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International Journal of Colorectal Disease

Martin Dahlberg, Martin Nordberg, Emil Pieniowski, Lennart Boström, Gabriel Sandblom, Åsa Hallqvist-Everhov
PURPOSE: Retained foreign rectal objects may require surgical removal. To estimate the magnitude of this problem, we report the incidence and treatment of retained rectal objects at a large emergency hospital, and calculate incidence rates at the national level in Sweden. METHODS: All local patient records during 2009-2017 with the diagnosis foreign body in anus and rectum (ICD-10 T185) were accessed and analyzed retrospectively. All Swedish in- and outpatient visits during 2005-2016 with the code T185 were accessed from the National Patient Register...
July 20, 2018: International Journal of Colorectal Disease
Harald Söderbäck, Ulf Gunnarsson, Per Hellman, Gabriel Sandblom
BACKGROUND: Our knowledge on the incidence of incisional hernia and risk factors for developing incisional hernia following surgery for colorectal cancer is far from complete. METHODS: All procedures registered in the Swedish Colorectal Cancer Register (SCRCR) 2007-2013 were identified. Patients with comorbid disease diagnoses, registered at admissions and visits prior to the procedure and relevant to this study, were obtained from the National Patient Register (NPR)...
July 17, 2018: International Journal of Colorectal Disease
Yih-Jong Chern, Wen-Sy Tsai, Hsin-Yuan Hung, Jinn-Shiun Chen, Reiping Tang, Jy-Ming Chiang, Chien-Yuh Yeh, Yau-Tong You, Pao-Shiu Hsieh, Sum-Fu Chiang, Cheng-Chou Lai, Geng-Pin Lin, Yu-Ren Hsu, Jeng-Fu You
PURPOSE: The rate of postoperative morbidity and mortality is reportedly high in patients aged ≥ 75 years with colorectal cancer (CRC). In such patients, a comparison of the short-term outcome between open method and laparoscopy has not been clearly defined in Taiwan. We aimed to compare postoperative morbidity and mortality parameters after open method and laparoscopy in CRC patients aged ≥ 75 years. METHODS: We retrospectively analyzed patients who underwent surgery for CRC from February 2009 to September 2015 at the Linkou Chang Gung Memorial Hospital in Taiwan and analyzed their clinicopathological factors...
July 15, 2018: International Journal of Colorectal Disease
Jun Gon Kim, Kyoung Doo Song, Dong Ik Cha, Hee Cheol Kim, Jeong Il Yu
PURPOSE: We compared the treatment outcome between surgery-first and neoadjuvant chemoradiation therapy (nCRT)-first strategies in patients with indistinguishable T2/T3-N0 rectal cancer on rectal magnetic resonance imaging (MRI). METHODS: Our institutional review board approved this retrospective study, and informed consent was waived. Among 1910 patients who underwent rectal MRI between 2008 and 2012, 79 patients (mean age, 59.4 years, 49 men and 30 women) who had indistinguishable T2/T3-N0 rectal cancer on rectal MRI were included...
July 13, 2018: International Journal of Colorectal Disease
Kristina Drusany Starič, Gregor Norčič
PURPOSE: The aim of the study was to identify primiparous pregnant women with a higher risk for early anal incontinence (AI) after labour. METHODS: In the retrospective case control study, 133 primiparous women were questioned using the Wexner scoring system, and possible obstetric anal sphincter injuries (OASIS) were assessed using endoanal ultrasonography (EUS) 6-12 weeks after the labour. Obstetric characteristics (possible risk factors) for AI were collected from the maternal medical records...
July 12, 2018: International Journal of Colorectal Disease
Ying-Chen Chi, Jiunn-Liang Chen, Li-Hsuan Wang, Koyin Chang, Chen-Long Wu, Shu-Yi Lin, Joseph Jordan Keller, Chyi-Huey Bai
BACKGROUND: Periodontitis is a frequently cited extraintestinal manifestation of Crohn's disease (CD). Despite a plethora of investigations and a recent meta-analysis linking CD and periodontitis, no study has estimated the risk of periodontitis among CD patients with respect to a comparison group nor has any investigation analyzed the effect of CD-specific medications on the risk of periodontitis. The present cohort study compared CD patients and matched subjects without a history of inflammatory bowel disease (IBD) to estimate the effect of CD and CD-specific pharmaceutical prescriptions on the risk of developing periodontitis by leveraging a population-based dataset in Taiwan...
July 12, 2018: International Journal of Colorectal Disease
Jörn Gröne, Eva-Maria Lorenz, Claudia Seifarth, Hendrik Seeliger, Martin E Kreis, Mario H Mueller
BACKGROUND: There is no general consensus regarding the ideal timing of surgery in patients with refractory ulcerative colitis (UC). Decision-making and timing of restorative proctocolectomy with ileal pouch-anal anastomosis (IPAA) is influenced by treating physicians and patients themselves. The aim of this study was to determine whether or not patients would have preferred the operation to be performed earlier, at the same time, or at a later point of time and to determine the reasons for their preference...
July 12, 2018: International Journal of Colorectal Disease
Monica Millan, Beatriz Espina-Perez, Aleidis Caro-Tarrago, Rosa Jorba-Martin
No abstract text is available yet for this article.
July 12, 2018: International Journal of Colorectal Disease
Jonas F Schiemer, Lennart Zimniak, Peter Grimminger, Hauke Lang, Werner Kneist
PURPOSE: Intraoperative pelvic neuromapping with electrophysiological evaluation of autonomic nerve preservation during robotic total mesorectal excision (TME) for rectal cancer is conventionally performed by the bedside assistant with a hand-guided probe. Our goal was to return autonomy over the neuromonitoring process to the colorectal surgeon operating the robotic console. METHODS: A recently described prototype microfork electrostimulation probe was evaluated intraoperatively during abdominal robotic-assisted transanal TME (taTME) surgery for low rectal cancer in three consecutive male patients...
July 12, 2018: International Journal of Colorectal Disease
Nereo Vettoretto, Luisa Reggiani, Roberto Cirocchi, Brandon Michael Henry, Piero Covarelli, Vito D'Andrea, Georgi Popivanov, Justus Randolph
BACKGROUND: Three-dimensional (3D) vision technology has recently been validated for the improvement of surgical skills in a simulated setting. Clinical studies on specific operations have been published in the field of general, urologic, and gynecologic laparoscopic surgery. We hypothesized that 3D vision laparoscopic right colectomy has better intra and short-term postoperative outcomes than two-dimensional (2D) vision. AIM: The outcomes of this review and meta-analysis were to compare the 3D vision and the 2D vision laparoscopic right colectomy...
July 11, 2018: International Journal of Colorectal Disease
Guangwei Sun, Yalun Li, Yangjie Peng, Dapeng Lu, Fuqiang Zhang, Xueyang Cui, Qingyue Zhang, Zhuang Li
PURPOSE: We aimed to explore whether sarcopenia diagnosed with the third lumbar vertebra skeletal muscle index (L3 SMI) can be a predictor of prognosis for colorectal cancer (CRC) patients. METHODS: A systematic review and meta-analysis was conducted using PubMed, Embase, and the Web of Science databases. All original comparative studies published in English that were related to sarcopenia versus non-sarcopenia in non-metastatic CRC patients based on postoperative and survival outcomes were included...
July 10, 2018: International Journal of Colorectal Disease
Michel Bouchoucha, Ghislain Devroede, Pierre Rompteaux, Bakhtiar Bejou, Jean-Marc Sabate, Robert Benamouzig
BACKGROUND/AIMS: Fecal soiling (FS) is the staining of underwear without loss of significant amounts of fecal material. It is frequently associated with defecation disorders in children. The aim of this study was to search for psychological and clinical correlates of adult patients with soiling. Clinically, the complaint of staining is confused with that of fecal incontinence (FI) in the mind of both patients and attending physicians. DESIGN: Observational study PATIENTS AND METHOD: We included 1454 consecutive outpatients (71% females)...
July 10, 2018: International Journal of Colorectal Disease
Yong Eun Park, Jae Hee Cheon, Jae Jun Park, Yoon Jae Kim, Chang Hwan Choi, Yehyun Park, Soo Jung Park, Tae Il Kim, Won Ho Kim
BACKGROUND: Primary sclerosing cholangitis (PSC) is a rare progressive cholestatic liver disease of unknown causes, but is strongly associated with inflammatory bowel diseases (IBDs), particularly ulcerative colitis (UC). However, studies comparing risk factors and clinical courses of patients with concomitant UC and PSC with those of patients with PSC alone are lacking. METHODS: We retrospectively reviewed patients with PSC diagnosed between 2005 and 2017 in four tertiary hospitals in Korea...
July 9, 2018: International Journal of Colorectal Disease
Andrea Balla, Silvia Quaresima, José D Subiela, Mostafa Shalaby, Giuseppe Petrella, Pierpaolo Sileri
The authors of the published version of this article missed to add the second affiliation of Mostafa Shalaby. The new affiliation is now added and presented correctly in this article. The remainder of the article remains unchanged.
July 9, 2018: International Journal of Colorectal Disease
Ali Bohlok, Alain Hendlisz, Fikri Bouazza, Maria Gomez Galdon, Jean Van de Stadt, Luigi Moretti, Issam El Nakadi, Gabriel Liberale
INTRODUCTION: Recommended treatment for locally advanced rectal cancer (LARC) is neoadjuvant chemoradiotherapy (NACRT) followed by surgery and total mesorectal excision (TME). The role of adjuvant chemotherapy (ACT) in this regimen is still debated. Assessment of Dworak's tumor regression grade (TRG) after NACRT could potentially select patients who might benefit from ACT. MATERIALS AND METHODS: Data for patients who underwent NACRT and TME for LARC between 2007 and 2014 were retrieved from the Bordet Institute database...
July 8, 2018: International Journal of Colorectal Disease
Jason On, Emad H Aly
BACKGROUND: The management of rectal cancer has evolved considerably over the last few decades with increasing use of neoadjuvant chemoradiotherapy (nCRT). Complete clinical response (cCR) and even complete pathological response (pCR) have been noted in a proportion of patients who had surgery after nCRT. This raises the concern that we may have been 'over-treating' some of these patients and lead to an increasing interest in 'watch and wait' (W&W) approach for patients who had cCR to avoid the morbidity associated with rectal surgery...
July 5, 2018: International Journal of Colorectal Disease
David DiCaprio, Steven Lee-Kong, Guillaume Stoffels, Bo Shen, Ahmed Al-Mazrou, R P Kiran, Burton Korelitz, Arun Swaminath
PURPOSE: Patients with ulcerative colitis, a high-risk group for the development of colon cancer, undergo colonoscopy more frequently than the general population. This increase in endoscopic evaluation also exposes these patients to an increased risk of complications, including iatrogenic perforation. Our survey study aims to determine factors that affect the management choices for iatrogenic perforations for ulcerative colitis patients in remission and identify areas of consensus among general gastroenterologists, inflammatory bowel disease specialists, and colorectal surgeons...
July 5, 2018: International Journal of Colorectal Disease
Heiko Aselmann, Jan-Niclas Kersebaum, Alexander Bernsmeier, Jan Henrik Beckmann, Thorben Möller, Jan Hendrik Egberts, Clemens Schafmayer, Christoph Röcken, Thomas Becker
AIM: Robotic surgery allows for a better visualization and more precise dissection especially in the narrow male pelvis and mid and lower third of the rectum. However, superiority to laparoscopic TME has yet to be proven. We therefore analyzed short-term outcomes of laparoscopic and robotic low anterior rectal resection for rectal cancer. PATIENTS AND METHODS: From 2011 to 2016, 44 robotic (RTME) and 41 laparoscopic (LTME) low anterior rectal resection with total mesorectal excision were performed at a single institution...
July 4, 2018: International Journal of Colorectal Disease
Marlen Haderlein, Sebastian Lettmaier, Melanie Langheinrich, Axel Schmid, Sabine Semrau, Markus Hecht, Michael Beck, Daniela Schmidt, Robert Grützmann, Rainer Fietkau, Axel Denz
PURPOSE: The aim was to evaluate the outcome of treatment-naive patients with synchronous metastatic rectal cancer after chemotherapy with FOLFOXIRI followed by local therapeutic procedures of all tumor lesions as complete as possible. METHODS: We reviewed data of 30 patients with synchronous distant metastatic rectal cancer who underwent chemotherapy with FOLFOXIRI and subsequent local therapy in our institution. RESULTS: Median follow-up was 28 months (range: 8; 74)...
July 2, 2018: International Journal of Colorectal Disease
Zhiguo Zhu, Shankun Zhao, Yangzhou Liu, Jiamin Wang, Lianmin Luo, Ermao Li, Chaofeng Zhang, Jintai Luo, Zhigang Zhao
PURPOSE: To investigate whether radiotherapy for prostate cancer increases the risk of therapy-related rectal cancer and colon cancer. METHODS: A systematic literature search was carried out using the Medline (PubMed), EMBASE, and the Cochrane Library to identify studies examining the association between radiotherapy for prostate cancer and secondary colorectal cancer (rectal cancer and colon cancer) published before March 19, 2018. The risk of second colorectal cancer after radiotherapy was summarized using unadjusted odds ratio (OR) and adjusted hazard ratio (HR) with their 95% confidence interval (CI)...
July 2, 2018: International Journal of Colorectal Disease
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