Annals of Coloproctology

Volume 32(4); August 2016

Editorials

Is A Mode of Presentation of Colorectal Cancer Different According to Each Individual's Social-economic Status?: Chinock Cheong, Nam Kyu Kim; Ann Coloproctol. 2016;32(4):123-123. Published online August 31, 2016; DOI: https://doi.org/10.3393/ac.2016.32.4.123

2,579 View
33 Download

PDF

Emergent Colorectal Surgery: What Should Be Considered?: Chang-Nam Kim; Ann Coloproctol. 2016;32(4):124-125. Published online August 31, 2016; DOI: https://doi.org/10.3393/ac.2016.32.4.124

3,182 View
45 Download
4 Web of Science
1 Citations

PDF

Citations

Citations to this article as recorded by

A Novel Clinical Nomogram for Predicting Overall Survival in Patients with Emergency Surgery for Colorectal Cancer
Georgiana Bianca Constantin, Dorel Firescu, Raul Mihailov, Iulian Constantin, Ioana Anca Ștefanopol, Daniel Andrei Iordan, Bogdan Ioan Ștefănescu, Rodica Bîrlă, Eugenia Panaitescu
Journal of Personalized Medicine.2023; 13(4): 575. CrossRef

Colorectal Surgery in Elderly Patients: Byung Chun Kim; Ann Coloproctol. 2016;32(4):126-127. Published online August 31, 2016; DOI: https://doi.org/10.3393/ac.2016.32.4.126

2,846 View
36 Download
1 Web of Science

PDF

Original Articles

Effect of Social Deprivation on the Stage and Mode of Presentation of Colorectal Cancer: Ahmed ELHadi, Sarah Ashford-Wilson, Stephanie Brown, Atanu Pal, Roshan Lal, Kamal Aryal; Ann Coloproctol. 2016;32(4):128-132. Published online August 31, 2016; DOI: https://doi.org/10.3393/ac.2016.32.4.128

3,586 View
36 Download
11 Web of Science
13 Citations

Abstract PDF

Purpose

Based in a hospital serving one of the most deprived areas in the United Kingdom (UK), we aimed to investigate, using the Indices of Deprivation 2010, the hypothesis that deprivation affects the stage and mode of presentation of colorectal cancer.

Methods

All newly diagnosed patients with colorectal cancer presenting to a District General Hospital in the UK between January 2010 and December 2014 were included. Data were collected from the Somerset National Cancer Database. The effect of social deprivation, measured using the Index of Multiple Deprivation Score, on the stage and mode of presentation was evaluated utilizing Microsoft Excel and IBM SPSS ver. 22.0.

Results

A total of 701 patients (54.5% male; mean age, 76 years) were included; 534 (76.2%) underwent a surgical procedure, and 497 (70.9%) underwent a colorectal resection. Of the patients undergoing a colorectal resection, 86 (17.3%) had an emergency surgical resection. Social deprivation was associated with Duke staging (P = 0.09). The 90-day mortality in patients undergoing emergency surgery was 12.8% compared to 6.8% in patients undergoing elective surgery (P = 0.06). No association was found between deprivation and emergency presentation (P = 0.97). A logistic regression analysis showed no increase in the probability of metastasis amongst deprived patients.

Conclusion

This study suggests an association between deprivation and the stage of presentation of colorectal cancer. Patients undergoing emergency surgery tend to have a higher 90-day mortality rate, although this was not related to deprivation. This study highlights the need to develop an individual measure to assess social deprivation.

Citations

Citations to this article as recorded by

Social deprivation and diabetic kidney disease: A European view
Caoimhe Casey, Claire M Buckley, Patricia M Kearney, Matthew D Griffin, Sean F Dinneen, Tomás P Griffin
Journal of Diabetes Investigation.2024; 15(5): 541. CrossRef
The impact of social deprivation on development and progression of diabetic kidney disease
Caoimhe Casey, Claire M Buckley, Patricia M Kearney, Matthew D Griffin, Sean F Dinneen, Tomas P Griffin
HRB Open Research.2024; 7: 53. CrossRef
Les inégalités sociales de santé : quelle influence sur l’histoire naturelle du cancer colorectal ?
A. Mulliri, J. Gardy, O. Dejardin, V. Bouvier, M. Pocard, A. Alves
Journal de Chirurgie Viscérale.2023; 160(3): 220. CrossRef
Social inequalities in health: How do they influence the natural history of colorectal cancer?
A. Mulliri, J. Gardy, O. Dejardin, V. Bouvier, M. Pocard, A. Alves
Journal of Visceral Surgery.2023; 160(3): 203. CrossRef
Determinants of emergency presentation in patients with colorectal cancer: a systematic review and meta-analysis
Allan M. Golder, Donald C. McMillan, Paul G. Horgan, Campbell S. D. Roxburgh
Scientific Reports.2022;[Epub] CrossRef
Measuring health-related social deprivation in small areas: development of an index and examination of its association with cancer mortality
Kailu Wang, Chi-Kin Law, Jiaying Zhao, Alvin Yik-Kiu Hui, Benjamin Hon-Kei Yip, Eng Kiong Yeoh, Roger Yat-Nork Chung
International Journal for Equity in Health.2021;[Epub] CrossRef
Equality in Hip Arthroscopy Outcomes Can Be Achieved Regardless of Patient Socioeconomic Status
Benjamin R. Saks, Vivian W. Ouyang, Elijah S. Domb, Andrew E. Jimenez, David R. Maldonado, Ajay C. Lall, Benjamin G. Domb
The American Journal of Sports Medicine.2021; 49(14): 3915. CrossRef
Socioeconomic Status and Ovarian Cancer Stage at Diagnosis: A Study Nested Within UKCTOCS
Chloe Karpinskyj, Matthew Burnell, Arturo Gonzalez-Izquierdo, Andy Ryan, Jatinderpal Kalsi, Ian Jacobs, Max Parmar, Usha Menon, Aleksandra Gentry-Maharaj
Diagnostics.2020; 10(2): 89. CrossRef
Impact of socioeconomic deprivation on short-term outcomes and long-term overall survival after colorectal resection for cancer
Chintamani Godbole, Aneel Bhangu, Douglas M. Bowley, Thejasvi Subramanian, Sivesh K. Kamarajah, Sharad Karandikar
International Journal of Colorectal Disease.2019; 34(12): 2101. CrossRef
Systematic review of the influence of socioeconomic deprivation on mortality after colorectal surgery
T E Poulton, T Salih, P Martin, A Rojas-Garcia, R Raine, S R Moonesinghe
British Journal of Surgery.2018; 105(8): 959. CrossRef
Clinicopathological, genomic and immunological factors in colorectal cancer prognosis
K M Marks, N P West, E Morris, P Quirke
British Journal of Surgery.2018; 105(2): e99. CrossRef
Effects of RUNX3 mediated Notch signaling pathway on biological characteristics of colorectal cancer cells
Hang Li, Dan Li, Ning Meng
International Journal of Oncology.2017; 50(6): 2059. CrossRef
Is A Mode of Presentation of Colorectal Cancer Different According to Each Individual's Social-economic Status?
Chinock Cheong, Nam Kyu Kim
Annals of Coloproctology.2016; 32(4): 123. CrossRef

Outcomes and Risk Factors Affecting Mortality in Patients Who Underwent Colorectal Emergency Surgery: Nam Ho Oh, Kyung Jong Kim; Ann Coloproctol. 2016;32(4):133-138. Published online August 31, 2016; DOI: https://doi.org/10.3393/ac.2016.32.4.133

3,636 View
52 Download
14 Web of Science
10 Citations

Abstract PDF

Purpose

Emergency colorectal surgery has a high risk of mortality and morbidity because of incomplete bowel preparation, bacterial proliferation, and contamination. In this study, we investigated the outcomes and the risk factors affecting mortality in patients who had undergone emergency surgery for the treatment of various colorectal diseases.

Methods

This study is a retrospective analysis of prospectively collected data to survey the clinical results for patients who had undergone emergency colorectal surgery from January 2014 to December 2014. We analyzed various clinicopathologic factors, which were divided into 3 categories: preoperative, intraoperative, and postoperative.

Results

A total of 50 patients had undergone emergency colorectal surgery during the time period covered by this study. Among them, 10 patients (20%) died during the postoperative period. A simple linear regression analysis showed that the risk factors for mortality were old age, preoperative hypotension, and a high American Society of Anesthesiologist (ASA) score. Moreover, a multiple linear regression analysis showed a high ASA score and preoperative hypotension to be independent risk factors.

Conclusion

In this study, emergency colorectal surgery showed a relatively high mortality rate. Furthermore, the independent risk factors for mortality were preoperative hypotension and high ASA score; thus, patients with these characteristics need to be evaluated more carefully and receive better care if the mortality rate is to be reduced.

Citations

Citations to this article as recorded by

Postoperative hypotension following acute hip fracture surgery is a predictor of 30-day mortality
Neil Donald, Grace Eniola, Krisztian Deierl
The Bone & Joint Journal.2024; 106-B(2): 189. CrossRef
Emergent colectomy for colorectal cancer: A comparative analysis of open vs. minimally invasive approach
Hunter Jecius, Muhammad Khurrum, Erika Krall, Dynnika Tso, Afang Pefok, Ryan Silva, Emily Wusterbarth, Hina Arif, Mohammad Hamidi, Valentine Nfonsam
The American Journal of Surgery.2023; 225(4): 724. CrossRef
Surgical outcomes and prognostic factors associated with emergency left colonic surgery
Dauda Bawa, Yasser Mohammad Khalifa, Saleem Khan, Waddah Norah, Nibras Noman
Annals of Saudi Medicine.2023; 43(2): 97. CrossRef
Development and Evaluation of a Risk-Adjusted Measure of Intraoperative Hypotension in Patients Having Nonemergent, Noncardiac Surgery
Anna L. Christensen, Ethan Jacobs, Kamal Maheshwari, Fei Xing, Xiaohong Zhao, Samuel E. Simon, Karen B. Domino, Karen L. Posner, Alvin F. Stewart, Joseph A. Sanford, Daniel I. Sessler
Anesthesia & Analgesia.2021; 133(2): 445. CrossRef
Prediction of functional loss in emergency surgery is possible with a simple frailty screening tool
Davide Zattoni, Isacco Montroni, Nicole Marie Saur, Anna Garutti, Maria Letizia Bacchi Reggiani, Federico Ghignone, Giovanni Taffurelli, Giampaolo Ugolini
World Journal of Emergency Surgery.2021;[Epub] CrossRef
Fluid management for critical patients undergoing urgent colectomy
Fabian Grass, Basile Pache, Fabio Butti, Josep Solà, Dieter Hahnloser, Nicolas Demartines, Martin Hübner
Journal of Evaluation in Clinical Practice.2020; 26(1): 109. CrossRef
Procalcitonin as an early marker in the detection of anastomotic intestinal leak in a Universitary Hospital of Bogotá
Elkin Eduardo Benítez Navarrete, Tatiana Carolina Beltrán-García, María Fernanda Mosquera, Valeria Martinez Rojas, Daniel Alejandro Buitrago Medina, Carlos Edgar Figueroa Avendaño
Journal of Coloproctology.2020; 40(04): 376. CrossRef
Association of intra‐operative hypotension with acute kidney injury, myocardial injury and mortality in non‐cardiac surgery: A meta‐analysis
Ran An, Qian-Yun Pang, Hong‐Liang Liu
International Journal of Clinical Practice.2019;[Epub] CrossRef
Emergency Surgery Mortality (ESM) Score to Predict Mortality and Improve Patient Care in Emergency Surgery
Sirirat Tribuddharat, Thepakorn Sathitkarnmanee, Pavit Sappayanon
Anesthesiology Research and Practice.2019; 2019: 1. CrossRef
Emergent Colorectal Surgery: What Should Be Considered?
Chang-Nam Kim
Annals of Coloproctology.2016; 32(4): 124. CrossRef

Outcome of Colorectal Surgery in Elderly Populations: Mostafa Shalaby, Nicola Di Lorenzo, Luana Franceschilli, Federico Perrone, Giulio P. Angelucci, Silvia Quareisma, Achille L. Gaspari, Pierpaolo Sileri; Ann Coloproctol. 2016;32(4):139-143. Published online August 31, 2016; DOI: https://doi.org/10.3393/ac.2016.32.4.139

3,934 View
48 Download
13 Citations

Abstract PDF

Purpose

The aim of this study is to investigate the impact of age on short-term outcomes after colorectal surgery in terms of the 30-day postoperative morbidity and mortality rates.

Methods

The subjects for the study were patients who had undergone colorectal surgery. Patients were divided into 2 groups according to age; groups A and B patients were ≥80 and <80 years old of age, respectively. Both groups were manually matched for body mass index, American Society of Anesthesiologists score, Charlson Comorbidity Index and procedure performed.

Results

A total of 200 patients, 91 men (45.5%) and 109 women (54.5%), were included in this retrospective study. These patients were equally divided into 2 groups. The mean ages were 85 years in group A (range, 80 to 104 years) and 55.3 years in group B (range, 13 to 79 years). The overall 30-day postoperative mortality rate was 1% of total 200 patients; both of these 2 patients were in group A. However, this observation had no statistical significance. No intraoperative complications were encountered in either group. The overall 30-day postoperative morbidity rate was 27% (54 of 200) for both groups. The 30-day postoperative morbidity rates in groups A and B were 28% (28 of 100) and 26% (26 of 100), respectively. However, these differences between the groups had no statistical significance importance.

Conclusion

Age alone should not be considered to be more of a contraindication or a worse predictor than other factors for the outcome after colorectal surgery on elderly patients.

Citations

Citations to this article as recorded by

Predictors of complicated course of perioperative period in patients with rectal cancer and rectosigmoid junction
E. P. Kulikov, S. A. Mertsalov, N. I. Verkin, Yu. D. Kaminskiy, I. S. Pikushin
Experimental and Clinical Gastroenterology.2023; (10): 77. CrossRef
Oncological and surgical outcomes of radical surgery in elderly colorectal cancer patients with intestinal obstruction
Qingbiao Ma, Hongyu Li, Yujuan Jiang, Yingfei Wang, Jianwei Liang
Frontiers in Surgery.2023;[Epub] CrossRef
Efficiency of pre-operative preparation of intestines at treatment of sharp intestinal impassability tumoral genesis
H. Sh. Nazarov, Sh. К. Nazarov, N. Sh. Hasanov
Health care of Tajikistan.2022; (2): 59. CrossRef
Before-and-After Study of the First Four Years of the Enhanced Recovery after Surgery (ERAS®) Programme in Older Adults Undergoing Elective Colorectal Cancer Surgery
Cristina Martínez-Escribano, Francisco Arteaga Moreno, David Cuesta Peredo, Francisco Javier Blanco Gonzalez, Juan Maria De la Cámara-de las Heras, Francisco J. Tarazona Santabalbina
International Journal of Environmental Research and Public Health.2022; 19(22): 15299. CrossRef
Perioperative score for octogenarian patients eligible for rectal cancer surgery
Arthur Mota Damasceno, Rubens Kesley, Bruno Souza Paolino, Marcelo Rubens dos Santos do Amaral, Marcos Bettini Pitombo
Journal of Surgical Oncology.2021; 124(8): 1409. CrossRef
Prehabilitation: finally utilizing frailty screening data
Francesco Carli, Amal Bessissow, Rashami Awasthi, Sender Liberman
European Journal of Surgical Oncology.2020; 46(3): 321. CrossRef
Video‐assisted anal fistula treatment for complex anal fistula: a long‐term follow‐up study
G. Giarratano, M. Shalaby, C. Toscana, P. Sileri
Colorectal Disease.2020; 22(8): 939. CrossRef
New prognostic risk score for predicting in-hospital mortality in geriatric patients undergoing colorectal cancer surgery: U.S. Nationwide Inpatient Sample analysis
Xiaohong Zhao, Yunmei Yang, Haifeng Gu, Wenjing Zhou, Qin Zhang
Journal of Geriatric Oncology.2020; 11(8): 1250. CrossRef
Impact of ASA-score, age and learning curve on early outcome in the initiation phase of an oncological robotic colorectal program
Hülya Sarikaya, Tahar Benhidjeb, Sergiu I. Iosivan, Theodoros Kolokotronis, Christine Förster, Stephan Eckert, Ludwig Wilkens, Alaa Nasser, Sebastian Rehberg, Martin Krüger, Jan Schulte am Esch
Scientific Reports.2020;[Epub] CrossRef
Prediction of overall survival following colorectal cancer surgery in elderly patients
Isaac Seow-En, Winson Jianhong Tan, Sreemanee Raaj Dorajoo, Sharon Hui Ling Soh, Yi Chye Law, Soo Yeun Park, Gyu-Seok Choi, Wah Siew Tan, Choong Leong Tang, Min Hoe Chew
World Journal of Gastrointestinal Surgery.2019; 11(5): 247. CrossRef
Health-Related Quality of Life in Older Adults with Colorectal Cancer
Evan Lapinsky, Lillian C. Man, Amy R. MacKenzie
Current Oncology Reports.2019;[Epub] CrossRef
Evaluation of short-term outcomes of laparoscopic-assisted surgery for colorectal cancer in elderly patients aged over 75 years old: a multi-institutional study (YSURG1401)
Keisuke Kazama, Toru Aoyama, Tsutomu Hayashi, Takanobu Yamada, Masakatsu Numata, Shinya Amano, Mariko Kamiya, Tsutomu Sato, Takaki Yoshikawa, Manabu Shiozawa, Takashi Oshima, Norio Yukawa, Yasushi Rino, Munetaka Masuda
BMC Surgery.2017;[Epub] CrossRef
Colorectal Surgery in Elderly Patients
Byung Chun Kim
Annals of Coloproctology.2016; 32(4): 126. 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; Ann Coloproctol. 2016;32(4):144-149. Published online August 31, 2016; DOI: https://doi.org/10.3393/ac.2016.32.4.144

5,067 View
68 Download
16 Web of Science
19 Citations

Abstract PDF

Purpose

Infection is one of the most frequent complications that can occur after ileostomy closure. The incidence of wound infection depends on the skin closure technique, but there is no agreement on the perfect closure method for an ileostomy wound. The aim of this study was to evaluate the incidence of infection, the patient's approval, and the patient's pain between purse-string closure (PSC) and the usual linear closure (LC) of a stoma wound.

Methods

This randomized clinical trial enrolled 66 patients who underwent a stoma closure from February 2015 to May 2015 in Sari Emam Khomeini Hospital. Patients were divided into 2 groups according to the stoma closing method: the PSC group (n = 34) and the LC group (n = 32). The incidences of infection for the 2 groups were compared, and the patients' satisfaction and pain with the stoma were determined by using a questionnaire.

Results

Infection occurred in 1 of 34 PSC patients (2.9%) and in 7 of 32 LC patients (21.8%), and this difference was statistically significant (P = 0.021). Patients in the PSC group were more satisfied with the resulting wound scar and its cosmetic appearance at one month and three months after surgery (P = 0.043).

Conclusion

After stoma closure, PSC was associated with a significantly lower incidence of wound infection and greater patient satisfaction compared to LC. However, the healing period for patients who underwent PSC was longer than it was for those who underwent LC.

Citations

Citations to this article as recorded by

The Outcome of Purse-string Versus Conventional Wound Closure Techniques in Patients Undergoing Stoma Reversal: A Randomized Controlled Trial
Assad Ameer, Muhammad Bilal Mirza, Nabila Talat
Journal of Pediatric Surgery.2024; 59(6): 1186. CrossRef
Purse-string skin closure versus linear skin closure in people undergoing stoma reversal
Shahab Hajibandeh, Shahin Hajibandeh, Andrew Maw
Cochrane Database of Systematic Reviews.2024;[Epub] 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
Purse-string versus linear closure of the skin wound following stoma reversal: A meta-analysis with RCT and systematic review
Jinlong Luo, Dan Liu, Junmei Wu, Huaiwu Jiang, Jin Chen, Hua Yang, Lie Yang
Medicine.2024; 103(35): e39477. CrossRef
Short-term outcomes following purse-string versus conventional closure of ileostomy wounds in Chinese colorectal cancer patients — a single center retrospective study
Yu-Rong Jiao, Xin-Bin Zhou, Yao Ye, Qian Xiao, Xiang-Xing Kong, Ke-Feng Ding, Jun Li
Holistic Integrative Oncology.2023;[Epub] CrossRef
Results of application of the technique of the extraperitoneal closure of loop intestinal stoma
N. A. Maistrenko, A. A. Sazonov, P. N. Romashchenko, M. V. Zotov
Grekov's Bulletin of Surgery.2023; 181(6): 64. 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
Purse-string skin closure versus linear skin closure in people undergoing stoma reversal
Shahab Hajibandeh, Shahin Hajibandeh, Andrew Maw
Cochrane Database of Systematic Reviews.2022;[Epub] 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
Negative-pressure wound therapy after stoma reversal in colorectal surgery: a randomized controlled trial
Francesco M Carrano, Annalisa Maroli, Michele Carvello, Caterina Foppa, Matteo Sacchi, Jacopo Crippa, Giuseppe Clerico, Francesca De Lucia, Elisabetta Coppola, Nadav Ben David, Antonino Spinelli
BJS Open.2021;[Epub] 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
Gunsight Procedure Versus the Purse-String Procedure for Closing Wounds After Stoma Reversal: A Multicenter Prospective Randomized Trial
Jia Gang Han, Hong Wei Yao, Jian Ping Zhou, Hong Zhang, Gui Ying Wang, Zhan Long Shen, Jian Feng Gong, Zhen Jun Wang
Diseases of the Colon & Rectum.2020; 63(10): 1411. CrossRef
Quality of life following ostomy reversal with purse-string vs linear skin closure: a systematic review
Emanuele Rausa, M. E. Kelly, G. Sgroi, V. Lazzari, A. Aiolfi, F. Cavalcoli, G. Bonitta, L. Bonavina
International Journal of Colorectal Disease.2019; 34(2): 209. 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
Italian guidelines for the surgical management of enteral stomas in adults
F. Ferrara, D. Parini, A. Bondurri, M. Veltri, M. Barbierato, F. Pata, F. Cattaneo, A. Tafuri, C. Forni, G. Roveron, G. Rizzo
Techniques in Coloproctology.2019; 23(11): 1037. CrossRef
Purse-string closure versus conventional primary closure of wound following stoma reversal: Meta-analysis of randomized controlled trials
Fabio Rondelli, Laura Franco, Ruben Carlo Balzarotti Canger, Graziano Ceccarelli, Cecilia Becattini, Walter Bugiantella
International Journal of Surgery.2018; 52: 208. 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
LOOP ILEOSTOMY CLOSURE (review)
I. S. Lantsov, A. I. Moskalev, O. I. Sushkov
Koloproktologia.2018; (2): 102. CrossRef
The effect of purse-string approximation versus linear approximation of ileostomy reversal wounds on morbidity rates and patient satisfaction: the 'STOMA' trial
D. P. O’Leary, M. Carter, D. Wijewardene, M. Burton, D. Waldron, E. Condon, J. C. Coffey, C. Peirce
Techniques in Coloproctology.2017; 21(11): 863. CrossRef

Case Reports

Efficacy of Immunohistochemical Staining in Differentiating a Squamous Cell Carcinoma in Poorly Differentiated Rectal Cancer: Two Case Reports: Sairafi Rami, Yoon Dae Han, Mi Jang, Min Soo Cho, Hyuk Hur, Byung Soh Min, Kang Young Lee, Nam Kyu Kim; Ann Coloproctol. 2016;32(4):150-155. Published online August 31, 2016; DOI: https://doi.org/10.3393/ac.2016.32.4.150

5,095 View
35 Download

Abstract PDF: A rectal carcinoma, including primary an adenosquamous and a squamous cell carcinoma (SCC), is a very rare disease, accounting for 0.025% to 0.20% of all large-bowel malignant tumors. Because SCCs have a higher mortality than adenosquamous carcinomas, determining whether the primary rectal cancer exhibits an adenomatous component or a squamous component is important. While differentiating between these 2 components, especially in poorly differentiated rectal cancer, is difficult, specific immunohistochemical stains enable accurate diagnoses. Here, we report the use of immunohistochemical stains to distinguish between the adenomatous and the squamous components in 2 patients with low rectal cancer, a 58-year-old man and a 73-year-old woman, who were initially diagnosed using the histopathologic results for a poorly differentiated carcinoma. These data suggest that using these immunohistochemical stains will help to accurately diagnose the type of rectal cancer, especially for poorly differentiated carcinomas, and will provide important information to determine the proper treatment for the patient.

Black Anal Canal: Acute Necrosis: Sandra Barbeiro, Catarina Martins, Cláudia Gonçalves, Paulo Alves, Inês Gil, Manuela Canhoto, Filipe Silva, Isabel Cotrim, Cristina Amado, Liliana Eliseu, Helena Vasconcelos; Ann Coloproctol. 2016;32(4):156-158. Published online August 31, 2016; DOI: https://doi.org/10.3393/ac.2016.32.4.156

6,107 View
35 Download

Abstract PDF: Acute ischemia of the rectum or anal canal resulting in necrosis is extremely uncommon because both the rectum and the anal canal have excellent blood supplies. We present a case with spontaneous necrosis of the anal canal without rectal involvement. Surgical debridement was accomplished, and the recovery was uneventful. The patient was elderly, with probable atherosclerotic arterial disease, and presented with hypotension. Due to the lack of other precipitating factors, the hypoperfusion hypothesis seems to be the most suitable in this case. To the best of our knowledge, no similar cases have been reported in the literature on this subject.

First
Prev
Page of 1
Next
Last

Previous issues