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Case of colon perforation due to segmental absence of intestinal musculature accompanied by cancer treated with colonic resection and anastomosis.
Surg Case Rep
October 2024
Department of Diagnostic Pathology, Japanese Red Cross Ashikaga Hospital, Tochigi, Japan.
Background: Segmental absence of intestinal musculature (SAIM) is a partial defect of intestinal muscularis propria without diverticulum. Many reports indicate that the increase in intestinal pressure caused by enemas or endoscopic examinations leads to bowel perforation, but there are few reports involving malignant tumors. Moreover, few reports have had good outcomes after performing one-stage intestinal anastomosis.
View Article and Find Full Text PDFShorter interval to surgery after self-expanding metallic stent may result in better oncologic outcomes in colon cancer obstruction.
Eur J Surg Oncol
October 2024
Department of Surgery, Inje University College of Medicine, Busan Paik Hospital, South Korea. Electronic address:
Introduction: Colon cancer obstruction is one of the most serious conditions in colorectal surgery. However, the use of self-expanding metallic stent (SEMS) has made it possible to avoid emergency surgery and stoma creation, therefore enabling minimally invasive surgery and one-stage operation. In this study, we aimed to investigate whether there is an optimal interval from SEMS to surgery for the best long-term oncologic outcomes.
View Article and Find Full Text PDFManagement of obstructed colorectal carcinoma in an emergency setting: An update.
World J Gastrointest Oncol
March 2024
2 Propedeutic Department of Surgery, Hippokration General Hospital, School of Medicine, Aristotle University of Thessaloniki, Thessaloniki 54642, Greece.
Colorectal carcinoma is common, particularly on the left side. In 20% of patients, obstruction and ileus may be the first clinical manifestations of a carcinoma that has advanced (stage II, III or even IV). Diagnosis is based on clinical presentation, plain abdominal radiogram, computed tomography (CT), CT colonography and positron emission tomography/CT.
View Article and Find Full Text PDFImpact of the body mass index on the retention of the anorectal mucosa after double-stapled ileal pouch-anal anastomosis for ulcerative colitis.
BMC Gastroenterol
February 2023
Gastroenterological Surgery, Yokohama City University, Yokohama, Japan.
Background: Double-stapled ileal pouch-anal anastomosis (DS-IPAA) is easy to construct and has a good functional outcome in patients with ulcerative colitis (UC). However, retention of the anorectal mucosa may lead to a subsequent risk of inflammation and neoplasia. This study aimed to identify factors associated with the retention of a large amount of anorectal mucosa after DS-IPAA.
View Article and Find Full Text PDF[A Case of Surgical Resection for Ascending Colon Cancer with Protein-Losing Gastroenteropathy].
Gan To Kagaku Ryoho
December 2022
Dept. of Surgery, Akashi City Hospital.
An 84-year-old man visited our department for further examination of anemia and elevation of tumor marker levels. Colonoscopy revealed a huge circumferential type 3 tumor in the ascending colon. Significant hypoalbuminemia was observed at 1.
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