Annals of Coloproctology

Volume 32(5); October 2016

Editorials

Current Situation on the Diagnosis of Anismus-Discordances Between Imaging and a Physiologic Study: Kyung Ha Lee, Ji Yeon Kim; Ann Coloproctol. 2016;32(5):159-159. Published online October 31, 2016; DOI: https://doi.org/10.3393/ac.2016.32.5.159

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Systematic review and meta‐analysis of the outcome of puborectalis division in the treatment of anismus
Sameh Hany Emile, Samer Hani Barsom, Sualeh Muslim Khan, Steven D. Wexner
Colorectal Disease.2022; 24(4): 369. CrossRef

How Can We Ameliorate the Role of Colorectal Cancer Awareness Month?: Weon-Young Chang; Ann Coloproctol. 2016;32(5):160-160. Published online October 31, 2016; DOI: https://doi.org/10.3393/ac.2016.32.5.160

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Original Articles

Use of a Comprehensive Geriatric Assessment to Predict Short-Term Postoperative Outcome in Elderly Patients With Colorectal Cancer: Yoon Hyun Lee, Heung-Kwon Oh, Duck-Woo Kim, Myong Hoon Ihn, Jee Hyun Kim, Il Tae Son, Sung Il Kang, Gwang Il Kim, Soyeon Ahn, Sung-Bum Kang; Ann Coloproctol. 2016;32(5):161-169. Published online October 31, 2016; DOI: https://doi.org/10.3393/ac.2016.32.5.161

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Abstract PDF

Purpose

This study was conducted to identify the effectiveness of a preoperative comprehensive geriatric assessment (CGA) for predicting postoperative morbidity in elderly patients who underwent surgery for colorectal cancer.

Methods

Elderly patients (≥70 years old) who underwent surgery for colorectal cancer at a tertiary hospital in Korea were identified, and their cases were analyzed using data from a prospectively collected database to establish an association between major postsurgical complications and 'high-risk' patient as defined by the CGA.

Results

A total of 240 patients, with a mean age of 76.7 ± 5.2 years, were enrolled. Ninety-five patients (39.6%) were classified as "high-risk" and 99 patients (41.3%) as having postoperative complications. The univariate analysis indicated that risk factors for postoperative complications were age, American Society of Anesthesiologists physical status classification, serum hemoglobin, carcinoembryonic antigen, cancer stage, and "high-risk" status. The multivariable analyses indicated that "high-risk" status (odds ratio, 2.107; 95% confidence interval, 1.168–3.804; P = 0.013) and elevated preoperative carcinoembryonic antigen (odds ratio, 2.561; 95% confidence interval, 1.346–4.871, P = 0.004) were independently associated with postoperative complications. A multivariable analysis of the individual CGA domains indicated that high comorbidities and low activities of daily living were significantly related with postoperative complications.

Conclusion

A preoperative CGA indicating "high-risk" was associated with major postoperative complications in elderly patients who underwent surgery for colorectal cancer. Thus, using the CGA to identify elderly colorectal-cancer patients who should be given more care during postoperative management may be clinically beneficial.

Citations

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Differential use of postoperative psychosocial and physical services among older adults with head and neck cancer
Gabriel T. Raab, Daniel Restifo, Amy L. Tin, Andrew J. Vickers, Sean M. McBride, Richard J. Wong, Nancy Y. Lee, Kaveh Zakeri, Armin Shahrokni
Journal of Geriatric Oncology.2023; 14(8): 101609. CrossRef
An evaluation of postoperative outcomes and treatment changes after frailty screening and geriatric assessment and management in a cohort of older patients with colorectal cancer
Stijn H.J. Ketelaers, Anne Jacobs, Carolien M.J. van der Linden, Grard A.P. Nieuwenhuijzen, Jip L. Tolenaar, Harm J.T. Rutten, Jacobus W.A. Burger, Johanne G. Bloemen
Journal of Geriatric Oncology.2023; 14(8): 101647. CrossRef
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Francisco Miguel Martínez-Arnau, Cristina Buigues, Pilar Pérez-Ros
European Journal of Oncology Nursing.2023; 67: 102457. CrossRef
Short- and long-term survival after curative resection for colorectal cancer in nonagenarian patients
Shintaro Hashimoto, Kiyoaki Hamada, Yorihisa Sumida, Masato Araki, Kouki Wakata, Tota Kugiyama, Ayako Shibuya, Masato Nishimuta, Shigeyuki Morino, Masayuki Baba, Soichiro Kiya, Keisuke Ozeki, Akihiro Nakamura
Asian Journal of Surgery.2022; 45(1): 208. CrossRef
Use of the comprehensive geriatric assessment for the prediction of postoperative complications in elderly patients with head and neck cancer
Seung Hoon Han, Deuktae Cho, Ramla Mohammad, Young Ho Jung, Soon‐Hyun Ahn, Wonjae Cha, Woo‐Jin Jeong
Head & Neck.2022; 44(3): 672. CrossRef
Geriatric approach to the treatment of senile patients with colorectal cancer
V. M. Nekoval, S. K. Efetov, P. V. Tsarkov
Meditsinskiy sovet = Medical Council.2022; (21-2): 72. CrossRef
Systematic Review and Meta-Analysis on the Associations of Polypharmacy and Potentially Inappropriate Medication With Adverse Outcomes in Older Cancer Patients
Li-Ju Chen, Kira Trares, Dana Clarissa Laetsch, Thi Ngoc Mai Nguyen, Hermann Brenner, Ben Schöttker, Anne Newman
The Journals of Gerontology: Series A.2021; 76(6): 1044. CrossRef
Frailty screening by Geriatric-8 and 4-meter gait speed test is feasible and predicts postoperative complications in elderly colorectal cancer patients
Stan A.M. Bessems, Joop L.M. Konsten, Jeroen F.J. Vogelaar, Reka Csepán-Magyar, Huub A.A.M. Maas, Yes A.J. van de Wouw, Maryska L.G. Janssen-Heijnen
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Integration of geriatric assessment into clinical oncology practice: A scoping review
George N. Okoli, Morgan Stirling, Florentin Racovitan, Otto LT Lam, Viraj K. Reddy, Leslie Copstein, Tina Hsu, Ahmed M. Abou-Setta, David E. Dawe
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Geriatric principles for patients with cancer
Ana Patricia Navarrete-Reyes, Karla Animas-Mijangos, Jimena Gómez-Camacho, Yoselin Juárez-Carrillo, Ana Cristina Torres-Pérez, Daniela Josefina Cataneo-Piña, Juan Pablo Negrete-Najar, Enrique Soto-Perez-de-Celis
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Association Between Chronologic Age and Geriatric Assessment–Identified Impairments: Findings From the CARE Registry
Smith Giri, Mustafa Al-Obaidi, Alice Weaver, Kelly M. Kenzik, Andrew McDonald, Deanna Clark, Crystal Young-Smith, Ravi Paluri, Lakshmin Nandagopal, Olumide Gbolahan, Mackenzi Pergolotti, Smita Bhatia, Grant R. Williams
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Association of Polypharmacy with Colorectal Cancer Survival Among Older Patients
Li-Ju Chen, Thi Ngoc Mai Nguyen, Jenny Chang-Claude, Michael Hoffmeister, Hermann Brenner, Ben Schöttker
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A novel geriatric assessment tool that predicts postoperative complications in older adults with cancer
YaoYao Pollock, Chiao-Li Chan, Karen Hall, Michael Englesbe, Kathleen M. Diehl, Lillian Min
Journal of Geriatric Oncology.2020; 11(5): 866. CrossRef
Cognitive impairment assessment and interventions to optimize surgical patient outcomes
Tasneem F. Hasan, Roger E. Kelley, Elyse M. Cornett, Richard D. Urman, Alan D. Kaye
Best Practice & Research Clinical Anaesthesiology.2020; 34(2): 225. CrossRef
Frailty is a better predictor than age for outcomes in geriatric patients with rectal cancer undergoing proctectomy
Samuel M. Miller, J. Wolf, M. Katlic, C.R. D'Adamo, J. Coleman, V. Ahuja
Surgery.2020; 168(3): 504. CrossRef
Does Preoperative Comprehensive Geriatric Assessment and Frailty Predict Postoperative Complications?
Rana Tuna Dogrul, Ahmet Bulent Dogrul, Ali Konan, Omur Caglar, Fatih Sumer, Hatice Caliskan, Muhammet Cemal Kizilarslanoglu, Mustafa Kemal Kilic, Cafer Balci, Gunes Arik, Gozde Sengul Aycicek, Cemile Ozsurekci, Meltem Halil, Mustafa Cankurtaran, Burcu Bal
World Journal of Surgery.2020; 44(11): 3729. CrossRef
Effect of Age on Laparoscopic Surgery and Postoperative Chemotherapy in Elderly Patients With Colorectal Cancer
Hyun Hee Kim, Myong Hoon Ihn, Yun Hee Lee, Jihyoun Lee, Sangchul Yun, Sung Woo Cho
Annals of Coloproctology.2020; 36(4): 229. CrossRef
Functional status in a geriatric oncology setting: A review
Anne-Laure Couderc, Rabia Boulahssass, Emilie Nouguerède, Nirvina Gobin, Olivier Guérin, Patrick Villani, Fabrice Barlesi, Elena Paillaud
Journal of Geriatric Oncology.2019; 10(6): 884. CrossRef
A multicomponent prehabilitation pathway to reduce the incidence of delirium in elderly patients in need of major abdominal surgery: study protocol for a before-and-after study
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Marco Vacante, Erika Cristaldi, Francesco Basile, Antonio Maria Borzì, Antonio Biondi
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Preventing Treatment-Related Functional Decline: Strategies to Maximize Resilience
Armin Shahrokni, Koshy Alexander, Tanya M. Wildes, Martine T. E. Puts
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Value of geriatric screening and assessment in predicting postoperative complications in patients older than 70 years undergoing surgery for colorectal cancer
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Polypharmacy in Older Adults with Cancer: Evaluating Polypharmacy as Part of the Geriatric Assessment
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Socioeconomic disparities and comorbidities, not race, affect salivary gland malignancy survival outcomes
Ayaka J. Iwata, Amy M. Williams, Andrew R. Taylor, Steven S. Chang
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Anismus, Physiology, Radiology: Is It Time for Some Pragmatism? A Comparative Study of Radiological and Anorectal Physiology Findings in Patients With Anismus: Umberto Pisano, Lesley Irvine, Justina Szczachor, Ahsin Jawad, Andrew MacLeod, Michael Lim; Ann Coloproctol. 2016;32(5):170-174. Published online October 31, 2016; DOI: https://doi.org/10.3393/ac.2016.32.5.170

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Abstract PDF

Purpose

Anismus is a functional disorder featuring obstructive symptoms and paradoxical contractions of the pelvic floor. This study aims to establish diagnosis agreement between physiology and radiology, associate anismus with morphological outlet obstruction, and explore the role of sphincteric pressure and rectal volumes in the radiological diagnosis of anismus.

Methods

Consecutive patients were evaluated by using magnetic resonance imaging proctography/fluoroscopic defecography and anorectal physiology. Morphological radiological features were associated with physiology tests. A categorical analysis was performed using the chi-square test, and agreement was assessed via the kappa coefficient. A Mann-Whitney test was used to assess rectal volumes and sphincterial pressure distributions between groups of patients. A P-value of <0.05 was significant.

Results

Forty-three patients (42 female patients) underwent anorectal physiology and radiology imaging. The median age was 54 years (interquartile range, 41.5–60 years). Anismus was seen radiologically and physiologically in 18 (41.8%) and 12 patients (27.9%), respectively. The agreement between modalities was 0.298 (P = 0.04). Using physiology as a reference, radiology had positive and negative predictive values of 44% and 84%, respectively. Rectoceles, cystoceles, enteroceles and pathological pelvic floor descent were not physiologically predictive of animus (P > 0.05). The sphincterial straining pressure was 71 mmHg in the anismus group versus 12 mmHg. Radiology was likely to identify anismus when the straining pressure exceeded 50% of the resting pressure (P = 0.08).

Conclusion

Radiological techniques detect pelvic morphological abnormalities, but lead to overdiagnoses of anismus. No proctographic pathological feature predicts anismus reliably. A stronger pelvic floor paradoxical contraction is associated with a greater likelihood of detection by proctography.

Citations

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Can Puborectalis Muscle and Abdominal Subcutaneous Adipose Tissue Thickness Indicate Dyssynergic Defecation?
Eren Çamur, Dilek Acar
New Trends in Medicine Sciences.2024; 5(3): 168. CrossRef
MR Defecography Findings Suggesting Anismus: Reliable or not Reliable?
Diğdem Kuru Öz, Nuray Haliloğlu, Ayşe Erden
Journal of Ankara University Faculty of Medicine.2023; 75(4): 515. CrossRef
Anismus Through Surgical Eyes
Lester Gottesman
Diseases of the Colon & Rectum.2022; 65(2): 137. CrossRef
Comparison of Anismus and Perineal Descent on Static Images of Magnetic Resonance Defecography: Can We Rule Out Anismus in Patients Who Can not Defecate?
Nuray Haliloğlu, Mustafa Fatih Arslan, Ayşe Erden
Turkish Journal of Colorectal Disease.2022; 32(1): 54. CrossRef
Magnetic resonance defecography findings of dyssynergic defecation
Nuray Haliloglu, Ayse Erden
Polish Journal of Radiology.2022; 87: 181. CrossRef
MRI DEFECOGRAPHY IN PELVIC FLOOR DESCENT SYNDROME (review)
E. P. Goncharova, I. V. Zarodnyuk
Koloproktologia.2020; 19(1): 117. CrossRef
Current Situation on the Diagnosis of Anismus-Discordances Between Imaging and a Physiologic Study
Kyung Ha Lee, Ji Yeon Kim
Annals of Coloproctology.2016; 32(5): 159. CrossRef

The Outcomes of Management for Colonoscopic Perforation: A 12-Year Experience at a Single Institute: Jung Yun Park, Pyong Wha Choi, Sung Min Jung, Nam-Hoon Kim; Ann Coloproctol. 2016;32(5):175-183. Published online October 31, 2016; DOI: https://doi.org/10.3393/ac.2016.32.5.175

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Abstract PDF

Purpose

Optimal management of colonoscopic perforation (CP) is controversial because early diagnosis and prompt management play critical roles in morbidity and mortality. Herein, we evaluate the outcomes and clinical characteristics of patients with CP according to treatment modality to help establish guidelines for managing CP.

Methods

Our retrospective analysis included 40 CP patients from January 1, 2003, to December 31, 2014. Patients with CP were categorized into 2 groups according to therapeutic modality: operation (surgery) and nonoperation (endo-luminal clip application or conservative treatment) groups.

Results

The postoperative morbidity rate was 40%, and no mortalities were noted. The incidence of abdominal pain and tenderness in patients who received only conservative management was significantly lower than in those who underwent surgery (P < 0.001 and P = 0.004, respectively). Patients tended to undergo surgery more often for diagnosis times longer than 24 hours and for diagnostic CPs. The mean hospital stays for the operation and nonoperation groups were 14.6 ± 7.77 and 5.9 ± 1.62 days, respectively (P < 0.001). Compared to the operation group, the nonoperation group began intake of liquid diets significantly earlier after perforation (3.8 ± 1.32 days vs. 5.6 ± 1.25 days, P < 0.001) and used antibiotics for a shorter duration (4.7 ± 1.29 days vs. 8.7 ± 2.23 days, P < 0.001).

Conclusion

The time of diagnosis and the injury mechanism may be useful indications for conservative management. Nonoperative management, such as endo-luminal clip application, might be beneficial, when feasible, for the treatment of patients with CP.

Citations

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Luminal electrophysiological neuroprofiling system for gastrointestinal neuromuscular diseases
Shriya S. Srinivasan, Sabrina Liu, Ryo Hotta, Sukhada Bhave, Amro Alshareef, Binbin Ying, George Selsing, Johannes Kuosmanen, Keiko Ishida, Joshua Jenkins, Wiam Abdalla Mohammed Madani, Alison Hayward, Niora Fabian, Allan M. Goldstein, Giovanni Traverso
Device.2024; 2(7): 100400. CrossRef
Laparoscopic versus open surgery for colonoscopic perforation: A systematic review and meta-analysis
Wu Zhong, Chuanyuan Liu, Chuanfa Fang, Lei Zhang, Xianping He, Weiquan Zhu, Xueyun Guan
Medicine.2023; 102(24): e34057. CrossRef
Analysis of the Characteristics of Colonoscopy Perforation and Risk Factors for Failure of Endoscopic Treatment
Zhi Jiehua, Ali Kashif , Che YaoSheng , Sun YunYun , Liang Lanyu
Cureus.2022;[Epub] CrossRef
Iatrogenic colon perforation during colonoscopy, diagnosis/treatment, and follow-up processes: A single-center experience
Nihat Gülaydın, Raim İliaz, Atakan Özkan, A Hande Gökçe, Hanifi Önalan, Berrin Önalan, Aziz Arı
Turkish Journal of Surgery.2022; 38(3): 221. CrossRef
The analysis of outcomes of surgical management for colonoscopic perforations: A 16-years experiences at a single institution
Dae Ro Lim, Jung Kul Kuk, Taehyung Kim, Eung Jin Shin
Asian Journal of Surgery.2020; 43(5): 577. CrossRef
Multicenter retrospective evaluation of ileocecocolic perforations associated with diagnostic lower gastrointestinal endoscopy in dogs and cats
Vanessa L. Woolhead, Jacqueline C. Whittemore, Sarah A. Stewart
Journal of Veterinary Internal Medicine.2020; 34(2): 684. CrossRef
Clinical Characteristics of Colonoscopic Perforation and Risk Factors for Complications After Surgical Treatment
Liang Li, Bing Xue, Chunxia Yang, Zhongbo Han, Hongqiang Xie, Meng Wang
Journal of Laparoendoscopic & Advanced Surgical Techniques.2020; 30(11): 1153. CrossRef
Adverse events related to colonoscopy: Global trends and future challenges
Su Young Kim, Hyun-Soo Kim, Hong Jun Park
World Journal of Gastroenterology.2019; 25(2): 190. CrossRef
Iatrogenic Colonic Perforations: Changing the Paradigm
Jose Luis Ulla-Rocha, Angel Salgado, Raquel Sardina, Raquel Souto, Raquel Sanchez-Santos, Juan Turnes
Surgical Laparoscopy, Endoscopy & Percutaneous Techniques.2019; 29(3): 173. CrossRef
Diagnosis and Management of Colonoscopy-related Perforation
Nam Seok Ham, Jung Ho Bae, Dong-Hoon Yang
The Korean Journal of Gastroenterology.2019; 73(6): 327. CrossRef
Management Outcomes of Colonoscopic Perforations Are Affected by the General Condition of the Patients
Jae Ho Park, Kyung Jong Kim
Annals of Coloproctology.2018; 34(1): 16. CrossRef
2017 WSES guidelines for the management of iatrogenic colonoscopy perforation
Nicola de’Angelis, Salomone Di Saverio, Osvaldo Chiara, Massimo Sartelli, Aleix Martínez-Pérez, Franca Patrizi, Dieter G. Weber, Luca Ansaloni, Walter Biffl, Offir Ben-Ishay, Miklosh Bala, Francesco Brunetti, Federica Gaiani, Solafah Abdalla, Aurelien Ami
World Journal of Emergency Surgery.2018;[Epub] CrossRef

Transmissibility of the Campaign for Colorectal Cancer Awareness in Korea Among Twitter Users: Keun Chul Lee, Heung-Kwon Oh, Gibeom Park, SoHyun Park, Bongwon Suh, Woo Kyung Bae, Jin Won Kim, Hyuk Yoon, Myung Jo Kim, Sung-Il Kang, Il Tae Son, Duck-Woo Kim, Sung-Bum Kang; Ann Coloproctol. 2016;32(5):184-189. Published online October 31, 2016; DOI: https://doi.org/10.3393/ac.2016.32.5.184

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11 Citations

Abstract PDF

Purpose

The Korean Society of Coloproctology holds its annual colorectal awareness month every September. This study analyzed the users and the contents of Korean tweets regarding colorectal cancer and estimated the transmissibility of the awareness campaign among Twitter users.

Methods

Prospective data collection was employed to accumulate Korean tweets containing the keywords "colorectal cancer," "colorectal cancer awareness campaign," "gold ribbon," and/or "love handle," from August 1 to September 30, 2014. Twitter users and contents were analyzed, and the credibility of information-sharing tweets throughout the study period was evaluated.

Results

In total, 10,387 tweets shared by 1,452 unique users were analyzed. As for users, 57.8% were individuals whereas 5.8% were organizations/communities; spambots accounted for a considerable percentage (36.4%). As for content, most tweets were spam (n = 8,736, 84.1%), repetitively advertising unverified commercial folk remedies, followed by tweets that shared information (n = 1,304, 12.6%) and non-information (n = 347, 3.3%). In the credibility assessment, only 80.6% of the information-sharing tweets were medically correct. After spam tweets had been excluded, a significant increase was seen in the percentage of information-sharing tweets (77.1% to 81.1%, P = 0.045) during the awareness campaign month.

Conclusion

Most Korean tweets regarding colorectal cancer during the study months were commercial spam tweets; informative public tweets accounted for an extremely small percentage. The transmissibility of the awareness campaign among Twitter users was questionable at best. To expand the reach of credible medical information on colorectal cancer, public health institutions and organizations must pay greater attention to social media.

Citations

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Tae-Gyun Lee, Gil-Hyeon Song, Hong-min Ahn, Heung-Kwon Oh, Moonkyoung Byun, Eon Chul Han, Sohyun Kim, Chang Woo Kim, Hye Jin Kim, Samin Hong, Kee-Ho Song, Chan Wook Kim, Yong Beom Cho
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Ruth Plackett, Aradhna Kaushal, Angelos P Kassianos, Aaron Cross, Douglas Lewins, Jessica Sheringham, Jo Waller, Christian von Wagner
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Purva Grover, Arpan Kumar Kar, Marijn Janssen
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J. W. Jeong, M. J. Kim, H.‐K. Oh, S. Jeong, M. H. Kim, J. R. Cho, D.‐W. Kim, S.‐B. Kang
Colorectal Disease.2019; 21(10): 1175. CrossRef
Social media and colorectal cancer: A systematic review of available resources
Gianluca Pellino, Constantinos Simillis, Shengyang Qiu, Shahnawaz Rasheed, Sarah Mills, Oliver Warren, Christos Kontovounisios, Paris P. Tekkis, Deanna J. Attai
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Naveen Pemmaraju, Michael A. Thompson, Muzaffar Qazilbash
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How Can We Ameliorate the Role of Colorectal Cancer Awareness Month?
Weon-Young Chang
Annals of Coloproctology.2016; 32(5): 160. CrossRef

Case Reports

Synchronous Primary Anorectal Melanoma and Sigmoid Adenocarcinoma: Inju Cho, Kyung Jong Kim, Sung-Chul Lim; Ann Coloproctol. 2016;32(5):190-194. Published online October 31, 2016; DOI: https://doi.org/10.3393/ac.2016.32.5.190

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Abstract PDF

A primary anorectal malignant melanoma is a rare tumor. Moreover, cases involving a synchronous anorectal melanoma and colon adenocarcinoma are extremely rare. The authors report a case of a synchronous anorectal melanoma and sigmoid adenocarcinoma in an 84-year-old man. The regions of the anorectal melanoma showed melanocytic nevi in the adjacent mucosa of the anal canal and rectum. A dysplastic nevus was also identified in the anal mucosa. This case demonstrates that an anorectal melanoma can arise from pre-existing anorectal melanocytic lesions.

Citations

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Anorectal melanoma: systematic review of the current literature of an aggressive type of melanoma
Giovanni Paolino, Antonio Podo Brunetti, Carolina De Rosa, Carmen Cantisani, Franco Rongioletti, Andrea Carugno, Nicola Zerbinati, Mario Valenti, Domenico Mascagni, Giulio Tosti, Santo Raffaele Mercuri, Riccardo Pampena
Melanoma Research.2024;[Epub] CrossRef
Endoscopic diagnosis of gastrointestinal melanoma
Sheng Wang, Siyu Sun, Xiang Liu, Nan Ge, Guoxin Wang, Jintao Guo, Wen Liu, Jinlong Hu
Scandinavian Journal of Gastroenterology.2020; 55(3): 330. CrossRef

Major Pelvic Bleeding Following a Stapled Transanal Rectal Resection: Use of Laparoscopy as a Diagnostic Tool: Giovanni Domenico Tebala, Abdul Qayyum Khan, Sean Keane; Ann Coloproctol. 2016;32(5):195-198. Published online October 31, 2016; DOI: https://doi.org/10.3393/ac.2016.32.5.195

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Abstract PDF

Stapled transanal rectal resection (STARR) and stapled hemorrhoidopexy (SH) are well-established techniques for treating rectal prolapse and obstructed defecation syndrome (ODS). Occasionally, they can be associated with severe complications. We describe the case of a 59-year-old woman who underwent STARR for ODS and developed a postoperative pelvic hemorrhage. A computed tomography (CT) scan revealed a vast pelvic, retroperitoneal hematoma and free gas in the abdomen. Laparoscopy ruled out any bowel lesions, but identified a hematoma of the pelvis. Flexible sigmoidoscopy showed a small leakage of the rectal suture. The patient was treated conservatively and recovered completely. Surgeons performing STARR and SH must be aware of the risk of this rare, but severe, complication. If the patient is not progressing after a STARR or SH, a CT scan can be indicated to rule out intra-abdominal and pelvic hemorrhage. Laparoscopy is a diagnostic tool and should be associated with intraluminal exploration with flexible sigmoidoscopy.

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Erratum

Erratum: Author Name Correction: Outcome of Colorectal Surgery in Elderly Populations: Mostafa Shalaby, Nicola Di Lorenzo, Luana Franceschilli, Federico Perrone, Giulio P. Angelucci, Silvia Quaresima, Achille L. Gaspari, Pierpaolo Sileri; Ann Coloproctol. 2016;32(5):199-199. Published online October 31, 2016; DOI: https://doi.org/10.3393/ac.2016.32.5.199

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