Annals of Coloproctology

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Stromal-cell-derived Factor 1-α Promotes Tumor Progression in Colorectal Cancer: Se Jun Park, Tae Sung Ahn, Sung Woo Cho, Chang Jin Kim, Dong Jun Jung, Myung Won Son, Sang Ho Bae, Eung Jin Shin, Moon Soo Lee, Chang Ho Kim, Moo Jun Baek; J Korean Soc Coloproctol. 2012;28(1):27-34. Published online February 29, 2012; DOI: https://doi.org/10.3393/jksc.2012.28.1.27

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Purpose

Although stromal-cell-derived factor (SDF)-1α is suggested to be involved in tumorigenicity and tumor angiogenesis, the clinicopathological significance of its expression in colorectal cancers is not fully understood. We examined SDF-1α expression in colorectal cancers and investigated its relationship to clinicopathological features such as tumor staging, lymph-node metastasis, vascular invasion (VI), lymphatic invasion (LI) and neural invasion (NI).

Methods

Specimens of 83 primary colorectal cancers were examined immunohistochemically, and the relationships between clinicopathological features and SDF-1α expression were analyzed. To compare the expressions between the normal colon tissue and colorectal cancer tissues, we performed Western blot analyses.

Results

According to the Western blot analyses, SDF-1α was more highly expressed in colorectal carcinoma tissues than in normal colonic mucosa (20/21). According to the immunohistochemical stain, SDF-1α was associated with nodal status, distant metastasis, tumor staging, VI and LI. SDF-1α expression had a significant prognostic value for overall survival. Kaplan-Meier plots of survival in patients with high SDF-1α showed that high SDF-1α expression was associated with a shorter overall survival. However, no association was found between SDF-1α expression and other pathologic or clinical variables, including age, gender, degree of differentiation, and presence of perineural invasion.

Conclusion

The expression of SDF-1α might be associated with tumor progression in colorectal cancer. Inhibition of SDF-1α could be a therapeutic option in colorectal cancer patients.

Citations

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Human CD133-positive hematopoietic progenitor cells initiate growth and metastasis of colorectal cancer cells
Chao Zhang, Chang Zhou, Xiao-Jin Wu, Min Yang, Zhao-hui Yang, Han-zhen Xiong, Chun-ping Zhou, Yan-xia Lu, Yuan Li, Xue-nong Li
Carcinogenesis.2014; 35(12): 2771. CrossRef

Conventional Linear versus Purse-string Skin Closure after Loop Ileostomy Reversal: Comparison of Wound Infection Rates and Operative Outcomes: Jung Ryeol Lee, Young Wan Kim, Jong Je Sung, Ok-Pyung Song, Hyung Chul Kim, Cheol-Wan Lim, Gyu-Seok Cho, Jun Chul Jung, Eung-Jin Shin; J Korean Soc Coloproctol. 2011;27(2):58-63. Published online April 30, 2011; DOI: https://doi.org/10.3393/jksc.2011.27.2.58

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Abstract PDF

Purpose

Wound infection after an ileostomy reversal is a common problem. To reduce wound-related complications, purse-string skin closure was introduced as an alternative to conventional linear skin closure. This study is designed to compare wound infection rates and operative outcomes between linear and purse-string skin closure after a loop ileostomy reversal.

Methods

Between December 2002 and October 2010, a total of 48 consecutive patients undergoing a loop ileostomy reversal were enrolled. Outcomes were compared between linear skin closure (group L, n = 30) and purse string closure (group P, n = 18). The operative technique for linear skin closure consisted of an elliptical incision around the stoma, with mobilization, and anastomosis of the ileum. The rectus fascia was repaired with interrupted sutures. Skin closure was performed with vertical mattress interrupted sutures. Purse-string skin closure consisted of a circumstomal incision around the ileostomy using the same procedures as used for the ileum. Fascial closure was identical to linear closure, but the circumstomal skin incision was approximated using a purse-string subcuticular suture (2-0 Polysorb).

Results

Between group L and P, there were no differences of age, gender, body mass index, and American Society of Anesthesiologists (ASA) scores. Original indication for ileostomy was 23 cases of malignancy (76.7%) in group L, and 13 cases of malignancy (77.2%) in group P. The median time duration from ileostomy to reversal was 4.0 months (range, 0.6 to 55.7 months) in group L and 4.1 months (range, 2.2 to 43.9 months) in group P. The median operative time was 103 minutes (range, 45 to 260 minutes) in group L and 100 minutes (range, 30 to 185 minutes) in group P. The median hospital stay was 11 days (range, 5 to 4 days) in group L and 7 days (range, 4 to 14 days) in group P (P < 0.001). Wound infection was found in 5 cases (16.7%) in group L and in one case (5.6%) in group L (P = 0.26).

Conclusion

Based on this study, purse-string skin closure after a loop ileostomy reversal showed comparable outcomes, in terms of wound infection rates, to those of linear skin closure. Thus, purse-string skin closure could be a good alternative to the conventional linear closure.

Citations

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Incisional Negative Pressure Wound Therapy Versus Primary Wound Suturing after Intestinal Ostomy Closure: A Systematic Review and Meta-Analysis
Michał Kisielewski, Karolina Richter, Magdalena Pisarska-Adamczyk, Michał Wysocki, Nikola Kłos, Tomasz Stefura, Tomasz Wojewoda, Wojciech M. Wysocki
Advances in Wound Care.2025; 14(4): 199. CrossRef
Risk Factors for Postoperative Complications of Ileostomy Reversal
Si-Qi Li, Quan Lv, Zheng Xiang, Xiao-Su Hui
Journal of Laparoendoscopic & Advanced Surgical Techniques.2025; 35(8): 664. CrossRef
Higher BMI increases risk of stoma-site incisional hernia and other complications following diverting loop ileostomy and reversal: a systematic review and meta-analysis
Kaiser O’Sahil Sadiq, Swetha Lakshminarayanan, Patricia Ruiz Cota, Eugenia Marquez Castillo
Surgical Endoscopy.2025; 39(8): 5198. CrossRef
Primary closure of ileostomy site after irrigation with betaine–polyhexanide: a case series
Henry Krasner, Abigail W Cheng, Lance Horner, Ovunc Bardakcioglu
Journal of Surgical Case Reports.2025;[Epub] CrossRef
Micro-power negative pressure wound technique reduces risk of incision infection following loop ileostomy closure
Deng-Yong Xu, Bing-Jun Bai, Lina Shan, Hui-Yan Wei, Deng-Feng Lin, Ya Wang, Da Wang
World Journal of Gastrointestinal Surgery.2024; 16(1): 186. 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
Comparison of modified gunsight suture technique and traditional interrupted suture in enterostomy closure
Chang Chen, Xiang Zhang, Zhi-Qiang Cheng, Bin-Bin Zhang, Xin Li, Ke-Xin Wang, Yong Dai, Yan-Lei Wang
World Journal of Gastroenterology.2023; 29(29): 4571. 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
A comparison of surgical site infections in children after stoma reversal between purse-string and linear closure
Chanathip Sayuen, Ratiyaporn Phannua, Sinobol Chusilp, Patchareeporn Tanming, Suchat Areemit, Katawaetee Decharun, Paisarn Vejchapipat, Kanokrat Thaiwatcharamas
Pediatric Surgery International.2022; 38(1): 149. CrossRef
Comparative study of wound healing following purse-string closure versus conventional linear closure for stoma reversal
Vivek Kumar Roy, Pradeep Jaiswal, Mukesh Kumar, Sukalyan Saha Roy, Saumya Sinha, Anjili Kumari, Krishna Gopal
Southeast Asian Journal of Case Report and Review.2022; 9(1): 1. 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
Gunsight sutures significantly reduce surgical-site infection after ileostomy reversal compared with linear sutures
Chuang-Kun Li, Wei-Wen Liang, Huai-Ming Wang, Wen-Tai Guo, Xiu-Sen Qin, Jie Zhao, Wen-Bin Zhou, Yang Li, Hui Wang, Rong-Kang Huang
Gastroenterology Report.2021; 9(4): 357. 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
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
The Effectiveness of Contralateral Drainage in Reducing Superficial Incisional Surgical Site Infection in Loop Ileostomy Closure: Prospective, Randomized Controlled Trial
Anna Serracant, Xavier Serra‐Aracil, Laura Mora‐López, Anna Pallisera‐Lloveras, Sheila Serra‐Pla, Alba Zárate‐Pinedo, Salvador Navarro‐Soto
World Journal of Surgery.2019; 43(7): 1692. CrossRef
Does Wound Irrigation with Clorhexidine Gluconate Reduce the Surgical Site Infection Rate in Closure of Temporary Loop Ileostomy? A Prospective Clinical Study
Mustafa Goztok, Mustafa Cem Terzi, Tufan Egeli, Naciye Cigdem Arslan, Aras Emre Canda
Surgical Infections.2018; 19(6): 634. 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
Construction and Closure of Umbilical Ileostomy in Laparoscopic Rectal Surgery
Masahiro Hada, Masanori Kotake, Daiki Kakiuchi, Kengo Hayashi, Sho Yamada, Koichiro Sawada, Masahiro Oshima, Yosuke Kato, Chikashi Hiranuma, Yuko Yamada, Chiharu Hiraki, Takuo Hara
The Japanese Journal of Gastroenterological Surgery.2017; 50(11): 857. 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
Annals of Coloproctology.2016; 32(4): 144. CrossRef
Subcutaneous vacuum drains reduce surgical site infection after primary closure of defunctioning ileostomy
Hong-Da Pan, Lin Wang, Yi-Fan Peng, Ming Li, Yun-Feng Yao, Jun Zhao, Tian-Cheng Zhan, Chang-Zheng Du, Jin Gu
International Journal of Colorectal Disease.2015; 30(7): 977. CrossRef
Temporary Diverting Ileostomy via the Umbilicus: a Small Case Series
C. D. Mushaya, Raaj Chandra, Wendy Sansom, James Keck
International Surgery.2015; 100(3): 436. CrossRef
Laparoscopic Versus Open Loop Ileostomy Reversal: Is there an Advantage to a Minimally Invasive Approach?
Monica T. Young, Grace S. Hwang, Gopal Menon, Timothy F. Feldmann, Mehraneh D. Jafari, Fariba Jafari, Eden Perez, Alessio Pigazzi
World Journal of Surgery.2015; 39(11): 2805. CrossRef
Clinical Trial on the Incidence of Wound Infection and Patient Satisfaction After Stoma Closure: Comparison of Two Skin Closure Techniques
Sang Il Yoon, Sun Mi Bae, Hwan Namgung, Dong Guk Park
Annals of Coloproctology.2015; 31(1): 29. CrossRef
Comparison of surgical techniques for stoma closure: A retrospective study of purse-string skin closure versus conventional skin closure following ileostomy and colostomy reversal
YUMA WADA, NORIKATSU MIYOSHI, MASAYUKI OHUE, SHINGO NOURA, SHIKI FUJINO, KEIJIROU SUGIMURA, HIROFUMI AKITA, MASAAKI MOTOORI, KUNIHITO GOTOH, HIDENORI TAKAHASHI, SHOGO KOBAYASHI, TAKESHI OHMORI, YOSHIYUKI FUJIWARA, MASAHIKO YANO
Molecular and Clinical Oncology.2015; 3(3): 619. CrossRef
A beneficial effect of purse-string skin closure after ileostomy takedown: A retrospective cohort study
Yong Joon Suh, Ji Won Park, Yong Sok Kim, Sung Chan Park, Jae Hwan Oh
International Journal of Surgery.2014; 12(6): 615. CrossRef
Abdominal Wall Closure After a Stomal Reversal Procedure
Manuel López-Cano, José Antonio Pereira, Borja Villanueva, Francesc Vallribera, Eloy Espin, Manuel Armengol Carrasco, María Antonia Arbós Vía, Xavier Feliu, Salvador Morales-Conde
Cirugía Española (English Edition).2014; 92(6): 387. CrossRef
Cierre de la pared abdominal después del cierre de un estoma temporal
Manuel López-Cano, José Antonio Pereira, Borja Villanueva, Francesc Vallribera, Eloy Espin, Manuel Armengol Carrasco, María Antonia Arbós Vía, Xavier Feliu, Salvador Morales-Conde
Cirugía Española.2014; 92(6): 387. CrossRef
The use of purse-string skin closure in loop ileostomy reversals leads to lower wound infection rates—a single high-volume centre experience
Nils Habbe, Sabine Hannes, Juliane Liese, Guido Woeste, Wolf Otto Bechstein, Christoph Strey
International Journal of Colorectal Disease.2014; 29(6): 709. CrossRef
Pursestring Closure of the Stoma Site Leads to Fewer Wound Infections
Janet T. Lee, Thao T. Marquez, Daniel Clerc, Olivier Gie, Nicolas Demartines, Robert D. Madoff, David A. Rothenberger, Dimitrios Christoforidis
Diseases of the Colon & Rectum.2014; 57(11): 1282. CrossRef
Complications after Loop Ileostomy Closure: A Retrospective Analysis of 132 Patients
Eligijus Poskus, Edvinas Kildusis, Edgaras Smolskas, Marijus Ambrazevicius, Kestutis Strupas
Visceral Medicine.2014; 30(4): 276. CrossRef
Randomized controlled trial: comparison of two surgical techniques for closing the wound following ileostomy closure: purse string vs direct suture
N. Dusch, D. Goranova, F. Herrle, M. Niedergethmann, P. Kienle
Colorectal Disease.2013; 15(8): 1033. CrossRef
Influence of skin closure technique on surgical site infection after loop ileostomy reversal: Retrospective cohort study
C.D. Klink, M. Wünschmann, M. Binnebösel, H.P. Alizai, A. Lambertz, G. Boehm, U.P. Neumann, C.J. Krones
International Journal of Surgery.2013; 11(10): 1123. CrossRef
Purse-string approximation is superior to primary skin closure following stoma reversal: a systematic review and meta-analysis
D. P. McCartan, J. P. Burke, S. R. Walsh, J. C. Coffey
Techniques in Coloproctology.2013; 17(4): 345. CrossRef
Primary linear closure with closed suction wound drain after ileostomy takedown
Mi Kyoung Hong, Min-Su Park, Sun Jin Park, Kil Yeon Lee
Korean Journal of Clinical Oncology.2013; 9(1): 38. CrossRef

Review

Surgical Treatment of Rectal Prolapse: Eung Jin Shin; J Korean Soc Coloproctol. 2011;27(1):5-12. Published online February 28, 2011; DOI: https://doi.org/10.3393/jksc.2011.27.1.5

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Abstract PDF

Rectal prolapse is defined as a protrusion of the rectum beyond the anus. Although rectal prolapse was recognized as early as 1500 BC, the optimal surgical procedure is still debated. The varied operative procedures available for treating rectal prolapsed can be confusing. The aim of treatment is to control the prolapse, restore continence, and prevent constipation or impaired evacuation. In elderly and high-risk patients, perineal approaches, such as Delorme's operation and Altemeier's operation, have been preferred, although the incidence of recurrence and the rate of persistent incontinence seem to be high when compared with transabdominal procedures. Abdominal operations involve dissection and fixation of the rectum and may include a rectosigmoid resection. From the late twentieth century, the laparoscopic procedure has been applied to the treatment of rectal prolapse. Current laparoscopic surgical techniques include suture rectopexy, stapled rectopexy, posterior mesh rectopexy with artificial material, and resection of the sigmoid colon with colorectal anastomosis with or without rectopexy. The choice of surgery depends on the status of the patient and the surgeon's preference.

Citations

Citations to this article as recorded by

Extraperitoneal Anterior Suture Rectopexy (EASR): Feasibility Study
Abhijit Chandra, Deeban Ganesan, Arun Manoharan, Julie Shah, Utkarsh Srivastava, Pritheesh Rajan
Indian Journal of Surgery.2025; 87(4): 748. CrossRef
Addition of anal encirclement to perineal proctosigmoidectomy: a retrospective review
Aiya Amery, Kayla Marritt, Zarrukh Baig, Haven Roy, Dilip Gill, Nathan Ginther
Frontiers in Surgery.2025;[Epub] CrossRef
Unveiling the Hidden: A Case Report on Altemeier’s Surgical Triumph in Rectal Prolapse With Involvement of the Small Bowel
Kavita Jadhav, Ami Gandhi , Rukmini Waghmare, Dhanashri Sidam, Shubham More
Cureus.2025;[Epub] CrossRef
The effect of total colectomy with posterior suture rectopexy in patients with internal prolapse and colonic inertia; A case series on 9 women
Seyed Mostafa Tabatabaei, Seyed Hamzeh Mousavie, Hamed Vaseghi, Hossein Khadem Sedaghat, Mahdi Alemrajabi
International Journal of Surgery Case Reports.2025; 131: 111327. CrossRef
Safety of concurrent transvaginal rectopexy at time of transvaginal apical prolapse repair: A comparative study
Henry H. Chill, Sonia Gilani, Alireza Hadizadeh, Cecilia Chang, Nani P. Moss, Roger P. Goldberg, Ghazaleh Rostaminia
European Journal of Obstetrics & Gynecology and Reproductive Biology.2025; 312: 114512. CrossRef
Effect of concomitant use of hypertonic saline injection with anal cerclage for treatment of idiopathic partial rectal prolapse in children: a double hit therapy
Belal elezaby, Ahmed Arafat, wesam mahmoud, Sherif Kaddah, Mostafa Gad
Egyptian Pediatric Association Gazette.2025;[Epub] CrossRef
Rectal prolapse (62.2, 62.3), adults
Yu. A. Shelygin, S. I. Achkasov, D. V. Alyoshin, O. M. Biryukov, V. S. Groshilin, V. N. Kashnikov, I. V. Kostarev, N. V. Kostenko, A. I. Moskalev, A. A. Mudrov, A. V. Muravyov, N. V. Oleinik, V. V. Polovinkin, V. M. Тimerbulatov, A. Yu. Titov, O. Yu. Fome
Koloproktologia.2024; 23(3): 10. CrossRef
Rectal prolapse (62.2, 62.3), adults
Yu. A. Shelygin, S. I. Achkasov, D. V. Alyoshin, O. M. Biryukov, V. S. Groshilin, V. N. Kashnikov, I. V. Kostarev, N. V. Kostenko, A. I. Moskalev, A. A. Mudrov, A. V. Muravyov, N. V. Oleinik, V. V. Polovinkin, V. M. Тimerbulatov, A. Yu. Titov, O. Yu. Fome
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A network meta-analysis of surgical treatments of complete rectal prolapse
S. H. Emile, S. M. Khan, Z. Garoufalia, E. Silva-Alvarenga, R. Gefen, N. Horesh, M. R. Freund, S. D. Wexner
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Rectal prolapse associated with intussusception and malignancy
Timon Mac Sseruwagi, Catherine R Lewis
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Transanal Rectal Resection by Circular Stapler for Rectal Prolapse
Ashwin Porwal, Paresh Gandhi, Deepak Kulkarni
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Cristian Soare, Konstantinos Lasithiotakis, Helena Dearden, Shailendra Singh, Clare McNaught
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Indian Journal of Surgery.2021; 83(3): 634. CrossRef
Outcome of Fecal Incontinence in Patients with Rectal Prolapse Undergoing the Altemeier Procedure with or without Posterior Levatorplasty
Alimohammad Bananzadeh, Hamed Shariat Razavi, Shahin Khodaei, Maytham Hameed Al-Qanbar, Seyed Mohammad Kazem Tadayon, Seyed Vahid Hosseini, Leila Ghahramani
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Case Report

Transvaginal Endoscopic Appendectomy: Eung Jin Shin, Gui Ae Jeong, Jun Chul Jung, Gyu Seok Cho, Chul Wan Lim, Hyung Chul Kim, Ok Pyung Song; J Korean Soc Coloproctol. 2010;26(6):429-432. Published online December 31, 2010; DOI: https://doi.org/10.3393/jksc.2010.26.6.429

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19 Citations

Abstract PDF

Since Kalloo and colleagues first reported the feasibility and safety of a peroral transgastric approach in the porcine model in 2004, various groups have reported more complex natural orifice transluminal endoscopic surgery (NOTES) procedures, such as the cholecystectomy, splenectomy and liver biopsy, in the porcine model. Natural orifice access to the abdominal cavity, such as transgastric, transvesical, transcolonic, and transvaginal, has been described. Although a novel, minimally invasive approach to the abdominal cavity is a peroral endoscopic transgastric approach, there are still some challenging issues, such as the risk of infection and leakage, and the method of gastric closure. Hybrid-NOTES is an ideal first step in humans. Human hybrid transvaginal access has been used for years by many surgeons for diagnostic and therapeutic purposes. Here, we report a transvaginal flexible endoscopic appendectomy, with a 5-mm umbilical port using ultrasonic scissors in a 74-year-old woman with acute appendicitis.

Citations

Citations to this article as recorded by

Transvaginal Laparoscopic Appendectomy: A Systematic Review
Ethan Slouha, Stefan J Biput, Brandon Krumbach, Lucy A Clunes, Theofanis F Kollias
Cureus.2024;[Epub] CrossRef
Recent Technical Developments in the Field of Laparoscopic Surgery: A Literature Review
Lama Islem Basunbul, Lenah Sulaiman S Alhazmi, Shahad Amro Almughamisi, Najd Muhammed Aljuaid, Hisham Rizk, Rana Moshref
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Transvaginal laparoscopic appendectomy using innovative submucosal tunnels: a conducive modification for improving hybrid NOTES access and its critical appraisal
Priyadarshan A Jategaonkar, Sudeep P Yadav, Dilip Gupta
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Natural Orifice Transluminal Endoscopic Surgery in Korea
Dae Kyung Sohn
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Joern Bernhardt, Holger Steffen, Sylke Schneider-Koriath, Kaja Ludwig
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