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Volume 29(5); October 2013
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Editorials
Anal Cancer Study Based on Korea Central Cancer Registry Data: One Step Forward in Clinical Research
Nam Kyu Kim
Ann Coloproctol. 2013;29(5):177-177.   Published online October 31, 2013
DOI: https://doi.org/10.3393/ac.2013.29.5.177
  • 2,637 View
  • 22 Download
  • 1 Citations
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Citations

Citations to this article as recorded by  
  • Commentary on "Characteristics and Survival of Korean Anal Cancer From the Korea Central Cancer Registry Data"
    Mohammad Mohammadianpanah
    Annals of Coloproctology.2014; 30(1): 54.     CrossRef
Additional Chemotherapy During Resting Periods After Preoperative Chemoradiotherapy in Patients With Rectal Cancer
Ok Suk Bae
Ann Coloproctol. 2013;29(5):178-178.   Published online October 31, 2013
DOI: https://doi.org/10.3393/ac.2013.29.5.178
  • 2,271 View
  • 23 Download
PDF
Histopathology and Physiological Alterations After Procedure for Prolapsed Hemorrhoids
Do Sun Kim
Ann Coloproctol. 2013;29(5):179-180.   Published online October 31, 2013
DOI: https://doi.org/10.3393/ac.2013.29.5.179
  • 3,031 View
  • 32 Download
PDF
Mesenteric Embolization: Is It Safe in Patients With Acute Lower Gastrointestinal Hemorrhage?
Dong Won Lee, Seon Hahn Kim
Ann Coloproctol. 2013;29(5):181-181.   Published online October 31, 2013
DOI: https://doi.org/10.3393/ac.2013.29.5.181
  • 2,512 View
  • 20 Download
PDF
Original Articles
Characteristics and Survival of Korean Anal Cancer From the Korea Central Cancer Registry Data
Hyoung-Chul Park, Kyu-Won Jung, Byung-Woo Kim, Aesun Shin, Young-Joo Won, Jae Hwan Oh, Seung-Yong Jeong, Chang Sik Yu, Bong Hwa Lee
Ann Coloproctol. 2013;29(5):182-185.   Published online October 31, 2013
DOI: https://doi.org/10.3393/ac.2013.29.5.182
  • 6,310 View
  • 39 Download
  • 9 Citations
AbstractAbstract PDF
Purpose

In Korea, anal cancer is rare disease entity with specific clinical characteristics. Therefore, no survival analysis with a sufficient patient population has been performed. The aim of this study was to evaluate the characteristics of Korean anal cancer, focusing on the survival according to tumor histologies, sex, and a specific age group, using the nationwide cancer registry.

Methods

Using the Korea Central Cancer Registry, we analyzed a total of 2,552 cases from 1993 to 2010. We assessed the 5-year relative survival by using tumor histology. In addition, survival differences of Surveillance Epidemiology and End Results (SEER) stage were analyzed for both sexes and for young-age cancer (younger than 40 years) and advanced-age cancer (older than 70 years).

Results

The 5-year relative survival among anal cancer patients increased from 38.9% for the period 1993-1995 to 65.6% for the period 2006-2010. The anal squamous cell carcinoma was the most common histology and showed better survival than other types of cancer. Females demonstrated better survival than males in all SEER stages. The 5-year survivals for patients in whom anal cancer developed before the age of 40 and at or after the age of 40 were 62.4% and 51.6%, respectively. The 5-year survival for patients in whom cancer developed at or after the age of 70 was much worse than that for patients in whom the cancer had developed prior to that age.

Conclusion

Korean anal cancer has certain distinctive characteristics of survival according to tumor histology, sex, and age. Despite limitations on available data, this study used the nationwide database to provide important information on the survival of Korean patients with anal cancer.

Citations

Citations to this article as recorded by  
  • Post-marketing surveillance study of the safety of the HPV-16/18 vaccine in Korea (2017–2021)
    Byung-Wook Eun, Enas Bahar, Stebin Xavier, Hyungwoo Kim, Dorota Borys
    Human Vaccines & Immunotherapeutics.2023;[Epub]     CrossRef
  • Long-term Oncologic Outcome and Its Relevant Factors in Anal Cancer in Korea: A Nationwide Data Analysis
    Hyuk Hur, Kyu-Won Jung, Byung-Woo Kim, Chang-Mo Oh, Young-Joo Won, Jae Hwan Oh, Nam Kyu Kim
    Annals of Coloproctology.2020; 36(1): 35.     CrossRef
  • Burden of Human papillomavirus (HPV)-related disease and potential impact of HPV vaccines in the Republic of Korea
    Young-Tak Kim, Beatriz Serrano, Jae-Kwan Lee, Hyunju Lee, Shin-Wha Lee, Crystal Freeman, Jin-Kyoung Oh, Laia Alemany, Francesc-Xavier Bosch, Laia Bruni
    Papillomavirus Research.2019; 7: 26.     CrossRef
  • Oncologic outcomes of squamous cell carcinoma of the anal canal after chemoradiation therapy
    Dae Ro Lim, Hyuk Hur, Byung Soh Min, Seung Hyuk Baik, Kang Young Lee, Nam Kyu Kim
    Korean Journal of Clinical Oncology.2016; 12(1): 41.     CrossRef
  • Trends and Analysis of Cancer Incidence for Common Male and Female Cancers in the Population of Punjab Province of Pakistan during 1984 to 2014
    Khalid Masood, Andleeb Masood, Junaid Zafar, Abubaker Shahid, Mujahid Kamran, Sohail Murad, Misbah Masood, Zafar Alluddin, Masooma Riaz, Naseem Akhter, Munir Ahmad, Fayyaz Ahmad, Javaid Akhtar, Muhammad Naeem
    Asian Pacific Journal of Cancer Prevention.2015; 16(13): 5297.     CrossRef
  • Reply on "Characteristics and Survival of Korean Anal Cancer From the Korea Central Cancer Registry Data"
    Hyoung-Chul Park, Bong Hwa Lee
    Annals of Coloproctology.2014; 30(1): 56.     CrossRef
  • Patterns and Trends with Cancer Incidence and Mortality Rates Reported by the China National Cancer Registry
    Peng-Lai Chen, Ting Zhao, Rui Feng, Jing Chai, Gui-Xian Tong, De-Bin Wang
    Asian Pacific Journal of Cancer Prevention.2014; 15(15): 6327.     CrossRef
  • Commentary on "Characteristics and Survival of Korean Anal Cancer From the Korea Central Cancer Registry Data"
    Mohammad Mohammadianpanah
    Annals of Coloproctology.2014; 30(1): 54.     CrossRef
  • Anal Cancer Study Based on Korea Central Cancer Registry Data: One Step Forward in Clinical Research
    Nam Kyu Kim
    Annals of Coloproctology.2013; 29(5): 177.     CrossRef
Knowledge of and Practice Patterns for Hereditary Colorectal Cancer Syndromes in Korean Surgical Residents
Jangho Park, Soo Young Lee, Duck-Woo Kim, Sung-Bum Kang, Seung-Yong Jeong, Kyu Joo Park
Ann Coloproctol. 2013;29(5):186-191.   Published online October 31, 2013
DOI: https://doi.org/10.3393/ac.2013.29.5.186
  • 3,879 View
  • 36 Download
  • 2 Citations
AbstractAbstract PDF
Purpose

Obtaining a detailed family history through detailed pedigree is essential in recognizing hereditary colorectal cancer (CRC) syndromes. This study was performed to assess the current knowledge and practice patterns of surgery residents regarding familial risk of CRC.

Methods

A questionnaire survey was performed to evaluate the knowledge and the level of recognition for analyses of family histories and hereditary CRC syndromes in 62 residents of the Department of Surgery, Seoul National University Hospital. The questionnaire consisted of 22 questions regarding practice patterns for, knowledge of, and resident education about hereditary CRC syndromes.

Results

Two-thirds of the residents answered that family history should be investigated at the first interview, but only 37% of them actually obtained pedigree detailed family history at the very beginning in actual clinical practice. Three-quarters of the residents answered that the quality of family history they obtained was poor. Most of them could diagnose hereditary nonpolyposis colorectal cancer and recommend an appropriate colonoscopy surveillance schedule; however, only 19% knew that cancer surveillance guidelines differed according to the family history. Most of our residents lacked knowledge of cancer genetics, such as causative genes, and diagnostic methods, including microsatellite instability test, and indicated a desire and need for more education regarding hereditary cancer and genetic testing during residency.

Conclusion

This study demonstrated that surgical residents' knowledge of hereditary cancer was not sufficient and that the quality of the family histories obtained in current practice has to be improved. More information regarding hereditary cancer should be considered in education programs for surgery residents.

Citations

Citations to this article as recorded by  
  • Efficacy, functional outcome and post‑operative complications of total abdominal colectomy with ileorectal anastomosis vs. segmental colectomy in hereditary non‑polyposis colorectal cancer
    Jie Sun, Mingjie Dong, Xiaoping Xiao
    Experimental and Therapeutic Medicine.2018;[Epub]     CrossRef
  • Clinicopathological Features and Type of Surgery for Lynch Syndrome: Changes during the Past Two Decades
    Il Tae Son, Duck-Woo Kim, Seung-Yong Jeong, Young-Kyoung Shin, Myong Hoon Ihn, Heung-Kwon Oh, Sung-Bum Kang, Kyu Joo Park, Jae Hwan Oh, Ja-Lok Ku, Jae-Gahb Park
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A Phase II Study of Additional Four-Week Chemotherapy With Capecitabine During the Resting Periods After Six-Week Neoadjuvant Chemoradiotherapy in Patients With Locally Advanced Rectal Cancer
Kyung Ha Lee, Min Sang Song, Jun Boem Park, Jin Soo Kim, Dae Young Kang, Ji Yeon Kim
Ann Coloproctol. 2013;29(5):192-197.   Published online October 31, 2013
DOI: https://doi.org/10.3393/ac.2013.29.5.192
  • 3,169 View
  • 35 Download
  • 5 Citations
AbstractAbstract PDF
Purpose

The aim of this study is to evaluate the efficacy and the safety of additional 4-week chemotherapy with capecitabine during the resting periods after a 6-week neoadjuvant chemoradiotherapy (NCRT) in patients with locally advanced rectal cancer.

Methods

Radiotherapy was delivered to the whole pelvis at a total dose of 50.4 Gy for 6 weeks. Oral capecitabine was administered at a dose of 825 mg/m2 twice daily for 10 weeks. Surgery was performed 2-4 weeks following the completion of chemotherapy.

Results

Between January 2010 and September 2011, 44 patients were enrolled. Forty-three patients underwent surgery, and 41 patients completed the scheduled treatment. Pathologic complete remission (pCR) was noted in 9 patients (20.9%). T down-staging and N down-staging were observed in 32 patients (74.4%) and 33 patients (76.7%), respectively. Grade 3 to 5 toxicity was noted in 5 patients (11.4%). The pCR rate was similar with the pCR rates obtained after conventional NCRT at our institute and at other institutes.

Conclusion

This study showed that additional 4-week chemotherapy with capecitabine during the resting periods after 6-week NCRT was safe, but it was no more effective than conventional NCRT.

Citations

Citations to this article as recorded by  
  • Locally Advanced Rectal Cancer: What We Learned in the Last Two Decades and the Future Perspectives
    Vivek Srivastava, Aakansha Giri Goswami, Somprakas Basu, Vijay Kumar Shukla
    Journal of Gastrointestinal Cancer.2023; 54(1): 188.     CrossRef
  • The Effect of Continuing Chemotherapy after Chemoradiotherapy during the Time to Surgery on Tumor Response and Survival for Local Advanced Rectal Cancer
    Atike Gökçen Demiray, Arzu Yaren, Uğur Sungurtekin, Papatya Bahar Baltalarlı, Neşe Demirkan, Duygu Herek, Burcu Yapar Taşköylü, Gamze Gököz Doğu, Serkan Değirmencioğlu, Utku Özgen, Halil Sağınç, Umut Çakıroğlu, Nail Özhan, Canan Karan, Burçin Çakan Demire
    Journal of Oncology.2022; 2022: 1.     CrossRef
  • Phase 2 Neoadjuvant Treatment Intensification Trials in Rectal Cancer: A Systematic Review
    Mark T.W. Teo, Lucy McParland, Ane L. Appelt, David Sebag-Montefiore
    International Journal of Radiation Oncology*Biology*Physics.2018; 100(1): 146.     CrossRef
  • Efficacy and Safety of Low-Dose-Rate Endorectal Brachytherapy as a Boost to Neoadjuvant Chemoradiation in the Treatment of Locally Advanced Distal Rectal Cancer: A Phase-II Clinical Trial
    Shapour Omidvari, Shadi Zohourinia, Mansour Ansari, Leila Ghahramani, Mohammad Zare-Bandamiri, Ahmad Mosalaei, Niloofar Ahmadloo, Saeedeh Pourahmad, Hamid Nasrolahi, Sayed Hasan Hamedi, Mohammad Mohammadianpanah
    Annals of Coloproctology.2015; 31(4): 123.     CrossRef
  • Additional Chemotherapy During Resting Periods After Preoperative Chemoradiotherapy in Patients With Rectal Cancer
    Ok Suk Bae
    Annals of Coloproctology.2013; 29(5): 178.     CrossRef
Correlation of Histopathology With Anorectal Manometry Following Stapled Hemorrhoidopexy
Young Ki Hong, Yoon Jung Choi, Jung Gu Kang
Ann Coloproctol. 2013;29(5):198-204.   Published online October 31, 2013
DOI: https://doi.org/10.3393/ac.2013.29.5.198
  • 4,147 View
  • 34 Download
  • 7 Citations
AbstractAbstract PDF
Purpose

The removal of smooth muscle during stapled hemorrhoidopexy raises concerns regarding its effects on postoperative anorectal function. The purpose of this study was to evaluate the correlation between the amount of muscle removed and changes in anorectal manometry following stapled hemorrhoidopexy.

Methods

Patients with symptomatic II, III, or IV degree hemorrhoids that underwent stapled hemorrhoidopexy between January 2008 and May 2011 were included in this study. Anorectal manometry was performed preoperatively and at three months postoperatively. The resected doughnuts were examined histologically, and the thicknesses of muscle fibers were evaluated.

Results

Eighty-five patients (34 males) with a median age of 47 years were included. Muscularis propria fibers were identified in 63 of 85 pathologic specimens (74.1%). The median thickness of the muscle fibers was 1.58 ± 1.21 mm (0 to 4.5 mm). The mean resting pressure decreased by approximately 7 mmHg after operation in the 85 patients (P = 0.019). In patients with muscle incorporation, there was a significant difference in mean resting pressure (P = 0.041). In the analysis of the correlation of the difference in anorectal manometry results ([the result of postsurgical anorectal manometry] - [the result of presurgical anorectal manometry]) to the thickness of muscle fibers, no significant differences were seen. No patients presented with fecal incontinence.

Conclusion

Although the incidence of fecal incontinence is very low, muscle incorporation in the resected doughnuts following stapled hemorrhoidopexy may affect anorectal pressure. Therefore, surgeons should endeavor to minimize internal sphincter injury during stapled hemorrhoidopexy.

Citations

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  • Anatomical Anal Stenosis after PPH: Insights from a Retrospective Study and Rat Model
    Chia-Cheng Wen, Shih-Ming Huang, Yi-Wen Wang
    International Journal of Molecular Sciences.2024; 25(6): 3543.     CrossRef
  • Evaluation of Clinical Manifestations of Hemorrhoidal Disease, Carried Out Surgeries and Prolapsed Anorectal Tissues: Associations with ABO Blood Groups of Patients
    Inese Fišere, Valērija Groma, Šimons Svirskis, Estere Strautmane, Andris Gardovskis
    Journal of Clinical Medicine.2023; 12(15): 5119.     CrossRef
  • Association of Muscle Fibers with Histopathology in Doughnut Specimens Following Stapled Hemorrhoidopexy and Their Impacts on Postoperative Outcomes
    Chetty Y. V. Narayanaswamy, M. R. Sreevathsa, G. Akhil Chowdari, Koteshwara Rao
    The Surgery Journal.2022; 08(03): e199.     CrossRef
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    Le Manh Cuong, Vu Nam, Tran Thai Ha, Tran Thu Ha, Tran Quang Hung, Do Van Loi, Tran Manh Hung, Nguyen Van Son, Vu Duy Kien
    Advances in Therapy.2020; 37(3): 1136.     CrossRef
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    Filippo Pucciani
    Updates in Surgery.2018; 70(4): 477.     CrossRef
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    European Journal of Medical Research.2015;[Epub]     CrossRef
  • Histopathology and Physiological Alterations After Procedure for Prolapsed Hemorrhoids
    Do Sun Kim
    Annals of Coloproctology.2013; 29(5): 179.     CrossRef
The Safety and Efficacy of Mesenteric Embolization in the Management of Acute Lower Gastrointestinal Hemorrhage
Ker-Kan Tan, David Hugh Strong, Timothy Shore, Mohammmad Rafei Ahmad, Richard Waugh, Christopher John Young
Ann Coloproctol. 2013;29(5):205-208.   Published online October 31, 2013
DOI: https://doi.org/10.3393/ac.2013.29.5.205
  • 4,274 View
  • 41 Download
  • 15 Citations
AbstractAbstract PDF
Purpose

Mesenteric embolization is an integral part in the management of acute lower gastrointestinal (GI) bleeding. The aim of this study was to highlight our experience after adopting mesenteric embolization in the management of acute lower GI hemorrhage.

Methods

A retrospective review of all cases of mesenteric embolization for acute lower GI bleeding from October 2007 to August 2012 was performed.

Results

Twenty-seven patients with a median age of 73 years (range, 31 to 86 years) formed the study group. More than half (n = 16, 59.3%) of the patients were on either antiplatelet and/or anticoagulant therapy. The underlying etiology included diverticular disease (n = 9), neoplasms (n = 5) and postprocedural complications (n = 6). The colon was the most common bleeding site and was seen in 21 patients (left, 10; right, 11). The median hemoglobin prior to the embolization was 8.6 g/dL (6.1 to 12.6 g/dL). A 100% technical success rate with immediate cessation of hemorrhage at the end of the session was achieved. There were three clinical failures (11.1%) in our series. Two patients re-bled, and both underwent a successful repeat embolization. The only patient who developed an infarcted bowel following embolization underwent an emergency operation and died one week later. There were no factors that predicted clinical failure.

Conclusion

Mesenteric embolization for acute lower GI bleeding can be safely performed and is associated with a high clinical success rate in most patients. A repeat embolization can be considered in selected cases, but postembolization ischemia is associated with bad outcomes.

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    Elisabeth Seyferth, Rui Dai, James Ronald, Jonathan G. Martin, Alan A. Sag, Nicholas Befera, Waleska M. Pabon-Ramos, Paul V. Suhocki, Tony P. Smith, Charles Y. Kim
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Case Reports
Giant Ascending Colonic Diverticulum Presenting With Intussusception
Ho Jin Kim, Jin Ha Kim, Ok In Moon, Kyung Jong Kim
Ann Coloproctol. 2013;29(5):209-212.   Published online October 31, 2013
DOI: https://doi.org/10.3393/ac.2013.29.5.209
  • 3,555 View
  • 54 Download
  • 10 Citations
AbstractAbstract PDF

Diverticular disease of the colon is a common disease, and its incidence is increasing gradually. A giant colonic diverticulum (GCD) is a rare entity and is defined as a diverticulum greater than 4 cm in size. It mainly arises from the sigmoid colon, and possible etiology is a ball-valve mechanism permitting progressive enlargement. A plain abdominal X-ray can be helpful to make a diagnosis initially, and a barium enema and abdominal computed tomography may confirm the diagnosis. Surgical intervention is a definite treatment for a GCD. We report a case of an ascending GCD presenting with intussusception in a young adult.

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Acute Cholecystitis After a Colonoscopy
Tae Ik Park, Sang Yong Lee, Jun Hee Lee, Min Cheol Kim, Bong Gap Kim, Dong Hyuk Cha
Ann Coloproctol. 2013;29(5):213-215.   Published online October 31, 2013
DOI: https://doi.org/10.3393/ac.2013.29.5.213
  • 3,191 View
  • 27 Download
  • 7 Citations
AbstractAbstract PDF

Acute cholecystitis after a colonoscopy is a rare event, and only eight documented cases are reported in the literature. A 35-year-old male underwent a screening colonoscopy. There was a 5-mm sessile polyp in the sigmoid colon, which was removed by using a hot snare polypectomy. Forty-eight hours after the colonoscopy, the patient visited our emergency department with epigastric pain and fever. Based on the clinical findings, laboratory data and radiologic imaging, our diagnosis was acute cholecystitis. Because no previous cases of this type have been reported to date in Korea, we publish the details of our patients who presented with a postcolonoscopy complication diagnosed as acute cholecystitis.

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    Cheol Yun Jeong, Sung Hoon Jung
    Korean Journal of Pancreas and Biliary Tract.2016; 21(4): 228.     CrossRef
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