Annals of Coloproctology

Volume 33(5); October 2017

Editorials

Lactose Intolerance and Colorectal Cancer: Jong-Woo Kim; Ann Coloproctol. 2017;33(5):157-158. Published online October 31, 2017; DOI: https://doi.org/10.3393/ac.2017.33.5.157

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Genetically Determined Circulating Lactase/Phlorizin Hydrolase Concentrations and Risk of Colorectal Cancer: A Two-Sample Mendelian Randomization Study
Sihao Han, Jiemin Yao, Hajime Yamazaki, Samantha A. Streicher, Jianyu Rao, Roch A. Nianogo, Zuofeng Zhang, Brian Z. Huang
Nutrients.2024; 16(6): 808. CrossRef
Systematic investigation of genetically determined plasma and urinary metabolites to discover potential interventional targets for colorectal cancer
Jing Sun, Jianhui Zhao, Siyun Zhou, Xinxuan Li, Tengfei Li, Lijuan Wang, Shuai Yuan, Dong Chen, Philip J Law, Susanna C Larsson, Susan M Farrington, Richard S Houlston, Malcolm G Dunlop, Evropi Theodoratou, Xue Li
JNCI: Journal of the National Cancer Institute.2024; 116(8): 1303. CrossRef
Milk consumption and risk of twelve cancers: A large-scale observational and Mendelian randomisation study
Amanda L. Lumsden, Anwar Mulugeta, Elina Hyppönen
Clinical Nutrition.2023; 42(1): 1. CrossRef
Streptococcus thermophilus Inhibits Colorectal Tumorigenesis Through Secreting β-Galactosidase
Qing Li, Wei Hu, Wei-Xin Liu, Liu-Yang Zhao, Dan Huang, Xiao-Dong Liu, Hung Chan, Yuchen Zhang, Ju-Deng Zeng, Olabisi Oluwabukola Coker, Wei Kang, Simon Siu Man Ng, Lin Zhang, Sunny Hei Wong, Tony Gin, Matthew Tak Vai Chan, Jian-Lin Wu, Jun Yu, William Ka
Gastroenterology.2021; 160(4): 1179. CrossRef
NONINVASIVE BREATH TESTS FOR DIAGNOSIS OF SIBO AND LACTOSE INTOLERANCE IN PATIENTS ON CHEMOTHERAPY TREATMENT FOR COLORECTAL AND GASTRIC CÂNCER
Aline Rufino GONÇALVES, Orlando AMBROGINI JR, Nora Manoukian FORONES
Arquivos de Gastroenterologia.2021; 58(1): 26. CrossRef
PROBİYOTİK VE PREBİYOTİK TÜKETİMİNİN LAKTOZ İNTOLERANSI ÜZERİNE ETKİLERİ
Ceren AKAL, Atilla YETİŞMEYEN
Gıda.2020; 45(2): 380. CrossRef

Correlation Between Anastomotic Configuration and Long-term Outcomes in Surgery for Crohn Disease: Jin-Su Kim, Ji-Yeon Kim; Ann Coloproctol. 2017;33(5):159-160. Published online October 31, 2017; DOI: https://doi.org/10.3393/ac.2017.33.5.159

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Review

Electrophysiological Basis of Fecal Incontinence and Its Implications for Treatment: Elroy Patrick Weledji; Ann Coloproctol. 2017;33(5):161-168. Published online October 31, 2017; DOI: https://doi.org/10.3393/ac.2017.33.5.161

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Abstract PDF

The majority of patients with neuropathic incontinence and other pelvic floor conditions associated with straining at stool have damage to the pudendal nerves distal to the ischial spine. Sacral nerve stimulation appears to be a promising innovation and has been widely adopted and currently considered the standard of care for adults with moderate to severe fecal incontinence and following failed sphincter repair. From a decision-to-treat perspective, the short-term efficacy is good (70%–80%), but the long-term efficacy of sacral nerve stimulation is around 50%. Newer electrophysiological tests and improved anal endosonography would more effectively guide clinical decision making.

Citations

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Fecal incontinence: challenges in electrodiagnosis and rehabilitation
Naglaa A. Gadallah, Abeer K. El Zohiery, Youssy S. Gergius, Shaymaa A. Moussa
Egyptian Rheumatology and Rehabilitation.2023;[Epub] CrossRef
A systematic review of translation and experimental studies on internal anal sphincter for fecal incontinence
Minsung Kim, Bo-Young Oh, Ji-Seon Lee, Dogeon Yoon, Wook Chun, Il Tae Son
Annals of Coloproctology.2022; 38(3): 183. CrossRef
Fecal Incontinence and Diarrhea During Pregnancy
Stacy B. Menees, Anthony Lembo, Aline Charabaty
American Journal of Gastroenterology.2022; 117(10S): 26. CrossRef
Analgesic effect of structured anal skin care for perianal dermatitis after low anterior resection in the rectal cancer patients: prospective, single-center, open-label, therapeutic confirmatory, randomized clinical trial
Gyung Mo Son, In Young Lee, Mi Sook Yun, Jung-Hea Youn, Hong Min An, Kyung Hee Kim, Seung Mi Yeo, Bokyung Ku, Myeong Suk Kwon, Kun Hyung Kim
Annals of Surgical Treatment and Research.2022; 103(6): 360. CrossRef
Diagnostic approach to faecal incontinence: What test and when to perform?
Wisam Sbeit, Tawfik Khoury, Amir Mari
World Journal of Gastroenterology.2021; 27(15): 1553. CrossRef
A historical perspective of sacral nerve stimulation (SNS) for bowel dysfunction
Elroy P. Weledji, Lukas Marti
IJS Short Reports.2021; 6(3): e25. CrossRef
Physiotherapy for Prevention and Treatment of Fecal Incontinence in Women—Systematic Review of Methods
Agnieszka Irena Mazur-Bialy, Daria Kołomańska-Bogucka, Marcin Opławski, Sabina Tim
Journal of Clinical Medicine.2020; 9(10): 3255. CrossRef
The anatomy of urination: What every physician should know
Elroy P. Weledji, Divine Eyongeta, Eleanor Ngounou
Clinical Anatomy.2019; 32(1): 60. CrossRef
Recent advances in managing fecal incontinence
Giovanna Da Silva, Anne Sirany
F1000Research.2019; 8: 1291. CrossRef
Recent advances in managing fecal incontinence
Giovanna Da Silva, Anne Sirany
F1000Research.2019; 8: 1291. CrossRef
Endoflip vs high‐definition manometry in the assessment of fecal incontinence: A data‐driven unsupervised comparison
Ali Zifan, Catherine Sun, Guillaume Gourcerol, Anne M. Leroi, Ravinder K. Mittal
Neurogastroenterology & Motility.2018;[Epub] CrossRef

Original Articles

Association of LCT-13910 C/T Polymorphism and Colorectal Cancer: Genco Gençdal, Esin Salman, Ömer Özütemiz, Ulus S. Akarca; Ann Coloproctol. 2017;33(5):169-172. Published online October 31, 2017; DOI: https://doi.org/10.3393/ac.2017.33.5.169

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Abstract PDF

Purpose

The activity of epithelial lactase (LCT) is associated with a polymorphism 13910 bp upstream in the lactase encoding gene. Because the association between the LCT-13910 polymorphism and the risk for colorectal cancer is not clear, we investigated the role of the LCT-13910 polymorphism as a potential risk factor for colorectal cancer and colorectal polyps in the Turkish population.

Methods

One hundred sixty-six subjects (74 with polyps, 44 with colorectal cancer, 48 controls), who had undergone a total colonoscopy between January 2012 and November 2012 in our endoscopy unit were genotyped for the LCT-13910 polymorphism by using the polymerase chain reaction and minisequencing.

Results

The CC genotype in the lactose gene 13910 locus, which is accepted as the genetic indicator of lactase deficiency, was determined as 83.7%. The CC genotype rate was determined as 89.1% in patients who had a history of lactose intolerance and 81.5% in those without a history of lactose intolerance (P = 0.236). No difference was detected between the patients who had colorectal polyp(s) and/or cancer and the controls with regard to the LCT-13910 polymorphism. No differences were determined between groups when they were compared with regard to the C or the T allele.

Conclusion

No differences were detected between the patients who had colorectal polyp(s) and/or cancer and those with normal colonoscopy findings with regard to lactase gene polymorphisms. No differences were determined between the groups when they were compared with regard to the C or the T allele.

Citations

Citations to this article as recorded by

Genetically Determined Circulating Lactase/Phlorizin Hydrolase Concentrations and Risk of Colorectal Cancer: A Two-Sample Mendelian Randomization Study
Sihao Han, Jiemin Yao, Hajime Yamazaki, Samantha A. Streicher, Jianyu Rao, Roch A. Nianogo, Zuofeng Zhang, Brian Z. Huang
Nutrients.2024; 16(6): 808. CrossRef
The Association of Lactose Intolerance With Colon and Gastric Cancers: Friend or Foe?
Mohammad Maysara Asfari, Osama Hamid, Muhammad Talal Sarmini, Katherine Kendrick, Lakshmi Priyanka Pappoppula, Humberto Sifuentes, Subbaramiah Sridhar
Cureus.2022;[Epub] CrossRef
Genetically proxied milk consumption and risk of colorectal, bladder, breast, and prostate cancer: a two-sample Mendelian randomization study
Susanna C. Larsson, Amy M. Mason, Siddhartha Kar, Mathew Vithayathil, Paul Carter, John A. Baron, Karl Michaëlsson, Stephen Burgess
BMC Medicine.2020;[Epub] CrossRef
Routine disaccharidase testing: are we there yet?
Antone R. Opekun, Bruno P. Chumpitazi, Mustafa M. Abdulsada, Buford L. Nichols
Current Opinion in Gastroenterology.2020; 36(2): 101. CrossRef
Lactose Intolerance and Colorectal Cancer
Jong-Woo Kim
Annals of Coloproctology.2017; 33(5): 157. CrossRef

Does Anastomosis Configuration Influence Long-term Outcomes in Patients With Crohn Disease?: Parajuli Anuj, Yong Sik Yoon, Chang Sik Yu, Jong Lyul Lee, Chan Wook Kim, In Ja Park, Seok-Byung Lim, Jin Cheon Kim; Ann Coloproctol. 2017;33(5):173-177. Published online October 31, 2017; DOI: https://doi.org/10.3393/ac.2017.33.5.173

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Abstract PDF

Purpose

In this study, we evaluated the role of various anastomoses in surgical recurrence for patients with Crohn disease (CD).

Methods

We analyzed data retrospectively from consecutive laparotomy cases involving complicated CD between 1991 and 2008. Clinical data were compared in terms of reoperation-free survival (RFS) according to the types of anastomoses, the materials used for the anastomoses, and the operating surgeon.

Results

Of 233 patients with entero-enteric or entero-colic anastomoses, 199 (85%), 11 (5%), and 23 (10%) experienced side-to-side (SS), side-to-end (SE), and end-to-end (EE) anastomoses, respectively. The SS group had the following characteristics: more extensive bowel involvement, frequent obstruction, and greater stapler use; the SS anastomoses were also frequently made by specialized surgeons (P < 0.001–0.004). EE anastomoses were frequently made by general surgeons using a hand-sewing technique (P < 0.001). No differences in RFS were noted among the 3 groups according to the type of anastomosis and the operating surgeon. However, the hand-sewn group showed better RFS than the stapler group (P = 0.04).

Conclusion

The roles of the anastomotic configuration, the material used, and the operating surgeon were not significantly correlated with reoperations or complications in our retrospective CD cohort, irrespective of the higher risk of anastomosis site stricture for EE anastomoses.

Citations

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Anastomosis after Bowel Resection for Crohn's Disease: State of the Art Review
Carla Newton, Alessandro Fichera
Clinics in Colon and Rectal Surgery.2024;[Epub] CrossRef
New anti-mesenteric delta-shaped stapled anastomosis: Technical report with short-term postoperative outcomes in patients with Crohn’s disease
Jong Lyul Lee, Yong Sik Yoon, Hyun Gu Lee, Young Il Kim, Min Hyun Kim, Chan Wook Kim, In Ja Park, Seok-Byung Lim, Chang Sik Yu
World Journal of Gastrointestinal Surgery.2024; 16(8): 2592. CrossRef
Results of the Eighth Scientific Workshop of ECCO: Pathophysiology and Risk Factors of Postoperative Crohn’s Disease Recurrence after an Ileocolonic Resection
Pauline Rivière, Gabriele Bislenghi, Nassim Hammoudi, Bram Verstockt, Steven Brown, Melissa Oliveira-Cunha, Willem Bemelman, Gianluca Pellino, Paulo Gustavo Kotze, Gabriele Dragoni, Mariangela Allocca, Nurulamin M Noor, Lieven Pouillon, Míriam Mañosa, Edo
Journal of Crohn's and Colitis.2023; 17(10): 1557. CrossRef
Ileocolic Resection for Crohn Disease: The Influence of Different Surgical Techniques on Perioperative Outcomes, Recurrence Rates, and Endoscopic Surveillance
Benjamin Click, Amit Merchea, Dorin T Colibaseanu, Miguel Regueiro, Francis A Farraye, Luca Stocchi
Inflammatory Bowel Diseases.2022; 28(2): 289. CrossRef
Anastomotic Techniques for Abdominal Crohn's Disease: Tricks and Tips
Marco Bertucci Zoccali, Alessandro Fichera
Journal of Laparoendoscopic & Advanced Surgical Techniques.2021; 31(8): 861. CrossRef
Short-term and long-term outcomes of laparoscopic vs open ileocolic resection in patients with Crohn's disease: Propensity-score matching analysis
Shin Jeong Pak, Young Il Kim, Yong Sik Yoon, Jong Lyul Lee, Jung Bok Lee, Chang Sik Yu
World Journal of Gastroenterology.2021; 27(41): 7159. CrossRef
The American Society of Colon and Rectal Surgeons Clinical Practice Guidelines for the Surgical Management of Crohn’s Disease
Amy L. Lightner, Jon D. Vogel, Joseph C. Carmichael, Deborah S. Keller, Samir A. Shah, Uma Mahadevan, Sunanda V. Kane, Ian M. Paquette, Scott R. Steele, • Daniel L. Feingold
Diseases of the Colon & Rectum.2020; 63(8): 1028. CrossRef
Correlation Between Anastomotic Configuration and Long-term Outcomes in Surgery for Crohn Disease
Jin-Su Kim, Ji-Yeon Kim
Annals of Coloproctology.2017; 33(5): 159. CrossRef

Clinical Features and Factors Associated With Surgical Treatment in Patients With Complicated Colonic Diverticulitis: Pill Sun Paik, Jung-A Yun; Ann Coloproctol. 2017;33(5):178-183. Published online October 31, 2017; DOI: https://doi.org/10.3393/ac.2017.33.5.178

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Abstract PDF Supplementary Material

Purpose

Colonic diverticulitis is uncommon in Korea, but the incidence is rapidly increasing nowadays. The clinical features and the factors associated with complications of diverticulitis are important for properly treating the disease.

Methods

A retrospective review of the medical records of 225 patients that were prospectively collected between October 2007 and September 2016 was conducted.

Results

Diverticulitis was detected mainly in men and women aged 30 to 50 years. Diverticulitis more frequently affected the right colon (n = 194, 86.2%), but age was higher in case of left colonic involvement (42 years vs. 57 years, P < 0.001). Percentages of comorbidities (65.6% vs. 23.8%, P < 0.001), complications (65.6% vs. 6.2%, P < 0.001), and surgical treatment (50.0% vs. 4.1%, P < 0.001) were significantly higher in patients with left colonic diverticulitis. In the multivariate analysis, a risk factor for complicated diverticulitis was left colonic involvement (P < 0.001; relative risk [RR], 47.108; 95% confidence interval [CI], 12.651–175.413). In complicated diverticulitis, age over 50 was the only significant risk factor for surgical treatment (P = 0.024; RR, 19.350; 95% CI, 1.474–254.023).

Conclusion

In patients over 50 years of age with left colonic diverticulitis, a preventive colectomy should be reconsidered as one of the options for treatment.

Citations

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Platelet to lymphocyte ratio is a risk factor for failure of non-operative treatment of colonic diverticulitis
Jong Ho Kim, Sang Hyup Han, Jin-Won Lee, Haesung Kim, Jeonghee Han
Scientific Reports.2023;[Epub] CrossRef
Diagnosis and management of acute colonic diverticulitis: results of a survey among Korean gastroenterologists
Jae Gon Lee, Yong Eun Park, Ji Young Chang, Hyun Joo Song, Duk Hwan Kim, Young Joo Yang, Byung Chang Kim, Shin Hee Lee, Myung-Won You, Seong-Eun Kim
The Korean Journal of Internal Medicine.2023; 38(5): 672. CrossRef
Management and long-term outcomes of acute right colonic diverticulitis and risk factors of recurrence
Zhilong Ma, Weiwei Liu, Jia Zhou, Le Yao, Wangcheng Xie, Mingqi Su, Jin Yang, Jun Shao, Ji Chen
BMC Surgery.2022;[Epub] CrossRef
Predictive factors for conservative treatment failure of right colonic diverticulitis
Youn Young Park, Soomin Nam, Jeong Hee Han, Jaeim Lee, Chinock Cheong
Annals of Surgical Treatment and Research.2021; 100(6): 347. CrossRef
Laparoscopic diverticulectomy versus non-operative treatment for uncomplicated right colonic diverticulitis
Le Huy Luu, Nguyen Lam Vuong, Vo Thi Hong Yen, Do Thi Thu Phuong, Bui Khac Vu, Nguyen Viet Thanh, Nguyen Thien Khanh, Nguyen Van Hai
Surgical Endoscopy.2020; 34(5): 2019. CrossRef
Meta‐analysis of the demographic and prognostic significance of right‐sided versus left‐sided acute diverticulitis
S. Hajibandeh, S. Hajibandeh, N. J. Smart, A. Maw
Colorectal Disease.2020; 22(12): 1908. CrossRef

Laparoscopic and Robotic Surgeries for Patients With Colorectal Cancer Who Have Had a Previous Abdominal Surgery: Soeun Park, Jeonghyun Kang, Eun Jung Park, Seung Hyuk Baik, Kang Young Lee; Ann Coloproctol. 2017;33(5):184-191. Published online October 31, 2017; DOI: https://doi.org/10.3393/ac.2017.33.5.184

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Abstract PDF

Purpose

The impact of previous abdominal surgery (PAS) on surgical outcomes from laparoscopic and robot surgeries is inconclusive. This study aimed to investigate the impact of PAS on perioperative outcomes from laparoscopic and robotic colorectal surgeries.

Methods

From March 2007 to February 2014, a total of 612 and 238 patients underwent laparoscopic and robotic surgeries, respectively. Patients were divided into 3 groups: those who did not have a PAS (NPAS), those who had a major PAS, and those who had a minor PAS. We further divided the patients so that our final groups for analysis were: patients with NPAS (n = 478), major PAS (n = 19), and minor PAS (n = 115) in the laparoscopy group, and patients with NPAS (n = 202) and minor PAS (n = 36) in the robotic surgery group.

Results

In the laparoscopy group, no differences in the conversion rates between the 3 groups were noted (NPAS = 1.0% vs. major PAS = 0% vs. minor PAS = 1.7%, P = 0.701). In the robotic surgery group, the conversion rate did not differ between the NPAS group and the minor PAS group (1.0% vs. 2.8%, P = 0.390). Among the groups, neither the operation time, blood loss, days to soft diet, length of hospital stay, nor complication rate were affected by PAS.

Conclusion

PAS did not jeopardize the perioperative outcomes for either laparoscopic or robotic colorectal surgeries. Therefore, PAS should not be regarded as an absolute contraindication for minimally invasive colorectal surgeries.

Citations

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Effect of previous abdominal surgery on robotic-assisted rectal cancer surgery
Davide Ferrari, Tommaso Violante, Himani Bhatt, Ibrahim A. Gomaa, Anne-Lise D. D’Angelo, Kellie L. Mathis, David W. Larson
Journal of Gastrointestinal Surgery.2024; 28(4): 513. CrossRef
The impact of previous abdominal surgery on colorectal cancer patients undergoing laparoscopic surgery
Xu-Rui Liu, Bing-Lan Zhang, Dong Peng, Fei Liu, Zi-Wei Li, Chun-Yi Wang
Updates in Surgery.2024; 76(4): 1331. CrossRef
Robot‐assisted radical cystectomy for bladder cancer after low anterior resection: A case report
Shoutarou Watanabe, Hiroaki Kobayashi, Nao Hiroe, Tomohiro Iwasawa, Michio Kosugi, Masayuki Shimizu, Masaru Ishida
Asian Journal of Endoscopic Surgery.2024;[Epub] CrossRef
The risk of postoperative complications is higher in stage I-III colorectal cancer patients with previous abdominal surgery: a propensity score matching analysis
Xu-Rui Liu, Fei Liu, Zi-Wei Li, Xiao-Yu Liu, Wei Zhang, Dong Peng
Clinical and Translational Oncology.2023; 25(12): 3471. CrossRef
Pretreatment inflammatory markers predicting treatment outcomes in colorectal cancer
Sanghyun An, Hongjin Shim, Kwangmin Kim, Bora Kim, Hui-Jae Bang, Hyejin Do, Hyang-Rae Lee, Youngwan Kim
Annals of Coloproctology.2022; 38(2): 97. CrossRef
Current status of robotic surgery for colorectal cancer: A review
Won Beom Jung
International Journal of Gastrointestinal Intervention.2022; 11(2): 56. CrossRef
Conversions related to adhesions in abdominal surgery. Robotic versus laparoscopic approach: A multicentre experience
Marco Milone, Nicola de'Angelis, Nassiba Beghdadi, Francesco Brunetti, Michele Manigrasso, Giuseppe De Simone, Giuseppe Servillo, Sara Vertaldi, Giovanni Domenico De Palma
The International Journal of Medical Robotics and Computer Assisted Surgery.2021;[Epub] CrossRef
Robotic and laparoscopic liver resection—comparative experiences at a high-volume German academic center
E. Lorenz, J. Arend, M. Franz, M. Rahimli, A. Perrakis, V. Negrini, A. A. Gumbs, R. S. Croner
Langenbeck's Archives of Surgery.2021; 406(3): 753. CrossRef
Robotic versus Laparoscopic Colorectal Surgeries
Anil Heroor, Aysha Khan, Kashish Jain, Akshay Patil, Hitesh Rajendra Singhavi
Indian Journal of Colo-Rectal Surgery.2021; 4(1): 12. CrossRef
Safety and feasibility of repeat laparoscopic colorectal resection: a matched case–control study
Alban Zarzavadjian le Bian, Laurent Genser, Christine Denet, Carlotta Ferretti, Anais Laforest, Jean-Marc Ferraz, Candice Tubbax, Philippe Wind, Brice Gayet, David Fuks
Surgical Endoscopy.2020; 34(5): 2120. CrossRef
Impact of previous abdominal surgery on robotic-assisted rectal surgery in patients with locally advanced rectal adenocarcinoma: a propensity score matching study
Ching-Wen Huang, Wei-Chih Su, Tsung-Kun Chang, Cheng-Jen Ma, Tzu-Chieh Yin, Hsiang-Lin Tsai, Po-Jung Chen, Yen-Cheng Chen, Ching-Chun Li, Yi-Chien Hsieh, Jaw-Yuan Wang
World Journal of Surgical Oncology.2020;[Epub] CrossRef
An individualized laparoscopic‐assisted approach in a patient with a sigmoid tumour and a giant incisional hernia – a video vignette
C. Clancy, M. Flanagan, M. Bughio, M. G. O'Riordain
Colorectal Disease.2019; 21(8): 972. CrossRef

Accuracy of Preoperative Local Staging of Primary Colorectal Cancer by Using Computed Tomography: Reappraisal Based on Data Collected at a Highly Organized Cancer Center: Jung Sub So, Chinock Cheong, Seung Yeop Oh, Jei Hee Lee, Young Bae Kim, Kwang Wook Suh; Ann Coloproctol. 2017;33(5):192-196. Published online October 31, 2017; DOI: https://doi.org/10.3393/ac.2017.33.5.192

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Abstract PDF

Purpose

In patients with colorectal cancer, preoperative staging using various imaging technologies is important for establishing the treatment plan and predicting the prognosis. Although computed tomography (CT) has been used most widely, the versatility of CT accuracy was primarily because of the lack of specialization. In this study, we aimed to identify whether any advancement in abdominal CT accuracy in the prediction of local staging has occurred.

Methods

Between December 2014 and November 2015, patients with colorectal cancer were retrospectively enrolled. All CT findings were retrospectively reported. A total of 285 patients were included, and their retrospectively collected data were retrospectively reviewed, focusing on a comparison between preoperative and postoperative staging.

Results

The overall prediction accuracy of the T stage was 55.1%, with overstaging occurring in 63 (22.1%) and understaging in 65 patients (22.8%). The sensitivity and specificity were 90.0% and 68.4%, respectively. The overall prediction accuracy of the N stage was 54.7%, with overstaging occurring in 89 (31.2%) and understaging in 40 patients (14.1%). The sensitivity and specificity were 71.9% and 63.2%, respectively. The CT accuracies by pathologic stage were 0%, 62.2%, 25.3%, and 81.2% for stages 0 (Tis N0), I, II, and III, respectively.

Conclusion

CT has good sensitivity for detecting colon cancers with tumor invasion beyond the bowel wall. However, detection of nodal involvement using CT is unreliable. In our opinion, abdominal CT alone has limitations in predicting the local staging of colorectal cancer, and additional technologies, such as CT plus positron emission tomography and/or colonography, will improve its accuracy.

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Stenting as bridge to surgery versus upfront emergency resection for non-metastatic left sided obstructing colorectal cancer: risk of peritoneal recurrence and long-term outcomes
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A MacCormick, A Streeter, M Puckett, S Aroori
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Junqing Wang, Bingqian Chen, Jing Zhu, Junfeng Zhang, Rui Jiang
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Imaging of Colorectal Liver Metastasis
Azarakhsh Baghdadi, Sahar Mirpour, Maryam Ghadimi, Mina Motaghi, Bita Hazhirkarzar, Timothy M. Pawlik, Ihab R. Kamel
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The Mesentery in Complete Mesocolic Excision
Jordan Fletcher, Danilo Miskovic
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Tadahiro Kojima, Hitoshi Hino, Akio Shiomi, Hiroyasu Kagawa, Yusuke Yamaoka, Shoichi Manabe, Kai Chen, Kenji Nanishi, Shinichi Yamauchi, Kenichi Sugihara
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Eun Kyoung Hong, Myriam Chalabi, Federica Landolfi, Francesca Castagnoli, Sae Jin Park, Karolina Sikorska, Arend Aalbers, Jose van den Berg, Monique van Leerdam, Jeong Min Lee, Regina Beets-Tan
European Journal of Cancer.2022; 174: 165. CrossRef
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Anna Sofie Friis Olsen, Anders Kierkegaard Gundestrup, Jakob Kleif, Tara Thanon, Claus Anders Bertelsen
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Hideaki Shimada, Takeo Fukagawa, Yoshio Haga, Shin‐ichi Okazumi, Koji Oba
Annals of Gastroenterological Surgery.2021; 5(4): 404. CrossRef
Impact of D3 lymph node dissection on upstaging and short-term survival in clinical stage I right-sided colon cancer
Ji-Seon Kim, Se-Jin Baek, Jung-Myun Kwak, Jin Kim, Seon-Hahn Kim, Woong Bae Ji, Jung Sik Kim, Kwang Dae Hong, Jun Won Um, Sang Hee Kang, Sun Il Lee, Byung Wook Min
Asian Journal of Surgery.2021; 44(10): 1278. CrossRef
The risk of nodal disease in patients with pathological complete responses after neoadjuvant chemoradiation for rectal cancer: a systematic review, meta-analysis, and meta-regression
Ian Jun Yan Wee, Hai Man Cao, James Chi-Yong Ngu
International Journal of Colorectal Disease.2019; 34(8): 1349. CrossRef
Bildgebung vor kolorektaler Chirurgie aus Sicht des Chirurgen
I. Iesalnieks, A. Agha
Der Radiologe.2019; 59(9): 786. CrossRef
Over-diagnosis for preoperative T staging of colorectal cancer - A case series
Yugo Hirata, Hiroaki Nozawa, Koji Murono, Kazushige Kawai, Keisuke Hata, Toshiaki Tanaka, Takeshi Nishikawa, Kensuke Otani, Kazuhito Sasaki, Manabu Kaneko
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Case Reports

Incidental Mesenteric Paraganglioma: A Case Report and Literature Review: Jennie Granger, Roy Mahapatra, Bushra Hamid, Katherine Gillespie, Matthew Fok, Dale Vimalachandran; Ann Coloproctol. 2017;33(5):197-200. Published online October 31, 2017; DOI: https://doi.org/10.3393/ac.2017.33.5.197

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Mesenteric paragangliomas are a rare entity; consequently, only 12 cases have been reported to date. Although considered benign and often found incidentally, they have the potential to metastasize and are an important diagnosis to consider for patients with a mesenteric tumor. We report the case of a 71-year-old woman who was found on magnetic resonance imaging to have an incidental, large, complex, intra-abdominal mass that had initially been misdiagnosed as ovarian in origin. She underwent an open resection of the tumor and adjacent small bowel with no perioperative complications; histology confirmed the mass to be a mesenteric paraganglioma. This case report highlights several important key issues regarding paraganglioma, including diagnosis, imaging, genetic testing, and surgical resection. The results of a literature review are also discussed.

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Hypertensive Crisis in a Patient With a Functioning Mesenteric Paraganglioma: Dramatic Response to Octreotide Treatment
Omayma T. Elshafie, Abir C. Bou Khalil, Maha A. Alshaibi, Boris L. Itkin, Babikir M. Ismail, Nicholas J. Woodhouse
AACE Clinical Case Reports.2023; 9(5): 149. CrossRef
Mesenteric Paraganglioma: A Case Report and Literature Review
Jihoon Lim, Midhir Patel
Cureus.2023;[Epub] CrossRef
Readability of extraspinal organs on scout images of lumbar spine MRI according to different protocols
Ja Yeon You, Joon Woo Lee, Jiwoon Seo, Jee Won Chai, Hee Dong Chae, Heung Sik Kang, Jan Fritz
PLOS ONE.2021; 16(5): e0251310. CrossRef
A rare case of a 65 year old female with a mesenteric paraganglioma
Raffaele Rocco, Brittany L. Murphy, Vatsal P. Patel, Oksana Hamidi, Alice Y. Chang, Melanie L. Lyden
Human Pathology: Case Reports.2020; 19: 200349. CrossRef
An ectopic paraganglioma supplied by the subclavian artery in the right supraclavicular fossa
Yang Wang, Zhen Liu, Chong Lian, Shenming Wang, Jinsong Wang
Journal of Vascular Surgery Cases, Innovations and Techniques.2019; 5(2): 91. CrossRef
Mesenteric Lesions with Similar or Distinctive Appearances on CT
Hwajin Cha, Jiyoung Hwang, Seong Sook Hong, Eun Ji Lee, Hyun-joo Kim, Yun-Woo Chang
Journal of the Korean Society of Radiology.2019; 80(6): 1091. CrossRef
18F-FDOPA PET/CT of Nonfunctioning Paraganglioma of the Gastroepiploic Pedicle
Benjamin Leroy Freschini, Pietro Addeo, Gerlinde Averous, Bernard Goichot, Philippe Bachellier, Alessio Imperiale
Clinical Nuclear Medicine.2018; 43(9): e326. CrossRef

Salmonella enteritis: A Rare Cause of Adult Intussusception: Toan Pham, Domenic La Paglia, Meron Pitcher; Ann Coloproctol. 2017;33(5):201-203. Published online October 31, 2017; DOI: https://doi.org/10.3393/ac.2017.33.5.201

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Intussusception is a relatively rare condition in the adult population and is commonly secondary to a malignant process. Eight to twenty percent of cases of adult intussusception are thought to be idiopathic. In children, infection has been proven to precipitate intussusception in the absence of any other cause. We present a rare case of intussusception in a healthy adult patient secondary to salmonella infection and discuss infection as a potential explanation for a proportion of the cases of adult intussusception that are thought to be idiopathic. We recommend testing for infective causes of intussusception in adults when more common causes, such as malignancy, have been excluded.

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Point-of-Care Ultrasound May Reduce Misdiagnosis of Pediatric Intussusception
Hsiang-Ju Hsiao, Chao-Jan Wang, Chien-Chung Lee, Yi-Chen Hsin, Sze-Yuen Yau, Shih-Yen Chen, Wan-Chak Lo, Patricia-Wanping Wu, Chyi-Liang Chen, Yi-Jung Chang
Frontiers in Pediatrics.2021;[Epub] CrossRef
Successful laparoscopic approach for idiopathic adult colo-colonic intussusception: a case report
Kyota Tatsuta, Mayu Sakata, Kosuke Sugiyama, Toshiya Akai, Katsunori Suzuki, Yuhi Suzuki, Takafumi Kawamura, Yoshifumi Morita, Hirotoshi Kikuchi, Yoshihiro Hiramatsu, Kiyotaka Kurachi, Hiroya Takeuchi
Surgical Case Reports.2020;[Epub] CrossRef

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