Annals of Coloproctology

Volume 27(2); April 2011

Editorials

The Clinical Usefulness of the Sentinel Lymph Node in Rectal Cancer: Do We Believe It?: Jong Woo Kim; J Korean Soc Coloproctol. 2011;27(2):51-52. Published online April 30, 2011; DOI: https://doi.org/10.3393/jksc.2011.27.2.51

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Long-term Oncologic Outcomes of Laparoscopic Resection for Colorectal Cancer: Seung-Yong Jeong; J Korean Soc Coloproctol. 2011;27(2):53-53. Published online April 30, 2011; DOI: https://doi.org/10.3393/jksc.2011.27.2.53

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Review

Pruritus Ani: Seok-Gyu Song, Soung-Ho Kim; J Korean Soc Coloproctol. 2011;27(2):54-57. Published online April 30, 2011; DOI: https://doi.org/10.3393/jksc.2011.27.2.54

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Abstract PDF

Pruritus ani is an unpleasant cutaneous sensation that induces the desire to scratch the skin around the anal orifice. It may start insidiously and appears in 1% to 5% of the population. It is classified as primary (idiopathic) pruritus ani when no cause can be found. However, as 25% to 75% of cases have co-existing pathology, a detailed history and examination are necessary. The goal of treatment is asymptomatic, intact, dry, clean perianal skin with reversal of morphological changes. The management of pruritus ani is directed towards the underlying cause. If the diagnosis is idiopathic pruritus ani, the patients can still be managed with great success by eliminating of irritants and scratching, by giving general advice regarding hygiene and lifestyle modification and by using active treatment measures.

Citations

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Pruritus Ani—Not an Itch that Can Be Ignored
Roy Mahapatra, Brooke Davies, Matthew Fok, Jennie Grainger
Indian Journal of Surgery.2024; 86(2): 281. CrossRef
Experience of using homeopathic ointment in the treatment of patients with anal itching
L. A. Lichman, S. E. Katorkin, P. S. Andreev, O. E. Davydova
Ambulatornaya khirurgiya = Ambulatory Surgery (Russia).2024; 21(1): 100. CrossRef
Adsorption behavior of methylene blue using purified moroccan clay/alginate beads: response surface methodology optimization
El Mustafa Iboustaten, Roberta Bertani, Karim Tanji, Imane El Mrabet, Youssef Fahoul, Paolo Sgarbossa, Mohamed Ezzejjari, Abdelhak Kherbeche
Reaction Kinetics, Mechanisms and Catalysis.2023; 136(3): 1563. CrossRef
Pruritis ani
Josiah Damisa, Ertan Teodorescu, Sanjay Harrison
InnovAiT: Education and inspiration for general practice.2022; 15(6): 336. CrossRef
Be Kind to Your Behind: A Systematic Review of the Habitual Use of Bidets in Benign Perianal Disease
Zarrukh Baig, Nawaf Abu-Omar, Michael Harington, Dilip Gill, David Nathan Ginther, Guy Cohen
Evidence-Based Complementary and Alternative Medicine.2022; 2022: 1. CrossRef
SOOTHER TRIAL: Observational study of an over-the-counter ointment to heal anal itch
Isaac Felemovicius, Robert A. Ganz, Mohammad Saremi, William Christopfel
Frontiers in Medicine.2022;[Epub] CrossRef
Survey of electric bidet toilet use among community dwelling Japanese people and correlates for an itch on the anus
Akira Tsunoda, Tomoko Takahashi, Kaori Arika, Sachiyo Kubo, Takeshi Tokita, Shogo Kameda
Environmental Health and Preventive Medicine.2016; 21(6): 547. CrossRef
Anorectal Complaints in the Emergency Department
Christina Lynn Tupe, Thuy Van Pham
Emergency Medicine Clinics of North America.2016; 34(2): 251. CrossRef
Efficacy of topical tacrolimus for the treatment of persistent pruritus ani in patients with atopic dermatitis
Haydar Ucak, Betul Demir, Demet Cicek, Selma Bakar Dertlioglu, Zeynep Meltem Akkurt, Derya Ucmak, Nurhan Halisdemir
Journal of Dermatological Treatment.2013; 24(6): 454. CrossRef

Original Articles

Conventional Linear versus Purse-string Skin Closure after Loop Ileostomy Reversal: Comparison of Wound Infection Rates and Operative Outcomes: Jung Ryeol Lee, Young Wan Kim, Jong Je Sung, Ok-Pyung Song, Hyung Chul Kim, Cheol-Wan Lim, Gyu-Seok Cho, Jun Chul Jung, Eung-Jin Shin; J Korean Soc Coloproctol. 2011;27(2):58-63. Published online April 30, 2011; DOI: https://doi.org/10.3393/jksc.2011.27.2.58

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Abstract PDF

Purpose

Wound infection after an ileostomy reversal is a common problem. To reduce wound-related complications, purse-string skin closure was introduced as an alternative to conventional linear skin closure. This study is designed to compare wound infection rates and operative outcomes between linear and purse-string skin closure after a loop ileostomy reversal.

Methods

Between December 2002 and October 2010, a total of 48 consecutive patients undergoing a loop ileostomy reversal were enrolled. Outcomes were compared between linear skin closure (group L, n = 30) and purse string closure (group P, n = 18). The operative technique for linear skin closure consisted of an elliptical incision around the stoma, with mobilization, and anastomosis of the ileum. The rectus fascia was repaired with interrupted sutures. Skin closure was performed with vertical mattress interrupted sutures. Purse-string skin closure consisted of a circumstomal incision around the ileostomy using the same procedures as used for the ileum. Fascial closure was identical to linear closure, but the circumstomal skin incision was approximated using a purse-string subcuticular suture (2-0 Polysorb).

Results

Between group L and P, there were no differences of age, gender, body mass index, and American Society of Anesthesiologists (ASA) scores. Original indication for ileostomy was 23 cases of malignancy (76.7%) in group L, and 13 cases of malignancy (77.2%) in group P. The median time duration from ileostomy to reversal was 4.0 months (range, 0.6 to 55.7 months) in group L and 4.1 months (range, 2.2 to 43.9 months) in group P. The median operative time was 103 minutes (range, 45 to 260 minutes) in group L and 100 minutes (range, 30 to 185 minutes) in group P. The median hospital stay was 11 days (range, 5 to 4 days) in group L and 7 days (range, 4 to 14 days) in group P (P < 0.001). Wound infection was found in 5 cases (16.7%) in group L and in one case (5.6%) in group L (P = 0.26).

Conclusion

Based on this study, purse-string skin closure after a loop ileostomy reversal showed comparable outcomes, in terms of wound infection rates, to those of linear skin closure. Thus, purse-string skin closure could be a good alternative to the conventional linear closure.

Citations

Citations to this article as recorded by

Micro-power negative pressure wound technique reduces risk of incision infection following loop ileostomy closure
Deng-Yong Xu, Bing-Jun Bai, Lina Shan, Hui-Yan Wei, Deng-Feng Lin, Ya Wang, Da Wang
World Journal of Gastrointestinal Surgery.2024; 16(1): 186. CrossRef
Comparison of purse-string technique vs linear suture for skin closure after ileostomy reversal. A randomized controlled trial
Filippo Carannante, Gianluca Costa, Valentina Miacci, Gianfranco Bianco, Gianluca Masciana, Sara Lauricella, Marco Caricato, Gabriella Teresa Capolupo
Langenbeck's Archives of Surgery.2024;[Epub] CrossRef
Incisional negative pressure wound therapy vs primary wound suturing after intestinal ostomy closure: a systematic review and meta-analysis
Michał Kisielewski, Karolina Richter, Magdalena Pisarska-Adamczyk, Michał Wysocki, Nikola Kłos, Tomasz Stefura, Tomasz Wojewoda, Wojciech M. Wysocki
Advances in Wound Care.2024;[Epub] CrossRef
Comparison of modified gunsight suture technique and traditional interrupted suture in enterostomy closure
Chang Chen, Xiang Zhang, Zhi-Qiang Cheng, Bin-Bin Zhang, Xin Li, Ke-Xin Wang, Yong Dai, Yan-Lei Wang
World Journal of Gastroenterology.2023; 29(29): 4571. CrossRef
Wound Infection After Ileostomy Closure: An Interim Analysis of a Prospective Randomized Study Comparing Primary Versus Circumferential Subcuticular Closure Techniques
Sumesh Kaistha, Rajesh Panwar, Sujoy Pal, Nihar Ranjan Dash, Peush Sahni, Tushar Kanti Chattopadhyay
Surgical Infections.2023; 24(9): 797. CrossRef
A comparison of surgical site infections in children after stoma reversal between purse-string and linear closure
Chanathip Sayuen, Ratiyaporn Phannua, Sinobol Chusilp, Patchareeporn Tanming, Suchat Areemit, Katawaetee Decharun, Paisarn Vejchapipat, Kanokrat Thaiwatcharamas
Pediatric Surgery International.2022; 38(1): 149. CrossRef
Comparative study of wound healing following purse-string closure versus conventional linear closure for stoma reversal
Vivek Kumar Roy, Pradeep Jaiswal, Mukesh Kumar, Sukalyan Saha Roy, Saumya Sinha, Anjili Kumari, Krishna Gopal
Southeast Asian Journal of Case Report and Review.2022; 9(1): 1. CrossRef
COMPARISON BETWEEN OSTOMY CLOSURE USING PURSE-STRING VERSUS LINEAR IN CHILDREN
Shahnam Askarpour, Mehran Peyvasteh, Farbod Farhadi, Hazhir Javaherizadeh
ABCD. Arquivos Brasileiros de Cirurgia Digestiva (São Paulo).2022;[Epub] CrossRef
Gunsight sutures significantly reduce surgical-site infection after ileostomy reversal compared with linear sutures
Chuang-Kun Li, Wei-Wen Liang, Huai-Ming Wang, Wen-Tai Guo, Xiu-Sen Qin, Jie Zhao, Wen-Bin Zhou, Yang Li, Hui Wang, Rong-Kang Huang
Gastroenterology Report.2021; 9(4): 357. CrossRef
Evidence-based adoption of purse-string skin closure for stoma wounds
Nilotpal Behuria, Jayant Kumar Banerjee, Sita Ram Ghosh, Shrirang Vasant Kulkarni, Ramanathan Saranga Bharathi
Medical Journal Armed Forces India.2020; 76(2): 185. CrossRef
Purse-string vs. linear skin closure at loop ileostomy reversal: a systematic review and meta-analysis
M. Gachabayov, H. Lee, A. Chudner, A. Dyatlov, N. Zhang, R. Bergamaschi
Techniques in Coloproctology.2019; 23(3): 207. CrossRef
The Effectiveness of Contralateral Drainage in Reducing Superficial Incisional Surgical Site Infection in Loop Ileostomy Closure: Prospective, Randomized Controlled Trial
Anna Serracant, Xavier Serra‐Aracil, Laura Mora‐López, Anna Pallisera‐Lloveras, Sheila Serra‐Pla, Alba Zárate‐Pinedo, Salvador Navarro‐Soto
World Journal of Surgery.2019; 43(7): 1692. CrossRef
Does Wound Irrigation with Clorhexidine Gluconate Reduce the Surgical Site Infection Rate in Closure of Temporary Loop Ileostomy? A Prospective Clinical Study
Mustafa Goztok, Mustafa Cem Terzi, Tufan Egeli, Naciye Cigdem Arslan, Aras Emre Canda
Surgical Infections.2018; 19(6): 634. CrossRef
Purse-string skin closure versus linear skin closure techniques in stoma closure: a comprehensive meta-analysis with trial sequential analysis of randomised trials
Shahab Hajibandeh, Shahin Hajibandeh, Andrew Kennedy-Dalby, Sheik Rehman, Reza Arsalani Zadeh
International Journal of Colorectal Disease.2018; 33(10): 1319. CrossRef
Construction and Closure of Umbilical Ileostomy in Laparoscopic Rectal Surgery
Masahiro Hada, Masanori Kotake, Daiki Kakiuchi, Kengo Hayashi, Sho Yamada, Koichiro Sawada, Masahiro Oshima, Yosuke Kato, Chikashi Hiranuma, Yuko Yamada, Chiharu Hiraki, Takuo Hara
The Japanese Journal of Gastroenterological Surgery.2017; 50(11): 857. CrossRef
Purse-String Versus Linear Conventional Skin Wound Closure of an Ileostomy: A Randomized Clinical Trial
Mina Alvandipour, Babak Gharedaghi, Hamed Khodabakhsh, Mohammad Yasin Karami
Annals of Coloproctology.2016; 32(4): 144. CrossRef
Subcutaneous vacuum drains reduce surgical site infection after primary closure of defunctioning ileostomy
Hong-Da Pan, Lin Wang, Yi-Fan Peng, Ming Li, Yun-Feng Yao, Jun Zhao, Tian-Cheng Zhan, Chang-Zheng Du, Jin Gu
International Journal of Colorectal Disease.2015; 30(7): 977. CrossRef
Temporary Diverting Ileostomy via the Umbilicus: a Small Case Series
C. D. Mushaya, Raaj Chandra, Wendy Sansom, James Keck
International Surgery.2015; 100(3): 436. CrossRef
Laparoscopic Versus Open Loop Ileostomy Reversal: Is there an Advantage to a Minimally Invasive Approach?
Monica T. Young, Grace S. Hwang, Gopal Menon, Timothy F. Feldmann, Mehraneh D. Jafari, Fariba Jafari, Eden Perez, Alessio Pigazzi
World Journal of Surgery.2015; 39(11): 2805. CrossRef
Clinical Trial on the Incidence of Wound Infection and Patient Satisfaction After Stoma Closure: Comparison of Two Skin Closure Techniques
Sang Il Yoon, Sun Mi Bae, Hwan Namgung, Dong Guk Park
Annals of Coloproctology.2015; 31(1): 29. CrossRef
Comparison of surgical techniques for stoma closure: A retrospective study of purse-string skin closure versus conventional skin closure following ileostomy and colostomy reversal
YUMA WADA, NORIKATSU MIYOSHI, MASAYUKI OHUE, SHINGO NOURA, SHIKI FUJINO, KEIJIROU SUGIMURA, HIROFUMI AKITA, MASAAKI MOTOORI, KUNIHITO GOTOH, HIDENORI TAKAHASHI, SHOGO KOBAYASHI, TAKESHI OHMORI, YOSHIYUKI FUJIWARA, MASAHIKO YANO
Molecular and Clinical Oncology.2015; 3(3): 619. CrossRef
A beneficial effect of purse-string skin closure after ileostomy takedown: A retrospective cohort study
Yong Joon Suh, Ji Won Park, Yong Sok Kim, Sung Chan Park, Jae Hwan Oh
International Journal of Surgery.2014; 12(6): 615. CrossRef
Abdominal Wall Closure After a Stomal Reversal Procedure
Manuel López-Cano, José Antonio Pereira, Borja Villanueva, Francesc Vallribera, Eloy Espin, Manuel Armengol Carrasco, María Antonia Arbós Vía, Xavier Feliu, Salvador Morales-Conde
Cirugía Española (English Edition).2014; 92(6): 387. CrossRef
Cierre de la pared abdominal después del cierre de un estoma temporal
Manuel López-Cano, José Antonio Pereira, Borja Villanueva, Francesc Vallribera, Eloy Espin, Manuel Armengol Carrasco, María Antonia Arbós Vía, Xavier Feliu, Salvador Morales-Conde
Cirugía Española.2014; 92(6): 387. CrossRef
The use of purse-string skin closure in loop ileostomy reversals leads to lower wound infection rates—a single high-volume centre experience
Nils Habbe, Sabine Hannes, Juliane Liese, Guido Woeste, Wolf Otto Bechstein, Christoph Strey
International Journal of Colorectal Disease.2014; 29(6): 709. CrossRef
Pursestring Closure of the Stoma Site Leads to Fewer Wound Infections
Janet T. Lee, Thao T. Marquez, Daniel Clerc, Olivier Gie, Nicolas Demartines, Robert D. Madoff, David A. Rothenberger, Dimitrios Christoforidis
Diseases of the Colon & Rectum.2014; 57(11): 1282. CrossRef
Complications after Loop Ileostomy Closure: A Retrospective Analysis of 132 Patients
Eligijus Poskus, Edvinas Kildusis, Edgaras Smolskas, Marijus Ambrazevicius, Kestutis Strupas
Visceral Medicine.2014; 30(4): 276. CrossRef
Randomized controlled trial: comparison of two surgical techniques for closing the wound following ileostomy closure: purse string vs direct suture
N. Dusch, D. Goranova, F. Herrle, M. Niedergethmann, P. Kienle
Colorectal Disease.2013; 15(8): 1033. CrossRef
Influence of skin closure technique on surgical site infection after loop ileostomy reversal: Retrospective cohort study
C.D. Klink, M. Wünschmann, M. Binnebösel, H.P. Alizai, A. Lambertz, G. Boehm, U.P. Neumann, C.J. Krones
International Journal of Surgery.2013; 11(10): 1123. CrossRef
Purse-string approximation is superior to primary skin closure following stoma reversal: a systematic review and meta-analysis
D. P. McCartan, J. P. Burke, S. R. Walsh, J. C. Coffey
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Primary linear closure with closed suction wound drain after ileostomy takedown
Mi Kyoung Hong, Min-Su Park, Sun Jin Park, Kil Yeon Lee
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Long-term Outcomes of Laparoscopic Surgery for Colorectal Cancer: Jeong-Eun Lee, Yong-Geul Joh, Sang-hwa Yoo, Geu-Young Jeong, Sung-Han Kim, Choon-Sik Chung, Dong-Gun Lee, Seon Hahn Kim; J Korean Soc Coloproctol. 2011;27(2):64-70. Published online April 30, 2011; DOI: https://doi.org/10.3393/jksc.2011.27.2.64

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Abstract PDF

Purpose

The long-term results of a laparoscopic resection for colorectal cancer have been reported in several studies, but reports on the results of laparoscopic surgery for rectal cancer are limited. We investigated the long-term outcomes, including the five-year overall survival, disease-free survival and recurrence rate, after a laparoscopic resection for colorectal cancer.

Methods

Using prospectively collected data on 303 patients with colorectal cancer who underwent a laparoscopic resection between January 2001, and December 2003, we analyzed sex, age, stage, complications, hospital stay, mean operation time and blood loss. The overall survival rate, disease-free survival rate and recurrence rate were investigated for 271 patients who could be followed for more than three years.

Results

Tumor-node-metastasis (TNM) stage I cancer was present in 55 patients (18.1%), stage II in 116 patients (38.3%), stage III in 110 patients (36.3%), and stage IV in 22 patients (7.3%). The mean operative time was 200 minutes (range, 100 to 535 minutes), and the mean blood loss was 97 mL (range, 20 to 1,200 mL). The mean hospital stay was 11 days and the mean follow-up period was 54 months. The mean numbers of resected lymph nodes were 26 and 21 in the colon and the rectum, respectively, and the mean distal margins were 10 and 3 cm. The overall morbidity rate was 26.1%. The local recurrence rates were 2.2% and 4.4% in the colon and the rectum, respectively, and the distant recurrence rates were 7.8% and 22.5%. The five-year overall survival rates were 86.1% in the colon (stage I, 100%; stage II, 97.6%; stage III, 77.5%; stage IV, 16.7%) and 68.8% in the rectum (stage I, 90.2%; stage II, 84.0%; stage III, 57.6; stage IV, 13.3%). The five-year disease-free survival rates were 89.8% in the colon (stage I, 100%; stage II, 97.7%; stage III, 74.2%) and 74.5% in the rectum (stage I, 90.0%; stage II, 83.9%; stage III, 59.2%).

Conclusion

Laparoscopic surgery for colorectal cancer is a good alternative method to open surgery with tolerable oncologic long-term results.

Citations

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Laparoscopic tme with sphincter preservation for rectal cancer: Five-year results
Hữu Thịnh Nguyễn
Vietnam Journal of Endolaparoscopic Surgey.2020;[Epub] CrossRef
Functional and clinical outcomes of hand-assisted laparoscopic colorectal surgery: a single-institution experience in 255 patients
A. Dulskas, N.E. Samalavicius, R.K. Gupta, A. Kilius, K. Petrulis, R.S. Samalavicius, R. Tikuisis
European Surgery.2015; 47(2): 75. CrossRef
Comparison of the clinical outcomes of laparoscopic-assisted versus open surgery for colorectal cancer
KAI CHEN, ZHUQING ZHANG, YUNFEI ZUO, SHUANGYI REN
Oncology Letters.2014; 7(4): 1213. CrossRef
Comparison of Compliance of Adjuvant Chemotherapy Between Laparoscopic and Open Surgery in Patients With Colon Cancer
Kan Ho Chun, Byung Noe Bae, Hoon An, Hyeonseok Jeong, Hyunjin Cho, Geumhee Gwak, Keun Ho Yang, Ki Hwan Kim, Hong Ju Kim, Young Duk Kim
Annals of Coloproctology.2014; 30(6): 274. CrossRef
Results of laparoscopic colorectal surgery from a national training center
Rudra Krishna Maitra, Austin G. Acheson, Chris Gornall, John H. Scholefield, Julian P. Williams, Charles A. Maxwell-Armstrong
Asian Journal of Surgery.2014; 37(1): 1. CrossRef
Laparoscopic-Assisted Versus Open Surgery for Colorectal Cancer: Short- and Long-Term Outcomes Comparison
Antonio Biondi, Giuseppe Grosso, Antonio Mistretta, Stefano Marventano, Chiara Toscano, Salvatore Gruttadauria, Francesco Basile
Journal of Laparoendoscopic & Advanced Surgical Techniques.2013; 23(1): 1. CrossRef
Long-term Outcomes After Resection for Submucosal Invasive Colorectal Cancers
Hiroaki Ikematsu, Yusuke Yoda, Takahisa Matsuda, Yuichiro Yamaguchi, Kinichi Hotta, Nozomu Kobayashi, Takahiro Fujii, Yasuhiro Oono, Taku Sakamoto, Takeshi Nakajima, Madoka Takao, Tomoaki Shinohara, Yoshitaka Murakami, Takahiro Fujimori, Kazuhiro Kaneko,
Gastroenterology.2013; 144(3): 551. CrossRef
Palliative resection of the primary tumour in patients with Stage IV colorectal cancer: systematic review and meta‐analysis of the early outcome after laparoscopic and open colectomy
T. X. Yang, B. Billah, D. L. Morris, T. C. Chua
Colorectal Disease.2013;[Epub] CrossRef
Major postoperative complications and survival for colon cancer elderly patients
Giuseppe Grosso, Antonio Biondi, Stefano Marventano, Antonio Mistretta, Giorgio Calabrese, Francesco Basile
BMC Surgery.2012;[Epub] CrossRef
A rectumtumorok sebészete
Péter Metzger
Magyar Sebészet.2012; 65(3): 129. CrossRef
Oncologic Outcomes of a Laparoscopic Right Hemicolectomy for Colon Cancer: Results of a 3-Year Follow-up
Jung Hoon Cho, Dae Ro Lim, Hyuk Hur, Byung Soh Min, Seung Hyuk Baik, Kang Young Lee, Nam Kyu Kim
Journal of the Korean Society of Coloproctology.2012; 28(1): 42. CrossRef

Impact on Prognosis of Lymph Node Micrometastasis and Isolated Tumor Cells in Stage II Colorectal Cancer: Tai Young Oh, Sun Mi Moon, Ui Sup Shin, Hyang Ran Lee, Sun Hoo Park; J Korean Soc Coloproctol. 2011;27(2):71-77. Published online April 30, 2011; DOI: https://doi.org/10.3393/jksc.2011.27.2.71

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Abstract PDF

Purpose

Even though the importance of micrometastases (MMS) and isolated tumor cells (ITC) has been brought up by many physicians, its impact on the prognosis in stage II colorectal cancer is uncertain. In this research, we tried to investigate the clinical features of MMS and ITC and to prove any correlation with prognosis.

Methods

The research pool was 124 colorectal cancer patients who underwent a curative resection from April 2005 to November 2009. A total of 2,379 lymph nodes (LNs) were examined, and all retrieved LNs were evaluated by immunohistochemical staining with anti-cytokeratin antibody panel. Clinicopathologic parameters and survival rates were compared based on the presence of MMS or ITC and on the micrometastatic lymph node ratio (mmLNR), which is defined as the number of micrometastatic LNs divided by the number of retrieved LNs.

Results

Out of 124 patients (26.6%) 33 were found to have MMS or ITC. There were no significant differences in clinicopathologic features, such as gender, tumor location and size, depth of invasion, histologic grade, except for age (P = 0.04). The three-year disease-free survival rate for the MMS or ITC positive group was 85.7%, and that for MMS and ITC negative group was 92.8% (P = 0.209). The three-year disease-free survival rate for the mmLNR > 0.25 group was 73.3%, and that for the mmLNR ≤ 0.25 group was 92.9% (P = 0.03).

Conclusion

The presence of MMS or ITC was not closely correlated to the prognosis. However, mmLNR is thought to be a valuable marker of prognosis in cases of stage II colorectal cancer.

Citations

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Presumed early ovarian cancer with isolated tumor cells in para-aortic sentinel nodes
Stefano Uccella, Anna Fagotti, Gian Franco Zannoni, Robert L Coleman
International Journal of Gynecologic Cancer.2019; 29(1): 216. CrossRef
Impact of compliance with an enhanced recovery after surgery pathway on patient outcomes in open gynecologic surgery
Maria D Iniesta, Javier Lasala, Gabriel Mena, Andrea Rodriguez-Restrepo, Gloria Salvo, Brandelyn Pitcher, Lakisha D Washington, Melinda Harris, Larissa A Meyer, Pedro T Ramirez
International Journal of Gynecologic Cancer.2019; 29(9): 1417. CrossRef
Lymph Node Micrometastasis Cannot be Considered as Positive Lymph Node in Nonmetastatic Colorectal Cancer
Kwang Dae Hong, Jun Won Um, Byung Wook Min, Woong-Bae Ji, Jung-Woo Choi, Young-Sik Kim
The American Surgeon™.2017; 83(2): 127. CrossRef
Lymph node micrometastasis in gastrointestinal tract cancer—a clinical aspect
Shoji Natsugoe, Takaaki Arigami, Yoshikazu Uenosono, Shigehiro Yanagita, Akihiro Nakajo, Masataka Matsumoto, Hiroshi Okumura, Yuko Kijima, Masahiko Sakoda, Yuko Mataki, Yasuto Uchikado, Shinichiro Mori, Kosei Maemura, Sumiya Ishigami
International Journal of Clinical Oncology.2013; 18(5): 752. CrossRef
Prognostic significance of isolated tumor cells in patients with colorectal cancer in recent 10-year studies
YOSHITO AKAGI, TETSUSHI KINUGASA, YOSUKE ADACHI, KAZUO SHIROUZU
Molecular and Clinical Oncology.2013; 1(4): 582. CrossRef
Prognostic significance of histologically detected lymph node micrometastases of sizes between 0.2 and 2 mm in colorectal cancer
Bruno Märkl, C. Herbst, C. Cacchi, T. Schaller, I. Krammer, G. Schenkirsch, A. Probst, H. Spatz
International Journal of Colorectal Disease.2013; 28(7): 977. CrossRef
Molecular Detection of Tumor Cells in Regional Lymph Nodes Is Associated With Disease Recurrence and Poor Survival in Node-Negative Colorectal Cancer: A Systematic Review and Meta-Analysis
Nuh N. Rahbari, Ulrich Bork, Edith Motschall, Kristian Thorlund, Markus W. Büchler, Moritz Koch, Jürgen Weitz
Journal of Clinical Oncology.2012; 30(1): 60. CrossRef
Prognostic Significance of EpCAM-Positive Disseminated Tumor Cells in Rectal Cancer Patients With Stage I Disease
Sameer Dhayat, Sorina Sorescu, Daniel Vallböhmer, Sebastian Kraus, Stephan Ernst Baldus, Alexander Rehders, Feride Kröpil, Andreas Krieg, Wolfram Trudo Knoefel, Nikolas Hendrik Stoecklein
American Journal of Surgical Pathology.2012; 36(12): 1809. CrossRef
Prognostic Signifi cance of the Lymph Node Ratio Regarding Recurrence and Survival in Rectal Cancer Patients Treated with Postoperative Chemoradiotherapy
Ji-Yoon Kim, Su-Mi Chung, Byung-Ock Choi, In-Kyu Lee, Chang-Hyeok An, Jong-Man Won, Mi-Ryeong Ryu
Gut and Liver.2012; 6(2): 203. CrossRef

Relationship between Metabolic Syndrome and MTHFR Polymorphism in Colorectal Cancer: Bong Su Kang, Dae Ho Ahn, Nam Keun Kim, Jong Woo Kim; J Korean Soc Coloproctol. 2011;27(2):78-82. Published online April 30, 2011; DOI: https://doi.org/10.3393/jksc.2011.27.2.78

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Abstract PDF

Purpose

There have been studies on the relations between metabolic syndrome and colorectal cancer or on the relations between methylenetetrahydrofolate reductase (MTHFR) polymorphism and colorectal cancer, but reports on the relationship between metabolic syndrome, MTHFR polymorphism and colorectal cancer all together are rare. The aim of this study is to find the interrelation between metabolic syndrome and MTHFR polymorphism in colorectal cancer.

Methods

This study investigated 255 colorectal cancer patients (cancer group) who underwent surgery in our hospital from March 2003 to December 2008 and compared those patients to 488 healthy patients (control group). The diagnostic criterion for metabolic syndrome was based on the National Cholesterol Education Program-Adult Treatment Panel III (NCEP ATP III), and the MTHFR 677 polymorphism was analyzed.

Results

When colorectal cancer patients and patients in the control group were classified as MTHFR 677 subtypes, there was no difference between the two groups: CC 87 (34.1%), CT 134 (52.6%), and TT 34 (13.3%) for the cancer group and CC 145 (32.4%), CT 238 (53.1%), and TT 65 (14.5%) for the control group. Distributions of MTHFR 677C/T genotype and allele frequencies in the individuals with and without metabolic syndrome in the cancer group showed no differences. Moreover, we could find no differences in distributions of MTHFR 677C/T genotypes in the clinical and the biomedical variables of individuals with and without metabolic syndrome in the cancer group.

Conclusion

Our results show no relation between metabolic syndrome and MTHFR polymorphism in colorectal cancer. However, a further prospective study, based on a precise diagnostic criterion for metabolic syndrome, is needed.

Citations

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Eun Ju Ko, Eo Jin Kim, Hye Jung Cho, Jisu Oh, Han Sung Park, Chang Soo Ryu, Jung Oh Kim, Hak Hoon Jun, So Young Chong, Jong Woo Kim, Nam Keun Kim
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Associations of MTRR and TSER polymorphisms related to folate metabolism with susceptibility to metabolic syndrome
Young Ree Kim, Seung-Ho Hong
Genes & Genomics.2019; 41(8): 983. CrossRef
Association of MTHFR C677T gene polymorphism with metabolic syndrome in a Chinese population: a case–control study
Jin Wang, Lijuan Xu, Hongmiao Xia, Ying Li, Shiqi Tang
Journal of International Medical Research.2018; 46(7): 2658. CrossRef
Methylenetetrahydrofolate reductase C677T polymorphism and colorectal cancer susceptibility: a meta-analysis
Lingyan Xu, Zhiqiang Qin, Feng Wang, Shuhui Si, Lele Li, Peinan Lin, Xiao Han, Xiaomin Cai, Haiwei Yang, Yanhong Gu
Bioscience Reports.2017;[Epub] CrossRef
Associations of MTHFR C677T polymorphism with insulin resistance, results of NURSE Study (Nursing Unacquainted Related Stress Etiologies)
Motahareh Kheradmand, Zhila Maghbooli, Sedigheh Salemi, Mahnaz Sanjari
Journal of Diabetes & Metabolic Disorders.2017;[Epub] CrossRef
Association between methylenetetrahydrofolate reductase (MTHFR) C677T gene polymorphism and risk of ischemic stroke in North Indian population: A hospital based case–control study
Amit Kumar, Shubham Misra, Anjali Hazarika, Pradeep Kumar, Ram Sagar, Abhishek Pathak, Kamalesh Chakravarty, Kameshwar Prasad
Egyptian Journal of Medical Human Genetics.2016; 17(4): 359. CrossRef
Risk of prostate cancer and thrombosis-related factor polymorphisms
SOMAYEHSADAT GHASEMI, AYDIN TAVAKOLI, MOHAMAD MOGHADAM, MOHAMAD ALI ZARGAR, MARYAM ABBASPOUR, NASIM HATAMNEJADIAN, AHMAD EBRAHIMI
Biomedical Reports.2014; 2(1): 53. CrossRef
The methylenetetrahydrofolate reductase (MTHFR) C677T polymorphism and tumor risk: evidence from 134 case–control studies
Min Tang, Shang-Qian Wang, Bian-Jiang Liu, Qiang Cao, Bing-Jie Li, Peng-Chao Li, Yong-Fei Li, Chao Qin, Wei Zhang
Molecular Biology Reports.2014; 41(7): 4659. CrossRef
Associations of MTHFR C677T and MTRR A66G Gene Polymorphisms with Metabolic Syndrome: A Case-Control Study in Northern China
Boyi Yang, Shujun Fan, Xueyuan Zhi, Da Wang, Yongfang Li, Yinuo Wang, Yanxun Wang, Jian Wei, Quanmei Zheng, Guifan Sun
International Journal of Molecular Sciences.2014; 15(12): 21687. CrossRef
Association of MTHFR C677T polymorphisms and colorectal cancer risk in Asians: evidence of 12,255 subjects
X.-P. Guo, Y. Wang, H. Zhao, S.-D. Song, J. Zhou, Y. Han
Clinical and Translational Oncology.2014; 16(7): 623. CrossRef
Association of methylenetetrahydrofolate reductase C677T and A1298C polymorphisms with colorectal cancer risk: A meta-analysis
MENGMENG ZHAO, XUELIAN LI, CHENGZHONG XING, BAOSEN ZHOU
Biomedical Reports.2013; 1(5): 781. CrossRef
The 677C>T (rs1801133) Polymorphism in the MTHFR Gene Contributes to Colorectal Cancer Risk: A Meta-Analysis Based on 71 Research Studies
Zan Teng, Lei Wang, Shuang Cai, Ping Yu, Jin Wang, Jing Gong, Yunpeng Liu, Rossella Rota
PLoS ONE.2013; 8(2): e55332. CrossRef
MTHFR C677T polymorphism contributes to colorectal cancer susceptibility: evidence from 61 case–control studies
Xuewen Sheng, Yanxi Zhang, Erjiang Zhao, Su Lu, Xiaoli Zheng, Hong Ge, Weiquan Lu
Molecular Biology Reports.2012; 39(10): 9669. CrossRef
MTHFR C677T Polymorphism and Colorectal Cancer Risk in Asians, a Meta-analysis of 21 Studies
Zhen Yang, Xie-Fu Zhang, Hong-Xiang Liu, Yong-Shun Hao, Chun-Lin Zhao
Asian Pacific Journal of Cancer Prevention.2012; 13(4): 1203. CrossRef
Quantitative assessment of the association between MTHFR C677T polymorphism and colorectal cancer risk in East Asians
Shan Zhong, Jia-He Yang, Kai Liu, B. H. Jiao, Zhi-Jie Chang
Tumor Biology.2012; 33(6): 2041. CrossRef
Metabonomic Variations Associated with AOM-Induced Precancerous Colorectal Lesions and Resveratrol Treatment
Wen Liao, Hai Wei, Xiaoyan Wang, Yunping Qiu, Xiaojun Gou, Xiaolei Zhang, Mingmei Zhou, Jianbing Wu, Tao Wu, Fang Kou, Yongyu Zhang, Zhaoxiang Bian, Guoxiang Xie, Wei Jia
Journal of Proteome Research.2012; 11(6): 3436. CrossRef

The Feasibility of an Ex-vivo Sentinel Lymph Mapping Using Preoperative Radioisotope Injection in Cases of Extraperitoneal Rectal Cancer: Jun Seok Park, Gyu-Seog Choi, Hye Jin Kim, Soo Yeon Park, Yun Jung Park, Sang-Woo Lee, Ziguang Xu, Han Ik Bae; J Korean Soc Coloproctol. 2011;27(2):83-89. Published online April 30, 2011; DOI: https://doi.org/10.3393/jksc.2011.27.2.83

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2 Citations

Abstract PDF

Purpose

The purpose of this research was to evaluate the feasibility of sentinel lymph node (SLN) mapping involving transanal injection with an ex-vivo mapping in patients with rectal cancer.

Methods

Between April 2007 and December 2009, 20 consecutive patients with T1-3, N0-1 clinical stage rectal cancer preoperatively underwent a SLN procedure using submucosal ^99mTc-phytate injection. All the patients underwent a total mesorectal excision. After the standard surgical resection, all specimens were identified on lymphoscintigraphy, and bench work was done to pick up the sentinel node basin. All the lymph nodes (non-SLNs and SLNs) were examined using conventional hematoxylin and eosin staining and immunohistochemistry with anti-cytokeratin antibodies.

Results

SLNs were identified from 19 of 20 patients with rectal cancer. The total number of sentinel nodes retrieved from the surgical specimens was 29, and the mean number per patient was 1.6 (range, 0 to 4). In three patients, the SLN was the only positive lymph node. There was one false-negative case with a sensitivity of 88.8% and two upstaged cases (20.0%). The SLN samples from rectal cancer are mainly localized in the pararectal region, but aberrant nodes receive direct drainage from the rectal cancer. On planar lymphoscintigraphy, 15.7% of all patients had aberrant lymphatic drainage to the sigmoid mesenteric or sigmoid lymph node station.

Conclusion

In conclusion, the intraoperative transanal injection for ex-vivo SLN navigation is a safe, feasible surgical modality in patients with rectal cancer. Large studies are warranted to determine the clinical significance of the SLN concept and micrometastasis in rectal cancer.

Citations

Citations to this article as recorded by

In vivo lymph node mapping and pattern of metastasis spread in locally advanced mid/low rectal cancer after neoadjuvant chemoradiotherapy
E. Farinella, L. Viganò, M. C. Fava, M. Mineccia, F. Bertolino, L. Capussotti
International Journal of Colorectal Disease.2013; 28(11): 1523. CrossRef
A rectumtumorok sebészete
Péter Metzger
Magyar Sebészet.2012; 65(3): 129. CrossRef

Case Reports

Multiple Presacral Teratomas in an 18-year-old Girl: A Case Report: Young Jin Park; J Korean Soc Coloproctol. 2011;27(2):90-93. Published online April 30, 2011; DOI: https://doi.org/10.3393/jksc.2011.27.2.90

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17 Download
6 Citations

Abstract PDF

Although the sacrococcygeal area is the most common site for a teratoma in infants, it is a rare site for a teratoma in older patients. Most of the teratomas found in this area in adults are single mass, but in a few cases, multiple masses have been reported. The author reports on the case of an 18-year-old female patient with 3 presacral teratomas. The tumors were surgically removed via a transabdominal approach and were pathologically diagnosed as mature cystic teratomas. This case report indicates that an adult presacral teratoma can appear as multiple tumors, although it is very unusual.

Citations

Citations to this article as recorded by

Perirectal epidermoid cyst in a patient with sacrococcygeal scoliosis and anal sinus: A case report
Zhou-Xin Ji, Song Yan, Xu-Can Gao, Li-Fen Lin, Qiang Li, Qi Yao, Dong Wang
World Journal of Clinical Cases.2022; 10(30): 11139. CrossRef
Adult sacrococcygeal teratoma: A review
Jia-Xing Guo, Jian-Guo Zhao, Ying-Na Bao
Medicine.2022; 101(52): e32410. CrossRef
A Rare Case of Sacrococcygeal Teratoma in Adult
Abhilasha Goyal, Praveen S Rathod, Pallavi V Reddihalli, Shobha Krishnappa, S. K. Rajshekar, Yamini Kansal, Sravanthi Nuthalapati, Amarinder Singh, Tejas Vanakudri, S. D. S. Karthik
Indian Journal of Surgical Oncology.2020; 11(S1): 102. CrossRef
Currarino syndrome with two synchronous presacral teratomas
Timothy A. Little, Kathryn E. Compson, Katherine Hall, M. Jean Murdoch, Katherine R. Neas, Diane Kenwright, Mark D. Stringer
Journal of Pediatric Surgery Case Reports.2018; 36: 16. CrossRef
Giant Type II Sacroccocygial Teratoma: A Senegalese Case
Balla Diop, Dia Aliou Amadou, Sow Oumar, Ba Abdoulaye Pape, Dial Chérif, A. Phiri, Youhanidou Wane, Sarre Mamadou Serigne
Journal of Gynecologic Surgery.2017; 33(6): 264. CrossRef
Sacrococcygeal teratoma – case report and review of the literature
Krzysztof Szyllo, Natalia Lesnik
American Journal of Case Reports.2013; 14: 1. CrossRef

A Case of Colovesical Fistula Induced by Sigmoid Diverticulitis: Hwa-Yeon Yang, Woo-Young Sun, Taek-Gu Lee, Sang-Jeon Lee; J Korean Soc Coloproctol. 2011;27(2):94-98. Published online April 30, 2011; DOI: https://doi.org/10.3393/jksc.2011.27.2.94

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15 Citations

Abstract PDF

Colonic diverticulosis has continuously increased, noticeably left-sided diseases, in Korea. A colovesical fistula is an uncommon complication of diverticulitis, and its most common cause is diverticular disease. Confirmation of its presence generally depends on clinical findings, such as pneumaturia and fecaluria. The primary aim of a diagnostic workup is not to observe the fistular tract itself but to find the etiology of the disease so that an appropriate therapy can be initiated. We present here the case of a 79-year-old man complaining of pneumaturia and fecaluria. On abdomen and pelvis CT, the patient was diagnosed as having a colovesical fistula due to sigmoid diverticulitis. After division of the adhesion between the sigmoid colon and the bladder, the defect of the bladder wall was repaired by simple closure. The colonic defect was treated with a segmental resection, including the rectosigmoid junction. The patient is doing well at 6 months after the operation and shows no evidence of recurrence of the fistula.

Citations

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Pre-existing Opioid Use Worsens Outcomes in Patients With Diverticulitis
Amjad Shaikh, Ayham Khrais, Alexander Le, Alexander J Kaye, Sushil Ahlawat
Cureus.2023;[Epub] CrossRef
Early Urinary Catheter Removal After Colectomy for Colovesical Fistula is Not Associated With Increased Postoperative Complications
Stevie-Jay Stapler, Sara M Colom, Dixy Rajkumar, Robert K Cleary
The American Surgeon™.2023; 89(12): 6091. CrossRef
Migration of a bladder diverticulum stone into the rectum revealing an advanced rectal process
Meriem Boui, Badr Slioui, Ben Elhend Salah, Zakaria Zouaki, Mohamed El Biadi, Salah Bellasri, Nabil Hammoune, Mehdi Atmane, Abdelilah Mouhsine
Radiology Case Reports.2023; 18(12): 4510. CrossRef
Emphysematous cystitis as a potential marker of severe Crohn's disease
S. M. Mahmudul Hasan, Baljinder S. Salh
BMC Gastroenterology.2022;[Epub] CrossRef
Colovesical fistula in a young adult due to sigmoid colon diverticulitis undetected in computed tomography: Case report and review of literature
Francisco Marcos da Silva Barroso, Carolina Augusta Dorgam Maués, Gustavo Lopes de Castro, Renato da Silva Galvão, José Paulo Guedes Saint Clair, Laura Riberio Aref Kzam
Annals of Medicine and Surgery.2021; 69: 102658. CrossRef
A case report: Use of FT-IR analysis to improve Colovesical fistula diagnosis
S. Rapi, A. Bonari, S. Dugheri, G. Cappelli, L. Trevisani, E. Milletti, N. Mucci, G. Arcangeli, A. Morettini, A. Fanelli
Practical Laboratory Medicine.2021; 27: e00255. CrossRef
Entero-vesical fistula revealed by recurrent urinary tract infection
Youness Jabbour, Youssef Lamzaf, Tarik Karmouni, Khalid El Khader, Abdellatif Koutani, Ahmed Iben Attya Andaloussi
Urology & Nephrology Open Access Journal.2018; 6(4): 127. CrossRef
Complications of the diverticular disease - colocutaneous and colovesical fistula
Zuzana Adamová, Radim Slováček, Dalibor Dvořák, Tomáš Bár, Rostislav Čureček, Petr Rohlík
Medicína pro praxi.2017; 14(3): 147. CrossRef
When a good call leads to a bad connection: colovesical fistula in colorectal cancer treated with bevacizumab
Jeffrey Chen, Roger D. Smalligan, Suhasini Nadesan
Hospital Practice.2016; 44(3): 120. CrossRef
Laparoscopic surgery of benign entero-vesical or entero-vaginal fistulae
Matthias Kraemer, David Kara
International Journal of Colorectal Disease.2016; 31(1): 19. CrossRef
Laparoscopic treatment of colovesical fistulas due to complicated colonic diverticular disease: a systematic review
R. Cirocchi, G. Cochetti, J. Randolph, C. Listorti, E. Castellani, C. Renzi, E. Mearini, A. Fingerhut
Techniques in Coloproctology.2014; 18(10): 873. CrossRef
A Rare Case of Nephrocolic Fistula Resulting from Radio Frequency Ablation (RFA) of Renal Cell Carcinoma
Bhavesh J. Patel, Arvind K. Mathur, Nishant Puri, Christian S. Jackson
ACG Case Reports Journal.2014; 1(2): 93. CrossRef
Bladder diverticulitis on PET/CT
Brian Wosnitzer
Radiology Case Reports.2012; 7(2): 673. CrossRef
Extra-abdominal lumbar abscesses caused by retroperitoneal gastrointestinal perforations through the lumbar triangle of Petit: report of two cases diagnosed by CT
Bruno Coulier, Monica Gogoase, Adrien Ramboux, Frederic Pierard
Abdominal Imaging.2012; 37(6): 1122. CrossRef
Colouterine Fistula Caused by Diverticulitis of the Sigmoid Colon
Pyong Wha Choi
Journal of the Korean Society of Coloproctology.2012; 28(6): 321. CrossRef

Adult Intussusception due to Cecal Lymphangioma: A Case Report: Dong Il Kim, Hyung Il Seo, Jae Hun Kim, Hyun Sung Kim, Hong Jae Jo; J Korean Soc Coloproctol. 2011;27(2):99-101. Published online April 30, 2011; DOI: https://doi.org/10.3393/jksc.2011.27.2.99

3,274 View
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7 Citations

Abstract PDF

We present a rare case of adult intussusception due to cecal lymphangioma. A 30-year-old female was admitted to our hospital with abdominal pain and a palpatable mass on the right lower quadrant. Preoperative radiologic studies by ultrasound and computed tomography showed ileocolic intussusception with a multiseptated cystic tumor as a leading point on the cecum. An ileocecectomy was performed, and the postoperative course was uneventful. Histopathology showed a cecal lymphangioma. Although endoscopic polypectomy or endoscopic mucosal resection is recommended for pedunculated or semi-pedunculated colonic lymphangiomas less than 2 cm in size, it is proper to treat large or symptomatic colonic lymphangiomas with limited a bowel resection or a tumor resection.

Citations

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An Incidental Finding of a Cecal Lymphangioma Managed Conservatively
Richard Mitchell, Jonathan Reyes, Vennis Lourdusamy, Raghav Bansal
Cureus.2024;[Epub] CrossRef
A Case of Colonic Intussusception Caused by Cecal Lymphangioma and Requiring Emergency Surgery
Mitsutoshi Okuda, Takahiro Yoshioka, Ryosuke Tsunemitsu, Hiroaki Inoeu, Ryo Inada
Cureus.2024;[Epub] CrossRef
Cystic Lymphangioma of Rectum-A Case Report and Review of Literature
Govindraj S Dessai, Nikhil Kumar Soni, Sharvari Pujari, Ramkrishna Prabhu, Chetan V Kantharia
The Korean Journal of Gastroenterology.2023; 82(2): 91. CrossRef
Cystic lymphangioma causing intussusception of the right colon: a case report and review of current literature
Jae Hyun Park, Jesung Park, Ga Yoon Ku, Do Kyoon Moon, Jong Sung Ahn, Hyo Jun Kim, Min Jung Kim, Ji Won Park, Seung-Bum Ryoo, Seung-Yong Jeong, Kyu Joo Park
Journal of Surgical Case Reports.2023;[Epub] CrossRef
Imaging features, complications and differential diagnoses of abdominal cystic lymphangiomas
M. Raufaste Tistet, O. Ernst, M. Lanchou, M. Vermersch, P. Lebert
Abdominal Radiology.2020; 45(11): 3589. CrossRef
Colonic lymphangioma presenting with intermittent pain and intussusception
Mark M G Ly, Marie Shella De Robles, Catriona Mckenzie, Christopher J Young
Journal of Surgical Case Reports.2019;[Epub] CrossRef
A Case of Adult Intussusception Secondary to Lymphangioma of the Cecum
Seong Wook Hwang
Soonchunhyang Medical Science.2019; 25(2): 139. CrossRef

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