Annals of Coloproctology

Volume 33(3); June 2017

Editorials

The Need for Subdividing the Enhanced Recovery Program and Evaluation Criteria After Colorectal Surgery: In Ja Park; Ann Coloproctol. 2017;33(3):79-80. Published online June 30, 2017; DOI: https://doi.org/10.3393/ac.2017.33.3.79

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Limitation and Value of Using the Adenoma Detection Rate for Colonoscopy Quality Assurance: Jun Hur, Moo-Jun Baek; Ann Coloproctol. 2017;33(3):81-81. Published online June 30, 2017; DOI: https://doi.org/10.3393/ac.2017.33.3.81

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Diagnostic Accuracy of Artificial Intelligence and Computer-Aided Diagnosis for the Detection and Characterization of Colorectal Polyps: Systematic Review and Meta-analysis
Scarlet Nazarian, Ben Glover, Hutan Ashrafian, Ara Darzi, Julian Teare
Journal of Medical Internet Research.2021; 23(7): e27370. CrossRef

Unexpected Appendiceal Pathologies and Preoperative Imaging Studies on Patients With Acute Appendicitis: Byung Chun Kim; Ann Coloproctol. 2017;33(3):82-83. Published online June 30, 2017; DOI: https://doi.org/10.3393/ac.2017.33.3.82

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Mechanical Bowel Preparation, Do It or Not: When Crossing a River, What Do People Do?: Hungdai Kim; Ann Coloproctol. 2017;33(3):84-85. Published online June 30, 2017; DOI: https://doi.org/10.3393/ac.2017.33.3.84

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Einfluss der Darmvorbereitung auf Wundinfektionen und Anastomoseninsuffizienzen bei elektiven Kolonresektionen: Ergebnisse einer retrospektiven Studie mit 260 Patienten
C. Beltzer, M. Vetter, S. Axt, R. Bachmann, R. Schmidt
Der Chirurg.2020; 91(6): 491. CrossRef

Original Articles

Standardizing the Protocols for Enhanced Recovery From Colorectal Cancer Surgery: Are We a Step Closer to Ideal Recovery?: Mosab Shetiwy, Tamer Fady, Fayez Shahatto, Ahmed Setit; Ann Coloproctol. 2017;33(3):86-92. Published online June 30, 2017; DOI: https://doi.org/10.3393/ac.2017.33.3.86

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Abstract PDF

Purpose

Enhanced recovery protocols are being implemented into the standard of care in surgical practice. This study aimed to insert a steadfast set of elements into the perioperative care pathway to establish an improved recovery program for colorectal cancer patients.

Methods

Seventy patients planned for elective laparoscopic colorectal resection were randomized into 2 groups: conventional recovery group (n = 35) and enhanced recovery group (n = 35). The primary outcome was the length of hospital stay. Secondary outcomes included the times of removal of nasogastric tubes (NGTs), successful enteral feeding, and removal of drains, postoperative complications, intra-hospital mortality, and rate of readmission.

Results

The mean postoperative hospital stay was 4.49 ± 0.85 days vs. 13.31 ± 6.9 days (P < 0.001), the mean time of removal of NGTs was 0.77 ± 1.031 days vs. 3.26 ± 2.737 days (P < 0.001), the mean time of successful enteral feeding was 1.89 ± 1.13 days vs. 5.46 ± 1.67 days (P < 0.001), and the mean time for removal of intra-abdominal drains was 2.94 ± 1.056 days vs. 9.06 ± 3.757 days (P < 0.001) for the enhanced and the conventional groups, respectively. Complications were significantly lower among patients in the enhanced group (25.7% vs. 65.7%) (P = 0.001). The rates of readmission were similar in the 2 groups.

Conclusion

Applying definite evidence-based elements to the colorectal rehabilitation program significantly boosts the recovery pathway with favorable outcomes, including faster recovery of gastrointestinal tract functions, lower morbidities, and eventually earlier discharge from the hospital.

Citations

Citations to this article as recorded by

Enhanced Recovery After Surgery Guidelines and Hospital Length of Stay, Readmission, Complications, and Mortality
Khara M. Sauro, Christine Smith, Seremi Ibadin, Abigail Thomas, Heather Ganshorn, Linda Bakunda, Bishnu Bajgain, Steven P. Bisch, Gregg Nelson
JAMA Network Open.2024; 7(6): e2417310. CrossRef
Effect of rapid rehabilitation nursing on improving clinical outcomes in postoperative patients with colorectal cancer
Jing-Yan Song, Jing Cao, Jian Mao, Jiang-Lian Wang
World Journal of Gastrointestinal Surgery.2024; 16(7): 2119. CrossRef
Pathogenesis, Updates on Current Treatment Options and Alvimopan for Postoperative Ileus
Satish Patil, Swapnil Sharma, Sarvesh Paliwal
Biosciences Biotechnology Research Asia.2023; 20(2): 653. CrossRef
The effects of enhanced recovery after surgery on wound infection, complications, and postoperative hospital stay in patients undergoing colorectal surgery: A systematic review and meta‐analysis
Nianmei Li, Shuju Wei, Yonghua Qi, Wenjng Wei
International Wound Journal.2023; 20(10): 3990. CrossRef
Perioperative optimisation in low- and middle-income countries (LMICs): A systematic review and meta-analysis of enhanced recovery after surgery (ERAS)
Aya M Riad, Aisling Barry, Stephen R Knight, Carlie J Arbaugh, Parvez D Haque, Thomas G Weiser, Ewen M Harrison
Journal of Global Health.2023;[Epub] CrossRef
Prevention and Management of Postoperative Ileus: A Review of Current Practice
Zeeshan H Khawaja, Ahmed Gendia, Naqqash Adnan, Jamil Ahmed
Cureus.2022;[Epub] CrossRef
Perioperative Care Pathways in Low‐ and Lower‐Middle‐Income Countries: Systematic Review and Narrative Synthesis
Jignesh Patel, Timo Tolppa, Bruce M. Biccard, Brigitta Fazzini, Rashan Haniffa, Debora Marletta, Ramani Moonesinghe, Rupert Pearse, Sutharshan Vengadasalam, Timothy J. Stephens, Cecilia Vindrola‐Padros
World Journal of Surgery.2022; 46(9): 2102. CrossRef
The Prognostic Significance of Lymph Node Status and Lymph Node Ratio (LNR) on Survival of Right Colon Cancer Patients: a Tertiary Center Experience
Mosab Shetiwy, Amr F Elalfy, Osama Eldamshety, Ramy Abbas, Mohamed Abdelkhalek
Journal of Gastrointestinal Cancer.2021; 52(3): 1010. CrossRef
Intraoperative and postoperative complications in colorectal procedures: the role of continuous updating in medicine
Antonello FORGIONE, Salman Y. GURAYA, Michele DIANA, Jacques MARESCAUX
Minerva Surgery.2021;[Epub] CrossRef
The Predictive Value of Pulse Wave Velocity for Anastomotic Leakage After Colorectal Surgery
A. Venara, R. Jaouen, E. Lermite, P. Le Naoures, C. Casa, E. Mirallié, E. Duchalais, A. Hamy
World Journal of Surgery.2019; 43(1): 252. CrossRef
Is the Enhanced Recovery After Surgery (ERAS) Program Effective and Safe in Laparoscopic Colorectal Cancer Surgery? A Meta-Analysis of Randomized Controlled Trials
Xiaofei Ni, Dan Jia, Yan Chen, Lei Wang, Jian Suo
Journal of Gastrointestinal Surgery.2019; 23(7): 1502. CrossRef
The efficacy and safety of enhanced recovery after surgery (ERAS) program in laparoscopic digestive system surgery: A meta-analysis of randomized controlled trials
Xiaofei Ni, Dan Jia, Yuchen Guo, Xuan Sun, Jian Suo
International Journal of Surgery.2019; 69: 108. CrossRef
The Need for Subdividing the Enhanced Recovery Program and Evaluation Criteria After Colorectal Surgery
In Ja Park
Annals of Coloproctology.2017; 33(3): 79. CrossRef

Correlation Between Bowel Preparation and the Adenoma Detection Rate in Screening Colonoscopy: Jung Hun Park, Sang Jin Kim, Jong Hee Hyun, Kyung Su Han, Byung Chang Kim, Chang Won Hong, Sang-Jeon Lee, Dae Kyung Sohn; Ann Coloproctol. 2017;33(3):93-98. Published online June 30, 2017; DOI: https://doi.org/10.3393/ac.2017.33.3.93

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Abstract PDF

Purpose

The adenoma detection rate is commonly used as a measure of the quality of colonoscopy. This study assessed both the association between the adenoma detection rate and the quality of bowel preparation and the risk factors associated with the adenoma detection rate in screening colonoscopy.

Methods

This retrospective analysis involved 1,079 individuals who underwent screening colonoscopy at the National Cancer Center between December 2012 and April 2014. Bowel preparation was classified by using the Aronchick scale. Individuals with inadequate bowel preparations (n = 47, 4.4%) were excluded because additional bowel preparation was needed. The results of 1,032 colonoscopies were included in the analysis.

Results

The subjects' mean age was 53.1 years, and 657 subjects (63.7%) were men. The mean cecal intubation time was 6.7 minutes, and the mean withdrawal time was 8.7 minutes. The adenoma and polyp detection rates were 28.1% and 41.8%, respectively. The polyp, adenoma, and advanced adenoma detection rates did not correlate with the quality of bowel preparation. The multivariate analysis showed age ≥ 60 years (hazard ratio [HR], 1.42; 95% confidence interval [CI], 1.02–1.97; P = 0.040), body mass index ≥ 25 kg/m² (HR, 1.56; 95% CI, 1.17–2.08; P = 0.002) and current smoking (HR, 1.44; 95% CI, 1.01–2.06; P = 0.014) to be independent risk factors for adenoma detection.

Conclusion

The adenoma detection rate was unrelated to the quality of bowel preparation for screening colonoscopy. Older age, obesity, and smoking were independent risk factors for adenoma detection.

Citations

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Evaluating the Efficacy of Resect-and-Discard and Resect-and-Retrieve Strategies for Diminutive Colonic Polyps
Andrei Lucian Groza, Bogdan Miutescu, Cristian Tefas, Alexandru Popa, Iulia Ratiu, Roxana Sirli, Alina Popescu, Alexandru Catalin Motofelea, Marcel Tantau
Life.2024; 14(4): 532. CrossRef
Split doses versus whole dose bowel preparation using polyethylene glycol for colonoscopy: A multicentric prospective Lebanese randomized trial between 2021 and 2023
Blaybel Sara, Hammoud Ghinwa, Mourda Layla, Hallal Mahmoud, Khalil Ali, Mckey Remy
Health Science Reports.2024;[Epub] CrossRef
Overall Polyp Detection Rate as a Surrogate Measure for Screening Efficacy Independent of Histopathology: Evidence from National Endoscopy Database
Mark Aloysius, Hemant Goyal, Tejas Nikumbh, Niraj Shah, Ganesh Aswath, Savio John, Amol Bapaye, Sushovan Guha, Nirav Thosani
Life.2024; 14(6): 654. CrossRef
Application of linaclotide in bowel preparation for colonoscopy in patients with constipation: A prospective randomized controlled study
Haoxin Xu, Zhu He, Yulin Liu, Hong Xu, Pengfei Liu
Journal of Gastroenterology and Hepatology.2024;[Epub] CrossRef
Assessment of the Role of Artificial Intelligence in the Association Between Time of Day and Colonoscopy Quality
Zihua Lu, Lihui Zhang, Liwen Yao, Dexin Gong, Lianlian Wu, Meiqing Xia, Jun Zhang, Wei Zhou, Xu Huang, Chunping He, Huiling Wu, Chenxia Zhang, Xun Li, Honggang Yu
JAMA Network Open.2023; 6(1): e2253840. CrossRef
Correlation between prescribing doctor attributes and intestinal cleanliness in colonoscopy: a study of 22522 patients
Haibin Zhou, Hayat Khizar, Xiaofeng Zhang, Jianfeng Yang
Annals of Medicine.2023;[Epub] CrossRef
Enhancing the Quality of Upper Gastrointestinal Endoscopy: Current Indicators and Future Trends
Caesar Ferrari, Micheal Tadros
Gastroenterology Insights.2023; 15(1): 1. CrossRef
Reinforced education by short message service improves the quality of bowel preparation for colonoscopy
Peng Li, Xueqian He, Jie Dong, Youwei Chen, Qin Zhou
International Journal of Colorectal Disease.2022; 37(4): 815. CrossRef
Supplementary education can improve the rate of adequate bowel preparation in outpatients: A systematic review and meta-analysis based on randomized controlled trials
Shicheng Peng, Sixu Liu, Jiaming Lei, Wensen Ren, Lijun Xiao, Xiaolan Liu, Muhan Lü, Kai Zhou, Antonio Z. Gimeno-Garcia
PLOS ONE.2022; 17(4): e0266780. CrossRef
Adenoma Detection Rate in Colonoscopic Screening with Ketamine-based Sedation: A Prospective Observational Study
Mirza KOVACEVIC, Nermina RIZVANOVIC, Adisa SABANOVIC ADILOVIC, Nedim BARUCIJA, Anida ABAZOVIC
Medeniyet Medical Journal.2022; 37(1): 79. CrossRef
Colonic bowel prep and body mass index: does one size fit all? A multi-centre review
Brodie D. Laurie, Mary M. K. Teoh, Alfredo Noches-Garcia, Munyaradzi G. Nyandoro
International Journal of Colorectal Disease.2022; 37(12): 2451. CrossRef
Multimedia based education on bowel preparation improves adenoma detection rate: Systematic review & meta‐analysis of randomized controlled trials
Saurabh Chandan, Sumant Arora, Babu P. Mohan, Shahab R. Khan, Ojasvini C. Chandan, Lena L. Kassab, Arvind R. Murali
Digestive Endoscopy.2021; 33(5): 730. CrossRef
Role of Bowel Preparation in Adenoma Detection Rate and Follow-up Recommendations in African American Dominant Patient Population
Hamid-Reza Moein, Eskara Pervez, Salina Faidhalla, Heba Habbal, Hajra Khan, Anshu Wadehra, Mahvish Khalid, Diana Kakos, Paul Naylor, Bashar Mohamad
Cureus.2021;[Epub] CrossRef
The unmet needs for identifying the ideal bowel preparation
Gian E Tontini, Alberto Prada, Sandro Sferrazza, Giorgio Ciprandi, Maurizio Vecchi
JGH Open.2021; 5(10): 1135. CrossRef
When should we perform colonoscopy to increase the adenoma detection rate?
Sang Hoon Kim, Jae Hak Kim
World Journal of Gastrointestinal Endoscopy.2021; 13(12): 619. CrossRef
Quality of Preoperative Colonoscopy Affects Missed Postoperative Adenoma Detection in Colorectal Cancer Patients
Jae Ho Park, Hee Seok Moon, In Sun Kwon, Ju Seok Kim, Sun Hyung Kang, Eaum Seok Lee, Seok Hyun Kim, Jae Kyu Sung, Byung Seok Lee, Hyun Yong Jeong
Digestive Diseases and Sciences.2020; 65(7): 2063. CrossRef
Bowel Preparation for Colonoscopy in 2020: A Look at the Past, Present, and Future
Valentine Ongeri Millien, Nabil M. Mansour
Current Gastroenterology Reports.2020;[Epub] CrossRef
Effect of Sending Educational Video Clips via Smartphone Mobile Messenger on Bowel Preparation before Colonoscopy
Sung Chan Jeon, Jae Hyun Kim, Sun Jung Kim, Hye Jung Kwon, Youn Jung Choi, Kyoungwon Jung, Sung Eun Kim, Won Moon, Moo In Park, Seun Ja Park
Clinical Endoscopy.2019; 52(1): 53. CrossRef
Efficacy of 1.2 L polyethylene glycol plus ascorbic acid for bowel preparations
Hiroyuki Tamaki, Teruyo Noda, Masahiro Morita, Akina Omura, Atsushi Kubo, Chikara Ogawa, Toshihiro Matsunaka, Mitsushige Shibatoge
World Journal of Clinical Cases.2019; 7(4): 452. CrossRef
Microbiome and morbid obesity increase pathogenic stimulus diversity
Björn L.D.M. Brücher, Ijaz S. Jamall, Obul R. Bandapalli
4open.2019; 2: 10. CrossRef
Difference in Physician- and Patient-Dependent Factors Contributing to Adenoma Detection Rate and Serrated Polyp Detection Rate
Maryan Cavicchi, Gaëlle Tharsis, Pascal Burtin, Philippe Cattan, Franck Venezia, Gilles Tordjman, Agnès Gillet, Joëlle Samama, Karine Nahon-Uzan, David Karsenti
Digestive Diseases and Sciences.2019; 64(12): 3579. CrossRef
Impact of diet restriction on bowel preparation for colonoscopy
Seung-Joo Nam, Young Jin Kim, Bora Keum, Jae Min Lee, Seung Han Kim, Hyuk Soon Choi, Eun Sun Kim, Yeon Seok Seo, Yoon Tae Jeen, Hong Sik Lee, Hoon Jai Chun, Soon Ho Um, Chang Duck Kim
Medicine.2018; 97(41): e12645. CrossRef
Limitation and Value of Using the Adenoma Detection Rate for Colonoscopy Quality Assurance
Jun Hur, Moo-Jun Baek
Annals of Coloproctology.2017; 33(3): 81. CrossRef

Unexpected Appendiceal Pathologies and Their Changes With the Expanding Use of Preoperative Imaging Studies: Hong Yeol Yoo, Jaewoo Choi, Jongjin Kim, Young Jun Chai, Rumi Shin, Hye Seong Ahn, Chang-Sup Lim, Hae Won Lee, Ki-Tae Hwang, In Mok Jung, Jung Kee Chung, Seung Chul Heo; Ann Coloproctol. 2017;33(3):99-105. Published online June 30, 2017; DOI: https://doi.org/10.3393/ac.2017.33.3.99

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Abstract PDF

Purpose

The preoperative diagnosis of acute appendicitis is often challenging. Sometimes, pathologic results of the appendix embarrass or confuse surgeons. Therefore, more and more imaging studies are being performed to increase the accuracy of appendicitis diagnoses preoperatively. However, data on the effect of this increase in preoperative imaging studies on diagnostic accuracy are limited. We performed this study to explore unexpected appendiceal pathologies and to delineate the role of preoperative imaging studies in the diagnosis of acute appendicitis.

Methods

The medical records of 4,673 patients who underwent an appendectomy for assumed appendicitis between 1997 and 2012 were reviewed retrospectively. Pathological results and preoperative imaging studies were surveyed, and the frequencies of pathological results and preoperative imaging studies were investigated.

Results

The overall rate of pathology compatible with acute appendicitis was 84.4%. Unexpected pathological findings, such as normal histology, specific inflammations other than acute appendicitis, neoplastic lesions, and other pathologies, comprised 9.6%, 3.3%, 1.2%, and 1.5%, respectively. The rate of unexpected pathological results was significantly reduced because of the increase in preoperative imaging studies. The decrease in normal appendices contributed the most to the reduction while other unexpected pathologies did not change significantly despite the increased use of imaging studies. This decrease in normal appendices was significant in both male and female patients under the age of 60 years, but the differences in females were more prominent.

Conclusion

Unexpected appendiceal pathologies comprised 15.6% of the cases. Preoperative imaging studies reduced them by decreasing the negative appendectomy rate of patients with normal appendices.

Citations

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The appendix: An unexpected band obstruction
Rowan Klein Nulend, Rakesh Quinn, Kar Yin Fok, Nimalan Pathmanathan
Journal of Case Reports and Images in Surgery.2024; 10(1): 1. CrossRef
The Vermiform Appendix and Its Pathologies
Marian Constantin, Livia Petrescu, Cristina Mătanie, Corneliu Ovidiu Vrancianu, Adelina-Gabriela Niculescu, Octavian Andronic, Alexandra Bolocan
Cancers.2023; 15(15): 3872. CrossRef
Rising incidence of appendiceal neoplasms over time: Does pathological handling of appendectomy specimens play a role?
Hisham F. Bahmad, Abed Alhalim Aljamal, Juan Carlos Alvarez Moreno, Ali Salami, Philip Bao, Sarah Alghamdi, Robert J. Poppiti
Annals of Diagnostic Pathology.2021; 52: 151724. CrossRef
The Impact of Pathological Criteria on Pediatric Negative Appendectomy Rate
Caroline Maloney, Morris C. Edelman, Alexandra C. Bolognese, Aaron M. Lipskar, Barrie S. Rich
Journal of Pediatric Surgery.2019; 54(9): 1794. CrossRef
Communication and management of incidental pathology in 1,214 consecutive appendicectomies; a cohort study
Ned Kinnear, Bridget Heijkoop, Eliza Bramwell, Alannah Frazzetto, Amy Noll, Prajay Patel, Derek Hennessey, Greg Otto, Christopher Dobbins, Tarik Sammour, James Moore
International Journal of Surgery.2019; 72: 185. CrossRef
Unexpected Appendiceal Pathologies and Preoperative Imaging Studies on Patients With Acute Appendicitis
Byung Chun Kim
Annals of Coloproctology.2017; 33(3): 82. CrossRef

The Usefulness of Intraoperative Colonic Irrigation and Primary Anastomosis in Patients Requiring a Left Colon Resection: Youngki Hong, Soomin Nam, Jung Gu Kang; Ann Coloproctol. 2017;33(3):106-111. Published online June 30, 2017; DOI: https://doi.org/10.3393/ac.2017.33.3.106

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Abstract PDF

Purpose

The aim of this study is to assess the short-term outcome of intraoperative colonic irrigation and primary anastomosis and to suggest the usefulness of the procedure when a preoperative mechanical bowel preparation is inappropriate.

Methods

This retrospective study included 38 consecutive patients (19 male patients) who underwent intraoperative colonic irrigation and primary anastomosis for left colon disease between January 2010 and December 2016. The medical records of the patients were reviewed to evaluate the patients' characteristics, operative data, and postoperative short-term outcomes.

Results

Twenty-nine patients had colorectal cancer, 7 patients had perforated diverticulitis, and the remaining 2 patients included 1 with sigmoid volvulus and 1 with a perforated colon due to focal colonic ischemia. A diverting loop ileostomy was created in 4 patients who underwent a low anterior resection. Complications occurred in 15 patients (39.5%), and the majority was superficial surgical site infections (18.4%). Anastomotic leakage occurred in one patient (2.6%) who underwent an anterior resection due sigmoid colon cancer with obstruction. No significant difference in overall postoperative complications and superficial surgical site infections between patients with obstruction and those with peritonitis were noted. No mortality occurred during the first 30 postoperative days. The median hospital stay after surgery was 15 days (range, 8–39 days).

Conclusion

Intraoperative colonic irrigation and primary anastomosis seem safe and feasible in selected patients. This procedure may reduce the burden of colostomy in patients requiring a left colon resection with an inappropriate preoperative mechanical bowel preparation.

Citations

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Emergency Colon and Rectal Surgery, What Every Surgeon Needs to Know
Brian Williams, Abhinav Gupta, Sarah D. Koller, Tanya JT Starr, Maximillian J.H. Star, Darcy D. Shaw, Ali H. Hakim, Jennifer Leinicke, Michael Visenio, Kenneth H. Perrone, Zachary H. Torgerson, Austin D. Person, Charles A. Ternent, Kevin A. Chen, Muneera
Current Problems in Surgery.2024; 61(1): 101427. CrossRef
Safety profile of a multimodal fail-safe model to minimize postoperative complications in oncologic colorectal resections—a cohort study
Shahram Khadem, Jonas Herzberg, Human Honarpisheh, Robert Maximilian Jenner, Salman Yousuf Guraya, Tim Strate
Perioperative Medicine.2023;[Epub] CrossRef
Intraoperative Colonic Irrigation for Low Rectal Resections With Primary Anastomosis: A Fail-Safe Surgical Model
Jonas Herzberg, Shahram Khadem, Salman Yousuf Guraya, Tim Strate, Human Honarpisheh
Frontiers in Surgery.2022;[Epub] CrossRef
Malignant Large Bowel Obstruction
Roberta L. Muldoon
Clinics in Colon and Rectal Surgery.2021; 34(04): 251. CrossRef
Mechanical Bowel Preparation, Do It or Not: When Crossing a River, What Do People Do?
Hungdai Kim
Annals of Coloproctology.2017; 33(3): 84. CrossRef

Case Reports

Urinary Bladder Injury During Colonoscopy Without Colon Perforation: Jung Wook Suh, Jun Won Min, Hwan Namgung, Dong-Guk Park; Ann Coloproctol. 2017;33(3):112-114. Published online June 30, 2017; DOI: https://doi.org/10.3393/ac.2017.33.3.112

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We report a case of urinary bladder perforation during colonoscopy. A 67-year-old female, who had undergone a transabdominal hysterectomy for uterine myomas 15 years ago, visited the emergency department with complaint of abdominal pain after a screening colonoscopy. Laparoscopic examination revealed severe adhesion between the sigmoid colon and the urinary bladder. The urinary bladder wall was weakened, and several perforation sites were found. The surgery was converted to a laparotomy. After a thorough examination, we performed primary repair for the perforation sites, followed by an omentopexy.

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Trauma to the solid abdominal organs: The missed dark box of colonoscopy
Mohamed H Emara, Usama Mazid, Yasmine A Elshaer, Mahmoud A Elkerdawy, Dilaver Farooq Malik, Aya M Mahros
World Journal of Gastroenterology.2024; 30(7): 624. CrossRef
Mesenteric laceration of the sigmoid colon after colonoscopy: A rare complication
Min Wu, Yonghua Lin, Zhichao Chen, Jianfeng Wei
Asian Journal of Surgery.2023; 46(11): 5391. CrossRef
Massive retroperitoneal hematoma following colonoscopy
Reo Ohtsuka, Hodaka Amano, Kei Niida, Takeaki Yoshino, Michiyo Owari, Ryotaro Takano, Yuichi Akama, Yohei Watanabe, Toshiyasu Iwao
Medicine.2018; 97(31): e11723. CrossRef

Pneumoretroperitoneum and Sepsis After Transanal Endoscopic Resection of a Rectal Lateral Spreading Tumor: Bruno Augusto Alves Martins, Marcelo de Melo Andrade Coura, Romulo Medeiros de Almeida, Natascha Mourão Moreira, João Batista de Sousa, Paulo Gonçalves de Oliveira; Ann Coloproctol. 2017;33(3):115-118. Published online June 30, 2017; DOI: https://doi.org/10.3393/ac.2017.33.3.115

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Abstract PDF

Transanal endoscopic microsurgery is considered a safe, appropriate, and minimally invasive approach, and complications after endoscopic microsurgery are rare. We report a case of sepsis and pneumoretroperitoneum after resection of a rectal lateral spreading tumor. The patient presented with rectal mucous discharge. Colonoscopy revealed a rectal lateral spreading tumor. The patient underwent an endoscopic transanal resection of the lesion. He presented with sepsis of the abdominal focus, and imaging tests revealed pneumoretroperitoneum. A new surgical intervention was performed with a loop colostomy. Despite the existence of other reports on pneumoretroperitoneum after transanal endoscopic microsurgery, what draws attention to this case is the association with sepsis.

Citations

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Emphysema as a complication after transanal endoscopic microsurgery (TEM) (case report and review)
E. A. Khomyakov, T. A. Eryshova, M. V. Kapitanov, S. V. Chernyshov, E. G. Rybakov
Koloproktologia.2023; 22(4): 113. CrossRef
Approach to the patient with pneumoretroperitoneum
Sumudu Welikumbura, Toan Pham, Anshini Jain, Marli Williams, Philip Smart
ANZ Journal of Surgery.2021; 91(1-2): 206. CrossRef
Penetration into free abdominal cavity during transanal endoscopic rectal resection for adenoma
Yu. A. Gevorkyan, N. V. Soldatkina, V. E. Kolesnikov, D. A. Kharagezov, A. V. Dashkov, S. I. Poluektov, N. S. Samoylenko
South Russian Journal of Cancer.2021; 2(1): 43. CrossRef
Ectopic air localizations after transanal procedures: A systematic literature review
Andrea Balla, Silvia Quaresima, Alessandro M. Paganini
International Journal of Surgery.2018; 56: 167. CrossRef

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