Annals of Colorectal Research最新文献_第10页

Olive Oil and the Treatment of Adhesive Small Bowel Obstruction 橄榄油与粘连性小肠梗阻的治疗

Annals of Colorectal Research Pub Date : 2016-12-01 DOI: 10.17795/ACR.25393

L. Ghahramani, M. H. Asl, M. H. Asl, R. Ravan, S. Pourahmad, A. Izadpanah, S. Hosseini, Zahra Zabangirfard, Fatemeh Enjavi Amiri

{"title":"Olive Oil and the Treatment of Adhesive Small Bowel Obstruction","authors":"L. Ghahramani, M. H. Asl, M. H. Asl, R. Ravan, S. Pourahmad, A. Izadpanah, S. Hosseini, Zahra Zabangirfard, Fatemeh Enjavi Amiri","doi":"10.17795/ACR.25393","DOIUrl":"https://doi.org/10.17795/ACR.25393","url":null,"abstract":"Background: Post-operative adhesions are the most common cause of small bowel obstruction. The management of small bowel obstruction is surgical and non-surgical. Some studies are conducted to show the efficacy of non-surgical management of adhesive small bowel obstruction such as sesame oil, water soluble contrasts such as gastrographin. Objectives: The current study aimed to evaluate the effect of oral olive oil on the management of adhesive small bowel obstruction. Methods: All the patients admitted with adhesive bowel obstruction in the hospital affiliated to Shiraz University of Medical Sciences, Shiraz, Iran, from October 2012 to September 2013 that had inclusion criteria were evaluated by general surgeon. The patients were separated into two groups and standard management was done. Then 12 hours after admission, 150 mL olive oil was given by nasogastric (NG) tube to the first group. Results: The spontaneous resolution time of small bowel obstruction was significantly longer in the control group than the treatment group (59 hours vs. 35 hours). The hospital stay was shorter in the treatment group than the control (three days vs. six days). Conclusions: The study results demonstrated that olive is an effective and safe adjunct to the conservative management of small bowel obstruction and markedly reduces the time of resolution of symptoms and length of hospital stay.","PeriodicalId":8370,"journal":{"name":"Annals of Colorectal Research","volume":"13 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2016-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83362727","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: 2

Anal Sphincter Tears During Vaginal Delivery: A New Challenging Problem for the Health System in Iran 阴道分娩时肛门括约肌撕裂:伊朗卫生系统的一个新的挑战问题

Annals of Colorectal Research Pub Date : 2016-09-19 DOI: 10.17795/ACR-39490

A. Bananzadeh, M. Karami

引用次数: 0

Giant Condyloma Acuminatum: A Surgical Riddle 巨大尖锐湿疣:一个外科难题

Annals of Colorectal Research Pub Date : 2016-09-01 DOI: 10.17795/ACR-38307

Ankit Shukla, Ramesh Bharti, Amar Verma, R. Chaudhry, Rakesh B Anand

引用次数: 1

Security and Feasibility of Laparoscopic Rectal Cancer Resection in Morbidly Obese Patients 病态肥胖患者腹腔镜直肠癌切除术的安全性和可行性

Annals of Colorectal Research Pub Date : 2016-09-01 DOI: 10.17795/ACR-37919

A. Brind’Amour, F. Letarte, A. Bouchard, S. Drolet

{"title":"Security and Feasibility of Laparoscopic Rectal Cancer Resection in Morbidly Obese Patients","authors":"A. Brind’Amour, F. Letarte, A. Bouchard, S. Drolet","doi":"10.17795/ACR-37919","DOIUrl":"https://doi.org/10.17795/ACR-37919","url":null,"abstract":"Background: Rectal resection for cancer can be technically challenging, especially in the obese patient. While some have investigated the impact of laparoscopic surgery on rectal cancer, no study looked at the subgroup of morbidly obese patients. Objectives: Our goal was to evaluate feasibility and safety of laparoscopic rectal resection for cancer in this population. Methods: All morbidly obese patients, defined as a body mass index (BMI) of 40 kg/m or greater, undergoing laparoscopic rectal cancer resection for primary cancer between January 2006 and July 2013, were identified using medical records in a single academic hospital center. Results: Thirteen patients underwent laparoscopic approach. The median BMI was 42.4 kg/m. There were 4 conversions (30%). Anastomotic leak occurred in 2 patients (15.4%). TME was complete in only 9 patients (69.2%), with 3 patients with incomplete TME being also in the conversion group. There was no mortality. There was no recurrence. Conclusions: This study suggests that laparoscopic rectal resection for cancer in morbidly obese patients is challenging and associated with a higher rate of conversion compared to patients with lower BMI. Mortality, morbidity and readmission rates are similar to the literature showing the same benefit for laparoscopic procedure.","PeriodicalId":8370,"journal":{"name":"Annals of Colorectal Research","volume":"64 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2016-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78188484","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

Use of CT Imaging in Acute Diverticulitis CT在急性憩室炎中的应用

Annals of Colorectal Research Pub Date : 2016-09-01 DOI: 10.17795/ACR-37979

A. Maré, N. Jones

{"title":"Use of CT Imaging in Acute Diverticulitis","authors":"A. Maré, N. Jones","doi":"10.17795/ACR-37979","DOIUrl":"https://doi.org/10.17795/ACR-37979","url":null,"abstract":"Background: Acute colonic diverticulitis is generally considered to be a clinical diagnosis, however the use of CT (computed tomography) imaging in diverticulitis is becoming more common to exclude complicated diverticulitis. Objectives: To assess the use of CT imaging in the acute presentation of suspected colonic diverticulitis and whether clinical management was altered depending on imaging findings. Methods: Retrospective audit of all patients admitted to Flinders Medical Centre with a clinical diagnosis of acute colonic diverticulitis in ED or following investigation with CT between July 2011 and February 2012. Results: A total of 79 patients were suspected of having diverticulitis. 57 (72.2%) patients were confirmed to have diverticulitis following imaging of which 46 (80.7%) patients had simple diverticulitis and 11 (19.3%) patients had complicated diverticulitis (perforation n = 7 [12.3%]; abscess n = 4 [7.0%]). Overall only 6.3% of patients required radiological or surgical management for their presentation. Conclusions: There is an overuse of CT in the investigation of acute diverticulitis with limited change in clinical management as only 6.3% of patients required surgical or radiological intervention. We suggest medical management with intravenous antibiotics and bowel rest with imaging indicated after 72 hours if no clinical improvement (or earlier if warranted by the clinical status).","PeriodicalId":8370,"journal":{"name":"Annals of Colorectal Research","volume":"5 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2016-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85104029","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: 1

Method for Management of Perianal Fistula with New Device: Progressive Curettage of the Tract and Sealing with Platelet-Rich Fibrin 新装置治疗肛周瘘的方法:渐进式刮管加富血小板纤维蛋白封闭

Annals of Colorectal Research Pub Date : 2016-09-01 DOI: 10.17795/ACR-37452

F. J. P. Lara, A. F. Berges, J. M. González, E. Cardenas, A. D. R. Moreno, H. O. Muñoz

{"title":"Method for Management of Perianal Fistula with New Device: Progressive Curettage of the Tract and Sealing with Platelet-Rich Fibrin","authors":"F. J. P. Lara, A. F. Berges, J. M. González, E. Cardenas, A. D. R. Moreno, H. O. Muñoz","doi":"10.17795/ACR-37452","DOIUrl":"https://doi.org/10.17795/ACR-37452","url":null,"abstract":"Surgical treatment of high perianal fistulas, which affect a significant proportion of the sphincter apparatus, is difficult and associated with considerable risk of impaired anal continence. The diversity of approaches proposed for the treatment of complex perianal fistulas reflects the fact that no method has yet been shown to be fully satisfactory. We believe the successful treatment of this condition is directly proportional to the amount of fibrous tissue that can be removed. We used a kit of small curettes, of different thicknesses and sizes, incorporating spicules that enable the physician to remove fibrous tissue from the fistula tract. The small size and varying thicknesses of the curettes enable them to mold to the curves of the fistula tract and to remove tissue by de-roofing from the shallowest to the deepest layers, thus excising the entire fibrous tract. The tract is then sealed using autologous fibrin, applied through a catheter, with the help of a monitor indicating the amount of product remaining at all times. Finally, the internal orifice is closed by simple suturing.","PeriodicalId":8370,"journal":{"name":"Annals of Colorectal Research","volume":"63 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2016-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83324855","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: 3

The Correlation Between Single Nucleotide Polymorphism Patterns and Colorectal Cancer in the Iranian Population 伊朗人群中单核苷酸多态性模式与结直肠癌的相关性

Annals of Colorectal Research Pub Date : 2016-08-24 DOI: 10.17795/ACR-41527

Mozhdeh Zamani, S. Hosseini, P. Mokarram

引用次数: 1

Letter to Editor Concerning the Article “Use of General Surgery and Urology Online Modules in Medical Education” 关于《普外科与泌尿外科在线模块在医学教育中的应用》一文致编辑的信

Annals of Colorectal Research Pub Date : 2016-06-30 DOI: 10.17795/ACR-39633

M. Mehrabi

引用次数: 0

Colorectal Cancer in Octogenarians: Results of Treatment, a Descriptive Clinical Study 八旬老人结直肠癌:治疗结果，一项描述性临床研究

Annals of Colorectal Research Pub Date : 2016-06-01 DOI: 10.17795/ACR-32715

E. E. V. Eeghen, S. Bakker, R. Loffeld

{"title":"Colorectal Cancer in Octogenarians: Results of Treatment, a Descriptive Clinical Study","authors":"E. E. V. Eeghen, S. Bakker, R. Loffeld","doi":"10.17795/ACR-32715","DOIUrl":"https://doi.org/10.17795/ACR-32715","url":null,"abstract":"Background: Colorectal cancers (CRCs) often occur in octogenarians. However, data on treatment and survival are sparse. Objectives: Octogenarians were studied in order to gain data on treatment, outcomes, and survival related to CRC. Patients andMethods: All consecutive octogenarians with CRC in the period of 2002 2008 were included. An extensive review of hospital records was carried out. Patients were divided into two groups, as follows: group 1 included patients who were alive after five years of follow-up, while group 2 comprised patients who died within 5 years of their diagnosis. Cause of death was determined and classified as related to cancer, non-related, or because of treatment. Results: One hundred and eleven octogenarians were diagnosed with CRC (82 colon cancers and 29 rectal cancers). Patients in group 2 had a significantly higher disease stage compared with group 1 (P < 0.001). Patients in group 1 more often underwent surgery with curative intent (P < 0.0001). There was no difference in clinical presentation or localization of the malignancy. In group 1, 14 patients died more than 5 years after surgery. The cause of death was not related to cancer in 100% of cases. In group 2, 29 (46.0%) died as a direct consequence of CRC, 14 (22.2%) due to the treatment, and 20 (31.7%) died due to non-cancer-related causes. The overall 5year survival rate was 40% in colon cancer patients and 51.7% in rectal cancer patients. The Charlson age co-morbidity scores were significantly lower in colon cancer patients in group 1 (P = 0.005). This was not the case in patients with rectal cancer. Conclusions: The co-morbidity score is important in survival after surgery. Forty-four percent of octogenarians with CRC died because of non-tumor-related disease or illness. Fit elderly people can benefit from standard therapy for CRC.","PeriodicalId":8370,"journal":{"name":"Annals of Colorectal Research","volume":"25 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2016-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76398507","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: 1

Mobile Right Colon Syndrome: Obscure Cause of Lower Right Abdominal Pain 移动右结肠综合征:右下腹疼痛的不明原因

Annals of Colorectal Research Pub Date : 2016-06-01 DOI: 10.17795/ACR-35527

L. Bains, Amit Gupta, Daljit Kaur, Aman Batish

引用次数: 5