Annals of Coloproctology

Volume 25(5); October 2009

Original Articles

Effects of Age and Sex on Anorectal Manometry.: Heo, Seung Chul , Kang, Sung Bum , Park, Kyu Joo , Park, Jae Gahb; J Korean Soc Coloproctol. 2009;25(5):285-293.; DOI: https://doi.org/10.3393/jksc.2009.25.5.285

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PURPOSE
This study was performed to evaluate the effects of age and sex on anorectal manometry.
METHODS
Seventy-four consecutive patients who underwent surgery for sigmoid colon cancer and who had neither anal disorders nor colonic obstruction were included in this study. There were 45 men and 29 women, and the mean age was 58.6. Pressure measurements used both the rapid and the station pull-through (RPT and SPT) methods, and volume measurements used a balloon-tipped catheter. Three pressure indices (vector volume, maximal pressure, and mean pressure), three sphincter length indices (sphincter length, high pressure zone [HPZ] length, and maximal pressure position), and three volume indices (minimal sensory volume, maximal tolerance volume, and rectoanal inhibitory reflex) were analyzed.
RESULTS
Squeezing pressures were higher in men than in women, especially in the RPT method, while resting pressures were not different. Sphincter length and HPZ length were not different between the sexes, but the maximal pressure position was farther from the anal verge in men. Rectal volume indices were not different between the sexes. The resting and squeezing pressures decreased linearly with aging in men, but not in women. The differences in squeezing pressures between men and women were evident in their forties and fifties, but decreased gradually with aging, with no differences being observed in their seventies. With aging, the minimal sensory volume increased in women, and the maximal tolerance volume increased in men.
CONCLUSION
Anal canal pressures and volume indices are influenced by sex, age, and measurement method. Therefore, sex, age, and measurement method must be considered in the evaluation and application of anorectal manometry.

Citations

Citations to this article as recorded by

Comparison between a new electronic bidet and conventional sitz baths: a manometric evaluation of the anal resting pressure in normal healthy volunteers
S.-B. Ryoo, H.-K. Oh, E. C. Han, Y. S. Song, M. S. Seo, E. K. Choe, S. H. Moon, K. J. Park
Techniques in Coloproctology.2015; 19(9): 535. CrossRef
Anorectal manometric parameters are influenced by gender and age in subjects with normal bowel function
Hyang Ran Lee, Seok-Byung Lim, Jeong Yun Park
International Journal of Colorectal Disease.2014; 29(11): 1393. CrossRef

The Impact of Bowel Preparation on Anastomotic Complications after Laparoscopic Colorectal Resection: A Prospective Comparative Study between Oral Polyethylene Glycol and Phosphate Enema.: Baek, Se Jin , Choi, Dong Jin , Kim, Jin , Woo, Si Uk , Min, Byung Wook , Kim, Seon Hahn , Moon, Hong Young; J Korean Soc Coloproctol. 2009;25(5):294-299.; DOI: https://doi.org/10.3393/jksc.2009.25.5.294

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Abstract PDF: PURPOSE
Although most randomized trials demonstrated no advantage of mechanical bowel preparation for colorectal resection, an oral solution is still widely used. The aims of this study were to evaluate whether a single phosphate enema is as effective as oral polyethylene glycol (PEG) solution in preventing anastomotic complications after laparoscopic colorectal surgery and to examine the clinical courses of anastomotic complications.
METHODS
Between September 2006 and December 2007, 309 patients underwent laparoscopic colorectal resection with primary anastomosis. The bowel preparation used was PEG solution during initial period (PEG group), but since February 2007, a single phosphate enema (enema group) was utilized. Postoperative data were prospectively recorded. In patients with anastomotic complications, the clinical course was compared between the two groups.
RESULTS
There were 150 patients in the PEG group and 159 patients in the enema group. Demographics did not differ between the two groups. Anastomotic leakage occurred in 3.3 percent of the patients in the PEG group and 5.7 percent of the patients in the enema group (P=0.326). The rates of anastomotic bleeding were 2.0 and 2.5 percent, respectively (P=0.761). The hospital stays for patients with anastomotic complication were not different between the two groups (P=0.137), but patients in the PEG group (80%) needed reoperation more frequently than those in the enema group (11.1%) (P=0.023).
CONCLUSION
These results suggest that laparoscopic colorectal surgery may be safely performed with a single phosphate enema instead of oral polyethylene glycol.

The Characteristics of Crohn's Disease in Korea According to the Montreal Classification.: Kim, Beom , Park, Soon Do , Choi, Sung Il , Lee, Suk Hwan , Lee, Kil Yeon; J Korean Soc Coloproctol. 2009;25(5):300-305.; DOI: https://doi.org/10.3393/jksc.2009.25.5.300

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Abstract PDF

PURPOSE
Crohn's disease is an inflammatory bowel disease with various symptoms and progressions. For effective identification of various causes and follow up of patients, we used the Vienna Classification from 1998, but we started applying the Montreal Classification in 2005. In this study, our aim was to identify the clinical characteristics of Korean patients with Crohn's disease by using the Montreal Classification.
METHODS
A retrospective study was carried out among 111 patients who were evaluated at KyungHee Medical Center from March 1986 through February 2008 as having Crohn's disease.
RESULTS
The male-to-female ratio was 1.8:1, and the average age was 27.2+/-9.6 yr. Abdominal pain was the major symptom, and extraintestinal manifestations were seen in 16 cases. Of the Crohn's disease patients, 25.2% were initially misdiagnosed as having tuberculosis. Concerning age at diagnosis, A2 (patients 17 to 40 yr of age) was the largest group. The most common disease location was the ileocolon (L3), and a combined upper gastrointestinal lesion (L4) was most commonly seen in L3. The most common disease behaviors were nonstricturing and nonpenetrating (B1), and although perianal lesions were most common in B1, there were no statistical correlations (P=0.061). Surgical treatments were performed in 46 cases, especially in cases involving complex disease (stricturing&penetrating) (P<0.005) and ileal disease (L1) (P=0.024).
CONCLUSION
According to the Montreal Classification of Korean Crohn's disease patients, a more stable manifestation was seen in the group with lower age at diagnosis. Perianal lesions did not have any correlation with the form in which the disease manifested itself. Complex disease and ileal disease required a surgical procedure the most.

Citations

Citations to this article as recorded by

Clinical features of Crohn's disease in Korean patients residing in Busan and Gyeongnam
Eun Ji Lee, Tae Oh Kim, Geun Am Song, Jong hun Lee, Hyung Wook Kim, Sam Ryong Jee, Seun Ja Park, Hyun Jin Kim, Jong Ha Park
Intestinal Research.2016; 14(1): 30. CrossRef
A Case Study of a Soyangin Patient with Crohn's Disease who Reported Symptomatic Improvement after Being Treated with Dojeokgangki-tang
Mi-Suk Lee, Mim-Woo Hwang, Yun-Hee Kim
Journal of Sasang Constitutional Medicine.2012; 24(2): 61. CrossRef

The Impacts of Obesity on a Laparoscopic Low Anterior Resection.: Woo, Jin Hee , Park, Ki Jae , Choi, Hong Jo; J Korean Soc Coloproctol. 2009;25(5):306-311.; DOI: https://doi.org/10.3393/jksc.2009.25.5.306

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Abstract PDF

PURPOSE
Obese patients are generally believed to be at increased risk for surgery compared to those who are not obese. It was the purpose of this study to compare the short-term outcomes of a laparoscopic low anterior resection (LAR) in obese and non-obese patients.
METHODS
We retrospectively reviewed 79 patients who had undergone a laparoscopic LAR for rectal cancer between September 2002 and January 2008. The degree of obesity was based on the Body Mass Index (BMI, kg/m2). We divided the 79 patients into two groups: the high BMI (BMI> or =25) and the low BMI (BMI <25) groups. The parameters analyzed included age, gender, American Society of Anesthesiologists classification score, operative time, estimated blood loss, conversion rate, postoperative complications, hospital stay, and oncologic characteristics. Statistics included the t-test and Fisher's exact test. Statistical significance was assessed at the 5% level (P<0.05 being statistically significant).
RESULTS
There were no significant differences between the low BMI (n=55) and the high BMI (n=24) groups in age and gender. The high BMI group had significantly more conversion to an open procedure (20.8% vs. 3.6%, P=0.0244). The high BMI group and the low BMI group had no differences in blood loss, complications, hospital stay, and oncologic characteristics, but the high BMI group had a longer operative time (244.2 min vs. 212.0 min, P=0.0035).
CONCLUSION
A laparoscopic LAR in obese patients had a higher conversion rate and a longer operative time, but there were no differences in postoperative complications and oncologic characteristics. A further study based on many experiences is needed to clarify the influence of the surgeon's experience on the operative time and the conversion rate, and long-term follow-up is necessary to evaluate the oncologic safety of a laparoscopic LAR in obese patients.

Citations

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Laparoscopic colorectal cancer resections in the obese: a systematic review
Alastair Fung, Nora Trabulsi, Martin Morris, Richard Garfinkle, Abdulaziz Saleem, Steven D. Wexner, Carol-Ann Vasilevsky, Marylise Boutros
Surgical Endoscopy.2017; 31(5): 2072. CrossRef

The Initial Experience with a Single Incision Laparoscopic Appendectomy.: Kim, Jong Won , Park, Jun Seok , Chang, In Taik , Choi, Yoo Shin , Song, Hyung Jun , Kim, Beom Gyu; J Korean Soc Coloproctol. 2009;25(5):312-317.; DOI: https://doi.org/10.3393/jksc.2009.25.5.312

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Abstract PDF

PURPOSE
A laparoscopic appendectomy (LA) is becoming popular for the treatment of acute and perforated appendicitis. Since it was first described, the LA has been modified many times. We present the result for a new technique of LA, in which the LA is conducted through a single umbilical incision without exteriorizing the appendix to perform the operation.
METHODS
A single incision laparoscopic appendectomy was attempted in 25 patients (17 men, 8 women). Under general anesthesia, a wound retractor was inserted through the umbilicus. The appendix was grasped and dissected from surrounding tissues with a single flexible dissector or grasper. After mesenteric dissection with ultrasonic shear, the base of the appendix was ligated with an Endoloop. The appendix was withdrawn into the wound protector and extracted from the abdomen.
RESULTS
A single incision laparoscopic appendectomy was completed in 25 patients. No major intraoperative or postoperative complications were encountered. The average duration of the procedure was 50.3+/-21.3 min. The average hospital stay was 4.1+/-2.4 days.
CONCLUSION
This new technique, a single incision laparoscopic appendectomy, further improves the minimal invasiveness of a LA because a single incision is used. This procedure is a safe, very minimally invasive procedure with excellent cosmetic results.

Citations

Citations to this article as recorded by

Comparative Study of a Single-Incision Laparoscopic and a Conventional Laparoscopic Appendectomy for the Treatment of Acute Appendicitis
Jungwoo Kang, Byung Noe Bae, Geumhee Gwak, Inseok Park, Hyunjin Cho, Keunho Yang, Ki Whan Kim, Sehwan Han, Hong-Joo Kim, Young-Duck Kim
Journal of the Korean Society of Coloproctology.2012; 28(6): 304. CrossRef
What Are the Risk Factors for Complication in Transumbilical Single-Port Appendectomy?
Hee Sung Lee, Yong Hae Baik, In Woong Han, Won Yong Choi, Beom Seok Kwak, Young Jin Park, Min Gu Oh, Hong Yong Kim
The Journal of Minimally Invasive Surgery.2012; 15(4): 138. CrossRef
A Review of Minimally Invasive Single-Port/Incision Laparoscopic Appendectomy
Haroon Rehman, Tim Mathews, Irfan Ahmed
Journal of Laparoendoscopic & Advanced Surgical Techniques.2012; 22(7): 641. CrossRef
Single-incision Appendectomy is Comparable to Conventional Laparoscopic Appendectomy
Richdeep S. Gill, Xinzhe Shi, David P. Al-Adra, Daniel W. Birch, Shahzeer Karmali
Surgical Laparoscopy, Endoscopy & Percutaneous Techniques.2012; 22(4): 319. CrossRef
Single incision versus conventional multi-incision appendicectomy for suspected appendicitis
Haroon Rehman, Ahsan M Rao, Irfan Ahmed
Cochrane Database of Systematic Reviews.2011;[Epub] CrossRef
Technical approaches to single port/incision laparoscopic appendicectomy: a literature review
H Rehman, I Ahmed
The Annals of The Royal College of Surgeons of England.2011; 93(7): 508. CrossRef
Laparoscopic Appendectomy with a Single Incision in a Single Institute
Jin A Lee, Ki Young Sung, Jun Hyun Lee, Do Sang Lee
Journal of the Korean Society of Coloproctology.2010; 26(4): 260. CrossRef

Gastrointestinal Stromal Tumors of the Colon and Rectum.: Paek, Ok Joo , Kim, Young Bae , Oh, Seung Yeop , Suh, Kwang Wook; J Korean Soc Coloproctol. 2009;25(5):318-322.; DOI: https://doi.org/10.3393/jksc.2009.25.5.318

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Abstract PDF

PURPOSE
This study was designed to review the clinical characteristics of gastrointestinal stromal tumors (GISTs) of the colon and rectum and to evaluate their immunohistochemical and pathologic features based on the current National Institutes of Health criteria.
METHODS
Patient and disease characteristics, pathologic features, surgical or endoscopic management, and clinical outcomes of 11 patients with GISTs diagnosed and primarily treated at our institution between March 1995 and February 2009 were evaluated.
RESULTS
Colorectal GISTs accounted for 4.4% of all GISTs. The primary location was the rectum (8 cases). Four patients had high-risk GISTs, 4 patients had low-risk GISTs, and 3 patients had very low-risk GISTs. All tumors were c-kit positive. Four patients underwent a radical resection, whereas 7 patients underwent an endoscopic resection (n=3) or a transanal excision (n=4). Two high-risk patients without adjuvant Imatinib mesylate therapy developed metastases, but the other high-risk patients with adjuvant Imatinib mesylate therapy didn't.
CONCLUSION
Colorectal GISTs occurred predominantly in the rectum. Because GISTs do not metastasize through the lymphatics, small GISTs that are amenable to local excision or endoscopic resection can be treated by either of these techniques as long as negative microscopic margins are obtained around the primary tumor. Patients with high-risk GISTs should be considered for the use of Imatinib mesylate as adjuvant therapy.

Citations

Citations to this article as recorded by

Transanal endoscopic microsurgery with alternative neoadjuvant imatinib for localized rectal gastrointestinal stromal tumor: a single center experience with long-term surveillance
Xueshan Bai, Weixun Zhou, Yunhao Li, Guole Lin
Surgical Endoscopy.2021; 35(7): 3607. CrossRef
Primary localized rectal/pararectal gastrointestinal stromal tumors: results of surgical and multimodal therapy from the French Sarcoma group
Thanh-Khoa Huynh, Pierre Meeus, Philippe Cassier, Olivier Bouché, Sophie Lardière-Deguelte, Antoine Adenis, Thierry André, Julien Mancini, Olivier Collard, Michael Montemurro, Emmanuelle Bompas, Maria Rios, Nicolas Isambert, Didier Cupissol, Jean-Yves Bla
BMC Cancer.2014;[Epub] CrossRef
Efficacy of Imatinib Mesylate Neoadjuvant Treatment for a Locally Advanced Rectal Gastrointestinal Stromal Tumor
Kyu Jong Yoon, Nam Kyu Kim, Kang Young Lee, Byung Soh Min, Hyuk Hur, Jeonghyun Kang, Sarah Lee
Journal of the Korean Society of Coloproctology.2011; 27(3): 147. CrossRef

Clinicopathologic Analysis of Gastrointestinal Stromal Tumors of the Colon and Rectum.: Choi, Sung Hoon , Kim, Seo Jeon , Choi, Yun Jung , Min, Byung So , Kim, Jin Su , Baik, Seung Hyuk , Kim, Nam Kyu , Kang, Jung Gu; J Korean Soc Coloproctol. 2009;25(5):323-333.; DOI: https://doi.org/10.3393/jksc.2009.25.5.323

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Abstract PDF

PURPOSE
This study's aim is to investigate the clinicopathologic characteristics of colorectal gastrointestinal stromal tumors (GISTs) and to evaluate the result of those tumors.
METHODS
We retrospectively reviewed 22 patients who had been diagnosed with primary colorectal GISTs and who had undergone a surgical resection between October 1996 and July 2008.
RESULTS
Colorectal GISTs accounted for 0.28% of all colorectal malignancies and 7.7% of all GISTs. Rectal GISTs (19, 86.4%) were more common than colonic GISTs (3, 13.6%). According to the National Institute of Health's (NIH) grading system, there were 1 (4.5%) very low, 5 (22.7%) low, 4 (18.2%) intermediate, and 12 (54.6%) high-risk tumors. The disease recurred in 7 patients (1 with intermediate risk and 6 with high risk). Recurrence sites were the liver (42.9%), the peritoneum (71.5%), and the lymph nodes (14.3%). Adjuvant imatinib therapy and/or radiation therapy were done for patients with microscopically positive margins of resection and high risk, of which one experienced a recurrence at 95 months after surgery. The five-year recurrence rates were 0% in the very-low-grade and low-grade groups, 33.3% in the intermediate-grade group, and 37.5% in the high-grade group. The five-year overall survival rates were 100% in the very-low-grade and low-grade groups, 66.7% in the intermediate-grade group, and 62.5% in the high-grade group.
CONCLUSION
Poor prognosis of colorectal GISTs was closely related to the tumor's histologic grade and size. Integrating surgery, molecular therapy, and radiation therapy might improve outcomes, but further study with more cases is needed.

Citations

Citations to this article as recorded by

Transanal endoscopic microsurgery with alternative neoadjuvant imatinib for localized rectal gastrointestinal stromal tumor: a single center experience with long-term surveillance
Xueshan Bai, Weixun Zhou, Yunhao Li, Guole Lin
Surgical Endoscopy.2021; 35(7): 3607. CrossRef
Primary localized rectal/pararectal gastrointestinal stromal tumors: results of surgical and multimodal therapy from the French Sarcoma group
Thanh-Khoa Huynh, Pierre Meeus, Philippe Cassier, Olivier Bouché, Sophie Lardière-Deguelte, Antoine Adenis, Thierry André, Julien Mancini, Olivier Collard, Michael Montemurro, Emmanuelle Bompas, Maria Rios, Nicolas Isambert, Didier Cupissol, Jean-Yves Bla
BMC Cancer.2014;[Epub] CrossRef
Efficacy of Imatinib Mesylate Neoadjuvant Treatment for a Locally Advanced Rectal Gastrointestinal Stromal Tumor
Kyu Jong Yoon, Nam Kyu Kim, Kang Young Lee, Byung Soh Min, Hyuk Hur, Jeonghyun Kang, Sarah Lee
Journal of the Korean Society of Coloproctology.2011; 27(3): 147. CrossRef
Multiple Colonic Metastases from Hepatocellular Carcinoma
Gwi Hong Jeong, Byong Duk Ye, Seung Jae Myung
The Korean Journal of Gastroenterology.2011; 58(5): 288. CrossRef

Expression of Alpha-catenin/E-cadherin and Clinical Significance of Metastatic Factors in Stage III Advanced Colon Cancer.: Chae, Seung Hun , Kim, Han Sun , Kim, Jae Man , Lee, Sang Hee , Jo, Sung Ook , Lee, Mi Keung , Jung, Wan Jo , Lee, Ho Jun; J Korean Soc Coloproctol. 2009;25(5):334-339.; DOI: https://doi.org/10.3393/jksc.2009.25.5.334

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Abstract PDF: PURPOSE
Among the cell adhesion molecules, alpha-catenin and E-cadherin play an important part in maintaining normal cell structure. The change in expression of cell adhesion molecules affects the invasion and metastasis of a tumor and the prognosis for patients. In this study, we evaluated the relationship between the expression of cell adhesion molecules and the histopathologic characteristics of stage III colon cancer.
METHODS
The relationship between the immunohistochemical expression of cell adhesion molecules and tumor progression were statistically analyzed in 40 patients with stage III colon cancer.
RESULTS
There were no statistically significant correlations between loss of membranous alpha-catenin and E-cadherin expressions and such variables as histologic differentiation and lymph node disease based on the criteria of the American Joint Committee on Cancer (AJCC). A significant correlation, however, existed between depth of mural invasion and loss of expressions of both alpha-catenin and E-cadherin (P=0.001 and P=0.002, respectively). Expressions of both alpha-catenin and E-cadherin were also significantly decreased in patients showing liver metastases during follow-up (P=0.019 and P=0.015, respectively).
CONCLUSION
Immunohistochemical analyses of alpha-catenin and E-cadherin expressions may be available as predictors for distant metastasis, especially in stage III colon cancer. Such analyses may also help to identify appropriate therapeutic strategies and the need for intensive follow-up in patients with stage III colon cancer.

Analysis of Anastomotic Leakage after an Anterior Resection for Rectal Cancer.: Park, Hey Won , Kim, Chang Nam , Park, Jin Seok , Kang, Yoon Jung , Cho, Byung Sun , Lee, Min Koo , Choi, Young Jin , Park, Joo Seung; J Korean Soc Coloproctol. 2009;25(5):340-346.; DOI: https://doi.org/10.3393/jksc.2009.25.5.340

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Abstract PDF

PURPOSE
The aim of our study was to identify risk factors associated with anastomotic leakage (AL) after an anterior resection (high anterior resection+low anterior resection) for rectal cancer.
METHODS
Between January 1998 and December 2007, 356 patients underwent an anterior resection for rectal cancer. Early anastomotic leakage (EAL) was defined as leakage identified during hospitalization. Late anastomotic leakage (LAL) was defined as leakage identified in outpatients.
RESULTS
AL (EAL+LAL) occurred in 30 patients (8.4%, mean time: 15.4 days). Among of them, EAL occurred in 20 patients (5.6%, mean time: 5.1 days), and LAL occurred in 10 patients (2.8%, mean time: 36.0 days). In the univariate analysis, the size of the tumor, the tumor level from the anal verge, and the level of anastomosis were significantly associated with AL. In EAL, the size of the tumor, the tumor level from the anal verge, the level of anastomosis, the operation type, and the value of serum albumin on day 3 after the operation were risk factors. In LAL, the tumor level from the anal verge and the level of anastomosis were risk factors. In the multivariate analysis, tumor size >7 cm (AL: P<0.001, EAL: P<0.001) and tumor level from the anal verge < or =8 cm (AL: P=0.014, EAL: P=0.001) were independent risk factors.
CONCLUSION
AL and EAL after an anterior resection for rectal cancer were related to the size of the tumor and the level of the tumor from the anal verge.

Citations

Citations to this article as recorded by

Distribution of Lymph Node Metastases Is an Independent Predictor of Survival for Sigmoid Colon and Rectal Cancer
Jung Wook Huh, Young Jin Kim, Hyeong Rok Kim
Annals of Surgery.2012; 255(1): 70. CrossRef

Case Reports

A Case of Successful Percutaneous Drainage of a Pelvic Abscess Complicating Colonoscopy.: Si, Youn , Kim, Shin Young , Choi, Seung Bong , Kim, Hyung Jin , Lee, Yoon Suk , Cho, Hyun Min , Kim, Jun Gi , Oh, Seung Tack , Lee, In Kyu; J Korean Soc Coloproctol. 2009;25(5):347-351.; DOI: https://doi.org/10.3393/jksc.2009.25.5.347

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Abstract PDF

Perforations that occur during colonoscopy are usually managed by surgical repair. When the patient's symptoms are mild and laboratory findings show minor abnormalities, a conservative treatment can be considered. Although an operation is the treatment of choice in patients with generalized peritonitis, in some selected patients, percutaneous abscess drainage can be an alternative to surgical intervention for drainage of deep-infected fluid collections or can act as a temporary measure until the patient becomes sufficiently stable for surgery. We report here on a 53-yr-old male patient who developed signs of localized peritonitis and had a pelvic abscess due to a colonic perforation after colonoscopy and was treated successfully by using percutaneous abscess drainage.

Citations

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A Case of Buried Bumper Syndrome Complicated by Abdominal Wall Abscess in an Elderly Patient
Chul Young Kim, Min Seong Kim, Do Young Kim, Young Bae Lim, Dong Yoon Kang, Tack Su Yun, Sang Seok Yoon, Jung Hyun Lee, Woo Young Kim, Yong Kyu Lee
Journal of the Korean Geriatrics Society.2010; 14(4): 265. CrossRef

Laparoscopic Management of Appendiceal Intussusception Caused by Fecaliths.: Kang, Dong Baek , Kim, Seung Ho , Oh, Jung Taek , Kim, Kang Deuk , Jo, Hyang Jeong , Lee, Jeong Kyun , Park, Won Cheol; J Korean Soc Coloproctol. 2009;25(5):352-355.; DOI: https://doi.org/10.3393/jksc.2009.25.5.352

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Abstract PDF

Appendiceal intussusception is a rare condition of abdominal pain. It develops as a result of various anatomic or pathologic conditions, such as polyps, worms, carcinomas, mucoceles, or fecaliths. Furthermore, an accurate preoperative diagnosis of appendiceal intussusception may be difficult. However, recently developed radiologic modalities, such as multidetector CT and laparoscopy, can considerably aid preoperative diagnosis and provide a means of adopting optimal minimally invasive surgery. Here, the authors describe the case of a 30-yr-old woman with the clinical features of acute appendicitis, who was preoperatively diagnosed as having appendiceal intussusception with fecaliths and who was managed by using a laparoscopic partial cecectomy.

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Appendix Invagination Mimicking Ileocecal Intussusception in a Pediatric Patient: A Case Report
Muhsin Nuh Aybay, Seyit Erol, Hasan Emin Kaya, Ibrahim Guler
The Journal of Emergency Medicine.2016; 51(5): 589. CrossRef

Review

Risk Factors of Colorectal Cancer.: Kim, Dong Hyun; J Korean Soc Coloproctol. 2009;25(5):356-362.; DOI: https://doi.org/10.3393/jksc.2009.25.5.356

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Abstract PDF

Colorectal cancer has been rapidly increasing in Korea during the past decades, which was known as low risk area. The age-standardized mortality rates increased from 3.0 to 14.5 in 100,000 for men and from 2.3 to 7.9 in 100,000 for women between 1983 and 2008. According to the National Cancer Registry, the age-standardized incidence rates of total colorectal cancer were increased by 7.3% and 5.5% for men and women, respectively, between 1999 and 2005, while the incidence rates of the most prevalent cancers in Korea, such as stomach, liver, and cervical cancers, have decreased during the same period. Westernized dietary and lifestyle-related factors seem to be closely related to the increased risk of colorectal cancer. Higher intakes of red and processed meat, a lack of physical activity, obesity, and alcohol drinking have been suggested to be risk factors for colorectal cancer in the numerous epidemiologic studies, while higher intakes of dietary fiber, green leafy vegetables, some micronutrients abundant in vegetables and fruits, such as folate, and calcium were reported to be protective factors. Since many of the diet and lifestyle-related factors for colorectal cancer are modifiable, it is urgently needed to set up comprehensive primary prevention program against colorectal cancer to effectively cope with the rapidly increasing cancer in Korea.

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Mashall Siddiqui, Sameena Naz, Aisha Masroor Bhatti, Saira Talpur, Ramsha Khan, Maira Sangrasi
Pakistan BioMedical Journal.2022; : 121. CrossRef
Prevalence and risk of colorectal polyps among the Korean population under 50 years
Su Jin Jeong, Jinho Lee, Eunju Kim, Jun Seong Hwang, Jin Lee, Joon Hyuk Choi, Nae-Yun Heo, Jongha Park, Seung Ha Park, Tae Oh Kim, Yong Eun Park
Medicine.2022; 101(27): e29493. CrossRef
Study on the mechanisms for the production of heterocyclic amine (HCAs) in meat
Hea Jin Kang, Seung Yun Lee, Da Young Lee, Sun Jin Hur
Food and Life.2022; 2022(2): 41. CrossRef
Study on the reduction of heterocyclic amines by marinated natural materials in pork belly
Hea Jin Kang, Seung Yun Lee, Da Young Lee, Ji Hyeop Kang, Jae Hyeon Kim, Hyun Woo Kim, Jae Won Jeong, Dong Hoon Oh, Sun Jin Hur
Journal of Animal Science and Technology.2022; 64(6): 1245. CrossRef
Association Between Height and Clinical Outcome in Metastatic Colorectal Cancer Patients Enrolled Onto a Randomized Phase 3 Clinical Trial: Data From the FIRE-3 Study
Michelle McSkane, Sebastian Stintzing, Volker Heinemann, Alberto Puccini, Madiha Naseem, Shu Cao, Heinz-Josef Lenz, Ivan Jelas
Clinical Colorectal Cancer.2018; 17(3): 215. CrossRef
Inflammatory diet and risk for colorectal cancer: A population-based case–control study in Newfoundland, Canada
Ishor Sharma, Yun Zhu, Jennifer R. Woodrow, Shree Mulay, Patrick S. Parfrey, John R. Mclaughlin, James R. Hebert, Nitin Shivappa, Yuming Li, Xin Zhou, Peizhong Peter Wang
Nutrition.2017; 42: 69. CrossRef
Anti-inflammatory effect of lycopene in SW480 human colorectal cancer cells
Jae Hoon Cha, Woo Kyoung Kim, Ae Wha Ha, Myung Hwan Kim, Moon Jeong Chang
Nutrition Research and Practice.2017; 11(2): 90. CrossRef
Mitochondrial UQCRB as a new molecular prognostic biomarker of human colorectal cancer
Hyun-Chul Kim, Junghwa Chang, Hannah S Lee, Ho Jeong Kwon
Experimental & Molecular Medicine.2017; 49(11): e391. CrossRef
Is A Mode of Presentation of Colorectal Cancer Different According to Each Individual's Social-economic Status?
Chinock Cheong, Nam Kyu Kim
Annals of Coloproctology.2016; 32(4): 123. CrossRef
Determinants of healthcare utilisation and predictors of outcome in colorectal cancer patients from Northern Iran
S. Semnani, Z. Noorafkan, M. Aryaie, S.-M. Sedaghat, A. Moghaddami, V. Kazemnejhad, R. Khorasaninejhad, F. Ghasemi-Kebria, G. Roshandel
European Journal of Cancer Care.2016; 25(2): 318. CrossRef
The potential usefulness of 18F-FDG PET/CT for detecting colorectal carcinoma and adenoma in asymptomatic adults
Jae Pil Hwang, Sang-Keun Woo, Sang Yun Yoon, Su Young Jeong
Annals of Nuclear Medicine.2015; 29(2): 157. CrossRef
Antioxidative Activity and Texture Characteristics of Wanja-jeon with Soybean Powder
Seri Jang, Ming Yang, Su Mi Ahn, Inshik Park
The Korean Journal of Food And Nutrition.2015; 28(1): 9. CrossRef
Targeting FGF Receptors in Colorectal Cancer: From Bench Side to Bed Side
Omar Abdel-Rahman
Future Oncology.2015; 11(9): 1373. CrossRef
The Role of Surgery for Asymptomatic Primary Tumors in Unresectable Stage IV Colorectal Cancer
Young Wan Kim, Ik Yong Kim
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