Annals of Coloproctology

Original Article

Impact of Adjuvant Chemotherapy Completion on Oncologic Outcomes in ypTNMstage 2 Rectal Cancer Patients: Youn Young Park, Kang Young Lee, Nam Kyu Kim, Sat Byol Lee, Ga Ram Kim, Byung Soh Min, Seong-Taek Oh; Ann Coloproctol. 2019;35(6):335-341. Published online December 31, 2019; DOI: https://doi.org/10.3393/ac.2019.03.10

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Purpose
Adjuvant chemotherapy (aCT) in rectal cancer patients who have undergone curative resection after neoadjuvant chemoradiation (nCRT) is controversial. We aimed to investigate the benefits of using aCT and the clinical impact of completing aCT in ypstage 2 rectal cancer patients.
Methods
We retrospectively reviewed clinicopathological data from patients who had undergone radical resection after nCRT between January 2006 and December 2012. In total, 152 patients with ypT3/4N0M0 rectal cancer were included. Of these patients, 139 initiated aCT, while 13 did not receive aCT (no-aCT). Among those who received aCT, 132 patients completed their planned cycles (aCT-completion) whereas 7 did not (aCT-incompletion). All patients received longcourse chemoradiation; a 5-fluorouracil-based regimen was used for nCRT in most patients. The prognostic factors affecting disease-free survival (DFS) and overall survival (OS) were analyzed.
Results
The median follow-up duration was 41 months. Demographic data did not differ significantly among the 3 groups. In multivariate analysis, open surgery, a tumor size >2 cm, retrieval of <12 lymph nodes, circumferential resection margin (CRM) positivity and aCT incompletion were independent prognostic factors for poor DFS. Old age (≥60 years), open surgery, CRM positivity, aCT incompletion, and lack of aCT initiation compared to aCT completion were independent prognostic factors for poor OS.
Conclusion
In ypstage 2 rectal cancer patients, aCT after nCRT and total mesorectal excision affected both DFS and OS; however, only patients who completed planned aCT exhibited survival benefits. Therefore, improving patients’ compliance with the completion of aCT is desirable.

Citations

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Adjuvant chemotherapy in locally advanced rectal cancer after neo-adjuvant concurrent chemoradiotherapy and surgery: A retrospective study in Vietnamese patients
Thang Tran, Huy Van Nguyen, Hoa Thi Nguyen, Hung Van Nguyen
Annals of Medicine & Surgery.2023; 85(9): 4234. CrossRef
Watch and wait strategies for rectal cancer: A systematic review
In Ja Park
Precision and Future Medicine.2022; 6(2): 91. CrossRef

Editorial

Dose-Escalated Radiotherapy for the Treatment of Patients With Recurrent Colorectal Cancer: Hyung Jin Kim, Seong Taek Oh; Ann Coloproctol. 2016;32(2):47-48. Published online April 30, 2016; DOI: https://doi.org/10.3393/ac.2016.32.2.47

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Original Article

Niti CAR 27 Versus a Conventional End-to-End Anastomosis Stapler in a Laparoscopic Anterior Resection for Sigmoid Colon Cancer: Seung-Jin Kwag, Jun-Gi Kim, Won-Kyung Kang, Jin-Kwon Lee, Seong-Taek Oh; Ann Coloproctol. 2014;30(2):77-82. Published online April 25, 2014; DOI: https://doi.org/10.3393/ac.2014.30.2.77

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Abstract PDF

Purpose

The Niti CAR 27 (ColonRing) uses compression to create an anastomosis. This study aimed to investigate the safety and the effectiveness of the anastomosis created with the Niti CAR 27 in a laparoscopic anterior resection for sigmoid colon cancer.

Methods

In a single-center study, 157 consecutive patients who received an operation between March 2010 and December 2011 were retrospectively assessed. The Niti CAR 27 (CAR group, 63 patients) colorectal anastomoses were compared with the conventional double-stapled (CDS group, 94 patients) colorectal anastomoses. Intraoperative, immediate postoperative and 6-month follow-up data were recorded.

Results

There were no statistically significant differences between the two groups in terms of age, gender, tumor location and other clinical characteristics. One patient (1.6%) in the CAR group and 2 patients (2.1%) in the CDS group experienced complications of anastomotic leakage (P = 0.647). These three patients underwent a diverting loop ileostomy. There were 2 cases (2.1%) of bleeding at the anastomosis site in the CDS group. All patients underwent a follow-up colonoscopy (median, 6 months). One patient in the CAR group experienced anastomotic stricture (1.6% vs. 0%; P = 0.401). This complication was solved by using balloon dilatation.

Conclusion

Anastomosis using the Niti CAR 27 device in a laparoscopic anterior resection for sigmoid colon cancer is safe and feasible. Its use is equivalent to that of the conventional double-stapler.

Citations

Citations to this article as recorded by

New alternative colorectal anastomotic devices: A systematic review and meta-analysis
T. Shakir, T. Pampiglione, M. Hassouna, P. Rogers, J. Dourado, S. Emile, R. Kokelaar, S. Wexner
The American Journal of Surgery.2025; 240: 116128. CrossRef
Systematic Review and Meta-Analysis on Colorectal Anastomotic Techniques
Jana Steger, Alissa Jell, Stefanie Ficht, Daniel Ostler, Markus Eblenkamp, Petra Mela, Dirk Wilhelm
Therapeutics and Clinical Risk Management.2022; Volume 18: 523. CrossRef
A systematic analysis of controlled clinical trials using the NiTi CAR™ compression ring in colorectal anastomoses
R. Tabola, R. Cirocchi, A. Fingerhut, A. Arezzo, J. Randolph, V. Grassi, G. A. Binda, V. D’Andrea, I. Abraha, G. Popivanov, S. Di Saverio, A. Zbar
Techniques in Coloproctology.2017; 21(3): 177. CrossRef
Can a nickel–titanium memory-shape device serve as a substitute for the stapler in gastrointestinal anastomosis? A systematic review and meta-analysis
Ning-Ning Li, Wen-Tao Zhao, Xiao-Ting Wu
Journal of Surgical Research.2016; 201(1): 82. CrossRef
Efficacy and safety of a NiTi CAR 27 compression ring for end-to-end anastomosis compared with conventional staplers: A real-world analysis in Chinese colorectal cancer patients
Zhenhai Lu, Jianhong Peng, Cong Li, Fulong Wang, Wu Jiang, Wenhua Fan, Junzhong Lin, Xiaojun Wu, Desen Wan, Zhizhong Pan
Clinics.2016; 71(5): 264. CrossRef
The New Stapler Device Is Good, But Needs More Evaluation
Young Wan Kim, Ik Yong Kim
Annals of Coloproctology.2014; 30(2): 59. CrossRef

Editorial

The Role of Positron Emission Tomography/Computed Tomography in the Initial Staging of Colon Cancer: Hyung Jin Kim, Seong Taek Oh; Ann Coloproctol. 2014;30(1):3-4. Published online February 28, 2014; DOI: https://doi.org/10.3393/ac.2014.30.1.3

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Citations

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Total Lesion Glycolysis and Sequential 90Y-Selective Internal Radiation Therapy in Breast Cancer Liver Metastases: Preliminary Results
Oreste Bagni, Luca Filippi, Giuseppe Pelle, Roberto Cianni, Orazio Schillaci
Cancer Biotherapy and Radiopharmaceuticals.2015; 30(10): 421. CrossRef

Original Articles

Investigation of Clinical Manifestations in Korean Colorectal Cancer Patients: Hye Young Koo, Kyu Joo Park, Jae Hwan Oh, Sung Bum Kang, Seong Taek Oh, Woo Yong Lee; Ann Coloproctol. 2013;29(4):139-143. Published online August 29, 2013; DOI: https://doi.org/10.3393/ac.2013.29.4.139

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5 Citations

Abstract PDF

Purpose

Early diagnostic work-up in patients with clinical symptoms of colorectal cancer (CRC) is important to achieve good treatment results. In this study, we investigated clinical symptoms when a diagnosis of CRC was made in patients who had a surgical resection, especially focusing on the relevance of constipation to CRC.

Methods

The clinical symptoms of 17,415 CRC patients who had curative surgery from January 2010 to December 2012 were collected from 24 training hospitals of surgery.

Results

The number of symptomatic patients before the diagnosis of CRC was 11,085 (63.7%). Hematochezia or melena, abdominal pain, anemia, and constipation were more often found in female than male patients while bowel habit change was more common in male patients. Considering age, bowel habit change and hematochezia or melena were more common in patients younger than 60. Anemia and constipation, however, were more common in patients older than 60. According to the group classification based on age, patients older than 60 had experienced more constipation (P = 0.049). Moreover, patients with constipation tended to have a more advanced disease status (P < 0.001).

Conclusion

In patients who had surgery due to CRC, bleeding, abdominal pain, bowel habit change and constipation were the most frequent symptoms before diagnosis. Although whether or not constipation is a cause of CRC is unclear, it is one of the important clinical symptoms that presents in patients with CRC, and patients with a symptom of constipation tend to present with a more advanced CRC stage.

Citations

Citations to this article as recorded by

The Role of CT-Quantified Body Composition on Longitudinal Health-Related Quality of Life in Colorectal Cancer Patients: The Colocare Study
Biljana Gigic, Johanna Nattenmüller, Martin Schneider, Yakup Kulu, Karen L. Syrjala, Jürgen Böhm, Petra Schrotz-King, Hermann Brenner, Graham A. Colditz, Jane C. Figueiredo, William M. Grady, Christopher I. Li, David Shibata, Erin M. Siegel, Adetunji T. T
Nutrients.2020; 12(5): 1247. CrossRef
Associations Between Dietary Patterns and Longitudinal Quality of Life Changes in Colorectal Cancer Patients: The ColoCare Study
Biljana Gigic, Heiner Boeing, Reka Toth, Jürgen Böhm, Nina Habermann, Dominique Scherer, Petra Schrotz-King, Clare Abbenhardt-Martin, Stephanie Skender, Hermann Brenner, Jenny Chang-Claude, Michael Hoffmeister, Karen Syrjala, Paul B. Jacobsen, Martin Schn
Nutrition and Cancer.2018; 70(1): 51. CrossRef
Crosstalk between Long Noncoding RNAs and MicroRNAs in Health and Disease
Ahmed Bayoumi, Amer Sayed, Zuzana Broskova, Jian-Peng Teoh, James Wilson, Huabo Su, Yao-Liang Tang, Il-man Kim
International Journal of Molecular Sciences.2016; 17(3): 356. CrossRef
Constipation Risk in Patients Undergoing Abdominal Surgery
Sevim Celik, Nurdan Yalcin Atar, Nilgun Ozturk, Guler Mendes, Figen Kuytak, Esra Bakar, Duygu Dalgiran, Sumeyra Ergin
Iranian Red Crescent Medical Journal.2015;[Epub] CrossRef
Commentary on "Data on the Characteristics and the Survival of Korean Patients With Colorectal Cancer From the Korea Central Cancer Registry"
Mohammad Mohammadianpanah
Annals of Coloproctology.2014; 30(3): 151. CrossRef

Treatment of Right Colonic Diverticulitis: The Role of Nonoperative Treatment: Ma Ru Kim, Bong-Hyeon Kye, Hyung Jin Kim, Hyeon-Min Cho, Seong Taek Oh, Jun-Gi Kim; J Korean Soc Coloproctol. 2010;26(6):402-406. Published online December 31, 2010; DOI: https://doi.org/10.3393/jksc.2010.26.6.402

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24 Citations

Abstract PDF

Purpose

The purpose of this study is to evaluate the value of nonoperative treatment for right-sided colonic diverticulitis.

Methods

One hundred fifty-eight patients with right-sided colonic diverticulitis were evaluated. Clinical history, physical and radiologic findings, and treatments were reviewed retrospectively. Also, additional episodes and treatment modalities were checked.

Results

Our patients were classified according to treatment modality; 135 patients (85.4%) underwent conservative treatment, including antibiotics and bowel rest, and 23 patients (14.6%) underwent surgery. The mean follow-up length was 37.3 months, and 17 patients (17.5%) underwent recurrent right-sided colonic diverticulitis. Based on treatment modality, including surgery and antibiotics, no significant differences in the clinical features and the recurrence rates were noted between the two groups.

Conclusion

Conservative management with bowel rest and antibiotics could be considered as a safe and effective option for treating right-sided colonic diverticulitis. This treatment option for right-sided colonic diverticulitis, even if the disease is complicated, may be the treatment of choice.

Citations

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Comparison of surgical management and outcomes of acute right colic and sigmoid diverticulitis: a French national retrospective cohort study
E. Karam, C. Sabbagh, L. Beyer-Bergeot, P. Zerbib, V. Bridoux, G. Manceau, Y. Panis, E. Buscail, A. Venara, I. Khaoudy, M. Gaillard, M. Viennet, A. Thobie, B. Menahem, C. Eveno, C. Bonnel, J.-Y. Mabrut, B. Badic, C. Godet, Y. Eid, E. Duchalais, Z. Lakkis,
Techniques in Coloproctology.2024;[Epub] CrossRef
Right-sided diverticulitis in a Western population
Adi Rov, Anat Ben-Ari, Eyal Barlev, David Pelcman, Sergio Susmalian, Haim Paran
International Journal of Colorectal Disease.2022; 37(6): 1251. CrossRef
Investigation of the clinical features and recurrence patterns of acute right-sided colonic diverticulitis: A retrospective cohort study
Moon Young Oh, Rumi Shin, Seung Chul Heo, Han-Ki Lim, Min Jung Kim, Ji Won Park, Seung-Bum Ryoo, Seung-Yong Jeong, Kyu Joo Park
Annals of Medicine and Surgery.2022; 81: 104431. CrossRef
Emergency surgery comparison of right versus left acute colonic diverticulitis: A 10-year outcome analysis
JS Tsang, Chi Chung Foo, Jeremy Yip, Hok Kwok Choi, Wai Lun Law, Oswens Siu Hung Lo
The Surgeon.2021; 19(3): 150. CrossRef
Conservative treatment of uncomplicated right-sided diverticulitis: a systematic review and meta-analysis
Jun Ho Lee, Byung Kyu Ahn, Kang Hong Lee
International Journal of Colorectal Disease.2021; 36(8): 1791. CrossRef
Conventional-Dose CT Versus 2-mSv CT for Right Colonic Diverticulitis as an Alternate Diagnosis of Appendicitis: Secondary Analysis of Large Pragmatic Randomized Trial Data
Hae Young Kim, Seungjae Lee, Dong Hwan Kim, Yousun Ko, Ji Hoon Park, Ara Ko, Seok Min Jeong, Sung Bin Park, Kyoung Ho Lee
American Journal of Roentgenology.2021; 217(5): 1113. 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
Diverticulitis aguda del ángulo hepático simulando un cuadro de colecistitis aguda
M. Gonzalez-Urquijo, A. Baca-Arzaga, G. Lozano-Balderas
Revista de Gastroenterología de México.2020; 85(4): 484. CrossRef
Short‐ and Long‐Term Outcomes of Right‐Sided Diverticulitis: Over 15 Years of North American Experience
Jesse Zuckerman, Richard Garfinkle, Carol‐Ann Vasilevksy, Gabriela Ghitulescu, Julio Faria, Nancy Morin, Marylise Boutros
World Journal of Surgery.2020; 44(6): 1994. CrossRef
Acute diverticulitis of the hepatic flexure mimicking acute cholecystitis
M. Gonzalez-Urquijo, A. Baca-Arzaga, G. Lozano-Balderas
Revista de Gastroenterología de México (English Edition).2020; 85(4): 484. CrossRef
Laparoscopic repair of perforated cecal diverticulitis
K. Spacil, J. Meyer, M. Stehr, M. Schäfer
Journal of Pediatric Surgery Case Reports.2019; 42: 17. CrossRef
Long-term outcome and management of right colonic diverticulitis in western countries: Multicentric Retrospective Study
L. Courtot, V. Bridoux, Z. Lakkis, G. Piessen, G. Manceau, A. Mulliri, G. Meurette, A. Bouayed, A. Vénara, B. Blanc, N. Tabchouri, E. Salamé, M. Ouaïssi
Journal of Visceral Surgery.2019; 156(4): 296. CrossRef
Résultats à long terme et prise en charge des diverticulites du colon droit dans les pays occidentaux : étude rétrospective multicentrique
L. Courtot, V. Bridoux, Z. Lakkis, G. Piessen, G. Manceau, A. Mulliri, G. Meurette, A. Bouayed, A. Vénara, B. Blanc, N. Tabchouri, E. Salamé, M. Ouaïssi
Journal de Chirurgie Viscérale.2019; 156(4): 322. CrossRef
A Rare Case of Acute Right-Sided Colonic Diverticulitis Presenting as Pancreatitis
Maria de Lourdes Ladino Sturchler, Evan A. Rusoja, Arun Nagdev, Barry C. Simon
The Journal of Emergency Medicine.2018; 54(4): e77. CrossRef
Efficacy of conservative management in patients with right colonic diverticulitis
Gi Won Ha, Min Ro Lee, Jong Hun Kim
ANZ Journal of Surgery.2017; 87(6): 467. CrossRef
Intraoperative diagnosis of solitary cecal diverticulum not requiring surgery: is appendectomy indicated?
Renol M. Koshy, Abdelrahman Abusabeib, Saif Al-Mudares, Mohamed Khairat, Adriana Toro, Isidoro Di Carlo
World Journal of Emergency Surgery.2016;[Epub] CrossRef
Diagnosis and Management of Right Colonic Diverticular Disease: A Review
Francesco Ferrara, Jesús Bollo, Letizia V. Vanni, Eduardo M. Targarona
Cirugía Española (English Edition).2016; 94(10): 553. CrossRef
Diagnóstico y tratamiento de la enfermedad diverticular del colon derecho: revisión de conjunto
Francesco Ferrara, Jesús Bollo, Letizia V Vanni, Eduardo M Targarona
Cirugía Española.2016; 94(10): 553. CrossRef
Diverticular Disease: Guidelines of the German Society for Gastroenterology, Digestive and Metabolic Diseases and the German Society for General and Visceral Surgery
Wolfgang Kruis, Christoph-Thomas Germer, Ludger Leifeld
Digestion.2014; 90(3): 190. CrossRef
Non-operative treatment of right-sided colonic diverticulitis has good long-term outcome: a review of 226 patients
Ker-Kan Tan, Jiayi Wong, Richard Sim
International Journal of Colorectal Disease.2013; 28(6): 849. CrossRef
Visceral Obesity as a Risk Factor for Left-Sided Diverticulitis in Japan: A Multicenter Retrospective Study
Eiji Yamada, Hidenori Ohkubo, Takuma Higurashi, Eiji Sakai, Hiroki Endo, Hirokazu Takahashi, Eri Uchida, Emi Tanida, Nobuyoshi Izumi, Akira Kanesaki, Yasuo Hata, Tetsuya Matsuura, Nobutaka Fujisawa, Kazuto Komatsu, Shin Maeda, Atsushi Nakajima
Gut and Liver.2013; 7(5): 532. CrossRef
Risk Factors for Severe Diverticulitis in Computed Tomography-Confirmed Acute Diverticulitis in Korea
Nark-Soon Park, Yoon Tae Jeen, Hyuk Soon Choi, Eun Sun Kim, Young Jin Kim, Bora Keum, Yeon Seok Seo, Hoon Jai Chun, Hong Sik Lee, Soon Ho Um, Chang Duck Kim, Ho Sang Ryu
Gut and Liver.2013; 7(4): 443. CrossRef
The Clinical Factors for Predicting Severe Diverticulitis in Korea: A Comparison with Western Countries
Sun Young Kim, Tae Hoon Oh, Ji Young Seo, Tae Joo Jeon, Dong Dae Seo, Won Chang Shin, Won Choong Choi, Myeong Ja Jeong
Gut and Liver.2012; 6(1): 78. CrossRef
Special Situations in the Management of Colonic Diverticular Disease
Yoori Lee, Todd Francone
Seminars in Colon and Rectal Surgery.2011; 22(3): 180. CrossRef

Surgical Resection for Lung Metastases from Colorectal Cancer: Hyung Jin Kim, Bong-Hyeon Kye, Jae Im Lee, Sang Chul Lee, Yoon Suk Lee, In Kyu Lee, Won Kyung Kang, Hyeon-Min Cho, Seok Whan Moon, Seong Taek Oh; J Korean Soc Coloproctol. 2010;26(5):354-358. Published online October 31, 2010; DOI: https://doi.org/10.3393/jksc.2010.26.5.354

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Abstract PDF

Purpose

The lung is the second most common site of metastasis from colorectal cancer. Of all patients who undergo a curative resection for colorectal cancer, 10% to 15% will develop lung metastasis. As a hepatic resection of colorectal liver metastases results in improved survival, many reports have suggested that a pulmonary resection of a colorectal lung metastasis would also improve survival. The aim of this study was to analyze the postoperative outcomes of and the prognostic factors for a surgical resection of a lung metastasis.

Methods

Between August 1997 and March 2006, 27 patients underwent surgical resections for colorectal lung metastases at Seoul St. Mary's hospital. A retrospective review of patients' characteristics and various tumor factors was performed.

Results

The mean interval between colorectal resection and lung metastasis was 24.0 ± 15.1 months. The overall 3- and 5-year survival rates were 76.5% and 22.2%, respectively. The mean follow-up after pulmonary resection was 39.5 ± 21.6 months (range, 3.3 to 115 months). Except for the existence of hilar-lymph-node metastasis (P < 0.001), no risk factors that we studied were statistically significant. Two patients had hilar-lymph-node metastasis. They survived for only for 3.3- and 11.6-months, respectively.

Conclusion

In our study, we found that a pulmonary resection for metastases from colorectal cancer may improve survival in selected patients.

Citations

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Prognostic factors of para-aortic lymph node metastasis from colorectal cancer in highly selected patients undergoing para-aortic lymph node dissection
Shin Emoto, Yosuke Fukunaga, Manabu Takamatsu, Hiroshi Kawachi, Shuhei Sano, Tetsuro Tominaga, Toshiki Mukai, Tomohiro Yamaguchi, Toshiya Nagasaki, Takashi Akiyoshi, Tsuyoshi Konishi, Satoshi Nagayama, Masashi Ueno
Surgery Today.2024; 54(4): 356. CrossRef
The Determinants of Long-Term Outcomes After Colorectal Cancer Surgery: A Literature Review
Olorungbami K Anifalaje, Charles Ojo, Oluwaseyi T Balogun, Fikayo A Ayodele, Abeeb Azeez, Shirley Gabriels
Cureus.2024;[Epub] CrossRef
Distant Lung Recurrence of Rectal Cancer 20 Years After Primary Surgery
Sreekanthan Gobishangar, Sivakumaran Gobinath, Antony J Thanenthiran, Subramaniyam Bakeerathan
Cureus.2023;[Epub] CrossRef
Pulmonary metastasectomy with lymphadenectomy for colorectal pulmonary metastases: A systematic review
Martijn van Dorp, Jelle Egbert Bousema, Bart Torensma, Christian Dickhoff, Frank Jozef Christiaan van den Broek, Wilhelmina Hendrika Schreurs, Michel Gonzalez, Geert Kazemier, David Jonathan Heineman
European Journal of Surgical Oncology.2022; 48(1): 253. CrossRef
Safety and efficacy of combined resection of colorectal peritoneal and liver metastases
Stephanie Downs-Canner, Yongli Shuai, Lekshmi Ramalingam, James F. Pingpank, Matthew P. Holtzman, Herbert J. Zeh, David L. Bartlett, Haroon A. Choudry
Journal of Surgical Research.2017; 219: 194. CrossRef
CT-guided percutaneous laser ablation of metastatic lung cancer: three cases report and literature review
Qiyu Zhao, Guo Tian, Fen Chen, Liyun Zhong, Tian’an Jiang
Oncotarget.2017; 8(2): 2187. CrossRef
Simultaneous Laparoscopic Resection for Synchronous Pulmonary Metastases of Colorectal Cancers
Byung-Kwon Ahn
Gastroenterology & Hepatology: Open Access.2016;[Epub] CrossRef

Clinicopathological Features of Primary Jejunoileal Tumors: Chang Hyun Kim, Bong Hyeon Kye, Jae Im Lee, Soo Hong Kim, Hyung Jin Kim, Won Kyung Kang, Seong Taek Oh; J Korean Soc Coloproctol. 2010;26(5):334-338. Published online October 31, 2010; DOI: https://doi.org/10.3393/jksc.2010.26.5.334

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6 Citations

Abstract PDF

Purpose

Tumors of the small bowel are rare, accounting for about 3-6% of all gastrointestinal neoplasms, though they cover more than 90% of the intestinal surface. However, diagnosis and treatment are difficult and present an ongoing challenge for both gastrointestinal surgeons and gastroenterologists. The aim of this study was to investigate the clinical features of small bowel tumors.

Methods

Between November 1994 and November 2007, 81 patients underwent treatments for primary tumors in the jejuno-ileal region at the Department of Surgery, Kangnam St. Mary's Hospital, the Catholic University of Korea. A retrospective review of the patients' characteristics and variable tumor factors was performed.

Results

The mean age of the patients was 53.2 years with 48 men and 33 women. The most common symptom was abdominal pain (59.3%), followed by bleeding (22.2%) and an abdominal mass (6.2%). We found that the patients with ileal tumors complained mainly of abdominal pain (72.9%) whereas the patients with jejunal tumors presented with gastrointestinal bleeding (36.4%) (P = 0.048). Seventy-six of the 81 patients (93.8%) had malignant tumors, including 40 (49.4%) gastrointestinal stromal tumors, 26 (32.1%) lymphomas and 5 (6.2%) adenocarcinomas. No postoperative mortalities were observed. The overall 5-year survival rate of the patients with malignant small bowel tumors was 31.8%.

Conclusion

Because the clinical features of a primary tumor of the small bowel are obscure and its diagnosis is difficult, maintaining a high degree of suspicion and recognizing the possibility of a primary small bowel tumor are important.

Citations

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Symptoms Contributing to the Diagnosis of Small Bowel Tumors
Kozo Tsuruta, Hidetoshi Takedatsu, Shinichiro Yoshioka, Masahiro Yoshikai, Kensuke Tomiyasu, Masaru Morita, Kotaro Kuwaki, Keiichi Mitsuyama, Takumi Kawaguchi
Digestion.2023; 104(6): 430. CrossRef
Clinicopathologic features, surgical treatments and outcomes of small bowel tumors
Anh Doanh Nguyen, Tu Hoang Le
Vietnam Journal of Endolaparoscopic Surgey.2022;[Epub] CrossRef
Clinicopathological Features of Small Bowel Tumors Diagnosed by Video Capsule Endoscopy and Balloon-Assisted Enteroscopy: A Single Center Experience
Ah Young Yoo, Beom Jae Lee, Won Shik Kim, Seong Min Kim, Seung Han Kim, Moon Kyung Joo, Hyo Jung Kim, Jong-Jae Park
Clinical Endoscopy.2021; 54(1): 85. CrossRef
Small Bowel Adenocarcinoma – Report of Two Cases and Review of Literature
Philip Umman, Vineeth Adiyodi, Chanchal Narayan
Indian Journal of Surgery.2013; 75(2): 123. CrossRef
Les tumeurs malignes primitives de l’intestin grêle : à propos de 11 cas
A. Farouk, A. Diffaa, R. Hafidi, F. Hlili, K. Krati
Journal Africain d'Hépato-Gastroentérologie.2012; 6(4): 284. CrossRef
A Gastrointestinal Stromal Tumor Presenting as an Emergency: a Case Report
Konstantinos Bouliaris, Aikaterini Michopoulou, Konstantinos Spanos, Vassilios Simopoulos, Ioannis Bolanis, Stylianos Germanos
Journal of Gastrointestinal Cancer.2012; 43(S1): 178. CrossRef

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