Annals of Colorectal Research最新文献_第7页

What Makes You Tic: Comprehensive Review of GI Tract Diverticular Disease 什么使你抽搐:胃肠道憩室疾病的综合综述

Annals of Colorectal Research Pub Date : 2019-01-09 DOI: 10.30476/ACRR.2019.45967

R. Houshyar, R. Bennett, B. Yadegari, M. Helmy, C. Bennett

引用次数: 0

EndoTHeF: Endoluminal Treatment of Hemorrhoids with Foam EndoTHeF:腹腔内泡沫治疗痔疮

Annals of Colorectal Research Pub Date : 2019-01-08 DOI: 10.5812/ACR.86297

M. Ronconi, S. Casiraghi, M. Schieppati

{"title":"EndoTHeF: Endoluminal Treatment of Hemorrhoids with Foam","authors":"M. Ronconi, S. Casiraghi, M. Schieppati","doi":"10.5812/ACR.86297","DOIUrl":"https://doi.org/10.5812/ACR.86297","url":null,"abstract":"Background: Hemorrhoids are normal anatomical structures, present in individuals from birth and recognisable even in intrauterine life. When we talk about haemorrhoids in actual fact we refer to the symptoms caused by haemorrhoids. Currently surgery is considered the gold standard in the treatment of hemorrhoids. Objectives: In our work we propose the application of an alternative, outpatient and painless treatment of hemorrhoids using intraluminal injection of sclerosing foam (EndoTHeF), demonstrating the safety and feseability of this procedure. Methods: We enrolled 615 patients from may 2008 to september 2018 with proctorragy from second and third degree hemorrhoids. Regular 3-week control examinations for all patients were scheduled. A total of 1427 procedures were carried out, with an average of 2.32 sessions per patient. Results: Four hundred seventy six patients were available for follow-up, which lasted on average 12 months. In 83% of the cases proctorragy disappeared as early as after the first session. The analysis of a validity score concerning bleeding, pain level and sense of discomfort reported by patients showed a statistically significant difference (P < 0.0015) between before and after procedure. Conclusions: Hemorrhoidal endosclerosis with foam seems to be an effective and safe method to cure hemorrhoidal pathologies and seems to offer good results in the short-middle term with acceptable results in terms of patient comfort and overall cost to society.","PeriodicalId":8370,"journal":{"name":"Annals of Colorectal Research","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2019-01-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89722129","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: 7

Quality Metrics and Indicators in Colonoscopy 结肠镜检查的质量指标

Annals of Colorectal Research Pub Date : 2018-12-04 DOI: 10.5812/ACR.84901

Halim Bou Daher, A. Sharara

引用次数: 1

Strangulated Small Bowel Obstruction in Paracecal Hernia and Laparoscopic Approach: A Case Report and Review of Literature 疝旁疝绞窄性小肠梗阻及腹腔镜入路1例报告及文献复习

Annals of Colorectal Research Pub Date : 2018-12-03 DOI: 10.5812/acr.83539

S. Mandalà, A. Mirabella, M. Lupo, M. Branca, C. Barbera, Carlo Szokoll, V. Mandalà

引用次数: 0

A Rare Complication of Stapled Hemorrhoidopexy: Giant Pelvic Hematoma Treated with Super-Selective Percutaneous Angioembolization 一种罕见的合并症:经皮超选择性血管栓塞治疗巨大盆腔血肿

Annals of Colorectal Research Pub Date : 2018-11-28 DOI: 10.5812/acr.83005

F. Ferrara, P. Rigamonti, G. Damiani, M. Cariati, M. Stella

{"title":"A Rare Complication of Stapled Hemorrhoidopexy: Giant Pelvic Hematoma Treated with Super-Selective Percutaneous Angioembolization","authors":"F. Ferrara, P. Rigamonti, G. Damiani, M. Cariati, M. Stella","doi":"10.5812/acr.83005","DOIUrl":"https://doi.org/10.5812/acr.83005","url":null,"abstract":"Introduction: Procedure for prolapsed hemorrhoids (PPH) or hemorrhoidopexy is not free from complications, some of which have been described as serious, such as bleeding. This study describes a case of a female patient with post-operative huge pelvic hematoma, successfully treated with percutaneous angioembolization. Case Presentation: A 76-year-old female underwent PPH, with no intraoperative complications. Few hours later, the patient showed signs of acute abdomen. No external rectal bleeding was identified and vital signs were normal. A computerized tomography (CT)scan showed a giant peri-rectal and retroperitoneal pelvic hematoma, with signs of active bleeding. A subsequent selective arteriography showed huge bleeding from superior hemorrhoidal artery, treated with super-selective embolization. The procedure was successful and the patient showed a symptomatic improvement. The subsequent hospital stay was uneventful and she was discharged on the ninth post-operative day, with no complications. At the 30-day post-discharge follow-up, the patient was completely pain free with no signs of pelvic discomfort. Control CT scan revealed regression of the pelvic hematoma. Conclusions: Severe complications may occur after PPH and one of the most important is local bleeding. In the current case, no signs of external active bleeding were noted. Prompt diagnosis with CT scan allowed efficacious non-operative treatment with angioembolization, avoiding the need of reoperation for a potential serious complication.","PeriodicalId":8370,"journal":{"name":"Annals of Colorectal Research","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2018-11-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81357593","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

Rectal Polyp with Osseous Metaplasia: A Case Report and Review of the Literature 直肠息肉伴骨化生1例报告及文献复习

Annals of Colorectal Research Pub Date : 2018-11-27 DOI: 10.5812/ACR.84950

N. Gaikwad, Sudhir Gupta, Kirti Jaiswal

引用次数: 1

Preoperative Bowel Preparation with Oral Antibiotics Might Increase Wound Infection in Elective Colorectal Resections 术前肠道准备口服抗生素可能增加择期结肠切除术的伤口感染

Annals of Colorectal Research Pub Date : 2018-10-10 DOI: 10.5812/acr.81775

M. Aghaei-Afshar, F. Mahmoudikordi, M. Rezazadehkermani

引用次数: 0

Liver Transplantation for Non-Resectable Colorectal Liver Metastases 肝移植治疗不可切除的结直肠肝转移

Annals of Colorectal Research Pub Date : 2018-10-09 DOI: 10.5812/ACR.83855

A. Rammohan

引用次数: 1

The Effect of Associated Vascular Injuries in Penetrating Trauma to the Duodenum and Pancreas 十二指肠、胰腺穿透性损伤伴发血管损伤的影响

Annals of Colorectal Research Pub Date : 2018-09-10 DOI: 10.5812/ACR.83130

B. Phillips, L. Turco, S. Aurit, R. Walters

{"title":"The Effect of Associated Vascular Injuries in Penetrating Trauma to the Duodenum and Pancreas","authors":"B. Phillips, L. Turco, S. Aurit, R. Walters","doi":"10.5812/ACR.83130","DOIUrl":"https://doi.org/10.5812/ACR.83130","url":null,"abstract":"Objectives: Major vascular injuries contribute significantly to the mortality of pancreatic and duodenal trauma. We hypothesized that in the setting of penetrating trauma to the pancreas and/or duodenum, independent predictors of mortality associated with vascular injuries could be identified. Our objectives in this study were to describe the national profile of major vascular injuries as well as to identify predictors of morbidity and mortality. Methods: Using the abbreviated injury scale 2005 and ICD-9-CM E-codes, we identified 597 penetrating pancreatic, duodenal, and pancreaticoduodenal trauma patients with major vascular injuries from the NTDB between 2010 and 2014. We controlled patientlevel covariates of age, biological sex, systolic blood pressure (SBP), Glasgow coma score (GCS), pulse, injury severity score (ISS), and organ injury scale (OIS) grade. We estimated multivariable generalized linear mixed models to account for the nesting of patients within trauma centers. Results: Our results indicated an overall mortality rate of 26.1%. Approximately 19% of patients died within 24 hours of admission, and of those, 78% died in the first 6 hours. The inferior vena cava was the most commonly injured vessel. The average number of associated injuries was 4.9 in pancreatic or duodenal trauma and 5.4 in pancreaticoduodenal. Statistically significant independent predictors of mortality were firearm mechanism, SBP, GCS, and pulse. Specifically, odds of death were decreased with a 10-mmHg higher admission SBP (7.7% decreased odds), one-point higher GCS (12.8%), and a 10-beat lower pulse (11.6%). Conclusions: This study is the first to examine the effect of major vascular injuries in the setting of penetrating trauma to the pancreas and/or duodenum utilizing the NTDB. We have identified patterns of injury and statistically significant independent predictors of morbidity and mortality.","PeriodicalId":8370,"journal":{"name":"Annals of Colorectal Research","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2018-09-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76614941","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

Rare Fibroadenoma of the Anal Region 肛门区罕见纤维腺瘤

Annals of Colorectal Research Pub Date : 2018-09-02 DOI: 10.5812/acr.66886

Christopher J. Buzas, Anju Gupta, Zong-ming Chen, J. Oxenberg

引用次数: 0