Annals of Coloproctology

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Case Report

Malignant disease

Treatment of a Total Obstructive Anastomosis Stricture Using a Transanal Laparoscopic Approach and Intraoperative Colonoscopic Balloon Dilatation: Jae Young Kwak, Kwan Mo Yang, Hyun Il Seo; Ann Coloproctol. 2020;36(5):353-356. Published online May 15, 2020; DOI: https://doi.org/10.3393/ac.2020.02.27

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Abstract PDF: An anastomosis stricture with a total obstruction is rare and treatment options are variable. We describe our experience with a combination of a single port transanal laparoscopic approach and intraoperative colonoscopic balloon dilatation. The patient was a 48-year-old man with rectal cancer. A laparoscopic single port lower anterior resection and diverting ileostomy were performed followed by a colon study and ileostomy takedown. The colon study and sigmoidoscopy revealed total obstruction of the rectum at the anastomosis level. We employed a transanal approach using a single port to correct this. We located the anastomosis stricture site and generated a lumen using a dissector and electocautery method to insert the balloon device. Colonoscopic balloon dilatation was subsequently successful. The patient was discharged with no postoperative complications. A laparoscopic single port transanal approach with an intraoperative colonoscopic balloon dilatation is a viable alternative approach to treating an anastomosis stricture of the rectum.

Original Articles

Prognostic Implications of Primary Tumor Resection in Stage IVB Colorectal Cancer in Elderly Patients: Heui-June Ahn, Ho-Suk Oh, Yongchel Ahn, Sang Jin Lee, Hyun Joong Kim, Moon Ho Kim, Dae-Woon Eom, Jae Young Kwak, Myoung Sik Han, Jae Seok Song; Ann Coloproctol. 2014;30(4):175-181. Published online August 26, 2014; DOI: https://doi.org/10.3393/ac.2014.30.4.175

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10 Citations

Abstract PDF

Purpose

The aim of this study was to identify prognostic factors in stage IVB colorectal cancer in elderly patients, focusing on the influence of treatment modalities, including palliative chemotherapy and primary tumor resection.

Methods

A cohort of 64 patients aged over 65 years who presented with stage IVB colorectal cancer at the Gangneung Asan Hospital between July 1, 2001, and December 31, 2009, was analyzed. Demographics, tumor location, tumor grade, performance status, levels of carcinoembryonic antigen (CEA), level of aspartate aminotransferase (AST), and distant metastatic site at diagnosis were analyzed. Using the treatment histories, we analyzed the prognostic implications of palliative chemotherapy and surgical resection of the primary tumor retrospectively.

Results

The cohort consisted of 30 male (46.9%) and 34 female patients (53.1%); the median age was 76.5 years. Primary tumor resection was done on 28 patients (43.8%); 36 patients (56.2%) were categorized in the nonresection group. The median survival times were 12.43 months in the resection group and 3.58 months in the nonresection group (P < 0.001). Gender, level of CEA, level of AST, Eastern Cooperative Oncology Group performance status, tumor location, and presence of liver metastasis also showed significant differences in overall survival. On multivariate analysis, male gender, higher level of CEA, higher AST level, and no primary tumor resection were independent poor prognostic factors. In particular, nonresection of the primary tumor was the most potent/poor prognostic factor in the elderly-patient study group (P = 0.001; 95% confidence interval, 2.33 to 21.99; hazard ratio, 7.16).

Conclusion

In stage IVB colorectal cancer in elderly patients, resection of the primary tumor may enhance survival.

Citations

Citations to this article as recorded by

Primary Tumor Resection for Metastatic Colorectal, Gastric and Pancreatic Cancer Patients: In Search of Scientific Evidence to Inform Clinical Practice
Valentina Fanotto, Francesca Salani, Caterina Vivaldi, Mario Scartozzi, Dario Ribero, Marco Puzzoni, Francesco Montagnani, Francesco Leone, Enrico Vasile, Maria Bencivenga, Giovanni De Manzoni, Debora Basile, Lorenzo Fornaro, Gianluca Masi, Giuseppe April
Cancers.2023; 15(3): 900. CrossRef
The association of blood biomarkers with treatment response and adverse health outcomes in older patients with solid tumors: A systematic review
Yara van Holstein, P. Janne E. van den Berkmortel, Stella Trompet, Diana van Heemst, Frederiek van den Bos, Marieke Roemeling-van Rhijn, Nienke A. de Glas, Marian Beekman, P. Eline Slagboom, Johanneke E.A. Portielje, Simon P. Mooijaart, Barbara C. van Mun
Journal of Geriatric Oncology.2023; 14(7): 101567. CrossRef
Survival for patients with metastatic colon cancer underwent cytoreductive colectomy in the era of rapid development of anticancer drugs: A real-world analysis based on updated population dataset of 2004–2018
Guangran Meng, Shengtao Yang, Feixiang Chen
Frontiers in Pharmacology.2022;[Epub] CrossRef
Can the De Ritis Ratio (AST/ALT) be used to predict colon cancer stages?
Saygın ALTINER, Enes CEBECİ, Bedri Burak SUCU, Mert ÇÖL, Ender ERGÜDER, Yılmaz ÜNAL, Salih TUNCAL, Mevlüt Recep PEKCİCİ
Ahi Evran Medical Journal.2022;[Epub] CrossRef
Provisional Clinical Opinions (PCOs) Recommended by the Surgical Treatment Working Group for Vulnerable Elderly Patients in Colorectal Cancer: Clinical Questions with Answers
Junichi Nishimura, Yoshio Yoshida, Chie Tanaka, Keiji Matsuda, Shiro Oka, Kohei Murata, Ju Mizuno, Yoichiro Yoshida
Nippon Daicho Komonbyo Gakkai Zasshi.2021; 74(7): 401. CrossRef
Sixty-Day Mortality of Patients With Metastatic Colorectal Cancer Randomized to Systemic Treatment vs Primary Tumor Resection Followed by Systemic Treatment
Dave E. W. van der Kruijssen, Sjoerd G. Elias, Geraldine R. Vink, Karlijn L. van Rooijen, Jorine ‘t Lam-Boer, Linda Mol, Cornelis J. A. Punt, Johannes H. W. de Wilt, Miriam Koopman, Gijs J.D. van Acker, Rahim Altaf, Kees van Arkel, Coen I.M. Baeten, Sandr
JAMA Surgery.2021; 156(12): 1093. CrossRef
Primary Tumor Resection in Patients with Incurable Localized or Metastatic Colorectal Cancer: A Systematic Review and Meta‐analysis
Constantinos Simillis, Eliana Kalakouti, Thalia Afxentiou, Christos Kontovounisios, Jason J. Smith, David Cunningham, Michel Adamina, Paris P. Tekkis
World Journal of Surgery.2019; 43(7): 1829. CrossRef
Meta-analysis of outcomes following resection of the primary tumour in patients presenting with metastatic colorectal cancer
U Nitsche, C Stöß, L Stecher, D Wilhelm, H Friess, G O Ceyhan
Journal of British Surgery.2018; 105(7): 784. CrossRef
A systematic analysis highlighting deficiencies in reported outcomes for patients with stage IV colorectal cancer undergoing palliative resection of the primary tumour
Deena P. Harji, Abigail Vallance, Jenny Selgimann, Simon Bach, Faheez Mohamed, Julia Brown, Nicola Fearnhead
European Journal of Surgical Oncology.2018; 44(10): 1469. CrossRef
Paradigm Shift in the Treatment of Elderly Patients With Unresectable Stage IV Colorectal Cancer
Nam Kyu Kim
Annals of Coloproctology.2014; 30(4): 155. CrossRef

Surgical Outcomes after Total Colectomy with Ileorectal Anastomosis in Patients with Medically Intractable Slow Transit Constipation: Guiyun Sohn, Chang Sik Yu, Chan Wook Kim, Jae Young Kwak, Tae Young Jang, Kyung Ho Kim, Song Soo Yang, Yong Sik Yoon, Seok-Byung Lim, Jin Cheon Kim; J Korean Soc Coloproctol. 2011;27(4):180-187. Published online August 31, 2011; DOI: https://doi.org/10.3393/jksc.2011.27.4.180

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33 Citations

Abstract PDF

Purpose

The aim of this study was to evaluate outcomes of a total colectomy with ileorectal anastomosis in patients with slow transit constipation.

Methods

A retrospective review of 37 consecutive patients with slow transit constipation who underwent a total colectomy between 1994 and 2008 was undertaken. Preoperative and postoperative Wexner's constipation scores were collected and used to evaluate the outcomes after surgical treatment. Also patients' postoperative satisfaction scores were collected using a 4-point scale.

Results

The 37 patients consisted of 31 women and 6 men, with a median age of 41 years (range, 17 to 71 years). Pre- and post-operative Wexner's scores were collected from 33 patients (89.1%), and the mean preoperative Wexner's score was 19.3 (range, 11 to 24), which decreased to an average post-operative score of 2.3 (range, 0 to 8). Neither intraoperative complications nor postoperative mortalities were noted. Five patients (13.5%) had early postoperative complications, and the most common complication was postoperative ileus (10.8%). Seven patients (18.9%) had late postoperative complications, and postoperative ileus (10.8%) was also the most common. Twenty seven of 33 patients were satisfied with their surgical outcome (81.8%).

Conclusion

A total colectomy with ileorectal anastomosis might be an effective surgical procedure with acceptable morbidity to treat medically intractable slow transit constipation.

Citations

Citations to this article as recorded by

Rehabilitation for Chronic Constipation: Integrative Approaches to Diagnosis and Treatment
Luana Alexandrescu, Ionut Eduard Iordache, Alina Mihaela Stanigut, Laura Maria Condur, Doina Ecaterina Tofolean, Razvan Catalin Popescu, Andreea Nelson Twakor, Eugen Dumitru, Andrei Dumitru, Cristina Tocia, Alexandra Herlo, Ionut Tiberiu Tofolean
Gastrointestinal Disorders.2025; 7(1): 11. CrossRef
Surgery for chronic idiopathic constipation: pediatric and adult patients – a systematic review
Kerry A. Swanson, Hannah M. Phelps, William C. Chapman, Sean C. Glasgow, Radhika K. Smith, Shannon Joerger, Elizabeth C. Utterson, Baddr A. Shakhsheer
Journal of Gastrointestinal Surgery.2024; 28(2): 170. CrossRef
Ileorectal intussusception compared to end-to-end ileorectal anastomosis after laparoscopic total colectomy in slow-transit constipation
Hong Zhi Geng, Chen Xu, Yongjun Yu, Jiying Cong, Zhao Zhang, Yuwei Li, Qilong Chen
Current Problems in Surgery.2024; 61(6): 101471. CrossRef
A systematic review of outcomes and quality of life after ileorectal anastomosis for ulcerative colitis
Mohammed Al-Rashedy, Tanmoy Mukherjee, Alan Askari, Shashank Gurjar
Arab Journal of Gastroenterology.2023; 24(2): 79. CrossRef
Laparoscopic total colectomy with ileorectal anastomosis and subtotal colectomy with antiperistaltic cecorectal anastomosis for slow transit constipation
Xiu-Mei Deng, Tian-Yu Zhu, Guo-Jun Wang, Bu-Lang Gao, Rui-Xin Li, Jing-Tao Wang
Updates in Surgery.2023; 75(4): 871. CrossRef
Single-incision clipless laparoscopic total colectomy for intractable slow transit constipation: a single surgeon’s experience
Hidejiro Kawahara, Nobuo Omura
Langenbeck's Archives of Surgery.2022; 407(6): 2585. CrossRef
Idiopathic Megacolon—Short Review
Adrian Constantin, Florin Achim, Dan Spinu, Bogdan Socea, Dragos Predescu
Diagnostics.2021; 11(11): 2112. CrossRef
Heterogeneous outcome reporting in adult slow‐transit constipation studies: Systematic review towards a core outcome set
Stella C M Heemskerk, Adriënne H Rotteveel, Jarno Melenhorst, Stéphanie O Breukink, Merel L Kimman, Carmen D Dirksen
Journal of Gastroenterology and Hepatology.2020; 35(2): 192. CrossRef
Defecation function and quality of life in patients with slow-transit constipation after colectomy
Yue Tian, Li Wang, Jing-Wang Ye, Yong Zhang, Hui-Chao Zheng, Hao-De Shen, Fan Li, Bao-Hua Liu, Wei-Dong Tong
World Journal of Clinical Cases.2020; 8(10): 1897. CrossRef
Laparoscopic subtotal colectomy in the surgical treatment of chronic constipation in patients with dolichocolon
V.V. Anischenko, D.A. Kim
Endoskopicheskaya khirurgiya.2020; 26(6): 12. CrossRef
Concurrent total abdominal colectomy and ileorectal anastomosis with transvaginal posterior colporrhaphy for constipation
Peter Chia Yeh, Francisco Orejuela, Lisa Haubert
International Urogynecology Journal.2019; 30(3): 501. CrossRef
Percutaneous endoscopic colostomy for adults with chronic constipation: Retrospective case series of 12 patients
D. Strijbos, D. Keszthelyi, A. A. M. Masclee, L. P. L. Gilissen
Neurogastroenterology & Motility.2018;[Epub] CrossRef
Searching for a definition for pharmacologically refractory constipation: A systematic review
Alex Yu Sen Soh, Jin‐Yong Kang, Kewin Tien Ho Siah, Carmelo Scarpignato, Kok‐Ann Gwee
Journal of Gastroenterology and Hepatology.2018; 33(3): 564. CrossRef
Patient-Reported Outcome After Ostomy Surgery for Chronic Constipation
Fareed Iqbal, Valerie van der Ploeg, Franklin Adaba, Alan Askari, Jamie Murphy, R. John Nicholls, Carolynne Vaizey
Journal of Wound, Ostomy & Continence Nursing.2018; 45(4): 319. CrossRef
Surgery for constipation: systematic review and practice recommendations
C. H. Knowles, U. Grossi, M. Chapman, J. Mason
Colorectal Disease.2017; 19(S3): 17. CrossRef
Colonic Inertia: approach and treatment
Ana Sofia Garcês Ferreira Soares, Laura Elisabete Ribeiro Barbosa
Journal of Coloproctology.2017; 37(01): 063. CrossRef
Bioengineering the gut: future prospects of regenerative medicine
Khalil N. Bitar, Elie Zakhem
Nature Reviews Gastroenterology & Hepatology.2016; 13(9): 543. CrossRef
Surgical management of severe constipation due to slow transit and obstructed defecation syndrome
Venetia Giannakaki, Liliana Bordeianou
Seminars in Colon and Rectal Surgery.2016; 27(1): 28. CrossRef
Evaluating the safety and the effects on colonic compliance of neostigmine during motility testing in patients with chronic constipation
M. A. Mouchli, M. Camilleri, T. Lee, G. Parthasarathy, P. Vijayvargiya, M. Halland, A. Acosta, A. E. Bharucha
Neurogastroenterology & Motility.2016; 28(6): 871. CrossRef
Comparison of laparoscopic subtotal colectomy with posterior vaginal suspension and laparoscopic subtotal colectomy with transvaginal repair for patients with slow-transit constipation complicated with rectocele: a non-randomized comparative study in a si
Si Yu, Jian-zhong Deng, Xiang Peng, Yong-hui Zhou, Long-qing Cheng, Yi-ban Lin, Jia-cheng Zhu, Te-dong Luo
Surgical Endoscopy.2016; 30(7): 2759. CrossRef
Results of long-term retrograde rectal cleansing in patients with constipation or fecal incontinence
P. F. Vollebregt, A. K. E. Elfrink, W. J. H. J. Meijerink, R. J. F. Felt-Bersma
Techniques in Coloproctology.2016; 20(9): 633. CrossRef
Clinical Features and Colonic Motor Disturbances in Chronic Megacolon in Adults
Ralph Hurley O’Dwyer, Andrés Acosta, Michael Camilleri, Duane Burton, Irene Busciglio, Adil E. Bharucha
Digestive Diseases and Sciences.2015; 60(8): 2398. CrossRef
Chronic severe constipation
Nikolaos P. Andromanakos, Stamatis I. Pinis, Alkiviadis I. Kostakis
European Journal of Gastroenterology & Hepatology.2015; 27(3): 204. CrossRef
Lanreotide Autogel in the Treatment of Persistent Diarrhea following a Total Colectomy
Patrick Schoeters, Karl De Pooter
Case Reports in Gastrointestinal Medicine.2015; 2015: 1. CrossRef
Molecular and Cellular Characteristics of the Colonic Pseudo-obstruction in Patients With Intractable Constipation
Yoon Suh Do, Seung-Jae Myung, Sun-Young Kwak, Soohan Cho, Enoch Lee, Min Jeong Song, Chang Sik Yu, Yong Sik Yoon, Hye Kyung Lee
Journal of Neurogastroenterology and Motility.2015; 21(4): 560. CrossRef
Effect of Different Surgical Options on Curative Effect, Nutrition, and Health Status of Patients with Slow Transit Constipation
Fan Li, Tao Fu, Weidong Tong, Anping Zhang, Chunxue Li, Yu Gao, Jin Song Wu, Baohua Liu
International Journal of Colorectal Disease.2014; 29(12): 1551. CrossRef
A modified total colonic exclusion for elderly patients with severe slow transit constipation
Q. Qian, C. Jiang, Y. Chen, Z. Ding, Y. Wu, K. Zheng, Q. Qin, Z. Liu
Techniques in Coloproctology.2014; 18(7): 629. CrossRef
Management of Chronic Intractable Constipation in Children
Basavaraj Kerur, Kanchan Kantekure, Silvana Bonilla, Bruce Orkin, Alejandro F. Flores
Journal of Pediatric Gastroenterology and Nutrition.2014; 59(6): 754. CrossRef
Comparison of hand‐assisted laparoscopy with open total colectomy for slow transit constipation: A retrospective study
Qin Song Sheng, Jian Jiang Lin, Wen Bin Chen, Fan Long Liu, Xiang Ming Xu, Han Ju Hua, Cai Zhao Lin, Jin Hai Wang
Journal of Digestive Diseases.2014; 15(8): 419. CrossRef
The role of hand-assisted laparoscopic surgery in total colectomy for colonic inertia: a retrospective study
Dan Yang Wang, Jian Jiang Lin, Xiang Ming Xu, Fan Long Liu
Journal of the Korean Surgical Society.2013; 85(3): 123. CrossRef
The use of prucalopride in real life for the treatment of constipation subtypes: ups and downs
G. Bassotti, M. Bellini
Techniques in Coloproctology.2013; 17(5): 475. CrossRef
Colectomy with ileorectal anastomosis has a worse 30‐day outcome when performed for colonic inertia than for a neoplastic indication
A. Reshef, B. Gurland, M. Zutshi, R. P. Kiran, T. Hull
Colorectal Disease.2013; 15(4): 481. CrossRef
Long-term Follow-up of the Jinling Procedure for Combined Slow-Transit Constipation and Obstructive Defecation
Ning Li, Jun Jiang, Xiaobo Feng, Weiwei Ding, Jianlei Liu, Jieshou Li
Diseases of the Colon & Rectum.2013; 56(1): 103. CrossRef

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