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Volume 28(3); June 2012
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Editorials
New Hope for Wound Healing after Bowel Resection
Ryung-Ah Lee
J Korean Soc Coloproctol. 2012;28(3):117-117.   Published online June 30, 2012
DOI: https://doi.org/10.3393/jksc.2012.28.3.117
  • 2,218 View
  • 23 Download
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Good Post-operative Results Depend on Strict Patient Selection and Strict Operative Procedure
Yong Hee Hwang
J Korean Soc Coloproctol. 2012;28(3):118-118.   Published online June 30, 2012
DOI: https://doi.org/10.3393/jksc.2012.28.3.118
  • 2,114 View
  • 24 Download
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T3 Subdivision Correlation with Nodal or Distant Metastasis in Colorectal Cancer; Is It Practically Useful?
Nam Kyu Kim
J Korean Soc Coloproctol. 2012;28(3):119-120.   Published online June 30, 2012
DOI: https://doi.org/10.3393/jksc.2012.28.3.119
  • 2,398 View
  • 23 Download
  • 2 Citations
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Citations

Citations to this article as recorded by  
  • Prognostic significance of pathological sub-classification of pT3 rectal cancer
    Matteo Zuin, Giulia Capelli, Nicola Gennaro, Cesare Ruffolo, Gaya Spolverato, Salvatore Pucciarelli, Laura Albertoni, Matteo Fassan
    International Journal of Colorectal Disease.2022; 37(1): 131.     CrossRef
  • A meta-analysis assessing the survival implications of subclassifying T3 rectal tumours
    M.R.S. Siddiqui, C. Simillis, J. Bhoday, N.J. Battersby, J. Mok, S. Rasheed, P. Tekkis, A.M. Abulafi, G. Brown
    European Journal of Cancer.2018; 104: 47.     CrossRef
Review
A Comprehensive Review of Inflammatory Bowel Disease Focusing on Surgical Management
Seung Hyuk Baik, Won Ho Kim
J Korean Soc Coloproctol. 2012;28(3):121-131.   Published online June 30, 2012
DOI: https://doi.org/10.3393/jksc.2012.28.3.121
  • 3,472 View
  • 45 Download
  • 4 Citations
AbstractAbstract PDF

The two main diseases of inflammatory bowel disease are Crohn's disease and ulcerative colitis. The pathogenesis of inflammatory disease is that abnormal intestinal inflammations occur in genetically susceptible individuals according to various environmental factors. The consequent process results in inflammatory bowel disease. Medical treatment consists of the induction of remission in the acute phase of the disease and the maintenance of remission. Patients with Crohn's disease finally need surgical treatment in 70% of the cases. The main surgical options for Crohn's disease are divided into two surgical procedures. The first is strictureplasty, which can prevent short bowel syndrome. The second is resection of the involved intestinal segment. Simultaneous medico-surgical treatment can be a good treatment strategy. Ulcerative colitis is a diffuse nonspecific inflammatory disease that involves the colon and the rectum. Patients with ulcerative colitis need surgical treatment in 30% of the cases despite proper medical treatment. The reasons for surgical treatment are various, from life-threatening complications to growth retardation. The total proctocolectomy (TPC) with an ileal pouch anal anastomosis (IPAA) is the most common procedure for the surgical treatment of ulcerative colitis. Medical treatment for ulcerative colitis after a TPC with an IPAA is usually not necessary.

Citations

Citations to this article as recorded by  
  • Epithelioid Hemangioendothelioma of the Bowel in Crohn’s Disease: The First Reported Case
    Smiljana Spasic, Iva Brcic, Rochelle Freire, Monica T. Garcia-Buitrago, Andrew E. Rosenberg
    International Journal of Surgical Pathology.2019; 27(4): 423.     CrossRef
  • Extraintestinal Manifestations in Vedolizumab and Anti-TNF-Treated Patients With Inflammatory Bowel Disease
    Marla C Dubinsky, Raymond K Cross, William J Sandborn, Millie Long, Xue Song, Nianwen Shi, Yao Ding, Samantha Eichner, Brandee Pappalardo, Arijit Ganguli, Anthony Wang
    Inflammatory Bowel Diseases.2018; 24(9): 1876.     CrossRef
  • Pneumoperitoneum, pneumoretroperitoneum, pneumomediastinum and extensive subcutaneous emphysema in a patient with ulcerative colitis: A case report
    Usman T. Siddiqui, Hira Shahzad, Asad Jamil Raja
    International Journal of Surgery Case Reports.2015; 17: 12.     CrossRef
  • Risk Factors for Repeat Abdominal Surgery in Patients with Crohn's Disease
    Young Jin Kim
    Journal of the Korean Society of Coloproctology.2012; 28(4): 175.     CrossRef
Original Articles
Adipose-tissue-derived Stem Cells Enhance the Healing of Ischemic Colonic Anastomoses: An Experimental Study in Rats
Jong Han Yoo, Jae Ho Shin, Min Sung An, Tae Kwun Ha, Kwang Hee Kim, Ki Beom Bae, Tae Hyeon Kim, Chang Soo Choi, Kwan Hee Hong, Jeong Kim, Soo Jin Jung, Sun Hee Kim, Kuk Hwan Rho, Jong Tae Kim, Young Il Yang
J Korean Soc Coloproctol. 2012;28(3):132-139.   Published online June 30, 2012
DOI: https://doi.org/10.3393/jksc.2012.28.3.132
  • 3,944 View
  • 51 Download
  • 19 Citations
AbstractAbstract PDF
Purpose

This experimental study verified the effect of adipose-tissue-derived stem cells (ASCs) on the healing of ischemic colonic anastomoses in rats.

Methods

ASCs were isolated from the subcutaneous fat tissue of rats and identified as mesenchymal stem cells by identification of different potentials. An animal model of colonic ischemic anastomosis was induced by modifying Nagahata's method. Sixty male Sprague-Dawley rats (10-week-old, 370 ± 50 g) were divided into two groups (n = 30 each): a control group in which the anastomosis was sutured in a single layer with 6-0 polypropylene without any treatment and an ASCtreated group (ASC group) in which the anastomosis was sutured as in the control group, but then ASCs were locally transplanted into the bowel wall around the anastomosis. The rats were sacrificed on postoperative day 7. Healing of the anastomoses was assessed by measuring loss of body weight, wound infection, anastomotic leakage, mortality, adhesion formation, ileus, anastomotic stricture, anastomotic bursting pressure, histopathological features, and microvascular density.

Results

No differences in wound infection, anastomotic leakage, or mortality between the two groups were observed. The ASC group had significantly more favorable anastomotic healing, including less body weight lost, less ileus, and fewer ulcers and strictures, than the control group. ASCs augmented bursting pressure and collagen deposition. The histopathological features were significantly more favorable in the ASC group, and microvascular density was significantly higher than it was in the control group.

Conclusion

Locally-transplanted ASCs enhanced healing of ischemic colonic anastomoses by increasing angiogenesis. ASCs could be a novel strategy for accelerating healing of colonic ischemic risk anastomoses.

Citations

Citations to this article as recorded by  
  • Experimental models of high-risk bowel anastomosis in rats: A systematic review
    Georgios Ntampakis, Manousos-Georgios Pramateftakis, Elissavet Anestiadou, Stefanos Bitsianis, Orestis Ioannidis, Chryssa Bekiari, George Koliakos, Maria Karakota, Anastasia Tsakona, Angeliki Cheva, Stamatios Angelopoulos
    World Journal of Experimental Medicine.2024;[Epub]     CrossRef
  • The Role of Adipose Tissue Mesenchymal Stem Cells in Colonic Anastomosis Healing in Inflammatory Bowel Disease: Experimental Study in Rats
    Georgios Ntampakis, Manousos-Georgios Pramateftakis, Orestis Ioannidis, Stefanos Bitsianis, Panagiotis Christidis, Savvas Symeonidis, Georgios Koliakos, Maria Karakota, Chrysanthi Bekiari, Anastasia Tsakona, Angeliki Cheva, Stamatios Aggelopoulos
    Journal of Clinical Medicine.2023; 12(19): 6336.     CrossRef
  • The application of regenerative medicine in colorectal surgery
    Ilan Kent, Michael R. Freund, Samir Agarwal, Steven D. Wexner
    Surgery.2022; 171(4): 867.     CrossRef
  • Stem cell therapy applied for digestive anastomosis: Current state and future perspectives
    Jacobo Trébol, Tihomir Georgiev-Hristov, Isabel Pascual-Miguelañez, Hector Guadalajara, Mariano García-Arranz, Damian García-Olmo
    World Journal of Stem Cells.2022; 14(1): 117.     CrossRef
  • Stem Cell Therapies for Gastrointestinal Anastomotic Healing: A Systematic Review and Meta-Analysis on Results from Animal Studies
    Apostolos Gaitanidis, Leonidas Kandilogiannakis, Eirini Filidou, Alexandra Tsaroucha, George Kolios, Michail Pitiakoudis
    European Surgical Research.2022; 63(4): 173.     CrossRef
  • Effect of Adipose-Derived Stem Cells on Colonic Anastomosis in Rats Immunosuppressed With Everolimus: An Experimental Study
    Emre Karakaya, Aydincan Akdur, Alev Ok Atilgan, Ahmet Cagri Uysal, Huriye Eda Ozturan Ozer, Sedat Yildirim, Mehmet Haberal
    Experimental and Clinical Transplantation.2021; 19(9): 970.     CrossRef
  • The use of mesenchymal stem cells in animal models for gastrointestinal anastomotic leak: A systematic review
    Joshua Richard Burke, Jack Helliwell, Jason Wong, Aaron Quyn, Sarah Herrick, David Jayne
    Colorectal Disease.2021; 23(12): 3123.     CrossRef
  • Human Oral Mucosal Stem Cells Reduce Anastomotic Leak in an Animal Model of Colonic Surgery
    Ilan Kent, Cyrus Jahansouz, Amandeep Ghuman, Baruch Shpitz, Debora Kidron, Victoria Yaffe, Imad Abu El-Naaj, Shareef Araidy, Luciana Reina, Sandu Pitaru, Steven David Wexner, Shmuel Avital
    European Surgical Research.2021; 62(1): 32.     CrossRef
  • Anastomotic leak in colorectal cancer patients: New insights and perspectives
    Caterina Foppa, Siew Chien Ng, Marco Montorsi, Antonino Spinelli
    European Journal of Surgical Oncology.2020; 46(6): 943.     CrossRef
  • Locally Transplanted Adipose Stem Cells Reduce Anastomotic Leaks in Ischemic Colorectal Anastomoses: A Rat Model
    Andrew Morgan, Andrew Zheng, Kimberly M. Linden, Ping Zhang, Spencer A. Brown, Jeffrey P. Carpenter, Francis R. Spitz, Michael E. Kwiatt
    Diseases of the Colon & Rectum.2020; 63(7): 955.     CrossRef
  • The Proliferation and Differentiation of Adipose-Derived Stem Cells in Neovascularization and Angiogenesis
    Greg Hutchings, Krzysztof Janowicz, Lisa Moncrieff, Claudia Dompe, Ewa Strauss, Ievgeniia Kocherova, Mariusz J. Nawrocki, Łukasz Kruszyna, Grzegorz Wąsiatycz, Paweł Antosik, Jamil A. Shibli, Paul Mozdziak, Bartłomiej Perek, Zbigniew Krasiński, Bartosz Kem
    International Journal of Molecular Sciences.2020; 21(11): 3790.     CrossRef
  • Wound healing and fibrosis: current stem cell therapies
    Ruth Ellen Jones, Deshka S. Foster, Michael S. Hu, Michael T. Longaker
    Transfusion.2019; 59(S1): 884.     CrossRef
  • Protective effect of adipose tissue–derived mesenchymal stromal cells in an experimental model of high-risk colonic anastomosis
    Valter Alvarenga, Pedro Teixeira da Silva, Natália Deoclécio Bonfá, Beatriz Pêgo, Hayandra Nanini, Cláudio Bernardazzi, Kalil Madi, Wagner Baetas da Cruz, Morgana Teixeira Castelo-Branco, Heitor Siffert Pereira de Souza, Alberto Schanaider
    Surgery.2019; 166(5): 914.     CrossRef
  • Adipose Tissue-Derived Stem Cell Sheet Application for Tissue Healing In Vivo: A Systematic Review
    Panithi Sukho, Abigael Cohen, Jan Willem Hesselink, Jolle Kirpensteijn, Femke Verseijden, Yvonne M. Bastiaansen-Jenniskens
    Tissue Engineering Part B: Reviews.2018; 24(1): 37.     CrossRef
  • Adipose-Derived Mesenchymal Stromal Cells Improve the Healing of Colonic Anastomoses Following High Dose of Irradiation Through Anti-Inflammatory and Angiogenic Processes
    Dirk Van de putte, Christelle Demarquay, Elke Van Daele, Lara Moussa, Christian Vanhove, Marc Benderitter, Wim Ceelen, Piet Pattyn, Noëlle Mathieu
    Cell Transplantation.2017; 26(12): 1919.     CrossRef
  • Autologous adipose-derived stem cell sheets enhance the strength of intestinal anastomosis
    Yasuhiro Maruya, Nobuo Kanai, Shinichiro Kobayashi, Kurodo Koshino, Teruo Okano, Susumu Eguchi, Masayuki Yamato
    Regenerative Therapy.2017; 7: 24.     CrossRef
  • Effects of adipose stem cell sheets on colon anastomotic leakage in an experimental model: Proof of principle
    Panithi Sukho, Geesien S.A. Boersema, Abigael Cohen, Nicole Kops, Johan F. Lange, Jolle Kirpensteijn, Jan Willem Hesselink, Yvonne M. Bastiaansen-Jenniskens, Femke Verseijden
    Biomaterials.2017; 140: 69.     CrossRef
  • Novel therapy for pancreatic fistula using adipose-derived stem cell sheets treated with mannose
    Hirokazu Kaneko, Toshio Kokuryo, Yukihiro Yokoyama, Junpei Yamaguchi, Tokunori Yamamoto, Rei Shibata, Momokazu Gotoh, Toyoaki Murohara, Akira Ito, Masato Nagino
    Surgery.2017; 161(6): 1561.     CrossRef
  • Therapeutic angiogenesis of adipose-derived stem cells for ischemic diseases
    Lina Zhao, Takerra Johnson, Dong Liu
    Stem Cell Research & Therapy.2017;[Epub]     CrossRef
Comparison of Long-term Clinical Outcomes according to the Change in the Rectocele Depth between Transanal and Transvaginal Repairs for a Symptomatic Rectocele
Choon Sik Chung, Sang Hwa Yu, Jeong Eun Lee, Dong Keun Lee
J Korean Soc Coloproctol. 2012;28(3):140-144.   Published online June 30, 2012
DOI: https://doi.org/10.3393/jksc.2012.28.3.140
  • 3,288 View
  • 38 Download
  • 9 Citations
AbstractAbstract PDF
Purpose

This study was aimed to compare the results of a transanal repair with those of a transvaginal levatorplasty and to determine the long-term clinical outcomes according to the change in the depth of the rectocele after the procedure.

Methods

Of 50 women who underwent a rectocele repair from March 2005 to February 2007, 26 women (group A) received a transanal repair, and 24 (group B) received a transvaginal repair with or without levatorplasty. At 12 months after the procedures, 45 (group A/B, 22/23 women) among the 50 women completed physiologic studies, including anal manometry and defecography, and clinical-outcome measurements. The variations of the clinical outcomes with changes in the depth of the rectocele were also evaluated in 42 women (group A/B, 20/22) at the median follow-up of 50 months.

Results

On the defecographic findings, the postoperative depth of the rectocele decreased significantly in both groups (group A vs. B, 1.91 ± 0.20 vs. 2.25 ± 0.46, P = 0.040). At 12 months after surgery, 17 women in each group (group A/B, 77/75%) reported improvement of their symptoms. However, only 11 and 13 women (group A/B, 55/59%) of groups A and B, respectively, maintained their improvement at the median follow-up of 50 months. Better results were reported in patients with a greater change in the depth of their rectocele (≥4 cm) after the procedure (P = 0.001)

Conclusion

In both procedures, clinical outcomes might become progressively worse as the length of the follow-up is increased.

Citations

Citations to this article as recorded by  
  • Laparoscopic or transanal repair of rectocele? Comparison of a reduction in rectocele size
    Akira Tsunoda, Tomoko Takahashi, Satoshi Matsuda, Hiroshi Kusanagi
    International Journal of Colorectal Disease.2023;[Epub]     CrossRef
  • Prise en charge chirurgicale de la rectocele – mise au point
    M. Aubert, D. Mege, R. Le Huu Nho, G. Meurette, I. Sielezneff
    Journal de Chirurgie Viscérale.2021; 158(2): 157.     CrossRef
  • Surgical management of the rectocele – An update
    M. Aubert, D. Mege, R. Le Huu Nho, G. Meurette, I. Sielezneff
    Journal of Visceral Surgery.2021; 158(2): 145.     CrossRef
  • ACG Clinical Guidelines: Management of Benign Anorectal Disorders
    Arnold Wald, Adil E. Bharucha, Berkeley Limketkai, Allison Malcolm, Jose M. Remes-Troche, William E. Whitehead, Massarat Zutshi
    American Journal of Gastroenterology.2021; 116(10): 1987.     CrossRef
  • Early and late effects of the sequential transfixed stich technique for the treatment of the symptomatic rectocele without rectal mucosa prolapse
    Fabio Gaj, Ivano Biviano, Antonello Trecca, Quirino Lai, Jacopo Andreuccetti
    Minerva Chirurgica.2020;[Epub]     CrossRef
  • Absence of a rectocele may be correlated with reduced internal anal sphincter function in patients with rectal intussusception and fecal incontinence
    Akira Tsunoda, Tomoko Takahashi, Hiroshi Kusanagi
    International Journal of Colorectal Disease.2019; 34(10): 1681.     CrossRef
  • Trattamento chirurgico del rettocele
    G. Meurette, A. Vénara, P.-A. Lehur
    EMC - Tecniche Chirurgiche Addominale.2018; 24(1): 1.     CrossRef
  • Tratamiento quirúrgico de los rectoceles
    G. Meurette, A. Vénara, P.-A. Lehur
    EMC - Técnicas Quirúrgicas - Aparato Digestivo.2018; 34(1): 1.     CrossRef
  • Surgery for constipation: systematic review and practice recommendations
    U. Grossi, E. J. Horrocks, J. Mason, C. H. Knowles, A. B. Williams
    Colorectal Disease.2017; 19(S3): 73.     CrossRef
The Influence of Nutritional Assessment on the Outcome of Ostomy Takedown
Min Sang Kim, Ho Kun Kim, Dong Yi Kim, Jae Kyun Ju
J Korean Soc Coloproctol. 2012;28(3):145-151.   Published online June 30, 2012
DOI: https://doi.org/10.3393/jksc.2012.28.3.145
  • 3,486 View
  • 28 Download
  • 8 Citations
AbstractAbstract PDF
Purpose

Ostomy takedown is often considered a simple procedure without intention; however, it is associated with significant morbidity. This study is designed to evaluate factors predicting postoperative complications in the ostomy takedown in view of metabolism and nutrition.

Methods

A retrospective, institutional review-board-approved study was performed to identify all patients undergoing takedown of an ostomy from 2004 to 2010.

Results

Of all patients (150), 48 patients (32%; male, 31; female, 17) had complications. Takedown of an end-type ostomy showed a high complication rate; complications occurred in 55.9% of end-type ostomies and 15.7% of loop ostomies (P < 0.001). Severe adhesion was also related to a high rate of overall complication (41.3%) (P = 0.024). In preoperative work-up, ostomy type was not significantly associated with malnutrition status. However, postoperatively severe malnutrition level (albumin <2.8 mg/dL) was statistically significant in increasing the risk of complications (72.7%, P = 0.015). In particular, a significant postoperative decrease in albumin (>1.3 mg/dL) was associated with postoperative complications, particularly surgical site infection (SSI). Marked weight loss such as body mass index downgrading may be associated with the development of complications.

Conclusion

A temporary ostomy may not essentially result in severe malnutrition. However, a postoperative significant decrease in the albumin concentration is an independent risk factor for the development of SSI and complications.

Citations

Citations to this article as recorded by  
  • Investigating colostomy-related morbidity in children following stoma formation and closure in a tertiary hospital, Abha, Saudi Arabia: a retrospective cohort study 2024
    Hashim Ali Alghamdi, Meshari Saad M Alqahtani, Hatem Mostafa Mohammed Asiri, Abdulaziz Mohammed M Abudasir, Khalid Talab Salem Alshahrani, Rahaf Ahmed Alamer, Ali Abdullah S Alshahrani, Yasir Abduallah M Alyahya, Anas Mohammed abudasir, Saeed Jarallah S A
    BMC Pediatrics.2024;[Epub]     CrossRef
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    Suzanne M. Arnott, Benjamin Zollinger, Sarah Haviland, Matthew Ng, Vincent Obias
    International Journal of Colorectal Disease.2022; 37(9): 2041.     CrossRef
  • Nutritional and Educational Intervention to Recover a Healthy Eating Pattern Reducing Clinical Ileostomy-Related Complications
    Antonio Fernández-Gálvez, Sebastián Rivera, María del Carmen Durán Ventura, Rubén Morilla Romero de la Osa
    Nutrients.2022; 14(16): 3431.     CrossRef
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    Okan M. AKTURK, Mikail CAKIR
    Chirurgia.2021;[Epub]     CrossRef
  • Descriptive Study of Pediatric Patients with Ileum Stoma at Inpatient Installation of Dr. Soetomo General Hospital Surabaya
    Farihazqa Hafez Mikala, Alpha Fardah Athiyyah, I Gusti Bagus Adria Hariastawa, I Gusti Made Reza Gunadi Ranuh
    JUXTA: Jurnal Ilmiah Mahasiswa Kedokteran Universitas Airlangga.2021; 12(1): 1.     CrossRef
  • Pre- and Post-Operative Nutrition Assessment in Patients with Colon Cancer Undergoing Ileostomy
    Georgios Vasilopoulos, Panagiota Makrigianni, Maria Polikandrioti, Ilias Tsiampouris, Dimitrios Karayiannis, Nikoletta Margari, Lamprini Avramopoulou, Georgia Toulia, Georgia Fasoi
    International Journal of Environmental Research and Public Health.2020; 17(17): 6124.     CrossRef
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    Andrew B. Nordin, Stephen P. Sales, Gail E. Besner, Marc A. Levitt, Richard J. Wood, Brian D. Kenney
    Journal of Pediatric Surgery.2018; 53(1): 52.     CrossRef
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    Moo-Jun Baek
    Annals of Coloproctology.2014; 30(2): 60.     CrossRef
Appendicitis during Pregnancy: The Clinical Experience of a Secondary Hospital
Soo Jung Jung, Do Kyung Lee, Jun Hyun Kim, Pil Sung Kong, Kyung Ha Kim, Sung Woo Bae
J Korean Soc Coloproctol. 2012;28(3):152-159.   Published online June 30, 2012
DOI: https://doi.org/10.3393/jksc.2012.28.3.152
  • 3,320 View
  • 37 Download
  • 20 Citations
AbstractAbstract PDF
Purpose

Appendicitis is the most common condition leading to an intra-abdominal operation for a non-obstetric problem in pregnancy. The aim of this study was to examine our experience and to analyze the clinical characteristics and the pregnancy outcomes for appendicitis during pregnancy that was reported in Korea.

Methods

We reported 25 cases of appendicitis during pregnancy that were treated at Good Moonhwa Hospital from January 2004 to March 2010. We also analyzed appendicitis during pregnancy reported in Korea between 1970 and 2008 by a review of journals.

Results

The incidence of acute appendicitis during pregnancy was one per 568 deliveries. The mean age was 27.92 years old, the gestational stage at the onset of symptoms was the first trimester in 10 patients (40%), the second trimester in 14 patients (56%), and the third trimester in 1 patient (4%). Among the 25 cases, 21 were treated with an open appendectomy and 4 with laparoscopic appendectomies. The postoperative complications were 2 wound infections and 1 spontaneous abortion.

Conclusion

Our experience demonstrated that appendectomies on pregnant patients can be successfully performed at secondary hospitals.

Citations

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    Qi Zeng, Amina Aierken, Shen-Sen Gu, Gang Yao, Shadike Apaer, Nuerzhatijiang Anweier, Jing Wu, Jin-Ming Zhao, Tao Li, Tuerhongjiang Tuxun
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    Anil Kumar, Rekha Rani, Hamid Wani
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  • Acute Appendicitis in Pregnancy and the Developing World
    Tika Ram Bhandari, Sudha Shahi, Sarita Acharya
    International Scholarly Research Notices.2017; 2017: 1.     CrossRef
  • Appendicitis in pregnancy: Difficulties in diagnosis and management. Guidance for the emergency general surgeon: A systematic review
    Arkeliana Tase, Mohamad Fathul Aizat Kamarizan, Keshav Swarnkar
    International Journal of Surgery Open.2017; 6: 5.     CrossRef
  • Maternal and Fetal Outcome in Pregnant Women with Acute Appendicitis: A Three Year Observational Study
    Alaa Masood
    Obstetrics & Gynecology International Journal.2016;[Epub]     CrossRef
Does T3 Subdivision Correlate with Nodal or Distant Metastasis in Colorectal Cancer?
Hong Yeol Yoo, Rumi Shin, Heon-Kyun Ha, Heung-Kwon Oh, Seung-Yong Jeong, Kyu Joo Park, Gyeong Hoon Kang, Woo Ho Kim, Jae-Gahb Park
J Korean Soc Coloproctol. 2012;28(3):160-164.   Published online June 30, 2012
DOI: https://doi.org/10.3393/jksc.2012.28.3.160
  • 3,831 View
  • 32 Download
  • 10 Citations
AbstractAbstract PDF
Purpose

We analyzed the clinical data of T3 colorectal cancer patients to assess whether T3 subdivision correlates with node (N) or metastasis (M) staging and stage-independent factors.

Methods

Five hundred fifty-five patients who underwent surgery for primary colorectal cancer from January 2003 to December 2009 were analyzed for T3 subdivision. T3 subdivision was determined by the depth of invasion beyond the outer border of the proper muscle (T3a, <1 mm; T3b, 1 to 5 mm; T3c, >5 to 15 mm; T3d, >15 mm). We investigated the correlation between T3 subdivision and N, M staging and stage-independent prognostic factors including angiolymphatic invasion (ALI), venous invasion (VI) and perineural invasion (PNI).

Results

The tumors of the 555 patients were subclassified as T3a in 86 patients (15.5%), T3b in 209 patients (37.7%), T3c in 210 patients (37.8%) and T3d in 50 patients (9.0%). The nodal metastasis rates were 39.5% for T3a, 56.5% for T3b, 75.7% for T3c and 74.0% for T3d. The distant metastasis rates were 7.0% for T3a 9.1% for T3b, 27.1% for T3c and 40.0% for T3d. Both N and M staging correlated with T3 subdivision (Spearman's rho = 0.288, 0.276, respectively; P < 0.001). Other stage-independent prognostic factors correlated well with T3 subdivision (Spearman's rho = 0.250, P < 0.001 for ALI; rho = 0.146, P < 0.001 for VI; rho = 0.271, P < 0.001 for PNI).

Conclusion

Subdivision of T3 colorectal cancer correlates with nodal and metastasis staging. Moreover, it correlates with other prognostic factors for colorectal cancer.

Citations

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    Arnaud Ronfaut, Christophe Attencourt, Jean-Rene Tesson, Charles Sabbagh, Jean-Marc Regimbeau, Denis Chatelain
    Annales de Pathologie.2024;[Epub]     CrossRef
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    Yu Shen, Yanqiong Wen, Liang Bi, Xuyang Yang, Xiaoling Gong, Xiangbing Deng, Wenjian Meng, Ziqiang Wang
    Abdominal Radiology.2023; 49(3): 774.     CrossRef
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    John D. Paulsen, Alexandros D. Polydorides
    Archives of Pathology & Laboratory Medicine.2022; 146(5): 591.     CrossRef
  • Prognostic significance of additional histologic features for subclassification of pathological T3 colon cancer
    Lorenzo Macchi, Quoc Riccardo Bao, Laura Albertoni, Matteo Fassan, Valentina Chiminazzo, Marco Scarpa, Gaya Spolverato, Salvatore Pucciarelli
    International Journal of Clinical Oncology.2022; 27(9): 1428.     CrossRef
  • The value of diffusion kurtosis imaging and intravoxel incoherent motion quantitative parameters in predicting synchronous distant metastasis of rectal cancer
    Xue Ding, Danqi Sun, Qiuchen Guo, Yeting Li, Hao Chen, Xiaoxiao Dai, Guohua Fan, Yongyou Wu, Guangqiang Chen, Yonggang Li
    BMC Cancer.2022;[Epub]     CrossRef
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    Vincenzo Valentini, Corrie Marijnen, Geerard Beets, Krzysztof Bujko, Berardino De Bari, Andres Cervantes, Giuditta Chiloiro, Claudio Coco, Maria Antonietta Gambacorta, Robert Glynne-Jones, Karin Haustermans, Elisa Meldolesi, Femke Peters, Claus Rödel, Har
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  • Whole-lesion Apparent Diffusion Coefficient First- and Second-Order Texture Features for the Characterization of Rectal Cancer Pathological Factors
    Weifeng Li, Zhuoran Jiang, Yue Guan, Ying Chen, Xiaolin Huang, Song Liu, Jian He, Zhengyang Zhou, Yun Ge
    Journal of Computer Assisted Tomography.2018; 42(4): 642.     CrossRef
  • A meta-analysis assessing the survival implications of subclassifying T3 rectal tumours
    M.R.S. Siddiqui, C. Simillis, J. Bhoday, N.J. Battersby, J. Mok, S. Rasheed, P. Tekkis, A.M. Abulafi, G. Brown
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  • Extramural extension as indicator for postoperative adjuvant chemotherapy in Stage IIA (pT3N0) colon cancer
    Yoshito Akagi, Kazuo Shirouzu, Tetsushi Kinugasa
    Journal of Surgical Oncology.2013; 108(6): 358.     CrossRef
  • T3 Subdivision Correlation with Nodal or Distant Metastasis in Colorectal Cancer; Is It Practically Useful?
    Nam Kyu Kim
    Journal of the Korean Society of Coloproctology.2012; 28(3): 119.     CrossRef
Case Reports
Treatment of a Recurrent Rectourethral Fistula by Using Transanal Rectal Flap Advancement and Fibrin Glue: A Case Report
Taek-Gu Lee, Sung-Su Park, Sang-Jeon Lee
J Korean Soc Coloproctol. 2012;28(3):165-169.   Published online June 30, 2012
DOI: https://doi.org/10.3393/jksc.2012.28.3.165
  • 3,350 View
  • 36 Download
  • 7 Citations
AbstractAbstract PDF

Rectourethral fistulas (RUFs) in adults are rare and could result from complicated trauma, and prostatic or rectal surgery. RUFs have been treated initially by using primary repair and omental interposition with or without a colostomy during surgery. Recurrent RUFs require complex surgery, such as a low rectal resection and coloanal anastomosis, an interposition flap of the datos muscle or gracilis muscle, and others. Recently, transanal rectal flap advancement and fibrin glue injection have provided an effective occlusion of RUFs. However, no reports about this technique exist for cases of recurrent RUFs. We report a case of a recurrent RUF successfully repaired by using transanal rectal flap advancement combined with fibrin glue injection into the fistula tract. The postoperative course was uneventful without complications. At the 1-year follow-up, no complications such as urethral stricture or recurrence existed, and voiding was normal without anal incontinence.

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    Sean Ong, Zein Alhamdani, Nathan Lawrentschuk
    BMJ Case Reports.2022; 15(9): e249816.     CrossRef
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    J.U. Juan Escudero, F. Villalba Ferrer, M. Ramos de Campos, M. Fabuel Deltoro, M.J. García Coret, F. Sánchez Ballester, I. Povo Martín, Y. Pallas Costa, P. Pardo Duarte, J. García Ibañez, A. Monzó Cataluña, K. Rechi Sierra, C. Juliá Romero, E. López Alcin
    Actas Urológicas Españolas.2021; 45(5): 398.     CrossRef
  • Treatment for rectourethral fistulas after radical prostatectomy with biological material interposition through a perineal access
    J.U. Juan Escudero, F. Villaba Ferrer, M. Ramos de Campos, M. Fabuel Deltoro, M.J. Garcia Coret, F. Sanchez Ballester, I. Povo Martín, Y. Pallas Costa, P. Pardo Duarte, J. García Ibañez, A. Monzó Cataluña, K. Rechi Sierra, C. Juliá Romero, E. Lopez Alcina
    Actas Urológicas Españolas (English Edition).2021; 45(5): 398.     CrossRef
  • A rare case of tubercular recto-prostatic urethral fistula with tuberculous orchitis
    Niramya Pathak, Mohan Keshavamurthy, Karthik Rao, Shakir Tabrez, Mohan Balaiah Ashwathaiya, Premakumar Krishnappa
    Urology Case Reports.2020; 33: 101355.     CrossRef
  • Management of acquired rectourethral fistulas in adults
    Shulian Chen, Rang Gao, Hong Li, Kunjie Wang
    Asian Journal of Urology.2018; 5(3): 149.     CrossRef
  • Re-operative surgery for genitourinary fistulae to the colorectum
    Gokulakkrishna Subhas, Suraj Alva, Walter E. Longo
    Seminars in Colon and Rectal Surgery.2015; 26(4): 229.     CrossRef
  • Rectourethral Fistula: Systemic Review of and Experiences With Various Surgical Treatment Methods
    Ji Hye Choi, Byeong Geon Jeon, Sang-Gi Choi, Eon Chul Han, Heon-Kyun Ha, Heung-Kwon Oh, Eun Kyung Choe, Sang Hui Moon, Seung-Bum Ryoo, Kyu Joo Park
    Annals of Coloproctology.2014; 30(1): 35.     CrossRef
A Case of Rectal Cancer in a Patient with Neurofibromatosis Type 1
Se Heon Oh, Jai Hyuen Lee, Hwan Namgung
J Korean Soc Coloproctol. 2012;28(3):170-173.   Published online June 30, 2012
DOI: https://doi.org/10.3393/jksc.2012.28.3.170
  • 2,987 View
  • 28 Download
  • 1 Citations
AbstractAbstract PDF

A rectal cancer was found in a 67-year-old man with a history of neurofibromatosis type 1. A low anterior resection was performed, and he received concurrent chemoradiation for 6 months. Twelve months after the surgery, a tumor was found at the anastomotic site by positron emission tomography-computed tomography and colonoscopy and was mistaken as anastomotic site recurrence. The tumor was confirmed as an inflammatory myofibroblastic tumor through transanal excision.

Citations

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  • Life-threatening gastrointestinal bleeding in a case of neurofibromatosis 1 and gastrointestinal stromal tumour managed with surgical intervention as a case report
    Vijayashree Gokhale, Sangram Mangudkar, Ponvijaya Yadav, Varun Lingineni, Satbir Pharande
    SAGE Open Medical Case Reports.2024;[Epub]     CrossRef

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