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Volume 32(3); June 2016
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Editorials
Colorectal Liver Metastases: A Never Ending Story
Min Ro Lee, Jong Hun Kim
Ann Coloproctol. 2016;32(3):87-87.   Published online June 30, 2016
DOI: https://doi.org/10.3393/ac.2016.32.3.87
  • 2,436 View
  • 28 Download
PDF
Minimally Invasive Interval Appendectomy for Perforated Appendicitis With a Periappendiceal Abscess
Ik Yong Kim
Ann Coloproctol. 2016;32(3):88-89.   Published online June 30, 2016
DOI: https://doi.org/10.3393/ac.2016.32.3.88
  • 3,484 View
  • 66 Download
  • 2 Web of Science
  • 2 Citations
PDF

Citations

Citations to this article as recorded by  
  • Acute Appendicitis with Appendicolith and its Complication and Management: A Case Report
    Maya Ann Francis, Resheek Nerella, Deepa Treesa Francis, Rohan Raj, Ahmer Zain, Sana Augustine, Niyaz A Jamil
    Cureus.2023;[Epub]     CrossRef
  • Retained fecalith following laparoscopic appendectomy
    Yegi Sandy Kim, Joseph Cherng Kong, Evan Williams, Satish K. Warrier
    Clinical Case Reports.2021; 9(3): 1651.     CrossRef
Have Any Changes in Pain Been Noted After a Hemorrhoidectomy Since the Establishment of the Milligan-Morgan Hemorrhoidectomy?
Do Sun Kim
Ann Coloproctol. 2016;32(3):90-91.   Published online June 30, 2016
DOI: https://doi.org/10.3393/ac.2016.32.3.90
  • 2,884 View
  • 54 Download
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Original Articles
Prognostic Factors in Terms of the Number of Metastatic Nodules in Patients With Colorectal Cancer Liver Metastases
Ki Ung Jang, Chan Wook Kim, Ki-Hun Kim, Seok-Byung Lim, Chang Sik Yu, Tae Won Kim, Pyo Nyun Kim, Jong Hoon Kim, Jin Cheon Kim
Ann Coloproctol. 2016;32(3):92-100.   Published online June 30, 2016
DOI: https://doi.org/10.3393/ac.2016.32.3.92
  • 4,749 View
  • 37 Download
  • 15 Web of Science
  • 12 Citations
AbstractAbstract PDF
Purpose

The hepatic resection is the gold-standard treatment for patients with colorectal-cancer liver metastases (CLM). This study aimed to identify prognostic factors in patients with synchronous CLM who underwent a surgical curative (R0) resection with respect to the number of metastatic nodules.

Methods

Of 1,261 CLM patients treated between January 1991 and December 2010, 339 who underwent a R0 resection for synchronous CLM were included in this retrospective analysis. Patients were grouped according to the number of CLM nodules: 1–2 CLM nodules, n = 272 (group 1) and 3–8 CLM nodules, n = 67 (group 2).

Results

The 5-year progression-free survival (PFS) rate in group 1was better than that in group 2 (P = 0.020). The multivariate analysis identified lymph-node metastasis (N2), lymphovascular invasion (LVI), and three or more CLM nodules as independent poor prognostic factors for PFS in all patients and lymph-node metastasis (N2) and LVI as independent poor prognostic factors for patients in group 1. No independent prognostic factors were identified for patients in group 2. CLM treatment method and neoadjuvant chemotherapy were not associated with survival.

Conclusion

Three or more metastatic nodules, lymph-node metastasis (N2), and LVI were independent poor prognostic factors for PFS in patients with synchronous CLM who underwent a R0 resection. The latter 2 factors were also independent prognostic factors for PFS in patients with less than 3 CLM nodules; however, in patients with three or more CLM nodules, the prognosis for PFS may be related only to liver metastasis.

Citations

Citations to this article as recorded by  
  • Constructing a prognostic model for colorectal cancer with synchronous liver metastases after preoperative chemotherapy: a study based on SEER and an external validation cohort
    Yixin Ding, Xiaoxi Han, Shufen Zhao, Shasha Wang, Jing Guo, Chuanyu Leng, Xiangxue Li, Kongjia Wang, Wensheng Qiu, Weiwei Qi
    Clinical and Translational Oncology.2024;[Epub]     CrossRef
  • More Liver Metastases Detected Intraoperatively Indicates Worse Prognosis for Colorectal Liver Metastases Patients after Resection Combined with Microwave Ablation
    Ling-Min Jiang, Yuan-Ping Zhang, Chen-Wei Wang, Wei-Dong Zhang, Wei He, Ji-Liang Qiu, Yi-Chuan Yuan, Bin-Kui Li, Yun-Fei Yuan, Ren-Chun Lai, Dan-Dan Hu, Yun Zheng, Alessandro Granito
    Journal of Oncology.2022; 2022: 1.     CrossRef
  • The Tumor Microenvironment in Liver Metastases from Colorectal Carcinoma in the Context of the Histologic Growth Patterns
    Gemma Garcia-Vicién, Artur Mezheyeuski, María Bañuls, Núria Ruiz-Roig, David G. Molleví
    International Journal of Molecular Sciences.2021; 22(4): 1544.     CrossRef
  • lncRNA PCAT18 inhibits proliferation, migration and invasion of gastric cancer cells through miR-135b suppression to promote CLDN11 expression
    Xiao-Zhan Zhang, Hong-Li Mao, Shi-Jie Zhang, Li Sun, Wen-Jing Zhang, Qing-Zhou Chen, Lei Wang, Hong-Chun Liu
    Life Sciences.2020; 249: 117478.     CrossRef
  • HIF-1α expression in liver metastasis but not primary colorectal cancer is associated with prognosis of patients with colorectal liver metastasis
    Yuma Wada, Yuji Morine, Satoru Imura, Tetsuya Ikemoto, Yu Saito, Chie Takasu, Shinichiro Yamada, Mitsuo Shimada
    World Journal of Surgical Oncology.2020;[Epub]     CrossRef
  • Solitary colorectal liver metastasis after curative intent surgery: prognostic factors affecting outcomes and survival
    Heeji Shin, Chan Wook Kim, Jong Lyul Lee, Yong Sik Yoon, In Ja Park, Seok‐Byung Lim, Chang Sik Yu, Jin Cheon Kim
    ANZ Journal of Surgery.2019; 89(1-2): 61.     CrossRef
  • Liver Metastases and Histological Growth Patterns: Biological Behavior and Potential Clinical Implications—Another Path to Individualized Medicine?
    Rui Caetano Oliveira, Henrique Alexandrino, Maria Augusta Cipriano, José Guilherme Tralhão
    Journal of Oncology.2019; 2019: 1.     CrossRef
  • Which Patients with Isolated Para-aortic Lymph Node Metastasis Will Truly Benefit from Extended Lymph Node Dissection for Colon Cancer?
    Sung Uk Bae, Hyuk Hur, Byung Soh Min, Seung Hyuk Baik, Kang Young Lee, Nam Kyu Kim
    Cancer Research and Treatment.2018; 50(3): 712.     CrossRef
  • Resection after preoperative chemotherapy versus synchronous liver resection of colorectal cancer liver metastases
    Chan W. Kim, Jong L. Lee, Yong S. Yoon, In J. Park, Seok-Byung Lim, Chang S. Yu, Tae W. Kim, Jin C. Kim
    Medicine.2017; 96(7): e6174.     CrossRef
  • A postoperative scoring system for post-hepatectomy early recurrence of colorectal liver metastases
    Rui Mao, Jian-Jun Zhao, Xin-Yu Bi, Ye-Fan Zhang, Zhi-Yu Li, Jian-Guo Zhou, Xiao-Long Wu, Chen Xiao, Hong Zhao, Jian-Qiang Cai
    Oncotarget.2017; 8(60): 102531.     CrossRef
  • Ongoing Adjuvant/Neoadjuvant Trials in Resectable Metastatic Colorectal Cancer
    Daniel Krell, Rob Glynne-Jones
    Current Colorectal Cancer Reports.2016; 12(6): 303.     CrossRef
  • Colorectal Liver Metastases: A Never Ending Story
    Min Ro Lee, Jong Hun Kim
    Annals of Coloproctology.2016; 32(3): 87.     CrossRef
Usefulness of Anorectal Manometry for Diagnosing Continence Problems After a Low Anterior Resection
Audrius Dulskas, Narimantas E. Samalavicius
Ann Coloproctol. 2016;32(3):101-104.   Published online June 30, 2016
DOI: https://doi.org/10.3393/ac.2016.32.3.101
  • 3,787 View
  • 46 Download
  • 16 Web of Science
  • 17 Citations
AbstractAbstract PDF
Purpose

For several decades, the low anterior resection (LAR) with total mesorectal excision (TME) has been the gold standard for treating patients with rectal cancer. Up to 90% of patients undergoing sphincter-preserving surgery will have changes in bowel habits, so-called 'anterior resection syndrome.' This study examined patients' continence after a LAR for the treatment of rectal cancer.

Methods

This prospective study was performed between September 2014 and August 2015 at the National Cancer Institute and included 30 patients who underwent anorectal manometry preoperatively and at 3 and 4 months after a LAR, but 10 were excluded from further evaluation for various reasons. Wexner score was recorded preoperatively and 4 months after LAR (1 month after ileostomy repair).

Results

Postoperatively, 70% of patients complained of some degree of soiling (incontinence to liquid stool), and 30% experienced urgent defecation. Four months after surgery, these symptoms had somewhat abated. The anal resting pressure and the maximum squeezing pressure did not change significantly. Rectal capacity and compliance were reduced in all patients. The majority of patients demonstrated manometric anorectal changes and clinical anorectal function disorders during the first 4 months after surgery. The Wexner scores and the manometric findings showed no correlation.

Conclusion

Many patients undergoing a LAR with TME for the treatment of rectal cancer experience some degree of incontinence postoperatively. Anorectal manometry may be used as an additional tool for evaluating problems with continence after a LAR. No correlation between the Wexner score and the manometric findings was observed.

Citations

Citations to this article as recorded by  
  • Long term persistence and risk factors for anorectal symptoms following low anterior resection for rectal cancer
    E. Koifman, M. Armoni, Y. Gorelik, A. Harbi, Y. Streltsin, S. D. Duek, R. Brun, Y. Mazor
    BMC Gastroenterology.2024;[Epub]     CrossRef
  • Effect of neoadjuvant chemoradiation on anorectal function assessed with anorectal manometry: A systematic review and meta-analysis
    Pamela Milito, Guglielmo Niccolò Piozzi, Mohammad Iqbal Hussain, Tommaso A. Dragani, Luca Sorrentino, Maurizio Cosimelli, Marcello Guaglio, Luigi Battaglia
    Tumori Journal.2024; 110(4): 284.     CrossRef
  • Low anterior resection syndrome
    Matthew C. Hernandez, Paul Wong, Kurt Melstrom
    Journal of Surgical Oncology.2023; 127(8): 1271.     CrossRef
  • Effects of neoadjuvant radiochemotherapy for anorectal function in locally advanced rectal cancer patients: a study protocol for a prospective, observational, controlled, multicentre study
    Jie Shi, Yi-Kan Cheng, Fang He, Jian Zheng, Yun-Long Wang, Xiang-Bo Wan, Hong-Cheng Lin, Xin-Juan Fan
    BMC Cancer.2023;[Epub]     CrossRef
  • Should anorectal manometry be routine before stoma reversal in patients after an intersphincteric resection?
    Mufaddal Kazi, Bhushan Jajoo, Jitender Rohila, Sayali Dohale, Chaitali Nashikkar, Rajesh Sainani, Prajesh Bhuta, Ashwin Desouza, Avanish Saklani
    Colorectal Disease.2023; 25(8): 1638.     CrossRef
  • Optimizing the Utility of Anorectal Manometry for Diagnosis and Therapy: A Roundtable Review and Recommendations
    Satish S.C. Rao, Nitin K. Ahuja, Adil E. Bharucha, Darren M. Brenner, William D. Chey, Jill K. Deutsch, David C. Kunkel, Baharak Moshiree, Leila Neshatian, Robert M. Reveille, Gregory S. Sayuk, Jordan M. Shapiro, Eric D. Shah, Kyle Staller, Steven D. Wexn
    Clinical Gastroenterology and Hepatology.2023; 21(11): 2727.     CrossRef
  • Clinical impact of the triple‐layered circular stapler for reducing the anastomotic leakage in rectal cancer surgery: Porcine model and multicenter retrospective cohort analysis
    Ryota Nakanishi, Yoshiaki Fujimoto, Masahiko Sugiyama, Yuichi Hisamatsu, Tomonori Nakanoko, Koji Ando, Mitsuhiko Ota, Yasue Kimura, Eiji Oki, Tomoharu Yoshizumi
    Annals of Gastroenterological Surgery.2022; 6(2): 256.     CrossRef
  • Troubles de la motricité anorectale : troubles fonctionnels de la défécation et incontinence fécale
    C. Desprez, V. Bridoux, A.-M. Leroi
    Journal de Chirurgie Viscérale.2022; 159(1): S46.     CrossRef
  • Disorders of anorectal motility: Functional defecation disorders and fecal incontinence
    C. Desprez, V. Bridoux, A.-M. Leroi
    Journal of Visceral Surgery.2022; 159(1): S40.     CrossRef
  • Long-Term Anorectal Manometry Outcomes After Laparoscopic and Transanal Total Mesorectal Excision
    Ana López-Sánchez, Antonio Morandeira-Rivas, Carlos Moreno-Sanz, Francisco Javier Cortina-Oliva, Marina Manzanera-Díaz, Jhonny David Gonzales-Aguilar
    Journal of Laparoendoscopic & Advanced Surgical Techniques.2021; 31(4): 395.     CrossRef
  • Assessment of defecation function after sphincter-saving resection for mid to low rectal cancer: A cross-sectional study
    Bao-Jia Luo, Mei-Chun Zheng, Yang Xia, Zhu Ying, Jian-Hong Peng, Li-Ren Li, Zhi-Zhong Pan, Hui-Ying Qin
    European Journal of Oncology Nursing.2021; 55: 102059.     CrossRef
  • Functional outcomes after sphincter-preserving surgeries for low-lying rectal cancer: A review
    Eun Jung Park, Seung Hyuk Baik
    Precision and Future Medicine.2021; 5(4): 164.     CrossRef
  • Predictors of permanent stoma creation in patients with mid or low rectal cancer: results of a multicentre cohort study with preoperative evaluation of anal function
    S. Kim, M. H. Kim, J. H. Oh, S.‐Y. Jeong, K. J. Park, H.‐K. Oh, D.‐W. Kim, S.‐B. Kang
    Colorectal Disease.2020; 22(4): 399.     CrossRef
  • Preoperative incremental maximum squeeze pressure as a predictor of fecal incontinence after very low anterior resection for low rectal cancer
    Masatoshi Kochi, Hiroyuki Egi, Tomohiro Adachi, Yuji Takakura, Shoichiro Mukai, Kazuhiro Taguchi, Ikki Nakashima, Yusuke Sumi, Shintaro Akabane, Koki Sato, Hisaaki Yoshinaka, Minoru Hattori, Hideki Ohdan
    Surgery Today.2020; 50(5): 516.     CrossRef
  • Manometric assessment of anorectal function after transanal total mesorectal excision
    M. X. Bjoern, S. K. Perdawood
    Techniques in Coloproctology.2020; 24(3): 231.     CrossRef
  • Postoperative Bowel Function After Anal Sphincter-Preserving Rectal Cancer Surgery: Risks Factors, Diagnostic Modalities, and Management
    Chris George Cura Pales, Sanghyun An, Jan Paolo Cruz, Kwangmin Kim, Youngwan Kim
    Annals of Coloproctology.2019; 35(4): 160.     CrossRef
  • Effectiveness of Pelvic Floor Rehabilitation for Bowel Dysfunction After Intersphincteric Resection for Lower Rectal Cancer
    Hideaki Nishigori, Masayuki Ishii, Yujiro Kokado, Kouji Fujimoto, Hiroshi Higashiyama
    World Journal of Surgery.2018; 42(10): 3415.     CrossRef
Single-Port Laparoscopic Interval Appendectomy for Perforated Appendicitis With a Periappendiceal Abscess
Sung Uk Bae, Woon Kyung Jeong, Seong Kyu Baek
Ann Coloproctol. 2016;32(3):105-110.   Published online June 30, 2016
DOI: https://doi.org/10.3393/ac.2016.32.3.105
  • 5,613 View
  • 66 Download
  • 5 Web of Science
  • 8 Citations
AbstractAbstract PDF
Purpose

Nonoperative management followed by an interval appendectomy is a commonly used approach for treating patients with perforated appendicitis with abscess formation. As minimally-invasive surgery has developed, single-port laparoscopic surgery (SPLS) is increasingly being used to treat many conditions. We report our initial experience with this procedure using a multichannel single-port.

Methods

The study included 25 adults who underwent a single-port laparoscopic interval appendectomy for perforated appendicitis with periappendiceal abscess by using a single-port with or without needlescopic grasper between June 2014 and January 2016.

Results

Of the 25 patients, 9 (36%) required percutaneous drainage for a median of 7 days (5–14 days) after insertion, and 3 (12%) required conversion to reduced-port laparoscopic surgery with a 5-mm port insertion because of severe adhesions to adjacent organs. Of 22 patients undergoing SPLS, 13 underwent pure SPLS (52.0%) whereas 9 patients underwent SPLS with a 2-mm needle instrument (36.0%). Median operation time was 70 minutes (30–155 minutes), and a drainage tube was placed in 9 patients (36.0%). Median total length of incision was 2.5 cm (2.0–3.0 cm), and median time to soft diet initiation and length of stay in the hospital were 2 days (0–5 days) and 3 days (1–7 days), respectively. Two patients (8.0%) developed postoperative complications: 1 wound site bleeding and 1 surgical site infection.

Conclusion

Conservative management followed by a single-port laparoscopic interval appendectomy using a multichannel single-port appears feasible and safe for treating patients with acute perforated appendicitis with periappendiceal abscess.

Citations

Citations to this article as recorded by  
  • Comparison between liquid skin adhesive and wound closure strip for skin closure after subcuticular suturing in single-port laparoscopic appendectomy: a single-center retrospective study in Korea
    Kyeong Eui Ki, Yu Ra Jeon, Sung Uk Bae, Woon Kyung Jeong, Seong Kyu Baek
    Journal of Minimally Invasive Surgery.2024; 27(1): 14.     CrossRef
  • Single-port laparoscopic appendectomy for perforated appendicitis using ArtiSential® wristed articulated instrument
    Sung Uk Bae, Woon Kyung Jeong, Seong Kyu Baek
    Journal of Minimal Access Surgery.2023; 19(1): 168.     CrossRef
  • Single incision laparoscopic appendectomy with surgical-glove port is cost-effective and reliable in complicated acute appendicitis: A casecontrol multicenter study in Colombia
    Andrés Felipe Carrillo Montenegro, Sofía Aristizabal Rojas, Jean André Pulido Segura, Mauricio Pedraza, Laura Padilla, Ivan David Lozada-Martinez, Alexis Rafael Narvaez-Rojas, Luis Felipe Cabrera-Vargas
    Heliyon.2023; 9(1): e12972.     CrossRef
  • A prospective randomized controlled study comparing patient-reported scar evaluation of single-port versus multiport laparoscopic appendectomy for acute appendicitis
    Kyeong Eui Kim, In Soo Cho, Sung Uk Bae, Woon Kyung Jeong, Hyung Jin Kim, Seong Kyu Baek
    Journal of Minimally Invasive Surgery.2023; 26(2): 55.     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
  • Single-incision Laparoscopy-assisted Appendectomy in the Pediatric Age Group: Our Experience
    Hemanshi Shah, Charu Tiwari, Suraj Gandhi, Gursev Sandlas, Neha Sisodiya Shenoy
    World Journal of Laparoscopic Surgery with DVD.2020; 13(2): 77.     CrossRef
  • Clinical outcomes of single‐site laparoscopic interval appendectomy for severe complicated appendicitis: Comparison to conventional emergency appendectomy
    Masaaki Miyo, Shoichiro Urabe, Satoshi Hyuga, Tomo Nakagawa, Toshiya Michiura, Nobuyasu Hayashi, Kazuo Yamabe
    Annals of Gastroenterological Surgery.2019; 3(5): 561.     CrossRef
  • Minimally Invasive Interval Appendectomy for Perforated Appendicitis With a Periappendiceal Abscess
    Ik Yong Kim
    Annals of Coloproctology.2016; 32(3): 88.     CrossRef
Comparison of a Hemorrhoidectomy With Ultrasonic Scalpel Versus a Conventional Hemorrhoidectomy
Dae Ro Lim, Dae Hyun Cho, Joo Hyun Lee, Jae Hwan Moon
Ann Coloproctol. 2016;32(3):111-116.   Published online June 30, 2016
DOI: https://doi.org/10.3393/ac.2016.32.3.111
  • 6,384 View
  • 99 Download
  • 16 Web of Science
  • 20 Citations
AbstractAbstract PDF
Purpose

A variety of instruments, including circular staplers, ultrasonic scalpels, lasers, and bipolar electrothermal devices, are currently used when performing a hemorrhoidectomy. This study compared outcomes between hemorrhoidectomies performed with an ultrasonic scalpel and conventional methods.

Methods

The study was a randomized prospective review of data available between May 2013 and December 2013, involving 50 patients who had undergone a hemorrhoidectomy for grade III or IV internal hemorrhoids. The hemorrhoidal pedicle was coagulated with an ultrasonic device in the ultrasonic scalpel group (n = 25) and sutured with 3-0 vicryl material after excision in the conventional method group (n = 25).

Results

The patients' demographics, clinical characteristics, and lengths of hospital stay were similar in both groups. The mean ages of the conventional and the ultrasonic scalpel groups were, respectively, 20.8 ± 1.6 and 22.4 ± 5.0 years (P = 0.240). In comparison with the conventional method group, the ultrasonic scalpel group had a shorter operation time (P < 0.005), less postoperative pain on the visual analogue scale score (for example, P = 0.211 on postoperative day 1), and less postoperative bleeding (P = 0.034). No significant differences in postoperative complications were observed between the 2 groups.

Conclusion

A hemorrhoidectomy using an ultrasonic scalpel is an effective and safe procedure. The ultrasonic scalpel reduces the operation time, the postoperative blood loss, and the postoperative pain. Long-term follow-up with larger-scale studies is required to evaluate normal activity after a hemorrhoidectomy performed with an ultrasonic scalpel.

Citations

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    Lu Lu, Qiang Hou, Zheyuan Hu, Zuochao Yao, Jiachao Xiong, Jianghui Ying, Meiqing Sun, Hui Wang, Hua Jiang
    Aesthetic Plastic Surgery.2024; 48(3): 273.     CrossRef
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    Ehab Loutfy, Hatem Elgohary, Mahmoud E. Elkashlan, Mohamed G. Abdelrahman, Wael Omar
    The Egyptian Journal of Surgery.2024; 43(2): 572.     CrossRef
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    Geng Wang, Yuanjue Wu, Yang Cao, Rui Zhou, Kaixiong Tao, Linfang Wang
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    Alexis Bikfalvi, Charlotte Faes, Stephan M. Freys, Girish P. Joshi, Marc Van de Velde, Eric Albrecht
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    Takaaki Yano, Daijiro Kabata, Seiichi Kimura
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    Vitaliy V. Balytskyy
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    Takaaki Yano
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    Giovanni Tomasicchio, Gennaro Martines, Giuliano Lantone, Rigers Dibra, Giuseppe Trigiante, Michele De Fazio, Arcangelo Picciariello, Donato Francesco Altomare, Marcella Rinaldi
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    Muhammad Shamim
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    Doğan Yıldırım, Turgut Dönmez, Okan Murat Aktürk, Ahmet Kocakuşak, Mikail Çakır, Mustafa Ertuğrul Yurtteri
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  • Have Any Changes in Pain Been Noted After a Hemorrhoidectomy Since the Establishment of the Milligan-Morgan Hemorrhoidectomy?
    Do Sun Kim
    Annals of Coloproctology.2016; 32(3): 90.     CrossRef
Case Reports
Hematochezia due to Angiodysplasia of the Appendix
Je-Min Choi, Seung-Hun Lee, Seung-Hyun Lee, Byung-Kwon Ahn, Sung-Uhn Baek
Ann Coloproctol. 2016;32(3):117-119.   Published online June 30, 2016
DOI: https://doi.org/10.3393/ac.2016.32.3.117
  • 3,483 View
  • 48 Download
  • 6 Web of Science
  • 9 Citations
AbstractAbstract PDF

Common causes of lower gastrointestinal bleeding include diverticular disease, vascular disease, inflammatory bowel disease, neoplasms, and hemorrhoids. Lower gastrointestinal bleeding of appendiceal origin is extremely rare. We report a case of lower gastrointestinal bleeding due to angiodysplasia of the appendix. A 72-year-old man presented with hematochezia. Colonoscopy showed active bleeding from the orifice of the appendix. We performed a laparoscopic appendectomy. Microscopically, dilated veins were found at the submucosal layer of the appendix. The patient was discharged uneventfully. Although lower gastrointestinal bleeding of appendiceal origin is very rare, clinicians should consider it during differential diagnosis.

Citations

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    Qin Ma, Jin-Jie Du
    World Journal of Clinical Cases.2024; 12(14): 2457.     CrossRef
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    Ayman Tabcheh, Johny Salem, Karim Zodeh, Ammar Ghazale
    European Journal of Case Reports in Internal Medicine.2024;[Epub]     CrossRef
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    Qin Ma, Jinjie Du
    International Journal of Surgery Case Reports.2023; : 108903.     CrossRef
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Persistent Bleeding Following a Stapled Hemorrhoidopexy
Seong Dae Lee, Sung Taek Jung, Jae-Bum Lee, Mi Jung Kim, Doo-Seok Lee, Eui-Gon Youk, Do-Sun Kim, Doo-Han Lee
Ann Coloproctol. 2016;32(3):120-122.   Published online June 30, 2016
DOI: https://doi.org/10.3393/ac.2016.32.3.120
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AbstractAbstract PDF

A stapled hemorrhoidopexy (SH) is widely used for treatment of patients with grades III and IV hemorrhoids. The SH is easy to perform, is associated with less pain and allows early return to normal activities. However, complications, whether severe or not, have been reported. Here, we present the case of a female patient with persistent bleeding after a SH. The bleeding was caused by the formation of granulation tissue at the stapler line, diagnosed with sigmoidoscopy, and successfully treated via transanal excision (TAE) under spinal anesthesia. The biopsy showed inflammatory granulation tissue. After the TAE, her symptom was completely gone.


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