Annals of Coloproctology

Volume 27(1); February 2011

Editorials

Prognostic Significance of Tumor Regression Grade after Preoperative Chemoradiotherapy for Rectal Cancer: Byung Chun Kim; J Korean Soc Coloproctol. 2011;27(1):1-2. Published online February 28, 2011; DOI: https://doi.org/10.3393/jksc.2011.27.1.1

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Glucose transporter 1 (GLUT1) of anaerobic glycolysis as predictive and prognostic values in neoadjuvant chemoradiotherapy and laparoscopic surgery for locally advanced rectal cancer
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DPYD,TYMS,TYMP,TK1, andTK2Genetic Expressions as Response Markers in Locally Advanced Rectal Cancer Patients Treated with Fluoropyrimidine-Based Chemoradiotherapy
Ming-Yii Huang, Chan-Han Wu, Chun-Ming Huang, Fu-Yen Chung, Ching-Wen Huang, Hsiang-Lin Tsai, Chin-Fan Chen, Shiu-Ru Lin, Jaw-Yuan Wang
BioMed Research International.2013; 2013: 1. CrossRef

Delayed Postpolypectomy Bleeding: Hyun Shig Kim; J Korean Soc Coloproctol. 2011;27(1):3-3. Published online February 28, 2011; DOI: https://doi.org/10.3393/jksc.2011.27.1.3

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Monoclonal gammopathy of undetermined significance (MGUS) characterized by refractory lower gastrointestinal postoperative bleeding with coagulopathy
Shuxia Zhang, Zhifen Chen, Meijuan Huang, Rong Zhan, Long Wu, Qian Zhang, Yu Lin, Weizhong Jiang, Pan Chi, Feng'e Yang
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In vivo classification of colorectal neoplasia using high‐resolution microendoscopy: Improvement with experience
Neil D Parikh, Daniel Perl, Michelle H Lee, Shannon S Chang, Alexandros D Polydorides, Erin Moshier, James Godbold, Elinor Zhou, Josephine Mitcham, Rebecca Richards‐Kortum, Sharmila Anandasabapathy
Journal of Gastroenterology and Hepatology.2015; 30(7): 1155. CrossRef

Should Abdominoperineal Excision Be Considered as the Initial Treatment for a Primary Anorectal Malignant Melanoma?: Jae Hwan Oh; J Korean Soc Coloproctol. 2011;27(1):4-4. Published online February 28, 2011; DOI: https://doi.org/10.3393/jksc.2011.27.1.4

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Review

Surgical Treatment of Rectal Prolapse: Eung Jin Shin; J Korean Soc Coloproctol. 2011;27(1):5-12. Published online February 28, 2011; DOI: https://doi.org/10.3393/jksc.2011.27.1.5

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Rectal prolapse is defined as a protrusion of the rectum beyond the anus. Although rectal prolapse was recognized as early as 1500 BC, the optimal surgical procedure is still debated. The varied operative procedures available for treating rectal prolapsed can be confusing. The aim of treatment is to control the prolapse, restore continence, and prevent constipation or impaired evacuation. In elderly and high-risk patients, perineal approaches, such as Delorme's operation and Altemeier's operation, have been preferred, although the incidence of recurrence and the rate of persistent incontinence seem to be high when compared with transabdominal procedures. Abdominal operations involve dissection and fixation of the rectum and may include a rectosigmoid resection. From the late twentieth century, the laparoscopic procedure has been applied to the treatment of rectal prolapse. Current laparoscopic surgical techniques include suture rectopexy, stapled rectopexy, posterior mesh rectopexy with artificial material, and resection of the sigmoid colon with colorectal anastomosis with or without rectopexy. The choice of surgery depends on the status of the patient and the surgeon's preference.

Citations

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Rectal prolapse (62.2, 62.3), adults
Yu. A. Shelygin, S. I. Achkasov, D. V. Alyoshin, O. M. Biryukov, V. S. Groshilin, V. N. Kashnikov, I. V. Kostarev, N. V. Kostenko, A. I. Moskalev, A. A. Mudrov, A. V. Muravyov, N. V. Oleinik, V. V. Polovinkin, V. M. Тimerbulatov, A. Yu. Titov, O. Yu. Fome
Koloproktologia.2024; 23(3): 10. CrossRef
Rectal prolapse (62.2, 62.3), adults
Yu. A. Shelygin, S. I. Achkasov, D. V. Alyoshin, O. M. Biryukov, V. S. Groshilin, V. N. Kashnikov, I. V. Kostarev, N. V. Kostenko, A. I. Moskalev, A. A. Mudrov, A. V. Muravyov, N. V. Oleinik, V. V. Polovinkin, V. M. Тimerbulatov, A. Yu. Titov, O. Yu. Fome
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A network meta-analysis of surgical treatments of complete rectal prolapse
S. H. Emile, S. M. Khan, Z. Garoufalia, E. Silva-Alvarenga, R. Gefen, N. Horesh, M. R. Freund, S. D. Wexner
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Outcome of Fecal Incontinence in Patients with Rectal Prolapse Undergoing the Altemeier Procedure with or without Posterior Levatorplasty
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Rectal prolapse in children. Causes, diagnostics, treatment (a literature review)
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Incarcerated Rectal Procidentia: A Case Report and Review
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Perineal repair of a full‐thickness rectal prolapse in a wild Sumatran orangutan (Pongo abelii)
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A systematic review of online resources to support patient decision-making for full-thickness rectal prolapse surgery
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MESH ANOPLASTY- AN UNIQUE APPROACH TO RECTAL PROLAPSE
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Thiersch wiring as a temporary procedure in a haemodynamically unstable patient with an incarcerated rectal procidentia
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Ergebnisse im Langzeitverlauf nach staplerunterstützter transanaler Rektumresektion (STARR)
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Results in the long-term course after stapled transanal rectal resection (STARR)
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Original Articles

Analysis of Delayed Postpolypectomy Bleeding in a Colorectal Clinic: Do Hyoung Kim, Seok Won Lim; J Korean Soc Coloproctol. 2011;27(1):13-16. Published online February 28, 2011; DOI: https://doi.org/10.3393/jksc.2011.27.1.13

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Abstract PDF

Purpose

The colonoscopic polypectomy has become a valuable procedure for removing precursors of colorectal cancer, but some complications can be occurred. The most common complication after colonoscopic polypectomy is bleeding, which is reported to range from 1% to 6% and which can be immediate or delayed. Because the management of delayed postpolypectomy bleeding could be difficult, the use of preventive technique and reductions of risk factors are essential.

Methods

From January 2007 to December 2008, delayed hemorrhage occurred in 18 of the 1,841 polypectomy patients examined by one endoscopist. These cases were reviewed retrospectively for risk factors, pathologic findings, and treatment methods.

Results

Delayed bleeding occurred in 18/1,841 patients (0.95%). The mean age was 55.9 ± 10.9 years, and the male-to-female ratio was 8:1. The most common site was the right colon (11 cases, 61.1%), and the average polyp size was 9.2 ± 2.8 mm. Delayed bleeding was identified from 1 to 5 days after resection (mean, 1.6 ± 1.2 days). The most common macroscopic type of polyp was a sessile polyp (10 cases, 55.6%), and histologic finding was a tubular adenoma in 13 cases (72.2%). Seventeen cases were treated with clipping for hemostasis and 1 case with epinephrine injection.

Conclusion

The right colon and a sessile polyp were associated with an increase in delayed postpolypectomy bleeding. Reducing risk factors and close observation were essential in high risk patients, and prompt management with hemoclips was effective.

Citations

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Real-world local recurrence rate after cold polypectomy in colorectal polyps less than 10 mm using propensity score matching
Masashi Saito, Takeshi Yamamura, Masanao Nakamura, Keiko Maeda, Tsunaki Sawada, Eri Ishikawa, Yasuyuki Mizutani, Takuya Ishikawa, Naomi Kakushima, Kazuhiro Furukawa, Eizaburo Ohno, Hiroki Kawashima, Masatoshi Ishigami, Mitsuhiro Fujishiro
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Do We Perform a Perfect Endoscopic Hemostasis Prophylactically with Argon Plasma Coagulation in Colonic Endoscopic Mucosal Resection?
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Risk Factors for Delayed Post-Polypectomy Bleeding
Min Jung Kwon, You Sun Kim, Song I Bae, Young Il Park, Kyung Jin Lee, Jung Hwa Min, Soo Yeon Jo, Mi Young Kim, Hye Jin Jung, Seong Yeon Jeong, Won Jae Yoon, Jin Nam Kim, Jeong Seop Moon
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Risk factors for delayed post‐polypectomy hemorrhage: A case‐control study
Jeong Ho Kim, Hyun Jeong Lee, Ji Won Ahn, Dae Young Cheung, Jin Il Kim, Soo‐Heon Park, Jae Kwang Kim
Journal of Gastroenterology and Hepatology.2013; 28(4): 645. CrossRef
Serum C-reactive Protein As a Possible Marker to Predict Delayed Hemorrhage After Colonoscopic Polypectomy
Liangqin Wu, Tiemei Han, Xiaoyuan Fan, Wensheng Pan, Chunfu Wang, Hua Zhong, Xinbo Ai, Wanjun Zhang, Xiang Xu, Zaiyuan Ye, Takesh Terai, Nobuhiro Sato, Sumio Watanabe, Undurti N. Das
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Endoscopic mucosal resection with an over-the-counter hyaluronate preparation
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Clinical Characteristics of Colorectal Carcinoid Tumors: J Korean Soc Coloproctol. 2011;27(1):17-20. Published online February 28, 2011; DOI: https://doi.org/10.3393/jksc.2011.27.1.17

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Abstract PDF

Purpose

The carcinoid tumor was recently categorized as a malignant disease due to its possibility of metastasis. This study was aimed to investigate the clinical characteristics and the metastatic rate of colorectal carcinoid tumors.

Methods

Charts were reviewed for 502 patients diagnosed with and treated for colorectal carcinoid tumors between January 2006 and December 2009. The location, size, depth and metastatic status of the tumors were collected.

Results

Including 24 synchronous tumors from 12 patients, 514 carcinoid tumors were removed. Most of them were found in the rectum (97.3%). The male-to-female ratio was 1.38 to 1, and mean age was 50.2 ± 11.4 years. The mean tumor size was 5.8 ± 3.6 mm. Less than 10-mm-sized tumors had a 1.95% lymph node metastatic rate; tumors with sizes from 10 mm to 20 mm and larger than 20 mm had 23.5% and 50% lymph node metastatic rates, respectively. Two cases had distant metastasis; one with a 22-mm-sized tumor metastasized to the liver, and the other with a 20-mm-sized tumor metastasized to the peritoneum. Among 414 patients who completed metastatic studies, 93.8% were classified as stage I, 0.9% as stage II, 4.8% as stage III and 0.5% as stage IV.

Conclusion

Colorectal carcinoid tumors smaller than 10 mm have a low rate of lymph node metastasis, but those sized 10 mm or larger incur significant risk. Further investigation regarding additional risk factors should be done to develop proper treatment guidelines for these tumors.

Citations

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Clinical outcomes and risk factors associated with poor prognosis after endoscopic resection of 10–20 mm rectal neuroendocrine tumors: a multicenter, retrospective study of 10-year experience
Ja Jun Goo, Dong Hoon Baek, Hyung Wook Kim, Hong Sub Lee, Jong Yoon Lee, Su Bum Park, Geun Am Song, Sang Heon Lee, Jong Hoon Lee
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Stratification of rate of lymph node metastasis according to risk factors and oncologic outcomes in patients who underwent radical resection for rectal neuroendocrine tumors
Myung Jae Jin, Sung Sil Park, Dong-Eun Lee, Sung Chan Park, Dong Woon Lee, Kiho Yu, Hee Jin Chang, Chang Won Hong, Dae Kyung Sohn, Kyung Su Han, Bun Kim, Byung Chang Kim, Jae Hwan Oh
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Risk factors of lymph node metastasis in rectal neuroendocrine tumors*
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Risk of lymph node metastasis after endoscopic treatment for rectal NETs 10 mm or less
Yutaka Inada, Naohisa Yoshida, Kohei Fukumoto, Ryohei Hirose, Ken Inoue, Osamu Dohi, Takaaki Murakami, Kiyoshi Ogiso, Akira Tomie, Munehiro Kugai, Hiroyuki Yoriki, Yoshikazu Inagaki, Daisuke Hasegawa, Kotaro Okuda, Takashi Okuda, Yukiko Morinaga, Mitsuo K
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Grade G2 Rectal Neuroendocrine Tumor Is Much More Invasive Compared With G1 Tumor
Yi-Wei Li, Yi-Ping He, Fang-Qi Liu, Jun-Jie Peng, San-Jun Cai, Ye Xu, Ming-He Wang
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Analysis of the Prognostic Effectiveness of a Multivisceral Resection for Locally Advanced Colorectal Cancer: Sejin Park, Yun Sik Lee; J Korean Soc Coloproctol. 2011;27(1):21-26. Published online February 28, 2011; DOI: https://doi.org/10.3393/jksc.2011.27.1.21

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Abstract PDF

Purpose

The aim of this study was to evaluate the prognostic effectiveness of multivisceral resections of organs involved by locally advanced colorectal cancer.

Methods

A retrospective study was performed to analyze the data collected for 266 patients who underwent a curative resection for pT3-pT4 colorectal cancer without distant metastasis from January 2000 to December 2007. Of these 266 patients, 54 patients had macroscopically direct invasion of adjacent organs and underwent a multivisceral resection. We evaluated the short-term and the long-term outcomes of a multiviceral resection relative to that of standard surgery.

Results

The most common location for the primary lesion was the rectum, followed by the right colon and the sigmoid colon. Among the combined resected organs, common organs were the small bowel, ovary, and bladder. In the multivisceral resection group, tumor infiltration was confirmed histologically in 44.4% of the cases while in the remaining patients, a peritumorous adhesion had mimicked tumor invasion. Postoperative complications occurred in 17.5% of the patients who underwent standard surgery vs. 35.2% of those who underwent a multivisceral resection (P < 0.0001). But the survival rate of patients after a multivisceral resection was similar to that of patients after standard surgery (5-year survival rates: 61% vs. 58%; P = 0.36).

Conclusion

For locally advanced colorectal cancer, multivisceral resection was associated with higher postoperative morbidity, but the long-term survival after a curative resection is similar to that after a standard resection. Thus, a multivisceral resection can be recommended for most patients of locally advanced colorectal cancer.

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Treatment Outcomes of Anorectal Melanoma: Byung Min Choi, Hyoung Ran Kim, Hae-Ran Yun, Seung Ho Choi, Yong Beom Cho, Hee Cheol Kim, Seong Hyeon Yun, Woo Yong Lee, Ho-Kyung Chun; J Korean Soc Coloproctol. 2011;27(1):27-30. Published online February 28, 2011; DOI: https://doi.org/10.3393/jksc.2011.27.1.27

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18 Citations

Abstract PDF

Purpose

An anorectal melanoma (AM) is a very rare tumor. However, sufficient data supporting effective surgical options for the disease do not exist. This retrospective review aimed to analyze treatment outcomes for an AM.

Methods

From June 1999 to December 2008, we retrospectively reviewed a prospectively collected consecutive series of 19 patients who had undergone a surgical resection for an AM at a single institute. Surgical method and clinicopathological factors were analyzed.

Results

The median age was 61.4 years (range, 46 to79 years). Main symptoms were an anal mass, hematochezia, perianal pain, tenesmus, fecal incontinence, and bowel habit change. The average duration of symptoms before diagnosis was 7.8 months (range, 1 to 36 months). S-100 and HMB-45 were positive in all patients, even in non-melanin pigmentation. There were 12 abdominoperineal resections (APRs) and 7 wide local excisions (WEs). The APR showed longer overall survival when compared with the WE (64.1 months vs. 10.9 months, P < 0.001). No patients who underwent a WE survived more than 13 months.

Conclusion

A high index of suspicion is necessary to establish the diagnosis for an AM in patients with anal symptoms, and S-100 and HMB-45 can be useful markers for an AM. Even with the small number of cases and the short follow-up, our data suggest that an APR for an AM may provide longer survival than a WE.

Citations

Citations to this article as recorded by

Optimal surgical management strategy for treatment of primary anorectal malignant melanoma—a systematic review and meta-analysis
Hugo C. Temperley, Niall J. O’Sullivan, Alan Keyes, Dara O. Kavanagh, John O. Larkin, Brian J. Mehigan, Paul H. McCormick, Michael E. Kelly
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Trends in the management of anorectal melanoma: A multi-institutional retrospective study and review of the world literature
Josh Bleicher, Jessica N Cohan, Lyen C Huang, William Peche, T Bartley Pickron, Courtney L Scaife, Tawnya L Bowles, John R Hyngstrom, Elliot A Asare
World Journal of Gastroenterology.2021; 27(3): 267. CrossRef
Survival following surgical treatment for anorectal melanoma seems similar for local excision and extensive resection regardless of nodal involvement
E. Jutten, S. Kruijff, A.B. Francken, H.L. van Westreenen, K.P. Wevers
Surgical Oncology.2021; 37: 101558. CrossRef
Response to Kahlke et al
Audrius Dulskas
Colorectal Disease.2021; 23(11): 3029. CrossRef
Three Cases of Anorectal Malignant Melanoma Treated with Laparoscopic Abdominoperineal Resection
Shin Yoshida, Nobuaki Suzuki, Shinobu Tomochika, Yoshitaro Shindo, Yukio Tokumitsu, Michihisa Iida, Shigeru Takeda, Tatsuya Ioka, Shoichi Hazama, Tsuzuri Shirahama, Hiroo Kawano, Eiji Ikeda, Hiroaki Nagano
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Clinical Impact of Tumor Regression Grade after Preoperative Chemoradiation for Locally Advanced Rectal Cancer: Subset Analyses in Lymph Node Negative Patients: Byung Soh Min, Nam Kyu Kim, Ju Yeon Pyo, Hoguen Kim, Jinsil Seong, Ki Chang Keum, Seung Kook Sohn, Chang Hwan Cho; J Korean Soc Coloproctol. 2011;27(1):31-40. Published online February 28, 2011; DOI: https://doi.org/10.3393/jksc.2011.27.1.31

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10 Citations

Abstract PDF

Background

We investigated the prognostic significance of tumor regression grade (TRG) after preoperative chemoradiation therapy (preop-CRT) for locally advanced rectal cancer especially in the patients without lymph node metastasis.

Methods

One-hundred seventy-eight patients who had cT3/4 tumors were given 5,040 cGy preoperative radiation with 5-fluorouracil/leucovorin chemotherapy. A total mesorectal excision was performed 4-6 weeks after preop-CRT. TRG was defined as follows: grade 1 as no cancer cells remaining; grade 2 as cancer cells outgrown by fibrosis; grade 3 as a minimal presence or absence of regression. The prognostic significance of TRG in comparison with histopathologic staging was analyzed.

Results

Seventeen patients (9.6%) showed TRG1. TRG was found to be significantly associated with cancer-specific survival (CSS; P = 0.001) and local recurrence (P = 0.039) in the univariate study, but not in the multivariate analysis. The ypN stage was the strongest prognostic factor in the multivariate analysis. Subgroup analysis revealed TRG to be an independent prognostic factor for the CSS of ypN0 patients (P = 0.031). TRG had a stronger impact on the CSS of ypN (-) patients (P = 0.002) than on that of ypN (+) patients (P = 0.521). In ypT2N0 and ypT3N0, CSS was better for TRG2 than for TRG3 (P = 0.041, P = 0.048), and in ypN (-) and TRG2 tumors, CSS was better for ypT1-2 than for ypT3-4 (P = 0.034).

Conclusion

TRG was found to be the strongest prognostic factor in patients without lymph node metastasis (ypN0), and different survival was observed according to TRG among patients with a specific histopathologic stage. Thus, TRG may provide an accurate prediction of prognosis and may be used for f tailoring treatment for patients without lymph node metastasis.

Citations

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M.R.S. Siddiqui, K.L. Gormly, J. Bhoday, S. Balyansikova, N.J. Battersby, M. Chand, S. Rao, P. Tekkis, A.M. Abulafi, G. Brown
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Case Reports

A Case of Small Bowel Obstruction Due to a Paracecal Hernia: Eun-Jung Jang, Seung Hyun Cho, Dae-Dong Kim; J Korean Soc Coloproctol. 2011;27(1):41-43. Published online February 28, 2011; DOI: https://doi.org/10.3393/jksc.2011.27.1.41

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27 Download
25 Citations

Abstract PDF

Internal hernias are rare causes of small bowel obstruction, and one such internal hernia is the paracecal hernia. We report a case of a small bowel obstruction related to a paracecal hernia in which a preoperative diagnosis was made on computed tomography. A laparotomy was performed for definitive diagnosis and treatment. The surgery achieved a good outcome.

Citations

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Surgical Management of Pericaecal Hernia in a Virgin Abdomen
Jia Ling Ong, Wei Chuan Tan, Kien Fatt Sean Lee, Kuan Yuen Yeong, Choon Sheong Seow
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Internal Hernia Through a Congenital Defect in Broad Ligament: A Rare and Elusive Cause of Intestinal Obstruction
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Ruptured Ovarian Cyst Masking Diagnosis of Hernia Through Broad Ligament of Uterus: A Case Report
Pankaj Agrawal, John T. Grab, Harold R. Howe, Kimberly Cross
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“PRIMARY INTERNAL HERNIA IN ADULT: A RARE CASE OF ACUTE ABDOMEN”.
Pooja Pandey, Abhishek Ghosh, Abhishek Ranjan, Shyamendra Pratap Sharma
INTERNATIONAL JOURNAL OF SCIENTIFIC RESEARCH.2022; : 60. CrossRef
Uncommon presentation of small bowel pericaecal hernia in an octogenarian
Balakrishnan Gurumurthi, William Luffman, Mutee Rehman, Taher Fatayer, Abhiram Sharma
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Heterogeneity of internal hernia post anterior resection: a missed diagnosis
Anshini Jain, Suat Chin Ng, Nicholas Savage, Daniel Lamanna, Satish Warrier, Phil Smart
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Laparoscopic management of a small bowel obstruction caused by an unusual pericecal hernia: Case report
Abdullah J. AlShehri, Mohannad A. Alsofyani, Bander Al Omeyr, Marwan Amin Abufara, Ali Mohammed Alzahrani, Rami Abdulrahman Sairafi
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HERNIATION THROUGH LESSER SAC: A RARE TYPE OF PRIMARY INTERNAL HERNIA CAUSING SMALL INTESTINAL OBSTRUCTION
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Paracecal hernia due to membranous adhesion of the omentum to the right paracolic gutter
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RETROCECAL HERNIA: A RARE CAUSE OF SMALL BOWEL OBSTRUCTION
Lal Mani Singh, Vinod Yedalwar
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Laparoscopic Treatment of Adult Sigmoidorectal Intussusception Caused by a Mucinous Adenocarcinoma of the Sigmoid Colon: A Case Report: Seok Youn Lee, Won Cheol Park, Jeong Kyun Lee, Dong Baek Kang, Young Kim, Ki Jung Yun; J Korean Soc Coloproctol. 2011;27(1):44-49. Published online February 28, 2011; DOI: https://doi.org/10.3393/jksc.2011.27.1.44

4,257 View
53 Download
3 Citations

Abstract PDF

Intussusception is a rare cause of intestinal obstruction in adult patients, but is common in children. In fact, it accounts for an estimated 1% of all cases of bowel obstruction in adults, although adult intussusception of the large intestine is rare. Sigmoidorectal intussusception, however, is a rare variety with few cases reported in the literature. A mucinous adenocarcinoma, a subtype of adenocarcinoma, is characterized by extracellular mucin production and accounts for between 5% and 15% of the neoplasms of the colon and rectum. Despite the general consensus supporting surgical resections for adult intussuceptions, controversy remains over whether intussuceptions should be reduced before resection. Most cases of colon intussusception should not be reduced before resection because they most likely represent a primary adenocarcinoma. However, prior reduction followed by a resection can be considered for the sigmoidorectal intussusception to avoid inadvertent low rectal cancer sugery. We experienced one case of sigmoidorectal intussusception caused by a mucinous adenocarcinoma of the sigmoid colon in a 79-year-old woman. Abdominal computed tomography demonstrated a sigmoidorectal intussusception. After the end-to-end anastomosis-dilator-assisted reduction, the patient underwent a laparoscopic oncological anterior resection under the impression that a sigmoidorectal intussusception existed. We report a successful laparoscopic anterior resection in a patient with an intussusception caused by a sigmoid malignant tumor.

Citations

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Haruna Onoyama, Takashi Nakamura, Yuka Ahiko, Naoki Sakuyama, Susumu Aikou, Dai Shida
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