Annals of Coloproctology

Volume 27(4); August 2011

Editorials

Parastomal Hernia-the Achilles Heel of a Permanent Colostomy: Suk-Hwan Lee; J Korean Soc Coloproctol. 2011;27(4):163-164. Published online August 31, 2011; DOI: https://doi.org/10.3393/jksc.2011.27.4.163

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Condition for Good Quality of Life after Surgery for Slow Transit Constipation: Yong Hee Hwang; J Korean Soc Coloproctol. 2011;27(4):165-165. Published online August 31, 2011; DOI: https://doi.org/10.3393/jksc.2011.27.4.165

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Citations

Citations to this article as recorded by

Outcomes of laparoscopic subtotal colectomy with cecorectal anastomosis for slow-transit constipation: a single center retrospective study
Dong Yang, Liang He, Tong-Rong Su, Yan Chen, Quan Wang
Acta Chirurgica Belgica.2019; 119(2): 83. CrossRef

Review

Management of Colorectal Trauma: Won Jun Choi; J Korean Soc Coloproctol. 2011;27(4):166-172. Published online August 31, 2011; DOI: https://doi.org/10.3393/jksc.2011.27.4.166

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Although the treatment strategy for colorectal trauma has advanced during the last part of the twentieth century and the result has improved, compared to other injuries, problems, such as high septic complication rates and mortality rates, still exist, so standard management for colorectal trauma is still a controversial issue. For that reason, we designed this article to address current recommendations for management of colorectal injuries based on a review of literature. According to the reviewed data, although sufficient evidence exists for primary repair being the treatment of choice in most cases of nondestructive colon injuries, many surgeons are still concerned about anastomotic leakage or failure, and prefer to perform a diverting colostomy. Recently, some reports have shown that primary repair or resection and anastomosis, is better than a diverting colostomy even in cases of destructive colon injuries, but it has not fully established as the standard treatment. The same guideline as that for colonic injury is applied in cases of intraperitoneal rectal injuries, and, diversion, primary repair, and presacral drainage are regarded as the standards for the management of extraperitoneal rectal injuries. However, some reports state that primary repair without a diverting colostomy has benefit in the treatment of extraperitoneal rectal injury, and presacral drainage is still controversial. In conclusion, ideally an individual management strategy would be developed for each patient suffering from colorectal injury. To do this, an evidence-based treatment plan should be carefully developed.

Citations

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The Role of Diagnostic Laparoscopy in the Evaluation of Abdominal Trauma Patients: A Trauma Quality Improvement Program Study
Han‐Hsi Chiu, Yu‐San Tee, Chih‐Po Hsu, Ting‐An Hsu, Chi‐Tung Cheng, Chien‐Hung Liao, Chi‐Hsun Hsieh, Chih‐Yuan Fu
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Laparoscopic treatment for colonic injuries following penetrating trauma: A feasible option in a surgical department of Sub-Saharan Africa
Abdourahmane Ndong, Adja Coumba Diallo, Mohamed Lamine Diao, Jacques Noel Tendeng, Ndiamé Sarr, Ismael Bayo Racine, Jacques Diounda Diatta, Saer Diop, Modou Gaye, Moustapha Diedhiou, Philippe Manyacka Ma Nyemb, Ibrahima Konaté
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Similar mechanisms of traumatic rectal injuries in patients who had anal sex with animals to those who were butt-fisted by human sexual partner
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Original Articles

Surgical Treatment of a Parastomal Hernia: Seung Chul Heo, Heung-Kwon Oh, Yoon Suk Song, Mi Sun Seo, Eun Kyung Choe, Seungbum Ryoo, Kyu Joo Park; J Korean Soc Coloproctol. 2011;27(4):174-179. Published online August 31, 2011; DOI: https://doi.org/10.3393/jksc.2011.27.4.174

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Abstract PDF

Purpose

Parastomal hernia is a major complication of an intestinal stoma. This study was performed to compare the results of various operative methods to treat parastomal hernias.

Methods

Results of surgical treatment for parastomal hernias (postoperative recurrence, complications and postoperative hospital stays) were surveyed in 39 patients over an 11-year period. The patients enrolled in this study underwent surgery by a single surgeon to exclude surgeon bias.

Results

Seventeen patients were male, and twenty-two patients were female. The mean age was 65.9 years (range, 36 to 86 years). The stomas were 35 sigmoid-end-colostomies (90%), 2 loop-colostomies (5%), and 2 double-barrel-colostomies. Over half of the hernias developed within two years after initial formation. Stoma relocation was performed in 8 patients, suture repair in 14 patients and mesh repair in 17 patients. Seven patients had recurrence of the hernia, and ten patients suffered from complications. Postoperative complications and recurrence were more frequent in stoma relocation than in suture repair and mesh repair. Emergency operations were performed in four patients (10.3%) with higher incidence of complications but not with increased risk of recurrence. Excluding emergency operations, complications of relocations were not higher than those of mesh repairs. Postoperative hospital stays were shortest in mesh repair patients.

Conclusion

In this study, mesh repair showed low recurrence and a low complication rate with shorter hospital stay than relocation methods, though these differences were not statistically significant. Further studies, including randomized trials, are necessary if more reliable data on the surgical treatment of parastomal hernias are to be obtained.

Citations

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Stoma-Related Complications: A Single-Center Experience and Literature Review
Zalán Benedek, Loránd Kocsis, Orsolya Bauer, Nicolae Suciu, Sorin Sorlea, Călin Crăciun, Rareș Georgescu, Marius Florin Coroș
Journal of Interdisciplinary Medicine.2022; 7(2): 31. CrossRef
The Association of Coloproctology of Great Britain and Ireland consensus guidelines in emergency colorectal surgery
Andrew S. Miller, Kathryn Boyce, Benjamin Box, Matthew D. Clarke, Sarah E. Duff, Niamh M. Foley, Richard J. Guy, Lisa H. Massey, George Ramsay, Dominic A. J. Slade, James A. Stephenson, Phil J. Tozer, Danette Wright
Colorectal Disease.2021; 23(2): 476. CrossRef
Prevention and treatment of parastomal hernia: a position statement on behalf of the Association of Coloproctology of Great Britain and Ireland

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Repair of complex parastomal hernias
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J. Al Shakarchi, J. G. Williams
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Korrektur der parastomalen Hernie mit Netz
A. Lampel, N. Runkel
Der Urologe.2012; 51(7): 965. CrossRef
Analysis of Risk Factors for the Development of Incisional and Parastomal Hernias in Patients after Colorectal Surgery
In Ho Song, Heon-Kyun Ha, Sang-Gi Choi, Byeong Geon Jeon, Min Jung Kim, Kyu Joo Park
Journal of the Korean Society of Coloproctology.2012; 28(6): 299. CrossRef

Surgical Outcomes after Total Colectomy with Ileorectal Anastomosis in Patients with Medically Intractable Slow Transit Constipation: Guiyun Sohn, Chang Sik Yu, Chan Wook Kim, Jae Young Kwak, Tae Young Jang, Kyung Ho Kim, Song Soo Yang, Yong Sik Yoon, Seok-Byung Lim, Jin Cheon Kim; J Korean Soc Coloproctol. 2011;27(4):180-187. Published online August 31, 2011; DOI: https://doi.org/10.3393/jksc.2011.27.4.180

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Abstract PDF

Purpose

The aim of this study was to evaluate outcomes of a total colectomy with ileorectal anastomosis in patients with slow transit constipation.

Methods

A retrospective review of 37 consecutive patients with slow transit constipation who underwent a total colectomy between 1994 and 2008 was undertaken. Preoperative and postoperative Wexner's constipation scores were collected and used to evaluate the outcomes after surgical treatment. Also patients' postoperative satisfaction scores were collected using a 4-point scale.

Results

The 37 patients consisted of 31 women and 6 men, with a median age of 41 years (range, 17 to 71 years). Pre- and post-operative Wexner's scores were collected from 33 patients (89.1%), and the mean preoperative Wexner's score was 19.3 (range, 11 to 24), which decreased to an average post-operative score of 2.3 (range, 0 to 8). Neither intraoperative complications nor postoperative mortalities were noted. Five patients (13.5%) had early postoperative complications, and the most common complication was postoperative ileus (10.8%). Seven patients (18.9%) had late postoperative complications, and postoperative ileus (10.8%) was also the most common. Twenty seven of 33 patients were satisfied with their surgical outcome (81.8%).

Conclusion

A total colectomy with ileorectal anastomosis might be an effective surgical procedure with acceptable morbidity to treat medically intractable slow transit constipation.

Citations

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Journal of Gastrointestinal Surgery.2024; 28(2): 170. CrossRef
Ileorectal intussusception compared to end-to-end ileorectal anastomosis after laparoscopic total colectomy in slow-transit constipation
Hong Zhi Geng, Chen Xu, Yongjun Yu, Jiying Cong, Zhao Zhang, Yuwei Li, Qilong Chen
Current Problems in Surgery.2024; 61(6): 101471. CrossRef
A systematic review of outcomes and quality of life after ileorectal anastomosis for ulcerative colitis
Mohammed Al-Rashedy, Tanmoy Mukherjee, Alan Askari, Shashank Gurjar
Arab Journal of Gastroenterology.2023; 24(2): 79. CrossRef
Laparoscopic total colectomy with ileorectal anastomosis and subtotal colectomy with antiperistaltic cecorectal anastomosis for slow transit constipation
Xiu-Mei Deng, Tian-Yu Zhu, Guo-Jun Wang, Bu-Lang Gao, Rui-Xin Li, Jing-Tao Wang
Updates in Surgery.2023; 75(4): 871. CrossRef
Single-incision clipless laparoscopic total colectomy for intractable slow transit constipation: a single surgeon’s experience
Hidejiro Kawahara, Nobuo Omura
Langenbeck's Archives of Surgery.2022; 407(6): 2585. CrossRef
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Adrian Constantin, Florin Achim, Dan Spinu, Bogdan Socea, Dragos Predescu
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Stella C M Heemskerk, Adriënne H Rotteveel, Jarno Melenhorst, Stéphanie O Breukink, Merel L Kimman, Carmen D Dirksen
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Defecation function and quality of life in patients with slow-transit constipation after colectomy
Yue Tian, Li Wang, Jing-Wang Ye, Yong Zhang, Hui-Chao Zheng, Hao-De Shen, Fan Li, Bao-Hua Liu, Wei-Dong Tong
World Journal of Clinical Cases.2020; 8(10): 1897. CrossRef
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Peter Chia Yeh, Francisco Orejuela, Lisa Haubert
International Urogynecology Journal.2019; 30(3): 501. CrossRef
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D. Strijbos, D. Keszthelyi, A. A. M. Masclee, L. P. L. Gilissen
Neurogastroenterology & Motility.2018;[Epub] CrossRef
Searching for a definition for pharmacologically refractory constipation: A systematic review
Alex Yu Sen Soh, Jin‐Yong Kang, Kewin Tien Ho Siah, Carmelo Scarpignato, Kok‐Ann Gwee
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Patient-Reported Outcome After Ostomy Surgery for Chronic Constipation
Fareed Iqbal, Valerie van der Ploeg, Franklin Adaba, Alan Askari, Jamie Murphy, R. John Nicholls, Carolynne Vaizey
Journal of Wound, Ostomy & Continence Nursing.2018; 45(4): 319. CrossRef
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Colonic Inertia: approach and treatment
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Khalil N. Bitar, Elie Zakhem
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Surgical management of severe constipation due to slow transit and obstructed defecation syndrome
Venetia Giannakaki, Liliana Bordeianou
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Evaluating the safety and the effects on colonic compliance of neostigmine during motility testing in patients with chronic constipation
M. A. Mouchli, M. Camilleri, T. Lee, G. Parthasarathy, P. Vijayvargiya, M. Halland, A. Acosta, A. E. Bharucha
Neurogastroenterology & Motility.2016; 28(6): 871. CrossRef
Comparison of laparoscopic subtotal colectomy with posterior vaginal suspension and laparoscopic subtotal colectomy with transvaginal repair for patients with slow-transit constipation complicated with rectocele: a non-randomized comparative study in a si
Si Yu, Jian-zhong Deng, Xiang Peng, Yong-hui Zhou, Long-qing Cheng, Yi-ban Lin, Jia-cheng Zhu, Te-dong Luo
Surgical Endoscopy.2016; 30(7): 2759. CrossRef
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P. F. Vollebregt, A. K. E. Elfrink, W. J. H. J. Meijerink, R. J. F. Felt-Bersma
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Ralph Hurley O’Dwyer, Andrés Acosta, Michael Camilleri, Duane Burton, Irene Busciglio, Adil E. Bharucha
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Chronic severe constipation
Nikolaos P. Andromanakos, Stamatis I. Pinis, Alkiviadis I. Kostakis
European Journal of Gastroenterology & Hepatology.2015; 27(3): 204. CrossRef
Lanreotide Autogel in the Treatment of Persistent Diarrhea following a Total Colectomy
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A modified total colonic exclusion for elderly patients with severe slow transit constipation
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Is Conservative Treatment with Antibiotics the Correct Strategy for Management of Right Colonic Diverticulitis?: A Prospective Study: Tae Jung Kim, In Kyu Lee, Jong Kyung Park, Yoon Suk Lee, Youn Si, Hun Jung, Hyung Jin Kim, Sang Chul Lee, Dae Young Cheung, Lee D. Gorden, Seung Taek Oh; J Korean Soc Coloproctol. 2011;27(4):188-193. Published online August 31, 2011; DOI: https://doi.org/10.3393/jksc.2011.27.4.188

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Abstract PDF

Purpose

The goals of this study were to identify whether conservative treatment with antibiotics in right colonic diverticulitis (RCD) patients, our empirical method used until now, is adequate and to determine how the natural history of RCD is affected by conservative treatment.

Methods

This study was designed as a case-control study. Group I was comprised of 12 patients who were managed conservatively, and clinical data were retrospectively collected. In group II, a total of 49 patients, diagnosed by using diagnostic criteria for RCD and managed conservatively, were prospectively included.

Results

The period of fasting was 2.7 days, and the hospital stay was 4.6 days in all patients. The intravenous and the oral antibiotic periods were 3.8 days and 9.8 days, respectively. There were no statistically significant differences in treatment results between the two groups except the duration of fasting and the hospitalization, and there were no complications under conservative treatment. Eight patients (13.1%) had recurrent diverticulitis during the follow-up period. The recurrence risk showed no significant difference between the groups. The RCD-free period after management was 60.1 months, and patients with recurrent RCD were treated by conservative treatment or laparoscopic surgery.

Conclusion

Conservative treatment with antibiotics is the optimal treatment of choice for RCD and shows no increase in complications.

Citations

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The outcomes of right-sided and left-sided colonic diverticulitis following non-operative management: a systematic review and meta-analysis
Sih-Shiang Huang, Chih-Wei Sung, Hsiu-Po Wang, Wan-Ching Lien
World Journal of Emergency Surgery.2022;[Epub] CrossRef
Caecal diverticulitis can be misdiagnosed as acute appendicitis: a systematic review of the literature
Isabelle Uhe, Jeremy Meyer, Manuela Viviano, Surrennaidoo Naiken, Christian Toso, Frédéric Ris, Nicolas C. Buchs
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Laparoscopic diverticulectomy versus non-operative treatment for uncomplicated right colonic diverticulitis
Le Huy Luu, Nguyen Lam Vuong, Vo Thi Hong Yen, Do Thi Thu Phuong, Bui Khac Vu, Nguyen Viet Thanh, Nguyen Thien Khanh, Nguyen Van Hai
Surgical Endoscopy.2020; 34(5): 2019. CrossRef
Recurrence of Acute Right Colon Diverticulitis Following Nonoperative Management: A Systematic Review and Meta-analysis
Yongjin F. Lee, Dalun D. Tang, Samik H. Patel, Michael A. Battaglia, Beth-Ann Shanker, Robert K. Cleary
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B. Schiltz, C. Dumont, N. C. Buchs, Ph. Morel, F. Ris
Côlon & Rectum.2017; 11(1): 25. CrossRef
Right colonic diverticulitis in Caucasians: presentation and outcomes versus left-sided disease
Laura Valbousquet Schneider, Ingrid Millet, Isabelle Boulay-Coletta, Patrice Taourel, Jérôme Loriau, Marc Zins
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Francesco Ferrara, Jesús Bollo, Letizia V Vanni, Eduardo M Targarona
Cirugía Española.2016; 94(10): 553. CrossRef
Diagnosis and Management of Right Colonic Diverticular Disease: A Review
Francesco Ferrara, Jesús Bollo, Letizia V. Vanni, Eduardo M. Targarona
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Risk factors for recurrence of right colonic uncomplicated diverticulitis after first attack
Hyoung-Chul Park, Byung Seup Kim, Kwanseop Lee, Min Jeong Kim, Bong Hwa Lee
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Solitary Cecal Diverticulitis: An Unusual Cause of Acute Right Iliac Fossa Pain—A Case Report and Review of the Literature
Nikolaos Mudatsakis, Marinos Nikolaou, Konstantinos Krithinakis, Michail Matalliotakis, Nikolaos Politis, Emmanouil Andreadakis
Case Reports in Surgery.2014; 2014: 1. CrossRef
Prediction and management of recurrent right colon diverticulitis
Sun Min Park, Taek Soo Kwon, Dong Jin Kim, Yoon Suk Lee, Dae Young Cheung, Seong Taek Oh, Jun-Gi Kim, In Kyu Lee
International Journal of Colorectal Disease.2014; 29(11): 1355. CrossRef
Mesalamine Did Not Prevent Recurrent Diverticulitis in Phase 3 Controlled Trials
Jeffrey B. Raskin, Michael A. Kamm, M. Mazen Jamal, Juan Márquez, Ehud Melzer, Robert E. Schoen, Tibor Szalóki, Karen Barrett, Paul Streck
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Value and Interpretation of Resection Margin after a Colonoscopic Polypectomy for Malignant Polyps: Eun Jung Jang, Dae Dong Kim, Chang Ho Cho; J Korean Soc Coloproctol. 2011;27(4):194-201. Published online August 31, 2011; DOI: https://doi.org/10.3393/jksc.2011.27.4.194

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Abstract PDF

Purpose

This study was designed to compare the clinicopathologic findings of an endoscopic polypectomy for malignant polyps with subsequent surgery and to evaluate the appropriateness of the pathologic finding criterion of the resection margin as an indicator for surgery in cases of malignant colorectal polyps.

Methods

We examined the clinicopathologic characteristics, complications and prognoses among the patients who underwent a colonoscopic polypectomy in both our hospitals and at other hospitals from April 2003 and April 2010. These patients were divided into two groups, the group (non-operation group) that only underwent a polypectomy (n = 37) and the group (operation group) that underwent a polypectomy with subsequent surgery (n = 33).

Results

There were no differences between two groups in the ratios of the number of men to the number of women, the ages or the comorbidities. In terms of endoscopic findings, we found no differences between the two groups in the locations of the polyps, the sizes of the polyps, or the presence of stalks. However, ulceration of polyps was higher in the non-operation group (51.5% vs. 21.6%; P = 0.009), as was the case with submucosal invasion (75.8% vs. 16.2%; P < 0.005). When an endoscopic polypectomy was performed, incomplete resection margins and specimens with margins involved occurred more frequently in the operation group (93.9% vs. 51.4%; P < 0.005), but no residual tumor was detected in 31 of 33 (93.9%) patients in that group. One pathologist reviewed the specimens of 54 patients (operation group, 19; non-operation group, 36). Six of the 19 polyps (31.6%) in the operation group and fifteen of the 36 polyps (41.7%) in the non-operation group had a margin without cancer cells.

Conclusion

We may accept the criterion of a safe margin, including a coagulation zone. A multidisciplinary approach has to be developed by surgeons, endoscopists and pathologists based on a discussion of the risk factors for the patient before making a decision on the treatment treatment.

Citations

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Frequency and clinicopathological correlation of gastrointestinal polyps: A six-year single center experience
Goran Mohammed Raouf Abdulqader
Open Medicine.2024;[Epub] CrossRef
Factors Predicting Malignant Occurrence and Polyp Recurrence after the Endoscopic Resection of Large Colorectal Polyps: A Single Center Experience
Olga Mandic, Igor Jovanovic, Mirjana Cvetkovic, Jasmina Maksimovic, Tijana Radonjic, Maja Popovic, Novica Nikolic, Marija Brankovic
Medicina.2022; 58(10): 1440. CrossRef
Near-infrared photoimmunotherapy is effective treatment for colorectal cancer in orthotopic nude-mouse models
Hannah M. Hollandsworth, Siamak Amirfakhri, Filemoni Filemoni, Justin Molnar, Robert M. Hoffman, Paul Yazaki, Michael Bouvet, Irina V. Lebedeva
PLOS ONE.2020; 15(6): e0234643. CrossRef
Surgical treatment of malignant colon polyps
Nuno Telo Preto Ramos, André Gonçalves, Pedro Correia da Silva, José Barbosa
Journal of Coloproctology.2018; 38(04): 260. CrossRef

Clinical Applications of Radio-Frequency Ablation in Liver Metastasis of Colorectal Cancer: Ji Hun Gwak, Bo-Young Oh, Ryung Ah Lee, Soon Sup Chung, Kwang Ho Kim; J Korean Soc Coloproctol. 2011;27(4):202-210. Published online August 31, 2011; DOI: https://doi.org/10.3393/jksc.2011.27.4.202

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Abstract PDF

Purpose

The aim of this study is to evaluate long-term survival and prognostic factors for radio-frequency ablation (RFA) in colorectal liver metastases.

Methods

We retrospectively reviewed 35 colorectal liver metastases patients who underwent RFA between 2004 and 2008. We analyzed survival after RFA and prognostic factors for survival.

Results

Of the 35 patients, 23 patients were male and 12 were female. Their mean age was 62.40 ± 12.52 years. Mean overall survival was 38.8 ± 4.6 months, and mean progression free survival was 19.9 ± 3.4 months. Three- and 5-year overall survival rates were 42.7 ± 0.1% and 26.0 ± 0.1%, respectively. Three- and 5-year progression-free survival rates were 19.6 ± 0.1% and 4.9 ± 0.04%, respectively. Overall survival and progression-free survival were significantly improved in male and in patients with carcinoembryonic antigen (CEA) ≤ 100 ng/mL, carbohydrate antigen (CA) 19-9 ≤ 100 ng/mL, absence of extrahepatic disease, and a unilobar hepatic lesion. In addition, progression-free survival was improved in patients with a solitary hepatic lesion. On the multivariate analysis, significant survival factors were the absence of extrahepatic disease and the presence of a unilobar hepatic lesion.

Conclusion

RFA for colorectal liver metastases is an effective treatment option in male patients and in patients with CEA or CA19-9 ≤ 100, absence of extrahepatic disease, a solitary hepatic lesion, and a unilobar hepatic lesion.

Citations

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Case Reports

A Case of Successful Colonoscopic Treatment of Colonic Obstruction Caused by Phytobezoar: Sang Seok Yoon, Min Seong Kim, Dong Yoon Kang, Tack Su Yun, Jun Ho Jeon, Yong Kyu Lee, Se Woong Choi, Chi Hoon Kim; J Korean Soc Coloproctol. 2011;27(4):211-214. Published online August 31, 2011; DOI: https://doi.org/10.3393/jksc.2011.27.4.211

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A phytobezoar is the most common type of bezoar, which is a gastrointestinal mass composed of vegetable. A persimmon is a common cause of a phytobezoar. The majority of bezoars are found in the stomach, with the small intestine being the next most commonly involved site. The colon is a rare site for a bezoar. Recently, we experienced a colonic bezoar that caused colonic obstruction in a 66-year-old female patient who took persimmons regularly. The patient came to the hospital because of abdominal pain and distension. To differentiate a tumor or other problems that can cause intestinal obstruction, we performed an abdominal computed tomography scan and found an ovoid intraluminal mass with a mottled gas pattern in the distal descending colon. A large impacted bezoar was seen in the sigmoid colon, which was completely obstructed, and it was successfully removed by using colonoscopy.

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Colonic phytobezoar
Cláudio Franco do Amaral Kfouri, Maria Clara Ferreira Nonato Romania, Rennan Josely Moreira Julião, André Domingos Pippa Tomazella, Guilherme Paulo Carvalho de Amorim, Cleibe Nicácio da Silva, Claudinei da Silva, Maria Cristina Sartor
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Jong Jin Lee, Jeong Wook Kim
The Korean Journal of Gastroenterology.2015; 66(1): 46. CrossRef
Colonic phytobezoar as a rare cause of large bowel obstruction
Gin Way Law, Diwei Lin, Rebecca Thomas
BMJ Case Reports.2015; : bcr2014208493. CrossRef
PERSIMMON PHYTOBEZOARS IN MEERKATS (SURICATA SURICATTA)
Alicia Hahn, Jennifer D'Agostino, Gretchen Cole, Michael Garner
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A Case of Endoscopic Resection of a Colonic Semipedunculated Leiomyoma: Seung Hwa Lee, Gun Yoong Huh, Yoo Seock Cheong; J Korean Soc Coloproctol. 2011;27(4):215-219. Published online August 31, 2011; DOI: https://doi.org/10.3393/jksc.2011.27.4.215

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Abstract PDF

During colonoscopic examination, epithelial lesions, such as adenomatous polyps, are frequently encountered, unlike subepithelial lesions, such as leiomyomas, which are uncommon. A colonic leiomyoma is a rare tumor, originating either from the mucularis mucosa or from the proper muscle, and accounts for only 3% of all gastrointestinal leiomyomas. Colonic leiomyomas are usually benign and asymptomatic. However, they can sometimes cause symptoms, ie, abdominal pain, intestinal obstruction, hemorrhage, and perforation. The traditional management option for a colonic leiomyoma is surgical resection. Recently, with the development of endoscopy devices and techniques, the endoscopic resection has been considered as an alternative treatment option. We experienced a patient with a leiomyoma that was diagnosed during colonoscopy. The leiomyoma was resected endoscopically without complication. We report this case with a review of the literature.

Citations

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Ascending Colon Leiomyoma: A Case Report of a Uncommon Case
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