk APR patients with a threatening CRM margin, providing the benefit of tumor downstaging.

Capecitabine-based Neoadjuvant Chemoradiation Therapy in Locally-advanced Rectal Cancer.: Choi, Hong Jo , Park, Ki Jae , Lee, Tae Moo , Ha, Sang Sik , Lee, Ho Young , Lee, Hyung Sik; J Korean Soc Coloproctol. 2010;26(2):137-144.; DOI: https://doi.org/10.3393/jksc.2010.26.2.137

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The aim of the study was to evaluate the efficacy and the toxicity of preoperative treatment with capecitabine in combination with radiation therapy (RT) in patients with locally-advanced, resectable rectal cancer.
METHODS
Thirty-five patients with locally-advanced rectal cancer (cT3/4, N-/+) were treated with capecitabine (825 mg/m2, twice daily for 7 days/wk) and concomitant RT (50.4 Gy/28 fractions). Surgery was performed 6-8 wk after completion of the chemoradiation followed by 4-6 cycles of adjuvant capecitabine monotherapy (1,250 mg/m2, twice daily for 14 days every 3 wk).
RESULTS
The chemoradiation program was completed in all but 2 patients, for whom both capecitabine and RT were interrupted for 2 wk because of grade-3 diarrhea. A R0 resection under the principle of total mesorectal excision (low anterior resection, 26; intersphincteric resection, 6; abdominoperineal resection, 2) was performed in all but one patient with a low anterior resection with positive circumferential margin (R1). Primary tumor and node downstaging occurred in 57% and 60% of patients, respectively. The overall rate of downstaging, including both the primary tumor and node, was 77% (27 patients). A pathological complete response of the primary tumor was achieved in 4 patients (11%). No patient had grade-4 toxicity, and the only grade-3 toxicity developed was diarrhea in 2 patients (6%) during chemoradiation. During a median follow-up of 38 mo, distant metastases developed in 4 patients (multiple lung metastases, 2; aortocaval nodal metastases, 2), and another 2 patients showed local recurrence. The three-year disease-free survival was 83%.
CONCLUSION
This study suggests that preoperative capecitabine-based chemoradiation therapy is an effective and safe treatment modality for the tratment of locally-advanced, resectable rectal cancer.

Microsatellite Instability-low Colorectal Carcinomas: Are They Comparable with Microsatellite Stable Cancer?.: Paek, Ok Joo , Oh, Seung Yeop , Kim, Young Bae , Suh, Kwang Wook; J Korean Soc Coloproctol. 2010;26(2):145-151.; DOI: https://doi.org/10.3393/jksc.2010.26.2.145

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PURPOSE
Microsatellite instability-high (MSI-H) colorectal cancer (CRC) displays a well-described distinct phenotype, but the true biological significance of MSI-low (L) is still uncertain. To clarify the significance of this MSI-L, we studied the differences between patients with CRC with MSI-H, MSI-L, and microsatellite stability (MSS).
METHODS
A total of 723 consecutive patients (429 males and 294 females) who had undergone resections between September 2002 and August 2007 were studied. We analyzed the clinicopathological features, the MSI statuses, and the prognoses of the 723 CRC patients.
RESULTS
MSI-H was observed in 54 (7.5%), MSI-L in 27 (3.7%), and MSS in 642 (88.8%) of the 723 colorectal cancer patients. MSI-L and MSS CRC share similar clinicopathological features. A univariate analysis showed no significant differences in overall survival between MSI-L, MSS, and MSI-H. In the multivariate Cox regression analysis, MSI-L was significantly (P=0.036) associated with poorer prognosis compared with MSS tumors, after adjustment for factors previous shown to be associated with the survival based on potentially relevant variables.
CONCLUSION
In conclusion, the current study showed no difference in the clinicopathological features of MSI-L versus MSS CRCs. However, in the multivariate analysis, patients with MSI-L CRCs had significantly poorer overall survival. Finally, these findings support the existence of MSI-L CRCs as a distinct category. Thus, further studies are required to explore possible reasons for the adverse prognosis associated with MSI-L cancers.

Citations

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MSI‐L/EMAST is a predictive biomarker for metastasis in colorectal cancer patients
Amir Torshizi Esfahani, Seyed Yoosef Seyedna, Ehsan Nazemalhosseini Mojarad, Ahmad Majd, Hamid Asadzadeh Aghdaei
Journal of Cellular Physiology.2019; 234(8): 13128. CrossRef

Case Reports

Rectal Lymphogranuloma Venereum in a Man Who Had Sex with Men.: Kim, Dae Dong; J Korean Soc Coloproctol. 2010;26(2):152-156.; DOI: https://doi.org/10.3393/jksc.2010.26.2.152

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Abstract PDF

We present the case of a 41-yr-old homosexual man who was managed for suspected rectal cancer before lymphogranuloma venereum was clinically diagnosed. At first, he presented with constipation and tenesmus for several days. Upon rectal examination, the mass was palpated at 3 cm from the anal verge. Colonoscopy revealed a tumor of lower rectum, but multiple endoscopic biopsies were unable to reveal the nature of the tumor, so the pathologist just gave the diagnosis of a rectal pseudo-tumor. Positive chlamydial serology was found, and the final diagnosis was made. He was treated for Chlamydia trachomatis with Doxycycline, 100 mg twice daily for 21 days.

Citations

Citations to this article as recorded by

Chlamydial Proctitis in a Young Man Who Has Sex with Men: Misdiagnosed as Inflammatory Bowel Disease
Kyung Jin Lee, Jaeyeon Kim, Dong Hwan Shin, Jun Oh Jung, Seokyoung Koh, Ka Young Kim, Jae Min Lee
Chonnam Medical Journal.2015; 51(3): 139. CrossRef

A Case of Intra-abdominal Heterotopic Paragonimiasis Combined with Rectal Cancer.: Kim, Soo Hong , Kim, Hyung Jin , Lee, Jae Im , Kye, Bong Hyeon , Oh, Soon Nam , Jung, Chan Kwon , Kang, Won Kyung , Kim, Jun Gi , Oh, Seong Taek; J Korean Soc Coloproctol. 2010;26(2):157-160.; DOI: https://doi.org/10.3393/jksc.2010.26.2.157

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2 Citations

Abstract PDF

Paragonimus westermani is a lung fluke that is usually found in the lungs, but may be found in unusual locations. A case of omental and mesenteric paragonimiasis was found incidentally during surgical intervention for rectal cancer. A 59-yr-old male patient visited our hospital for low abdominal pain and decreasing stool caliber. He had a history of ingestion of raw freshwater fish and crab. He was diagnosed as having rectal cancer, and a palliative Hartmann's procedure was performed. During the operation, several seeding nodules were found. Microscopic findings showed numerous paragonimus ova in the resected omental and mesentery. We report a case of heterotopic paragonimiasis in the abdominal cavity after rectal cancer surgery.

Citations

Citations to this article as recorded by

A Case of Ectopic Peritoneal Paragonimiasis Mimicking Diverticulitis or Abdominal Abscess
Min Jae Kim, Sung-Han Kim, Sang-Oh Lee, Sang-Ho Choi, Yang Soo Kim, Jun Hee Woo, Yong Sik Yoon, Kyung Won Kim, Jaeeun Cho, Jong-Yil Chai, Yong Pil Chong
The Korean Journal of Parasitology.2017; 55(3): 313. CrossRef
Paragonimiasis in the Abdominal Cavity and Subcutaneous Tissue: Report of 3 Cases
Chang Ho Lee, Jong Hun Kim, Woo Sung Moon, Min Ro Lee
The Korean Journal of Parasitology.2012; 50(4): 345. CrossRef

Published Erratum

ERRATUM: Expression of LDH-5 in Colorectal Carcinomas: Correlation with Prognosis and Tumor Angiogenesis.: Ahn, Tae Sung , Kim, Chang Jin , Jung, Dong Jun , Park, Dong Guk , Cho, Sung Woo , Kim, Sung Young , Lee, Moon Soo , Kim, Chang Ho , Cho, Moo Sik , Baek, Moo Jun; J Korean Soc Coloproctol. 2010;26(2):161-161.; DOI: https://doi.org/10.3393/jksc.2010.26.2.161

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Abstract PDF: No abstract available.

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