Journal of the Korean Society of Coloproctology最新文献

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A New Technique Using Ultra-slim Endoscopy for High-Grade Crohn's Stricture. 超薄内窥镜治疗高级别克罗恩病的新技术。
Journal of the Korean Society of Coloproctology Pub Date : 2012-10-01 Epub Date: 2012-10-31 DOI: 10.3393/jksc.2012.28.5.271
Ga Hee Kim, Kyung-Jo Kim, Gi Ae Kim, Jee Eun Yang, Hee Jung Park, Byong Duk Ye, Seung-Jae Myung, Suk-Kyun Yang
{"title":"A New Technique Using Ultra-slim Endoscopy for High-Grade Crohn's Stricture.","authors":"Ga Hee Kim,&nbsp;Kyung-Jo Kim,&nbsp;Gi Ae Kim,&nbsp;Jee Eun Yang,&nbsp;Hee Jung Park,&nbsp;Byong Duk Ye,&nbsp;Seung-Jae Myung,&nbsp;Suk-Kyun Yang","doi":"10.3393/jksc.2012.28.5.271","DOIUrl":"https://doi.org/10.3393/jksc.2012.28.5.271","url":null,"abstract":"<p><p>Crohn's disease (CD) is a chronic inflammatory bowel disease of unknown etiology. Most patients with CD will eventually develop a stricturing or penetrating complication. Colonoscopic findings may predict the clinical course in patients with CD. Moreover, since CD patients are at increased risk for developing dysplasia and colorectal cancer, surveillance colonoscopy is necessary for the detection of malignancies. We describe here a CD patient with a high-grade anorectal stricture who successfully underwent a total colon examination with an ultra-slim upper endoscope after an insertion failure with a standard colonoscope and gastroscope.</p>","PeriodicalId":17346,"journal":{"name":"Journal of the Korean Society of Coloproctology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2012-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/0e/53/jksc-28-271.PMC3499429.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"31076698","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}
引用次数: 3
A case of sigmoid colon tuberculosis mimicking colon cancer. 乙状结肠结核模拟结肠癌1例。
Journal of the Korean Society of Coloproctology Pub Date : 2012-10-01 Epub Date: 2012-10-31 DOI: 10.3393/jksc.2012.28.5.275
Seong-Min Yu, Jong-Hwan Park, Min-Dae Kim, Hee-Ryong Lee, Peel Jung, Tae-Hyun Ryu, Seung-Ho Choi, Il-Seon Lee
{"title":"A case of sigmoid colon tuberculosis mimicking colon cancer.","authors":"Seong-Min Yu,&nbsp;Jong-Hwan Park,&nbsp;Min-Dae Kim,&nbsp;Hee-Ryong Lee,&nbsp;Peel Jung,&nbsp;Tae-Hyun Ryu,&nbsp;Seung-Ho Choi,&nbsp;Il-Seon Lee","doi":"10.3393/jksc.2012.28.5.275","DOIUrl":"https://doi.org/10.3393/jksc.2012.28.5.275","url":null,"abstract":"<p><p>Tuberculosis of the sigmoid colon is a rare disorder. An 80-year-old man visited Bongseng Memorial Hospital for medical examination. A colonoscopy was performed, and a lesion in the sigmoid colon that was suspected to be colon cancer was found. A biopsy was performed, and tuberculous enteritis with chronic granulomatous inflammation was diagnosed. Intestinal tuberculosis is most frequent in the ileocecal area, followed by the ascending colon, transverse colon, duodenum, stomach, and sigmoid colon, in descending order. Hence, we report a case of intestinal tuberculosis in the sigmoid colon, which is rare and almost indistinguishable from colon cancer.</p>","PeriodicalId":17346,"journal":{"name":"Journal of the Korean Society of Coloproctology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2012-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/c0/c2/jksc-28-275.PMC3499430.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"31076699","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}
引用次数: 13
Hyperbilirubinemia is a significant indicator for the severity of acute appendicitis. 高胆红素血症是判断急性阑尾炎严重程度的重要指标。
Journal of the Korean Society of Coloproctology Pub Date : 2012-10-01 Epub Date: 2012-10-31 DOI: 10.3393/jksc.2012.28.5.247
Young Ran Hong, Chul-Woon Chung, Jong Woo Kim, Chang Il Kwon, Dae Ho Ahn, Sung Won Kwon, Seong Ki Kim
{"title":"Hyperbilirubinemia is a significant indicator for the severity of acute appendicitis.","authors":"Young Ran Hong,&nbsp;Chul-Woon Chung,&nbsp;Jong Woo Kim,&nbsp;Chang Il Kwon,&nbsp;Dae Ho Ahn,&nbsp;Sung Won Kwon,&nbsp;Seong Ki Kim","doi":"10.3393/jksc.2012.28.5.247","DOIUrl":"https://doi.org/10.3393/jksc.2012.28.5.247","url":null,"abstract":"<p><strong>Purpose: </strong>This study aims to reveal more effective clinical or laboratory markers for the diagnosis of acute appendicitis and to score the severity based on a sufficiently large number of patients with acute appendicitis.</p><p><strong>Methods: </strong>We identified 1,195 patients with acute appendicitis after excluding those with other causes of hyperbilirubinemia among the 1,271 patients that underwent a laparoscopic or an open appendectomy between 2009 and 2010. A retrospective chart review of the medical records, including laboratory and histologic results, was conducted. We then analyzed the data using univariate and multivariate analyses.</p><p><strong>Results: </strong>Among the 1,195 patients, a laparoscopic appendectomy was performed in 685 cases (57.32%), and an open appendectomy was performed in 510 cases (42.68%). The univariate analysis demonstrated significant differences for white blood cell count (P < 0.0001), segmented neutrophils (P = 0.0035), total bilirubin (P < 0.0001), and systemic inflammatory response syndrome (SIRS) score between groups (P < 0.0001). The multivariate analysis demonstrated that total bilirubin (odds ratio, 1.772; 95% confidence interval, 1.320 to 2.379; P = 0.0001) and SIRS score (odds ratio, 1.583; 95% confidence interval, 1.313 to 1.908; P < 0.0001) have statistically significant diagnostic value for perforated appendicitis.</p><p><strong>Conclusion: </strong>Hyperbilirubinemia is a statistically significant diagnostic marker for acute appendicitis and the likelihood of perforation.</p>","PeriodicalId":17346,"journal":{"name":"Journal of the Korean Society of Coloproctology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2012-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/9b/78/jksc-28-247.PMC3499425.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"31078383","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}
引用次数: 50
Current issues involving the treatment of small rectal carcinoid tumors. 涉及直肠小类癌治疗的当前问题。
Journal of the Korean Society of Coloproctology Pub Date : 2012-08-01 Epub Date: 2012-08-31 DOI: 10.3393/jksc.2012.28.4.176
Dae Kyung Sohn
{"title":"Current issues involving the treatment of small rectal carcinoid tumors.","authors":"Dae Kyung Sohn","doi":"10.3393/jksc.2012.28.4.176","DOIUrl":"https://doi.org/10.3393/jksc.2012.28.4.176","url":null,"abstract":"See Article on Page 201-204 \u0000 \u0000Recently, the number of cases of neuroendocrine tumors, mainly small rectal carcinoid tumors detected during colonoscopy screening, has increased rapidly [1, 2]. However, a standardized management for small rectal carcinoid tumors still remains to be established. Thus, several issues remain to be addressed. \u0000 \u0000First, which tumors have high risk for lymph-node metastasis? Small rectal carcinoid tumors without metastasis can be treated by using local excision methods, including endoscopic resection or local surgical excision. Tumor size, the depth of invasion, the presence of angiolymphatic invasion, and the mitotic rate have been shown to be risk factors for lymph-node metastasis [3-5]. However, identifying the high-risk group preoperatively is difficult. Preoperative endoscopic ultrasonography or computed tomography (CT) may be helpful, but the clinical role of those modalities is limited. In fact, Kim et al. [6] reported that fewer than half of the 38 patients enrolled in the study had received preoperative radiologic evaluations. \u0000 \u0000Second, which is the best method to use for the local resection of tumors? The tumors are usually located in the submucosal layer; thus, achieving a tumor-free margin by using a conventional endoscopic resection, such as a snare polypectomy or a strip biopsy, is difficult. Recently, Son et al. [7] reported pathologically-determined complete-resection (P-CR) rates for small rectal carcinoid tumors excised by using several methods. The P-CR rates were 30.9%, 72.0%, and 81.8% for a conventional endoscopic polypectomy, an advanced endoscopic technique, including endoscopic mucosal resection with cap or endoscopic submucosal dissection, and local surgical excision, including transanal excision and transanal endoscopic microsurgery (TEM). In a study by Kim et al. [6], the complete resection rate for TEM was over 97%. Although TEM is superior to other endoscopic procedures, TEM must be considered to be more invasive because of the risk associated with the use of anesthesia. \u0000 \u0000Third, guidelines for follow-up examination after initial treatment for a small rectal carcinoid tumor have not yet been established. Some authors recommend annual follow-up examination including a CT scan while others suggest that follow-up is not necessary [8-11]. Actually, Kim et al. [6] reported that only 38 patients of 109 patients with a rectal carcinoid tumor who had undergone TEM had more than three years of follow-up. \u0000 \u0000Regretfully, the study of Kim et al. [6] is one of small case series on the treatment of rectal carcinoid tumors. Hopefully, large-scale multicenter studies on the management of rectal carcinoid tumors will be reported sooner or later.","PeriodicalId":17346,"journal":{"name":"Journal of the Korean Society of Coloproctology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2012-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/fe/ac/jksc-28-176.PMC3440484.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"30919526","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}
引用次数: 1
Transanal endoscopic microsurgery for the treatment of well-differentiated rectal neuroendocrine tumors. 经肛门内镜显微手术治疗分化良好的直肠神经内分泌肿瘤。
Journal of the Korean Society of Coloproctology Pub Date : 2012-08-01 Epub Date: 2012-08-31 DOI: 10.3393/jksc.2012.28.4.201
Hyoung Ran Kim, Woo Yong Lee, Kyung Uk Jung, Hyuk Jun Chung, Chul Joong Kim, Hae-Ran Yun, Yong Beom Cho, Seong Hyeon Yun, Hee Cheol Kim, Ho-Kyung Chun
{"title":"Transanal endoscopic microsurgery for the treatment of well-differentiated rectal neuroendocrine tumors.","authors":"Hyoung Ran Kim,&nbsp;Woo Yong Lee,&nbsp;Kyung Uk Jung,&nbsp;Hyuk Jun Chung,&nbsp;Chul Joong Kim,&nbsp;Hae-Ran Yun,&nbsp;Yong Beom Cho,&nbsp;Seong Hyeon Yun,&nbsp;Hee Cheol Kim,&nbsp;Ho-Kyung Chun","doi":"10.3393/jksc.2012.28.4.201","DOIUrl":"https://doi.org/10.3393/jksc.2012.28.4.201","url":null,"abstract":"<p><strong>Purpose: </strong>Recently, an increase in well-differentiated rectal neuroendocrine tumors (WRNETs) has been noted. We aimed to evaluate transanal endoscopic microsurgery (TEM) for the treatment of WRNETs.</p><p><strong>Methods: </strong>Between December 1995 and August 2009, 109 patients with WRNETs underwent TEM. TEM was performed for patients with tumors sizes of up to 20 mm and without a lymphadenopathy. These patients had been referred from other clinics after having been diagnosed with WRNETs by using a colonoscopic biopsy; they had undergone a failed endoscopic submucosal dissection (ESD) or endoscopic mucosal resection (EMR) and exhibited an involved resection margin and remaining tumor after ESD or EMR, regardless of the distance from the anal verge. This study included 38 patients that had more than three years of follow-up.</p><p><strong>Results: </strong>The mean age of the patients was 51.3 ± 11.9 years, the mean tumor size was 8.0 ± 3.9 mm, and no morbidity occurred. Thirty-five patients were asymptomatic. TEM was performed after a colonoscopic resection in 13 cases because of a positive resection margin, a residual tumor or a non-lifting lesion. Complete resections were performed in 37 patients; one patient with a positive margin was considered surgically complete. In one patient, liver metastasis and a recurrent mesorectal node occurred after five and 10 years, respectively.</p><p><strong>Conclusion: </strong>TEM might provide an accessible and effective treatment either as an initial or as an adjunct after a colonoscopic resection for a WRNET.</p>","PeriodicalId":17346,"journal":{"name":"Journal of the Korean Society of Coloproctology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2012-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/a6/d4/jksc-28-201.PMC3440489.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"30918348","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}
引用次数: 10
An update on preoperative radiotherapy for locally advanced rectal cancer. 局部晚期直肠癌术前放疗的最新进展。
Journal of the Korean Society of Coloproctology Pub Date : 2012-08-01 Epub Date: 2012-08-31 DOI: 10.3393/jksc.2012.28.4.179
Seung-Gu Yeo, Dae Yong Kim
{"title":"An update on preoperative radiotherapy for locally advanced rectal cancer.","authors":"Seung-Gu Yeo,&nbsp;Dae Yong Kim","doi":"10.3393/jksc.2012.28.4.179","DOIUrl":"https://doi.org/10.3393/jksc.2012.28.4.179","url":null,"abstract":"<p><p>Even in patients undergoing an optimal surgical technique (e.g., total mesorectal excision), radiotherapy provides a significant benefit in the local control of rectal cancer. Compared with postoperative treatment, chemoradiotherapy given preoperatively has been shown to decrease local recurrence rates and toxicity. Additionally, preoperative chemoradiotherapy permits the early identification of tumor responses to this cytotoxic treatment by surgical pathology. Pathological parameters reflecting the tumor response to chemoradiotherapy have been shown to be surrogate markers for long-term clinical outcomes. Post-chemoradiotherapy downstaging from cStage II-III to ypStage 0-I indicates a favorable prognosis, with no difference between ypStage 0 and ypStage I. Research is ongoing to develop useful tools (clinical, molecular, and radiological) for clinical determination of the pathologic chemoradiotherapeutic response before surgery, and possibly even before preoperative treatment. In the future, risk-adapted strategies, including intensification of preoperative therapy, conservative surgery, or the selective administration of postoperative chemotherapy, will be realized for locally-advanced rectal cancer patients based on their response to preoperative chemoradiotherapy.</p>","PeriodicalId":17346,"journal":{"name":"Journal of the Korean Society of Coloproctology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2012-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/31/c1/jksc-28-179.PMC3440486.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"30918345","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}
引用次数: 6
Risk factors for repeat abdominal surgery in korean patients with Crohn's disease: a multi-center study of a korean inflammatory bowel disease study group. 韩国克罗恩病患者重复腹部手术的危险因素:韩国炎症性肠病研究组的多中心研究
Journal of the Korean Society of Coloproctology Pub Date : 2012-08-01 Epub Date: 2012-08-31 DOI: 10.3393/jksc.2012.28.4.188
Kil Yeon Lee, Chang Sik Yu, Kang Young Lee, Yong Beom Cho, Kyu Joo Park, Gyu-Seog Choi, Sang Nam Yoon, Hanna Yoo
{"title":"Risk factors for repeat abdominal surgery in korean patients with Crohn's disease: a multi-center study of a korean inflammatory bowel disease study group.","authors":"Kil Yeon Lee,&nbsp;Chang Sik Yu,&nbsp;Kang Young Lee,&nbsp;Yong Beom Cho,&nbsp;Kyu Joo Park,&nbsp;Gyu-Seog Choi,&nbsp;Sang Nam Yoon,&nbsp;Hanna Yoo","doi":"10.3393/jksc.2012.28.4.188","DOIUrl":"https://doi.org/10.3393/jksc.2012.28.4.188","url":null,"abstract":"<p><strong>Purpose: </strong>The purpose of this study was to assess the risk factors for repeated abdominal surgery in Crohn's disease (CD) patients after the first abdominal surgery. Prior studies have tried to identify the risk factors for postoperative recurrence in CD patients, but the results of the studies have been inconsistent. Furthermore, few data on the risk factors for repeated abdominal surgery are available.</p><p><strong>Methods: </strong>Clinical data on CD patients who underwent abdominal surgery from January 2000 to December 2009 were collected from seventeen university hospitals and one colorectal clinic. Data from a total of 708 patients were analyzed to find the risk factors for repeated abdominal surgery in CD patients. The mean follow-up period was 72 months.</p><p><strong>Results: </strong>The risk of repeated abdominal surgery was 3 times higher in young patients (below 16 years old) than in older patients (odds ratio [OR], 3.056; 95% confidence interval [CI], 1.021 to 9.150); P = 0.046). Stricturing behavior at diagnosis was also a risk factor for repeated abdominal surgery (OR, 2.438; 95% CI, 1.144 to 5.196; P = 0.021). Among operative indications, only intra-abdominal abscess was associated with repeated abdominal surgery (OR, 2.393; 95% CI, 1.098 to 5.216; P = 0.028). Concerning type of operation, an ileostomy might be a risk factor for repeated abdominal surgery (OR, 11.437; 95% CI, 1.451 to 90.124; P = 0.021). Emergency surgery (OR, 4.994; 95% CI, 2.123 to 11.745; P < 0.001) and delayed diagnosis after surgery (OR, 2.339; 95% CI, 1.147 to 4.771; P = 0.019) also increased the risk of repeated abdominal surgery.</p><p><strong>Conclusion: </strong>Young age (below 16 years), stricturing behavior, intra-abdominal abscess, emergency surgery, and delayed diagnosis after surgery were identified as possible risk factors for repeated abdominal surgery in CD patients.</p>","PeriodicalId":17346,"journal":{"name":"Journal of the Korean Society of Coloproctology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2012-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/a8/9a/jksc-28-188.PMC3440487.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"30918346","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}
引用次数: 9
Clinical significance of serum carcinoembryonic antigen level in rectal cancer patients who underwent preoperative chemoradiotherapy. 直肠癌术前放化疗患者血清癌胚抗原水平的临床意义。
Journal of the Korean Society of Coloproctology Pub Date : 2012-08-01 Epub Date: 2012-08-31 DOI: 10.3393/jksc.2012.28.4.178
Jin Cheon Kim
{"title":"Clinical significance of serum carcinoembryonic antigen level in rectal cancer patients who underwent preoperative chemoradiotherapy.","authors":"Jin Cheon Kim","doi":"10.3393/jksc.2012.28.4.178","DOIUrl":"https://doi.org/10.3393/jksc.2012.28.4.178","url":null,"abstract":"See Article on Page 205-212 \u0000 \u0000Complete or near-complete pathologic response after preoperative chemoradiotherapy (CRT) for the treatment of locally advanced rectal cancer (LARC) is known to reduce local recurrence, to increase the survival rate, and concurrently to enable sphincter-preserving operations [1, 2]. Preoperative CRT has, therefore, become a standard component of combined treatment for LARC, namely, T3-4 or N+ rectal cancers. In particular, the subgroup of patients who achieve a pathologically complete response (pCR) has a very low risk of local or distant recurrence. Several prognostic parameters, radiological findings, and tumor markers have been suggested to correlate with the response to treatment in rectal cancer, but their clinical usefulness to predict CRT responses in an accurate or timely manner remains controversial. Recently, serum carcinoembryonic antigen (s-CEA) has been investigated as a prognostic marker in patients who have undergone preoperative CRT. \u0000 \u0000The role of s-CEA in determining the prognosis after a radical resection for LARC has been well documented. Perez et al. [3] reported that post-CRT s-CEA levels lesser than 5 ng/mL were associated with an increased rate of downstaging, with pCR, and with a favorable prognosis [4]. In our recent study involving 333 LARC patients who underwent preoperative CRT, CEA grouping according to changes in the s-CEA concentration by using the ratio of pre- to post-CRT (70% as a cut-off value) presented an independent prognostic factor for disease-free survival without showing any correlation between pre-CRT s-CEA level and pathologic tumor response [5]. Presently, few biomarkers are considered promising as CRT-predictive markers. The s-CEA level of pre- or post-CRT appears to be closely associated with the prognosis in LARC patients, but its predictive value for pathologic response needs to be further verified. Additionally, efficient individualized regimens must be continuously investigated for patients with poor CRT-response and/or elevated s-CEA after CRT.","PeriodicalId":17346,"journal":{"name":"Journal of the Korean Society of Coloproctology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2012-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/45/2f/jksc-28-178.PMC3440485.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"30918344","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}
引用次数: 0
Incidence and Multiplicities of Adenomatous Polyps in TNM Stage I Colorectal Cancer in Korea. 韩国TNM期结直肠癌中腺瘤性息肉的发病率和多样性。
Journal of the Korean Society of Coloproctology Pub Date : 2012-08-01 Epub Date: 2012-08-31 DOI: 10.3393/jksc.2012.28.4.213
Young-Sang Hong, Eun-Joo Jung, Chun-Geun Ryu, Gang-Mi Kim, Su-Ran Kim, Sung-Noh Hong, Dae-Yong Hwang
{"title":"Incidence and Multiplicities of Adenomatous Polyps in TNM Stage I Colorectal Cancer in Korea.","authors":"Young-Sang Hong,&nbsp;Eun-Joo Jung,&nbsp;Chun-Geun Ryu,&nbsp;Gang-Mi Kim,&nbsp;Su-Ran Kim,&nbsp;Sung-Noh Hong,&nbsp;Dae-Yong Hwang","doi":"10.3393/jksc.2012.28.4.213","DOIUrl":"https://doi.org/10.3393/jksc.2012.28.4.213","url":null,"abstract":"<p><strong>Purpose: </strong>In recent years, the incidence of early-stage colorectal cancer (CRC) has markedly increased in the population within the Republic of Korea. The aim of this study was to evaluate the clinicopathologic features of adenomatous polyps in TNM stage I CRC patients and in the general population.</p><p><strong>Methods: </strong>Between March 2003 and September 2009, 168 patients with stage I CRC were enrolled in this study. In addition, the records of 4,315 members of the general population without CRC, as determined by colonoscopy during a health check-up, were reviewed.</p><p><strong>Results: </strong>Of the 168 patients with stage I CRC, 68 (40.5%) had coexisting colorectal adenomatous polyps and of the 4,315 members of the general population, 1,112 (26.0%) had coexisting adenomatous polyps (P = 0.006). The prevalences of adenomatous polyp multiplicity in early CRC and in the general population were 32% and 15%, respectively (P = 0.023). Patients with coexisting adenomatous polyps had a higher frequency of tubulovillous or villous adenomas than members of the general population with polyps (7.5% vs. 2.0%, P = 0.037). Furthermore, a subgroup analysis showed that the occurrence (44% vs. 34%, P = 0.006) and the multiplicity (32% vs. 15%, P = 0.023) of adenomatous polyps were greater for T2 than T1 cancer.</p><p><strong>Conclusion: </strong>The prevalence and the multiplicity of adenomatous polyps in TNM stage I CRC is higher than it is in the general population. The findings of this study suggest that depth of invasion of early stage CRC affects the prevalence and the number of adenomatous polyps in the remaining colon and rectum.</p>","PeriodicalId":17346,"journal":{"name":"Journal of the Korean Society of Coloproctology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2012-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/c7/a4/jksc-28-213.PMC3440491.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"30918350","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}
引用次数: 2
Risk factors for repeat abdominal surgery in patients with Crohn's disease. 克罗恩病患者重复腹部手术的危险因素
Journal of the Korean Society of Coloproctology Pub Date : 2012-08-01 Epub Date: 2012-08-31 DOI: 10.3393/jksc.2012.28.4.175
Young Jin Kim
{"title":"Risk factors for repeat abdominal surgery in patients with Crohn's disease.","authors":"Young Jin Kim","doi":"10.3393/jksc.2012.28.4.175","DOIUrl":"https://doi.org/10.3393/jksc.2012.28.4.175","url":null,"abstract":"","PeriodicalId":17346,"journal":{"name":"Journal of the Korean Society of Coloproctology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2012-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/e0/7a/jksc-28-175.PMC3440483.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"30919525","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}
引用次数: 0
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