Technique and results of the first six cases of anal sphincteroplasty with Deoti's flap for complex anatomical deformity of the perineum
Conclusions Deoti's surgical flap with sphincteroplasty successfully reconstructs complex anatomical deformities of the perineum. Current questionnaires to assess fecal incontinence may not evaluate properly the anatomical result of the technique, thus we propose a visual scale. In addition, sphincteroplasty with Deoti's flap may have longer-term outcomes in functional results than sphincteroplasty alone. (Source: Journal of Coloproctology)
Source: Journal of Coloproctology - April 6, 2018 Category: Gastroenterology Source Type: research
Hemorrhoids and related complications in primigravid pregnancy
Conclusion Various risk factors and biological explanations exist for the high frequency of hemorrhoids during pregnancy. Because participants were primigravid women without a history of perianal complaints, findings suggest a direct effect of pregnancy itself on the development of external hemorrhoids/perianal symptoms. (Source: Journal of Coloproctology)
Source: Journal of Coloproctology - March 24, 2018 Category: Gastroenterology Source Type: research
A double row epiploicoplasty for primary closure of free perforated sigmoid diverticulitis
Publication date: Available online 21 March 2018 Source:Journal of Coloproctology Author(s): Ali Naki Yücesoy Acute free perforation of the sigmoid diverticulitis is an emergency surgical intervention required condition. Although the sigmoid resection and temporary end colostomy or abdominal lavage and drainage are the most commonly used surgical methods for its treatment, the most effective surgical method has not been established yet. We applied a different surgical method for the surgical treatment of free perforation of acute sigmoid diverticulitis outside of these surgical procedures. A double row epiploicoplasty ...
Source: Journal of Coloproctology - March 22, 2018 Category: Gastroenterology Source Type: research
Diagnosis and treatment of constipation: a clinical update based on the Rome IV criteria
Publication date: Available online 13 March 2018 Source:Journal of Coloproctology Author(s): Carlos Walter Sobrado, Isaac Correa Neto, Rodrigo Ambar Pinto, Lucas Faraco Sobrado, Sergio Carlos Nahas, Ivan Cecconello The aim of this study was to evaluate the published professional association guidelines regarding the current diagnosis and treatment of functional intestinal constipation in adults and to compare those guidelines with the authors’ experience to standardize actions that aid clinical reasoning and decision-making for medical professionals. A literature search was conducted in the Medline/PubMed, Scielo,...
Source: Journal of Coloproctology - March 14, 2018 Category: Gastroenterology Source Type: research
Colonic phytobezoar
Publication date: Available online 28 February 2018 Source:Journal of Coloproctology Author(s): Cláudio Franco do Amaral Kfouri, Maria Clara Ferreira Nonato Romania, Rennan Josely Moreira Julião, André Domingos Pippa Tomazella, Guilherme Paulo Carvalho de Amorim, Cleibe Nicácio da Silva, Claudinei da Silva, Maria Cristina Sartor Bezoars, although rare, represent a small part of the etiologies of intestinal obstructions. They are indigestible masses formed in human beings consisting of hair, seeds, plant fibers, fruits, and even medications. The present report concerns a male patient with a complaint of interr...
Source: Journal of Coloproctology - February 28, 2018 Category: Gastroenterology Source Type: research
Evaluation of outcomes in fissurectomy and V –Y advancement flap for the treatment of chronic anal fissure
Publication date: Available online 18 February 2018 Source:Journal of Coloproctology Author(s): Fakhrosadat Anaraki, Tahereh Foroughifar, Seyed Hossein Laleh, Omid Etemad Chronic anal fissure is difficult to treat. Surgery is usually recommended in the case of drug therapeutic failure. Fecal incontinence in patients with weaker sphincters (multipara older patients with a history of pelvic surgery etc.) is a major reason for rejecting surgery. Such these patients should be underwent fissurectomy and V–Y advancement flap in which sphincterotomy is not required. In this prospective study, we determined the outcomes an...
Source: Journal of Coloproctology - February 19, 2018 Category: Gastroenterology Source Type: research
Three-dimensional virtual reconstruction as a tool for preoperative planning in the management of complex anorectal fistulas
The objective of this work is to describe the development and initial experience of the construction of a virtual three-dimensional model of the pelvic anatomy of a patient, allowing the exact identification of the relationships between the fistulous tracts of complex anorectal fistulas and the other pelvic structures. An MRI was performed on this patient, and the images were exported to the Vitrea fX Workstation® software. A radiologist did the analysis and segmentation of the images that were then sent to a three-dimensional image processor (Meshlab v. 1.3.3 – ISTI – CNR Research Center, Pisa University, Italy). The...
Source: Journal of Coloproctology - February 17, 2018 Category: Gastroenterology Source Type: research
Overview of colorectal resections in a reference center in Curitiba – Brazil: Experience with open and laparoscopic approach
Conclusions Videolaparoscopic approach is a safe and effective option in the treatment of colorectal diseases. Surgery duration and anastomotic fistula rates are similar to the open resections. Hospital stay and ICU stay durations, however, were shorter in patients submitted to laparoscopic colectomies. (Source: Journal of Coloproctology)
Source: Journal of Coloproctology - February 17, 2018 Category: Gastroenterology Source Type: research
Immediate results from biofeedback and anorectal electrostimulation in the treatment of paradoxical puborectal muscle contraction in women with obstructed defecation
Conclusion The conventional treatment of constipation, biofeedback and electrostimulation show a significant subjective improvement in symptoms of obstructed evacuation and in quality of life, regardless of the reversal of the paradoxical puborectalis contraction. (Source: Journal of Coloproctology)
Source: Journal of Coloproctology - February 17, 2018 Category: Gastroenterology Source Type: research
Evaluation of diagnostic accuracy of 3-D endoanal ultrasound in perianal fistula in comparison with intraoperative findings
Conclusion There was perfect agreement between 3-D ultrasound and surgical findings in internal opening, primary tract and trunk expansion. 3-D ultrasound shows a high diagnostic accuracy when compared with surgery to assessment of perianal fistula before surgery. (Source: Journal of Coloproctology)
Source: Journal of Coloproctology - February 17, 2018 Category: Gastroenterology Source Type: research
Peritoneal carcinomatosis treated with cytoreductive surgery and intraperitoneal chemotherapy
Conclusion The combined treatment for peritoneal carcinomatosis may be performed safely with acceptable morbidity and mortality in a specialized unit setting. Although over half of patients underwent normothermic intraperitoneal chemotherapy, our results were comparable to results from others centers. (Source: Journal of Coloproctology)
Source: Journal of Coloproctology - February 17, 2018 Category: Gastroenterology Source Type: research
Intestinal preparations for colonoscopy. Comparative study: mannitol, picosulphate and macrogol
This study aimed to compare three solutions for colon preparation in patients undergoing colonoscopy. We conducted a prospective study with 61 patients divided randomly into three groups: one that received a standard dose of macrogol, another received a standard dose of 10% mannitol and another received a standard dose of sodium picosulphate. Patients and examining endoscopists responded to questionnaires for compiling data. In the results we noticed that 10% mannitol, despite being less tolerated by the patient when compared to sodium picosulphate, presents better results in colonic cleaning, being therefore superior in t...
Source: Journal of Coloproctology - February 17, 2018 Category: Gastroenterology Source Type: research
Deficiency of vitamin D and its relation with clinical and laboratory activity of inflammatory bowel diseases
Conclusion According to the findings of this study, vitamin D deficiency is related to the clinical and laboratory activity of inflammatory bowel diseases. (Source: Journal of Coloproctology)
Source: Journal of Coloproctology - February 17, 2018 Category: Gastroenterology Source Type: research
Correlation of clinical data and the Alvarado's Score as predictors of acute appendicitis
Conclusion The use of this Alvarado's Score in health services emerges as a tool for the diagnosis of acute appendicitis. (Source: Journal of Coloproctology)
Source: Journal of Coloproctology - February 17, 2018 Category: Gastroenterology Source Type: research
Interrelation between functional constipation and domestic violence
Conclusion The prevalence of domestic violence in women with functional constipation is high and a careful investigation of this possible interrelationship in clinical practice is suggested. Besides that, it is necessary to promote an integration of the Network of Attention to Violence, in order to offer integral care to the victims and a best utilization of the resources. (Source: Journal of Coloproctology)
Source: Journal of Coloproctology - February 17, 2018 Category: Gastroenterology Source Type: research
