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https://www.readbyqxmd.com/read/29679809/colonic-ischemia-mimicking-obstruction-due-to-sigmoid-colon-cancer-a-case-report
#1
Jiro Kimura, Alan Kawarai Lefor, Tadao Kubota
INTRODUCTION: Colonic ischemia is challenging to diagnose preoperatively. We present a patient with colonic ischemia, initially considered to have colonic obstruction. We review the history, physical findings, imaging, operative documents and postoperative diagnosis of this patient with an atypical presentation of colonic ischemia. PRESENTATION OF CASE: A 74-year old female presented with dyspnea on exertion and melena. A tumor in the sigmoid colon was identified by colonoscopy and biopsy showed adenocarcinoma...
April 16, 2018: International Journal of Surgery Case Reports
https://www.readbyqxmd.com/read/29675592/late-assessment-of-quality-of-life-in-patients-with-rectal-carcinoma-comparison-between-sphincter-preservation-and-definitive-colostomy
#2
Mariane Messias Reis Lima Silva, Samuel Aguiar Junior, Juliana de Aguiar Pastore, Érica Maria Monteiro Santos, Fábio de Oliveira Ferreira, Ranyell Matheus S B Spencer, Vinicius F Calsavara, Wilson Toshihiko Nakagawa, Ademar Lopes
PURPOSE: Patients with cancer of the lower and middle rectum who are candidates for curative surgery often have negative opinions on definitive colostomy. The purpose of this study is to compare the quality of life (QoL) of patients who undergo standard treatment for rectal cancer with sphincter preservation or definitive colostomy. METHODS: A total of 125 patients with adenocarcinoma of the lower or middle rectum who underwent radical surgery with curative intent with a follow-up ≥ 1 year were recruited: 83 patients (group 1) were subjected to low anterior resection and low colorectal or coloanal anastomosis-thus preserving their sphincter-and 42 (group 2) were treated with abdominoperineal resection, followed by terminal definitive colostomy...
April 19, 2018: International Journal of Colorectal Disease
https://www.readbyqxmd.com/read/29663316/two-year-results-of-the-randomized-clinical-trial-dilala-comparing-laparoscopic-lavage-with-resection-as-treatment-for-perforated-diverticulitis
#3
A Kohl, J Rosenberg, D Bock, T Bisgaard, S Skullman, A Thornell, J Gehrman, E Angenete, E Haglind
BACKGROUND: Traditionally, perforated diverticulitis with purulent peritonitis was treated with resection and colostomy (Hartmann's procedure), with inherent complications and risk of a permanent stoma. The DILALA (DIverticulitis - LAparoscopic LAvage versus resection (Hartmann's procedure) for acute diverticulitis with peritonitis) and other randomized trials found laparoscopic lavage to be a feasible and safe alternative. The medium-term follow-up results of DILALA are reported here...
April 16, 2018: British Journal of Surgery
https://www.readbyqxmd.com/read/29661276/postoperative-morbidity-and-mortality-for-malignant-colon-obstruction-the-american-college-of-surgeon-calculator-reliability
#4
Maxime K Collard, David Moszkowicz, Anne-Caroline Clause-Verdreau, Alain Beauchet, Tristan Cudennec, Karina Vychnevskaia, Robert Malafosse, Frédérique Peschaud
BACKGROUND: The American College of surgical risk calculator (SRC) score has never been validated specifically for surgery in emergency. The objective was to evaluate the reliability of this calculator in patients with malignant colon obstruction. MATERIALS AND METHODS: We retrospectively have analyzed the morbidity and mortality observed in operated patients. Risk factors for postoperative morbidity and mortality were analyzed by logistic regression model. We have compared the morbidity and mortality estimated by the SRC score with that observed using the Brier Score (BS)...
June 2018: Journal of Surgical Research
https://www.readbyqxmd.com/read/29657907/comparing-surgical-site-infection-and-scar-cosmesis-between-conventional-linear-skin-closure-versus-purse-string-skin-closure-in-stoma-reversal-a-randomized-controlled-trial
#5
Sathasivam Sureshkumar, Kunnathoor Jubel, Manwar S Ali, Chellappa Vijayakumar, Anandhi Amaranathan, Sudharsanan Sundaramoorthy, Chinnakali Palanivel
Introduction Stoma closure is one of the most frequently performed surgeries. The common complications are surgical site infection (SSI) and poor scar cosmesis. Purse-string sutures are expected to have less incidence of SSI due to the free drainage of secretions from the wound and possibly the early detection of a wound infection. Compared to the conventional linear closure, the purse-string closure technique is expected to have less wound infection, improved scar cosmesis, and good patient satisfaction because of a smaller size scar...
February 11, 2018: Curēus
https://www.readbyqxmd.com/read/29650932/-a-case-of-sigmoid-colon-cancer-with-locally-advanced-infiltration-curatively-resected-after-capeox-therapy
#6
Yuki Suematsu, Mao Nakayama, Shunsuke Yamagishi, Hiroyuki Saito, Miyuki Takahashi, Kyohei Kanematsu, Michiko Fukabori, Kazuhiko Wakabayashi, Yutaka Itoh
A 68-year-old man presented with malaise and abdominal swelling.Lower gastrointestinal endoscopy revealed a type 2 circumferential sigmoid colon cancer.Computed tomography suggested the cancer infiltrating bladder and abdominal wall with abscess.Because of locally advanced infiltration, the patient was treated with capecitabine plus oxaliplatin(CapeOX) plus bevacizumab therapy after loop-colostomy.After 2 courses of chemotherapy, a CT revealed tumor reduction and increased abscess, which was punctured drainage...
March 2018: Gan to Kagaku Ryoho. Cancer & Chemotherapy
https://www.readbyqxmd.com/read/29650907/-cases-of-oncologic-emergency-associated-with-colorectal-cancer
#7
Yukihisa Nishimura, Masayuki Yubakami, Nobuyuki Watanabe, Yutaka Kondo, Kazuto Ujiie, Momoko Todo, Yoshitaka Nakamura, Kiyoto Atsuji, Akihiro Yamaguchi, Naoki Kakihara, Osamu Ikawa, Hiroki Taniguchi
The clinical condition of oncologic emergency associated with colorectal cancer includes hemorrhage, perforation and obstruction. Obstructive colorectal cancer is an oncologic emergency commonly observed in our daily clinical practice. Colonic stent placement for obstructive colorectal cancer is relatively easy and safe and may be considered as an effective treatment method that enables favorable intestinal decompression preoperatively and one-stage resection. Colonic stent use can be a bridge to surgery, enabling shorter duration of hospitalization, and reduced postoperative complications, and colostomy rates, as compared to emergency surgery...
March 2018: Gan to Kagaku Ryoho. Cancer & Chemotherapy
https://www.readbyqxmd.com/read/29643897/the-effect-of-preoperative-stoma-site-marking-on-quality-of-life
#8
Selda Karaveli Cakir, Turkan Ozbayir
Objective: The objective of the study was to determine the effect of preoperative stoma site marking on the health- related quality of life (HRQOL). Methods: A nonrandomized, quasi-experimental design was used for the study performed from June 2013 to August 2014. The study sample (n:60) included patients for whom a stoma was opened after a planned colorectal surgery. The City of Hope Quality of Life-Ostomy Questionnaire (COHQOL-OQ) was used to measure HRQOL. Results: The mean age of the participants in the experimental group was 53...
January 2018: Pakistan Journal of Medical Sciences Quarterly
https://www.readbyqxmd.com/read/29630003/use-of-primary-anastomosis-with-diverting-ileostomy-in-patients-with-acute-diverticulitis-requiring-urgent-operative-intervention
#9
Christy E Cauley, Ruchin Patel, Liliana Bordeianou
BACKGROUND: Previous studies suggest that urgent colectomy and primary anastomosis with diversion is safe for perforated diverticulitis. Current guidelines support this approach. OBJECTIVE: The purpose of this study was to describe the use of urgent or emergent primary anastomosis with diversion in diverticulitis before the 2014 American Society of Colon and Rectal Surgeons guidelines and compare national outcomes of primary anastomosis with diversion to the Hartmann procedure...
May 2018: Diseases of the Colon and Rectum
https://www.readbyqxmd.com/read/29628185/revisiting-colorectal-cancer-animal-model-an-improved-metastatic-model-for-distal-rectosigmoid-colon-carcinoma
#10
Rui Caetano-Oliveira, Marcos António Gomes, Ana Margarida Abrantes, Edgar Tavares-Silva, Marco Carvalho Oliveira, Mafalda Laranjo, Débora Basílio Queirós, João Casalta-Lopes, Salomé Pires, Lina Carvalho, Rosa Gouveia, Paulo Rodrigues Santos, Denise Gonçalves Priolli, José Guilherme Tralhão, Maria Filomena Botelho
Colorectal cancer (CRC) is the second most frequent and fatal cancer in Western countries. Understanding its biology with different incidence along the colon and rectum, genetic profile and how these factors contribute to local/distant progression, has been hampered by the lack of a suitable CRC model. We report a reproducible model, using human CRC cell lines (CL) (WiDr, LS1034, C2BBe1) injected (1 × 107 cells/animal) in RNU rats (n = 55) which underwent cecostomy and descending colostomy with mucosal-cutaneous fistula of the sigmoid colon...
March 13, 2018: Pathophysiology: the Official Journal of the International Society for Pathophysiology
https://www.readbyqxmd.com/read/29624469/laparoscopic-enteropexy-for-prolapsing-stoma-a-case-series-describing-a-novel-technique
#11
Joseph Davidson, Costa Healy, Simon C Blackburn, Joe Curry
BACKGROUND: Ileostomy prolapse has a cumulative risk of 11% and represents a significant complication with associated morbidity, which may result in multiple admissions and procedures requiring a general anesthetic. We have developed a laparoscopic technique for managing stoma prolapse-so-called laparoscopic enteropexy for prolapsing stoma (LEPS). METHODS: Retrospective analysis of a prospectively maintained departmental surgical logbook was performed alongside clinical case history review for patients undergoing LEPS...
April 6, 2018: Journal of Laparoendoscopic & Advanced Surgical Techniques. Part A
https://www.readbyqxmd.com/read/29623585/the-effect-of-dose-escalation-for-large-squamous-cell-carcinomas-of-the-anal-canal
#12
R N Prasad, J Elson, J Kharofa
PURPOSE: Chemoradiation allows for organ preservation in patients with anal cancer, but patients with large tumors (> 5 cm) have elevated rates of locoregional recurrence. With conformal radiation techniques, there is interest in dose escalation to decrease local recurrence in patients with large tumor size. METHODS/PATIENTS: The National Cancer Database (NCDB) was used to identify patients with anal cancer from 2004 to 2013 with tumors > 5 cm. Adult patients who received definitive chemoradiation were included...
April 5, 2018: Clinical & Translational Oncology
https://www.readbyqxmd.com/read/29619839/psychometric-validation-of-the-stoma-qol-questionnaire-in-a-canadian-cross-sectional-sample-of-colostomy-and-ileostomy-patients
#13
Ernest Lai, Alexander Caston Peterson, Guiping Liu, Ahmer Karimuddin, R Trafford Crump, Jason M Sutherland
OBJECTIVES: The Stoma-QOL questionnaire is a patient-reported outcome (PRO) used to measure quality of life in patients with ileostomy or colostomy. This study assesses the Stoma-QOL's overall and item-level psychometric characteristics in patients with temporary stomas, and whether stoma-related quality of life differs by demographic characteristics. MATERIALS AND METHODS: Analysis of cross-sectional observational PRO data from hospitals in Vancouver, Canada. Patients registered for elective ileostomy or colostomy closure, over the age of 18, and able to read English were eligible for participation...
April 5, 2018: Scandinavian Journal of Gastroenterology
https://www.readbyqxmd.com/read/29603279/long-term-therapy-with-teduglutide-in-parenteral-support-dependent-patients-with-short-bowel-syndrome-a-case-series
#14
Andrew Ukleja, Chau To, Alicia Alvarez, Luis F Lara
OBJECTIVE: To review all cases of parenteral support (PS)-dependent patients with short bowel syndrome (SBS) treated with teduglutide (Gattex®, Shire) and to evaluate its efficacy and adverse effects. METHODS: This is a retrospective descriptive cohort of SBS patients treated with teduglutide. Demographics, bowel length, primary diagnosis, PS volume/duration, teduglutide dose, and side effects were collected prospectively. RESULTS: Six SBS patients (4 females, 2 males) received teduglutide...
March 30, 2018: JPEN. Journal of Parenteral and Enteral Nutrition
https://www.readbyqxmd.com/read/29596895/microscopic-ileitis-in-diverted-and-non-diverted-enteric-segments-an-under-recognized-condition-with-a-multifactorial-etiology
#15
Chunlai Zuo, Zhiyan Fu, Edward C Lee, Llewellyn Foulke, Gloria Q Young, David Cubero Rego, Hwajeong Lee
Microscopic ileitis has been infrequently reported in the literature with the few reported cases usually associated with concurrent microscopic colitis. Having encountered a case of collagenous ileitis involving the diverted distal limb of a loop ileostomy and sparing the proximal limb, we examined additional cases of loop ileostomy, end ileostomy, colostomy, and the accompanying diverted colorectal segment for features of microscopic ileitis and colitis. A total of 101 cases of diverted and non-diverted enteric segments were examined from 37 loop ileostomies, 16 end ileostomies and 12 colostomies status post Hartmann's procedure...
March 26, 2018: Human Pathology
https://www.readbyqxmd.com/read/29589457/-hirschsprungs-disease-in-adults-two-case-reports-and-review-of-the-literature
#16
R Škába, J Hoch, Z Jech, M Kynčl, V Campr
Hirschsprungs disease (HD) in adults is extremely rare, only three publications in Czech and Czechoslovak journals making reference to the condition after childhood. We present two cases of adult patients with HD. The first case is a 46-year-old male patient suffering from chronic constipation since childhood and diagnosed with megacolon at the age of 16; however, no further detailed diagnosis was done. At the age of 41, he developed a sigmoid perforation due to fecaloma and underwent urgent rectosigmoid resection and colostomy...
2018: Rozhledy V Chirurgii: Měsíčník Československé Chirurgické Společnosti
https://www.readbyqxmd.com/read/29581087/improving-health-related-quality-of-life-of-patients-with-an-ostomy-using-a-novel-digital-wearable-device-protocol-for-a-pilot-study
#17
Dara Rouholiman, Jamison G Gamble, Sylvie D Dobrota, Ellen M Encisco, Ashish G Shah, Francisco J Grajales Iii, Larry F Chu
BACKGROUND: Ostomy surgeries involving the placement of an ostomy bag (eg, colostomy, ileostomy, urostomy, etc) have been shown to have a negative impact on health-related quality of life. To date, no studies have been conducted examining what impact, if any, wearable biosensors have on the health-related quality of life of ostomy patients. OBJECTIVE: In the present study, we plan to assess the quality of life of ostomy patients using the Ostom-i alert sensor, a portable, wearable, Bluetooth-linked biosensor that facilitates easier ostomy bag output measurements...
March 26, 2018: JMIR Research Protocols
https://www.readbyqxmd.com/read/29578918/elective-stoma-reversal-has-a-higher-incidence-of-postoperative-clostridium-difficile-infection-compared-with-elective-colectomy-an-analysis-using-the-american-college-of-surgeons-national-surgical-quality-improvement-program-and-targeted-colectomy-databases
#18
Matthew Skancke, Khashayar Vaziri, Bindu Umapathi, Richard Amdur, Michal Radomski, Vincent Obias
BACKGROUND: Clostridium difficile infection is caused by the proliferation of a gram-positive anaerobic bacteria after medical or surgical intervention and can result in toxic complications, emergent surgery, and death. OBJECTIVE: This analysis evaluates the incidence of C difficile infection in elective restoration of intestinal continuity compared with elective colon resection. DESIGN: This was a retrospective database review of the 2015 American College of Surgeons National Surgical Quality Improvement Project and targeted colectomy database...
May 2018: Diseases of the Colon and Rectum
https://www.readbyqxmd.com/read/29577209/-the-necessary-perseverance-of-surgery-for-the-treatment-of-locally-advanced-colorectal-cancer
#19
Jin Gu
Colorectal cancer, a malignant tumor arising from the colon or rectum, is a common cancer in China, with most patients diagnosed at the advanced stage or locally advanced stage. Large tumor size results in the invasion of adjacent organs and the multiple organ involvement, which poses certain challenges for clinical treatment. When facing advanced stage colorectal cancer, some surgeons do not consider surgery, a reasonable option. However, in fact, multi-disciplinary treatment can achieve relatively good treatment outcomes in patients with advanced stage or locally advanced stage colorectal cancer...
March 25, 2018: Zhonghua Wei Chang Wai Ke za Zhi, Chinese Journal of Gastrointestinal Surgery
https://www.readbyqxmd.com/read/29573105/what-to-do-with-the-rectal-stump-during-sphincter-preserving-rectal-cancer-resection-with-end-colostomy-a-collaborative-snapshot-study
#20
E Westerduin, T S Aukema, A A W van Geloven, W A Bemelman, P J Tanis
AIM: Low Hartmann's resection (LHR) and intersphincteric abdominoperineal resection (iAPR) are both feasible options in the treatment of rectal cancer when restoration of bowel continuity is not desired. The aim of this study was to compare the incidence of pelvic abscess and associated need for re-intervention and readmission after LHR and iAPR. METHOD: From a snapshot research project in which all rectal cancer resections from 71 Dutch hospitals in 2011 were evaluated, patients who underwent LHR or iAPR were selected...
March 23, 2018: Colorectal Disease: the Official Journal of the Association of Coloproctology of Great Britain and Ireland
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