Turkish Journal of Colorectal Disease最新文献_第5页

A Rare Cause of Massive Lower Gastrointestinal Hemorrhage in a Young Patient: Colonic Angiodysplasia 一例年轻患者下消化道大出血的罕见病因:结肠血管发育不良

Turkish Journal of Colorectal Disease Pub Date : 2022-09-13 DOI: 10.4274/tjcd.galenos.2021.2021-6-2

E. Kamer, V. Çakır, Ömür Ballı, F. Cengiz, S. Karaisli, N. Ekinci

{"title":"A Rare Cause of Massive Lower Gastrointestinal Hemorrhage in a Young Patient: Colonic Angiodysplasia","authors":"E. Kamer, V. Çakır, Ömür Ballı, F. Cengiz, S. Karaisli, N. Ekinci","doi":"10.4274/tjcd.galenos.2021.2021-6-2","DOIUrl":"https://doi.org/10.4274/tjcd.galenos.2021.2021-6-2","url":null,"abstract":"Angiodysplasia (AD), also called colonic arteriovenous malformation or colonic angioma, is the most common vascular anomaly of the gastrointestinal tract. It is the second most common cause of lower gastrointestinal (GI) bleeding after diverticulosis in the elderly population (usually over 60 years). In this study, we present a young patient with colonic AD, which caused massive lower GI bleeding. A 46-year-old male patient was referred to our hospital, which was a full-fledged hospital, due to lower GI bleeding. There was no abnormality on physical examination or blood tests, with the exception of hemoglobin, which was only 8 mg/dL. The patient underwent selective visceral angiography due to sub-optimal colonoscopic examination because of bleeding within the lumen. In super-selective ileo-colic arteriogram, bleeding was detected in the ileocecal artery tract and an “arterial embolization + microcoil” procedure was performed. However, the patient underwent emergency operation due to continuing hemorrhage and deterioration of his general medical condition. “Laparoscopic right hemicolectomy + end-to-side ileotransversostomy” was performed in the operation. Histopathological examination of the excised specimen revealed colonic AD. Selective angiography is a very important diagnostic method to identify the location of the lesion, especially in massive GI bleeding in young patients, and it should not be forgotten that AD maybe the etiology. Superselective angiography and embolization are feasible methods for treatment, but it should be kept in mind that surgery may also be necessary in cases of repeated or unstoppable bleeding.","PeriodicalId":23376,"journal":{"name":"Turkish Journal of Colorectal Disease","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-09-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75103767","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Perianal Pilonidal Fistula 肛周毛突瘘

Turkish Journal of Colorectal Disease Pub Date : 2022-09-13 DOI: 10.4274/tjcd.galenos.2021.2021-10-3

Gürel Neşşar, Metin Bozkaya, Hüseyin Oytun İnsan

引用次数: 0

Mesenchymal Stem Cells for Perianal Crohn’s Disease 间充质干细胞治疗肛周克罗恩病

Turkish Journal of Colorectal Disease Pub Date : 2022-09-13 DOI: 10.4274/tjcd.galenos.2021.2021-10-6

A. Lightner, A. O. Pineiro

引用次数: 0

The Yield of Faecal Immunochemical Test in the Detection of Colorectal Cancer within a Fast-track Pathway at York, United Kingdom 在英国约克，粪便免疫化学试验在快速通道中检测结直肠癌的产量

Turkish Journal of Colorectal Disease Pub Date : 2022-09-13 DOI: 10.4274/tjcd.galenos.2022.2021-11-5

A. Elbeltagi, M. Salama, P. Boxall, J. Roos, Mi-Hye Lim

{"title":"The Yield of Faecal Immunochemical Test in the Detection of Colorectal Cancer within a Fast-track Pathway at York, United Kingdom","authors":"A. Elbeltagi, M. Salama, P. Boxall, J. Roos, Mi-Hye Lim","doi":"10.4274/tjcd.galenos.2022.2021-11-5","DOIUrl":"https://doi.org/10.4274/tjcd.galenos.2022.2021-11-5","url":null,"abstract":"Aim: Access to colonoscopy was limited during the Coronavirus disease-2019 (COVID-19) pandemic peak. It was, therefore, of great importance that a tool such as faecal immunochemical test (FIT) be used to identify patients with a greater likelihood of colorectal cancer (CRC). Method: A prospective cohort of patients referred through the fast-track pathway was sent a FIT test. A cut-off of 7 µgHb/g was used as the threshold for a positive result. A receiver operating curve (ROC) was subsequently constructed to identify the ideal threshold for detecting cancer. Results: In total, there were 1,068 patients referred to the fast-track clinic. A greater proportion of patients who were FIT positive had CRC (17.4% vs. 0.4%, p=0.001) when compared with FIT negative patients. ROC curve analysis revealed an optimum sensitivity/specificity for detecting CRC using a FIT threshold of 19 µgHb/g. Conclusion: The yield for CRC is minimal in a FIT negative patient - such patients may be safely discharged, as long as a clinical safety net is in place. Using sensitivity and specificity analysis, patients with a FIT above 19 µgHb/g should be investigated urgently to exclude cancer.","PeriodicalId":23376,"journal":{"name":"Turkish Journal of Colorectal Disease","volume":"13 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-09-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90972832","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

A Rare Cause of Acute Abdomen: Meckel’s Diverticulitis Due to Meckel’s Enteroliths 一种罕见的急腹症:梅克尔憩室炎由梅克尔肠结石引起

Turkish Journal of Colorectal Disease Pub Date : 2022-09-13 DOI: 10.4274/tjcd.galenos.2021.2021-10-1

Mervan Savda, S. Basceken

引用次数: 0

Wide Local Excision for Perianal Paget’s Disease 广泛局部切除治疗肛周佩吉特病

Turkish Journal of Colorectal Disease Pub Date : 2022-06-24 DOI: 10.4274/tjcd.galenos.2022.2021-4-4

Ö. Işık, Murat Şen, Burak Bakar, T. Yılmazlar

引用次数: 0

The One Hundred Most Cited Articles from Turkey about Pilonidal Disease: A Bibliometric Study 来自土耳其的100篇被引用最多的关于毛线虫病的文章:一项文献计量学研究

Turkish Journal of Colorectal Disease Pub Date : 2022-06-24 DOI: 10.4274/tjcd.galenos.2021.2021-9-8

Alpaslan Şahin, G. Şimşek

引用次数: 0

Pelvic Exenteration in Rectal Cancer 直肠癌盆腔切除

Turkish Journal of Colorectal Disease Pub Date : 2022-06-24 DOI: 10.4274/tjcd.galenos.2021.2021-12-8

S. Sökmen, B. Manoğlu, T. Bişgin

引用次数: 0

The Prognostic Value of Preoperative Serum Levels of CEA and CA 19-9 in Patients with Colorectal Cancer 大肠癌患者术前血清CEA和ca19 -9水平的预后价值

Turkish Journal of Colorectal Disease Pub Date : 2022-06-24 DOI: 10.4274/tjcd.galenos.2021.2021-5-9

Didem Can Trabulus, N. Duraker, Zeynep Civelek Çaynak

引用次数: 0

Investigating Post-Discharge Experiences in Ileostomy: Systematic Review and Meta-analysis 调查回肠造口术出院后的经历:系统回顾和meta分析

Turkish Journal of Colorectal Disease Pub Date : 2022-06-24 DOI: 10.4274/tjcd.galenos.2021.2021-8-8

Evin Korkmaz, Fatma Eti Aslan

引用次数: 0