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Volume 30(5); October 2014
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Editorials
Sexual Function After a Proctectomy for the Treatment of Rectal Cancer
Young Wan Kim, Ik Yong Kim
Ann Coloproctol. 2014;30(5):205-205.   Published online October 28, 2014
DOI: https://doi.org/10.3393/ac.2014.30.5.205
  • 2,626 View
  • 28 Download
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Nonoperative Management of Acute Complicated Diverticulitis
Byung Chun Kim
Ann Coloproctol. 2014;30(5):206-206.   Published online October 28, 2014
DOI: https://doi.org/10.3393/ac.2014.30.5.206
  • 2,732 View
  • 41 Download
  • 2 Web of Science
  • 3 Citations
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Citations

Citations to this article as recorded by  
  • Predictive Factors Affecting the Clinical Course of Patients With Diverticulitis: Who Needs Hospital Management?
    Taeyoung Yoo, Keun Ho Yang, Jungbin Kim, Inseok Park, Hyunjin Cho, Geumhee Gwak, Byung Noe Bae, Ki Hwan Kim
    Annals of Coloproctology.2018; 34(1): 23.     CrossRef
  • The Multidisciplinary Management of Acute Complicated Diverticulitis
    Daniël P.V.  Lambrichts, Arianna Birindelli, Valeria Tonini, Roberto Cirocchi, Maurizio Cervellera, Johan F. Lange, Willem A. Bemelman, Salomone Di Saverio
    Inflammatory Intestinal Diseases.2018; 3(2): 80.     CrossRef
  • Failure of Conservative Treatment of Acute Diverticulitis with Extradigestive Air
    P. A. Colas, E. Duchalais, Q. Duplay, V. Serra‐Maudet, S. Kanane, C. Ridereau‐Zins, E. Lermite, C. Aubé, A. Hamy, A. Venara
    World Journal of Surgery.2017; 41(7): 1890.     CrossRef
Frustration Still Exists
Hyun Shig Kim
Ann Coloproctol. 2014;30(5):207-207.   Published online October 28, 2014
DOI: https://doi.org/10.3393/ac.2014.30.5.207
  • 2,169 View
  • 29 Download
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Importance of Prompt Diagnosis in the Management of Colonoscopic Perforation
In Ja Park
Ann Coloproctol. 2014;30(5):208-209.   Published online October 28, 2014
DOI: https://doi.org/10.3393/ac.2014.30.5.208
  • 2,650 View
  • 32 Download
  • 1 Web of Science
  • 1 Citations
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Citations

Citations to this article as recorded by  
  • Repair of a colonoscopic perforation of the rectum with transanal endoscopic microsurgery
    R. Zhou, B. A. Orkin
    Techniques in Coloproctology.2016; 20(10): 721.     CrossRef
Original Articles
High Rate of Sexual Dysfunction Following Surgery for Rectal Cancer
Wafi Attaallah, Caglar Ertekin, Ilker Tinay, Cumhur Yegen
Ann Coloproctol. 2014;30(5):210-215.   Published online October 28, 2014
DOI: https://doi.org/10.3393/ac.2014.30.5.210
  • 4,849 View
  • 60 Download
  • 30 Web of Science
  • 33 Citations
AbstractAbstract PDF
Purpose

Although rectal cancer is a very common malignancy and has an improved cure rate in response to oncological treatment, research on rectal-cancer survivors' sexual function remains limited. Sexual dysfunction (SD) after rectal cancer treatment was measured, and possible predisposing factors that may have an impact on the development of this disorder were identified.

Methods

Patients undergoing curative rectal cancer surgery from January 2012 to September 2013 were surveyed using questionnaires. The female sexual function index or the International Index of Erectile Function was recorded. A multiple logistic regression was used to test associations of clinical factors with outcomes.

Results

Fifty-six men (56%) and 28 women (44%) who completed the questionnaire were included in the study. A total of 76 patients of the 86 patients (90.5%) with the diagnosis of rectal cancer who were included in this study reported different levels of SD after radical surgery. A total of 64 patients (76%) from the whole cohort reported moderate to severe SD after treatment of rectal cancer. Gender (P = 0.011) was independently associated with SD. Female patients reported significantly higher rates of moderate to severe SD than male patients. Patients were rarely treated for dysfunction.

Conclusion

Sexual problems after surgery for rectal cancer are common, but patients are rarely treated for SD. Female patients reported higher rates of SD than males. These results point out the importance of sexual (dys)function in survivors of rectal cancer. More attention should be drawn to this topic for clinical and research purposes.

Citations

Citations to this article as recorded by  
  • High prevalence of erectile dysfunction within the first year after surgery for rectal cancer: A systematic review and meta-analysis
    Sebastian B. Hansen, Siv Fonnes, Birthe Thing Oggesen, Jacob Rosenberg
    European Journal of Surgical Oncology.2024; 50(12): 108662.     CrossRef
  • IL-17A exacerbates corpus cavernosum fibrosis and neurogenic erectile dysfunction by inducing CSMC senescence via the mTORC2-ACACA pathway
    Wende Yang, Jiafeng Fang, Jiancheng Zhai, Chen Qiu, Zhenkang Liang, Qianhui Liu, Hongbo Wei
    BMC Medicine.2024;[Epub]     CrossRef
  • Diffuse reflection spectroscopy at the fingertip: design and performance of a compact side-firing probe for tissue discrimination during colorectal cancer surgery
    Freija Geldof, Mark Witteveen, Henricus J. C. M. Sterenborg, Theo J. M. Ruers, Behdad Dashtbozorg
    Biomedical Optics Express.2023; 14(1): 128.     CrossRef
  • Patient-Reported Outcomes in Colorectal Surgery
    Marianna Maspero, Tracy Hull
    Clinics in Colon and Rectal Surgery.2023; 36(04): 240.     CrossRef
  • Controversies and management of deficient mismatch repair gastrointestinal cancers in the neoadjuvant setting
    Mélina Boutin, Sharlene Gill
    Therapeutic Advances in Medical Oncology.2023; 15: 175883592311625.     CrossRef
  • Evaluation of Depression, Anxiety, and Sexual Function in Rectal Cancer Patients Before and After Neoadjuvant Chemoradiotherapy
    Meltem Dağdelen, Tuba Kurt Çatal, Ömer Faruk Demirel, Esra Ürün, Selma Kaçar, Kimia Çepni, Günay Can, Didem Çolpan Öksüz, Alaatin Duran
    Journal of Gastrointestinal Cancer.2023; 54(4): 1347.     CrossRef
  • The erectile and ejaculatory implications of the surgical management of rectal cancer
    Armin Ghomeshi, John Zizzo, Raghuram Reddy, Joshua White, Aden Swayze, Sanjaya Swain, Ranjith Ramasamy
    International Journal of Urology.2023; 30(10): 827.     CrossRef
  • Functional Results After Nerve-Sparing, Sphincter Preserving Rectal Cancer Surgery: Patient-Reported Outcomes of Sexual and Urinary Dysfunction
    Swapnil Patel, Sriniket Raghavan, Vidur Garg, Mufaddal Kazi, Vivek Sukumar, Ashwin Desouza, Avanish Saklani
    Indian Journal of Surgical Oncology.2023; 14(4): 868.     CrossRef
  • Erectile Dysfunction Is Common after Rectal Cancer Surgery: A Cohort Study
    Sebastian Borgund Hansen, Birthe Thing Oggesen, Siv Fonnes, Jacob Rosenberg
    Current Oncology.2023; 30(10): 9317.     CrossRef
  • Endoscopic and trans-anal local excision vs. radical resection in the treatment of early rectal cancer: A systematic review and network meta-analysis
    Charlotte Kwik, Toufic El-Khoury, Nimalan Pathma-Nathan, James Wei Tatt Toh
    International Journal of Colorectal Disease.2023;[Epub]     CrossRef
  • Distinctive features of small vessels on the mesorectal and parietal pelvic fascia as important landmarks in guiding precise inter-fascial dissection for low rectal cancer
    Qingbin Wu, Mingtian Wei, Xubing Zhang, Xiangbing Deng, Ziqiang Wang
    Surgical Endoscopy.2022; 36(2): 1657.     CrossRef
  • Erectile dysfunction resulting from pelvic surgery is associated with changes in cavernosal gene expression indicative of cavernous nerve injury
    Guillermo Villegas, Moses Tarndie Tar, Kelvin Paul Davies
    Andrologia.2022;[Epub]     CrossRef
  • Identification of Risk Factors for Sexual Dysfunction after Multimodal Therapy of Locally Advanced Rectal Cancer and Their Impact on Quality of Life: A Single-Center Trial
    Peter Tschann, Markus Weigl, Thomas Brock, Jürgen Frick, Oliver Sturm, Jaroslav Presl, Tarkan Jäger, Michael Weitzendorfer, Philipp Schredl, Patrick Clemens, Helmut Eiter, Philipp Szeverinski, Christian Attenberger, Veronika Tschann, Walter Brunner, Alexa
    Cancers.2022; 14(23): 5796.     CrossRef
  • Male erectile function after treatment for colorectal cancer: a population‐based cross‐sectional study
    Jens Reumert Laurberg, Viktoria Reumert Laurberg, Hossam Elfeki, Jørgen Bjerggaard Jensen, Katrine J. Emmertsen
    Colorectal Disease.2021; 23(2): 367.     CrossRef
  • Intraoperative neuromonitoring in rectal cancer surgery: a systematic review and meta-analysis
    Athina A. Samara, Ioannis Baloyiannis, Konstantinos Perivoliotis, Dimitrios Symeonidis, Alexandros Diamantis, Konstantinos Tepetes
    International Journal of Colorectal Disease.2021; 36(7): 1385.     CrossRef
  • Prospective study of sexual function and analysis of risk factors after rectal cancer surgery
    Inmaculada Torrijo, Zutoia Balciscueta, Janine Tabet, M. Carmen Martín, Manuel López, Natalia Uribe
    Colorectal Disease.2021; 23(6): 1379.     CrossRef
  • Risk factors for sexual dysfunction after rectal cancer surgery in 948 consecutive patients: A prospective cohort study
    Kai Li, Xiaobo He, Shilun Tong, Yongbin Zheng
    European Journal of Surgical Oncology.2021; 47(8): 2087.     CrossRef
  • Prevalence of erectile dysfunction in male survivors of cancer: a systematic review and meta-analysis of cross-sectional studies
    Damiano Pizzol, Tao Xiao, Lee Smith, Guillermo F López Sánchez, Andrea Garolla, Christopher Parris, Yvonne Barnett, Petre Cristian Ilie, Pinar Soysal, Jae Il Shin, Mark A Tully, Lin Yang, Nicola Veronese, Igor Grabovac
    British Journal of General Practice.2021; 71(706): e372.     CrossRef
  • Robotic Surgery for Rectal Cancer Provides Advantageous Outcomes Over Laparoscopic Approach
    Jacopo Crippa, Fabian Grass, Eric J. Dozois, Kellie L. Mathis, Amit Merchea, Dorin T. Colibaseanu, Scott R. Kelley, David W. Larson
    Annals of Surgery.2021; 274(6): e1218.     CrossRef
  • Functional outcomes after sphincter-preserving surgeries for low-lying rectal cancer: A review
    Eun Jung Park, Seung Hyuk Baik
    Precision and Future Medicine.2021; 5(4): 164.     CrossRef
  • Ressecção anterior do reto vs prostatectomia radical. Existem diferenças na reabilitação sexual?
    Nuno Ramos, Rodrigo Ramos, Eduardo Silva
    Revista do Colégio Brasileiro de Cirurgiões.2020;[Epub]     CrossRef
  • Long term sexual function following rectal cancer treatment
    Joyce H. Pang, Zoë Jones, Orrin B. Myers, Sarah Popek
    The American Journal of Surgery.2020; 220(5): 1258.     CrossRef
  • Placement of Inflatable Penile Implants in Patients With Prior Radical Pelvic Surgery: A Literature Review
    SriGita K. Madiraju, Tariq S. Hakky, Paul E. Perito, Jared J. Wallen
    Sexual Medicine Reviews.2019; 7(1): 189.     CrossRef
  • Changes in Sexual Function of Patients with Cancer in Turkey
    Ayse Cil Akinci, Fatma Cosar Cetin, Rujnan Tuna, Neriman Zengin, Mahmut Gumus
    Sexuality and Disability.2019; 37(3): 441.     CrossRef
  • Prospective study of sexual dysfunction after proctectomy for rectal cancer
    Wafi Attaallah, Suleyman Caglar Ertekin, Cumhur Yegen
    Asian Journal of Surgery.2018; 41(5): 454.     CrossRef
  • Evaluation of Sexual Satisfaction and Function in Patients Following Stoma Surgery: A Descriptive Study
    Emel Sutsunbuloglu, Fatma Vural
    Sexuality and Disability.2018; 36(4): 349.     CrossRef
  • Survey on consenting practice and discussion of post-operative erectile dysfunction following rectal cancer surgery
    Yih Chyn Phan, Joseph Sebastian, Mohan Harilingam, George Tsavellas
    Journal of Clinical Urology.2017; 10(1): 62.     CrossRef
  • Sexual dysfunction following rectal cancer surgery
    V Celentano, R Cohen, J Warusavitarne, O Faiz, M Chand
    International Journal of Colorectal Disease.2017; 32(11): 1523.     CrossRef
  • Phosphodiesterase-5 Inhibitors and Vacuum Erection Device for Penile Rehabilitation After Laparoscopic Nerve-Preserving Radical Proctectomy for Rectal Cancer: A Prospective Controlled Trial
    Haijun Deng, Dong Liu, Xiangming Mao, Xiaoliang Lan, Hao Liu, Guoxin Li
    American Journal of Men's Health.2017; 11(3): 641.     CrossRef
  • Risk Factor Analysis for Newly Developed Urogenital Dysfunction after Total Mesorectal Excision and Impact of Pelvic Intraoperative Neuromonitoring—a Prospective 2-Year Follow-Up Study
    Daniel W. Kauff, Hauke Lang, Werner Kneist
    Journal of Gastrointestinal Surgery.2017; 21(6): 1038.     CrossRef
  • The Physiology of Female Sexual Function and the Pathophysiology of Female Sexual Dysfunction (Committee 13A)
    Roy J. Levin, Stephanie Both, Janniko Georgiadis, Tuuli Kukkonen, Kwangsung Park, Claire C. Yang
    The Journal of Sexual Medicine.2016; 13(5): 733.     CrossRef
  • Quality of life after surgery for rectal cancer: a systematic review of comparisons with the general population
    Francesca Giandomenico, Teresa Gavaruzzi, Lorella Lotto, Paola Del Bianco, Andrea Barina, Alessandro Perin, Salvatore Pucciarelli
    Expert Review of Gastroenterology & Hepatology.2015; 9(9): 1227.     CrossRef
  • Sexual Function After a Proctectomy for the Treatment of Rectal Cancer
    Young Wan Kim, Ik Yong Kim
    Annals of Coloproctology.2014; 30(5): 205.     CrossRef
Safety of Nonoperative Management After Acute Diverticulitis
Javier Suarez Alecha, Sonia Amoza Pais, Xavi Batlle Marin, Begoña Oronoz Martinez, Enrique Balen Ribera, Concepción Yarnoz Irazabal
Ann Coloproctol. 2014;30(5):216-221.   Published online October 28, 2014
DOI: https://doi.org/10.3393/ac.2014.30.5.216
  • 3,445 View
  • 56 Download
  • 8 Web of Science
  • 8 Citations
AbstractAbstract PDF
Purpose

The role of surgery in the management of diverticular disease after an episode of acute diverticulitis (AD) managed in a conservative form is evolving. Age, number of episodes of AD, type of episode, and symptoms after the episodes are factors related to the need for elective surgery. The aim of this study is to evaluate the safety of conservative management and the risk factors for emergency surgery after a first episode of AD managed without surgery.

Methods

We retrospectively evaluated 405 patients diagnosed as having had a first episode of AD. Sixty-nine patients underwent emergency surgery on the first admission, and 69 patients had an elective operation in the follow-up (group A). The remaining 267 patients were managed initially without surgery (group B). Thirteen of these 267 patients needed a further urgent surgical procedure. Factors involved in the decision of elective surgery and the probability of emergency surgery after the first episode of AD managed without surgery were evaluated in relation to demographic factors, risk factors, presence of recurrences, and type of the first episode.

Results

Patients, mean age was 62.7 years, 71 were aged less than 51, and 151 were males. The mean follow-up for patients with nonoperative management was 91.2 months. An elective operation was performed in 69 patients. Compared to patients in group B, those in group A more frequently had a first episode of complicated acute diverticulitis (CAD) (37.1% vs. 16.4%; P = 0.000) and were more likely to be smokers (46.3% vs. 19.3%; P = 0.000) and to suffer more than one episode of AD (42% vs. 26.9%; P = 0.027). Nonoperative management was chosen for 267 patients, but 13 patients needed an emergency operation later. In the multivariate analysis, we found a significant relation between the presence of CAD in the first episode and the need for emergency surgery. There were no differences in surgical mortality between the patients in the two groups, but patients treated with elective surgery had a higher rate of stoma than patients treated non-operatively (7.2% vs. 1.4%; P = 0.028); this difference was not observed in the subgroup of patients with CAD (15.3% vs. 6.8%; P = 0.458).

Conclusion

After an episode of AD, nonoperative management is safe because fewer than 5% of patients will need an emergent procedure in a subsequent attack of AD. A first episode of CAD is the only risk factor for emergency surgery in patients managed conservatively.

Citations

Citations to this article as recorded by  
  • Elective surgical versus conservative management of complicated diverticulitis: A systematic review and meta‐analysis
    Marcus Yeow, Nicholas Syn, Choon Seng Chong
    Journal of Digestive Diseases.2022; 23(2): 91.     CrossRef
  • Surgical approach for right‐sided colonic diverticular bleeding: A single‐center review of 43 consecutive cases
    Hitoshi Kameyama, Toshiyuki Yamazaki, Akira Iwaya, Hiroaki Uehara, Shiori Utsumi, Motoharu Hirai, Masaru Komatsu, Akira Kubota, Tomohiro Katada, Kazuaki Kobayashi, Daisuke Sato, Naoyuki Yokoyama, Shirou Kuwabara, Tetsuya Otani
    Asian Journal of Endoscopic Surgery.2021; 14(4): 717.     CrossRef
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    Matthew Symer, Heather L. Yeo
    Advances in Surgery.2021; 55: 49.     CrossRef
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    Ryan Francis Bendl, Roberto Bergamaschi
    Advances in Surgery.2017; 51(1): 179.     CrossRef
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    Ryan Lamm, Steven N. Mathews, Jie Yang, Lijuan Kang, Dana Telem, Aurora D. Pryor, Mark Talamini, Jill Genua
    Journal of Gastrointestinal Surgery.2017; 21(1): 78.     CrossRef
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    Bikash Devaraj, Wendy Liu, James Tatum, Kyle Cologne, Andreas M. Kaiser
    Diseases of the Colon & Rectum.2016; 59(3): 208.     CrossRef
  • Nonoperative treatment of acute appendicitis in children: A feasibility study
    Joseph Hartwich, Francois I. Luks, Debra Watson-Smith, Arlet G. Kurkchubasche, Christopher S. Muratore, Hale E. Wills, Thomas F. Tracy
    Journal of Pediatric Surgery.2016; 51(1): 111.     CrossRef
  • Nonoperative Management of Acute Complicated Diverticulitis
    Byung Chun Kim
    Annals of Coloproctology.2014; 30(5): 206.     CrossRef
Effectiveness of Sodium Picosulfate/Magnesium Citrate (PICO) for Colonoscopy Preparation
Ki Hwan Song, Wu Seok Suh, Jin Sik Jeong, Dong Sik Kim, Sang Woo Kim, Dong Min Kwak, Jong Seong Hwang, Hyun Jin Kim, Man Woo Park, Min Chul Shim, Ja-Il Koo, Jae Hwang Kim, Dae Ho Shon
Ann Coloproctol. 2014;30(5):222-227.   Published online October 28, 2014
DOI: https://doi.org/10.3393/ac.2014.30.5.222
  • 4,339 View
  • 51 Download
  • 8 Web of Science
  • 6 Citations
AbstractAbstract PDF
Purpose

Bowel preparation with sodium phosphate was recently prohibited by the U.S. Food and Drug Administration. Polyethylene glycol (PEG) is safe and effective; however, it is difficult to drink. To identify an easy bowel preparation method for colonoscopy, we evaluated three different bowel preparation regimens regarding their efficacy and patient satisfaction.

Methods

In this randomized, comparative study, 892 patients who visited a secondary referral hospital for a colonoscopy between November 2012 and February 2013 were enrolled. Three regimens were evaluated: three packets of sodium picosulfate/magnesium citrate (PICO, group A), two packets of PICO with 1 L of PEG (PICO + PEG 1 L, group B), and two packets of PICO with 2 L of PEG (PICO + PEG 2 L, group C). A questionnaire survey regarding the patients' preference for the bowel preparation regimen and satisfaction was conducted before the colonoscopies. The quality of bowel cleansing was scored by the colonoscopists who used the Aronchick scoring scale and the Ottawa scale.

Results

The patients' satisfaction rate regarding the regimens were 72% in group A, 64% in group B, and 45.9% in group C. Nausea and abdominal bloating caused by the regimens were more frequent in group C than in group A or group B (P < 0.01). Group C showed the lowest preference rate compared to the other groups (P < 0.01). Group C showed better right colon cleansing efficacy than group A or group B.

Conclusion

Group A exhibited a better result than group B or group C in patient satisfaction and preference. In the cleansing quality, no difference was noted between groups A and C.

Citations

Citations to this article as recorded by  
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    Gyeong Bo Kim, Sung Yeon Hwang, Tae Gun Shin, Tae Rim Lee, Won Chul Cha, Min Seob Sim, Ik Joon Jo, Keun Jeong Song, Joong Eui Rhee, Yeon Kwon Jeong
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    Jae Seung Soh, Kyung-Jo Kim
    World Journal of Gastroenterology.2016; 22(10): 2915.     CrossRef
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    Annals of Coloproctology.2014; 30(5): 207.     CrossRef
Prompt Management Is Most Important for Colonic Perforation After Colonoscopy
Hyun-Ho Kim, Bong-Hyeon Kye, Hyung-Jin Kim, Hyeon-Min Cho
Ann Coloproctol. 2014;30(5):228-231.   Published online October 28, 2014
DOI: https://doi.org/10.3393/ac.2014.30.5.228
  • 6,933 View
  • 78 Download
  • 17 Web of Science
  • 14 Citations
AbstractAbstract PDF
Purpose

The incidence of complications after colonoscopy is very low. The complications after colonoscopy that are of clinical concern are bleeding and perforation. The present study was conducted to determine the clinical outcomes and the risk factors of a colostomy or a colectomy after colonoscopic colon perforation.

Methods

From March 2009 to December 2012, the records of all patients who were treated for colorectal perforation after colonoscopy were reviewed retrospectively. The following parameters were evaluated: age, sex, purpose of colonoscopy, management of the colonic perforation, and interval from colonoscopy to the diagnosis of a colonic perforation. A retrospective analysis was performed to determine the risk factors associated with major surgery for the treatment of a colon perforation after colonoscopy.

Results

A total 27 patients were included in the present study. The mean age was 62 years, and 16 were males. The purpose of colonoscopy was diagnostic in 18 patients. The most common perforation site was the sigmoid colon. Colonic perforation was diagnosed during colonoscopy in 14 patients, just after colonoscopy in 5 patients, and 24 hours or more after colonoscopy in 8 patients. For the treatment of colonic perforation, endoscopic clipping was performed in 3 patients, primary closure in 15 patients, colon resection in 2 patients, Hartmann's procedures in 4 patients, and diverting colostomy in 3 patients. If the diagnosis of perforation after colonoscopy was delayed for more than 24 hours, the need for major treatment was increased significantly.

Conclusion

Although a colonic perforation after colonoscopy is rare, if the morbidity and the mortality associated with the colonic perforation are to be reduced, prompt diagnosis and management are very important.

Citations

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Case Reports
Müllerian Adenosarcoma Arising From Rectal Endometriosis
Chunseok Yang, Hoon Kyu Oh, Daedong Kim
Ann Coloproctol. 2014;30(5):232-236.   Published online October 28, 2014
DOI: https://doi.org/10.3393/ac.2014.30.5.232
  • 3,318 View
  • 37 Download
  • 9 Web of Science
  • 8 Citations
AbstractAbstract PDF

A Müllerian adenosarcoma is an extremely rare tumor characterized by a stromal component of usually low-grade malignancy and by a benign glandular epithelial component. A Müllerian adenosarcoma occurs mainly in the uterus, but also in extrauterine locations. Extrauterine Müllerian adenosarcomas are thought to arise from endometriotic deposits. A 36-year-old female presented to Daegu Catholic University Medical Center with a symptom of loose stool for several months. The imaging studies revealed a rectal mass, so she underwent a laparoscopic low anterior resection. Although extemporary pathology revealed an inflammatory myofibroblastic tumor, the final histologic diagnosis was a Müllerian adenosarcoma arising from rectal endometriosis. To our knowledge, except a concomitant rectal villotubular adenoma, cases of Müllerian adenosarcomas arising the rectal wall are rare. An adenosarcoma arising from endometriosis should be considered in the differential diagnosis of a pelvic mass, even one appearing in rectal wall, because ectopic endometrial tissue exists everywhere.

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  • The Many Faces of Endometriosis-Related Neoplasms in the Same Patient: A Brief Report
    Angela Santoro, Giuseppe Angelico, Frediano Inzani, Saveria Spadola, Damiano Arciuolo, Michele Valente, Vincenzo Fiorentino, Antonino Mulè, Giovanni Scambia, Gian Franco Zannoni
    Gynecologic and Obstetric Investigation.2020; 85(4): 371.     CrossRef
  • Two Cases of Extrauterine Müllerian Adenosarcoma Arising from Pelvic Endometriosis
    Zheng Yuan Ng, Yen Ching Yeo, Timothy Yong Kuei Lim, Ieera Madan Aggarwal
    Journal of Gynecologic Surgery.2019; 35(3): 194.     CrossRef
  • Deoxyribonucleic acid and chromatin imaging of endometriosis and endometrial carcinoma using atomic force microscopy
    Peter Urdzík, Miroslava Rabajdová, Peter Urban, Rastislav Dudič, Vladimír Komanický, Mária Mareková
    Spectroscopy Letters.2019; 52(9): 510.     CrossRef
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    Jose Carlos Vilches Jimenez, Emilia Villegas Muñoz, Iván González Poveda, David Santos Lorente, Belinda Sanchez Pérez, Jesús S. Jimenez Lopez
    BMC Women's Health.2019;[Epub]     CrossRef
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    Salma Begum Bhyan, Li Zhao, YongKiat Wee, Yining Liu, Min Zhao
    PeerJ.2019; 7: e8135.     CrossRef
  • Imaging Description of Extragenital Müllerian Adenosarcoma: A Case Report
    Annalisa Mone, Piergiorgio Iannone
    Revista Brasileira de Ginecologia e Obstetrícia / RBGO Gynecology and Obstetrics.2019; 41(02): 124.     CrossRef
  • Primary extra-uterine and extra-ovarian mullerian adenosarcoma: case report and literature review
    Vincenzo Dario Mandato, Federica Torricelli, Valentina Mastrofilippo, Riccardo Valli, Lorenzo Aguzzoli, Giovanni Battista La Sala
    BMC Cancer.2018;[Epub]     CrossRef
  • Uterine Adenosarcoma: a Review
    Michael J. Nathenson, Vinod Ravi, Nicole Fleming, Wei-Lien Wang, Anthony Conley
    Current Oncology Reports.2016;[Epub]     CrossRef
Intramedullary Spinal Cord Metastasis From Rectal Cancer
Kyung Ho Yang, Hye Ran Lee, Seong Yoon Yi, Joo Hyuk Jung, Seung Hee Kang, Pyong Hwa Choi
Ann Coloproctol. 2014;30(5):237-240.   Published online October 28, 2014
DOI: https://doi.org/10.3393/ac.2014.30.5.237
  • 3,745 View
  • 41 Download
  • 4 Web of Science
  • 6 Citations
AbstractAbstract PDF

Intramedullary spinal cord metastasis (ISCM) is an uncommon condition of the central nervous system (CNS) cause by systemic malignant tumors. Most ISCM cases are known to occur in patients with lung cancer and breast cancer; however, ISCM also very rarely occurs in patients with colorectal cancer. For the first time in Korea, we experienced a case of ISCM arising from rectal cancer, where a 75-year-old man presented with an abruptly-developed left-foot drop and numbness in both legs. The patient had lung metastases from rectal cancer that had been treated with chemotherapy. Magnetic resonance imaging revealed an intramedullary nodular lesion at the T12 level. ISCM was diagnosed and treated with steroids and radiotherapy. The patient's neurological symptoms were relieved for a while after treatment, but his condition deteriorated progressively. He died 4 months after ISCM had been diagnosed.

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  • Intramedullary Metastases to Conus Medullaris: A Review of the Literature with a Case Illustration
    Serdar Kaya, Fred C. Lam, Mary Ann Stevenson, Rouzbeh Motiei-Langroudi, Ekkehard M. Kasper
    Brain Sciences.2024; 14(8): 761.     CrossRef
  • A Radiologist’s Guide to the 2021 WHO Central Nervous System Tumor Classification: Part 2—Newly Described and Revised Tumor Types
    Julie B. Guerin, Timothy J. Kaufmann, Laurence J. Eckel, Jonathan M. Morris, Rachael A. Vaubel, Caterina Giannini, Derek R. Johnson
    Radiology.2023;[Epub]     CrossRef
  • The Central Dot Sign
    Ajay A. Madhavan, Felix E. Diehn, Jeffrey B. Rykken, John T. Wald, Chris P. Wood, Kara M. Schwartz, Timothy J. Kaufmann, Christopher H. Hunt, Dong Kun Kim, Laurence J. Eckel
    Clinical Neuroradiology.2021; 31(2): 383.     CrossRef
  • Approach to Limb Weakness
    Sachin M. Bhagavan, Swathi B. Ramaswamy, Tejas R. Mehta, Raghav Govindarajan
    Seminars in Neurology.2021; 41(06): 644.     CrossRef
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    Romina Mariano, Eoin P Flanagan, Brain G Weinshenker, Jacqueline Palace
    Practical Neurology.2018; 18(3): 187.     CrossRef
  • Intramedullary spinal cord metastasis from colon cancer: analysis of 19 reported cases
    Tai-Hsin Tsai, I-Cheng Lin, Pei-Chen Lin, Chieh-Hsin Wu, Chih-Lung Lin, Yu-Feng Su
    Spinal Cord Series and Cases.2016;[Epub]     CrossRef
Perianal Paget's Disease
Chang Woo Kim, Yon Hee Kim, Min Soo Cho, Byung Soh Min, Seung Hyuk Baik, Nam Kyu Kim
Ann Coloproctol. 2014;30(5):241-244.   Published online October 28, 2014
DOI: https://doi.org/10.3393/ac.2014.30.5.241
  • 3,778 View
  • 69 Download
  • 5 Web of Science
  • 8 Citations
AbstractAbstract PDF

The incidence of extramammary Paget's disease (EMPD) is very low. An 84-year-old Korean man was treated with topical and oral medications at a local dermatologic clinic for a year, but the symptoms did not improve. He visited Severance Hospital and underwent a perianal skin biopsy and was finally diagnosed with EMPD. The authors performed a wide local excision according to a 1-cm margin around the lesion. For the skin and the soft tissue defects, bilateral inferior gluteal artery perforator flap transpositions were performed. The size of the lesion was 14 cm2 × 9 cm2, and the lateral and the basal margins were all disease free.

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  • Perianal Paget’s Disease; Surgery and Non-surgical Interventions, Untreated Patient: a Report of Two Cases
    Ümit Özdemir, Mustafa Salış, İlter Özer, Bülent Ünal
    Indian Journal of Surgery.2022;[Epub]     CrossRef
  • Perianal paget’s disease: A case report
    Hernández Pilar Navajas, Delgado Teresa Valdés, Aguado Jesús Machuca, González-Cámpora Ricardo, Arias Federico Argüelles
    Archives of Clinical Gastroenterology.2022; 8(3): 050.     CrossRef
  • Perianal Paget's disease
    Pilar Navajas Hernández, Teresa Valdés Delgado , Jesús Machuca Aguado, Ricardo González-Cámpora, Federico Argüelles Arias
    Revista Española de Enfermedades Digestivas.2022;[Epub]     CrossRef
  • Enfermedad de Paget perianal
    Mireia Merichal Resina, Carlos Cerdan Santacruz, Enrique Sierra Grañón, Jordi Antoni Tarragona Foradada, Jorge Juan Olsina Kissler
    Cirugía Española.2019; 97(3): 179.     CrossRef
  • Perianal Paget Disease
    Mireia Merichal Resina, Carlos Cerdan Santacruz, Enrique Sierra Grañón, Jordi Antoni Tarragona Foradada, Jorge Juan Olsina Kissler
    Cirugía Española (English Edition).2019; 97(3): 179.     CrossRef
  • Enfermedad de Paget extramamaria de la región perianal, reporte de caso
    Lucía Giraldo Mordecay, Joanna Cajamarca Rueda, Edgar Olmos Olmos, Jenny Gonzalez Arboleda
    Piel.2017; 32(3): 178.     CrossRef
  • Bilateral V-Y flap for a perianal basal cell carcinoma: A case report
    José P. Rivera-Chavarría, Francisco Vargas-Villalobos, Silvia Riggioni-Víquez
    International Journal of Surgery Case Reports.2016; 24: 153.     CrossRef
  • Tumours and inflammatory lesions of the anal canal and perianal skin revisited: an update and practical approach
    Heather Dawson, Stefano Serra
    Journal of Clinical Pathology.2015; 68(12): 971.     CrossRef

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