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International Journal of Colorectal Disease

Jung Wook Huh, Woo Yong Lee, Yoon Ah Park, Yong Beom Cho, Hee Cheol Kim, Seong Hyeon Yun, Ho-Kyung Chun
BACKGROUND: This study evaluated the oncological outcome of surgical site infection (SSI) after colorectal cancer surgery. METHODS: A total of 3675 consecutive patients with colorectal cancer who underwent curative resection from January 2009 to December 2011 were analyzed. The prognostic significance of SSI was evaluated. Risk factors for SSI were also identified using multivariate regression analysis. RESULTS: Overall SSI rate was 9.6%, in which 5...
November 13, 2018: International Journal of Colorectal Disease
Maximilian Brunner, Abbas Agaimy, Raja Atreya, Robert Grützmann, Klaus E Matzel
PURPOSE: Cap polyposis is a benign disease of the colon, characterized by inflammatory polyps with a "cap" of inflammatory granulation tissue. Its prevalence is very low, especially in children. METHODS AND RESULTS: A 16-year-old girl presented with frequent bowel movements with mucous discharge and bloody stool, leading to the initial suspicion of chronic inflammatory bowel disease. Results of further investigation by endoscopy and histological examination were consistent with a diagnosis of cap polyposis...
November 13, 2018: International Journal of Colorectal Disease
Jetty A Overbeek, Josephina G Kuiper, Amber A W A van der Heijden, Mariette Labots, Ulrike Haug, Ron M C Herings, Giel Nijpels
PURPOSE: The prevalence of colorectal cancer is higher among patients with type 2 diabetes mellitus (T2D) than among patients without diabetes. Furthermore, men are at higher risk for developing colorectal cancer than women in the general population and also subsite-specific risks differ per sex. The aim was to evaluate the impact of T2D on these associations. METHODS: A population-based matched cohort study was performed using data from the PHARMO Database Network...
November 12, 2018: International Journal of Colorectal Disease
Sameh Hany Emile, Hossam Elfeki, Ahmad Sakr, Mostafa Shalaby
BACKGROUND: Although conventional hemorrhoidectomy proved effective in treatment of hemorrhoidal disease, postoperative pain remains a vexing problem. Alternatives to conventional hemorrhoidectomy as transanal hemorrhoidal dearterialization (THD) and stapled hemorrhoidopexy (SH) were described. The present meta-analysis aimed to review the randomized trials that compared THD and SH to determine which technique is superior in terms of recurrence of hemorrhoids, complications, and postoperative pain...
November 12, 2018: International Journal of Colorectal Disease
Roberto Peltrini, L Bucci
No abstract text is available yet for this article.
November 11, 2018: International Journal of Colorectal Disease
Julie Ricard, Lucille Quénéhervé, Chloé Lefevre, Marc Le Rhun, Edouard Chabrun, Emilie Duchalais-Dassonneville, Guillaume Meurette, Yann Touchefeu, Stanislas Bruley des Varannes, Frank Zerbib, Emmanuel Coron
PURPOSE: In case reports or small studies, percutaneous endoscopic caecostomy (PEC) has been proposed as an alternative to the Malone intervention to perform antegrade colonic enemas. Our goal was to assess the feasibility, efficacy, and tolerance of PEC in a large group of patients with refractory colorectal functional disorders. METHODS: From September 2006 to April 2014, all patients undergoing PEC for constipation, fecal incontinence, and incontinence after rectal resection in two expert centers were studied...
November 7, 2018: International Journal of Colorectal Disease
Ana L Santos, Rosa Coelho, Marco Silva, Elisabete Rios, Guilherme Macedo
INTRODUCTION: In the last years, there was a rising in the incidence of sexually transmitted infections, including proctitis. Infectious proctitis (IP), mainly caused by agents like Neisseria gonorrhea and Chlamydia trachomatis, is an entity that should be considered when patients with suspected inflammatory bowel disease (IBD) are approached, mainly if they have risk factors such as anal intercourse. CLINICAL CASES/DISCUSSION: The symptoms of IP, like rectal blood, mucous discharge, and anorectal pain, may appear in other causes of proctitis, like IBD...
November 6, 2018: International Journal of Colorectal Disease
Marco Milone, Michele Manigrasso, Ugo Elmore, Francesco Maione, Nicola Gennarelli, Fabio Rondelli, Nunzio Velotti, Giovanni Domenico De Palma
BACKGROUND: Provide the surgeon with a tool to decide the best surgical approach to transverse colon cancer. OBJECTIVE: To compare the surgical and oncological outcomes between transverse colectomy and extended hemicolectomy for patients with tumours of the transverse colon. DATA SOURCES: A systematic search was performed in the electronic databases (PubMed, Web of Science, Scopus, EMBASE), using the following search terms and/or MeSH terms in all possible combinations: transverse, transversus, colectomy, hemicolectomy, segmental resection, transverse colon cancer...
November 6, 2018: International Journal of Colorectal Disease
Hiroaki Uehara, Toshiyuki Yamazaki, Akira Iwaya, Motoharu Hirai, Masaru Komatsu, Akira Kubota, Makoto Aoki, Ikuma Shioi, Kenji Yamaguchi, Yoshihiro Miyagi, Kazuaki Kobayashi, Daisuke Sato, Naoyuki Yokoyama, Hideki Hashidate, Shirou Kuwabara, Tetsuya Otani
PURPOSE: We report a case in which pigmented peritoneal deposits were found during laparoscopic surgery following preoperative endoscopic tattooing for sigmoid colon cancer. METHODS: The patient's clinical, endoscopic, and histological data from the Niigata City General Hospital were reviewed, as well as the literature on laparoscopic surgery involving the preoperative endoscopic tattoo, with a focus on the relevance of peritoneal deposits and tattooing ink. RESULTS: A 71-year-old man presented to our hospital complaining of vomiting and abdominal distention...
November 5, 2018: International Journal of Colorectal Disease
Christian Jurowich, Sven Lichthardt, Niels Matthes, Caroline Kastner, Imme Haubitz, Andre Prock, Jörg Filser, Stefan Löb, Christoph-Thomas Germer, Armin Wiegering
BACKGROUND: Access for right hemicolectomy can be gained by median or transverse incision laparotomy. It is not known whether these routes differ with regard to short-term postoperative outcomes. METHODS: Patients in the DGAV StuDoQ|ColonCancer registry who underwent open oncological right hemicolectomy by median (n = 2389) or transverse laparotomy (n = 1311) were compared regarding Clavien-Dindo classification (CDC) complications (primary endpoint) as well as specific postoperative complications, operation time, length of stay, and MTL30 status (secondary endpoints)...
November 3, 2018: International Journal of Colorectal Disease
Antonio Klasan, Fedor Amic, Philipp Dworschak, Goran Madzarac, Thomas Jan Heyse, Thomas Neri
PURPOSE: Postoperative ileus (POI) is one of the complications that can occur after every surgical procedure including arthroplasty. It can have detrimental consequences for the patient and portrays an economic burden on health care systems. The risk factors for POI after arthroplasty described in the literature are scarce and include hip arthroplasty, male gender and previous abdominal surgery. The purpose of the study was to determine the risk factors for POI after hip and knee arthroplasty...
November 1, 2018: International Journal of Colorectal Disease
Christer-Daniel Willard, Erik Kjaestad, Bojan V Stimec, Bjorn Edwin, Dejan Ignjatovic
OBJECTIVE: To assess the impact of individual patient anatomy on operating time, estimated blood loss (EBL), and lymph node yield in right colectomy with extended D3 mesenterectomy, where surgeons have access to a preoperative 3-D reconstruction of the vascular anatomy of patients before surgery. Data on the impact of individual patient vascular anatomy when surgeons have an anatomical road map as a guide at surgery is still missing in the literature. METHOD: Consecutive patients enrolled in an ongoing trial were classified into 4 groups and 2 subgroups using a 3-D vascular anatomy reconstruction derived from the staging CT...
November 1, 2018: International Journal of Colorectal Disease
Ulrik Deding, Anna Sharon Henig, Christian Torp-Pedersen, Henrik Bøggild
PURPOSE: To investigate the effect of sending out reminders for colorectal cancer screening on socioeconomic and demographic inequalities in screening uptake. METHODS: All citizens aged 50-74 in Denmark are invited every 2 years for colorectal cancer screening. Non-participants receive an electronically distributed reminder. Data for these analyses were derived from national registers. Socioeconomic status was measured by income and educational level. Demographic variables included age, gender and marital status, and the analyses were stratified by immigration status...
November 1, 2018: International Journal of Colorectal Disease
Deirdre M Nally, Athena Wright Ballester, Gintare Valentelyte, Dara O Kavanagh
BACKGROUND: Colon cancer is the second most common cause of cancer-related death and an important cause of morbidity. The natural history of carcinogenesis, via the adenoma-carcinoma sequence, permits screening, which reduces the relative risk of mortality by up to 16%. The efficacy of a screening programme is limited by the growth of interval colorectal cancers between screening examinations. Quantifying the rate of interval cancers and delineating contributing endoscopic factors are crucial to maximise the benefit of a screening program...
October 29, 2018: International Journal of Colorectal Disease
Tianqi Zhu, Xiaoyi Sun, Mingfa Wei, Bin Yi, Xiang Zhao, Wenjing Wang, Jiexiong Feng
OBJECTIVE: Short-segment Hirschsprung disease (HSCR) is the predominant type of HSCR that affects approximately 75% of patients. Whether single-stage endorectal pull-through (ERPT) surgery is appropriate for neonatal patients with HSCR has not been definitively determined. This retrospective cohort study concerning infants with short-segment HSCR investigated the optimal age for single-stage ERPT surgery, regardless of the operative approach. METHODS: The 198 patients were stratified by operative age ≤ 3 or > 3 months (groups A or B, respectively, n = 62 and 136, respectively)...
October 27, 2018: International Journal of Colorectal Disease
Bin Ma, Yupeng Ren, Yue Chen, Bo Lian, Peng Jiang, Yongmin Li, Yan Shang, Qingkai Meng
PURPOSE: Current clinical guidelines recommended the routine use of adjuvant chemotherapy for locally advanced rectal cancer (LARC) patients. However, the effects of adjuvant chemotherapy in patients with pathological complete response (pCR) after neoadjuvant chemoradiotherapy and radical surgery showed discrepancies in different investigations. METHODS: A systematic review and meta-analysis were conducted using PubMed, Embase and Web of Science databases. All original comparative studies published in English that were related to adjuvant versus non-adjuvant chemotherapy for LARC patients with pCR were included...
October 27, 2018: International Journal of Colorectal Disease
R J L F Loffeld, B Liberov, P E P Dekkers
No abstract text is available yet for this article.
October 27, 2018: International Journal of Colorectal Disease
Ko-Chao Lee, Chia-Cheng Liu, Wan-Hsiang Hu, Chien-Chang Lu, Shung-Eing Lin, Hong-Hwa Chen
PURPOSE: Delayed post-hemorrhoidectomy bleeding (DPHB) is a rare but serious complication. We investigated the incidence and risk factors of DPHB in patients undergoing hemorrhoidectomy using the LigaSure device or the Ferguson procedure. METHODS: This retrospective study included 382 consecutive patients with symptomatic grades II to IV hemorrhoids who received either LigaSure (184 patients) or Ferguson (198 patients) hemorrhoidectomy procedures. Thirty-two patients who experienced DPHB after discharge were followed up...
October 24, 2018: International Journal of Colorectal Disease
Joo Hwan Lee, Jae Uk Jeong, Sung Hwan Kim, Taek Keun Nam, Jong Hoon Lee, Songmi Jeong, Mina Yu, Hong Seok Jang
PURPOSE: The objective of this study was to evaluate whether change of white blood-cell (WBC) count before and during chemoradiotherapy (CRT) might be associated with susceptibility to radiation and tumor response. METHODS: Medical records of 641 patients with rectal cancer who received preoperative CRT followed by curative surgery were retrospectively reviewed in five tertiary centers. Complete blood cell with differential count was measured weekly during the period of CRT...
October 22, 2018: International Journal of Colorectal Disease
Adina E Feinberg, Christopher J D Wallis, Robert K Nam, Usmaan Hameed
PURPOSE: Patients with rectal cancer (RCa) and prior radiation for prostate cancer (PCa) are clinically complicated and may have worse outcomes than other RCa patients. This study investigates the impact of previous radiation for PCa on survival for patients with RCa. METHOD: We conducted a population-based study identifying men who underwent surgical treatment of RCa from 2002 to 2010. Patients were classified into three cohorts: no prior PCa, prior PCa treated without radiotherapy, and prior PCa treated with radiotherapy...
October 16, 2018: International Journal of Colorectal Disease
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