Journal of the Korean Society of Coloproctology最新文献

{"title":"Oxaliplatin-induced Pulmonary Fibrosis: Two Case Reports.","authors":"Chun-Geun Ryu,&nbsp;Eun-Joo Jung,&nbsp;Gangmi Kim,&nbsp;Su Ran Kim,&nbsp;Dae-Yong Hwang","doi":"10.3393/jksc.2011.27.5.266","DOIUrl":"https://doi.org/10.3393/jksc.2011.27.5.266","url":null,"abstract":"<p><p>Oxaliplatin with infusional 5-fluorouracil plus leucovorin (FOLFOX regimen) is the one of the standard chemotherapy regimens for treating a colorectal carcinoma. The most common side effects include neutropenia, diarrhea, vomiting and peripheral neuropathy, and these are moderate and manageable. However, pulmonary toxicity is rarely reported to be associated with the FOLFOX regimen. Moreover, there is no established guideline for the management of this side effect. Here, along with a literature review, we report two cases of rapidly developing pulmonary fibrosis related to the use of the FOLFOX regimen in patients with colorectal carcinomas.</p>","PeriodicalId":17346,"journal":{"name":"Journal of the Korean Society of Coloproctology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2011-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/d7/d7/jksc-27-266.PMC3218132.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"30268465","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The synchronous prevalence of colorectal neoplasms in patients with stomach cancer.","authors":"Ryung Ah Lee","doi":"10.3393/jksc.2011.27.5.222","DOIUrl":"https://doi.org/10.3393/jksc.2011.27.5.222","url":null,"abstract":"","PeriodicalId":17346,"journal":{"name":"Journal of the Korean Society of Coloproctology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2011-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/2f/33/jksc-27-222.PMC3218123.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"30271124","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A case of successful colonoscopic treatment of colonic obstruction caused by phytobezoar.","authors":"Sang Seok Yoon,&nbsp;Min Seong Kim,&nbsp;Dong Yoon Kang,&nbsp;Tack Su Yun,&nbsp;Jun Ho Jeon,&nbsp;Yong Kyu Lee,&nbsp;Se Woong Choi,&nbsp;Chi Hoon Kim","doi":"10.3393/jksc.2011.27.4.211","DOIUrl":"https://doi.org/10.3393/jksc.2011.27.4.211","url":null,"abstract":"<p><p>A phytobezoar is the most common type of bezoar, which is a gastrointestinal mass composed of vegetable. A persimmon is a common cause of a phytobezoar. The majority of bezoars are found in the stomach, with the small intestine being the next most commonly involved site. The colon is a rare site for a bezoar. Recently, we experienced a colonic bezoar that caused colonic obstruction in a 66-year-old female patient who took persimmons regularly. The patient came to the hospital because of abdominal pain and distension. To differentiate a tumor or other problems that can cause intestinal obstruction, we performed an abdominal computed tomography scan and found an ovoid intraluminal mass with a mottled gas pattern in the distal descending colon. A large impacted bezoar was seen in the sigmoid colon, which was completely obstructed, and it was successfully removed by using colonoscopy.</p>","PeriodicalId":17346,"journal":{"name":"Journal of the Korean Society of Coloproctology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2011-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/20/6b/jksc-27-211.PMC3180602.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"30048778","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Parastomal Hernia-the Achilles Heel of a Permanent Colostomy.","authors":"Suk-Hwan Lee","doi":"10.3393/jksc.2011.27.4.163","DOIUrl":"https://doi.org/10.3393/jksc.2011.27.4.163","url":null,"abstract":"See Article on Page 174-179 \u0000 \u0000The real incidence of parastomal hernia is not well reported, but we assume that it will be much higher than really encountered in clinical practice. A recent prospective study reported a 33% incidence of parastomal hernia [1]. The majority of parastomal hernias are asymptomatic, and only 10% of the patients require surgery. \u0000 \u0000The optimal method for repairing a parastomal hernia has been a debate among surgeons because of the high incidence of recurrence and difficulty in preventing morbidity after the repair. The paper titled \"Surgical Treatment of Parastomal Hernia\" in this issue of our journal addressed changing trends in the surgical treatment of parastomal hernias. Direct repair and relocation of the stoma were the main surgical strategies of early 90s whereas mesh repair was the newer surgical approach of the late 90s. These treatments were used to repair not only parastomal hernias but also ventral and inguinal hernias. The so-called \"tension free repair\" of the hernia is the recent standard for hernia repair. \u0000 \u0000Theoretically, a mesh repair either synthetic or biologic is superior to the direct repair or relocation of the stoma. Direct repair with the weakened tissues around the stoma is accompanied by the recurrence of the parastomal hernia. This approach is less invasive compare to the relocation of the stoma because we can avoid a laparotomy for the relocation of stoma. However, the application of synthetic mesh around the colostomy is not accepted very well among colorectal surgeons because of the fear of infection. This trend is apparent shown in the paper; the authors did not use mesh repair for emergency cases. Although the probability of emergency surgery to repair a parastomal hernia is low, we should define the best treatment option for such an occasion, mesh or no mesh. \u0000 \u0000With the development of bi-layer synthetic meshes and antibiotics, we now used more synthetic meshes to repair parastomal hernias. Biologic meshes which are known to be resistant to infections are used more commonly in the western countries, but they are rarely used in Korea due to their high cost [2, 3]. Recently published review papers reported a general trend of lower recurrence rates with the use of synthetic meshes or biologic meshes [4, 5]. The rate of surgical infection with synthetic meshes is around 10%, and the infections could be managed with antibiotics. However, there is no general consensus about the surgical techniques for mesh placement, and the follow-up period for mesh repair in the literature is relatively to short to allow solid conclusions. \u0000 \u0000Laparoscopic approaches were introduced more recently [6-8]. Although a meta-analysis did not find any difference in recurrence rate between the laparoscopic approach and the open approach [7], the minimally invasive procedure should be considered first. We, colorectal surgeons, have a duty to define the right indications for the right patients. \u0000 \u0000The reported recurr","PeriodicalId":17346,"journal":{"name":"Journal of the Korean Society of Coloproctology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2011-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/3a/08/jksc-27-163.PMC3180594.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"30047747","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Management of colorectal trauma.","authors":"Won Jun Choi","doi":"10.3393/jksc.2011.27.4.166","DOIUrl":"https://doi.org/10.3393/jksc.2011.27.4.166","url":null,"abstract":"<p><p>Although the treatment strategy for colorectal trauma has advanced during the last part of the twentieth century and the result has improved, compared to other injuries, problems, such as high septic complication rates and mortality rates, still exist, so standard management for colorectal trauma is still a controversial issue. For that reason, we designed this article to address current recommendations for management of colorectal injuries based on a review of literature. According to the reviewed data, although sufficient evidence exists for primary repair being the treatment of choice in most cases of nondestructive colon injuries, many surgeons are still concerned about anastomotic leakage or failure, and prefer to perform a diverting colostomy. Recently, some reports have shown that primary repair or resection and anastomosis, is better than a diverting colostomy even in cases of destructive colon injuries, but it has not fully established as the standard treatment. The same guideline as that for colonic injury is applied in cases of intraperitoneal rectal injuries, and, diversion, primary repair, and presacral drainage are regarded as the standards for the management of extraperitoneal rectal injuries. However, some reports state that primary repair without a diverting colostomy has benefit in the treatment of extraperitoneal rectal injury, and presacral drainage is still controversial. In conclusion, ideally an individual management strategy would be developed for each patient suffering from colorectal injury. To do this, an evidence-based treatment plan should be carefully developed.</p>","PeriodicalId":17346,"journal":{"name":"Journal of the Korean Society of Coloproctology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2011-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.3393/jksc.2011.27.4.166","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"30048772","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Is conservative treatment with antibiotics the correct strategy for management of right colonic diverticulitis?: a prospective study.","authors":"Tae Jung Kim,&nbsp;In Kyu Lee,&nbsp;Jong Kyung Park,&nbsp;Yoon Suk Lee,&nbsp;Youn Si,&nbsp;Hun Jung,&nbsp;Hyung Jin Kim,&nbsp;Sang Chul Lee,&nbsp;Dae Young Cheung,&nbsp;Lee D Gorden,&nbsp;Seung Taek Oh","doi":"10.3393/jksc.2011.27.4.188","DOIUrl":"https://doi.org/10.3393/jksc.2011.27.4.188","url":null,"abstract":"<p><strong>Purpose: </strong>The goals of this study were to identify whether conservative treatment with antibiotics in right colonic diverticulitis (RCD) patients, our empirical method used until now, is adequate and to determine how the natural history of RCD is affected by conservative treatment.</p><p><strong>Methods: </strong>This study was designed as a case-control study. Group I was comprised of 12 patients who were managed conservatively, and clinical data were retrospectively collected. In group II, a total of 49 patients, diagnosed by using diagnostic criteria for RCD and managed conservatively, were prospectively included.</p><p><strong>Results: </strong>The period of fasting was 2.7 days, and the hospital stay was 4.6 days in all patients. The intravenous and the oral antibiotic periods were 3.8 days and 9.8 days, respectively. There were no statistically significant differences in treatment results between the two groups except the duration of fasting and the hospitalization, and there were no complications under conservative treatment. Eight patients (13.1%) had recurrent diverticulitis during the follow-up period. The recurrence risk showed no significant difference between the groups. The RCD-free period after management was 60.1 months, and patients with recurrent RCD were treated by conservative treatment or laparoscopic surgery.</p><p><strong>Conclusion: </strong>Conservative treatment with antibiotics is the optimal treatment of choice for RCD and shows no increase in complications.</p>","PeriodicalId":17346,"journal":{"name":"Journal of the Korean Society of Coloproctology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2011-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/9e/f8/jksc-27-188.PMC3180599.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"30048774","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Surgical outcomes after total colectomy with ileorectal anastomosis in patients with medically intractable slow transit constipation.","authors":"Guiyun Sohn,&nbsp;Chang Sik Yu,&nbsp;Chan Wook Kim,&nbsp;Jae Young Kwak,&nbsp;Tae Young Jang,&nbsp;Kyung Ho Kim,&nbsp;Song Soo Yang,&nbsp;Yong Sik Yoon,&nbsp;Seok-Byung Lim,&nbsp;Jin Cheon Kim","doi":"10.3393/jksc.2011.27.4.180","DOIUrl":"https://doi.org/10.3393/jksc.2011.27.4.180","url":null,"abstract":"<p><strong>Purpose: </strong>The aim of this study was to evaluate outcomes of a total colectomy with ileorectal anastomosis in patients with slow transit constipation.</p><p><strong>Methods: </strong>A retrospective review of 37 consecutive patients with slow transit constipation who underwent a total colectomy between 1994 and 2008 was undertaken. Preoperative and postoperative Wexner's constipation scores were collected and used to evaluate the outcomes after surgical treatment. Also patients' postoperative satisfaction scores were collected using a 4-point scale.</p><p><strong>Results: </strong>The 37 patients consisted of 31 women and 6 men, with a median age of 41 years (range, 17 to 71 years). Pre- and post-operative Wexner's scores were collected from 33 patients (89.1%), and the mean preoperative Wexner's score was 19.3 (range, 11 to 24), which decreased to an average post-operative score of 2.3 (range, 0 to 8). Neither intraoperative complications nor postoperative mortalities were noted. Five patients (13.5%) had early postoperative complications, and the most common complication was postoperative ileus (10.8%). Seven patients (18.9%) had late postoperative complications, and postoperative ileus (10.8%) was also the most common. Twenty seven of 33 patients were satisfied with their surgical outcome (81.8%).</p><p><strong>Conclusion: </strong>A total colectomy with ileorectal anastomosis might be an effective surgical procedure with acceptable morbidity to treat medically intractable slow transit constipation.</p>","PeriodicalId":17346,"journal":{"name":"Journal of the Korean Society of Coloproctology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2011-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/67/2a/jksc-27-180.PMC3180598.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"30048775","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Clinical applications of radio-frequency ablation in liver metastasis of colorectal cancer.","authors":"Ji Hun Gwak,&nbsp;Bo-Young Oh,&nbsp;Ryung Ah Lee,&nbsp;Soon Sup Chung,&nbsp;Kwang Ho Kim","doi":"10.3393/jksc.2011.27.4.202","DOIUrl":"https://doi.org/10.3393/jksc.2011.27.4.202","url":null,"abstract":"<p><strong>Purpose: </strong>The aim of this study is to evaluate long-term survival and prognostic factors for radio-frequency ablation (RFA) in colorectal liver metastases.</p><p><strong>Methods: </strong>We retrospectively reviewed 35 colorectal liver metastases patients who underwent RFA between 2004 and 2008. We analyzed survival after RFA and prognostic factors for survival.</p><p><strong>Results: </strong>Of the 35 patients, 23 patients were male and 12 were female. Their mean age was 62.40 ± 12.52 years. Mean overall survival was 38.8 ± 4.6 months, and mean progression free survival was 19.9 ± 3.4 months. Three- and 5-year overall survival rates were 42.7 ± 0.1% and 26.0 ± 0.1%, respectively. Three- and 5-year progression-free survival rates were 19.6 ± 0.1% and 4.9 ± 0.04%, respectively. Overall survival and progression-free survival were significantly improved in male and in patients with carcinoembryonic antigen (CEA) ≤ 100 ng/mL, carbohydrate antigen (CA) 19-9 ≤ 100 ng/mL, absence of extrahepatic disease, and a unilobar hepatic lesion. In addition, progression-free survival was improved in patients with a solitary hepatic lesion. On the multivariate analysis, significant survival factors were the absence of extrahepatic disease and the presence of a unilobar hepatic lesion.</p><p><strong>Conclusion: </strong>RFA for colorectal liver metastases is an effective treatment option in male patients and in patients with CEA or CA19-9 ≤ 100, absence of extrahepatic disease, a solitary hepatic lesion, and a unilobar hepatic lesion.</p>","PeriodicalId":17346,"journal":{"name":"Journal of the Korean Society of Coloproctology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2011-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/28/39/jksc-27-202.PMC3180601.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"30048777","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A case of endoscopic resection of a colonic semipedunculated leiomyoma.","authors":"Seung Hwa Lee,&nbsp;Gun Yoong Huh,&nbsp;Yoo Seock Cheong","doi":"10.3393/jksc.2011.27.4.215","DOIUrl":"https://doi.org/10.3393/jksc.2011.27.4.215","url":null,"abstract":"<p><p>During colonoscopic examination, epithelial lesions, such as adenomatous polyps, are frequently encountered, unlike subepithelial lesions, such as leiomyomas, which are uncommon. A colonic leiomyoma is a rare tumor, originating either from the mucularis mucosa or from the proper muscle, and accounts for only 3% of all gastrointestinal leiomyomas. Colonic leiomyomas are usually benign and asymptomatic. However, they can sometimes cause symptoms, ie, abdominal pain, intestinal obstruction, hemorrhage, and perforation. The traditional management option for a colonic leiomyoma is surgical resection. Recently, with the development of endoscopy devices and techniques, the endoscopic resection has been considered as an alternative treatment option. We experienced a patient with a leiomyoma that was diagnosed during colonoscopy. The leiomyoma was resected endoscopically without complication. We report this case with a review of the literature.</p>","PeriodicalId":17346,"journal":{"name":"Journal of the Korean Society of Coloproctology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2011-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/97/af/jksc-27-215.PMC3180603.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"30048779","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Value and interpretation of resection margin after a colonoscopic polypectomy for malignant polyps.","authors":"Eun Jung Jang,&nbsp;Dae Dong Kim,&nbsp;Chang Ho Cho","doi":"10.3393/jksc.2011.27.4.194","DOIUrl":"https://doi.org/10.3393/jksc.2011.27.4.194","url":null,"abstract":"<p><strong>Purpose: </strong>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.</p><p><strong>Methods: </strong>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).</p><p><strong>Results: </strong>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.</p><p><strong>Conclusion: </strong>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.</p>","PeriodicalId":17346,"journal":{"name":"Journal of the Korean Society of Coloproctology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2011-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/c0/76/jksc-27-194.PMC3180600.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"30048776","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}