Robotic rectal resection: preliminary Russian experience
ConclusionOur initial experience with a totally robotic rectal resection has shown the technique to be safe and feasible, particularly in patients where conventional laparoscopic rectal resection would be anticipated to be challenging.ResumoObjetivoDelinear a experiência preliminar do sistema robótico da Vinci® usado em um centro de referência colorretal terciário de Moscou para uma gama não selecionada de problemas retais benignos e malignos.MétodosEstudo unicêntrico prospectivo não randomizado que analisou os resultados de 26 ressecções retais robóticas realizadas entre janeiro de 2014 e dezembro de 2016.Resu...
Source: Journal of Coloproctology - July 5, 2018 Category: Gastroenterology Source Type: research
Crohn’s disease versus Yersinia enterocolitica infection ‒ case report ‒ a difficult differential diagnosis
Publication date: Available online 28 June 2018Source: Journal of ColoproctologyAuthor(s): Clarissa Maria Gomes de Almeida, Fauze Camargo Maluf, Feres Camargo Maluf, Valeria P. Lanzoni, Desidério Roberto Kiss, Maristela Gomes de AlmeidaAbstractThe aim of this report is to present an unusual case of Crohn’s disease affecting the terminal ileum; whose principal differential diagnosis was Yersinia enterolocolitica infection, as the histological features of the resected ileum was common to both diseases. We also describe how the infectious etiology was discarded and the implications for the patient follow-up.ResumoO objetiv...
Source: Journal of Coloproctology - July 5, 2018 Category: Gastroenterology Source Type: research
Crohn ’s disease versus Yersinia enterocolitica infection ‒ case report ‒ a difficult differential diagnosis
Publication date: Available online 28 June 2018 Source:Journal of Coloproctology Author(s): Clarissa Maria Gomes de Almeida, Fauze Camargo Maluf, Feres Camargo Maluf, Valeria P. Lanzoni, Desidério Roberto Kiss, Maristela Gomes de Almeida The aim of this report is to present an unusual case of Crohn’s disease affecting the terminal ileum; whose principal differential diagnosis was Yersinia enterolocolitica infection, as the histological features of the resected ileum was common to both diseases. We also describe how the infectious etiology was discarded and the implications for the patient follow-up. (Source: Jou...
Source: Journal of Coloproctology - June 29, 2018 Category: Gastroenterology Source Type: research
Robotic rectal resection: preliminary Russian experience
Conclusion Our initial experience with a totally robotic rectal resection has shown the technique to be safe and feasible, particularly in patients where conventional laparoscopic rectal resection would be anticipated to be challenging. (Source: Journal of Coloproctology)
Source: Journal of Coloproctology - June 8, 2018 Category: Gastroenterology Source Type: research
Continence changes following transanal endoscopic microsurgery result from the impact on rectal capacity: clinical and functional evaluation before and after surgical treatment
Conclusions After TEM, a modest impact on anorectal function can be observed. The transient impairment results from loss of rectal capacity and not from impairment of the anal sphincters, being completely resolved 90 days after surgery. (Source: Journal of Coloproctology)
Source: Journal of Coloproctology - June 6, 2018 Category: Gastroenterology Source Type: research
Surgical treatment of malignant colon polyps
Conclusions The persistence of malignancy in the surgical specimen was associated with larger sessile polyps and piecemeal removal. A significant number of patients did not show malignancy in the surgical resection specimen, with more markers being required to better stratify patients. (Source: Journal of Coloproctology)
Source: Journal of Coloproctology - June 6, 2018 Category: Gastroenterology Source Type: research
Colorectal adenocarcinoma staging of patients in a public tertiary hospital in the state of Grande do Sul
Conclusion Most patients treated at this hospital have advanced disease (67%) and come from the emergency department (51%). (Source: Journal of Coloproctology)
Source: Journal of Coloproctology - May 24, 2018 Category: Gastroenterology Source Type: research
Ligation of the intersphincteric fistula tract procedure and its modifications
Conclusion Ligation of the intersphincteric fistula tract and its modifications are effective and simple procedures in treating simple anal fistulae, especially high transsphincteric ones. However, more trials should be performed to evaluate its effectiveness regarding complex fistulae. (Source: Journal of Coloproctology)
Source: Journal of Coloproctology - May 24, 2018 Category: Gastroenterology Source Type: research
Coloanal intussusception in adults due to lipoma
We present a case wherein the patient had a lipoma of the sigmoid colon that caused an immense prolapse through the anus. Very few cases of coloanal intussusception are reported in adults, and we discuss the diagnostic tools and the management of this rare surgical entity. (Source: Journal of Coloproctology)
Source: Journal of Coloproctology - May 22, 2018 Category: Gastroenterology Source Type: research
Adipose tissue-derived stem cells: a new approach to the treatment of Crohn's disease-associated perianal fistulae
Publication date: Available online 1 May 2018 Source:Journal of Coloproctology Author(s): Mónica Maria Ramos Tavares, Laura Elisabete Ribeiro Barbosa Crohn's disease has an ever-increasing prevalence and incidence, with about 20% of patients developing perianal fistula with significant impact on their quality of life. Despite the medical and surgical treatments currently used, Crohn's-related fistula treatment continues to pose a challenge due to the low rates of efficacy associated with high recurrence rates. Recent clinical trials have shown promising results regarding safety and efficacy of local treatment of this ...
Source: Journal of Coloproctology - May 2, 2018 Category: Gastroenterology Source Type: research
Risk factors for postoperative complications in Crohn disease: analysis of 173 patients
Conclusions We described clear associations between age at surgery >40 years and the group others (intestinal perforation, mesenteric ischemia and postoperative complications) and overall postoperative complications in Crohn disease. These results may suggest that surgery does not need to be delayed and, in some cases, should be anticipated. (Source: Journal of Coloproctology)
Source: Journal of Coloproctology - May 1, 2018 Category: Gastroenterology Source Type: research
A prospective study of efficacy and safety of rubber band ligation in the treatment of Grade II and III hemorrhoids – a western Indian experience
Conclusion Rubber band ligation is a simple, safe and effective method for treating symptomatic second and third degree hemorrhoids as an outpatient procedure. It gives better results for Grade II and single hemorrhoids. Recurrence rate after successful band ligation is low. (Source: Journal of Coloproctology)
Source: Journal of Coloproctology - May 1, 2018 Category: Gastroenterology Source Type: research
Establishing the normal ranges of female and male anal canal and rectal wall vascularity with color Doppler anorectal ultrasonography
Conclusions Blood supply is highest at upper levels of the anal canal; however, inner structures are better irrigated in men. Moreover, the rectal wall is better irrigated than the mesorectal fat. Establishing normal ranges may permit future comparisons of the studied structures in disease states as well as the hormonal and age related changes. (Source: Journal of Coloproctology)
Source: Journal of Coloproctology - May 1, 2018 Category: Gastroenterology Source Type: research
Effects of biofeedback in the treatment of female fecal incontinence
Conclusion Biofeedback is an effective method for the treatment of fecal incontinence, with increased sphincter strength and improved quality of life. (Source: Journal of Coloproctology)
Source: Journal of Coloproctology - May 1, 2018 Category: Gastroenterology Source Type: research
Gender-based analysis of the characteristics and outcomes of surgery for anal fistula: analysis of more than 560 cases
Conclusion The majority of fistula-in-ano in males were posterior and high trans-sphincteric whereas most fistula-in-ano in females were low and anteriorly based. Despite the different characteristics of fistula-in-ano; no significant differences in the rates of fistula recurrence and fecal incontinence between males and females could be recorded. (Source: Journal of Coloproctology)
Source: Journal of Coloproctology - May 1, 2018 Category: Gastroenterology Source Type: research
