Annals of Coloproctology

Display

Sort by :

Original Articles

Benign GI diease

Surgical Management of Sigmoid Volvulus: A Multicenter Observational Study: Keunchul Lee, Heung-Kwon Oh, Jung Rae Cho, Minhyun Kim, Duck-Woo Kim, Sung-Bum Kang, Hyung-Jin Kim, Hyoung-Chul Park, Rumi Shin, Seung Chul Heo, Seung-Bum Ryoo, Kyu Joo Park, Seoul Colorectal Research Group (SECOG); Ann Coloproctol. 2020;36(6):403-408. Published online December 31, 2020; DOI: https://doi.org/10.3393/ac.2020.03.23

6,319 View
174 Download
17 Web of Science
14 Citations

Purpose
This study aimed to evaluate real-world clinical outcomes from surgically treated patients for sigmoid volvulus.
Methods
Five tertiary centers participated in this retrospective study with data collected from October 2003 through September 2018, including demographic information, preoperative clinical data, and information on laparoscopic/open and elective/emergency procedures. Outcome measurements included operation time, postoperative hospitalization, and postoperative morbidity.
Results
Among 74 patients, sigmoidectomy was the most common procedure (n = 46), followed by Hartmann’s procedure (n = 23), and subtotal colectomy (n = 5). Emergency surgery was performed in 35 cases (47.3%). Of the 35 emergency patients, 34 cases (97.1%) underwent open surgery, and a stoma was established for 26 patients (74.3%). Elective surgery was performed in 39 cases (52.7%), including 21 open procedures (53.8%), and 18 laparoscopic surgeries (46.2%). Median laparoscopic operation time was 180 minutes, while median open surgery time was 130 minutes (P < 0.001). Median postoperative hospitalization was 11 days for laparoscopy and 12 days for open surgery. There were 20 postoperative complications (27.0%), and all were resolved with conservative management. Emergency surgery cases had a higher complication rate than elective surgery cases (40.0% vs. 15.4%, P = 0.034).
Conclusion
Relative to elective surgery, emergency surgery had a higher rate of postoperative complications, open surgery, and stoma formation. As such, elective laparoscopic surgery after successful sigmoidoscopic decompression may be the optimal clinical option.

Citations

Citations to this article as recorded by

Mesopexy instead of colectomy successfully treated an elderly patient with sigmoid volvulus, a case report
Jin Qian, Shu-Qing Hua
Asian Journal of Surgery.2025; 48(2): 1441. CrossRef
Outcomes for sigmoid volvulus managed with and without early definitive surgery: 20‐year experience in a tertiary referral centre
Shriranshini Satheakeerthy, Priscilla Leow, Benjamin Hall, Damien Ah Yen, Jesse Fischer
ANZ Journal of Surgery.2024; 94(1-2): 169. CrossRef
Patience is key: Association of surgical timing with clinical outcomes in elderly patients with sigmoid volvulus
Suzanne C. Arnold, Wardah Rafaqat, May Abiad, Emanuele Lagazzi, Anne H. Hoekman, Vahe S. Panossian, Ikemsinachi C. Nzenwa, Charudutt N. Paranjape, George C. Velmahos, Haytham M.A. Kaafarani, John O. Hwabejire
The American Journal of Surgery.2024; 232: 81. CrossRef
Epidemiology and age-related trends in surgical outcomes for sigmoid volvulus: a 17-year analysis
Lukas Schabl, Stefan D. Holubar, Kamil Erozkan, Ali Alipouriani, Himani Sancheti, Scott R. Steele, Hermann Kessler
Langenbeck's Archives of Surgery.2024;[Epub] CrossRef
Unveiling a Coalescing Catastrophe: Pre-pyloric Perforation Co-existing With Sigmoid Volvulus in a Middle-Aged Patient
Mihir Patil, Pankaj Gharde
Cureus.2024;[Epub] CrossRef
Navigating Abdominal Volvulus: A Comprehensive Review of Management Strategies
Simran Chauhan, Raju K Shinde, Yashraj Jain
Cureus.2024;[Epub] CrossRef
Laparoscopic redo surgery for sigmoid volvulus following laparoscopic sigmoidectomy
Hideyuki Masui, Kenji Kawada, Susumu Inamoto, Toshiaki Wada, Yoshiharu Sakai, Kazutaka Obama
Surgical Case Reports.2024;[Epub] CrossRef
Sigmoid volvulus as a rare cause of intestinal obstruction in the pediatric population: case series and literature review
Isabel C. Brito Rojas, Mayra A. Hernández Peñuela, Vanessa Medina Gaviria, Martin La Rotta, John M. Escobar Echeverri
International Journal of Surgery Open.2024; 62(2): 149. CrossRef
Metachronous volvulus of the descending colon after resection of the sigmoid volvulus; a case report
Molla Asnake Kebede, Sisay Mengistu Mohammed, Yilkal Teshome Numaro, Yohanes Yoseph Mesfine, Adugnaw Bogale Worku, Anteneh Messele Birhanu
International Journal of Surgery Case Reports.2024; 123: 110212. CrossRef
Left iliac fossa sigmoidectomy with mechanical anastomosis in the management of uncomplicated sigmoid volvulus: an observational study at Principal Hospital of Dakar, Senegal
Eugene Gaudens Prosper Amaye Dieme, Birame Ndiaye, Magatte Faye, Samba Tiapato Faye, Moustapha Diop, Madawas Mboup, Ibrahima Sall, Oumar Fall, Alamasso Sow
The Pan African Medical Journal.2024;[Epub] CrossRef
Bowel Preparation Before Nonelective Sigmoidectomy for Sigmoid Volvulus: Highly Beneficial but Vastly Underused
Natalie Schudrowitz, C Patrick Shahan, Tovah Moss, John E Scarborough
Journal of the American College of Surgeons.2023; 236(4): 649. CrossRef
Perioperative Adverse Outcome and Its Predictors After Emergency Laparotomy Among Sigmoid Volvulus Patients: Retrospective Follow-Up Study
Tilahun Deresse, Esubalew Tesfahun, Zenebe Gebreegziabher, Mandante Bogale, Dawit Alemayehu, Megbar Dessalegn, Tewodros Kifleyohans, George Eskandar
Open Access Emergency Medicine.2023; Volume 15: 383. CrossRef
Colonic pseudo-obstruction in a patient with dyssynergic defecation: A case report
Yejun Jeong, Yongjae Kim, Wonhyun Kim, Seoyeon Park, Su-Jin Shin, Eun Jung Park
International Journal of Surgery Case Reports.2022; 98: 107524. CrossRef
Comments on “Surgical Management of Sigmoid Volvulus: A Multicenter Observational Study”
Sabri Selcuk Atamanalp
Annals of Coloproctology.2021; 37(2): 73. CrossRef

Oncologic Outcomes in Patients Who Undergo Neoadjuvant Chemoradiotherapy and Total Mesorectal Excision for Locally Advanced Rectal Cancer: A 14-Year Experience in a Single Institution: Min Jung Kim, Seung-Yong Jeong, Ji Won Park, Seung-Bum Ryoo, Sang Sik Cho, Ki Young Lee, Kyu Joo Park; Ann Coloproctol. 2019;35(2):83-93. Published online April 30, 2019; DOI: https://doi.org/10.3393/ac.2019.04.22.1

5,148 View
97 Download
21 Web of Science
19 Citations

Abstract PDF

Purpose
This study evaluated the oncologic outcomes of locally advanced rectal cancer patients who underwent preoperative neoadjuvant chemoradiotherapy (CRT) followed by surgery and determined the prognostic significance of pathologic complete response (pCR).
Methods
Between January 2002 and December 2015, 580 patients with rectal cancer who underwent surgery after neoadjuvant CRT were identified. Survival according to tumor response to CRT and pathologic stage was analyzed using the Kaplan-Meier method, and the Cox proportional hazard model was used to identify factors associated with survival outcomes.
Results
A total of 111 patients (23.7%) achieved pCR while the other 469 patients showed residual disease. Patients with pCR had a lower pretreatment carcinoembryonic antigen level and earlier cT classification than those with residual disease. With a median follow-up of 78 months, disease-free survival (DFS) and overall survival (OS) were significantly better in the pCR group than in the residual disease group. The 5-year DFS and 5-year OS for patients with ypStage 0, I, II, or III were 92.5%, 85.1%, 72.2%, 54.3% (P < 0.001) and 94.5%, 91.0%, 83.1%, 69.3%, respectively (P < 0.001). Pathologic AJCC stage after CRT was the most statistically significant independent predictor of OS (HR, 6.97 [95% confidence interval, 3.16–15.39] for stage III vs. stage 0) and DFS (HR, 7.30 [95% confidence interval, 3.63–14.67] for stage III vs. stage 0).
Conclusion
Rectal cancer patients who achieved pCR showed improved survival compared to those with residual disease after preoperative CRT. Moreover, pCR was an independent indicator of OS and DFS, and pathologic AJCC stage was correlated with survival after preoperative CRT.

Citations

Citations to this article as recorded by

Analysis of clinical and pathological prognostic factors of survival in rectal adenocarcinoma treated with preoperative radiochemotherapy
Sarhan Sydney Saad, Nora Forones, Gaspar Lopes Filho, Jaques Waisberg, Elesiario Caetano Júnior, Ricardo Artigiani-Neto, Delcio Matos
Acta Cirúrgica Brasileira.2025;[Epub] CrossRef
Lateral pelvic lymph node dissection based on nodal response to neoadjuvant chemoradiotherapy in mid/low rectal cancer: a retrospective comparative cohort study
Tae-Gyun Lee, Duck-Woo Kim, Hong-min Ahn, Hye-Rim Shin, Mi Jeong Choi, Min Hyeong Jo, Heung-Kwon Oh, Sung-Bum Kang
Annals of Surgical Treatment and Research.2025; 108(6): 333. CrossRef
Predicting Positive Radial Margin on Restaging MRI of Patients with Low Rectal Cancer: Can We Do Better?
Anurima Patra, Aisha Lakhani, Antony Augustine, Priyanka Mohapatra, Anu Eapen, Ashish Singh, Dipti Masih, Thomas S. Ram, Mark R. Jesudason, Rohin Mittal, Anuradha Chandramohan
Indian Journal of Radiology and Imaging.2024; 34(01): 85. CrossRef
A Review of Neoadjuvant Therapy and the Watch-and-Wait Protocol in Rectal Cancer: Current Evidence and Future Directions
Iulian M Slavu, Octavian Munteanu, Florin Filipoiu, Raluca Tulin, Anca Monica Macovei Oprescu , Ileana Dima, Iulian A Dogaru, Adrian Tulin
Cureus.2024;[Epub] CrossRef
Significant Pathologic Response Following Neoadjuvant Therapy and Curative Resection in Patients With Rectal Cancer: Surgical and Oncological Outcomes From a Retrospective Cohort Study
Fatemeh Shahabi, Majid Ansari, Khadijeh Najafi Ghobadi, Abolfazl Ghahramani, Amiresmaeil Parandeh, Maryam Saberi‐Karimian, Ala Orafaie, Abbas Abdollahi
Cancer Reports.2024;[Epub] CrossRef
Clinical Implication of Lateral Pelvic Lymph Node Metastasis in Rectal Cancer Treated with Neoadjuvant Chemoradiotherapy
In Ja Park
The Ewha Medical Journal.2022; 45(1): 3. CrossRef
Multidisciplinary treatment strategy for early rectal cancer
Gyung Mo Son, In Young Lee, Sung Hwan Cho, Byung-Soo Park, Hyun Sung Kim, Su Bum Park, Hyung Wook Kim, Sang Bo Oh, Tae Un Kim, Dong Hoon Shin
Precision and Future Medicine.2022; 6(1): 32. CrossRef
Watch and wait strategies for rectal cancer: A systematic review
In Ja Park
Precision and Future Medicine.2022; 6(2): 91. CrossRef
Patient Survival With ypT0N+ Following Neoadjuvant Therapy in Rectal Cancer
Mohamedraed Elshami, Robert N. Goldstone, Lawrence S. Blaszkowsky, James C. Cusack, Theodore S. Hong, Jennifer Y. Wo, Motaz Qadan
Diseases of the Colon & Rectum.2022; 65(10): 1224. 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
Can normalized carcinoembryonic antigen following neoadjuvant chemoradiation predict tumour recurrence after curative resection for locally advanced rectal cancer?
Youngki Hong, Amandeep Ghuman, Keat Seong Poh, Dimitri Krizzuk, Arun Nagarajan, Sudha Amarnath, Juan J. Nogueras, Steven D. Wexner, Giovanna DaSilva
Colorectal Disease.2021; 23(6): 1346. CrossRef
Omission of or Poor Response to Preoperative Chemoradiotherapy Impacts Radial Margin Positivity Rates in Locally Advanced Rectal Cancer
Ana Sofia Ore, Gabrielle E. Dombek, Carlos A. Cordova-Cassia, Jeanne F. Quinn, Thomas E. Cataldo, Benjamin L. Schlechter, Matthew J. Abrams, Evangelos Messaris
Diseases of the Colon & Rectum.2021; 64(6): 669. CrossRef
Optimal Postoperative Surveillance Strategies for Colorectal Cancer: A Retrospective Observational Study
Min-Young Park, In-Ja Park, Hyo-Seon Ryu, Jay Jung, Min-Sung Kim, Seok-Byung Lim, Chang-Sik Yu, Jin-Cheon Kim
Cancers.2021; 13(14): 3502. CrossRef
Evaluating the benefit of adjuvant chemotherapy in patients with ypT0–1 rectal cancer treated with preoperative chemoradiotherapy
Ye Won Jeon, In Ja Park, Jeong Eun Kim, Jin-Hong Park, Seok-Byung Lim, Chan Wook Kim, Yong Sik Yoon, Jong Lyul Lee, Chang Sik Yu, Jin Cheon Kim
World Journal of Gastrointestinal Surgery.2021; 13(9): 1000. CrossRef
Comparison between Local Excision and Radical Resection for the Treatment of Rectal Cancer in ypT0-1 Patients: An Analysis of the Clinicopathological Factors and Survival Rates
Soo Young Oh, In Ja Park, Young IL Kim, Jong-Lyul Lee, Chan Wook Kim, Yong Sik Yoon, Seok-Byung Lim, Chang Sik Yu, Jin Cheon Kim
Cancers.2021; 13(19): 4823. CrossRef
Neoadjuvant radiotherapy dose escalation for locally advanced rectal cancers in the new era of radiotherapy: A review of literature
Durim Delishaj, Ilaria Costanza Fumagalli, Stefano Ursino, Agostino Cristaudo, Francesco Colangelo, Antonio Stefanelli, Alessandro Alghisi, Giuseppe De Nobili, Romerai D’Amico, Alessandra Cocchi, Antonio Ardizzoia, Carlo Pietro Soatti
World Journal of Clinical Cases.2021; 9(30): 9077. CrossRef
Lateral Pelvic Lymph Node Dissection After Neoadjuvant Chemoradiotherapy in Patients With Rectal Cancer: A Single-Center Experience and Literature Review
Min Chul Kim, Jae Hwan Oh
Annals of Coloproctology.2021; 37(6): 382. CrossRef
Functional outcomes after sphincter-preserving surgeries for low-lying rectal cancer: A review
Eun Jung Park, Seung Hyuk Baik
Precision and Future Medicine.2021; 5(4): 164. CrossRef
From Total Mesorectal Excision to Organ Preservation for the Treatment of Rectal Cancer
Seong Kyu Baek
Annals of Coloproctology.2019; 35(2): 51. CrossRef

Case Report

Inflammatory Myofibroblastic Tumor of the Retroperitoneum Including Chronic Granulomatous Inflammation Suggesting Tuberculosis: A Case Report: Younglim Kim, Ji Won Park, Sungwhan Kim, Kil-Yong Lee, Jeongmo Bae, Yoon Kyung Jeon, Ji Min Im, Seung-Bum Ryoo, Seung-Yong Jeong, Kyu Joo Park; Ann Coloproctol. 2019;35(5):285-288. Published online March 20, 2019; DOI: https://doi.org/10.3393/ac.2018.05.09

4,715 View
111 Download

Abstract PDF: An inflammatory myofibroblastic tumor (IMT) is a solid tumor of unknown etiology frequently affecting children and young adults and commonly affecting the lung or orbital region. We present a case involving a 41-year-old man who had an IMT combined with Mycobacterium tuberculosis infection in the retroperitoneum. He presented with only pain in the right lower abdomen without accompanying symptoms; a retroperitoneal mass was found on computed tomography. The tumor had invaded the end of the ileum and was attached to the omentum, so mass excision could not be performed. The tumor was completely excised surgically and had histological features diagnostic of an IMT. Histologic findings of the omentum were positive for Ziehl-Nielsen staining for acid-fast bacilli and for a positive polymerase chain reaction for M. tuberculosis. The patient had no apparent immune disorder. These findings made this case exceptional because IMTs, which are mostly due to atypical mycobacteria, have been found mainly in immunocompromised patients.

Erratum

Erratum: 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(5):205-205. Published online October 31, 2015; DOI: https://doi.org/10.3393/ac.2015.31.5.205

3,872 View
36 Download

PDF

Original Articles

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

4,994 View
52 Download
6 Web of Science
7 Citations

Abstract 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

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

5,074 View
69 Download
13 Web of Science
13 Citations

Abstract 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

Effectiveness of pelvic floor muscle training in the recovery of patients after low anterior resection: A systematic review and meta-analysis
Min Jeong Kim, Seonmi Yeom, Young Man Kim
European Journal of Oncology Nursing.2025; 77: 102918. CrossRef
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
Application of pelvic floor rehabilitation in patients with colorectal cancer: a scoping review
Lu Zhou, Changkun Zhong, Yuanyuan Su, Zhengyang Zhang, Ling Wang
Techniques in Coloproctology.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

Rectourethral Fistula: Systemic Review of and Experiences With Various Surgical Treatment Methods: Ji Hye Choi, Byeong Geon Jeon, Sang-Gi Choi, Eon Chul Han, Heon-Kyun Ha, Heung-Kwon Oh, Eun Kyung Choe, Sang Hui Moon, Seung-Bum Ryoo, Kyu Joo Park; Ann Coloproctol. 2014;30(1):35-41. Published online February 28, 2014; DOI: https://doi.org/10.3393/ac.2014.30.1.35

8,102 View
127 Download
48 Web of Science
47 Citations

Abstract PDF

Purpose

A rectourethral fistula (RUF) is an uncommon complication resulting from surgery, radiation or trauma. Although various surgical procedures for the treatment of an RUF have been described, none has gained acceptance as the procedure of choice. The aim of this study was to review our experience with surgical management of RUF.

Methods

The outcomes of 6 male patients (mean age, 51 years) with an RUF who were operated on by a single surgeon between May 2005 and July 2012 were assessed.

Results

The causes of the RUF were iatrogenic in four cases (two after radiation therapy for rectal cancer, one after brachytherapy for prostate cancer, and one after surgery for a bladder stone) and traumatic in two cases. Fecal diversion was the initial treatment in five patients. In one patient, fecal diversion was performed simultaneously with definitive repair. Four patients underwent staged repair after a mean of 12 months. Rectal advancement flaps were done for simple, small fistula (n = 2), and flap interpositions (gracilis muscle flap, n = 2; omental flap, n = 1) were done for complex or recurrent fistulae. Urinary strictures and incontinence were observed in patients after gracilis muscle flap interposition, but they were resolved with simple treatments. The mean follow-up period was 28 months, and closure of the fistula was achieved in all five patients (100%) who underwent definitive repairs. The fistula persisted in one patient who refused further definitive surgery after receiving only a fecal diversion.

Conclusion

Depending on the severity and the recurrence status of RUF, a relatively simple rectal advancement flap repair or a more complex gracilis muscle or omental flap interposition can be used to achieve closure of the fistula.

Citations

Citations to this article as recorded by

The Uroplastic Approach to Complex Rectourethral Fistula Repair: Indications, Technique, Results
Erin Brush, J. Andres Hernandez, Ann Marie Flusché, Nicholas C. Oleck, Hani I. Naga, Victoria Wickenheisser, Joshua P. Hayden, Christopher R. Mantyh, Andrew C. Peterson, Detlev Erdmann
Plastic and Reconstructive Surgery - Global Open.2025; 13(4): e6662. CrossRef
Complex case of granulomatosis with polyangiitis involving the urethra and prostate causing outflow obstruction and ano-urethral fistula
Mustafa Rashid, Adam Cox
Journal of Clinical Urology.2024; 17(1): 89. CrossRef
A rare case of fatal rectal perforation and sepsis following traumatic urinary catheterization
Darshan Sitharthan, Paul Sved
Urology Case Reports.2024; 54: 102706. CrossRef
Gracilis muscle interposition for complex perineal fistulas: A systematic review and meta‐analysis of the literature
Zoe Garoufalia, Rachel Gefen, Sameh Hany Emile, Emanuela Silva‐Alvarenga, Nir Horesh, Michael R. Freund, Steven D. Wexner
Colorectal Disease.2023; 25(4): 549. CrossRef
Outcomes of gracilis muscle interposition for rectourethral fistulas caused by treatment of prostate cancer
S. H. Emile, N. Horesh, V. Strassmann, Z. Garoufalia, R. Gefen, P. Zhou, E. Ray-Offor, G. Dasilva, S. D. Wexner
Techniques in Coloproctology.2023; 27(10): 937. CrossRef
Case report on a rare complication after transanal total mesorectal excision (TaTME) for rectal malignancy vesicorectal fistula
Sapphire Melody Ho, Kishore Rajaguru, Jing Yu Ng, Choon Sheong Seow
International Journal of Surgery Case Reports.2023; 105: 108009. CrossRef
Laparoscopic repair of acquired rectourethral fistula by vesical peritoneal flap
Christian Mouawad, Elie El Helou, Houssam Dahboul, Rhea Akel, Bilal Chamaa, Rany Aoun, Serge Kassar, Michael Osseis, Roger Noun, Ghassan Chakhtoura
Asian Journal of Endoscopic Surgery.2023; 16(4): 814. CrossRef
Pelvic Extirpative Surgery for the “End-Stage Irradiated Bladder”
Nikolas Moring, Seamus Barrett, Andrew C. Peterson, Brian M. Inouye
Cancers.2023; 15(17): 4238. CrossRef
Radiation-induced recto-urinary fistula: A dreaded complication with devastating consequences
Kyeong Ri Yu, Lucas Keller-Biehl, Leon Smith-Harrison, Sarah Z. Hazell, William R. Timmerman, Jeannie F. Rivers, Thomas A. Miller
Surgery in Practice and Science.2023; 15: 100216. CrossRef
Gracilis muscle flap combined with a laparoscopic transabdominal approach is effective in the treatment of post-prostatectomy rectourethral fistula: A case report
Tomohiro Takeda, Tatsuya Shonaka, Chikayoshi Tani, Toshihiko Hayashi, Hidehiro Kakizaki, Yasuo Sumi
International Journal of Surgery Case Reports.2022; 92: 106856. CrossRef
Effectiveness of York-Mason Procedure for a Refractory Rectourethral Fistula that Relapsed after Repair by a Perineal Approach:A Case Report
Masatsugu Kojima, Toru Miyake, Tomoyuki Ueki, Tomoharu Shimizu, Masaji Tani
Nippon Daicho Komonbyo Gakkai Zasshi.2022; 75(6): 297. CrossRef
Robotic-Assisted Lower Genitourinary Tract Reconstruction
Alex J. Xu, Kirtishri Mishra, Yeonsoo S. Lee, Lee Cheng Zhao
Urologic Clinics of North America.2022; 49(3): 507. CrossRef
Rectal Perforation During Pelvic Surgery
Bernardo Rocco, Gaia Giorgia, Assumma Simone, Calcagnile Tommaso, Sangalli Mattia, Terzoni Stefano, Eissa Ahmed, Bozzini Giorgio, Bernardino De Concilio, Antonio Celia, Micali Salvatore, Maria Chiara Sighinolfi
European Urology Open Science.2022; 44: 54. CrossRef
Preventing Rectourethral Fistula Recurrence With Gracilis Flap
Keon Min Park, Yenny Y. Rosli, Allen Simms, Rachel Lentz, Deepak R. Bharadia, Benjamin Breyer, William Y. Hoffman
Annals of Plastic Surgery.2022; 88(4): S316. CrossRef
Validating the Martini Staging System for Rectourethral Fistula: A Meta-Analysis of Postoperative Outcomes
Kirtishri Mishra, Amr Mahran, Bissan Abboud, Laura Bukavina, Ahmed Elshafei, Al Ray, Austin Fernstrum, Rayan Abboud, Mohammed Elgammal, Lee C. Zhao, Shubham Gupta
Urology.2021; 147: 299. CrossRef
Rectourethral Fistula Repair With Endorectal Advancement Flap and Implantation of Biologic Mesh
Tae David Kim, Gerald Gantt, Kunal Kochar, Slawomir Marecik, John J. Park
Diseases of the Colon & Rectum.2021; 64(1): e1. CrossRef
Clinical outcome and quality of life after gracilis muscle transposition for fistula closure over a 10-year period
M. Grott, A. Rickert, S. Hetjens, P. Kienle
International Journal of Colorectal Disease.2021; 36(3): 569. CrossRef
Urorectal fistula repair using different approaches: operative results and quality of life issues
Javier C. Angulo, Ignacio Arance, Yannick Apesteguy, João Felicio, Natália Martins, Francisco E. Martins
International braz j urol.2021; 47(2): 399. CrossRef
Robotic transanal rectourethral fistula repair—a video vignette
Thomas Surya Suhardja, Belinda Errington, Amirala Khalessi, Kim‐Chi Phan‐Thien
Colorectal Disease.2021; 23(5): 1275. CrossRef
Tratamiento de las fístulas uretrorrectales tras prostatectomía radical mediante la interposición de material biológico vía perineal
J.U. Juan Escudero, F. Villalba Ferrer, M. Ramos de Campos, M. Fabuel Deltoro, M.J. García Coret, F. Sánchez Ballester, I. Povo Martín, Y. Pallas Costa, P. Pardo Duarte, J. García Ibañez, A. Monzó Cataluña, K. Rechi Sierra, C. Juliá Romero, E. López Alcin
Actas Urológicas Españolas.2021; 45(5): 398. CrossRef
Treatment for rectourethral fistulas after radical prostatectomy with biological material interposition through a perineal access
J.U. Juan Escudero, F. Villaba Ferrer, M. Ramos de Campos, M. Fabuel Deltoro, M.J. Garcia Coret, F. Sanchez Ballester, I. Povo Martín, Y. Pallas Costa, P. Pardo Duarte, J. García Ibañez, A. Monzó Cataluña, K. Rechi Sierra, C. Juliá Romero, E. Lopez Alcina
Actas Urológicas Españolas (English Edition).2021; 45(5): 398. CrossRef
A Curious Case of Rectal Ejaculation
Frank L Ventura, Christopher M Nguyen, Alexander Dang, Michelle Baliss, Lindsay K Sonstein
Cureus.2021;[Epub] CrossRef
Adverse Features of Rectourethral Fistula Requiring Extirpative Surgery and Permanent Dual Diversion: Our Experience and Recommendations
Francisco E. Martins, João Felicio, Tiago Ribeiro Oliveira, Natália Martins, Vítor Oliveira, Artur Palmas
Journal of Clinical Medicine.2021; 10(17): 4014. CrossRef
Fistelchirurgie
C. M. Rosenbaum, M. W. Vetterlein, M. Fisch
Der Urologe.2020; 59(4): 489. CrossRef
Conservative treatment of rectovesical fistula after leakage following laparoscopic radical resection of rectal cancer
Shunli Yan, Huimin Sun, Zhaohui Li, Shuaifeng Liu, Baowei Han
Journal of International Medical Research.2020;[Epub] CrossRef
A rare case of tubercular recto-prostatic urethral fistula with tuberculous orchitis
Niramya Pathak, Mohan Keshavamurthy, Karthik Rao, Shakir Tabrez, Mohan Balaiah Ashwathaiya, Premakumar Krishnappa
Urology Case Reports.2020; 33: 101355. CrossRef
Minimally invasive perineal redo surgery for rectovesical and rectovaginal fistulae: A case series
A.A.J. Grüter, S.E. Van Oostendorp, L.J.H. Smits, M. Kusters, M. Özer, J.A. Nieuwenhuijzen, J.B. Tuynman
International Journal of Surgery Case Reports.2020; 77: 733. CrossRef
Iatrogenic bowel injury (early vs delayed)
Elyse Leevan, Joseph C. Carmichael
Seminars in Colon and Rectal Surgery.2019; 30(3): 100688. CrossRef
Management of acquired rectourethral fistulas in adults
Shulian Chen, Rang Gao, Hong Li, Kunjie Wang
Asian Journal of Urology.2018; 5(3): 149. CrossRef
The Place of Transanal Endoscopic Surgery in the Treatment of Rectourethral Fistula
Xavier Serra-Aracil, Meritxell Labró-Ciurans, Laura Mora-López, Jesús Muñoz-Rodríguez, Raúl Martos-Calvo, Joan Prats-López, Salvador Navarro-Soto
Urology.2018; 111: 139. CrossRef
A Case of Rectourethal Fistula Caused by a Urethral Foreign Body
Nobuyuki OKAMOTO, Norimitsu SHIMADA, Raita YANO, Yusuke WATADANI, Hiroki OHGE, Taijiro SUEDA
Nihon Rinsho Geka Gakkai Zasshi (Journal of Japan Surgical Association).2017; 78(8): 1900. CrossRef
Diagnosis and Treatments for Vesico-Enteric Fistulas: a 2017 Current Review
Justin W. Fincher, Ehab Eltahawy
Current Bladder Dysfunction Reports.2017; 12(3): 212. CrossRef
Management of radiation-induced rectovesical fistula in a woman using ileum
Qiqi Mao, Jindan Luo, Jiajie Fang, Hai Jiang
Medicine.2017; 96(46): e8553. CrossRef
Treatment Efficacy of Different Surgical Procedures for Postoperative Residual Rectourethral Fistula Following Anoplasty
Tingchong Zhang, Wei Chen, Wenbo Pang, Chunhui Peng, Yajun Chen, Jinzhe Zhang
International Surgery.2017; 102(11-12): 560. CrossRef
Rectourethral fistula reconstruction in elderly patients
Nirmish Singla, Allen F. Morey
Current Opinion in Urology.2016; 26(2): 171. CrossRef
Rectourethral fistula: A challenging management problem
Michael Stamatakos, K. Ntzeros, G. Christis, F. Anyfanti, S. Sotirianakos
Hellenic Journal of Surgery.2016; 88(4): 257. CrossRef
Diagnosis and Surgical Management of Uroenteric Fistula
Harcharan S. Gill
Surgical Clinics of North America.2016; 96(3): 583. CrossRef
Minimally invasive treatment of rectovesical fistula: A case report
Alba Manuel Vázquez, Francisco Javier Jiménez Miramón, José Luis Ramos Rodríguez, José María Jover Navalón
Revista Española de Enfermedades Digestivas.2016;[Epub] CrossRef
Abordaje perineal de fístulas rectouretrales tras prostatectomía radical laparoscópica
J. Guimerà-García, E. Pieras-Ayala, J.P. Burgués-Gasion, M. Ozonas-Moragues, V. Tubau-Vidaña, P. Piza-Reus
Actas Urológicas Españolas.2016; 40(2): 119. CrossRef
Unusual Case of Urethrorectal Fistula in Adolescence in a Patient with a History of Congenital Anorectal Malformation
Constantinos Nastos, Ira Sotirova, Athanasios Papatsoris, Andreas Skolarikos, Ioannis Papaconstantinou, Athanasios Dellis
Journal of Endourology Case Reports.2016; 2(1): 24. CrossRef
Perineal approach for rectourethral fistulae after radical laparoscopic prostatectomy
J. Guimerà García, E. Pieras Ayala, J.P. Burgués Gasion, M. Ozonas Moragues, V. Tubau Vidaña, P. Piza Reus
Actas Urológicas Españolas (English Edition).2016; 40(2): 119. CrossRef
Testicular Interposition Flap for Repair of Perineal Urinary Fistulae: A Novel Surgical Technique
Valary T. Raup, Jairam R. Eswara, Stephen D. Marshall, Steven B. Brandes
Case Reports in Urology.2015; 2015: 1. CrossRef
Fístulas recto-uretrales adquiridas: etiopatogenia, diagnóstico y opciones terapéuticas
Carlos Cerdán Santacruz, Javier Cerdán Miguel
Cirugía Española.2015; 93(3): 137. CrossRef
A review of rectal toxicity following permanent low dose-rate prostate brachytherapy and the potential value of biodegradable rectal spacers
M E Schutzer, P F Orio, M C Biagioli, D A Asher, H Lomas, D Moghanaki
Prostate Cancer and Prostatic Diseases.2015; 18(2): 96. CrossRef
Acquired Recto-Uretral Fistulas: Etiopathogenesis, Diagnosis and Therapeutic Options
Carlos Cerdán Santacruz, Javier Cerdán Miguel
Cirugía Española (English Edition).2015; 93(3): 137. CrossRef
Surgical Treatment of Rectourinary Fistulas: Review of the Literature
Alessandro Crestani, Fabrizio Dal Mora
Urologia Journal.2015; 82(1): 30. CrossRef
Individualized Treatment for a Rectourethral Fistula: Rare Complications
In Ja Park
Annals of Coloproctology.2014; 30(1): 7. CrossRef

Case Report

Operative Treatment with a Laparotomy for Anorectal Problems Arising from a Self-Inserted Foreign Body: Seung-Bum Ryoo, Heung-Kwon Oh, Heon-Kyun Ha, Eun Kyung Choe, Sang Hui Moon, Kyu Joo Park; J Korean Soc Coloproctol. 2012;28(1):56-60. Published online February 29, 2012; DOI: https://doi.org/10.3393/jksc.2012.28.1.56

5,778 View
37 Download
3 Citations

Abstract PDF

An anorectal foreign body can cause serious complications such as incontinence, rectal perforation, peritonitis, or pelvic abscess, so it should be managed immediately. We experienced two cases of operative treatment for a self-inserted anorectal foreign body. In one, the foreign body could not be removed as it was completely impacted in the anal canal. We failed to remove it through the anus. A laparotomy and removal of the foreign body was performed by using an incision on the rectum. Primary colsure and a sigmoid loop colostomy were done. A colostomy take-down was done after three months. The other was a rectal perforation from anal masturbation with a plastic device. We performed primary repair of the perforated rectosigmoid colon, and we didea sigmoid loop colostom. A colostomy take-down was done three months later. Immediate and proper treatment for a self-inserted anorectal foreign body is important to prevent severe complications, and we report successful surgical treatments for problems caused by anorectal foreign bodies.

Citations

Citations to this article as recorded by

Rectal foreign bodies. Diagnostic program and emergency care
M. A. Egorkin, E. E. Bolkvadze, V. K. Obukhov, I. N. Gorbunov, M. Ya. Evloeev
Koloproktologia.2024; 23(4): 124. CrossRef
Treatment of rectal foreign bodies
D. A. Khubezov, S. N. Trushin, K. V. Puchkov, D. K. Puchkov, A. Yu. Ogorel’tsev
Khirurgiya. Zhurnal im. N.I. Pirogova.2016; (9): 57. CrossRef
Rectal perforation caused by a sharp pig backbone in a middle-aged patient with mild depression
Hyeong Ju Sun, Jeonghun Lee, Dong Min Kim, Myeong-Su Chu, Kyoung Sun Park, Dong Jin Choi
Yeungnam University Journal of Medicine.2015; 32(1): 31. CrossRef

Original Articles

Surgical Treatment of a Parastomal Hernia: Seung Chul Heo, Heung-Kwon Oh, Yoon Suk Song, Mi Sun Seo, Eun Kyung Choe, Seungbum Ryoo, Kyu Joo Park; J Korean Soc Coloproctol. 2011;27(4):174-179. Published online August 31, 2011; DOI: https://doi.org/10.3393/jksc.2011.27.4.174

5,210 View
35 Download
9 Citations

Abstract PDF

Purpose

Parastomal hernia is a major complication of an intestinal stoma. This study was performed to compare the results of various operative methods to treat parastomal hernias.

Methods

Results of surgical treatment for parastomal hernias (postoperative recurrence, complications and postoperative hospital stays) were surveyed in 39 patients over an 11-year period. The patients enrolled in this study underwent surgery by a single surgeon to exclude surgeon bias.

Results

Seventeen patients were male, and twenty-two patients were female. The mean age was 65.9 years (range, 36 to 86 years). The stomas were 35 sigmoid-end-colostomies (90%), 2 loop-colostomies (5%), and 2 double-barrel-colostomies. Over half of the hernias developed within two years after initial formation. Stoma relocation was performed in 8 patients, suture repair in 14 patients and mesh repair in 17 patients. Seven patients had recurrence of the hernia, and ten patients suffered from complications. Postoperative complications and recurrence were more frequent in stoma relocation than in suture repair and mesh repair. Emergency operations were performed in four patients (10.3%) with higher incidence of complications but not with increased risk of recurrence. Excluding emergency operations, complications of relocations were not higher than those of mesh repairs. Postoperative hospital stays were shortest in mesh repair patients.

Conclusion

In this study, mesh repair showed low recurrence and a low complication rate with shorter hospital stay than relocation methods, though these differences were not statistically significant. Further studies, including randomized trials, are necessary if more reliable data on the surgical treatment of parastomal hernias are to be obtained.

Citations

Citations to this article as recorded by

Long-term outcomes after open parastomal hernia repair at a high-volume center
Alexis M. Holland, William R. Lorenz, Brittany S. Mead, Gregory T. Scarola, Vedra A. Augenstein, B. Todd Heniford, Monica E. Polcz
Surgical Endoscopy.2025; 39(1): 639. CrossRef
Parastomal Hernia: direct repair versus relocation: is stoma relocation worth the risk? A comparative meta-analysis and systematic review
Ahmed Abdelsamad, Mohammed Khaled Mohammed, Mohamed Badr Almoshantaf, Aya Alrawi, Ziad A. Fadl, Ziad Tarek, Nada Osama Aboelmajd, Torsten Herzog, Florian Gebauer, Nada K. Abdelsattar, Taha Abd-ElSalam Ashraf Taha
Updates in Surgery.2025;[Epub] CrossRef
Stoma-Related Complications: A Single-Center Experience and Literature Review
Zalán Benedek, Loránd Kocsis, Orsolya Bauer, Nicolae Suciu, Sorin Sorlea, Călin Crăciun, Rareș Georgescu, Marius Florin Coroș
Journal of Interdisciplinary Medicine.2022; 7(2): 31. CrossRef
The Association of Coloproctology of Great Britain and Ireland consensus guidelines in emergency colorectal surgery
Andrew S. Miller, Kathryn Boyce, Benjamin Box, Matthew D. Clarke, Sarah E. Duff, Niamh M. Foley, Richard J. Guy, Lisa H. Massey, George Ramsay, Dominic A. J. Slade, James A. Stephenson, Phil J. Tozer, Danette Wright
Colorectal Disease.2021; 23(2): 476. CrossRef
Prevention and treatment of parastomal hernia: a position statement on behalf of the Association of Coloproctology of Great Britain and Ireland

Colorectal Disease.2018; 20(S2): 5. CrossRef
Repair of complex parastomal hernias
G. S. Hwang, M. H. Hanna, J. C. Carmichael, S. D. Mills, A. Pigazzi, M. J. Stamos
Techniques in Coloproctology.2015; 19(3): 127. CrossRef
Systematic review of open techniques for parastomal hernia repair
J. Al Shakarchi, J. G. Williams
Techniques in Coloproctology.2014; 18(5): 427. CrossRef
Korrektur der parastomalen Hernie mit Netz
A. Lampel, N. Runkel
Der Urologe.2012; 51(7): 965. CrossRef
Analysis of Risk Factors for the Development of Incisional and Parastomal Hernias in Patients after Colorectal Surgery
In Ho Song, Heon-Kyun Ha, Sang-Gi Choi, Byeong Geon Jeon, Min Jung Kim, Kyu Joo Park
Journal of the Korean Society of Coloproctology.2012; 28(6): 299. CrossRef

Management of Appendicitis Presenting with Abscess or Mass: Jeong-Ki Kim, Seungbum Ryoo, Heung-Kwon Oh, Ji Sun Kim, Rumi Shin, Eun Kyung Choe, Seung-Yong Jeong, Kyu Joo Park; J Korean Soc Coloproctol. 2010;26(6):413-419. Published online December 31, 2010; DOI: https://doi.org/10.3393/jksc.2010.26.6.413

6,751 View
67 Download
26 Citations

Abstract PDF

Purpose

Management strategy in acute appendicitis patients initially presenting with abscess or mass is surrounded with controversy. This study was performed to identify the outcomes of management for this condition.

Methods

We retrospectively analyzed prospectively registered 76 patients (male:female = 39:37; mean age, 50.8 years) with appendicitis presenting with abscess or mass over a 9-year period at the Seoul National University Hospital. Patients were divided into three groups (emergency operation group, delayed operation group, and follow-up group), and clinical characteristics and outcomes of treatment were investigated.

Results

Twenty-eight patients (36.8%) underwent an emergency operation. Of the remaining 48 patients, 20 (41.7%) were initially treated with conservative management through the use of antibiotics only; the other 28 (58.3%) with and additional ultrasound-guided percutaneous drainage of the abscess. Twenty-six (54.2%) patients underwent planned operations after conservative management, and 22 (45.8%) were followed without surgery (median duration, 37.8 month), of which 3 (13%) underwent an appendectomy due to recurrent appendicitis (mean of 56.7 days after initial attack). There were no statistical differences in types of operation performed (appendectomy or ileocecectomy), postoperative complications, and postoperative hospital stay among the patients who underwent emergency operations, delayed operations and operations for recurrence during follow-up.

Conclusion

Although the recurrence rate was relatively low after conservative management for appendicitis patients presenting with abscess or mass, there was no difference in surgical outcome between the emergent, elective, or recurrent groups. Our results indicate that proper management of appendicitis with abscess or mass can be selected according to surgeon's preference.

Citations

Citations to this article as recorded by

High Diagnostic Accuracy but Persistent Risk of Complicated Appendicitis: A Retrospective Analysis from Hail Province, Saudi Arabia
Alfatih Mohamed Ahmed Aljanib, Faisal Fawaz Alshammari, Fahad Maiyah Alshammari, Ali Ahmed Alqahtani, Bandar Alsaif, Jerold C. Alcantara, Abdulaziz Bin Ali Alshammari, Talal Alharazi
International Journal of Applied & Basic Medical Research.2025; 15(2): 85. CrossRef
A Case of Appendiceal Pinworms in an Adolescent Patient
Zachary S Kauffman, David L Stuart
Cureus.2025;[Epub] CrossRef
Study on the Curative Effect of Different Treatment Methods on 122 Cases of Periappendiceal Abscess
哲魁刘
Advances in Clinical Medicine.2024; 14(03): 85. CrossRef
Early Surgical Management of Appendicular Mass: Evaluation of Surgical Outcome in Selected Private and Government Hospitals, Bangladesh
Jahangir Sarwar, Abul Shamsuddin, Sirajam Munira
Clinical Medicine Research.2024; 13(3): 33. CrossRef
Failure to Significantly Reduce Radiation Exposure in Children with Suspected Appendicitis in the United States
Charbel Chidiac, Oussama Issa, Alejandro V. Garcia, Daniel S. Rhee, Mark B. Slidell
Journal of Pediatric Surgery.2024; 59(12): 161701. CrossRef
Intra-abdominal abscesses: Microbiological epidemiology and empirical antibiotherapy
F. Méchaï, A. Kolakowska, E. Carbonnelle, O. Bouchaud, C. Tresallet, F. Jaureguy
Infectious Diseases Now.2023; 53(1): 104604. CrossRef
Upfront appendectomy vs interval appendectomy in acute appendicitis with mass formation in pediatric age group: Little difference in major outcome
Hussam Widatella, Ahmed Abdulmanan, Ibraheem Abdelraheem, Fadi Atwan, Sri Paran
Journal of Pediatrics & Neonatal Care.2023; 13(2): 137. CrossRef
Diagnosis and treatment of appendicitis: systematic review and meta-analysis
Ryan Lamm, Sunjay S. Kumar, Amelia T. Collings, Ivy N. Haskins, Ahmed Abou-Setta, Nisha Narula, Pramod Nepal, Nader M. Hanna, Dimitrios I. Athanasiadis, Stefan Scholz, Joel F. Bradley, Arianne T. Train, Philip H. Pucher, Francisco Quinteros, Bethany Slate
Surgical Endoscopy.2023; 37(12): 8933. CrossRef
Thigh and iliopsoas abscess as a rare presentation of perforated mucinous appendix carcinoma. A case report
Pedro Osácar, Darío Ramallo, Luisina Elizalde
International Journal of Surgery Case Reports.2022; 96: 107293. CrossRef
Early versus delayed (interval) appendicectomy for the management of appendicular abscess and phlegmon: a systematic review and meta-analysis
Akinfemi A. Akingboye, Fahad Mahmood, Shafquat Zaman, Jenny Wright, Fatima Mannan, Ali Yasen Y. Mohamedahmed
Langenbeck's Archives of Surgery.2021; 406(5): 1341. CrossRef
Potential Benefit of Nonsurgical Management to Periappendicular Abscess
Chris Li, Dean Owyang
JAMA Surgery.2019; 154(9): 882. CrossRef
Potential Benefit of Nonsurgical Management to Periappendicular Abscess—Reply
Paulina Salminen, Jari Mällinen, Tero Rautio
JAMA Surgery.2019; 154(9): 883. CrossRef
Clinical outcomes of single‐site laparoscopic interval appendectomy for severe complicated appendicitis: Comparison to conventional emergency appendectomy
Masaaki Miyo, Shoichiro Urabe, Satoshi Hyuga, Tomo Nakagawa, Toshiya Michiura, Nobuyasu Hayashi, Kazuo Yamabe
Annals of Gastroenterological Surgery.2019; 3(5): 561. CrossRef
Comparison of treatment methods of appendiceal mass and abscess: A prospective Cohort Study
Zaza Demetrashvili, George Kenchadze, Irakli Pipia, Kakhi Khutsishvili, David Loladze, Eka Ekaladze, Giorgi Merabishvili, George Kamkamidze
Annals of Medicine and Surgery.2019; 48: 48. CrossRef
MANAGEMENT OF APPENDICULAR LUMP AT TERTIARY CARE HOSPITAL
Ishfaq Ahmad Gilkar, Umer Mushtaq, Javid Ahmad Peer, Bilal Ahmed Mir, Yaqoob Hassan, Waseem Ahmad Dar
Journal of Evidence Based Medicine and Healthcare.2019; 6(3): 135. CrossRef
CLINICAL STUDY AND MANAGEMENT OF APPENDICULAR LUMP
Farooq Ahmed, Ravindra G Devani, Mohammed Moinuddin, Mohd. Ashfaq Ahmed
Journal of Evidence Based Medicine and Healthcare.2018; 5(11): 997. CrossRef
The evolving management of the appendix mass in the era of laparoscopy and interventional radiology
James Forsyth, Konstantinos Lasithiotakis, Mark Peter
The Surgeon.2017; 15(2): 109. CrossRef
Management of intra-abdominal infections: recommendations by the WSES 2016 consensus conference
Massimo Sartelli, Fausto Catena, Fikri M. Abu-Zidan, Luca Ansaloni, Walter L. Biffl, Marja A. Boermeester, Marco Ceresoli, Osvaldo Chiara, Federico Coccolini, Jan J. De Waele, Salomone Di Saverio, Christian Eckmann, Gustavo P. Fraga, Maddalena Giannella,
World Journal of Emergency Surgery.2017;[Epub] CrossRef
Minimally Invasive Treatment for Appendiceal Mass Formed After Acute Perforated Appendicitis
Enver Zerem, Suad Kunosić, Almin Handanagić, Dženan Jahić, Dina Zerem, Omar Zerem
Surgical Laparoscopy, Endoscopy & Percutaneous Techniques.2017; 27(3): 132. CrossRef
Therapeutic Consideration of Periappendiceal Abscess: an Evaluation of Non-surgical Treatment Followed by Minimally Invasive Interval Appendectomy
Yeong-Soo Jo, Song-Soo Yang, Yeong-Chul Im, Dong-Jin Park, Gyu-Yeol Kim
The Journal of Minimally Invasive Surgery.2017; 20(4): 129. CrossRef
The management of intra-abdominal infections from a global perspective: 2017 WSES guidelines for management of intra-abdominal infections
Massimo Sartelli, Alain Chichom-Mefire, Francesco M. Labricciosa, Timothy Hardcastle, Fikri M. Abu-Zidan, Abdulrashid K. Adesunkanmi, Luca Ansaloni, Miklosh Bala, Zsolt J. Balogh, Marcelo A. Beltrán, Offir Ben-Ishay, Walter L. Biffl, Arianna Birindelli, M
World Journal of Emergency Surgery.2017;[Epub] CrossRef
Diagnosis and management of acute appendicitis. EAES consensus development conference 2015
Ramon R. Gorter, Hasan H. Eker, Marguerite A. W. Gorter-Stam, Gabor S. A. Abis, Amish Acharya, Marjolein Ankersmit, Stavros A. Antoniou, Simone Arolfo, Benjamin Babic, Luigi Boni, Marlieke Bruntink, Dieuwertje A. van Dam, Barbara Defoort, Charlotte L. Dei
Surgical Endoscopy.2016; 30(11): 4668. CrossRef
Challenges in uncomplicated acute appendicitis
Fernando Resende, Ana Beatriz Almeida, José Costa Maia, Renato Bessa Melo
Journal of Acute Disease.2016; 5(2): 109. CrossRef
Management of Appendiceal Mass and Abscess. An 11-Year Experience
Zaza Demetrashvili, Giorgi Kenchadze, Irakli Pipia, Eka Ekaladze, George Kamkamidze
International Surgery.2015; 100(6): 1021. CrossRef
The role of current methods of X-ray diagnosis in caseof intraabdominal suppurative conplications caused bu colonic diseases
A. M. Karsanov, A. A. Kul'chiev, T. R. Karaev, I. P. Kokaev, V. V. Vahotskij
Khirurgiya. Zhurnal im. N.I. Pirogova.2015; (5): 75. CrossRef
2013 WSES guidelines for management of intra-abdominal infections
Massimo Sartelli, Pierluigi Viale, Fausto Catena, Luca Ansaloni, Ernest Moore, Mark Malangoni, Frederick A Moore, George Velmahos, Raul Coimbra, Rao Ivatury, Andrew Peitzman, Kaoru Koike, Ari Leppaniemi, Walter Biffl, Clay Cothren Burlew, Zsolt J Balogh,
World Journal of Emergency Surgery.2013;[Epub] CrossRef

First
Prev
Page of 1
Next
Last

Search