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Volume 28(4); August 2012
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Editorials
Risk Factors for Repeat Abdominal Surgery in Patients with Crohn's Disease
Young Jin Kim
J Korean Soc Coloproctol. 2012;28(4):175-175.   Published online August 31, 2012
DOI: https://doi.org/10.3393/jksc.2012.28.4.175
  • 2,472 View
  • 29 Download
PDF
Current Issues Involving the Treatment of Small Rectal Carcinoid Tumors
Dae Kyung Sohn
J Korean Soc Coloproctol. 2012;28(4):176-177.   Published online August 31, 2012
DOI: https://doi.org/10.3393/jksc.2012.28.4.176
  • 2,588 View
  • 26 Download
  • 2 Citations
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Citations

Citations to this article as recorded by  
  • Stratification of rate of lymph node metastasis according to risk factors and oncologic outcomes in patients who underwent radical resection for rectal neuroendocrine tumors
    Myung Jae Jin, Sung Sil Park, Dong-Eun Lee, Sung Chan Park, Dong Woon Lee, Kiho Yu, Hee Jin Chang, Chang Won Hong, Dae Kyung Sohn, Kyung Su Han, Bun Kim, Byung Chang Kim, Jae Hwan Oh
    Annals of Coloproctology.2023; 39(6): 467.     CrossRef
  • Multiple small, rectal neuroendocrine tumors with numerous micronests
    Sung Sil Park, Nayoung Han, Jihyeon Lee, Hee Jin Chang, Jae Hwan Oh, Dae Kyung Sohn
    Journal of Digestive Diseases.2018; 19(9): 572.     CrossRef
Clinical Significance of Serum Carcinoembryonic Antigen Level in Rectal Cancer Patients Who Underwent Preoperative Chemoradiotherapy
Jin Cheon Kim
J Korean Soc Coloproctol. 2012;28(4):178-178.   Published online August 31, 2012
DOI: https://doi.org/10.3393/jksc.2012.28.4.178
  • 2,968 View
  • 26 Download
PDF
Review
An Update on Preoperative Radiotherapy for Locally Advanced Rectal Cancer
Seung-Gu Yeo, Dae Yong Kim
J Korean Soc Coloproctol. 2012;28(4):179-187.   Published online August 31, 2012
DOI: https://doi.org/10.3393/jksc.2012.28.4.179
  • 3,664 View
  • 45 Download
  • 6 Citations
AbstractAbstract PDF

Even in patients undergoing an optimal surgical technique (e.g., total mesorectal excision), radiotherapy provides a significant benefit in the local control of rectal cancer. Compared with postoperative treatment, chemoradiotherapy given preoperatively has been shown to decrease local recurrence rates and toxicity. Additionally, preoperative chemoradiotherapy permits the early identification of tumor responses to this cytotoxic treatment by surgical pathology. Pathological parameters reflecting the tumor response to chemoradiotherapy have been shown to be surrogate markers for long-term clinical outcomes. Post-chemoradiotherapy downstaging from cStage II-III to ypStage 0-I indicates a favorable prognosis, with no difference between ypStage 0 and ypStage I. Research is ongoing to develop useful tools (clinical, molecular, and radiological) for clinical determination of the pathologic chemoradiotherapeutic response before surgery, and possibly even before preoperative treatment. In the future, risk-adapted strategies, including intensification of preoperative therapy, conservative surgery, or the selective administration of postoperative chemotherapy, will be realized for locally-advanced rectal cancer patients based on their response to preoperative chemoradiotherapy.

Citations

Citations to this article as recorded by  
  • Pathologic Implications of Magnetic Resonance Imaging-detected Extramural Venous Invasion of Rectal Cancer
    Hyun Gu Lee, Chan Wook Kim, Jong Keon Jang, Seong Ho Park, Young Il Kim, Jong Lyul Lee, Yong Sik Yoon, In Ja Park, Seok-Byung Lim, Chang Sik Yu, Jin Cheon Kim
    Clinical Colorectal Cancer.2023; 22(1): 129.     CrossRef
  • Clinical utility of pretreatment prediction of chemoradiotherapy response in rectal cancer: a review
    Byong Chul Yoo, Seung-Gu Yeo
    EPMA Journal.2017; 8(1): 61.     CrossRef
  • Seven low-mass ions in pretreatment serum as potential predictive markers of the chemoradiotherapy response of rectal cancer
    Kangsan Roh, Seung-Gu Yeo, Byong Chul Yoo, Kyung-Hee Kim, Sun Young Kim, Min-Jeong Kim
    Anti-Cancer Drugs.2016; 27(8): 787.     CrossRef
  • Preoperative chemoradiotherapy followed by transanal local excision for T3 distal rectal cancer: A case report
    SEUNG-GU YEO
    Experimental and Therapeutic Medicine.2016; 11(4): 1465.     CrossRef
  • Clinical Outcomes of Local Excision Following Preoperative Chemoradiotherapy for Locally Advanced Rectal Cancer
    Nam Kwon Lee, Dae Yong Kim, Sun Young Kim, Jae Hwan Oh, Won Park, Doo Ho Choi, Taek-Keun Nam, Kyung-Ja Lee
    Cancer Research and Treatment.2014; 46(2): 158.     CrossRef
  • Identification of Hypoxanthine and Phosphoenolpyruvic Acid as Serum Markers of Chemoradiotherapy Response in Locally Advanced Rectal Cancer
    Kun Kim, Seung-Gu Yeo, Byong Chul Yoo
    Cancer Research and Treatment.1970; 47(1): 78.     CrossRef
Original Articles
Risk Factors for Repeat Abdominal Surgery in Korean Patients with Crohn's Disease: A Multi-Center Study of a Korean Inflammatory Bowel Disease Study Group
Kil Yeon Lee, Chang Sik Yu, Kang Young Lee, Yong Beom Cho, Kyu Joo Park, Gyu-Seog Choi, Sang Nam Yoon, Hanna Yoo
J Korean Soc Coloproctol. 2012;28(4):188-194.   Published online August 31, 2012
DOI: https://doi.org/10.3393/jksc.2012.28.4.188
  • 3,110 View
  • 24 Download
  • 8 Citations
AbstractAbstract PDF
Purpose

The purpose of this study was to assess the risk factors for repeated abdominal surgery in Crohn's disease (CD) patients after the first abdominal surgery. Prior studies have tried to identify the risk factors for postoperative recurrence in CD patients, but the results of the studies have been inconsistent. Furthermore, few data on the risk factors for repeated abdominal surgery are available.

Methods

Clinical data on CD patients who underwent abdominal surgery from January 2000 to December 2009 were collected from seventeen university hospitals and one colorectal clinic. Data from a total of 708 patients were analyzed to find the risk factors for repeated abdominal surgery in CD patients. The mean follow-up period was 72 months.

Results

The risk of repeated abdominal surgery was 3 times higher in young patients (below 16 years old) than in older patients (odds ratio [OR], 3.056; 95% confidence interval [CI], 1.021 to 9.150); P = 0.046). Stricturing behavior at diagnosis was also a risk factor for repeated abdominal surgery (OR, 2.438; 95% CI, 1.144 to 5.196; P = 0.021). Among operative indications, only intra-abdominal abscess was associated with repeated abdominal surgery (OR, 2.393; 95% CI, 1.098 to 5.216; P = 0.028). Concerning type of operation, an ileostomy might be a risk factor for repeated abdominal surgery (OR, 11.437; 95% CI, 1.451 to 90.124; P = 0.021). Emergency surgery (OR, 4.994; 95% CI, 2.123 to 11.745; P < 0.001) and delayed diagnosis after surgery (OR, 2.339; 95% CI, 1.147 to 4.771; P = 0.019) also increased the risk of repeated abdominal surgery.

Conclusion

Young age (below 16 years), stricturing behavior, intra-abdominal abscess, emergency surgery, and delayed diagnosis after surgery were identified as possible risk factors for repeated abdominal surgery in CD patients.

Citations

Citations to this article as recorded by  
  • Therapeutic strategies in Crohn’s disease in an emergency surgical setting
    Maria Michela Chiarello, Gilda Pepe, Valeria Fico, Valentina Bianchi, Giuseppe Tropeano, Gaia Altieri, Giuseppe Brisinda
    World Journal of Gastroenterology.2022; 28(18): 1902.     CrossRef
  • Risk Factors for Postoperative Recurrence in Korean Patients with Crohn’s Disease
    Sung Bae Kim, Jae Hee Cheon, Jae Jun Park, Eun Soo Kim, Seong Woo Jeon, Sung-Ae Jung, Dong Il Park, Chang Kyun Lee, Jong Pil Im, You Sun Kim, Hyun Soo Kim, Jun Lee, Chang Soo Eun, Jeong Mi Lee, Byung Ik Jang, Geom Seog Seo
    Gut and Liver.2020; 14(3): 331.     CrossRef
  • Prevalence and factors associated with re-laparotomy among patients operated in Debre-Markos referral hospital, north west Ethiopia: Retrospective cross-sectional study
    Yeneabat Birhanu, Debrework Tesgera, Henok Biresaw Netsere, Nurhusien Nuru
    International Journal of Africa Nursing Sciences.2020; 13: 100249.     CrossRef
  • Comparison of missing data methods in clustered survival data using Bayesian adaptive B-Spline estimation
    Hanna Yoo, Jae Won Lee
    Communications for Statistical Applications and Methods.2018; 25(2): 159.     CrossRef
  • Patients with perianal Crohn's disease have poor disease outcomes after primary bowel resection
    Yoo Min Han, Ji Won Kim, Seong‐Joon Koh, Byeong Gwan Kim, Kook Lae Lee, Jong Pil Im, Joo Sung Kim, Hyun Chae Jung
    Journal of Gastroenterology and Hepatology.2016; 31(8): 1436.     CrossRef
  • The Clinical Features and Predictive Risk Factors for Reoperation in Patients With Perianal Crohn Diseases; A Multi-Center Study of a Korean Inflammatory Bowel Disease Study Group
    Jae Bum Lee, Seo-Gue Yoon, Kyu Joo Park, Kang Young Lee, Dae Dong Kim, Sang Nam Yoon, Chang Sik Yu
    Annals of Coloproctology.2015; 31(5): 176.     CrossRef
  • Crohn's disease in Korea: past, present, and future
    Kang-Moon Lee, Ji Min Lee
    The Korean Journal of Internal Medicine.2014; 29(5): 558.     CrossRef
  • Clinical and Endoscopic Recurrence after Surgical Resection in Patients with Crohn's Disease
    Yang Woon Lee, Kang-Moon Lee, Woo Chul Chung, Chang Nyol Paik, Hea Jung Sung, You Suk Oh
    Intestinal Research.2014; 12(2): 117.     CrossRef
An Analysis of Factors Associated with Increased Perineal Descent in Women
Jina Chang, Soon Sup Chung
J Korean Soc Coloproctol. 2012;28(4):195-200.   Published online August 31, 2012
DOI: https://doi.org/10.3393/jksc.2012.28.4.195
  • 5,743 View
  • 56 Download
  • 9 Citations
AbstractAbstract PDF
Purpose

Treatment of descending perineal syndrome is focused on personal etiology and on improving symptoms. However, the etiology of increased perineal descent (PD) is unclear. Therefore, the aim of the present study was to evaluate factors associated with increased resting and dynamic PD in women.

Methods

From January 2004 to August 2010, defecographic findings in 201 female patients were reviewed retrospectively. Patient's age, surgical history, manometric results and defecographic findings were compared with resting and dynamic PD.

Results

Age (P < 0.01), number of vaginal deliveries (P < 0.01) and resting anorectal angle (P < 0.01) were correlated with increased resting PD. Also, findings of rectoceles (P < 0.05) and intussusceptions (P < 0.05) were significantly correlated with increased resting PD. On the other hand, increased dynamic PD was correlated with age (P < 0.05), resting anal pressure (P < 0.01) and sigmoidoceles (P < 0.05). No significant correlation existed between non-relaxing puborectalis, history of pelvic surgery and increased PD. Also, no significant differences in PD according to the symptoms were observed.

Conclusion

Increased number of vaginal deliveries and increased resting rectoanal angle are associated with increased resting PD whereas increased resting anal pressure is correlated with increased dynamic PD. Older age correlates with both resting and dynamic PD. Defecographic findings, such as rectoceles and intussusceptions, are associated with resting PD, and sigmoidoceles correlated with dynamic PD. These results can serve as foundational research for understanding the pathophysiology and causes of increasing PD in women better and for finding a fundamental method of treatment.

Citations

Citations to this article as recorded by  
  • Imaging and clinical assessment of functional defecatory disorders with emphasis on defecography
    Neeraj Lalwani, Rania Farouk El Sayed, Amita Kamath, Sara Lewis, Hina Arif, Victoria Chernyak
    Abdominal Radiology.2021; 46(4): 1323.     CrossRef
  • Consensus Definitions and Interpretation Templates for Fluoroscopic Imaging of Defecatory Pelvic Floor Disorders
    Ian Paquette, David Rosman, Rania El Sayed, Tracy Hull, Ervin Kocjancic, Lieschen Quiroz, Susan Palmer, Abbas Shobeiri, Milena Weinstein, Gaurav Khatri, Liliana Bordeianou
    Diseases of the Colon & Rectum.2021; 64(1): 31.     CrossRef
  • Consensus Definitions and Interpretation Templates for Fluoroscopic Imaging of Defecatory Pelvic Floor Disorders Proceedings of the Consensus Meeting of the Pelvic Floor Consortium of the American Society of Colon and Rectal Surgeons, the Society of Abdom
    Ian Paquette, David Rosman, Rania El Sayed, Tracy Hull, Ervin Kocjancic, Lieschen Quiroz, Susan Palmer, Abbas Shobeiri, Milena Weinstein, Gaurav Khatri, Liliana Bordeianou
    Female Pelvic Medicine & Reconstructive Surgery.2021; 27(1): e1.     CrossRef
  • Consensus Definitions and Interpretation Templates for Fluoroscopic Imaging of Defecatory Pelvic Floor Disorders
    Ian Paquette, David Rosman, Rania El Sayed, Tracy Hull, Ervin Kocjancic, Lieschen Quiroz, Susan Palmer, Abbas Shobeiri, Milena Weinstein, Gaurav Khatri, Liliana Bordeianou
    Techniques in Coloproctology.2021; 25(1): 3.     CrossRef
  • Descending Perineum Associated With Pelvic Organ Prolapse Treated by Sacral Colpoperineopexy and Retrorectal Mesh Fixation: Preliminary Results
    Aude Nessi, Aminata Kane, Etienne Vincens, Delphine Salet-Lizée, Karine Lepigeon, Richard Villet
    Frontiers in Surgery.2018;[Epub]     CrossRef
  • Descending perineum syndrome: a review of the presentation, diagnosis, and management
    Zaid Chaudhry, Christopher Tarnay
    International Urogynecology Journal.2016; 27(8): 1149.     CrossRef
  • Correlation Between Echodefecography and 3-Dimensional Vaginal Ultrasonography in the Detection of Perineal Descent in Women With Constipation Symptoms
    Sthela M. Murad-Regadas, Francisco Sergio Pinheiro Regadas, Lusmar V. Rodrigues, Adjra da Silva Vilarinho, Guilherme Buchen, Livia Olinda Borges, Lara B. Veras, Mariana Murad da Cruz
    Diseases of the Colon & Rectum.2016; 59(12): 1191.     CrossRef
  • Descending perineum syndrome: new perspectives
    F. Pucciani
    Techniques in Coloproctology.2015; 19(8): 443.     CrossRef
  • A theory of progression from obstructed defecation to fecal incontinence
    F. Pucciani
    Techniques in Coloproctology.2015; 19(12): 713.     CrossRef
Transanal Endoscopic Microsurgery for the Treatment of Well-Differentiated Rectal Neuroendocrine Tumors
Hyoung Ran Kim, Woo Yong Lee, Kyung Uk Jung, Hyuk Jun Chung, Chul Joong Kim, Hae-Ran Yun, Yong Beom Cho, Seong Hyeon Yun, Hee Cheol Kim, Ho-Kyung Chun
J Korean Soc Coloproctol. 2012;28(4):201-204.   Published online August 31, 2012
DOI: https://doi.org/10.3393/jksc.2012.28.4.201
  • 3,991 View
  • 30 Download
  • 8 Citations
AbstractAbstract PDF
Purpose

Recently, an increase in well-differentiated rectal neuroendocrine tumors (WRNETs) has been noted. We aimed to evaluate transanal endoscopic microsurgery (TEM) for the treatment of WRNETs.

Methods

Between December 1995 and August 2009, 109 patients with WRNETs underwent TEM. TEM was performed for patients with tumors sizes of up to 20 mm and without a lymphadenopathy. These patients had been referred from other clinics after having been diagnosed with WRNETs by using a colonoscopic biopsy; they had undergone a failed endoscopic submucosal dissection (ESD) or endoscopic mucosal resection (EMR) and exhibited an involved resection margin and remaining tumor after ESD or EMR, regardless of the distance from the anal verge. This study included 38 patients that had more than three years of follow-up.

Results

The mean age of the patients was 51.3 ± 11.9 years, the mean tumor size was 8.0 ± 3.9 mm, and no morbidity occurred. Thirty-five patients were asymptomatic. TEM was performed after a colonoscopic resection in 13 cases because of a positive resection margin, a residual tumor or a non-lifting lesion. Complete resections were performed in 37 patients; one patient with a positive margin was considered surgically complete. In one patient, liver metastasis and a recurrent mesorectal node occurred after five and 10 years, respectively.

Conclusion

TEM might provide an accessible and effective treatment either as an initial or as an adjunct after a colonoscopic resection for a WRNET.

Citations

Citations to this article as recorded by  
  • Oncological outcomes according to the treatment modality based on the size of rectal neuroendocrine tumors: a single-center retrospective study
    Jimin Son, In Ja Park, Dong-Hoon Yang, Jisup Kim, Kyoung-Jo Kim, Jeong-Sik Byeon, Seung Mo Hong, Young Il Kim, Jong Beom Kim, Seok-Byung Lim, Chang Sik Yu, Jin Cheon Kim
    Surgical Endoscopy.2022; 36(4): 2445.     CrossRef
  • Long-term outcomes of transanal endoscopic microsurgery for the treatment of rectal neuroendocrine tumors
    Wei-Kun Shi, Rui Hou, Yun-Hao Li, Xiao-Yuan Qiu, Yu-Xin Liu, Bin Wu, Yi Xiao, Jiao-Lin Zhou, Guo-Le Lin
    BMC Surgery.2022;[Epub]     CrossRef
  • Non-conventional applications for transanal endoscopic microsurgery. A single center experience and a systematic review of literature
    Rosita DE VINCENTI, Fabio CIANCHI, Francesco CORATTI
    Minerva Surgery.2022;[Epub]     CrossRef
  • Transanalis műtéti útmutató – második kiadás
    Kálmán Almási, Szabolcs Ábrahám, József Baracs, Attila Bursics, Zoltán Jánó, Tamás Sztipits, Áron Szűts, Dezső Tóth, Attila Zaránd, Balázs Bánky
    Orvosi Hetilap.2022; 163(Supplement): 3.     CrossRef
  • Endoscopic submucosal dissection versus transanal local excision for rectal carcinoid: a comparative study
    Fei-hu Yan, Zheng Lou, Shi-jie Hu, Xiao-dong Xu, Hao Wang, Han-tao Wang, Rong-gui Meng, Chuan-gang Fu, Wei Zhang, Jian He, En-da Yu
    World Journal of Surgical Oncology.2016;[Epub]     CrossRef
  • Efficacy and Safety of Endoscopic Resection Therapies for Rectal Carcinoid Tumors: A Meta-Analysis
    Lei He, Tao Deng, Hesheng Luo
    Yonsei Medical Journal.2015; 56(1): 72.     CrossRef
  • Full-thickness excision using transanal endoscopic microsurgery for treatment of rectal neuroendocrine tumors
    Wei-Jie Chen
    World Journal of Gastroenterology.2015; 21(30): 9142.     CrossRef
  • Current Issues Involving the Treatment of Small Rectal Carcinoid Tumors
    Dae Kyung Sohn
    Journal of the Korean Society of Coloproctology.2012; 28(4): 176.     CrossRef
Clinical Significance of Serial Serum Carcinoembryonic Antigen Values for Treating Rectal Cancer with Preoperative Chemoradiotherapy
Young Jae Ryu, Chang Hyun Kim, Hun Jin Kim, Hyo Kang, Sang Woo Lim, Jung Wook Huh, Jae Kyun Ju, Young Jin Kim, Hyeong Rok Kim
J Korean Soc Coloproctol. 2012;28(4):205-212.   Published online August 31, 2012
DOI: https://doi.org/10.3393/jksc.2012.28.4.205
  • 3,239 View
  • 43 Download
  • 6 Citations
AbstractAbstract PDF
Purpose

Preoperative chemoradiotherapy is now widely accepted to treat rectal cancer; however, the prognosis for rectal cancer patients during and after chemoradiotherapy must be determined. The aim of this study was to evaluate the serial serum carcinoembryonic antigen (s-CEA) samples in patients with rectal cancer who underwent radical surgery after concurrent chemoradiotherapy (CRT).

Methods

This study evaluated 236 patients with rectal cancer who received preoperative CRT followed by curative surgery between June 2005 and June 2010. We measured the patient's s-CEA levels pre-CRT, post-CRT and post-surgery. Patients were classified into four groups according to their s-CEA concentrations (group 1, high, high, high; group 2, high, high, normal; group 3, high, normal, normal; group 4, normal, normal, normal). We analyzed the clinicopathologic factors and the outcomes among these groups.

Results

Of the 236 patients, 12 were in group 1, 31 were in group 2, 67 were in group 3, and 126 were in group 4. The 3-year disease-free survival rate in group 1 was poorer than those in group 3 (P = 0.007) and group 4 (P < 0.001). In a univariate analysis, type of surgery, clinical N stage, pathologic T or N stage, lymphovascular invasion, perineural invasion, and CEA group were prognostic factors. A multivariate analysis revealed that type of surgery, pathologic T stage, and lymphovascular invasion were independent prognostic factors; however, no statistical significance was associated with the CEA group.

Conclusion

High pre-CRT, post-CRT, and post-surgery s-CEA levels in patients with rectal cancer were associated with high rates of systemic recurrence and poor survival. Therefore, patients with sustained high s-CEA levels during CRT require careful monitoring after surgery.

Citations

Citations to this article as recorded by  
  • Accessing new prognostic significance of preoperative carcinoembryonic antigen in colorectal cancer receiving tumor resection: More than positive and negative
    Zerong Cai, Jian Xiao, Xiaosheng He, Jia Ke, Yifeng Zou, Yufeng Chen, Xianrui Wu, Xiaoling Li, Lei Wang, Jianping Wang, Ping Lan, Xiaojian Wu
    Cancer Biomarkers.2017; 19(2): 161.     CrossRef
  • Prognosis Can Be Predicted More Accurately Using Pre- and Postchemoradiotherapy Carcinoembryonic Antigen Levels Compared to Only Prechemoradiotherapy Carcinoembryonic Antigen Level in Locally Advanced Rectal Cancer Patients Who Received Neoadjuvant Chemor
    SooYoon Sung, Seok Hyun Son, Chul Seung Kay, Yoon Suk Lee
    Medicine.2016; 95(10): e2965.     CrossRef
  • New clinical advances in immunotherapy for the treatment of solid tumours
    Valentina A. Zavala, Alexis M. Kalergis
    Immunology.2015; 145(2): 182.     CrossRef
  • Biomarkers and Molecular Imaging as Predictors of Response to Neoadjuvant Chemoradiotherapy in Patients With Locally Advanced Rectal Cancer
    Chiara Molinari, Federica Matteucci, Paola Caroli, Alessandro Passardi
    Clinical Colorectal Cancer.2015; 14(4): 227.     CrossRef
  • Prognostic factors associated with locally recurrent rectal cancer following primary surgery (Review)
    YANTAO CAI, ZHENYANG LI, XIAODONG GU, YANTIAN FANG, JIANBIN XIANG, ZONGYOU CHEN
    Oncology Letters.2014; 7(1): 10.     CrossRef
  • Factors predicting long-term survival in colorectal cancer patients with a normal preoperative serum level of carcinoembryonic antigen
    Jung Wook Huh, Chang Hyun Kim, Sang Woo Lim, Hyeong Rok Kim, Young Jin Kim
    Journal of Cancer Research and Clinical Oncology.2013; 139(9): 1449.     CrossRef
Incidence and Multiplicities of Adenomatous Polyps in TNM Stage I Colorectal Cancer in Korea
Young-Sang Hong, Eun-Joo Jung, Chun-Geun Ryu, Gang-Mi Kim, Su-Ran Kim, Sung-Noh Hong, Dae-Yong Hwang
J Korean Soc Coloproctol. 2012;28(4):213-218.   Published online August 31, 2012
DOI: https://doi.org/10.3393/jksc.2012.28.4.213
  • 3,186 View
  • 39 Download
  • 1 Citations
AbstractAbstract PDF
Purpose

In recent years, the incidence of early-stage colorectal cancer (CRC) has markedly increased in the population within the Republic of Korea. The aim of this study was to evaluate the clinicopathologic features of adenomatous polyps in TNM stage I CRC patients and in the general population.

Methods

Between March 2003 and September 2009, 168 patients with stage I CRC were enrolled in this study. In addition, the records of 4,315 members of the general population without CRC, as determined by colonoscopy during a health check-up, were reviewed.

Results

Of the 168 patients with stage I CRC, 68 (40.5%) had coexisting colorectal adenomatous polyps and of the 4,315 members of the general population, 1,112 (26.0%) had coexisting adenomatous polyps (P = 0.006). The prevalences of adenomatous polyp multiplicity in early CRC and in the general population were 32% and 15%, respectively (P = 0.023). Patients with coexisting adenomatous polyps had a higher frequency of tubulovillous or villous adenomas than members of the general population with polyps (7.5% vs. 2.0%, P = 0.037). Furthermore, a subgroup analysis showed that the occurrence (44% vs. 34%, P = 0.006) and the multiplicity (32% vs. 15%, P = 0.023) of adenomatous polyps were greater for T2 than T1 cancer.

Conclusion

The prevalence and the multiplicity of adenomatous polyps in TNM stage I CRC is higher than it is in the general population. The findings of this study suggest that depth of invasion of early stage CRC affects the prevalence and the number of adenomatous polyps in the remaining colon and rectum.

Citations

Citations to this article as recorded by  
  • Risk factors of recurrence in TNM stage I colorectal cancer
    Jin-Hee Paik, Chun-Geun Ryu, Dae-Yong Hwang
    Annals of Surgical Treatment and Research.2023; 104(5): 281.     CrossRef
Case Reports
Anal Myolipoma: A New Benign Entity in Patients with an Anal Tumor?
Tae Young Kang, Moo Ryang Huh, Su Jin Kim
J Korean Soc Coloproctol. 2012;28(4):219-221.   Published online August 31, 2012
DOI: https://doi.org/10.3393/jksc.2012.28.4.219
  • 3,262 View
  • 36 Download
  • 2 Citations
AbstractAbstract PDF

A myolipoma is an extremely rare benign neoplasm, occurring most frequently in adults in the deep soft tissue of the abdomen or retroperitoneum. We experienced a case of an anal myolipoma occurring in a 30-year-old woman, and it was surgically resected. To our knowledge, this is the first reported case of a myolipoma arising from the anus, so such a possibility needs to be considered in the differential diagnosis.

Citations

Citations to this article as recorded by  
  • Myolipoma of Soft Tissue
    Mana Fukushima, Inga-Marie Schaefer, Christopher D.M. Fletcher
    American Journal of Surgical Pathology.2017; 41(2): 153.     CrossRef
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    Valerio Finocchi, Edoardo Pellini, Gianluigi Longobardi, Angelo Trivisonno, Julio Faller, Damiano Tambasco
    Aesthetic Plastic Surgery.2014; 38(1): 252.     CrossRef
A Case of a Mucinous Adenocarcinoma Arising from a Rectal Diverticulum
Jang Hoon Kwon, Koon Hee Han, Woo-Sung Chang, Ki-Ho Nam, Myoung Sik Han, Jae Hong Ahn, Sang Hak Han, Gab Jin Cheon
J Korean Soc Coloproctol. 2012;28(4):222-224.   Published online August 31, 2012
DOI: https://doi.org/10.3393/jksc.2012.28.4.222
  • 3,935 View
  • 38 Download
  • 6 Citations
AbstractAbstract PDF

The occurrence of an adenocarcinoma arising from a rectal diverticulum that causes mechanical ileus is very rare. Recently, we diagnosed a case of a mucinous adenocarcinoma in a rectal diverticulum after an emergent abdominal perineal resection and permanent colostomy by laparotomy. Here, we present a case report and a review of the literature.

Citations

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  • A Novel Method of Treating Rectal Diverticulum Using Transanal Minimally Invasive Surgery (TAMIS)
    Yui Kaneko, Neil Strugnell
    World Journal of Colorectal Surgery.2024; 13(2): 46.     CrossRef
  • A case of solitary rectal diverticulum presenting with a large retrorectal abscess
    Stefanos Gorgoraptis, Sofia Xenaki, Elias Athanasakis, Anna Daskalaki, Konstantinos Lasithiotakis, Evangelia Chrysou, Emmanuel Chrysos
    Annals of Medicine and Surgery.2020; 49: 57.     CrossRef
  • Mucinous Adenocarcinoma Arising within a Colonic Diverticulum Mimicking a Diverticular Abscess: A Case Report
    Goun Choi, Jiyoung Hwang, Seong Sook Hong, Jae Joon Kim, In Ho Choi
    Journal of the Korean Society of Radiology.2018; 79(1): 40.     CrossRef
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    Alvaro Andres Gomez Venegas
    Revista Colombiana de Gastroenterología.2018; 33(4): 469.     CrossRef
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    Saurabh Singh, Louis Savage
    BMJ Case Reports.2014; : bcr2013201888.     CrossRef
  • Rectal Diverticulum after Stapled Transanal Procedures: Surgery Encouraged
    Gianluca Pellino
    The American Surgeon™.2013; 79(12): 1320.     CrossRef

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