Annals of Colorectal Research最新文献_第6页

Short-Term Outcomes of Rectal Mucosa Sleeve Resection and Transverse Perineal Support Operation for Occult Rectal Prolapse, Rectocele and Descending Perineum: A Single Center and Single Team Experience 直肠粘膜套筒切除和会阴横向支撑手术治疗隐蔽性直肠脱垂、直肠突出和会阴下降的近期疗效:单中心、单团队经验

Annals of Colorectal Research Pub Date : 2019-06-01 DOI: 10.5812/ACR.89956

F. Cantarella, E. Magni

引用次数: 1

Feasibility and Outcome of Laparoscopic Approach for Acute Generalized Peritonitis in Africa: Single Low-Center Results After 25 Consecutive Cases in Cameroon 腹腔镜入路治疗非洲急性广泛性腹膜炎的可行性和结果:喀麦隆25例连续病例后的单一低中心结果

Annals of Colorectal Research Pub Date : 2019-06-01 DOI: 10.5812/ACR.90905

Bang Guy Aristide, Nana Oumarou Blondel, S. E. Patrick, B. Georges, Essomba Arthur Georges

{"title":"Feasibility and Outcome of Laparoscopic Approach for Acute Generalized Peritonitis in Africa: Single Low-Center Results After 25 Consecutive Cases in Cameroon","authors":"Bang Guy Aristide, Nana Oumarou Blondel, S. E. Patrick, B. Georges, Essomba Arthur Georges","doi":"10.5812/ACR.90905","DOIUrl":"https://doi.org/10.5812/ACR.90905","url":null,"abstract":"surgery is associated with lower morbidity and mortality. However, the laparoscopic approach to the management of peritonitis remains marginalized in low and middle-income countries (LMICs) due to financial and technical limitations.Methods: We conducted a seven-year prospective study on patients with acute generalized peritonitis in Yaounde, Cameroon. Inclusion criteria were an age range of between 5 to 55 years, admission within 48 hours after the onset of symptoms, hemodynamic stability, and no major comorbidities. Excluded from this study were patients with colonic perforation, prior history of abdominal surgery, or primary and localized peritonitis after proper resuscitation. The patients included were managed via laparoscopy; operative and postoperative data were collected and analyzed. Some technical artifices were used to circumvent the lack of standardequipment. \u0000Results: The study involved twenty-five patients with a mean age of 32.1 years. The etiology of peritonitis was identified as appendicitis in 20 cases, perforated duodenal ulcer in 2 cases, gastric ulcer perforation in 2 cases, and jejunal perforation in 1 case. In two cases (8%), the operation was onverted to laparotomy. The postoperative course was uneventful in 21 cases (84%), whereas morbidity was seen in 4 cases (16%); no mortality was recorded. The mean length of hospital stay was 5.5 days.Conclusions: This study demonstrates that the laparoscopic management of acute generalized peritonitis in African LMICs is afeasible, safe, and effective surgical option in properly selected patients.","PeriodicalId":8370,"journal":{"name":"Annals of Colorectal Research","volume":"32 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74338556","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 Diagnostic Conundrum in a Newly Diagnosed Ulcerative Colitis Patient Who Presented with Pleuropericardial Effusion 新诊断溃疡性结肠炎患者胸膜心包积液的诊断难题

Annals of Colorectal Research Pub Date : 2019-06-01 DOI: 10.5812/ACR.84743

A. Tanoğlu, O. Tekin, T. Duzenli, M. Kara, M. Kaplan, Irfan Kucuk, Onur Ozarı, Y. Yazgan

引用次数: 0

Pooled Analysis of the Routine Nasogastric Decompression Necessity for Elective Gastrectomy 择期胃切除术常规鼻胃减压必要性的汇总分析

Annals of Colorectal Research Pub Date : 2019-04-02 DOI: 10.5812/ACR.88990

Ping-shan Yang, Xiu-Feng Lin, Chen Xie, Fan Luo, Hai Liang, Wei Li

{"title":"Pooled Analysis of the Routine Nasogastric Decompression Necessity for Elective Gastrectomy","authors":"Ping-shan Yang, Xiu-Feng Lin, Chen Xie, Fan Luo, Hai Liang, Wei Li","doi":"10.5812/ACR.88990","DOIUrl":"https://doi.org/10.5812/ACR.88990","url":null,"abstract":"Background: Nasogastric decompression is routinely used for intestinal drainage or decompression after gastrectomy. However, nowadays its efficacy is under debate. Objectives: The purpose of this study was to investigate the efficacy and necessity of nasogastric decompression in radical gastrectomy for gastric cancer. Methods: Two PubMed and EMBASE electronic databases were retrieved by November 2018. A prospective randomized controlled trial (RCT) and comparison of nasogastric decompression with and without nasogastric decompression after gastrectomy are required for eligible studies. Results: A total of 1,885 cases were included in 13 randomized controlled studies. There were 941 cases in nasogastric decompression group and 944 cases in non-nasogastric decompression group after gastrectomy. The patients in non-nasogastric decompression group had significantly shorter time of bowel sound return (WMD = -0.20, 95% CIs = -0.38 0.02, P = 0.03), shorter time of first oral intake (WMD = -0.58, 95% CIs = -0.92 0.24, P = 0.0007), faster tolerance to semi-solid diet (WMD = -0.65, 95% CIs = -0.96 0.34, P < 0.0001), and shorter time of postoperative hospital stay (WMD = -0.99, 95% CIs = -1.70 0.27, P = 0.007). No statistically significant differences were observed in the first time to passage of flatus, vomiting, mortality rates, total complications, gastrointestinal complications, wound complications, respiratory complications, anastomosis or duodenal stump fistula, and general complications. Conclusions: The routine nasogastric decompression was not recommended for patients after elective gastrectomy.","PeriodicalId":8370,"journal":{"name":"Annals of Colorectal Research","volume":"7 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-04-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83815842","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

Lymph Node Status in Colorectal Cancer; Is There a Case for Auditing the Pathologist and the Surgeon? 结直肠癌的淋巴结状态分析有必要对病理学家和外科医生进行审计吗?

Annals of Colorectal Research Pub Date : 2019-03-31 DOI: 10.5812/ACR.83979

E. Salmo, N. Haboubi

引用次数: 1

Gradual Histopathologic Changes During Development of Colorectal Cancer 结直肠癌发展过程中的渐进式组织病理学改变

Annals of Colorectal Research Pub Date : 2019-03-28 DOI: 10.5812/ACR.87080

V. Nejati, Jamileh Abedi, M. Saatloo, Maryam Koohsoltani, R. Hobbenaghi, A. Tukmachi

{"title":"Gradual Histopathologic Changes During Development of Colorectal Cancer","authors":"V. Nejati, Jamileh Abedi, M. Saatloo, Maryam Koohsoltani, R. Hobbenaghi, A. Tukmachi","doi":"10.5812/ACR.87080","DOIUrl":"https://doi.org/10.5812/ACR.87080","url":null,"abstract":"Background: Colorectal cancer is one of the most common causes of mortality in the world. Objectives: The aim of this study was to investigate the histopathologic changes including hyperchromatism, tissue lymphocyte infiltrations (TILs), aberrant crypt foci (ACF), microvessel density (MVD), p53, Bcl-2 and CD31 changes during colorectal cancer development. Methods: Subcutaneous injections of dimethyl hydrazine DMH were administered to rats (40 mg/kg body weight) for 10 weeks. Rats were fed by food and water until 40th week and sacrificed two by two within 10, 15, 20, 25, 30 and 40 weeks after the start of treatment. Thin paraffinized sections were applied to anti-CD31, anti-Bcl-2 and anti-p53 staining procedures. MVD and ACF were reported as mean value of three HPFs. Results: Hyperchromatism, TILs and angiogenesis were the most common initial histologic changes which started at 10th week of DMH treatment. Hyperchromatism’s severity increased earlier than other changes and reached the highest value at the 25th week. The highest value of all variants occurred in the 40th week except the TILs which started to achieve the highest value in week 30 and increased until 40th week. A diminished amount of p53 was observed at week 40, however, increased intensity of CD31 and Bcl-2 were seen between 30th and 40th week. Conclusions: In conclusion, TILs and angiogenesis might be the important earliest factors contributing to colorectal cancer progression.","PeriodicalId":8370,"journal":{"name":"Annals of Colorectal Research","volume":"55 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-03-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83103821","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

Dengue and Colorectal Disease 登革热及结直肠疾病

Annals of Colorectal Research Pub Date : 2019-03-18 DOI: 10.5812/ACR.87992

V. Wiwanitkit

引用次数: 1

An Unusual Case of Squamoid Eccrine Carcinoma of the Abdominal Wall with Inguinal Nodal Metastases: A Case Report and Review of the Literature 腹壁鳞状上皮癌合并腹股沟淋巴结转移1例报告及文献复习

Annals of Colorectal Research Pub Date : 2019-03-16 DOI: 10.5812/ACR.83511

Brenna L. Hennessey, L. Schwarzman, D. Mutabdzic, Sameer A. Patel, A. Olszanski, S. Hayes, Hong Wu, J. Meyer, S. Reddy

引用次数: 0

Non-Alcoholic Fatty Liver Disease as a Risk for Colorectal Cancer Development and the Role of Screening Colonoscopy in Clinical Practice 非酒精性脂肪性肝病作为结直肠癌发展的危险因素及结肠镜筛查在临床实践中的作用

Annals of Colorectal Research Pub Date : 2019-03-06 DOI: 10.5812/ACR.88488

C. Lesmana, M. Lirendra, L. Lesmana

引用次数: 0

Surgery for Crohn’s Disease Affects Male Sexual Function 克罗恩病的手术影响男性性功能

Annals of Colorectal Research Pub Date : 2019-03-03 DOI: 10.5812/ACR.85458

Kelly B. Scarberry, Justin T. Brady, K. Scarberry, S. Stein, E. Steinhagen

{"title":"Surgery for Crohn’s Disease Affects Male Sexual Function","authors":"Kelly B. Scarberry, Justin T. Brady, K. Scarberry, S. Stein, E. Steinhagen","doi":"10.5812/ACR.85458","DOIUrl":"https://doi.org/10.5812/ACR.85458","url":null,"abstract":"Background: Crohn’s disease (CD) has significant effects on quality of life. There is a paucity of information regarding how surgery for CD affects male sexual function. Objectives: To determine the effects of surgery for CD on male sexual function. Methods: A survey was sent to male patients who had surgery for CD at a tertiary care institution between January 1st, 2011 and July 1st, 2016. The survey included the Patient Health Questionnaire (PHQ-9), short inflammatory bowel disease questionnaire (SIBDQ), and the international index of erectile function (IIEF-5). A retrospective chart review was performed. Statistical analysis was performed using Fischer’s exact test and two-sided t-test. Results: The survey was sent to 149 men and twenty-one patients (14%) responded. The mean age of respondents was 54.9 years. On analysis of patients who completed the IIEF-5, 12 patients (63%) met criteria for erectile dysfunction (ED). Ten patients subjectively reported worsened sexual function following surgery (48%). Men who had previously undergone surgery for CD were more likely to have ED (P = 0.01). Patients who met criteria for depression were more likely to have ED (P = 0.006). Men with more CD symptoms were more likely to have ED: the mean SIBDQ score for men with ED was 4.5, while the mean score for men without ED was 5.8 (P = 0.01). Conclusions: Men who undergo surgery for CD experience high rates of sexual dysfunction, with many men reporting their sexual functioned worsened following surgery. More research needs to be done to further characterize sexual dysfunction in men with CD.","PeriodicalId":8370,"journal":{"name":"Annals of Colorectal Research","volume":"88 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-03-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85948271","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