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colon rectum ano

Hazar Al Furajii, Niall Kennedy, Ronan A Cahill
PURPOSE: Transanal minimally invasive surgery using single port instrumentation is now well described for the performance of total mesorectal excision with restorative colorectal/anal anastomosis most-often in conjunction with transabdominal multiport assistance. While non-restorative abdomino-endoscopic perineal excision of the anorectum is conceptually similar, it has been less detailed in the literature. METHODS: Consecutive patients undergoing non-restorative ano-proctectomy including a transperineal endoscopic component were analysed...
January 2017: Journal of Minimal Access Surgery
F Gaj, L Candeloro, I Biviano
BACKGROUND AND AIMS: Our experience in colon-proctology showed the need to update the post-surgical complications score we published (1), adding others that may have an impact on outcome of treatment. The aim of this study was to assess the efficacy of a score obtained from the analysis of the quality of life and severity of complications after proctologic surgery. MATERIALS AND METHODS: Between January and December 2013, we studied 150 patients undergoing several ano-rectal surgeries for the presence of hemorrhoids of grade III and IV (63 patients), anal fissures (42 patients), anal fistulas (19 patients), rectocele (15 patients) and mucosal prolapse of the rectum (11 patients)...
2015: La Clinica Terapeutica
Sajneet K Khangura, Natasha Kamal, Nancy Ho, Martha Quezado, Xiongce Zhao, Beatriz Marciano, Jennifer Simpson, Christa Zerbe, Gulbu Uzel, Michael D Yao, Suk See DeRavin, Colleen Hadigan, Douglas B Kuhns, John I Gallin, Harry L Malech, Steven M Holland, Theo Heller
BACKGROUND & AIMS: Chronic granulomatous disease (CGD) is an inherited disorder of the reduced nicotinamide adenine dinucleotide phosphate oxidase complex within phagocytic cells that predisposes people to bacterial and fungal infections. Approximately 40% of patients with CGD have gastrointestinal involvement. We aimed to characterize the endoscopic features of gastrointestinal CGD and define the role of endoscopy in patients. METHODS: We created a database of all patients with CGD seen at the National Institutes of Health from 1990 through 2010...
March 2016: Clinical Gastroenterology and Hepatology
A Muratore, A Mellano, P Marsanic, M De Simone
BACKGROUND: Laparoscopic trans-abdominal total mesorectal excision is technically demanding. Transanal Total Mesorectal Excision (taTME) is a new technique which seems to provide technical advantages. This study describes the results of taTME in a consecutive series of patients with low rectal cancer. METHODS: From January 2012 to December 2013, a consecutive series of 26 patients with low rectal cancer underwent laparoscopic taTME with coloanal anastomosis. cT4 or Type II-III rectal cancer (according to Rullier's classification) were contraindications to taTME...
April 2015: European Journal of Surgical Oncology
F A Wenger, E Szucsik, B F Hoinoiu, M Ionac, M K Walz, K W Schmid, H Reis
BACKGROUND: A high incidence of anastomotic leakage (37.5%) is reported after low anterior rectal resection (LAR) and circular double-stapled anastomosis without protective ileostoma. Since the pathomechanism of anastomosis leakage is still unclear, a suitable animal model would be most desirable. METHODS: The objective was to assess the incidence of clinically apparent and inapparent leakage after LAR in pigs (n = 20). Endpoints were radiological, clinical, macroscopic, and histologic proof of anastomotic leakage on the 9th postoperative day...
December 2013: Journal of Investigative Surgery: the Official Journal of the Academy of Surgical Research
Alexandra Cheerva, Robert Dillard, Salvatore Bertolone
Crohn's disease is a chronic, inflammatory disease of the gastrointestinal tract, affecting both children and adults. Extracorporeal photopheresis (ECP) has been used in steroid dependent adults with moderate to severely active Crohn's disease, with response rates up to 50%, with up to 25% complete responses. A 12-year-old male patient had severe unremitting Crohn's disease for one year, despite treatment with anti-inflammatory, immunosuppressive, and biologic agents. He failed elemental enteral nutrition and required total parenteral nutrition (TPN)...
October 2013: Journal of Clinical Apheresis
O Jalil, H Jones, B M Stephenson, G L Williams
INTRODUCTION: Faecal concretions or faecalomas ('stone of faeces') are symptomatic of many well-recognised colorectal conditions. Faecalomas are usually located in the colon or rectum and associated with disorders of colorectal transit. We describe an unusual case of 'faecaloma in ano' secondary to a chronic fissure in ano. A 67-year-old woman with a 10-year history of chronic constipation and intermittent anal discomfort presented with a painless perianal lump of similar duration. METHODS: The patient's case notes were reviewed and a literature search was carried out...
March 2012: Annals of the Royal College of Surgeons of England
Ryouichi Tomita, Taro Ikeda, Shigeru Fujisaki, Kiminobu Sugito, Kenichi Sakurai, Tsugumichi Koshinaga, Masahiko Shibata
BACKGROUND/AIMS: The purpose of this study was to clarify the ano-neorectal functions in pediatric patients with soiling at a short period and without soiling at a long period after restorative colectomy and ileal J-pouch anal anastomosis (IPAA) for ulcerative colitis (UC). METHODOLOGY: Ten patients after IPAA for UC in childhood were mamometrically studied, aged 10 to 16 years (mean, 13.9 years). Patients after IPAA with ileostomy closure were studied at 6 months (Group A; all patients had soiling) and 3 years after ileostomy closure (Group B; all patients showed continence)...
January 2012: Hepato-gastroenterology
Yee Ian Yik, Timothy M Cain, Coral F Tudball, David J Cook, Bridget R Southwell, John M Hutson
AIMS/BACKGROUND: Nuclear transit studies (NTS) allow us to follow transit through the stomach and the small and large intestines. We identified children with chronic constipation with rapid proximal colonic transit and characterized their clinical features. METHODS: We reviewed NTS from 1998 to 2009 to identify patients with chronic constipation and rapid proximal colonic transit, defined as greater than 25% of tracer beyond hepatic flexure at 6 hour and/or greater than 25% of tracer beyond end of descending colon at 24 hour...
July 2011: Journal of Pediatric Surgery
P R Knight
Pathology in the lower rectum, anal canal and perineum is common and causes much distress. It tends to be self-diagnosed and treated. Eventually a physician is consulted and the usual diagnosis proposed by the patient is "It's my hemorrhoids". However, this may conceal a considerable spectrum of pathology. Diagnosis is usually not difficult but the treatment may not always be so straightforward. This paper discusses hemorrhoids, fissure-in-ano, abscesses, anal fistulae, condylomata and pruritus ani. High risk groups for carcinoma of the colon and rectum are identified...
June 1982: Canadian Family Physician Médecin de Famille Canadien
Joël Leroy, Federico Costantino, Ronan A Cahill, G F Donnatelli, M Kawai, Hurng Sheng Wu, Jacques Marescaux
INTRODUCTION: A novel technique for secure placement of the anvil for mechanical stapled anastomosis in the proximal colon without exteriorization of the bowel is described. METHODS: After standard laparoscopic segmental colonic mobilization, a needle-cannula from a percutaneous endoscopic gastrostomy kit is passed under direct endoscopic vision transparietally into the colon at the site intended for anvil placement. A wire passed through the cannula into the colon is then withdrawn endoscopically per ano...
June 2010: Surgical Innovation
R Durai, D Biradhar, P C H Ng
A variety of rectal foreign bodies have been documented in the English literature. They are inserted for various reasons including social pleasure. Most of them can be removed manually per ano. Here, we report a case of a big soft foreign body in the recto-sigmoid, which required the assistance of laparoscopy to enable retrieval.
September 2010: Techniques in Coloproctology
Shahriar Nikpour, Ali Ali Asgari
AIM: To assess the prevalence of clinically significant lesions in patients with minimal bright red bleeding per rectum (BRBPR). METHODS: Consecutive outpatients prospectively underwent colonoscopy at Loghman Hakim Hospital, Tehran. Minimal BRBPR was defined as small amounts of red blood after wiping or in the toilet bowl. Patients with the following alarm signs were excluded: Positive personal history of colorectal neoplasms or inflammatory bowel disease (IBD), positive first degree family history of colorectal neoplasms, history of altered bowel habits, recent significant weight loss, and presence of iron deficiency anemia...
November 14, 2008: World Journal of Gastroenterology: WJG
Boel K Ragnarsson-Olding, Per J Nilsson, Lars B Olding, Bo R Nilsson
PURPOSE: To analyze 251 patients (101 males and 150 females) diagnosed with ano-rectal malignant melanoma (ARMM) reported to the Swedish National Cancer Registry during 1960-1999. METHODS: Incidence, gender and age profiles, primary anatomical sites and density of the melanomas along with geographic distribution, and prognosis were investigated. RESULTS: The age-standardized incidence of ARMM was significantly higher for females (1.0 per 10(6) females) than for males (0...
2009: Acta Oncologica
Refael Itah, Nachum Werbin, Yehuda Skornick, Ron Greenberg
Perianal mucinous adenocarcinoma is an unusual but well described malignancy constituting approximately 3 to 11% of all anal carcinoma. The pathology is thought to develop from one of three types, the distal part of the rectum, the mucin-secreting columnar epithelium of the anal glands, and from chronic fistula-in-ano. The association of carcinoma with anal fistula may manifest itself in several ways: a fistula may be associated with cancer elsewhere in the colon; cancer may present as a fistula; or cancer may develop in anal fistula...
February 2008: Harefuah
Nemandra Sandiford, Patsy R Prussia, Antonio Chiappa, Andrew P Zbar
Carcinoma within a long-standing fistula-in-ano is rare and may be defined by specific neoplastic involvement of the fistulous track in the absence of rectal mucosal carcinoma. The presence of a carcinoma of mucinous histology occurring synchronously in the perianal region and the colon is exceptionally rare. We present a case with a review of the literature concerning its aetiopathogenesis and treatment. A 72-year-old man with a 2 months history of dark red rectal bleeding and mucus per rectum with alternating constipation and diarrhoea, was observed...
2006: International Seminars in Surgical Oncology: ISSO
Dennis Raahave, Frank B Loud
INTRODUCTION: The study was undertaken to test a hypothesis of coexistence and causality between abdominal and recto-anal symptoms and physical signs. MATERIAL AND METHODS: A random sample of 251 patients was drawn from 645 referred patients from 12th September 1988 to 19th January 1999. Nineteen selected symptoms were recorded; abdominal palpation and ano-rectoscopy were with special reference to identify faecal reservoirs. Barium enema was used to demonstrate colon pathology...
November 2004: Danish Medical Bulletin
Mark H Whiteford, John Kilkenny, Neil Hyman, W Donald Buie, Jeffrey Cohen, Charles Orsay, Gary Dunn, W Brian Perry, C Neal Ellis, Jan Rakinic, Sharon Gregorcyk, Paul Shellito, Richard Nelson, Joe J Tjandra, Graham Newstead
The American Society of Colon and Rectal Surgeons is dedicated to assuring high-quality patient care by advancing the science, prevention, and management of disorders and diseases of the colon, rectum, and anus. The Standards Committee is composed of Society members who are chosen because they have demonstrated expertise in the specialty of colon and rectal surgery. This Committee was created to lead international efforts in defining quality care for conditions related to the colon, rectum, and anus. This is accompanied by developing Clinical Practice Guidelines based on the best available evidence...
July 2005: Diseases of the Colon and Rectum
A Agnifili, M Schietroma, A Carloni, S Mattucci, G Caterino, F Carlei
AIM: The aim of this prospective, randomized study was to investigate the influence of omentoplasty on complications following colorectal resection, Hartmann's intervention and abdominoperineal amputation. METHODS: One hundred and seventy-one patients undergoing elective or emergency surgery for malignancy, benign tumor, diverticular disease and others were randomly assigned to omentoplasty (OP group) or not (NO group). The primary goal was to evaluate the rate of clinical and radiological anastomotic leakage...
August 2004: Minerva Chirurgica
A R Lopez Gaston, Adriana Andrüsch, Patricia Catuogno, G Lopez De Luise, P Vazquez
OBJECTIVES: 1) To determine differences between sexes; 2) To determine differences by sex and age groups in symptom onset, time of evolution, clinical forms and probable associated causes. POPULATION AND SAMPLE: 83 consecutive patients with diagnosed PCP (X age = 50.9 SE 2.21). 25 males (30.1% x 51.2 years-old, SE 4.1) and 58 females (69.9%, X 50.8 years-old, SE 2.2). Patients with organic colon-rectum pathology (with the exception of hemorrhoidal pathology, proctologic surgery and active anus fissure) had been excluded...
2003: Acta Gastroenterologica Latinoamericana
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