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Volume 31(4); August 2015
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Editorials
Is Low-Dose-Rate Endorectal Brachytherapy a New Treatment Method for Locally Advanced Distal Rectal Cancer?
Seung Hyuk Baik
Ann Coloproctol. 2015;31(4):115-116.   Published online August 31, 2015
DOI: https://doi.org/10.3393/ac.2015.31.4.115
  • 2,472 View
  • 19 Download
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Should a Contrast Enema Be Performed Before Reversal of a Diverting Stoma in Lower Rectal Surgery?
Ji Yeon Kim
Ann Coloproctol. 2015;31(4):117-118.   Published online August 31, 2015
DOI: https://doi.org/10.3393/ac.2015.31.4.117
  • 2,843 View
  • 27 Download
  • 1 Web of Science
  • 1 Citations
PDF

Citations

Citations to this article as recorded by  
  • Out of the Loop: The Value of a Preoperative Loopogram for Colostomy Reversal in Trauma
    Nolitha Makapi Tisetso Morare, Meshack Nkosinaye Motha, Maeyane Stephens Moeng
    World Journal of Surgery.2021; 45(7): 2009.     CrossRef
Biofeedback Therapy After Sphincter-Preservation Surgery for the Treatment of Rectal Cancer
Ik Yong Kim
Ann Coloproctol. 2015;31(4):119-120.   Published online August 31, 2015
DOI: https://doi.org/10.3393/ac.2015.31.4.119
  • 3,079 View
  • 38 Download
PDF
Anti-tumor Necrosis Factor Therapy for Crohn Disease: Friend or Foe to the Surgeon?
Hungdai Kim
Ann Coloproctol. 2015;31(4):121-122.   Published online August 31, 2015
DOI: https://doi.org/10.3393/ac.2015.31.4.121
  • 2,532 View
  • 44 Download
PDF
Original Articles
Efficacy and Safety of Low-Dose-Rate Endorectal Brachytherapy as a Boost to Neoadjuvant Chemoradiation in the Treatment of Locally Advanced Distal Rectal Cancer: A Phase-II Clinical Trial
Shapour Omidvari, Shadi Zohourinia, Mansour Ansari, Leila Ghahramani, Mohammad Zare-Bandamiri, Ahmad Mosalaei, Niloofar Ahmadloo, Saeedeh Pourahmad, Hamid Nasrolahi, Sayed Hasan Hamedi, Mohammad Mohammadianpanah
Ann Coloproctol. 2015;31(4):123-130.   Published online August 31, 2015
DOI: https://doi.org/10.3393/ac.2015.31.4.123
  • 3,813 View
  • 33 Download
  • 9 Web of Science
  • 12 Citations
AbstractAbstract PDF
Purpose

Despite advances in rectal cancer treatment over the last decade, local control and risk of late side effects due to external beam radiation therapy (EBRT) remain as concerns. The present study aimed to investigate the efficacy and the safety of low-dose-rate endorectal brachytherapy (LDRBT) as a boost to neoadjuvant chemoradiation for use in treating locally advanced distal rectal adenocarcinomas.

Methods

This phase-II clinical trial included 34 patients (as the study arm) with newly diagnosed, locally advanced (clinical T3-T4 and/or N1/N2, M0) lower rectal cancer. For comparative analysis, 102 matched patients (as the historical control arm) with rectal cancer were also selected. All the patients were treated with LDRBT (15 Gy in 3 fractions) and concurrent chemoradiation (45-50.4 Gy). Concurrent chemotherapy consisted of oxaliplatin 130 mg/m2 intravenously on day 1 plus oral capecitabine 825 mg/m2 twice daily during LDRBT and EBRT.

Results

The study results revealed a significant differences between the study arm and the control arm in terms in the pathologic tumor size (2.1 cm vs. 3.6 cm, P = 0.001), the pathologic tumor stage (35% T3-4 vs. 65% T3-4, P = 0.003), and the pathologic complete response (29.4% vs. 11.7%, P < 0.028). Moreover, a significantly higher dose of EBRT (P = 0.041) was found in the control arm, and a longer time to surgery was observed in the study arm (P < 0.001). The higher rate of treatment-related toxicities, such as mild proctitis and anemia, in the study arm was tolerable and easily manageable.

Conclusion

A boost of LDRBT can optimize the pathologic complete response, with acceptable toxicities, in patients with distal rectal cancer.

Citations

Citations to this article as recorded by  
  • Examining external control arms in oncology: A scoping review of applications to date
    Eliya Farah, Matthew Kenney, Matthew T. Warkentin, Winson Y. Cheung, Darren R. Brenner
    Cancer Medicine.2024;[Epub]     CrossRef
  • Brachytherapy of rectal cancer: comparative characteristics of techniques (review)
    Roman V. Novikov, Sergey N. Novikov
    Koloproktologia.2023; 22(3): 158.     CrossRef
  • Neoadjuvant Radiotherapy Dose Escalation in Locally Advanced Rectal Cancer: a Systematic Review and Meta-analysis of Modern Treatment Approaches and Outcomes
    N. Hearn, D. Atwell, K. Cahill, J. Elks, D. Vignarajah, J. Lagopoulos, M. Min
    Clinical Oncology.2021; 33(1): e1.     CrossRef
  • Recommendations on Management of Locally Advanced Rectal Cancer During the COVID-19 Pandemic: an Iranian Consensus
    Zahra Siavashpour, Farzad Taghizadeh-Hesary, Afshin Rakhsha
    Journal of Gastrointestinal Cancer.2020; 51(3): 800.     CrossRef
  • Recent advances in (chemo-)radiation therapy for rectal cancer: a comprehensive review
    F. Roeder, E. Meldolesi, S. Gerum, V. Valentini, C. Rödel
    Radiation Oncology.2020;[Epub]     CrossRef
  • Predictive Significance of Mucinous Histology on Pathologic Complete Response Rate Following Capecitabine-Based Neoadjuvant Chemoradiation in Rectal Cancer: a Comparative Study
    Sare Hosseini, NamPhong Nguyen, Mohammad Mohammadianpanah, Sepideh Mirzaei, Ali Mohammad Bananzadeh
    Journal of Gastrointestinal Cancer.2019; 50(4): 716.     CrossRef
  • A systematic review comparing radiation toxicity after various endorectal techniques
    An-Sofie Verrijssen, Thirza Opbroek, Murillo Bellezzo, Gabriel P. Fonseca, Frank Verhaegen, Jean-Pierre Gerard, Arthur Sun Myint, Evert J. Van Limbergen, Maaike Berbee
    Brachytherapy.2019; 18(1): 71.     CrossRef
  • Is the Pathologic Response of T3 Rectal Cancer to High-Dose-Rate Endorectal Brachytherapy Comparable to External Beam Radiotherapy?
    Richard Garfinkle, Sebastian Lachance, Te Vuong, Alexandre Mikhail, Vincent Pelsser, Adrian Gologan, Nancy A. Morin, Carol-Ann Vasilevsky, Marylise Boutros
    Diseases of the Colon & Rectum.2019; 62(3): 294.     CrossRef
  • Phase 2 Neoadjuvant Treatment Intensification Trials in Rectal Cancer: A Systematic Review
    Mark T.W. Teo, Lucy McParland, Ane L. Appelt, David Sebag-Montefiore
    International Journal of Radiation Oncology*Biology*Physics.2018; 100(1): 146.     CrossRef
  • Colorectal Cancer Staging Using Three Clustering Methods Based on Preoperative Clinical Findings
    Saeedeh Pourahmad, Soudabeh Pourhashemi, Mohammad Mohammadianpanah
    Asian Pacific Journal of Cancer Prevention.2016; 17(2): 823.     CrossRef
  • Lentivirus‐mediated shRNA interference of ghrelin receptor blocks proliferation in the colorectal cancer cells
    An Liu, Chenggang Huang, Jia Xu, Xuehong Cai
    Cancer Medicine.2016; 5(9): 2417.     CrossRef
  • Is Low-Dose-Rate Endorectal Brachytherapy a New Treatment Method for Locally Advanced Distal Rectal Cancer?
    Seung Hyuk Baik
    Annals of Coloproctology.2015; 31(4): 115.     CrossRef
Assessment by Using a Water-Soluble Contrast Enema Study of Radiologic Leakage in Lower Rectal Cancer Patients With Sphincter-Saving Surgery
Seok In Seo, Jong Lyul Lee, Seong Ho Park, Hyun Kwon Ha, Jin Cheon Kim
Ann Coloproctol. 2015;31(4):131-137.   Published online August 31, 2015
DOI: https://doi.org/10.3393/ac.2015.31.4.131
  • 3,752 View
  • 55 Download
  • 12 Web of Science
  • 10 Citations
AbstractAbstract PDF
Purpose

This study evaluated the efficacy of a water-soluble contrast enema (WCE) in predicting anastomotic healing after a low anterior resection (LAR).

Methods

Between January 2000 and March 2012, 682 consecutive patients underwent a LAR or an ultra-low anterior resection (uLAR) and were followed up for leakage. Clinical leakage was established by using physical and laboratory findings. Radiologic leakage was identified by using retrograde WCE imaging. Abnormal radiologic features on WCE were categorized into four types based on morphology: namely, dendritic, horny, saccular, and serpentine.

Results

Of the 126 patients who received a concurrent diverting stoma, only two (1.6%) suffered clinical leakage due to pelvic abscess. However, 37 patients (6.7%) in the other group suffered clinical leakage following fecal diversion (P = 0.027). Among the 163 patients who received a fecal diversion, 20 showed radiologic leakage on the first WCE (eight with and 12 without a concurrent diversion); 16 had abnormal features continuously until the final WCE while four patients healed spontaneously. Eleven of the 16 patients (69%), by their surgeon's decision, underwent a stoma restoration based on clinical findings (2/3 dendritic, 3/4 horny, 5/7 saccular, 1/2 serpentine). After stoma reversal, only 2 of the 11 (19%) complained of complications related to the rectal anastomosis.

Conclusion

WCE is helpful for detecting radiologic leakage before stoma restoration, especially in patients suffering clinical leakage after an uLAR. However, surgeons appear to opt for stoma restoration despite the persistent existence of radiologic leakage in cases with particular features on the WCE.

Citations

Citations to this article as recorded by  
  • Technical considerations in stoma reversal
    Reece K. DeHaan, Jeremy Lipman
    Seminars in Colon and Rectal Surgery.2023; 34(2): 100957.     CrossRef
  • Pictorial review: radiological diagnosis of anastomotic leakage with water-soluble contrast enema after anterior resection of the rectum
    Piero Boraschi, Gaia Tarantini, Giuseppe Mercogliano, Luigi Giugliano, Francescamaria Donati
    Japanese Journal of Radiology.2022; 40(12): 1235.     CrossRef
  • Flexible endoscopy is enough diagnostic prior to loop ileostomy reversal
    S. Lindner, K. von Rudno, J. Gawlitza, J. Hardt, F. Sandra-Petrescu, S. Seyfried, P. Kienle, C. Reissfelder, A. Bogner, F. Herrle
    International Journal of Colorectal Disease.2021; 36(2): 413.     CrossRef
  • Out of the Loop: The Value of a Preoperative Loopogram for Colostomy Reversal in Trauma
    Nolitha Makapi Tisetso Morare, Meshack Nkosinaye Motha, Maeyane Stephens Moeng
    World Journal of Surgery.2021; 45(7): 2009.     CrossRef
  • Less is more—the best test for anastomotic leaks in rectal cancer patients prior to ileostomy reversal
    Simon Lindner, Steffen Eitelbuss, Svetlana Hetjens, Joshua Gawlitza, Julia Hardt, Steffen Seyfried, Christian Galata, Christoph Reissfelder, Flavius Sandra-Petrescu, Florian Herrle
    International Journal of Colorectal Disease.2021; 36(11): 2387.     CrossRef
  • Radiological findings in anastomotic leakage after anterior resection may predict a permanent stoma
    Henrik Jutesten, Marie-Louise Lydrup, Axel Landberg, Daniel Risberg, Olle Ekberg, Sophia Zackrisson, Pamela Buchwald
    Acta Radiologica Open.2020; 9(1): 205846011989735.     CrossRef
  • Are radiologic pouchogram and pouchoscopy useful before ileostomy closure in asymptomatic patients operated for ulcerative colitis?
    Georgios Exarchos, Linda Metaxa, Antonios Gklavas, Vassilis Koutoulidis, Ioannis Papaconstantinou
    European Radiology.2019; 29(4): 1754.     CrossRef
  • Surgical specimen extraction via a prophylactic ileostomy procedure: A minimally invasive technique for laparoscopic rectal cancer surgery
    Peng Wang, Jian-Wei Liang, Hai-Tao Zhou, Zheng Wang, Zhi-Xiang Zhou
    World Journal of Gastroenterology.2018; 24(1): 104.     CrossRef
  • Imaging of the Postoperative Colon
    Eugene Huo, Laura Eisenmenger, Stefanie Weinstein
    Radiologic Clinics of North America.2018; 56(5): 835.     CrossRef
  • Should a Contrast Enema Be Performed Before Reversal of a Diverting Stoma in Lower Rectal Surgery?
    Ji Yeon Kim
    Annals of Coloproctology.2015; 31(4): 117.     CrossRef
Biofeedback Therapy Before Ileostomy Closure in Patients Undergoing Sphincter-Saving Surgery for Rectal Cancer: A Pilot Study
Jeong-Ki Kim, Byeong Geon Jeon, Yoon Suk Song, Mi Sun Seo, Yoon-Hye Kwon, JI Won Park, Seung-Bum Ryoo, Seung-Yong Jeong, Kyu Joo Park
Ann Coloproctol. 2015;31(4):138-143.   Published online August 31, 2015
DOI: https://doi.org/10.3393/ac.2015.31.4.138
  • 4,147 View
  • 65 Download
  • 12 Web of Science
  • 11 Citations
AbstractAbstract PDF
Purpose

This study prospectively investigated the effects of biofeedback therapy on objective anorectal function and subjective bowel function in patients after sphincter-saving surgery for rectal cancer.

Methods

Sixteen patients who underwent an ileostomy were randomized into two groups, one receiving conservative management with the Kegel maneuver and the other receiving active biofeedback before ileostomy closure. Among them, 12 patients (mean age, 57.5 years; range, 38 to 69 years; 6 patients in each group) completed the study. Conservative management included lifestyle modifications, Kegel exercises, and medication. Patients were evaluated at baseline and at 1, 3, 6, and 12 months after ileostomy closure by using anal manometry, modified Wexner Incontinence Scores (WISs), and fecal incontinence quality of life (FI-QoL) scores.

Results

Before the ileostomy closure, the groups did not differ in baseline clinical characteristics or resting manometric parameters. After 12 months of follow-up, the biofeedback group demonstrated a statistically significant improvement in the mean maximum squeezing pressure (from 146.3 to 178.9, P = 0.002). However, no beneficial effect on the WIS was noted for biofeedback compared to conservative management alone. Overall, the FI-QoL scores were increased significantly in both groups after ileostomy closure (P = 0.006), but did not differ significantly between the two groups.

Conclusion

Although the biofeedback therapy group demonstrated a statistically significant improvement in the maximum squeezing pressure, significant improvements in the WISs and the FI-QoL scores over time were noted in both groups. The study was terminated early because no therapeutic benefit of biofeedback had been demonstrated.

Citations

Citations to this article as recorded by  
  • The effectiveness of physiotherapy interventions on fecal incontinence and quality of life following colorectal surgery: a systematic review and meta-analysis of randomized controlled trials
    Ming Yan Pun, Pak Ho Leung, Tsz Ching Chan, Chunn Pang, Kin Hei Chan, Priya Kannan
    Supportive Care in Cancer.2024;[Epub]     CrossRef
  • Effectiveness of Pelvic Floor Muscle Training for Patients Following Low Anterior Resection
    Young Man Kim, Eui Geum Oh
    Journal of Wound, Ostomy & Continence Nursing.2023; 50(2): 142.     CrossRef
  • ILEOSTIM trial: a study protocol to evaluate the effectiveness of efferent loop stimulation before ileostomy reversal
    N. Blanco, I. Oliva, P. Tejedor, E. Pastor, A. Alvarellos, C. Pastor, J. Baixauli, J. Arredondo
    Techniques in Coloproctology.2023; 27(12): 1251.     CrossRef
  • Low anterior resection syndrome
    Seung‐Bum Ryoo
    Annals of Gastroenterological Surgery.2023; 7(5): 719.     CrossRef
  • Efficacy of Pelvic Floor Muscle Training for Postoperative Patients With Rectal Cancer: A Systematic Review and Meta-Analysis
    Yuki Nakashima, Kenichi Fudeyasu, Yuki Kataoka, Shunsuke Taito, Takashi Ariie, Yukio Mikami
    Cureus.2023;[Epub]     CrossRef
  • „Low anterior resection syndrome“ – Ursachen und therapeutische Ansätze
    Sigmar Stelzner, Juliane Kupsch, Sören Torge Mees
    Der Chirurg.2021; 92(7): 612.     CrossRef
  • Anterior resection syndrome: a randomized clinical trial of a 5-HT3 receptor antagonist (ramosetron) in male patients with rectal cancer
    S -B Ryoo, J W Park, D W Lee, M A Lee, Y -H Kwon, M J Kim, S H Moon, S -Y Jeong, K J Park
    British Journal of Surgery.2021; 108(6): 644.     CrossRef
  • Investigating Risk Factors for Complications after Ileostomy Reversal in Low Anterior Rectal Resection Patients: An Observational Study
    Mateusz Rubinkiewicz, Jan Witowski, Michał Wysocki, Magdalena Pisarska, Stanisław Kłęk, Andrzej Budzyński, Michał Pędziwiatr
    Journal of Clinical Medicine.2019; 8(10): 1567.     CrossRef
  • Mind–Body Interventions for Irritable Bowel Syndrome Patients in the Chinese Population: a Systematic Review and Meta-Analysis
    Weidong Wang, Fang Wang, Feng Fan, Ana Cristina Sedas, Jian Wang
    International Journal of Behavioral Medicine.2017; 24(2): 191.     CrossRef
  • Lentivirus‐mediated shRNA interference of ghrelin receptor blocks proliferation in the colorectal cancer cells
    An Liu, Chenggang Huang, Jia Xu, Xuehong Cai
    Cancer Medicine.2016; 5(9): 2417.     CrossRef
  • Biofeedback Therapy After Sphincter-Preservation Surgery for the Treatment of Rectal Cancer
    Ik Yong Kim
    Annals of Coloproctology.2015; 31(4): 119.     CrossRef
Long-term Outcomes and Risk Factors for Reoperation After Surgical Treatment for Gastrointestinal Crohn Disease According to Anti-tumor Necrosis Factor-α Antibody Use: 35 Years of Experience at a Single Institute in Korea
Sang Mok Lee, Eon Chul Han, Seung-Bum Ryoo, Heung-Kwon Oh, Eun Kyung Choe, Sang Hui Moon, Joo Sung Kim, Hyun Chae Jung, Kyu Joo Park
Ann Coloproctol. 2015;31(4):144-152.   Published online August 31, 2015
DOI: https://doi.org/10.3393/ac.2015.31.4.144
  • 4,050 View
  • 50 Download
  • 6 Web of Science
  • 7 Citations
AbstractAbstract PDF
Purpose

Crohn disease is characterized by high rates of recurrence and reoperations. However, few studies have investigated long-term surgical outcomes in Asian populations. We investigated risk factors for reoperation, particularly those associated with anti-tumor necrosis factor-α (anti-TNF-α) antibody use, and long-term follow-up results.

Methods

We reviewed the records of 148 patients (100 males and 48 females) who underwent surgery for gastrointestinal Crohn disease and retrospectively analyzed long-term outcomes and risk factors.

Results

The mean age at diagnosis was 28.8 years. Thirty-eight patients (25.7%) received monoclonal antibody treatment before reoperation. A small bowel and colon resection was most commonly performed (83 patients, 56.1%). The median follow-up was 149 months, during which 47 patients underwent reoperation. The median interval between the primary and the secondary surgeries was 65 months, with accumulated reoperation rates of 16.5%, 31.8%, and 57.2% after 5, 10, and 15 years, respectively. Obstruction was the most common indication for reoperation (37 patients, 25.0%). In a multivariable analysis, age <17 years at diagnosis (A1) (odds ratio [OR], 2.20; P = 0.023), penetrating behavior (B3) (OR, 4.39; P < 0.001), and no azathioprine use (OR, 2.87; P = 0.003) were associated with reoperation. Anti-TNF-α antibody use did not affect the reoperation rate (P = 0.767).

Conclusion

We showed a high reoperation rate regardless of treatment with anti-TNF-α antibody, which indicates that recurrent surgery is still needed to cure patients with gastrointestinal Crohn diseases. Younger age at primary operation, penetrating behavior, and no azathioprine use were significant factors associated with reoperation for gastrointestinal Crohn disease.

Citations

Citations to this article as recorded by  
  • Inflammatory Bowel Disease Reoperation Rate Has Decreased Over Time If Corrected by Prevalence
    Mafalda Santiago, Fernando Magro, Luís Correia, Francisco Portela, Paula Ministro, Paula Lago, Eunice Trindade, Cláudia Camila Dias
    Clinical and Translational Gastroenterology.2020; 11(9): e00227.     CrossRef
  • Effect of Thiopurine on Potential Surgical Intervention in Crohn’s Disease in Korea: Results from the CONNECT Study
    Hee Man Kim, Jin Woo Kim, Hyun-Soo Kim, Joo Sung Kim, You Sun Kim, Jae Hee Cheon, Won Ho Kim, Byong Duk Ye, Won Moon, Sung Hee Jung, Young-Ho Kim, Dong Soo Han
    Journal of Clinical Medicine.2020; 10(1): 25.     CrossRef
  • Risk factors for postoperative surgical site infections in patients with Crohn’s disease receiving definitive bowel resection
    Song Liu, Ji Miao, Gefei Wang, Meng Wang, Xiuwen Wu, Kun Guo, Min Feng, Wenxian Guan, Jianan Ren
    Scientific Reports.2017;[Epub]     CrossRef
  • Advanced age impacts surgical characteristics and postoperative course in patients with Crohn's disease
    Stanislaus Argeny, Anton Stift, Martina Mittlböck, Amy C. Lord, Svenja Maschke, Mathias Schneeweiß, Stefan Riss
    International Journal of Surgery.2016; 33: 182.     CrossRef
  • Effect of Tripterygium Wilfordii Polyglycoside on Experimental Prostatitis Caused by Ureaplasma Urealyticum in Rats
    Pingnan Shan, Zhiyong Lu, Lihong Ye, Yaqin Fang, Suhong Tan, Guohong Xuan, Jincheng Ru, Liming Mao
    Medical Science Monitor.2016; 22: 3722.     CrossRef
  • Endoscopy-based management decreases the risk of postoperative recurrences in Crohn’s disease
    Anne-Laure Boucher, Bruno Pereira, Stéphanie Decousus, Marion Goutte, Felix Goutorbe, Anne Dubois, Johan Gagniere, Corinne Borderon, Juliette Joubert, Denis Pezet, Michel Dapoigny, Pierre J Déchelotte, Gilles Bommelaer, Anthony Buisson
    World Journal of Gastroenterology.2016; 22(21): 5068.     CrossRef
  • Anti-tumor Necrosis Factor Therapy for Crohn Disease: Friend or Foe to the Surgeon?
    Hungdai Kim
    Annals of Coloproctology.2015; 31(4): 121.     CrossRef
Case Reports
Multiple Glomus Tumors of the Omentum
Won Beom Jung, In Ja Park, Joon Seon Song, Kyung-Ja Cho, Jin Cheon Kim
Ann Coloproctol. 2015;31(4):153-156.   Published online August 31, 2015
DOI: https://doi.org/10.3393/ac.2015.31.4.153
  • 3,122 View
  • 42 Download
AbstractAbstract PDF

A glomus tumor is a very rare neoplasm consisting of cells that resemble the modified smooth muscle cells of normal glomus bodies. Here, we report a case of a 39-year-old male with multiple omental glomus tumors. The patient underwent a complete resection of the glomus tumors. This is a rare case of omental glomus tumors, and to our knowledge, this patient is the first with multiple omental glomus tumors to be described.

Colon Stricture After Ischemia Following a Robot-Assisted Ultra-Low Anterior Resection With Coloanal Anastomosis
Dae Ro Lim, Hyuk Hur, Byung Soh Min, Seung Hyuk Baik, Nam Kyu Kim
Ann Coloproctol. 2015;31(4):157-162.   Published online August 31, 2015
DOI: https://doi.org/10.3393/ac.2015.31.4.157
  • 4,978 View
  • 47 Download
  • 5 Web of Science
  • 6 Citations
AbstractAbstract PDF

Four consecutive cases of a colonic stricture following a da Vinci robot-assisted ultra-low anterior resection (LAR) with coloanal anastomosis and diverting ileostomy for the treatment of rectal cancer are reported. The colonic strictures developed after early proximal colonic ischemia without anastomotic site leakage or disruption. All patients were treated with preoperative chemoradiation therapy. During the postoperative recovery period, patients developed colonic ischemia, presenting with a high, spiking fever, but without any symptoms of peritonitis. Patients were treated with conservative management (antibiotic therapy) and discharged after two weeks when in good condition. Several months after discharge, all four patients developed a long-segment colonic stricture from the anastomosis site to the distal colon. Management of the colon strictures, including the anastomotic site, involved colonic dilation with a Hegar dilator in an outpatient clinic for several months. The ileostomies in three patients could not be closed.

Citations

Citations to this article as recorded by  
  • Magnetic resonance imaging in the diagnosis of necrosis of a pulled-through colon segment after abdomino-anal resection of the rectum for cancer
    Sofiya A. Myalina, Ksenia I. Paziuk, Tatiana P. Berezovskaya, Alexey A. Nevolskikh, Aleksandr L. Potapov, Sergey A. Ivanov
    Digital Diagnostics.2023; 4(1): 61.     CrossRef
  • Prolonged ischemia of the ileum and colon after surgical mucosectomy explains contraction and failure of “mucus free” bladder augmentation
    Dániel Urbán, Gabriella Varga, Dániel Érces, Mahmoud Marei Marei, Raimondo Cervellione, David Keene, Anju Goyal, Tamás Cserni
    Journal of Pediatric Urology.2022; 18(4): 500.e1.     CrossRef
  • Robotic Intersphincteric Resection for Low Rectal Cancer: Technical Controversies and a Systematic Review on the Perioperative, Oncological, and Functional Outcomes
    Guglielmo Niccolò Piozzi, Seon Hahn Kim
    Annals of Coloproctology.2021; 37(6): 351.     CrossRef
  • Surgical specimen extraction via a prophylactic ileostomy procedure: A minimally invasive technique for laparoscopic rectal cancer surgery
    Peng Wang, Jian-Wei Liang, Hai-Tao Zhou, Zheng Wang, Zhi-Xiang Zhou
    World Journal of Gastroenterology.2018; 24(1): 104.     CrossRef
  • Risk factors including the presence of inflammation at the resection margins for colorectal anastomotic stenosis following surgery for diverticular disease
    A. Bressan, L. Marini, M. Michelotto, A. C. Frigo, G. Da Dalt, S. Merigliano, L. Polese
    Colorectal Disease.2018; 20(10): 923.     CrossRef
  • Vascular anatomy of inferior mesenteric artery in laparoscopic radical resection with the preservation of left colic artery for rectal cancer
    Ke-Xin Wang, Zhi-Qiang Cheng, Zhi Liu, Xiao-Yang Wang, Dong-Song Bi
    World Journal of Gastroenterology.2018; 24(32): 3671.     CrossRef
Letters to the Editor
Reply on "What Is the Role of Surgeons When Implanting a Totally Implantable Venous Access Device to Prevent Immediate Complications?"
Eun-Joo Jung, Dae-Yong Hwang
Ann Coloproctol. 2015;31(4):165-166.   Published online August 31, 2015
DOI: https://doi.org/10.3393/ac.2015.31.4.165
  • 2,941 View
  • 23 Download
PDF
Erratum
Erratum
Marieke S. Walma, Verena N. N. Kornmann, Djamila Boerma, Marnix A. J. de Roos, Henderik L. van Westreenen
Ann Coloproctol. 2015;31(4):167-167.   Published online August 31, 2015
DOI: https://doi.org/10.3393/ac.2015.31.4.167
  • 2,907 View
  • 16 Download
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