Annals of ColoproctologyPub Date : 2023-10-01Epub Date: 2022-05-13DOI: 10.3393/ac.2022.00136.0019
Kelly C L R Buzatti, Andy Petroianu, Søren Laurberg, Rodrigo G Silva, Beatriz D S Rodrigues, Peter Christensen, Antonio Lacerda-Filho, Therese Juul
{"title":"Validation of low anterior resection syndrome score in Brazil with Portuguese.","authors":"Kelly C L R Buzatti, Andy Petroianu, Søren Laurberg, Rodrigo G Silva, Beatriz D S Rodrigues, Peter Christensen, Antonio Lacerda-Filho, Therese Juul","doi":"10.3393/ac.2022.00136.0019","DOIUrl":"10.3393/ac.2022.00136.0019","url":null,"abstract":"<p><strong>Purpose: </strong>This study was performed to investigate the convergent validity, discriminative validity, and reliability of the Brazilian version of the low anterior resection syndrome (LARS) score in a population with low educational and socioeconomic levels.</p><p><strong>Methods: </strong>The LARS score was translated into the Portuguese language by forward- and back-translation procedures. In total, 127 patients from a public hospital in Brazil completed the questionnaires. The convergent validity was tested by comparing the LARS score with the European Organization for Research and Treatment of Cancer (EORTC) Quality of Life Questionnaire Core Module 30 (QLQ-C30) and with patients' self-reported quality of life. For the discriminative validity, we tested the ability of the score to differentiate among subgroups of patients regarding neoadjuvant radiotherapy, type of surgery, and tumor distance from the anal verge. The test-retest reliability was investigated in a subgroup of 36 patients who responded to the survey twice in 2 weeks.</p><p><strong>Results: </strong>The LARS score demonstrated a strong correlation with 5 of 6 items from the EORTC QLQ-C30 (P<0.05) and good concordance with patients' self-reported quality of life (95.3%), confirming the convergent validity. The score was able to discriminate between subgroups of patients with different clinical characteristics related to LARS (P<0.001). The agreement between the test and retest showed that 86.1% of the patients remained in the same LARS category, and there was no significant difference between the LARS score numerical values (P=0.80), indicating good reliability overall.</p><p><strong>Conclusion: </strong>The Brazilian version of the LARS score is a valid and reliable instrument to assess postoperative bowel function in a population with low educational and socioeconomic levels.</p>","PeriodicalId":8267,"journal":{"name":"Annals of Coloproctology","volume":null,"pages":null},"PeriodicalIF":3.1,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10626332/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47003631","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}
Annals of ColoproctologyPub Date : 2023-10-01Epub Date: 2023-03-10DOI: 10.3393/ac.2022.00878.0125
Sarah Tham, Frederick H Koh, Jasmine Ladlad, Koy-Min Chue, Cui-Li Lin, Eng-Kiong Teo, Fung-Joon Foo
{"title":"The imitation game: a review of the use of artificial intelligence in colonoscopy, and endoscopists' perceptions thereof.","authors":"Sarah Tham, Frederick H Koh, Jasmine Ladlad, Koy-Min Chue, Cui-Li Lin, Eng-Kiong Teo, Fung-Joon Foo","doi":"10.3393/ac.2022.00878.0125","DOIUrl":"10.3393/ac.2022.00878.0125","url":null,"abstract":"<p><p>The development of deep learning systems in artificial intelligence (AI) has enabled advances in endoscopy, and AI-aided colonoscopy has recently been ushered into clinical practice as a clinical decision-support tool. This has enabled real-time AI-aided detection of polyps with a higher sensitivity than the average endoscopist, and evidence to support its use has been promising thus far. This review article provides a summary of currently published data relating to AI-aided colonoscopy, discusses current clinical applications, and introduces ongoing research directions. We also explore endoscopists' perceptions and attitudes toward the use of this technology, and discuss factors influencing its uptake in clinical practice.</p>","PeriodicalId":8267,"journal":{"name":"Annals of Coloproctology","volume":null,"pages":null},"PeriodicalIF":3.1,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10626328/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9099561","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}
Annals of ColoproctologyPub Date : 2023-10-01Epub Date: 2021-07-21DOI: 10.3393/ac.2021.00311.0044
Kwang Yeon Kim, Jin Su Kim
{"title":"Successful detection and removal of predictable juvenile polyp: a case report.","authors":"Kwang Yeon Kim, Jin Su Kim","doi":"10.3393/ac.2021.00311.0044","DOIUrl":"10.3393/ac.2021.00311.0044","url":null,"abstract":"<p><p>Juvenile polyp makes up 70% to 80% of pediatric colon polyp, and the average age of diagnosis is 2 to 5 years. The treatment of juvenile polyp in children is polypectomy through colonoscopy. The fact that the lumen of intestine is much smaller than that of adults and the need to perform polypectomy is a heavy burden on the endoscopists. Recently, fecal calprotectin (FC) has been found to be related to juvenile polyp. A previously healthy 34-month-old female patient presented to the pediatric gastroenterology department with intermittent bloody stools that were progressively worsening. FC level was abnormally elevated at 2,719 µg/g (normal, < 50 µg/g). The polyp was successfully removed with a endoscopic polypectomy. This is the first case in Korea to show that FC can be used to screen juvenile polyp in children. Caution must be taken that FC levels can increase with inflammation, regardless of the number or size of the polyps.</p>","PeriodicalId":8267,"journal":{"name":"Annals of Coloproctology","volume":null,"pages":null},"PeriodicalIF":3.1,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10626337/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39202611","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}
Annals of ColoproctologyPub Date : 2023-10-01Epub Date: 2023-10-30DOI: 10.3393/ac.2023.00206.0029
Mohamed Ali Chaouch, Amine Gouader, Bassem Krimi, Hani Oweira
{"title":"Comments on \"Laser hemorrhoidoplasty versus conventional hemorrhoidectomy for grade II/III hemorrhoids: a systematic review and meta-analysis\".","authors":"Mohamed Ali Chaouch, Amine Gouader, Bassem Krimi, Hani Oweira","doi":"10.3393/ac.2023.00206.0029","DOIUrl":"10.3393/ac.2023.00206.0029","url":null,"abstract":"","PeriodicalId":8267,"journal":{"name":"Annals of Coloproctology","volume":null,"pages":null},"PeriodicalIF":3.1,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10626336/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71420219","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}
Annals of ColoproctologyPub Date : 2023-10-01Epub Date: 2023-10-30DOI: 10.3393/ac.2020.00759.0108.e1
{"title":"Erratum to \"Prognostic factors affecting disease-free survival and overall survival in T4 colon cancer\".","authors":"","doi":"10.3393/ac.2020.00759.0108.e1","DOIUrl":"10.3393/ac.2020.00759.0108.e1","url":null,"abstract":"","PeriodicalId":8267,"journal":{"name":"Annals of Coloproctology","volume":null,"pages":null},"PeriodicalIF":3.1,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10626331/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71420220","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}
Annals of ColoproctologyPub Date : 2023-10-01Epub Date: 2022-12-20DOI: 10.3393/ac.2022.00605.0086
Ricardo Purchio Galletti, Gabriel Andrade Agareno, Lucas de Abreu Sesconetto, Rafael Benjamim Rosa da Silva, Rafael Vaz Pandini, Lucas Soares Gerbasi, Victor Edmond Seid, Sérgio Eduardo Alonso Araujo, Francisco Tustumi
{"title":"Outcomes of redo for failed colorectal or coloanal anastomoses: a systematic review and meta-analysis.","authors":"Ricardo Purchio Galletti, Gabriel Andrade Agareno, Lucas de Abreu Sesconetto, Rafael Benjamim Rosa da Silva, Rafael Vaz Pandini, Lucas Soares Gerbasi, Victor Edmond Seid, Sérgio Eduardo Alonso Araujo, Francisco Tustumi","doi":"10.3393/ac.2022.00605.0086","DOIUrl":"10.3393/ac.2022.00605.0086","url":null,"abstract":"<p><strong>Purpose: </strong>This study aimed to review the outcomes of redo procedures for failed colorectal or coloanal anastomoses.</p><p><strong>Methods: </strong>A systematic review was performed using the PubMed, Embase, Cochrane, and LILACS databases. The inclusion criteria were adult patients undergoing colectomy with primary colorectal or coloanal anastomosis and studies that assessed the postoperative results. The protocol is registered in PROSPERO (No. CRD42021267715).</p><p><strong>Results: </strong>Eleven articles met the eligibility criteria and were selected. The studied population size ranged from 7 to 78 patients. The overall mortality rate was 0% (95% confidence interval [CI], 0%-0.01%). The postoperative complication rate was 40% (95% CI, 40%-50%). The length of hospital stay was 13.68 days (95% CI, 11.3-16.06 days). After redo surgery, 82% of the patients were free of stoma (95% CI, 75%-90%), and 24% of patients (95% CI, 0%-39%) had fecal incontinence. Neoadjuvant chemoradiotherapy (P=0.002) was associated with a lower probability of being free of stoma in meta-regression.</p><p><strong>Conclusion: </strong>Redo colorectal and coloanal anastomoses are strategies to restore colonic continuity. The decision to perform a redo operation should be based on a proper evaluation of the morbidity and mortality risks, the probability of remaining free of stoma, the quality of life, and a functional assessment.</p>","PeriodicalId":8267,"journal":{"name":"Annals of Coloproctology","volume":null,"pages":null},"PeriodicalIF":3.1,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10626334/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10734232","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}
Annals of ColoproctologyPub Date : 2023-10-01Epub Date: 2022-05-26DOI: 10.3393/ac.2022.00192.0027
Jessica A Paynter, Kirby R Qin, Dongrong Situ, Chun Hin Angus Lee
{"title":"Fournier gangrene with concurrent multifocal necrotizing fasciitis: a systematic review and case report.","authors":"Jessica A Paynter, Kirby R Qin, Dongrong Situ, Chun Hin Angus Lee","doi":"10.3393/ac.2022.00192.0027","DOIUrl":"10.3393/ac.2022.00192.0027","url":null,"abstract":"<p><strong>Purpose: </strong>A patient presented to a regional surgical center with Fournier gangrene (FG) and concurrent multifocal necrotizing fasciitis (NF). Given the rarity, it was decided to undertake a systematic review to investigate the incidence and prevalence of FG with multifocal NF and consequently determine the treatment and approach to management of such presentation.</p><p><strong>Methods: </strong>Firstly, the report of the 56-year-old male patient is discussed regarding his surgical management. Secondly, a systematic review was undertaken according to PRISMA guidelines using MEDLINE, Scopus, and Embase databases. Searches used the following MeSH terms: (\"fournier's gangrene\") AND ((necrotising fasciitis) OR (necrotising soft tissue infection)). Once the search results were obtained, duplicate articles were removed. Titles, abstracts, and articles were reviewed by 2 authors.</p><p><strong>Results: </strong>The search strategy using the 3 databases revealed a total of 402 studies. Fifty-seven studies were removed due to duplication. A total of 345 records were screened via title and abstract, of which 115 were excluded. Two hundred and thirty studies were reviewed for eligibility. A total of all 230 studies were excluded; 169 were excluded as they included the incorrect patient population (patients suffered from FG or NF, but not both collectively), 60 studies were excluded due to incorrect study designs, and 1 report occurred in the wrong setting.</p><p><strong>Conclusion: </strong>This highlights that while being a relatively known, uncommon infection both FG and NF are well documented separately within the literature. However, FG with concurrent multifocal NF has not been documented within the literature.</p>","PeriodicalId":8267,"journal":{"name":"Annals of Coloproctology","volume":null,"pages":null},"PeriodicalIF":3.1,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10626333/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44745290","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}
Annals of ColoproctologyPub Date : 2023-10-01Epub Date: 2023-10-30DOI: 10.3393/ac.2023.00647.0092
Dong Hyun Kang
{"title":"Low anterior resection syndrome: is it predictable?","authors":"Dong Hyun Kang","doi":"10.3393/ac.2023.00647.0092","DOIUrl":"10.3393/ac.2023.00647.0092","url":null,"abstract":"","PeriodicalId":8267,"journal":{"name":"Annals of Coloproctology","volume":null,"pages":null},"PeriodicalIF":3.1,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10626327/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71420221","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}
Feras Aljarad, Ashutosh Gumber, Anne Marie McLeary, Kawan Shalli
{"title":"Endoscopic transstomal stent insertion: a novel approach for a stenosed stoma in a challenging patient.","authors":"Feras Aljarad, Ashutosh Gumber, Anne Marie McLeary, Kawan Shalli","doi":"10.3393/ac.2022.00962.0137","DOIUrl":"https://doi.org/10.3393/ac.2022.00962.0137","url":null,"abstract":"<p><p>Transstomal stent deployment to maintain the patency of stoma in a challenging patient who developed stoma stenosis, is a minimal invasive, novel technique. This is a new and alternative approach in management of stoma stenosis in a difficult case using a biodegradable stent for end colostomy.</p>","PeriodicalId":8267,"journal":{"name":"Annals of Coloproctology","volume":null,"pages":null},"PeriodicalIF":3.1,"publicationDate":"2023-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/a2/4c/ac-2022-00962-0137.PMC10475800.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10156577","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":"Total neoadjuvant therapy for rectal cancer: evidence and challenge.","authors":"Suk-Hwan Lee","doi":"10.3393/ac.2023.00269.0038","DOIUrl":"https://doi.org/10.3393/ac.2023.00269.0038","url":null,"abstract":"<p><p>Recent advances in the management of rectal cancer have dramatically changed the clinical practice of colorectal surgeons because the main focus of rectal cancer treatment has changed from sphincter-saving to an organ-preserving strategies. Modifying the delivery of systemic chemotherapy to improve patients' survival is another progress in colorectal cancer management, known as total neoadjuvant therapy (TNT). TNT is a new strategy used by colorectal surgeons to improve the quality of life and survival of patients after treatment. TNT poses limitations or obstacles, such as overtreatment issues in patients with stage I rectal cancer. However, considering the quality-of-life issues in patients with low-lying rectal cancer necessitating a permanent colostomy, the indication for TNT will be expanded. This review summarizes the recently conducted clinical trials and foresees future perspectives on TNT.</p>","PeriodicalId":8267,"journal":{"name":"Annals of Coloproctology","volume":null,"pages":null},"PeriodicalIF":3.1,"publicationDate":"2023-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/ce/fb/ac-2023-00269-0038.PMC10475808.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10162523","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}