Annals of Coloproctology

Volume 27(6); December 2011

Editorials

Clinical Characteristics of Ischemic Colitis According to the Localization: Kwang Ho Kim; J Korean Soc Coloproctol. 2011;27(6):275-275. Published online December 31, 2011; DOI: https://doi.org/10.3393/jksc.2011.27.6.275

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Ischaemic colitis: practical challenges and evidence-based recommendations for management
Alex Hung, Tom Calderbank, Mark A Samaan, Andrew A Plumb, George Webster
Frontline Gastroenterology.2021; 12(1): 44. CrossRef

How to Treat Retrorectal Cysts or Tumors in Adult: Bong Hwa Lee, Hyoung Chul Park, Byung Seup Kim; J Korean Soc Coloproctol. 2011;27(6):276-276. Published online December 31, 2011; DOI: https://doi.org/10.3393/jksc.2011.27.6.276

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Pre-sacral (retrorectal) abnormal tissue and tumours may be described by a new classification – A review article
Mohammad Bukhetan Alharbi
International Journal of Surgery Open.2018; 11: 1. CrossRef

Review

Optimal Treatment of Symptomatic Hemorrhoids: Seok-Gyu Song, Soung-Ho Kim; J Korean Soc Coloproctol. 2011;27(6):277-281. Published online December 31, 2011; DOI: https://doi.org/10.3393/jksc.2011.27.6.277

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18 Citations

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Hemorrhoids are the most common anorectal complaint, and approximately 10 to 20 percent of patients with symptomatic hemorrhoids require surgery. Symptoms of hemorrhoids, such as painless rectal bleeding, tissue protrusion and mucous discharge, vary. The traditional therapeutic strategies of medicine include surgical, as well as non-surgical, treatment. To alleviate symptoms caused by hemorrhoids, oral treatments, such as fiber, suppositories and Sitz baths have been applied to patients. Other non-surgical treatments, such as infrared photocoagulation, injection sclerotherapy and rubber band ligation have been used to fixate the hemorrhoid's cushion. If non-surgical treatment has no effect, surgical treatments, such as a hemorrhoidectomy, procedure for prolapsed hemorrhoids, and transanal hemorrhoidal dearterialization are used.

Citations

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A Hospital-Based Longitudinal Study of Rubber Band Ligation and Sclerotherapy Treatment for Internal Hemorrhoids From South India
Samrobinson J, Jeyaganesh R, Geetha Arumugam, Nawin J Vignesh
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A comparative study of rubber band ligation versus BANANA-Clip in grade 1 to 3 internal hemorrhoids
Dong Wan Kang, Byoung Soo Kim, Ji Hun Kim, Kyong Rae Kim, Gyong Suk Kang
Annals of Coloproctology.2023; 39(1): 41. CrossRef
Treatment of haemorrhoids: rubber band ligation or sclerotherapy (THROS)? Study protocol for a multicentre, non-inferiority, randomised controlled trial
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Trials.2023;[Epub] CrossRef
Finding Molecular Inhibitors of the Inflammatory Pathway in the Large Intestine Along with Molecular Dynamics with Emphasis on the Use of TCM Database
Ali Sargazi, Baratali Fakheri, Abbas Ali Bahari, Nafiseh Mahdinezhad
Gene, Cell and Tissue.2023;[Epub] CrossRef
Possibile ruolo della terapia nutraceutica nel trattamento medico della malattia emorroidaria
Claudio TOSCANA, Leonardo GALLI, Edoardo TOSCANA, Laura BALDINI, Gabriella GIARRATANO, Maria VADALÀ, Beniamino PALMIERI
Gazzetta Medica Italiana Archivio per le Scienze Mediche.2023;[Epub] CrossRef
Hybrid methods treatments for III and IV grade hemorrhoids
E. A. Zagriadskiǐ
Koloproktologia.2023; 22(4): 53. CrossRef
Risk factors for hemorrhoidal disease among healthy young and middle-aged Korean adults
Yun Soo Hong, Kyung Uk Jung, Sanjay Rampal, Di Zhao, Eliseo Guallar, Seungho Ryu, Yoosoo Chang, Hyung Ook Kim, Hungdai Kim, Ho-Kyung Chun, Chong Il Sohn, Hocheol Shin, Juhee Cho
Scientific Reports.2022;[Epub] CrossRef
Doppler-guided hemorrhoidal dearterialization. Technical evolution and results of treatment (review)
E. A. Zagriadskiǐ, V. S. Tolstyh
Koloproktologia.2021; 20(1): 87. CrossRef
Treatment for Hemorrhoids: Conservative Treatment and Office-based Treatments
Tsutomu Masuda, Naoki Inatsugi, Shusaku Yoshikawa, Seiji Terauchi, Hideki Uchida, Takeshi Nakao, Kentaro Yamaoka, Mizumi Inagaki, Takashi Yokoo, Kohei Okamoto
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Comparative Study of Postoperative Complications after Rubber Band Ligation (RBL) and RBL Combined with Sclerotherapy in Treatment of Second- and Third-Degree Internal Hemorrhoids
Zhixian Liu, Xianqing Song, Feng Ye
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THE CHOICE OF TREATMENT IN PATIENTS WITH HEMORRHOIDAL DISEASE (THE RESULTS OF THE OBSERVATIONAL PROGRAM RE-VISION)
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Koloproktologia.2019; 18(4): 100. CrossRef
Postoperative Pain as a Decision-Making Tool in Treating Hemorrhoids on an In- or Out-Patient Basis After Stapled Mucosectomy (Longo Procedure)
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Transanal Hemorrhoidal Dearterialization Versus Stapled Hemorrhoidopexy: Long-Term Follow-up of a Prospective Randomized Study
Gabriella Giarratano, Edoardo Toscana, Claudio Toscana, Giuseppe Petrella, Mostafa Shalaby, Pierpaolo Sileri
Surgical Innovation.2018; 25(3): 236. CrossRef
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Koloproktologia.2018; (1): 27. CrossRef
Haemorrhoids are associated with internal iliac vein reflux in up to one-third of women presenting with varicose veins associated with pelvic vein reflux
JM Holdstock, SJ Dos Santos, CC Harrison, BA Price, MS Whiteley
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A prospective, randomized, three arm, open label study comparing the safety and efficacy of PP110, a novel treatment for hemorrhoids to preparation-H® maximum strength cream in the treatment of grade 2–3 hemorrhoids
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Molecular and Cellular Therapies.2015;[Epub] CrossRef
Recombinant streptokinasevshydrocortisone suppositories in acute hemorrhoids: A randomized controlled trial
Francisco Hernández-Bernal, Georgina Castellanos-Sierra, Carmen M Valenzuela-Silva, Karem M Catasús-Álvarez, Osmany Martínez-Serrano, Odalys C Lazo-Diago, Cimara H Bermúdez-Badell, José R Causa-García, Juan E Domínguez-Suárez
World Journal of Gastroenterology.2015; 21(23): 7305. CrossRef

Original Articles

Clinical Characteristics of Ischemic Colitis According to Location: Ho Jin Chang, Chul Woon Chung, Kwang Hyun Ko, Jong Woo Kim; J Korean Soc Coloproctol. 2011;27(6):282-286. Published online December 31, 2011; DOI: https://doi.org/10.3393/jksc.2011.27.6.282

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11 Citations

Abstract PDF

Purpose

The aim of this study was to analyze various clinical characteristics of ischemic colitis according to its location.

Methods

The medical records of 92 cases of gastrointestinal ischemic colitis (IC) diagnosed at Bundang CHA Hospital from 1995 to 2008 were reviewed and analyzed retrospectively. The patients were diagnosed by using colonoscopic biopsies or laparotomy findings. The patients were divided into two groups, right and left, according to the main involvement area of the IC at the embryologic boundary line of the distal transverse colon, and the two groups were compared as to clinical characteristics and co-morbid diseases.

Results

Left IC was present in 59 patients (64.1%) and right IC in 33 patients (35.9%). No differences between the two groups in terms of clinical characteristics, cardiovascular disease and diabetes mellitus were observed. However, in 16 cases with renal failure, 10 patient had right IC and 6 patients had left IC, and this difference had statistical significance (P = 0.014). Among the 16, the 11 patients requiring hemodialysis included 8 with right IC (24.2%) and 3 with left IC (5.1%; P = 0.009). Among the 19 cases of severe IC requiring surgical treatment or involving mortality, irrespective of surgery, 11 patients showed right IC and 8 patients showed left IC (P = 0.024).

Conclusion

Right-side ischemic colitis was significantly associated with renal failure and disease severity, so patients with right-side colon ischemia should be more carefully observed and managed.

Citations

Citations to this article as recorded by

Ischemic Colitis in a Young Female Following Herbal Supplement Ingestion
Lorraine I Chong Tai, Syed Ahmed, Rajiv R Chokshi
Cureus.2023;[Epub] CrossRef
Colitis isquémica. ¿La localización en el colon derecho tiene peor pronóstico?
Vincenzo Vigorita, Marta Paniagua García-Señoráns, Gianluca Pellino, Paula Troncoso Pereira, Alberto de San Ildefonso Pereira, Enrique Moncada Iribarren, Raquel Sánchez-Santos, Jose Enrique Casal Núñez
Cirugía Española.2022; 100(2): 74. CrossRef
Ischemic colitis. Does right colon location mean worst prognosis?
Vincenzo Vigorita, Marta Paniagua García-Señoráns, Gianluca Pellino, Paula Troncoso Pereira, Alberto de San Ildefonso Pereira, Enrique Moncada Iribarren, Raquel Sánchez-Santos, Jose Enrique Casal Núñez
Cirugía Española (English Edition).2022; 100(2): 74. CrossRef
Real‐world multicentre experience of the pathological features of colonic ischaemia and their relationship to symptom duration, disease distribution and clinical outcome
M. Fenster, P. Feuerstadt, L. J. Brandt, M. S. Mansoor, T. Huisman, O. C. Aroniadis
Colorectal Disease.2018; 20(12): 1132. CrossRef
Colonic ischemia
Ayah Oglat, Eamonn M.M. Quigley
Current Opinion in Gastroenterology.2017; 33(1): 34. CrossRef
The predictors of the severity of ischaemic colitis: a systematic review of 2823 patients from 22 studies
D. Sun, C. Wang, L. Yang, M. Liu, F. Chen
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ACG Clinical Guideline: Epidemiology, Risk Factors, Patterns of Presentation, Diagnosis, and Management of Colon Ischemia (CI)
Lawrence J Brandt, Paul Feuerstadt, George F Longstreth, Scott J Boley
American Journal of Gastroenterology.2015; 110(1): 18. CrossRef
Ischemic colitis: spectrum of CT findings, sites of involvement and severity
Cinthia Cruz, Hani H. Abujudeh, Rosalynn M. Nazarian, James H. Thrall
Emergency Radiology.2015; 22(4): 357. CrossRef
CT Findings in Acute, Subacute, and Chronic Ischemic Colitis: Suggestions for Diagnosis
Francesca Iacobellis, Daniela Berritto, Dominik Fleischmann, Giuliano Gagliardi, Antonio Brillantino, Maria Antonietta Mazzei, Roberto Grassi
BioMed Research International.2014; 2014: 1. CrossRef
Intestinal Ischemia: US-CT findings correlations
A Reginelli, EA Genovese, S Cappabianca, F Iacobellis, D Berritto, P Fonio, F Coppolino, R Grassi
Critical Ultrasound Journal.2013;[Epub] CrossRef
Severe hyperkalemia following colon diversion surgery in a patient undergoing chronic hemodialysis: a case report
Nina Kononowa, Michael J Dickenmann, Min Jeong Kim
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Single-incision Laparoscopic Surgery for Appendiceal Mucoceles: Safety and Feasibility in a Series of 16 Consecutive Cases: Ki Bum Park, Jun Seok Park, Gyu-Seog Choi, Hye Jin Kim, Soo Yeun Park, Jong Pil Ryuk, Won Ho Choi, You Seok Jang; J Korean Soc Coloproctol. 2011;27(6):287-292. Published online December 31, 2011; DOI: https://doi.org/10.3393/jksc.2011.27.6.287

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Abstract PDF

Purpose

The aim of this study was to evaluate the technical feasibility, safety, and oncological outcomes of transumbilical single-incision laparoscopic surgery in patients with an uncomplicated appendiceal mucocele.

Methods

A review of a prospectively collected database at the Kyungpook National University Hospital from January 2006 to September 2010 revealed that a series of 16 consecutive patients underwent single-incision laparoscopic surgery (SILS) for an appendiceal mucocele. Data regarding patient demographics, operating time, conversion, surgical morbidity, lateral lymph node status, and mid-term oncologic result were analyzed.

Results

The reported series consisted of 7 women (50%) and 9 men with a mean age of 61.6 years (range, 41 to 88 years). The mean operative time was 66.8 minutes (range, 33 to 150 minutes). Perioperative mortality and morbidity were 0% and 6.2%, respectively. Recovery after the procedure was rapid, and the mean hospital stay was 6.8 days (range, 3 to 22 days). Pathology revealed 12 lesions compatible with a mucinous cystadenoma and four others compatible with benign cystic tumors. All surgical margins were clear. In one case, an extra port had to be placed, and another case required conversion from SILS to a standard open laparotomy immediately after identification of the tumor because of a micro-perforation with focal mucin collection. With a median follow-up of 28.7 months, no re-admission or tumor recurrence, such as pseudomyxoma peritonei, was noted in 14 patients.

Conclusion

A single-port laparoscopic mucocelectomy should be safe and feasible and has the advantage of being a minimally invasive approach. Prospective controlled studies comparing SILS and conventional open surgery, with long-term follow-up evaluation, are needed to confirm the author's initial experience.

Citations

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Single-incision laparoscopic surgery compared to conventional laparoscopic surgery for appendiceal mucocele: a series of 116 patients
Ho Seung Kim, Han-Gil Kim, Seung Yoon Yang, Yoon Dae Han, Hyuk Hur, Byung Soh Min, Kang Young Lee, Nam Kyu Kim, Min Soo Cho
Surgical Endoscopy.2022; 36(1): 244. CrossRef
Mucinous appendiceal neoplasm: A case report
Alexandru Chirca, Lucian Negreanu, Andreea Iliesiu, Radu Costea
World Journal of Clinical Cases.2021; 9(7): 1728. CrossRef
Actinomycosis of the Appendix Mimicking Cecal Tumor Treated by Single-Port Laparoscopic Approach
In Soo Cho, Sung Uk Bae, Hye Ra Jung, Kyung Sik Park, Woon Kyung Jeong, Seong Kyu Baek
Annals of Coloproctology.2021; 37(2): 125. CrossRef
Surgical Outcomes of Single-Port Laparoscopic Surgery Compared With Conventional Laparoscopic Surgery for Appendiceal Mucinous Neoplasm
In Jun Yang, Minseol Seo, Heung-Kwon Oh, Jeehye Lee, Jung Wook Suh, Duck-Woo Kim, Sung-Bum Kang
Annals of Coloproctology.2021; 37(4): 239. CrossRef
Appendiceal Mucocele - A Review of Literature with a Case Report
Berislav Vekic, Rade Markovic, Aleksandar Cvetkovic, Bojan Stojanovic, Marko Spasic, Nenad Markovic, Mladen Pavlovic, Dusica Petrovic, Bojan Milosevic, Jasna Jevdjic, Maja Vulovic, Dalibor Jovanovic, Slobodanka Mitrovic
Serbian Journal of Experimental and Clinical Research.2021;[Epub] CrossRef
The American Society of Colon and Rectal Surgeons, Clinical Practice Guidelines for the Management of Appendiceal Neoplasms
Sean C. Glasgow, Wolfgang Gaertner, David Stewart, Jennifer Davids, Karim Alavi, Ian M. Paquette, Scott R. Steele, Daniel L. Feingold
Diseases of the Colon & Rectum.2019; 62(12): 1425. CrossRef
Safety and feasibility of laparoscopic surgery for appendiceal mucocele: a multicenter study
Tae Kyu Kim, Jun Ho Park, Jeong Yeon Kim, Byung Chun Kim, Byung Mo Kang, Soo Kee Min, Jong Wan Kim
Surgical Endoscopy.2018; 32(11): 4408. CrossRef
Laparoscopic ileocecal resection can be applied for appendiceal cancer with an ileal fistula: A case report
Junko Mukohyama, Yasuo Sumi, Kiyonori Kanemitsu, Hiroshi Hasegawa, Masashi Yamamoto, Shingo Kanaji, Yoshiko Matsuda, Kimihiro Yamashita, Takeru Matsuda, Taro Oshikiri, Tetsu Nakamura, Satoshi Suzuki, Yoshihiro Kakeji
International Journal of Surgery Case Reports.2018; 52: 120. CrossRef
Minimally invasive appendectomy for resection of appendiceal mucocele: Case series and review of the literature
Sonia T. Orcutt, Daniel A. Anaya, Mokenge Malafa
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Diagnosis and Treatment of Mucinous Appendiceal Neoplasm Presented as Acute Appendicitis
Ioannis Kehagias, Apollon Zygomalas, Georgios Markopoulos, Thanasis Papandreou, Pantelis Kraniotis
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Ki-Jae Park, Hong-Jo Choi, Sung-Heun Kim
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IV. Les recommandations

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Distinguishing between acute appendicitis and appendiceal mucocele: is this possible preoperatively?
B. Saylam, C. E. Güldoğan, F. Coşkun, V. Vural, B. Çomçalı, M. Tez
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A Clinical Comparison of Laparoscopic versus Open Appendectomy for Complicated Appendicitis: Sun Gu Lim, Eun Jung Ahn, Seong Yup Kim, Il Yong Chung, Jong-Min Park, Sei Hyeog Park, Kyoung Woo Choi; J Korean Soc Coloproctol. 2011;27(6):293-297. Published online December 31, 2011; DOI: https://doi.org/10.3393/jksc.2011.27.6.293

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24 Citations

Abstract PDF

Purpose

Although laparoscopic appendectomies (LAs) are performed universally, a controversy still exists whether the LA is an appropriate surgical approach to complicated appendicitis (CA). We retrospectively evaluated the outcomes of laparoscopic versus open appendectomies for CA.

Methods

We retrospectively analyzed 60 consecutive patients who were diagnosed as having CA from July 2009 to January 2011. Outcomes such as operative time, time to soft diet, length of hospital stay, and postoperative complications were analyzed.

Results

There were no statistically significant differences in operative time between the LA and the open appendectomy (OA) groups. Return to soft diet was faster in the LA group (2.1 ± 1.2 vs. 3.5 ± 1.5 days; P = 0.001). Length of hospital stay was shorter for the LA group (4.4 ± 2.3 vs. 5.8 ± 2.9 days; P = 0.045). The overall complication rates showed no statistically significant difference between the two groups. In cases involving a periappendiceal abscess, the LA had a significantly higher incidence of intra-abdominal abscess (IAA) and postoperative ileus (PI; P = 0.028).

Conclusion

The LA showed good results in terms of the time to soft diet, the length of hospital stay, and surgical site infection (SSI) whereas the overall complication rates were similar for the two groups. However, the LA was associated with significantly higher incidence of IAA and PI for the cases with a periappendiceal abscess. Therefore, when using a LA, the surgeon must take great care to minimize the incidence of IAA and PI if a periappendiceal abscess is present.

Citations

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Risk factors for developing intra-abdominal abscess following appendicectomy for acute appendicitis: a retrospective cohort study
B P Mao, G Collins, F E Ayeni, D J Vagg
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The Egyptian Journal of Surgery.2023; 42(3): 736. CrossRef
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Srikanth N. Jarupla, Ganesh Vadthya, Mushtaq A. Chowdhary, Heena D. Tiwari, Pritee R. Pandey, Afroz K. Syed, Akriti Mahajan
Journal of Pharmacy and Bioallied Sciences.2022; 14(Suppl 1): S188. CrossRef
Predictors for prolonged length of stay after laparoscopic appendectomy for complicated acute appendicitis in adults
Aleix Martínez-Pérez, Carmen Payá-Llorente, Sandra Santarrufina-Martínez, Juan Carlos Sebastián-Tomás, Elías Martínez-López, Nicola de’Angelis
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One Year Follow-up Result of Doppler-guided Hemorrhoidal Artery Ligation and Recto-Anal Repair in 97 Consecutive Patients: Wan Jo Jeong, Sung Wook Cho, Kyung Tae Noh, Soon Sup Chung; J Korean Soc Coloproctol. 2011;27(6):298-302. Published online December 31, 2011; DOI: https://doi.org/10.3393/jksc.2011.27.6.298

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14 Citations

Abstract PDF

Purpose

Doppler-guided hemorrhoidal artery ligation and recto-anal repair (DG-HAL & RAR) is known for low recurrence, high patient satisfaction, and less postoperative pain. The purpose of this study is to analyze the 1-year follow-up results in patients who underwent a DG-HAL & RAR and to establish the benefits of the procedure.

Methods

Among the hemorrhoid patients who were admitted to our hospital from March 2008 to May 2010 and who underwent a DG-HAL & RAR, 97 patients who were followed up for a year were investigated. Recurrence, complications, admission period, difference in preoperative and postoperative pain, operation time, and time to return to daily activities were investigated.

Results

The average admission period was 1.6 ± 1.1 days. Pain at postoperative day 7 showed no significant difference from preoperative pain (P > 0.05). The operation time was 34.0 ± 7.3 minutes on average, and return to daily activities was timed at 2.3 ± 2.0 days postoperatively. At the one year follow-up, no serious complications were noted, and preoperative symptoms recurred only in 14 patients (14.4%).

Conclusion

In most patients with hemorrhoids, excluding those with severe prolapsed hemorrhoids, less pain, no serious complications, and good long-term outcome can be expected from a DG-HAL & RAR.

Citations

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Comparison of Excisional Stapler Hemorrhoidopexy Method and Non-Excisional Arterial Detection Ligation Method; One Year Follow-Up
Nevin SAKOĞLU, Aziz OCAKOĞLU
Cukurova Anestezi ve Cerrahi Bilimler Dergisi.2023; 6(2): 290. CrossRef
A new technique of doppler dearterialization for hemorrhoidal disease: arterial detection ligation (ADL)
Serkan Zenger, Bulent Gurbuz, Ugur Can, Tunc Yalti
Surgery Today.2021; 51(4): 612. CrossRef
Doppler-Guided Hemorrhoid Artery Ligation with Recto-Anal Repair Outcome on Female Patients in Basra: Assessment Study
Ohood Leabi, Alaa Abed, Wafa Al-Maliki
Iraqi National Journal of Medicine.2021; 3(1): 84. CrossRef
Doppler-guided hemorrhoidal dearterialization. Technical evolution and results of treatment (review)
E. A. Zagriadskiǐ, V. S. Tolstyh
Koloproktologia.2021; 20(1): 87. CrossRef
TRANSANAL HAEMORRHOIDAL DEARTERIALIZATION WITH MUCOPEXY (THD-M) FOR TREATMENT OF HEMORRHOIDS: IS IT APPLICABLE IN ALL GRADES? BRAZILIAN MULTICENTER STUDY
Carlos Walter SOBRADO, Sidney KLAJNER, José Américo Bacchi HORA, Anderson MELLO, Fabricio Marcondes Luciano da SILVA, Marcos Onofre FRUGIS, Lucas Faraco SOBRADO
ABCD. Arquivos Brasileiros de Cirurgia Digestiva (São Paulo).2020;[Epub] CrossRef
Prospective Randomized Trial Comparing HAL-RAR Versus Excisional Hemorrhoidectomy: Postoperative Pain, Clinical Outcomes, and Quality of Life
Fernando Carvajal López, Carlos Hoyuela Alonso, Montserrat Juvany Gómez, Daniel Troyano Escribano, Miguel Angel Trias Bisbal, Antoni Martrat Macià, Jordi Ardid Brito
Surgical Innovation.2019; 26(3): 328. CrossRef
LASER hemorrhoidal dearterialization
Paulo Boarini, Lucas Rodrigues Boarini, Paulo de Azeredo Passos Candelaria, Edgard Mesquita de Lima, Marcelo Rodrigues Boarini
Journal of Coloproctology.2017; 37(01): 038. CrossRef
Hemorrhoids screening and treatment prior to LVAD: is it a necessity?
Hadi Skouri, Mohammed Shurrab, Jad Zahnan, Samer Deeba, Pierre Sfeir, Walid Gharzuddin, Saleem Haj-Yahia
Journal of Cardiothoracic Surgery.2016;[Epub] CrossRef
A Randomized Controlled Trial Comparing Suture-Fixation Mucopexy and Doppler-Guided Hemorrhoidal Artery Ligation in Patients with Grade III Hemorrhoids
Min Zhai, Yong-An Zhang, Zhen-Yi Wang, Jian-Hua Sun, Jie Wen, Qi Zhang, Jin-De Li, Yi-Zheng Wu, Feng Zhou, Hui-Lei Xu
Gastroenterology Research and Practice.2016; 2016: 1. CrossRef
HAL-RAR (Doppler guided haemorrhoid artery ligation with recto-anal repair) is a safe and effective procedure for haemorrhoids. Results of a prospective study after two-years follow-up
Carlos Hoyuela, Fernando Carvajal, Montserrat Juvany, Daniel Troyano, Miquel Trias, Antoni Martrat, Jordi Ardid, Joan Obiols
International Journal of Surgery.2016; 28: 39. CrossRef
DG-RAR for the treatment of symptomatic grade III and grade IV haemorrhoids: a 12-month multi-centre, prospective observational study
S. Roka, D. Gold, P. Walega, S. Lancee, E. Zagriadsky, A. Testa, A. N. Kukreja, A. Salat
European Surgery.2013; 45(1): 26. CrossRef
Remarks and results from the use of the HAL/RAR technique in the management of patients with haemorrhoids
Christos Farazi-Chongouki, G. Doulgerakis, A. Pantelis, M. Vidali, G. Papaioannou, C. Iordanou, I. Pougouras, L. Palyvos, I. Papandrikos, S. Pierrakakis
Hellenic Journal of Surgery.2013; 85(4): 274. CrossRef
Clinical outcome following Doppler‐guided haemorrhoidal artery ligation: a systematic review
P. H. Pucher, M. H. Sodergren, A. C. Lord, A. Darzi, P. Ziprin
Colorectal Disease.2013;[Epub] CrossRef
Desarterialização transanal guiada por doppler associada ao reparo anorretal na doença hemorroidária: a técnica do THD
Carlos Walter Sobrado-Junior, José Américo Bacchi Hora
ABCD. Arquivos Brasileiros de Cirurgia Digestiva (São Paulo).2012; 25(4): 293. CrossRef

Clinical Study and Review of Articles (Korean) about Retrorectal Developmental Cysts in Adults: Sung Wook Baek, Haeng Ji Kang, Ji Yong Yoon, Do Youn Whang, Duk Hoon Park, Seo Gue Yoon, Hyun Sik Kim, Jong Kyun Lee, Jung Dal Lee, Kwang Yun Kim; J Korean Soc Coloproctol. 2011;27(6):303-314. Published online December 31, 2011; DOI: https://doi.org/10.3393/jksc.2011.27.6.303

5,652 View
53 Download
21 Citations

Abstract PDF

Purpose

A retrorectal developmental cyst (tailgut cyst, epidermoid cyst, dermoid cyst, teratoma, and duplication) is very rare disease, and the symptoms are not characteristic so that sometimes this disease is still misdiagnosed as a supralevator abscess or a complex anal fistula. We would like to present a clinical approach to this disease.

Methods

We retrospectively examined the charts of 15 patients who were treated for retrorectal cysts from January 2001 to November 2009.

Results

All 15 patients were female. The average age was 41 years (range, 21 to 60 years). Fourteen patients (93.3%) were symptomatic, and the most common symptom was anal pain or discomfort. Nine patients (60%) had more than one previous operation (range, 1 to 9 times) for a supralevator abscess, an anal fistula, etc. In 12 patients (80%), the diagnosis could be made by using the medical history and physical examination. Thirteen cysts (80%) were excised completely through the posterior approach. The average diameter of the cysts was 4.8 cm (range, 2 to 10 cm). Pathologic diagnoses were 8 tailgut cysts (53.3%), 5 epidermoid cysts (33.3%) and 2 dermoid cysts (13.3%). The average follow-up period was 18.3 months (range, 1 to 64 months).

Conclusion

In our experience, high suspicion and physical examination are the most important diagnostic methods. If a female patient has a history of multiple perianal operations, a retrorectal bulging soft mass, a posterior anal dimple, and no conventional creamy foul odorous pus in drainage, the possibility of a retrorectal developmental cyst must be considered.

Citations

Citations to this article as recorded by

Pararectal Epidermal Inclusion Cyst in a Pediatric Patient
Nour H Moosa, Hadeel Bozieh, Nermin Darawi, Fatima Hajjaj, Noor Awad, Firas Almasaid
Cureus.2024;[Epub] CrossRef
Endoscopic Resection of Tailgut Cyst
Oleksandr Kiosov, Vladyslav Tkachov, Sergii Gulevskyi, Yoshifumi Nakayama
Case Reports in Gastrointestinal Medicine.2024;[Epub] CrossRef
Presacral Keratinous and Dermoid Cyst Masquerading as Meningocele – A Rare Case Report
Lucky Gupta
African Journal of Paediatric Surgery.2024; 21(4): 271. CrossRef
A report of presacral epidermoid cyst in perimenopausal women: An extremely rare site and an unusual cause of chronic constipation
Salem M. Tos, Afnan W.M. Jobran, Anas Alasafrah, Izzeddin Bakri, Fahmi Jubran
International Journal of Surgery Case Reports.2023; 103: 107880. CrossRef
Retrorectal epidermoid mistaken for perirectal swelling: A case report
Mossaab Ghannouchi, Mohamed Ben Khalifa, Olfa Zoukar, Karim Nacef, Amina Chakka, Moez Boudokhan
International Journal of Surgery Case Reports.2022; 95: 107187. CrossRef
Perirectal epidermoid cyst in a patient with sacrococcygeal scoliosis and anal sinus: A case report
Zhou-Xin Ji, Song Yan, Xu-Can Gao, Li-Fen Lin, Qiang Li, Qi Yao, Dong Wang
World Journal of Clinical Cases.2022; 10(30): 11139. CrossRef
Chinese expert consensus on standardized treatment for presacral cysts
Gangcheng Wang, Chengli Miao
Gastroenterology Report.2022;[Epub] CrossRef
Presacral epidermoid cyst in a pediatric patient
Lilly Gu, Cara L. Berkowitz, John D. Stratigis, Lee K. Collins, Maria Mostyka, Nitsana A. Spigland
Journal of Pediatric Surgery Case Reports.2021; 71: 101904. CrossRef
Epidemiology, diagnostic approach and therapeutic management of tailgut cysts: A systematic review
Aikaterini Mastoraki, Ilias Giannakodimos, Karmia Panagiotou, Maximos Frountzas, Dimosthenis Chrysikos, Stylianos Kykalos, Georgios E. Theodoropoulos, Dimitrios Schizas
International Journal of Clinical Practice.2021;[Epub] CrossRef
Successful excision of a retrorectal cyst through trans-sacral approach: A case report
Tlal Matouq Alsofyani, Mohammed Yousef Aldossary, Faisal Fahd AlQahtani, Khalid Sabr, Ameera Balhareth
International Journal of Surgery Case Reports.2020; 71: 307. CrossRef
Anal Gland/Duct Cyst: A Case Report
Guh Jung Seo, Ju Heon Seo, Kyung Jin Cho, Hyung-Suk Cho
Annals of Coloproctology.2020; 36(3): 204. CrossRef
Retrorectal Epidermal Inclusion Cyst: An Incidental Finding During Cesarean Section
Sundus Nasim, Sohail Kumar, Dua Azim, Lajpat Rai, Summaya Saeed
Cureus.2020;[Epub] CrossRef
Combined laparoscopic and perineal approach for the management of recurrent tailgut cyst
Ankur Patel, Pranav Mandovra, Tanveer Majeed, Roy V Patankar
Asian Journal of Endoscopic Surgery.2019; 12(2): 181. CrossRef
Laparoscopic management of epidermoid cyst in an unusual location
Sindhuja Kesavan, Ramakrishnan Parthasarathi, Prakhar Gupta, Chinnusamy Palanivelu
BMJ Case Reports.2019; 12(2): e228043. CrossRef
Tailgut cyst: report of three cases and review of the literature
Ann-Sophie Hufkens, Peter Cools, Paul Leyman
Acta Chirurgica Belgica.2019; 119(2): 110. CrossRef
Malignant transformation of tailgut cysts is significantly higher than previously reported: systematic review of cases in the literature
K. Nicoll, C. Bartrop, S. Walsh, R. Foster, G. Duncan, C. Payne, C. Carden
Colorectal Disease.2019; 21(8): 869. CrossRef
Laparoscopic surgical management of a mature presacral teratoma: a case report
Liming Wang, Yasumitsu Hirano, Toshimasa Ishii, Hiroka Kondo, Kiyoka Hara, Shintaro Ishikawa, Takuhisa Okada, Nao Obara, Shigeki Yamaguchi
Surgical Case Reports.2019;[Epub] CrossRef
Pre-sacral (retrorectal) abnormal tissue and tumours may be described by a new classification – A review article
Mohammad Bukhetan Alharbi
International Journal of Surgery Open.2018; 11: 1. CrossRef
Precoccygeal epidermoid cyst in a child — A unique case report
J.S. Aihole, G. Aruna, J. Deepak, S. Supriya
African Journal of Urology.2018; 24(4): 336. CrossRef
A Complicated Case of Pregnancy Involving a Presacral Epidermoid Cyst
Daisuke Shigemi, Seiryu Kamoi, Akihisa Matsuda, Toshiyuki Takeshita
Journal of Nippon Medical School.2017; 84(2): 100. CrossRef
Presacral Noncommunicating Enteric Duplication Cyst
Shabnam Seydafkan, David Shibata, Julian Sanchez, Nam D. Tran, Marino Leon, Domenico Coppola
Cancer Control.2016; 23(2): 170. CrossRef

Risk Factors of Early Postoperative Small Bowel Obstruction Following a Proctectomy for Rectal Cancer: Jin Yong Shin; J Korean Soc Coloproctol. 2011;27(6):315-321. Published online December 31, 2011; DOI: https://doi.org/10.3393/jksc.2011.27.6.315

3,877 View
41 Download
5 Citations

Abstract PDF

Purpose

Postoperative small bowel obstruction is a common and serious complication following a proctectomy, and early postoperative small bowel obstruction (EPSBO) leads to longer hospital stays, delays chemotherapy in advanced cases, and may be a contributor to mortality. The goal of this study is to identify the risk factors of EPSBO after a proctectomy for rectal cancer, thereby seeking to reduce the incidence of EPSBO.

Methods

Patients (735) who underwent a proctectomy for rectal cancer between March 2005 and February 2010 were entered into this study, and data were collected prospectively. Patients were judged to have EPSBO if, within the first 30 days, they presented symptoms such as nausea, vomiting and abdominal distention lasting for 2 days, and radiologic finding of small bowel obstruction after evidence of return of small bowel motility. The association between EPSBO and patients and surgery-related variables were studied by using univariate and multivariate analyses.

Results

EPSBO developed in 47 cases (6.4%) and was the most frequently occurring complication in the early perioperative period following a proctectomy. The frequency of EPSBO according to operative variables shows that EPSBO developed in 3.0% of the patients who underwent laparoscopic surgery (LS) compared with 8.4% of the patients who underwent open surgery (OS) (P = 0.004). OS (odds ratio [OR], 2.5) and a previous laparotomy (OR, 2.3) were independent risk factors for the development of EPSBO after a proctectomy for rectal cancer.

Conclusion

EPSBO is more likely to occur in patients who undergo OS or who have had a previous laparotomy. LS may be considered as a surgical procedure that can reduce the risk of EPSBO in patients undergoing a proctectomy for rectal cancer.

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Median and medial umbilical ligament repositioning for prevention of pelviperineal complications following abdominoperineal resection—a case series and novel technique
Anand Thomas, Subi TS, Teena Sleeba, Abhijith Antony, Naveen George
Langenbeck's Archives of Surgery.2024;[Epub] CrossRef
Establishing and clinically validating a machine learning model for predicting unplanned reoperation risk in colorectal cancer
Li-Qun Cai, Da-Qing Yang, Rong-Jian Wang, He Huang, Yi-Xiong Shi
World Journal of Gastroenterology.2024; 30(23): 2991. CrossRef
Optimized machine learning model for predicting unplanned reoperation after rectal cancer anterior resection
Yang Su, Yanqi Li, Wangshuo Yang, Xuelai Luo, Lisheng Chen
European Journal of Surgical Oncology.2024; 50(12): 108703. CrossRef
Omental Pedicle Flap Does Not Decrease the Incidence of Bowel Obstruction after Abdominoperineal Resection
Kunal Kochar, Slawomir Marecik, Leela M. Prasad, John Park
The American Surgeon.2016; 82(11): 328. CrossRef
Early Postoperative Small Bowel Obstruction is an Independent Risk Factor for Subsequent Adhesive Small Bowel Obstruction in Patients Undergoing Open Colectomy
Soo Young Lee, Kyu Joo Park, Seung‐Bum Ryoo, Heung‐Kwon Oh, Eun Kyung Choe, Seung Chul Heo
World Journal of Surgery.2014; 38(11): 3007. CrossRef

Effectiveness of Adjuvant Chemotherapy with 5-FU/Leucovorin and Prognosis in Stage II Colon Cancer: Sun Hee Jee, Sun Mi Moon, Ui Sup Shin, Hoe Min Yang, Dae-Yong Hwang; J Korean Soc Coloproctol. 2011;27(6):322-328. Published online December 31, 2011; DOI: https://doi.org/10.3393/jksc.2011.27.6.322

4,164 View
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15 Citations

Abstract PDF

Purpose

The aims of this study were to investigate the survival results and the prognostic factors of adjuvant chemotherapy in stage II colon cancer in the sparsity of Korean data.

Methods

From 1993 to 2006, 363 curatively resected pathologic stage II colon cancer patients were enrolled. Six cycles of adjuvant chemotherapy was performed: intravenous bolus 5-fluorouracil (5-FU) 500 mg/m² with leucovorin 20 mg/m2 for 2 hours daily for 5 days, followed by a 3-week resting period (n = 308). Fifty-five patients received only curative surgery. A high risk of recurrence was defined as the presence of one or more of the following factors: T4 tumor, lympho-vascular invasion, perineural invasion, perforation, obstruction, retrieved lymph node < 12, and poorly differention. The median follow-up period was 68 months (1 to 205 months).

Results

The five-year overall survival (OS) rate was 90.1%, and the five-year disease-free survival (DFS) rate was 84.7%. Among high-risk patients, the OS and the DFS rates of the treatment group were significantly higher than those of the non-treatment group (OS: 90.6% vs. 69.1%, P < 0.0001; DFS: 85.9% vs. 54.1%, P < 0.0001). Among low-risk patients, the survival results of the treatment group were also significantly superior (OS: 97.7% vs. 88.2%, P < 0.0001; DFS: 93.0% vs. 80.0%, P = 0.001). In the multivariate analysis, adjuvant chemotherapy was a significantly favorable prognostic factor for overall survival (hazard ratio, 0.41; 95% confidence interval, 0.22 to 0.75; P = 0.004).

Conclusion

In our population, adjuvant chemotherapy showed superior survival to curative surgery alone and significantly reduced the risk of death. A nationwide multicenter randomized trial is needed.

Citations

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C. Simillis, H. K. S. I. Singh, T. Afxentiou, S. Mills, O. J. Warren, J. J. Smith, P. Riddle, M. Adamina, D. Cunningham, P. P. Tekkis
Colorectal Disease.2020; 22(10): 1231. CrossRef
Patient Selection for Adjuvant Chemotherapy in High-Risk Stage II Colon Cancer
Chao Zhang, Songcheng Yin, Yuen Tan, Jinyu Huang, Pengliang Wang, Wenbin Hou, Zhe Zhang, Huimian Xu
American Journal of Clinical Oncology.2020; 43(4): 279. CrossRef
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Jiaxun Tian, Jiamei Mo, Lan Xu, Rui Zhang, Yun Qiao, Bin Liu, Lei Jiang, Siyang Ma, Gang Shi
Chemico-Biological Interactions.2020; 327: 109184. CrossRef
Colorectal obstruction is a potential prognostic factor for stage II colorectal cancer
Yusuke Okuda, Takaya Shimura, Tomonori Yamada, Yoshikazu Hirata, Ryuzo Yamaguchi, Eiji Sakamoto, Hiromi Kataoka
International Journal of Clinical Oncology.2018; 23(6): 1101. CrossRef
Effect of Adjuvant Chemotherapy on Stage II Colon Cancer: Analysis of Korean National Data
Min Ki Kim, Daeyoun David Won, Sun Min Park, Taejung Kim, Sung Ryong Kim, Seong Taek Oh, Seung Kook Sohn, Mi Yeon Kang, In Kyu Lee
Cancer Research and Treatment.2018; 50(4): 1149. CrossRef
Perineural Invasion Is a Strong Prognostic Factor in Colorectal Cancer
Nikki Knijn, Stephanie C. Mogk, Steven Teerenstra, Femke Simmer, Iris D. Nagtegaal
American Journal of Surgical Pathology.2016; 40(1): 103. CrossRef
Prognostic Value of Perineural Invasion in Colorectal Cancer: A Meta-Analysis
Yuchong Yang, Xuanzhang Huang, Jingxu Sun, Peng Gao, Yongxi Song, Xiaowan Chen, Junhua Zhao, Zhenning Wang
Journal of Gastrointestinal Surgery.2015; 19(6): 1113. CrossRef
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ZHEN HUANG, YE XU, WEI PENG
Molecular Medicine Reports.2015; 12(4): 5939. CrossRef
Is Microsatellite Instability Really a Good Prognostic Factor of Colorectal Cancer?
Ui Sup Shin, Sang Sik Cho, Sun Mi Moon, Sun Hoo Park, Sun Hee Jee, Eun-Joo Jung, Dae-Yong Hwang
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The Sirtuin 3 Expression Profile Is Associated with Pathological and Clinical Outcomes in Colon Cancer Patients
Chunyuan Liu, Zonghai Huang, Hong Jiang, Fujun Shi
BioMed Research International.2014; 2014: 1. CrossRef
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Sho Sawazaki, Manabu Shiozawa, Teni Godai, Yusuke Katayama, Koji Numata, Akio Higuchi, Yasushi Rino, Munetaka Masuda, Makoto Akaike
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Case Report

A Case of Successful Colonoscopic Treatment of Acute Appendiceal Bleeding by Endoclips: Il Hyung Chung, Kwang Hyun Kim; J Korean Soc Coloproctol. 2011;27(6):329-332. Published online December 31, 2011; DOI: https://doi.org/10.3393/jksc.2011.27.6.329

3,721 View
22 Download
10 Citations

Abstract PDF

Lower gastrointestinal bleeding is a common disease among elderly patients. The common sources of lower gastrointestinal bleeding include vascular disease, Crohn's disease, neoplasm, inflammatory bowel disease, hemorrhoid, and ischemic colitis. However, bleeding from the appendix has been reported very rarely in patients with lower gastrointestinal tract bleeding. In general, after a colonoscopic diagnosis of appendiceal bleeding, a laparoscopic or surgical appendectomy would be recommended. We report a case of successful colonoscopic treatment of appendiceal bleeding without complications by endoclips. This report suggests that colonoscopic clipping is a safe and effective means to treat bleeding from appendiceal lesions. Further study is needed to evaluate procedure-related complications and to confirm the procedure's safety and efficacy.

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