Annals of Coloproctology

Original Article

The Clinical Features and Predictive Risk Factors for Reoperation in Patients With Perianal Crohn Diseases; A Multi-Center Study of a Korean Inflammatory Bowel Disease Study Group: Jae Bum Lee, Seo-Gue Yoon, Kyu Joo Park, Kang Young Lee, Dae Dong Kim, Sang Nam Yoon, Chang Sik Yu; Ann Coloproctol. 2015;31(5):176-181. Published online October 31, 2015; DOI: https://doi.org/10.3393/ac.2015.31.5.176

3,231 View
62 Download
8 Web of Science
8 Citations

Purpose

Perianal lesions are common in Crohn disease, but their clinical course is unpredictable. Nevertheless, predicting the clinical course after surgery for perianal Crohn disease (PCD) is important because repeated operations may decrease patient's quality of life. The aim of this study was to predict the risk of reoperation in patients with PCD.

Methods

From September 1994 to February 2010, 377 patients with PCD were recruited in twelve major tertiary university-affiliated hospitals and two specialized colorectal hospitals in Korea. Data on the patient's demographics, clinical features, and surgical outcomes were analyzed.

Results

Among 377 patients, 227 patients were ultimately included in the study. Among the 227 patients, 64 patients underwent at least one reoperation. The median period of reoperation following the first perianal surgery was 94 months. Overall 3-year, 5-year, and 10-year cumulative rates of reoperation-free individuals were 68.8%, 61.2%, and 50.5%, respectively. In multivariate analysis (Cox-regression hazard model), reoperation was significantly correlated with an age of onset less than 20 years (hazard ratio [HR], 1.93; 95% confidence interval [CI], 1.07-3.48; P = 0.03), history of abdominal surgery (HR, 1.99; 95% CI, 1.08-3.64; P = 0.03), and the type of surgery. Among types of surgery, fistulotomy or fistulectomy was associated with a decreased incidence of reoperation in comparison with incision and drainage (HR, 0.19; 95% CI, 0.09-0.42; P < 0.001).

Conclusion

Young age of onset and a history of abdominal surgery were associated with a high risk of reoperation for PCD, and the risk of reoperation were relatively low in fistulotomy or fistulectomy procedures.

Citations

Citations to this article as recorded by

A nanofiber-hydrogel composite improves tissue repair in a rat model of Crohn’s disease perianal fistulas
Ling Li, Zhi-Cheng Yao, Alyssa Parian, Yueh-Hsun Yang, Jeffrey Chao, Jason Yin, Kevan J. Salimian, Sashank K. Reddy, Atif Zaheer, Susan L. Gearhart, Hai-Quan Mao, Florin M. Selaru
Science Advances.2023;[Epub] CrossRef
Predictors of reoperation for perianal fistula in Crohn's disease
Kwangwoo Nam, Won Beom Jung, Seung Bum Lee, Jae Seung Soh, Song Soo Yang, Seok Won Jung
Journal of Digestive Diseases.2021; 22(6): 334. CrossRef
Perianal and Luminal Relapse Following Perianal Surgical Intervention in Crohn’s Disease
Feihong Deng, Pianpian Xia, Zengrong Wu, Hejun Zhou, Xuehong Wang
International Journal of General Medicine.2021; Volume 14: 3387. CrossRef
Predictors of Perianal Fistula Relapse in Crohn’s Disease
Audrey Malian, Pauline Rivière, Dominique Bouchard, François Pigot, Marianne Eléouet-Kaplan, Charlotte Favreau-Weltzer, Florian Poullenot, David Laharie
Inflammatory Bowel Diseases.2020; 26(6): 926. CrossRef
Predictors of Perianal Fistula Relapse in Crohn’s Disease
Dana J Lukin
Inflammatory Bowel Diseases.2019;[Epub] CrossRef
Management of Perianal Fistulas in Crohn’s Disease
Steffen Seyfried, Alexander Herold
Visceral Medicine.2019; 35(6): 338. CrossRef
Surgical management of fistulating perianal Crohn's disease: a UK survey
M. J. Lee, N. Heywood, P. M. Sagar, S. R. Brown, N. S. Fearnhead
Colorectal Disease.2017; 19(3): 266. CrossRef
Risk of Repeat Surgery for Perianal Crohn Disease
Doo Han Lee
Annals of Coloproctology.2015; 31(5): 169. CrossRef

Case Report

Müllerian Adenosarcoma Arising From Rectal Endometriosis: Chunseok Yang, Hoon Kyu Oh, Daedong Kim; Ann Coloproctol. 2014;30(5):232-236. Published online October 28, 2014; DOI: https://doi.org/10.3393/ac.2014.30.5.232

3,488 View
38 Download
9 Web of Science
8 Citations

Abstract PDF

A Müllerian adenosarcoma is an extremely rare tumor characterized by a stromal component of usually low-grade malignancy and by a benign glandular epithelial component. A Müllerian adenosarcoma occurs mainly in the uterus, but also in extrauterine locations. Extrauterine Müllerian adenosarcomas are thought to arise from endometriotic deposits. A 36-year-old female presented to Daegu Catholic University Medical Center with a symptom of loose stool for several months. The imaging studies revealed a rectal mass, so she underwent a laparoscopic low anterior resection. Although extemporary pathology revealed an inflammatory myofibroblastic tumor, the final histologic diagnosis was a Müllerian adenosarcoma arising from rectal endometriosis. To our knowledge, except a concomitant rectal villotubular adenoma, cases of Müllerian adenosarcomas arising the rectal wall are rare. An adenosarcoma arising from endometriosis should be considered in the differential diagnosis of a pelvic mass, even one appearing in rectal wall, because ectopic endometrial tissue exists everywhere.

Citations

Citations to this article as recorded by

The Many Faces of Endometriosis-Related Neoplasms in the Same Patient: A Brief Report
Angela Santoro, Giuseppe Angelico, Frediano Inzani, Saveria Spadola, Damiano Arciuolo, Michele Valente, Vincenzo Fiorentino, Antonino Mulè, Giovanni Scambia, Gian Franco Zannoni
Gynecologic and Obstetric Investigation.2020; 85(4): 371. CrossRef
Two Cases of Extrauterine Müllerian Adenosarcoma Arising from Pelvic Endometriosis
Zheng Yuan Ng, Yen Ching Yeo, Timothy Yong Kuei Lim, Ieera Madan Aggarwal
Journal of Gynecologic Surgery.2019; 35(3): 194. CrossRef
Deoxyribonucleic acid and chromatin imaging of endometriosis and endometrial carcinoma using atomic force microscopy
Peter Urdzík, Miroslava Rabajdová, Peter Urban, Rastislav Dudič, Vladimír Komanický, Mária Mareková
Spectroscopy Letters.2019; 52(9): 510. CrossRef
Diagnostic challenges: low-grade adenosarcoma on deep endometriosis
Jose Carlos Vilches Jimenez, Emilia Villegas Muñoz, Iván González Poveda, David Santos Lorente, Belinda Sanchez Pérez, Jesús S. Jimenez Lopez
BMC Women's Health.2019;[Epub] CrossRef
Genetic links between endometriosis and cancers in women
Salma Begum Bhyan, Li Zhao, YongKiat Wee, Yining Liu, Min Zhao
PeerJ.2019; 7: e8135. CrossRef
Imaging Description of Extragenital Müllerian Adenosarcoma: A Case Report
Annalisa Mone, Piergiorgio Iannone
Revista Brasileira de Ginecologia e Obstetrícia / RBGO Gynecology and Obstetrics.2019; 41(02): 124. CrossRef
Primary extra-uterine and extra-ovarian mullerian adenosarcoma: case report and literature review
Vincenzo Dario Mandato, Federica Torricelli, Valentina Mastrofilippo, Riccardo Valli, Lorenzo Aguzzoli, Giovanni Battista La Sala
BMC Cancer.2018;[Epub] CrossRef
Uterine Adenosarcoma: a Review
Michael J. Nathenson, Vinod Ravi, Nicole Fleming, Wei-Lien Wang, Anthony Conley
Current Oncology Reports.2016;[Epub] CrossRef

Original Article

Value and Interpretation of Resection Margin after a Colonoscopic Polypectomy for Malignant Polyps: Eun Jung Jang, Dae Dong Kim, Chang Ho Cho; J Korean Soc Coloproctol. 2011;27(4):194-201. Published online August 31, 2011; DOI: https://doi.org/10.3393/jksc.2011.27.4.194

2,668 View
21 Download
4 Citations

Abstract PDF

Purpose

This study was designed to compare the clinicopathologic findings of an endoscopic polypectomy for malignant polyps with subsequent surgery and to evaluate the appropriateness of the pathologic finding criterion of the resection margin as an indicator for surgery in cases of malignant colorectal polyps.

Methods

We examined the clinicopathologic characteristics, complications and prognoses among the patients who underwent a colonoscopic polypectomy in both our hospitals and at other hospitals from April 2003 and April 2010. These patients were divided into two groups, the group (non-operation group) that only underwent a polypectomy (n = 37) and the group (operation group) that underwent a polypectomy with subsequent surgery (n = 33).

Results

There were no differences between two groups in the ratios of the number of men to the number of women, the ages or the comorbidities. In terms of endoscopic findings, we found no differences between the two groups in the locations of the polyps, the sizes of the polyps, or the presence of stalks. However, ulceration of polyps was higher in the non-operation group (51.5% vs. 21.6%; P = 0.009), as was the case with submucosal invasion (75.8% vs. 16.2%; P < 0.005). When an endoscopic polypectomy was performed, incomplete resection margins and specimens with margins involved occurred more frequently in the operation group (93.9% vs. 51.4%; P < 0.005), but no residual tumor was detected in 31 of 33 (93.9%) patients in that group. One pathologist reviewed the specimens of 54 patients (operation group, 19; non-operation group, 36). Six of the 19 polyps (31.6%) in the operation group and fifteen of the 36 polyps (41.7%) in the non-operation group had a margin without cancer cells.

Conclusion

We may accept the criterion of a safe margin, including a coagulation zone. A multidisciplinary approach has to be developed by surgeons, endoscopists and pathologists based on a discussion of the risk factors for the patient before making a decision on the treatment treatment.

Citations

Citations to this article as recorded by

Frequency and clinicopathological correlation of gastrointestinal polyps: A six-year single center experience
Goran Mohammed Raouf Abdulqader
Open Medicine.2024;[Epub] CrossRef
Factors Predicting Malignant Occurrence and Polyp Recurrence after the Endoscopic Resection of Large Colorectal Polyps: A Single Center Experience
Olga Mandic, Igor Jovanovic, Mirjana Cvetkovic, Jasmina Maksimovic, Tijana Radonjic, Maja Popovic, Novica Nikolic, Marija Brankovic
Medicina.2022; 58(10): 1440. CrossRef
Near-infrared photoimmunotherapy is effective treatment for colorectal cancer in orthotopic nude-mouse models
Hannah M. Hollandsworth, Siamak Amirfakhri, Filemoni Filemoni, Justin Molnar, Robert M. Hoffman, Paul Yazaki, Michael Bouvet, Irina V. Lebedeva
PLOS ONE.2020; 15(6): e0234643. CrossRef
Surgical treatment of malignant colon polyps
Nuno Telo Preto Ramos, André Gonçalves, Pedro Correia da Silva, José Barbosa
Journal of Coloproctology.2018; 38(04): 260. CrossRef

Case Report

A Case of Small Bowel Obstruction Due to a Paracecal Hernia: Eun-Jung Jang, Seung Hyun Cho, Dae-Dong Kim; J Korean Soc Coloproctol. 2011;27(1):41-43. Published online February 28, 2011; DOI: https://doi.org/10.3393/jksc.2011.27.1.41

4,524 View
31 Download
25 Citations

Abstract PDF

Internal hernias are rare causes of small bowel obstruction, and one such internal hernia is the paracecal hernia. We report a case of a small bowel obstruction related to a paracecal hernia in which a preoperative diagnosis was made on computed tomography. A laparotomy was performed for definitive diagnosis and treatment. The surgery achieved a good outcome.

Citations

Citations to this article as recorded by

Surgical Management of Pericaecal Hernia in a Virgin Abdomen
Jia Ling Ong, Wei Chuan Tan, Kien Fatt Sean Lee, Kuan Yuen Yeong, Choon Sheong Seow
Cureus.2024;[Epub] CrossRef
Internal Hernia Through a Congenital Defect in Broad Ligament: A Rare and Elusive Cause of Intestinal Obstruction
Partha Nandi, Sudhir Jain, Akhil Kainth, Shivani Atri
Cureus.2022;[Epub] CrossRef
Ruptured Ovarian Cyst Masking Diagnosis of Hernia Through Broad Ligament of Uterus: A Case Report
Pankaj Agrawal, John T. Grab, Harold R. Howe, Kimberly Cross
Journal of Investigative Medicine High Impact Case Reports.2022;[Epub] CrossRef
“PRIMARY INTERNAL HERNIA IN ADULT: A RARE CASE OF ACUTE ABDOMEN”.
Pooja Pandey, Abhishek Ghosh, Abhishek Ranjan, Shyamendra Pratap Sharma
INTERNATIONAL JOURNAL OF SCIENTIFIC RESEARCH.2022; : 60. CrossRef
Uncommon presentation of small bowel pericaecal hernia in an octogenarian
Balakrishnan Gurumurthi, William Luffman, Mutee Rehman, Taher Fatayer, Abhiram Sharma
ANZ Journal of Surgery.2021; 91(3): 467. CrossRef
Heterogeneity of internal hernia post anterior resection: a missed diagnosis
Anshini Jain, Suat Chin Ng, Nicholas Savage, Daniel Lamanna, Satish Warrier, Phil Smart
ANZ Journal of Surgery.2021;[Epub] CrossRef
Laparoscopic management of a small bowel obstruction caused by an unusual pericecal hernia: Case report
Abdullah J. AlShehri, Mohannad A. Alsofyani, Bander Al Omeyr, Marwan Amin Abufara, Ali Mohammed Alzahrani, Rami Abdulrahman Sairafi
International Journal of Surgery Case Reports.2021; 81: 105825. CrossRef
Laparoscopic management of strangulated paracaecal hernia causing small bowel obstruction. Case report and review of the literature
Mahmoud Al-Ardah, Heena Sisodia, Hannah Rottenburg, Michael Clarke
Journal of Surgical Case Reports.2021;[Epub] CrossRef
Successful Retrocecal Hernia Diagnosis and Treatment: A Case Report
Masaaki Shida, Masayuki Tanaka, Toshiya Tanaka, Yoshihiko Kitajima, Seiji Sato
International Surgery.2021; 105(1-3): 469. CrossRef
Small bowel obstruction caused by pericaecal hernia resolved with a laparoscopic approach
K Plua-Muñiz, J Sanchez-Gonzalez, M Bailon-Cuadrado, D Pacheco-Sanchez
The Annals of The Royal College of Surgeons of England.2020; 102(7): e155. CrossRef
Post-trauma transmesocolic hernia: a case report
Doaa Hussin Salam, Mohannad Al-Tarakji, Abubaker Ibrahim Alaieb, Rajvir Singh, Ayman El-Menyar, Hassan Al-Thani, Ahmad Zarour, Mohamed Ellabib
Journal of Surgical Case Reports.2020;[Epub] CrossRef
HERNIATION THROUGH LESSER SAC: A RARE TYPE OF PRIMARY INTERNAL HERNIA CAUSING SMALL INTESTINAL OBSTRUCTION
Pritam Kar, Ranjan George Baxla, Abhishek Kushwaha, Anup Kumar Mahato
INTERNATIONAL JOURNAL OF SCIENTIFIC RESEARCH.2020; : 1. CrossRef
Paracaecal hernia: uncommon but important cause of small bowel obstruction successfully managed with laparoscopic surgery
Daryl K. A. Chia, Kon V. Tay, Alfred Kow, Jimmy So, Asim Shabbir, Guowei Kim
ANZ Journal of Surgery.2019; 89(6): 769. CrossRef
Paracecal hernia due to membranous adhesion of the omentum to the right paracolic gutter
Taro Yokota, Kazuhiro Otani, Junichi Yoshida, Naoki Mochidome, Eiji Miyatake, Chihiro Nakahara, Toshiyuki Ishimitsu, Masao Tanaka
Surgical Case Reports.2019;[Epub] CrossRef
Pericecal herniation of sigmoid colon diagnosed by computed tomography
Ji Eun Lee, Seo-Youn Choi, Min Hee Lee, Boem Ha Yi, Hae Kyung Lee, Bong Min Ko
Medicine.2018; 97(27): e11336. CrossRef
Strangulated Small Bowel Obstruction in Paracecal Hernia and Laparoscopic Approach: A Case Report and Review of Literature
Stefano Mandalà, Antonino Mirabella, Massimo Lupo, Massimo Branca, Camillo La Barbera, Carlo Szokoll, Vincenzo Mandalà
Annals of Colorectal Research.2018;[Epub] CrossRef
Incarcerated pericecal hernia: a rare form of the internal hernia
Sung Il Kang
Yeungnam University Journal of Medicine.2018; 35(2): 236. CrossRef
Retrocecal hernia preoperatively diagnosed by computed tomography: A case report
Shingo Ito, Ryohei Takeda, Ritsuo Kokubo, Yoshio Sakai, Hirokazu Matsuzawa, Kiichi Sugimoto, Makoto Takahashi, Yutaka Kojima, Michitoshi Goto, Yuichi Tomiki, Kazuhiro Sakamoto
International Journal of Surgery Case Reports.2017; 37: 186. CrossRef
Primary pericecal internal hernia presenting as acute intestinal obstruction
Rahul P. Bhamkar, Roopali V. Telang, Paresh Jain, Subodh Gupta
Apollo Medicine.2016; 13(2): 135. CrossRef
A Rare Type of Primary Internal Hernia Causing Small Intestinal Obstruction
Sibabrata Kar, Vandana Mohapatra, Pratap Kumar Rath
Case Reports in Surgery.2016; 2016: 1. CrossRef
RETROCECAL HERNIA: A RARE CAUSE OF SMALL BOWEL OBSTRUCTION
Lal Mani Singh, Vinod Yedalwar
Journal of Evolution of Medical and Dental Sciences.2014; 3(20): 5509. CrossRef
Right salpingo-ovarian and distal ileal entrapment within a paracaecal hernia presenting as acute appendicits
A. Dhillon, S.G. Farid, S. Dixon, J. Evans
International Journal of Surgery Case Reports.2013; 4(12): 1127. CrossRef
Rare peritoneal bands and recesses: incidental findings in a cadaveric dissection
Namita A. Sharma, Alok Sharma, Rajendra S. Garud
Surgical and Radiologic Anatomy.2013; 35(4): 359. CrossRef
A case report of lateral paracecal hernia
Masako SUYAMA, Masamichi YASUNO, Hidenori TAKAHASHI, Tatsuro WAKAYAMA
Nihon Rinsho Geka Gakkai Zasshi (Journal of Japan Surgical Association).2013; 74(3): 833. CrossRef
Internal Herniation Due to Appendix Vermiformis Rotation: A Rare Case of an Acute Abdomen
Mehmet Erikoğlu, Mehmet Aykut Yıldırım
Electronic Journal of General Medicine.2012; 9(4): 295. CrossRef

First
Prev
Page of 1
Next
Last

Search