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Colorectal, proctology

Italo Corsale, Paolo Carrieri, Jacopo Martellucci, Alessandro Piccolomini, Luigi Verre, Marco Rigutini, Sonia Panicucci
PURPOSE: We evaluated the efficacy of new flavonoids mixture (diosmin, troxerutin, rutin, hesperidin, quercetin) to reduce bleeding from I-III degrees hemorrhoidal disease in the short and medium time. METHODS: One hundred fifty-four consecutive patients with hemorrhoidal disease recruited in four colorectal units were enrolled to the study. Exclusion criteria were allergy to the flavonoids, inflammatory bowel disease, obstructed defecation syndrome, pregnancy and puerperium, associated anal disease or hemorrhoidal thrombosis, proctologic surgical procedures within 1 year before recruitment, contemporary cancer or HIV, previous pelvic radiotherapy, patients receiving oral anticoagulant therapy, or contemporary administration of other therapy for hemorrhoids...
November 2018: International Journal of Colorectal Disease
Steffen Seyfried, Dieter Bussen, Andreas Joos, Christian Galata, Christel Weiss, Alexander Herold
AIM: Despite modern medical techniques, anatomically proximal (high) anal fistulas are still a challenge in colorectal surgery. In previous years, the standard of care was complete fistulectomy with a high rate of continence disorders. Over the past 20 to 30 years, sphincter-saving procedures have gained wide acceptance. They represent the technique used in these cases. Additionally, many patients received indefinite treatment, namely the placement of a seton to maintain surgical drainage...
July 2018: International Journal of Colorectal Disease
Franco Marinello, Miquel Kraft, Nuria Ridaura, Francesc Vallribera, Eloy Espín
INTRODUCTION: The treatment of anal fistula with the OTSC® (over-the-scope-clip) proctology device involves the placement of an elastic alloy clip called Nitinol on the internal fistula opening to achieve fistula healing. The aim of this study was to analyze preliminary results of this technique in a case series. METHODS: This was a retrospective analysis of patients who underwent OTSC® clip placement for fistula-in-ano treatment between June 2015 and March 2017 at a specialized colorectal unit...
June 2018: Cirugía Española
Francesca Bergamo, Sara Lonardi, Beatrice Salmaso, Carmelo Lacognata, Francesca Battaglin, Francesco Cavallin, Luca Saadeh, Sabina Murgioni, Antonino Caruso, Camillo Aliberti, Vittorina Zagonel, Carlo Castoro, Marco Scarpa
BACKGROUND: Angiogenesis inhibitors are a standard first-line treatment for metastatic colorectal cancer. Anal canal pain is a common adverse event, but its cause has never been described. The aim of the study was to evaluate the association between the use of angiogenesis inhibitors and symptomatic anal ulcer development. METHODS: This retrospective cohort study included all 601 consecutive metastatic colorectal cancer patients undergoing first line treatment from January 2010 to June 2016 at the Veneto Institute of Oncology...
March 2018: Acta Oncologica
F Gaj, M Bellucci, I Biviano
BACKGROUND AND AIM: Advancements in technology have proved useful for many businesses including medical practices. Consequently, these improvements have increased the need to develop new applications for mobile devices. Our group conceived and developed an application for tablets, PCs, and smartphones with the aim to assist the physician in the management of the pelvic floor diseases: iProcto. The aim of this study was to evaluate the receptivity of patients resulting from using the said pelvic floor application (iProcto) during a colon-proctologic visit; and to establish whether it can be more efficient in helping with diagnosis compared to a traditional visit...
May 2017: La Clinica Terapeutica
Michał Nowakowski, Krzysztof A Tomaszewski, Łukasz Machura, Paulina Trybek, Roman M Herman
BACKGROUND: Assessment of the neurocontrol of the external anal sphincter has long been restricted to investigating patients by invasive tools. Less invasive techniques have been regarded less suitable for diagnosis. OBJECTIVE: The aim was to develop a surface electromyography-based algorithm to facilitate fecal incontinence diagnosis, and to assess its sensitivity and specificity. DESIGN: Data analysis from a single center prospective study...
2017: Folia Medica Cracoviensia
Roberto Zinicola, N Cracco, A Totaro, Raffaele Dalla Valle, G Pedrazzi
PURPOSE: The assessment of bowel habit is important in the management of patients with colorectal disease. There is not an ideal and practical bowel habit scoring system. The current scores have been designed only for a subclass of patients having a particular disorder. Furthemore, they are complex and time consuming. We propose a simple score to quickly assess the bowel function in all patients with proctological disorders. METHODS: We developed a bowel habit scoring system including three parameters: bowel frequency, stool consistency, and urgency...
January 2017: International Journal of Colorectal Disease
L M A Balderas-Peña, D Sat-Muñoz, U R Palomares-Chacon, E A Flores-Larios, R E Ramírez-Conchas, A L Salcedo-Rocha, J E García de Alba-García
No abstract text is available yet for this article.
November 2014: Value in Health: the Journal of the International Society for Pharmacoeconomics and Outcomes Research
Łukasz Krokowicz, Sylwia Sławek, Witold Ledwosiński, Adam Bobkiewicz, Maciej Borejsza-Wysocki, Barbara Kuczyńska, Krzysztof Szmyt, Jacek Paszkowski, Michał Drews, Tomasz Banasiewicz
UNLABELLED: Stoma is an intestinal fistula created in emergency or by elective indications, and it is done to drain out the digestive tract content. In some patients there is a disturbance passage of gastric contents through the stoma, which may take the form of chronic constipation or even periodic subileus that will sooner or later require surgical treatment. The aim of the study was the assessment of the causes and method of treatment of constipation in patients with intestinal stoma...
April 2015: Polski Przeglad Chirurgiczny
U I Attenberger, J N Morelli, J Budjan, A Herold, P Kienle, W Kleine, A Häcker, C Baumann, J Heinzelbecker, S O Schoenberg, H J Michaely
PURPOSE: The purpose of this study was to determine the value of dynamic pelvic floor MRI relative to standard clinical examinations in treatment decisions made by an interdisciplinary team of specialists in a center for pelvic floor dysfunction. METHODS: 60 women were referred for dynamic pelvic floor MRI by an interdisciplinary team of specialists of a pelvic floor center. All patients were clinically examined by an urologist, gynecologist, a proctological, and colorectal surgeon...
October 2015: Abdominal Imaging
Heiner Krammer, Nils Krakow, Alexander Herold
No abstract text is available yet for this article.
April 16, 2015: MMW Fortschritte der Medizin
A Kreuter, A Dietrich
No abstract text is available yet for this article.
June 2015: Der Hautarzt; Zeitschrift Für Dermatologie, Venerologie, und Verwandte Gebiete
Thea Helene Degett, Lene Hjerrild Iversen, Ismail Gögenur
Post-operative mortality from colorectal cancer depends on multiple factors and varies across countries and hospitals. Pre-operative risk prediction can be helpful in surgical decision-making. Several scoring systems have been developed to predict the risk of post-operative mortality. The Portsmouth Physiological and Operative Severity Score for the enUmeration of Mortality (P-POSSUM) model and a revised Association of Colo-proctology of Great Britan and Ireland (ACPGBI) model are the most accurate predictors in colorectal cancer surgery...
March 9, 2015: Ugeskrift for Laeger
R Mennigen, M Laukötter, N Senninger, E Rijcken
BACKGROUND: To evaluate the efficacy of the over-the-scope clip (OTSC(®)) proctology set for the closure of refractory anal fistulas. METHODS: This retrospective single-center study included all consecutive patients undergoing an OTSC(®) proctology closure of anal fistulas between October 2012 and June 2014. The OTSC(®) was only used in refractory cases after previous fistula surgery, including patients with Crohn's disease, or multiple previous surgical approaches...
April 2015: Techniques in Coloproctology
Matthias Kraemer, David Kara, Michael Rzepisko, Joel Sayfan
PURPOSE: Proctological symptomatology is of little complexity and therefore appears particularly suitable for comparative evaluation by visual scales. We devised a "proctological symptom scale" (PSS) with separate scales for four cardinal proctological symptoms: pain, itching/irritation, discharge/moisture, and bleeding. The objective of this study was to evaluate the PSS among proctological patients and non-proctological controls. METHODS: This was a single center non-interventional observational study on 229 proctological patients and 133 controls...
May 2015: International Journal of Colorectal Disease
P Atienza, M Ksiaa
All practitioners caring for patients with Crohn's disease (CD) must know all the various aspects of anoperineal lesions in this singular entity. Suppuration in CD does not follow the classic routes and spaces of diffusion and is often associated with endolumenal lesions that can evolve on their own. Abscesses and fistulas require specific medico-surgical management where seton drainage, staged operative and sphincter-sparing procedures have a dominant place. The variability of associated lesions and the particularly individualized efficacy of drugs call for case-by-case management, thus, making standardization and comparisons difficult...
April 2015: Journal of Visceral Surgery
F Cadeddu, F Salis, G Lisi, I Ciangola, G Milito
AIM: Anal fistula is a common proctological problem to both patient and physician throughout surgical history. Several surgical and sphincter-sparing approaches have been described for the management of fistula-in-ano, aimed to minimize the recurrence and to preserve the continence. We aimed to systematically review the available studies relating to the surgical management of anal fistulas. MATERIAL AND METHODS: A Medline search was performed using the PubMed, Ovid, Embase, and Cochrane databases to identify articles reporting on fistula-in-ano management, aimed to find out the current techniques available, the new technologies, and their effectiveness in order to delineate a gold standard treatment algorithm...
May 2015: International Journal of Colorectal Disease
A Senéjoux
No abstract text is available yet for this article.
April 2015: Journal of Visceral Surgery
R L Prosst, A K Joos, W Ehni, D Bussen, A Herold
AIM: The OTSC Proctology is a surgical device for anorectal fistula closure. It consists of a super-elastic nitinol clip, which is placed (with the aid of a transanal applicator) on the internal fistula opening to achieve healing of the fistula track. A prospective, two-centre clinical pilot study was undertaken to assess the efficacy and safety of the OTSC Proctology in patients with a complex high anorectal fistula. METHOD: In patients with a complex anorectal fistula the primary track was debrided using a special brush and the clip was applied to the internal fistula opening...
January 2015: Colorectal Disease: the Official Journal of the Association of Coloproctology of Great Britain and Ireland
R N Dolgikh, S V Leonov, G V Lazarev, S G Gilevskiĭ, A V Potekhin, A N Maniukhin
The authors show the development of colonoproctology in the Vishnevsky Central Military Clinical Hospital N 3. The authors chose and described diagnostic possibilities of the proctologic center: videoendoscopy, ultrasonic diagnosis, computing technologies, methods of anatomical verification. The authors gave a characteristic of patients and methods of treatment. Almost half of all patients are oncology patients. Over the last decade 6750 patients were treated in the proctologic center, 1484 of them suffered with primary bowel cancer...
May 2013: Voenno-medit︠s︡inskiĭ Zhurnal
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