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Volume 27(1); February 2011
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Editorials
Prognostic Significance of Tumor Regression Grade after Preoperative Chemoradiotherapy for Rectal Cancer
Byung Chun Kim
J Korean Soc Coloproctol. 2011;27(1):1-2.   Published online February 28, 2011
DOI: https://doi.org/10.3393/jksc.2011.27.1.1
  • 2,838 View
  • 29 Download
  • 4 Citations
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Citations to this article as recorded by  
  • Relationships Between SMAD3 Expression and Preoperative Fluoropyrimidine‐Based Chemoradiotherapy Response in Locally Advanced Rectal Cancer Patients
    Ming‐Yii Huang, Chih‐Hung Lin, Chun‐Ming Huang, Hsiang‐Lin Tsai, Ching‐Wen Huang, Yung‐Sung Yeh, Chee‐Yin Chai, Jaw‐Yuan Wang
    World Journal of Surgery.2015; 39(5): 1257.     CrossRef
  • Radiation-induced microrna-622 causes radioresistance in colorectal cancer cells by down-regulating Rb
    Wenhui Ma, Jiang Yu, Xiaolong Qi, Li Liang, Yan Zhang, Yi Ding, Xiaoshan Lin, Guoxin Li, Yanqing Ding
    Oncotarget.2015; 6(18): 15984.     CrossRef
  • Glucose transporter 1 (GLUT1) of anaerobic glycolysis as predictive and prognostic values in neoadjuvant chemoradiotherapy and laparoscopic surgery for locally advanced rectal cancer
    Byoung Yong Shim, Ji-Han Jung, Kang-Moon Lee, Hyung-Jin Kim, Sook Hee Hong, Sung Hwan Kim, Der Sheng Sun, Hyeon-Min Cho
    International Journal of Colorectal Disease.2013; 28(3): 375.     CrossRef
  • DPYD,TYMS,TYMP,TK1, andTK2Genetic Expressions as Response Markers in Locally Advanced Rectal Cancer Patients Treated with Fluoropyrimidine-Based Chemoradiotherapy
    Ming-Yii Huang, Chan-Han Wu, Chun-Ming Huang, Fu-Yen Chung, Ching-Wen Huang, Hsiang-Lin Tsai, Chin-Fan Chen, Shiu-Ru Lin, Jaw-Yuan Wang
    BioMed Research International.2013; 2013: 1.     CrossRef
Delayed Postpolypectomy Bleeding
Hyun Shig Kim
J Korean Soc Coloproctol. 2011;27(1):3-3.   Published online February 28, 2011
DOI: https://doi.org/10.3393/jksc.2011.27.1.3
  • 2,262 View
  • 20 Download
  • 2 Citations
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Citations to this article as recorded by  
  • Monoclonal gammopathy of undetermined significance (MGUS) characterized by refractory lower gastrointestinal postoperative bleeding with coagulopathy
    Shuxia Zhang, Zhifen Chen, Meijuan Huang, Rong Zhan, Long Wu, Qian Zhang, Yu Lin, Weizhong Jiang, Pan Chi, Feng'e Yang
    Intractable & Rare Diseases Research.2022; 11(4): 206.     CrossRef
  • In vivo classification of colorectal neoplasia using high‐resolution microendoscopy: Improvement with experience
    Neil D Parikh, Daniel Perl, Michelle H Lee, Shannon S Chang, Alexandros D Polydorides, Erin Moshier, James Godbold, Elinor Zhou, Josephine Mitcham, Rebecca Richards‐Kortum, Sharmila Anandasabapathy
    Journal of Gastroenterology and Hepatology.2015; 30(7): 1155.     CrossRef
Should Abdominoperineal Excision Be Considered as the Initial Treatment for a Primary Anorectal Malignant Melanoma?
Jae Hwan Oh
J Korean Soc Coloproctol. 2011;27(1):4-4.   Published online February 28, 2011
DOI: https://doi.org/10.3393/jksc.2011.27.1.4
  • 2,155 View
  • 20 Download
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Review
Surgical Treatment of Rectal Prolapse
Eung Jin Shin
J Korean Soc Coloproctol. 2011;27(1):5-12.   Published online February 28, 2011
DOI: https://doi.org/10.3393/jksc.2011.27.1.5
  • 6,684 View
  • 90 Download
  • 28 Citations
AbstractAbstract PDF

Rectal prolapse is defined as a protrusion of the rectum beyond the anus. Although rectal prolapse was recognized as early as 1500 BC, the optimal surgical procedure is still debated. The varied operative procedures available for treating rectal prolapsed can be confusing. The aim of treatment is to control the prolapse, restore continence, and prevent constipation or impaired evacuation. In elderly and high-risk patients, perineal approaches, such as Delorme's operation and Altemeier's operation, have been preferred, although the incidence of recurrence and the rate of persistent incontinence seem to be high when compared with transabdominal procedures. Abdominal operations involve dissection and fixation of the rectum and may include a rectosigmoid resection. From the late twentieth century, the laparoscopic procedure has been applied to the treatment of rectal prolapse. Current laparoscopic surgical techniques include suture rectopexy, stapled rectopexy, posterior mesh rectopexy with artificial material, and resection of the sigmoid colon with colorectal anastomosis with or without rectopexy. The choice of surgery depends on the status of the patient and the surgeon's preference.

Citations

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    S. H. Emile, S. M. Khan, Z. Garoufalia, E. Silva-Alvarenga, R. Gefen, N. Horesh, M. R. Freund, S. D. Wexner
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    Timon Mac Sseruwagi, Catherine R Lewis
    Journal of Surgical Case Reports.2023;[Epub]     CrossRef
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    Ashwin Porwal, Paresh Gandhi, Deepak Kulkarni
    World Journal of Colorectal Surgery.2022; 11(2): 32.     CrossRef
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    Cristian Soare, Konstantinos Lasithiotakis, Helena Dearden, Shailendra Singh, Clare McNaught
    Indian Journal of Surgery.2021; 83(S3): 694.     CrossRef
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    Przemysław Ciesielski, Magdalena Szczotko, Małgorzata Kołodziejczak
    Indian Journal of Surgery.2021; 83(3): 634.     CrossRef
  • Outcome of Fecal Incontinence in Patients with Rectal Prolapse Undergoing the Altemeier Procedure with or without Posterior Levatorplasty
    Alimohammad Bananzadeh, Hamed Shariat Razavi, Shahin Khodaei, Maytham Hameed Al-Qanbar, Seyed Mohammad Kazem Tadayon, Seyed Vahid Hosseini, Leila Ghahramani
    Journal of Coloproctology.2021; 41(01): 052.     CrossRef
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    E. S. Pimenova, G. A. Korolev
    Russian Journal of Pediatric Surgery.2021; 25(3): 186.     CrossRef
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    Abdulqader M Albeladi, Ahmad Odeh, Aminah H AlAli, Abdullah M Alkhars, Kawther Boumarah, Hussain A Al Ghadeer, Sara A Alsaied, Ammar Omrani, Khadir Ahmed
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  • Laparoscopic Sutureless Rectopexy Using a Fixation Device for Complete Rectal Prolapse
    Shinobu Tomochika, Nobuaki Suzuki, Shin Yoshida, Toshiyuki Fujii, Yukio Tokumitsu, Yoshitaro Shindo, Michihisa Iida, Shigeru Takeda, Shoichi Hazama, Hiroaki Nagano
    Surgical Laparoscopy, Endoscopy & Percutaneous Techniques.2021; 31(5): 608.     CrossRef
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    Adem Tuncer, Sami Akbulut, Zeki Ogut, Tevfik Tolga Sahin
    International Journal of Surgery Case Reports.2021; 88: 106485.     CrossRef
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    Y. El‐Dhuwaib, A. Pandyan, C. H. Knowles
    Colorectal Disease.2020; 22(10): 1359.     CrossRef
  • Perineal repair of a full‐thickness rectal prolapse in a wild Sumatran orangutan (Pongo abelii)
    Yenny Saraswati, Peter Sedman, Rebecca Sedman, Andika Pandu Wibisono, Citrakasih Nente, Meuthya Sr Simatupang, Ian Singleton, Romain Pizzi
    Journal of Medical Primatology.2019; 48(1): 65.     CrossRef
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    A. Porwal
    Colorectal Disease.2019; 21(4): 493.     CrossRef
  • Usefulness of laparoscopic posterior rectopexy for complete rectal prolapse: A cohort study
    Hiroki Hashida, Masato Sato, Yukiko Kumata, Motoko Mizumoto, Masato Kondo, Hiroyuki Kobayashi, Takehito Yamamoto, Hiroaki Terajima, Satoshi Kaihara
    International Journal of Surgery.2019; 72: 109.     CrossRef
  • Management of rectal prolapse (Guda Bhramsa) through Kshara Karma (chemical cauterisation) – a case study
    Madan Bhandari, Basavaraj Chanda, Prasanna N. Rao, Gopikrishna B.J, Sahanasheela K.R
    Journal of Coloproctology.2019; 39(04): 389.     CrossRef
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    Remil Simon, Keith Hollister, J. Daniel Stanley, Shauna Lorenzo-Rivero
    The American Surgeon.2018; 84(9): 383.     CrossRef
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    G. E. Fowler, D. M. Baker, M. J. Lee, S. R. Brown
    Techniques in Coloproctology.2017; 21(11): 853.     CrossRef
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    Yakov Khromov, Nasser Sakran, Alexander Becker, Dan Hershko
    ANZ Journal of Surgery.2017;[Epub]     CrossRef
  • MESH ANOPLASTY- AN UNIQUE APPROACH TO RECTAL PROLAPSE
    Renganathan D N, Jayakumar R, Venkadesan V S, Viggnesh P, Balaji D J
    Journal of Evolution of Medical and Dental Sciences.2017; 6(16): 1303.     CrossRef
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    Samir Ahmad Ammar, Mohamad B. M. Kottb
    Surgical Innovation.2015; 22(3): 240.     CrossRef
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    Ravikiran Naalla, Raghunath Prabhu, Rajgopal Shenoy, Inge Gerdina Joanna Hendriks
    BMJ Case Reports.2014; : bcr2014204822.     CrossRef
  • A Simple and Safe Procedure to Repair Rectal Prolapse Perineally Using Stapling Devices
    Fumitake Hata, Hidefumi Nishimori, Shinichiro Ikeda, Tomomi Yajima, Akihiko Nishio, Yuji Ishiyama
    Case Reports in Gastroenterology.2014; 8(1): 39.     CrossRef
  • Midterm Results After Perineal Stapled Prolapse Resection for External Rectal Prolapse
    Diana Sehmer, Lukas Marti, Katja Wolff, Franc H. Hetzer
    Diseases of the Colon & Rectum.2013; 56(1): 91.     CrossRef
  • Evaluation and surgical treatment of rectal prolapse: an international survey
    H. A. Formijne Jonkers, W. A. Draaisma, S. D. Wexner, I. A. M. J. Broeders, W. A. Bemelman, I. Lindsey, E. C. J. Consten
    Colorectal Disease.2013; 15(1): 115.     CrossRef
  • Ergebnisse im Langzeitverlauf nach staplerunterstützter transanaler Rektumresektion (STARR)
    K. Köhler, S. Stelzner, G. Hellmich, D. Lehmann, T. Jackisch, B. Fankhänel, H. Witzigmann
    coloproctology.2013; 35(3): 169.     CrossRef
  • Results in the long-term course after stapled transanal rectal resection (STARR)
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Original Articles
Analysis of Delayed Postpolypectomy Bleeding in a Colorectal Clinic
Do Hyoung Kim, Seok Won Lim
J Korean Soc Coloproctol. 2011;27(1):13-16.   Published online February 28, 2011
DOI: https://doi.org/10.3393/jksc.2011.27.1.13
  • 3,489 View
  • 32 Download
  • 7 Citations
AbstractAbstract PDF
Purpose

The colonoscopic polypectomy has become a valuable procedure for removing precursors of colorectal cancer, but some complications can be occurred. The most common complication after colonoscopic polypectomy is bleeding, which is reported to range from 1% to 6% and which can be immediate or delayed. Because the management of delayed postpolypectomy bleeding could be difficult, the use of preventive technique and reductions of risk factors are essential.

Methods

From January 2007 to December 2008, delayed hemorrhage occurred in 18 of the 1,841 polypectomy patients examined by one endoscopist. These cases were reviewed retrospectively for risk factors, pathologic findings, and treatment methods.

Results

Delayed bleeding occurred in 18/1,841 patients (0.95%). The mean age was 55.9 ± 10.9 years, and the male-to-female ratio was 8:1. The most common site was the right colon (11 cases, 61.1%), and the average polyp size was 9.2 ± 2.8 mm. Delayed bleeding was identified from 1 to 5 days after resection (mean, 1.6 ± 1.2 days). The most common macroscopic type of polyp was a sessile polyp (10 cases, 55.6%), and histologic finding was a tubular adenoma in 13 cases (72.2%). Seventeen cases were treated with clipping for hemostasis and 1 case with epinephrine injection.

Conclusion

The right colon and a sessile polyp were associated with an increase in delayed postpolypectomy bleeding. Reducing risk factors and close observation were essential in high risk patients, and prompt management with hemoclips was effective.

Citations

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Clinical Characteristics of Colorectal Carcinoid Tumors
J Korean Soc Coloproctol. 2011;27(1):17-20.   Published online February 28, 2011
DOI: https://doi.org/10.3393/jksc.2011.27.1.17
  • 4,402 View
  • 48 Download
  • 19 Citations
AbstractAbstract PDF
Purpose

The carcinoid tumor was recently categorized as a malignant disease due to its possibility of metastasis. This study was aimed to investigate the clinical characteristics and the metastatic rate of colorectal carcinoid tumors.

Methods

Charts were reviewed for 502 patients diagnosed with and treated for colorectal carcinoid tumors between January 2006 and December 2009. The location, size, depth and metastatic status of the tumors were collected.

Results

Including 24 synchronous tumors from 12 patients, 514 carcinoid tumors were removed. Most of them were found in the rectum (97.3%). The male-to-female ratio was 1.38 to 1, and mean age was 50.2 ± 11.4 years. The mean tumor size was 5.8 ± 3.6 mm. Less than 10-mm-sized tumors had a 1.95% lymph node metastatic rate; tumors with sizes from 10 mm to 20 mm and larger than 20 mm had 23.5% and 50% lymph node metastatic rates, respectively. Two cases had distant metastasis; one with a 22-mm-sized tumor metastasized to the liver, and the other with a 20-mm-sized tumor metastasized to the peritoneum. Among 414 patients who completed metastatic studies, 93.8% were classified as stage I, 0.9% as stage II, 4.8% as stage III and 0.5% as stage IV.

Conclusion

Colorectal carcinoid tumors smaller than 10 mm have a low rate of lymph node metastasis, but those sized 10 mm or larger incur significant risk. Further investigation regarding additional risk factors should be done to develop proper treatment guidelines for these tumors.

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Analysis of the Prognostic Effectiveness of a Multivisceral Resection for Locally Advanced Colorectal Cancer
Sejin Park, Yun Sik Lee
J Korean Soc Coloproctol. 2011;27(1):21-26.   Published online February 28, 2011
DOI: https://doi.org/10.3393/jksc.2011.27.1.21
  • 3,497 View
  • 28 Download
  • 23 Citations
AbstractAbstract PDF
Purpose

The aim of this study was to evaluate the prognostic effectiveness of multivisceral resections of organs involved by locally advanced colorectal cancer.

Methods

A retrospective study was performed to analyze the data collected for 266 patients who underwent a curative resection for pT3-pT4 colorectal cancer without distant metastasis from January 2000 to December 2007. Of these 266 patients, 54 patients had macroscopically direct invasion of adjacent organs and underwent a multivisceral resection. We evaluated the short-term and the long-term outcomes of a multiviceral resection relative to that of standard surgery.

Results

The most common location for the primary lesion was the rectum, followed by the right colon and the sigmoid colon. Among the combined resected organs, common organs were the small bowel, ovary, and bladder. In the multivisceral resection group, tumor infiltration was confirmed histologically in 44.4% of the cases while in the remaining patients, a peritumorous adhesion had mimicked tumor invasion. Postoperative complications occurred in 17.5% of the patients who underwent standard surgery vs. 35.2% of those who underwent a multivisceral resection (P < 0.0001). But the survival rate of patients after a multivisceral resection was similar to that of patients after standard surgery (5-year survival rates: 61% vs. 58%; P = 0.36).

Conclusion

For locally advanced colorectal cancer, multivisceral resection was associated with higher postoperative morbidity, but the long-term survival after a curative resection is similar to that after a standard resection. Thus, a multivisceral resection can be recommended for most patients of locally advanced colorectal cancer.

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Treatment Outcomes of Anorectal Melanoma
Byung Min Choi, Hyoung Ran Kim, Hae-Ran Yun, Seung Ho Choi, Yong Beom Cho, Hee Cheol Kim, Seong Hyeon Yun, Woo Yong Lee, Ho-Kyung Chun
J Korean Soc Coloproctol. 2011;27(1):27-30.   Published online February 28, 2011
DOI: https://doi.org/10.3393/jksc.2011.27.1.27
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AbstractAbstract PDF
Purpose

An anorectal melanoma (AM) is a very rare tumor. However, sufficient data supporting effective surgical options for the disease do not exist. This retrospective review aimed to analyze treatment outcomes for an AM.

Methods

From June 1999 to December 2008, we retrospectively reviewed a prospectively collected consecutive series of 19 patients who had undergone a surgical resection for an AM at a single institute. Surgical method and clinicopathological factors were analyzed.

Results

The median age was 61.4 years (range, 46 to79 years). Main symptoms were an anal mass, hematochezia, perianal pain, tenesmus, fecal incontinence, and bowel habit change. The average duration of symptoms before diagnosis was 7.8 months (range, 1 to 36 months). S-100 and HMB-45 were positive in all patients, even in non-melanin pigmentation. There were 12 abdominoperineal resections (APRs) and 7 wide local excisions (WEs). The APR showed longer overall survival when compared with the WE (64.1 months vs. 10.9 months, P < 0.001). No patients who underwent a WE survived more than 13 months.

Conclusion

A high index of suspicion is necessary to establish the diagnosis for an AM in patients with anal symptoms, and S-100 and HMB-45 can be useful markers for an AM. Even with the small number of cases and the short follow-up, our data suggest that an APR for an AM may provide longer survival than a WE.

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Clinical Impact of Tumor Regression Grade after Preoperative Chemoradiation for Locally Advanced Rectal Cancer: Subset Analyses in Lymph Node Negative Patients
Byung Soh Min, Nam Kyu Kim, Ju Yeon Pyo, Hoguen Kim, Jinsil Seong, Ki Chang Keum, Seung Kook Sohn, Chang Hwan Cho
J Korean Soc Coloproctol. 2011;27(1):31-40.   Published online February 28, 2011
DOI: https://doi.org/10.3393/jksc.2011.27.1.31
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  • 10 Citations
AbstractAbstract PDF
Background

We investigated the prognostic significance of tumor regression grade (TRG) after preoperative chemoradiation therapy (preop-CRT) for locally advanced rectal cancer especially in the patients without lymph node metastasis.

Methods

One-hundred seventy-eight patients who had cT3/4 tumors were given 5,040 cGy preoperative radiation with 5-fluorouracil/leucovorin chemotherapy. A total mesorectal excision was performed 4-6 weeks after preop-CRT. TRG was defined as follows: grade 1 as no cancer cells remaining; grade 2 as cancer cells outgrown by fibrosis; grade 3 as a minimal presence or absence of regression. The prognostic significance of TRG in comparison with histopathologic staging was analyzed.

Results

Seventeen patients (9.6%) showed TRG1. TRG was found to be significantly associated with cancer-specific survival (CSS; P = 0.001) and local recurrence (P = 0.039) in the univariate study, but not in the multivariate analysis. The ypN stage was the strongest prognostic factor in the multivariate analysis. Subgroup analysis revealed TRG to be an independent prognostic factor for the CSS of ypN0 patients (P = 0.031). TRG had a stronger impact on the CSS of ypN (-) patients (P = 0.002) than on that of ypN (+) patients (P = 0.521). In ypT2N0 and ypT3N0, CSS was better for TRG2 than for TRG3 (P = 0.041, P = 0.048), and in ypN (-) and TRG2 tumors, CSS was better for ypT1-2 than for ypT3-4 (P = 0.034).

Conclusion

TRG was found to be the strongest prognostic factor in patients without lymph node metastasis (ypN0), and different survival was observed according to TRG among patients with a specific histopathologic stage. Thus, TRG may provide an accurate prediction of prognosis and may be used for f tailoring treatment for patients without lymph node metastasis.

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Case Reports
A Case of Small Bowel Obstruction Due to a Paracecal Hernia
Eun-Jung Jang, Seung Hyun Cho, Dae-Dong Kim
J Korean Soc Coloproctol. 2011;27(1):41-43.   Published online February 28, 2011
DOI: https://doi.org/10.3393/jksc.2011.27.1.41
  • 4,339 View
  • 31 Download
  • 25 Citations
AbstractAbstract PDF

Internal hernias are rare causes of small bowel obstruction, and one such internal hernia is the paracecal hernia. We report a case of a small bowel obstruction related to a paracecal hernia in which a preoperative diagnosis was made on computed tomography. A laparotomy was performed for definitive diagnosis and treatment. The surgery achieved a good outcome.

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Laparoscopic Treatment of Adult Sigmoidorectal Intussusception Caused by a Mucinous Adenocarcinoma of the Sigmoid Colon: A Case Report
Seok Youn Lee, Won Cheol Park, Jeong Kyun Lee, Dong Baek Kang, Young Kim, Ki Jung Yun
J Korean Soc Coloproctol. 2011;27(1):44-49.   Published online February 28, 2011
DOI: https://doi.org/10.3393/jksc.2011.27.1.44
  • 4,277 View
  • 55 Download
  • 3 Citations
AbstractAbstract PDF

Intussusception is a rare cause of intestinal obstruction in adult patients, but is common in children. In fact, it accounts for an estimated 1% of all cases of bowel obstruction in adults, although adult intussusception of the large intestine is rare. Sigmoidorectal intussusception, however, is a rare variety with few cases reported in the literature. A mucinous adenocarcinoma, a subtype of adenocarcinoma, is characterized by extracellular mucin production and accounts for between 5% and 15% of the neoplasms of the colon and rectum. Despite the general consensus supporting surgical resections for adult intussuceptions, controversy remains over whether intussuceptions should be reduced before resection. Most cases of colon intussusception should not be reduced before resection because they most likely represent a primary adenocarcinoma. However, prior reduction followed by a resection can be considered for the sigmoidorectal intussusception to avoid inadvertent low rectal cancer sugery. We experienced one case of sigmoidorectal intussusception caused by a mucinous adenocarcinoma of the sigmoid colon in a 79-year-old woman. Abdominal computed tomography demonstrated a sigmoidorectal intussusception. After the end-to-end anastomosis-dilator-assisted reduction, the patient underwent a laparoscopic oncological anterior resection under the impression that a sigmoidorectal intussusception existed. We report a successful laparoscopic anterior resection in a patient with an intussusception caused by a sigmoid malignant tumor.

Citations

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  • Laparoscopic Reduction of Sigmoidorectal Intussusception by a Modified Hutchinson’s Maneuver
    Haruna Onoyama, Takashi Nakamura, Yuka Ahiko, Naoki Sakuyama, Susumu Aikou, Dai Shida
    Indian Journal of Surgery.2024; 86(2): 428.     CrossRef
  • Strangulated appendiceal intussusception caused by isolated endometriosis
    Seokyoun Lee, Junhee Lee, Keunyoung Kim
    Clinical and Experimental Emergency Medicine.2021; 8(3): 246.     CrossRef
  • Unusual causes of large bowel obstruction
    Nicholas G. Farkas, Ted Joseph P. Welman, Talisa Ross, Sarah Brown, Jason J. Smith, Nikhil Pawa
    Current Problems in Surgery.2019; 56(2): 49.     CrossRef

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