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Volume 28(2); April 2012
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Editorials
Comparison of a Fistulectomy and a Fistulotomy with Marsupialization in the Management of a Simple Anal Fistula: A Randomized, Controlled Pilot Trial
Do Sun Kim
J Korean Soc Coloproctol. 2012;28(2):67-68.   Published online April 30, 2012
DOI: https://doi.org/10.3393/jksc.2012.28.2.67
  • 2,899 View
  • 42 Download
  • 3 Citations
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Citations

Citations to this article as recorded by  
  • Anti TNF treatment of complex perianal fistulas in children without luminal Crohn's disease: Is it an option?
    Firas Rinawi, Mary-Louise C. Greer, Thomas Walters, Peter C. Church, Amanda Ricciuto, Jacob C. Langer, Anne M Griffiths
    Journal of Pediatric Surgery.2022; 57(11): 569.     CrossRef
  • The Effect of Topical and Oral Phenytoin on Increasing Wound Healing of Enterocutaneus Fistula in Wistar Rat
    Victor Kurniawan, Hardian Hardian, Ignatius Riwanto
    Open Access Macedonian Journal of Medical Sciences.2022; 10(A): 997.     CrossRef
  • Operation for Posterior Intersphincteric Anal Fistula -Procedures of Fistulotomy-
    Naoki Yago
    Nippon Daicho Komonbyo Gakkai Zasshi.2013; 66(10): 1026.     CrossRef
Is Abdominal Computed Tomography Helpful for the Management of an Intestinal Obstruction Caused by a Bezoar?
Byung-Kwon Ahn
J Korean Soc Coloproctol. 2012;28(2):69-70.   Published online April 30, 2012
DOI: https://doi.org/10.3393/jksc.2012.28.2.69
  • 2,480 View
  • 25 Download
  • 2 Citations
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Citations

Citations to this article as recorded by  
  • A Rare Cause of Small Bowel Obstruction: A Case Report
    Piaopiao Chen, Qiang Hu, Jinfeng Wu, Yuanshui Sun
    Frontiers in Surgery.2022;[Epub]     CrossRef
  • A Magnesium Oxide Bezoar
    Masaya Iwamuro, Shunsuke Saito, Masao Yoshioka, Haruo Urata, Kumiko Ueda, Kazuhide Yamamoto, Hiroyuki Okada
    Internal Medicine.2018; 57(21): 3087.     CrossRef
Factors Influencing Oncologic Outcomes after Tumor-specific Mesorectal Excision for Rectal Cancer
Kil Yeon Lee
J Korean Soc Coloproctol. 2012;28(2):71-72.   Published online April 30, 2012
DOI: https://doi.org/10.3393/jksc.2012.28.2.71
  • 2,752 View
  • 53 Download
  • 3 Citations
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Citations

Citations to this article as recorded by  
  • Required distal mesorectal resection margin in partial mesorectal excision: a systematic review on distal mesorectal spread
    A. A. J. Grüter, A. S. van Lieshout, S. E. van Oostendorp, J. C. F. Ket, M. Tenhagen, F. C. den Boer, R. Hompes, P. J. Tanis, J. B. Tuynman
    Techniques in Coloproctology.2023; 27(1): 11.     CrossRef
  • The feasibility of laparoscopic TSME preserving the left colic artery and superior rectal artery for upper rectal cancer
    Chi Zhang, Hao-tang Wei, Wenqing Hu, Yueming Sun, Qinyuan Zhang, Masanobu Abe, Zhuoran Du, Yingying Xu, Liang Zong, Xiang Hu
    World Journal of Surgical Oncology.2020;[Epub]     CrossRef
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    K. C. Vallam, R. Engineer, A. Desouza, P. Patil, A. Saklani
    Colorectal Disease.2016; 18(10): 976.     CrossRef
Review
Aluminum Potassium Sulfate and Tannic Acid Injection for Hemorrhoids
Seok Won Lim
J Korean Soc Coloproctol. 2012;28(2):73-77.   Published online April 30, 2012
DOI: https://doi.org/10.3393/jksc.2012.28.2.73
  • 41,905 View
  • 71 Download
  • 13 Citations
AbstractAbstract PDF

A quick hemostatic effect, as well as sclerosing and shrinkage of hemorrhoids, can be attained when internal hemorrhoids are treated by using injection therapy with aluminum potassium sulfate and tannic acid (ALTA), the outcomes of treatment may be similar to those of a hemorrhoidectomy. However, if the type of hemorrhoid or the method of injection is not appropriate for ALTA treatment, complications peculiar to ALTA or recurrence may develop. Accordingly, sufficient understanding of the treatment mechanism of ALTA injection and repeated training for injection are required for effective use of the ALTA treatment.

Citations

Citations to this article as recorded by  
  • Aluminum potassium sulfate and tannic acid (ALTA) sclerotherapy for hemorrhoidal disease: a systematic review and meta-analysis
    Vasiliki Manaki, Vangelis Bontinis, Alkis Bontinis, Argirios Giannopoulos, Ioannis Kontes, Angeliki Chorti, Kiriakos Ktenidis
    Acta Chirurgica Belgica.2024; 124(4): 253.     CrossRef
  • ANTI-HEMORRHOIDAL ACTIVITY OF AYURVEDIC CREAM IN RATS
    Anil T. Pawar, Chinmay D. Deshmukh, Digambar K. Jadhav, Ranganath R. Kulkarni
    INDIAN DRUGS.2023; 60(01): 84.     CrossRef
  • Injection of aluminum potassium sulfate and tannic acid in the treatment of fecal incontinence: a single-center observational study
    Tatsuya Abe, Masao Kunimoto, Yoshikazu Hachiro, Kei Ohara, Mitsuhiro Inagaki
    Annals of Coloproctology.2022; 38(6): 403.     CrossRef
  • Sklerosierungstherapie
    Alex Furtwängler
    coloproctology.2020; 42(1): 14.     CrossRef
  • Effectiveness of Endoscopic Sclerotherapy with Aluminum Potassium Sulfate and Tannic Acid as a Non-Surgical Treatment for Internal Hemorrhoids
    Yuichi Tomiki, Jun Aoki, Shunsuke Motegi, Rina Takahashi, Toshiaki Hagiwara, Yu Okazawa, Kosuke Mizukoshi, Masaya Kawai, Shinya Munakata, Shun Ishiyama, Kiichi Sugimoto, Kazuhiro Sakamoto
    Clinical Endoscopy.2019; 52(6): 581.     CrossRef
  • Taste of phytocompounds: A better predictor for ethnopharmacological activities of medicinal plants than the phytochemical class?
    Dorin Dragos, Marilena Gilca
    Journal of Ethnopharmacology.2018; 220: 129.     CrossRef
  • Changes in anorectal physiology following injection sclerotherapy using aluminum potassium sulfate and tannic acid versus transanal repair in patients with symptomatic rectocele; a retrospective cohort study
    Joo Hyung Kim, Yong Pyo Lee, Kwang Wook Suh
    BMC Surgery.2018;[Epub]     CrossRef
  • Extraoral Taste Receptor Discovery: New Light on Ayurvedic Pharmacology
    Marilena Gilca, Dorin Dragos, Marco Leonti
    Evidence-Based Complementary and Alternative Medicine.2017;[Epub]     CrossRef
  • Liver injury after aluminum potassium sulfate and tannic acid treatment of hemorrhoids
    Kenichi Yoshikawa, Reimi Kawashima, Yuki Hirose, Keiko Shibata, Takafumi Akasu, Noriko Hagiwara, Takeharu Yokota, Nami Imai, Akira Iwaku, Go Kobayashi, Hirohiko Kobayashi, Akiyoshi Kinoshita, Nao Fushiya, Hiroyuki Kijima, Kazuhiko Koike, Masayuki Saruta
    World Journal of Gastroenterology.2017; 23(27): 5034.     CrossRef
  • Treatment of Internal Hemorrhoids by Endoscopic Sclerotherapy with Aluminum Potassium Sulfate and Tannic Acid
    Yuichi Tomiki, Seigo Ono, Jun Aoki, Rina Takahashi, Shun Ishiyama, Kiichi Sugimoto, Yukihiro Yaginuma, Yutaka Kojima, Michitoshi Goto, Atsushi Okuzawa, Kazuhiro Sakamoto
    Diagnostic and Therapeutic Endoscopy.2015; 2015: 1.     CrossRef
  • Aluminum Potassium Sulfate and Tannic Acid - A New Option for the Treatment of Grade 3 Hemorrhoids
    Yong Hee Hwang
    Annals of Coloproctology.2015; 31(3): 83.     CrossRef
  • Comparison of Injection Sclerotherapy Between 5% Phenol in Almond Oil and Aluminum Potassium Sulfate and Tannic Acid for Grade 3 Hemorrhoids
    Takaaki Yano, Kenji Yano
    Annals of Coloproctology.2015; 31(3): 103.     CrossRef
  • Distal Hemorrhoidectomy With ALTA Injection: A New Method for Hemorrhoid Surgery
    Tatsuya Abe, Yoshikazu Hachiro, Yoshiaki Ebisawa, Houhei Hishiyama, Masao Kunimoto
    International Surgery.2014; 99(3): 295.     CrossRef
Original Articles
Comparison of a Fistulectomy and a Fistulotomy with Marsupialization in the Management of a Simple Anal Fistula: A Randomized, Controlled Pilot Trial
Bhupendra Kumar Jain, Kumar Vaibhaw, Pankaj Kumar Garg, Sanjay Gupta, Debajyoti Mohanty
J Korean Soc Coloproctol. 2012;28(2):78-82.   Published online April 30, 2012
DOI: https://doi.org/10.3393/jksc.2012.28.2.78
  • 6,027 View
  • 81 Download
  • 28 Citations
AbstractAbstract PDF
Purpose

This randomized clinical trial was conducted to compare a fistulectomy and a fistulotomy with marsupialization in the management of a simple anal fistula.

Methods

Forty patients with simple anal fistula were randomized into two groups. Fistulous tracts were managed by using a fistulectomy (group A) while a fistulotomy with marsupialization was performed in group B. The primary outcome measure was wound healing time while secondary outcome measures were operating time, postoperative wound size, postoperative pain, wound infection, anal incontinence, recurrence and patient satisfaction.

Results

Postoperative wounds in group B healed earlier in comparison to group A wounds (4.85 ± 1.39 weeks vs. 6.75 ± 1.83 weeks, P = 0.035). No significant differences existed between the operating times (28.00 ± 6.35 minutes vs. 28.20 ± 6.57 minutes, P = 0.925) and visual analogue scale scores for postoperative pain on the first postoperative day (4.05 ± 1.47 vs. 4.50 ± 1.32, P = 0.221) for the two groups. Postoperative wounds were larger in group A than in group B (2.07 ± 0.1.90 cm2 vs. 1.23 ± 0.87 cm2), however this difference did not reach statistical significance (P = 0.192). Wound discharge was observed for a significantly longer duration in group A than in group B (4.10 ± 1.91 weeks vs. 2.75 ± 1.71 weeks, P = 0.035). There were no differences in social and sexual activities after surgery between the patients of the two groups. No patient developed anal incontinence or recurrence during the follow-up period of twelve weeks.

Conclusion

In comparison to a fistulectomy, a fistulotomy with marsupialization results in faster healing and a shorter duration of wound discharge without increasing the operating time.

Citations

Citations to this article as recorded by  
  • European Society of Coloproctology: Guidelines for diagnosis and treatment of cryptoglandular anal fistula
    Lillian Reza, Kevin Gottgens, Jos Kleijnen, Stephanie Breukink, Peter C. Ambe, Felix Aigner, Erman Aytac, Gabriele Bislenghi, Andreas Nordholm‐Carstensen, Hossam Elfeki, Gaetano Gallo, Ugo Grossi, Baris Gulcu, Nusrat Iqbal, Rosa Jimenez‐Rodriguez, Sezai L
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  • Use of Non-Thermal Plasma as Postoperative Therapy in Anal Fistula: Clinical Experience and Results
    Régulo López-Callejas, Pasquinely Salvador Velasco-García, Mario Betancourt-Ángeles, Benjamín Gonzalo Rodríguez-Méndez, Guillermo Berrones-Stringel, César Jaramillo-Martínez, Fernando Eliseo Farías-López, Antonio Mercado-Cabrera, Raúl Valencia-Alvarado
    Biomedicines.2024; 12(8): 1866.     CrossRef
  • The efficacy of Ksharsutra, Fistulectomy and Ligation of Intersphincteric Fistula Tract (LIFT) procedure in management of Fistula in ano a prospective observational study
    Chinniahnapalaya Pandurangaiah Hariprasad, Anil Kumar, Manoj Kumar, Manoj Kumar, Shiv Shankar Paswan, Gupta Rohit, Shiv Kishor, Prem Kumar
    BMC Surgery.2023;[Epub]     CrossRef
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    S. Bhat, W. Xu, C. Varghese, N. Dubey, C. I. Wells, C. Harmston, G. O’Grady, I. P. Bissett, A. Y. Lin
    Techniques in Coloproctology.2023; 27(10): 827.     CrossRef
  • Spaltung von Analfisteln – noch zeitgemäß?
    Ralph Schneider, Andreas Ommer
    coloproctology.2022; 44(1): 3.     CrossRef
  • The American Society of Colon and Rectal Surgeons Clinical Practice Guidelines for the Management of Anorectal Abscess, Fistula-in-Ano, and Rectovaginal Fistula
    Wolfgang B. Gaertner, Pamela L. Burgess, Jennifer S. Davids, Amy L. Lightner, Benjamin D. Shogan, Mark Y. Sun, Scott R. Steele, Ian M. Paquette, Daniel L. Feingold
    Diseases of the Colon & Rectum.2022; 65(8): 964.     CrossRef
  • Fistulotomy versus Fistulectomy for Fistula-in-Ano: A Randomized Prospective Study
    Srikantaiah Chandra Sekhariah Hiremath, Rakesh Patil
    The Surgery Journal.2022; 08(04): e336.     CrossRef
  • A meta-analysis of marsupialisation versus none in the treatment of simple fistula-in-ano
    Shaheel Mohammad Sahebally, Lisa O’Byrne, Alexandra Troy, Kevin Gerard Byrnes, John Burke, Deborah McNamara
    International Journal of Colorectal Disease.2021; 36(3): 429.     CrossRef
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    F. Litta, A. Parello, L. Ferri, N. O. Torrecilla, A. A. Marra, R. Orefice, V. De Simone, P. Campennì, M. Goglia, C. Ratto
    Techniques in Coloproctology.2021; 25(4): 385.     CrossRef
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    Danish Aslam, Farhan Zaheer, Sarush Ahmed Siddiqui, Foad Ali Moosa, Shafaq Naseer, Rabia Arsalan, Muhammed Osama
    Journal of Coloproctology.2021; 41(04): 355.     CrossRef
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    Xinyi Cherry Cheung, Tom Fahey, Ailin C. Rogers, John Hogeland Pemberton, Dara Oliver Kavanagh
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    Matthew Sammut, Paul Skaife
    British Journal of Hospital Medicine.2020; 81(1): 1.     CrossRef
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Intestinal Anastomosis by Use of a Memory-shaped Compression Anastomosis Clip (Hand CAC 30): Early Clinical Experience
Hak-Youn Lee, Jin-Hee Woo, Si-Young Park, Nam-Wook Kang, Ki-Jae Park, Hong-Jo Choi
J Korean Soc Coloproctol. 2012;28(2):83-88.   Published online April 30, 2012
DOI: https://doi.org/10.3393/jksc.2012.28.2.83
  • 4,037 View
  • 27 Download
  • 8 Citations
AbstractAbstract PDF
Purpose

The safety and the efficacy of the compression anastomosis clip (Hand CAC 30) have been demonstrated by animal studies. This study was designed to evaluate the clinical validity of the Hand CAC 30 in enterocolic side-to-side anastomosis after colonic or enteric resections.

Methods

A non-randomized prospective data collection was performed for patients undergoing a side-to-side anastomosis using the Hand CAC 30. Eligibility criteria for the use of the Hand CAC 30 were for anastomoses between the colon and the ileum or between two small bowels. The primary short-term endpoint was the rate of anastomotic leakage. Other clinical outcomes, including intra- and postoperative complications, length of operation time and hospital stay, and the clip elimination time were recorded.

Results

A total of 63 patients (male, 36) underwent an enteric or right-sided colonic resection followed by a side-to-side anastomosis using the Hand CAC 30. Laparoscopic surgery was performed in 36 patients, in whom one patient who underwent a laparoscopic right hemicolectomy was converted to an open procedure (1/32, 3.1%). One patient with ascending colon cancer showed postoperative anastomotic leakage and died of co-morbid ischemic heart disease. There were no other surgical mortalities. The exact date of expulsion of the clip could not be recorded because most patients were not aware of clip elimination. No patients manifested clinical symptoms of anastomotic stricture.

Conclusion

Short-term evaluation of the Hand CAC 30 anastomosis in patients undergoing enterocolic surgery proved it to be a safe and efficacious alternative to the standard hand-sewn or stapling technique.

Citations

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Bezoar-induced Small Bowel Obstruction
Se Heon Oh, Hwan Namgung, Mi Hyun Park, Dong-Guk Park
J Korean Soc Coloproctol. 2012;28(2):89-93.   Published online April 30, 2012
DOI: https://doi.org/10.3393/jksc.2012.28.2.89
  • 4,831 View
  • 61 Download
  • 43 Citations
AbstractAbstract PDF
Purpose

The aim of this study was to observe the clinical features of a bezoar-induced small bowel obstruction and to investigate the role of abdominal computed tomography (CT) in establishing the diagnosis.

Methods

We retrospectively reviewed 20 cases of bezoar-induced small bowel obstruction in our hospital from 1996 to 2010.

Results

Thirteen patients (65%) had a history of abdominal surgery. Nine patients (45%) were diagnosed with a bezoar before surgery, seven patients were diagnosed by using abdominal CT, and two patients were diagnosed with a small bowel series. Abdominal CT was performed in 15 patients, and the diagnostic accuracy was 47% (7/15). Surgery revealed ten bezoars in the jejunum and 11 in the ileum. Two patients had bezoars found concurrently in the stomach. Spontaneous removal took place in two patients. An enterotomy and bezoar extraction was performed in 15 patients. Fragmentation and milking, a small bowel resection, and a Meckel's diverticulectomy were performed in one patient each. Early operative treatment was possible (P = 0.036) once the bezoar had been diagnosed by using abdominal CT. There tended to be fewer postoperative complications in patients who were diagnosed with a bezoar by using abdominal CT, but the result was not statistically significant (P = 0.712).

Conclusion

A preoperative diagnosis of bezoar-induced small bowel obstruction by using clinical features was difficult. Increased use of abdominal CT led to a more accurate diagnosis and to earlier surgery for bezoar-induced small bowel obstructions, thereby reducing the rate of complications.

Citations

Citations to this article as recorded by  
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    Anastasia Zello, David Kirschner
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    A. S. Harutyunyan, V. D. Levitsky, V. V. Kiselev, P. A. Yartsev, A. V. Vodyasov, N. V. Shavrina
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    Luiz de Abreu Junior, Gustavo Garcia Marques, Ingredy Tavares da Silva, Flávia Munhos Granja, Marcelo Zindel Salem
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    In Taik Hong, Jae Myung Cha, Hye Jin Ki, Min Seob Kwak, Jin Young Yoon, Hyun Phil Shin, Jung Won Jeoun, Sung Il Choi
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    Enis Dikicier
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    Pei-Yuan Wang
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Clinical Characteristics and Surgical Safety in Patients with Acute Appendicitis Aged over 80
Kwon Sang Moon, Yong Hwan Jung, Eun Hun Lee, Yong Hee Hwang
J Korean Soc Coloproctol. 2012;28(2):94-99.   Published online April 30, 2012
DOI: https://doi.org/10.3393/jksc.2012.28.2.94
  • 2,700 View
  • 39 Download
AbstractAbstract PDF
Purpose

The aim of this study was to evaluate the clinical characteristics and treatment outcomes, including surgical safety, in patients over 80 years of age who underwent an appendectomy.

Methods

This study involved 160 elderly patients who underwent an appendectomy for acute appendicitis: 28 patients over 80 years old and 132 patients between 65 and 79 years old.

Results

The rate of positive rebound tenderness was significantly higher in the over 80 group (P = 0.002). Comparisons of comorbidity, diagnostic tool and delay in surgical treatment between the two groups were not statistically different. American Society of Anesthesiologists score was significantly higher in the over 80 group than in the 65 to 79 group (2.4 ± 0.5 vs. 1.6 ± 0.5; P < 0.00005). Comparisons of operative times and use of drainage between the two groups were not statistically different. In the pathologic findings, periappendiceal abscess was more frequent in the over 80 group (P = 0.011). No significant differences existed between the two groups when comparing the results of gas out and the time to liquid diet, but the postoperative hospital stay was significantly longer in the over 80 group (P = 0.001). Among the postoperative complications, pulmonary complication was significantly higher in the over 80 group (P = 0.005). However, operative mortality was zero in each group.

Conclusion

In case of suspicious appendicitis in elderly patients, efforts should be made to use aggressive diagnostic intervention, do appropriate surgery and prevent pulmonary complications especially in patients over 80 years of age.

Oncologic Outcomes and Risk Factors for Recurrence after Tumor-specific Mesorectal Excision of Rectal Cancer: 782 Cases
Sam Hee Kim, Ki Beom Bae, Jung Min Kim, Jae Ho Shin, Min Sung An, Tae Geun Ha, Sung Mok Ryu, Kwang Hee Kim, Tae Hyeon Kim, Chang Soo Choi, Jin Yong Shin, Minkyung Oh, Seung Hun Baek, Kwan Hee Hong
J Korean Soc Coloproctol. 2012;28(2):100-107.   Published online April 30, 2012
DOI: https://doi.org/10.3393/jksc.2012.28.2.100
  • 3,604 View
  • 22 Download
  • 11 Citations
AbstractAbstract PDF
Purpose

The aim of this study was to analyze the oncologic outcomes and the risk factors for recurrence after a tumor-specific mesorectal excision (TSME) of resectable rectal cancer in a single institution.

Methods

A total of 782 patients who underwent a TSME for resectable rectal cancer between February 1995 and December 2005 were enrolled retrospectively. Oncologic outcomes included 5-year cancer-specific survival and its affecting factors, as well as risk factors for local and systemic recurrence.

Results

The 5-year cancer-specific survival rate was 77.53% with a mean follow-up period of 61 ± 31 months. The overall local and systemic recurrence rates were 9.2% and 21.1%, respectively. The risk factors for local recurrence were pN stage (P = 0.015), positive distal resection margin, and positive circumferential resection margin (P < 0.001). The risk factors for systemic recurrence were pN stage (P < 0.001) and preoperative carcinoembryonic antigen level (P = 0.005). The prognostic factors for cancer-specific survival were pT stage (P < 0.001), pN stage (P < 0.001), positive distal resection margin (P = 0.005), and positive circumferential resection margin (P = 0.016).

Conclusion

The oncologic outcomes in our institution after a TSME for patients with resectable rectal cancer were similar to those reported in other recent studies, and we established the risk factors that could be crucial for the planning of treatment and follow-up.

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Case Reports
Giant Peritoneal Loose Body in the Pelvic Cavity
Joung Teak Jang, Haeng Ji Kang, Ji Young Yoon, Seo Gue Yoon
J Korean Soc Coloproctol. 2012;28(2):108-110.   Published online April 30, 2012
DOI: https://doi.org/10.3393/jksc.2012.28.2.108
  • 3,637 View
  • 43 Download
  • 15 Citations
AbstractAbstract PDF

We report a case of a large peritoneal loose body diagnosed on computed tomography. The most common causes of a peritoneal loose body are thought to be torsion and separation of the appendices epiploicae. Peritoneal loose bodies are usually small, 0.5 to 2.5 cm in diameter. However, "giant" peritoneal loose bodies, larger than 4 cm in diameter, are an uncommon disease and present with various symptoms, and are difficult to diagnose preoperatively. Especially, abdominal large peritoneal loose bodies are frequently misdiagnosed as tumorous disease preoperatively. In our case, the loose body appeared as a round pelvic mass with central calcifications and a distinct fat plane separating it from adjacent organs. Preoperatively, we suspected a tumorous lesion from the wall of the upper rectum; however, at laparoscopy, a large peritoneal loose body was detected. An extraction of the giant peritoneal loose body was performed laparoscopically.

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A Case of Primary Ovarian Lymphoma Presenting as a Rectal Submucosal Tumor
Il Soon Jung, Seul Young Kim, Kyu Seup Kim, Kwang Hun Ko, Jae Kyu Sung, Hyun Young Jeong, Ji Yeoun Kim, Hee Seok Moon
J Korean Soc Coloproctol. 2012;28(2):111-115.   Published online April 30, 2012
DOI: https://doi.org/10.3393/jksc.2012.28.2.111
  • 3,345 View
  • 27 Download
  • 1 Citations
AbstractAbstract PDF

Primary ovarian lymphoma is a rare malignancy whose symptoms or signs are usually nonspecific. In this article, we report a very rare case initially presenting as a rectal submucosal-tumor-like lesion with a defecation disturbance caused by primary ovarian lymphoma with bilateral involvement. A 42-year-old woman visited chungnam national university hospital complaining of persistent defecation disturbance for 6 months. Colonoscopy demonstrated compression of the rectum by an extrinsic mass mimicking a rectal submucosal tumor. Magnetic resonance imaging detected bilateral ovarian tumors, 9.3 cm and 5.4 cm each in diameter, compressing the rectum without enlarged lymph nodes. The diagnosis was established following a bilateral adnexectomy and histological studies of the excised tissue. The tumor was classified as a diffuse large B-cell lymphoma. The patient was prescribed six cycles of standard CHOP (cyclophosphamide, hydroxydaunorubicin, vincristine, prednisolone) regimen and is presently on treatment.

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