3,193 results match your criteria colostomy performed


Can olive oil prevent distal colon mucosal atrophy caused by disuse in rats with colostomy? An experimental animal study.

Pol Przegl Chir 2021 May;93(4):35-40

Mustafa Kemal University, School of Medicine, Department of Pediatric Surgery, Antakya, Hatay, Turkey.

Aim: This study aims to investigate the effects of pure olive oil on mucosal atrophy of the distal colon in rats. <br/><br/>Material and methods: The study included 28 male albino Wistar rats weighing 300-350 g. A total of 28 animals were randomly allocated to four groups: group 1: control group (n = 6); group 2: ostomy group (n = 6); group 3: ostomy + saline group (n = 8); group 4: ostomy + olive oil group (n = 8). Read More

View Article and Full-Text PDF

Adverse Features of Rectourethral Fistula Requiring Extirpative Surgery and Permanent Dual Diversion: Our Experience and Recommendations.

J Clin Med 2021 Sep 5;10(17). Epub 2021 Sep 5.

Hospital das Forças Armadas, 1649-020 Lisbon, Portugal.

Introduction: To report a series of men with a rectourethral fistula (RUF) resulting from pelvic cancer treatments and explore their therapeutic differences and impact on the functional outcomes and quality of life highlighting the adverse features that should determine permanent urinary or dual diversion.

Methods: A retrospective database search was performed in four centers to identify patients with RUF resulting from pelvic cancer treatment. Medical records were analyzed for the demographics, comorbidities, diagnostic evaluation, fistula characteristics, surgical approaches and outcomes. Read More

View Article and Full-Text PDF
September 2021

Sigmoidectomy following sigmoid volvulus: who is at risk of anastomotic failure?

Tech Coloproctol 2021 Sep 4. Epub 2021 Sep 4.

Department of General Surgery, Shaare Zedek Medical Center, Faculty of Medicine, The Hebrew University School of Medicine, 12 Shmeul Bait Street, 9103102, Jerusalem, Israel.

Background: Anastomotic leak following elective sigmoidectomy performed due to sigmoid volvulus (SV) is a devastating complication. The aim of this study was to identify the incidence and risk factors associated with leak in this specific group of patients.

Methods: A retrospective study was performed at two university-affiliated tertiary centres in Israel. Read More

View Article and Full-Text PDF
September 2021

[Pediatric Multiple Endocrine Neoplasia Type 2B with Pheochromocytoma Diagnosed after Perforation of a Colonic Diverticulum : A Case Report].

Hinyokika Kiyo 2021 Aug;67(8):363-366

The Department of Urology, Osaka University Graduate School of Medicine.

A 12-year-old girl was found to have decending colon diverticulum perforation and retroperitoneal abscess on computed tomography (CT) carried out to determine the cause of fever and stomachache. CT-guided drainage tube placement was performed. She was suspected of having MEN2B from her specific facial appearance, Marfan-like body shape and lingual mucosa neuroma. Read More

View Article and Full-Text PDF

Feasibility and outcome of radical prostatectomy following inductive neoadjuvant therapy in patients with suspicion of rectal infiltration.

Urol Oncol 2021 Aug 26. Epub 2021 Aug 26.

Department of Urology, University Hospital Frankfurt, Goethe University Frankfurt, Frankfurt am Main, Germany.

Objective: To determine the feasibility and outcome of radical prostatectomy (RP) following neoadjuvant therapy (NAT) in patients with initial inoperable, rectum-infiltrating cT4 prostate cancer (PCa).

Methods: From 01/2018 to 12/2020, 26 patients with clinical (DRE) or radiographical (mpMRI) suspicion of rectum infiltrating PCa at diagnosis and NAT prior to RP were retrospectively identified from our prospective institutional database. Two patients were still inoperable after NAT. Read More

View Article and Full-Text PDF

Surgical management of recto-vaginal fistula (about 6 cases).

Int J Surg Case Rep 2021 Sep 20;86:106322. Epub 2021 Aug 20.

Service of Digestive Cancer Surgery and Liver Transplantation III, Morocco; University Hospital Center Ibn Rochd, Casablanca, Morocco; Faculty of Medicine and Pharmacy, Hassan II University, Casablanca, Morocco.

Introduction: Recto-vaginal fistula (RVF) is defined as a pathological epithelialized communication between the posterior wall of the vagina and the anterior wall of the rectum through the recto-vaginal septum. RVFs are rare and represent less than 5% of rectal fistulas. Occurring after childbirth or during a proctological pathology, they create a deep distress for the patients. Read More

View Article and Full-Text PDF
September 2021

Risk scores to predict mortality 2 and 5 years after surgery for colorectal cancer in elderly patients.

World J Surg Oncol 2021 Aug 26;19(1):252. Epub 2021 Aug 26.

Osakidetza Basque Health Service, Galdakao - Usansolo Hospital (Research Unit), Galdakao, Basque Country, Spain.

Background: The aim of this study was to identify predictors of mortality in elderly patients undergoing colorectal cancer surgery and to develop a risk score.

Methods: This was an observational prospective cohort study. Individuals over 80 years diagnosed with colorectal cancer and treated surgically were recruited in 18 hospitals in the Spanish National Health Service, between June 2010 and December 2012, and were followed up 1, 2, 3, and 5 years after surgery. Read More

View Article and Full-Text PDF

"Living with a Stoma": Exploring the Lived Experience of Patients with Permanent Colostomy.

Int J Environ Res Public Health 2021 08 12;18(16). Epub 2021 Aug 12.

Department of Nursing, School of Health and Care Sciences, University of West Attica, 12243 Athens, Greece.

Introduction: Living with a permanent colostomy brings severe changes in patients' lives. The general health status as well as the personal, social and professional life of patients are significantly affected.

Aim: The aim of the present study was to investigate the lived experience of patients undergoing permanent colostomy. Read More

View Article and Full-Text PDF

Synchronous Onset of Two Complications in Colon Cancer: A Case Report.

J Med Cases 2021 Jun 24;12(6):248-250. Epub 2021 Mar 24.

University Surgical Clinic "St. Naum Ohridski", Skopje, North Macedonia.

As one of the most frequent malignancies in the world's population, colorectal cancer is also associated with its complications (perforation, obstruction and bleeding). Their incidence is common (2.6-50%), but synchronous occurrence of two of them in a patient is a rare condition and it is reported in small series or as a case report in the literature. Read More

View Article and Full-Text PDF

Minimally invasive colostomy with endoscopy as a novel technique for creation of a trephine stoma.

Sci Rep 2021 Aug 17;11(1):16694. Epub 2021 Aug 17.

Department of Surgery, International University of Health and Welfare Hospital, 537-3, Iguchi, Nasushiobara, Tochigi, 329-2763, Japan.

The conventional approach of trephine stoma creation is associated with various limitations, including poor elevation of the sigmoid colon, misidentification of the target organs, and poor visualization of the operative field, which may require conversion to an open approach. Our study aimed to evaluate the safety, feasibility, and complications of minimally invasive colostomy with endoscopy (MICE), a new technique for trephine stoma creation. This retrospective cohort study included 14 patients. Read More

View Article and Full-Text PDF

[Therapeutic effects of sacral neuromodulation on detrusor underactivity].

Beijing Da Xue Xue Bao Yi Xue Ban 2021 Aug;53(4):671-674

Department of Urology, Peking University People's Hospital, Beijing 100044, China.

Objective: To evaluate the effects of sacral neuromodulation (SNM) on detrusor underactivity (DUA).

Methods: From December 2019 to April 2020, 6 patients with DUA who had been treated with SNM were assessed retrospectively. The average age was 58 years (46-65 years), with 3 males and 3 females. Read More

View Article and Full-Text PDF

Outpatient treatment for colostomy stenosis; report of 3 cases.

Int J Surg Case Rep 2021 Aug 8;85:106292. Epub 2021 Aug 8.

Research Unit, Mexican School of Medicine, Universidad La Salle, Fuentes 17, Tlalpan, CDMX 14000, Mexico. Electronic address:

Introduction And Importance: Stenosis of the colostomy occurs in 2-15% of patients and, they are the cause of serious discomfort for the patient due to the difficulty in evacuation, as well as the need for new surgical interventions. The purpose of this work demonstrates an outpatient surgical treatment that can be performed in the office.

Case Presentation: Three patients with definitive colostomy who suffered progressive stenosis are presented. Read More

View Article and Full-Text PDF

The role of Hartmann's procedure in the elective management of rectal cancer: results of a Brazilian cohort study.

Rev Col Bras Cir 2021 9;48:e20212977. Epub 2021 Aug 9.

- Hospital de Clínicas de Porto Alegre, Universidade Federal do Rio Grande do Sul, Serviço de Coloproctologia - Pós-graduação em Cirurgia (UFRGS) - Porto Alegre - RS - Brasil.

Background: although preservation of bowel continuity is a major goal in rectal cancer surgery, a colorectal anastomosis may be considered an unacceptably high-risk procedure, particularly for patients with multiple comorbidities. We aimed to assess rates of surgical complications in rectal cancer patients according to the type of procedure they had undergone.

Materials And Methods: this cohort included all rectal cancer patients undergoing elective resection at a referral academic hospital over 16 years. Read More

View Article and Full-Text PDF

Outcome and Timing of Ostomy Reversal Surgery for Diverticular Disease in Veterans Administration Hospitals.

Am Surg 2021 Aug 4:31348211034764. Epub 2021 Aug 4.

Department of Surgery, 19986Washington DC. Veterans Affairs Medical Center, Washington, DC, USA.

Background: Veterans undergoing elective surgery for diverticular disease have an ostomy creation rate of 18%. The purpose of this study was to analyze the outcomes and timing of ostomy reversal surgery, perioperative complications, and differences between colostomy and ileostomy reversal outcomes.

Methods: A retrospective review of the Veterans Affairs Surgical Quality Improvement Project (VASQIP) database was performed. Read More

View Article and Full-Text PDF

Transverse Colostomy Differs in Outcomes Compared to Sigmoid Colostomy: A Cohort Analysis.

J Invest Surg 2021 Aug 1:1-5. Epub 2021 Aug 1.

Division of Colorectal Surgery, University Surgical Cluster, National University Hospital, National University Health System, Singapore.

Purpose: Our aim was to identify any differences in outcomes following transverse versus sigmoid colostomy creation for management of cancer.

Methods: Transverse and sigmoid colostomies are used to manage cancer-related complications including obstruction, perforation, and fistulation. The decision to use either colostomy is largely based on the surgeon's preference and the location of the cancer complication. Read More

View Article and Full-Text PDF

Dual energy CT in necrotizing enterocolitis; a novel diagnostic approach.

Turk J Med Sci 2021 Aug 2. Epub 2021 Aug 2.

Background/aim: Necrotizing enterocolitis (NEC) is one of the most important causes of morbidity and mortality in premature infants. Although there are no specific diagnostic tools, the main factors affecting prognosis are clinical and laboratory findings, and early diagnosis and treatment. In this study, we demonstrate the importance of dual-energy computed tomography (DECT) in confirming intestinal ischemia in neonates with NEC. Read More

View Article and Full-Text PDF

A 77-Year-Old Man with a Pulse Granuloma of the Descending Colon Identified by Fluorodeoxyglucose-Positron Emission Tomography (FDG-PET) Imaging 19 Months Following Surgical Resection for Rectal Carcinoma.

Am J Case Rep 2021 Jul 29;22:e932153. Epub 2021 Jul 29.

Department of Surgery, Seirei Hamamatsu General Hospital, Hamamatsu, Shizuoka, Japan.

BACKGROUND Food particles may sometime lodge in the intestinal wall, resulting in a granuloma. Pulse granuloma is associated with the seed of a legume and has a characteristic appearance on histology. This report describes a case of pulse granuloma of the descending colon identified by fluorodeoxyglucose-positron emission tomography (FDG-PET) imaging. Read More

View Article and Full-Text PDF

Reversal of left-sided colostomy utilizing single-port laparoscopy a multicenter European audit and overview of the literature.

Surg Endosc 2021 Jul 26. Epub 2021 Jul 26.

Department of Surgery, Elisabeth-TweeSteden Hospital, Hilvarenbeekseweg 60, 5022GC, Tilburg, The Netherlands.

Background: Stoma reversal surgery can result in considerable morbidity and even mortality. Feasibility of utilizing single-port laparoscopy through the stoma fenestration have been shown before. Aim of the present observational study is to evaluate multicenter experiences of single-port reversal of left-sided colostomy (SPRLC) throughout Europe and to provide an overview of available literature on this topic. Read More

View Article and Full-Text PDF

Long-term outcome of indwelling colon observed seven years after radical resection for rectosigmoid cancer: A case report.

World J Clin Cases 2021 Jul;9(19):5252-5258

Department of Gastrointestinal Surgery, West China Hospital, Sichuan University, Chengdu 610041, Sichuan Province, China.

Background: Indwelling colon is characterized by an excluded segment of the colon after surgical diversion of the fecal stream with colostomy so that contents are unable to pass through this part of the colon. We report a rare case of purulent colonic necrosis that occurred 7 years after surgical colonic exclusion.

Case Summary: A 73-year-old male had undergone extended radical resection for rectosigmoid cancer. Read More

View Article and Full-Text PDF

Intra-abdominal desmoid-type fibromatosis successfully resected using laparoscopic fluorescence imaging with indocyanine green after intersphincteric resection for rectal cancer.

Asian J Endosc Surg 2021 Jul 24. Epub 2021 Jul 24.

Department of Gastrointestinal Surgery, Osaka General Medical Center, Osaka, Japan.

Successful resection of intra-abdominal tumors using indocyanine green (ICG) fluorescence imaging has not been reported. Here, we report a rare case of an intra-abdominal desmoid-type fibromatosis successfully resected using this technique after intersphincteric resection (ISR) for rectal cancer. One year after ISR for rectal cancer in a 47-year-old man, computed tomography showed a 50-mm intra-abdominal tumor near the left common iliac vein. Read More

View Article and Full-Text PDF

A rare case of intussusception through a prolapsed end colostomy.

J Surg Case Rep 2021 Jul 19;2021(7):rjab319. Epub 2021 Jul 19.

Department Surgery, Trinity Centre for Health Sciences, St. James's Hospital and Trinity College Dublin, Dublin 8, Ireland.

Intussusception through a prolapsed end colostomy is amongst the rarest of stoma complications. In this case report, we discuss the therapeutic approach to this complication and provide an update of the existing literature. A 66-year-old male presented with a prolapsed colostomy that was ischaemic in appearance. Read More

View Article and Full-Text PDF

Total Transperineal Laparoscopic Proctectomy for the Treatment of Crohn's Proctitis.

Dis Colon Rectum 2021 Oct;64(10):e584-e587

Department of Surgery, Division of Colorectal Surgery, University of Massachusetts, Worcester, Massachusetts.

Introduction: Completion proctectomy is traditionally performed using a combination of abdominal and perineal approaches. Access to and exposure of the pelvis through the abdominal cavity can be limited in patients with prior surgery or inflammatory conditions. We describe a novel technique for a total transperineal approach for proctectomy for Crohn's proctitis, avoiding technical challenges, risks, and recovery associated with abdominal surgery. Read More

View Article and Full-Text PDF
October 2021

The SYSTEMIC Project: A Pilot Study to Develop a Registry of Patients With an Ostomy for Predictive Modeling of Outcomes.

Wound Manag Prev 2021 Apr;67(4):24-34

Health Professional Management Service of the University Hospital of Padova, Padova, Italy.

Background: Stomal and peristomal skin complications represent a significant burden on the physical and psychological well-being of patients.

Purpose: To develop a predictive tool for identifying the risk of complications in patients following ostomy surgery.

Methods: The oStomY regiSTry prEdictive ModelIng outCome (SYSTEMIC) project was developed to improve patient-oriented outcomes. Read More

View Article and Full-Text PDF

Perforated colorectal cancers: clinical outcomes of 18 patients who underwent emergency surgery.

Prz Gastroenterol 2021 4;6(2):161-165. Epub 2021 Jun 4.

Clinic of General Surgery, Ali Osman Sönmez Oncology Hospital, Bursa, Turkey.

Introduction: Although colon cancer perforations are rare among acute abdominal syndromes, it is a clinical picture with high mortality that requires urgent treatment.

Aim: In this study, the clinical results of patients who were operated in emergency conditions due to colorectal cancer perforation were evaluated.

Material And Methods: The data of 18 patients treated for colorectal cancer perforation in our clinic between February 2014 and February 2017 were retrospectively reviewed. Read More

View Article and Full-Text PDF

Colonic metastasis from hepatocellular carcinoma after treated by ablation and transarterial chemoembolization manifested by intestinal obstruction: A case report and review of the literature.

J Cancer Res Ther 2021 Jul;17(3):814-817

Department of Interventional Ultrasound, Chinese PLA General Hospital, Beijing 100853, China.

Hepatocellular carcinoma (HCC) with gastrointestinal tract metastasis is a rare condition. Recently, we encountered one case of HCC with direct invasion to the colon, which was manifested by intestinal obstruction. The patient was an 86-year-old man who underwent multiple transarterial chemoembolization and microwave ablation treatment for HCC lesions for 10 years. Read More

View Article and Full-Text PDF

Parestomal hernia repair. Prospective observational study based on the Spanish Registry of Incisional Hernia (EVEREG).

Cir Esp (Engl Ed) 2021 Aug-Sep;99(7):527-534. Epub 2021 Jul 9.

Servicio de Cirugía General, Hospital Universitari del Mar, Departament de Cièncias Experimentals i de la Salut, Universitat Pompeu Fabra, Barcelona, Spain.

Introduction: The results of parastomal hernia (PH) repair based on data from registries are scarce. The objective of this work is to analyze the data collected on PH in the National Registry of Incisional Hernia (EVEREG) and thus evaluate current practices and results in PH repair.

Methods: Data from the PH cohort recorded in the period from July 2012 to June 2018 are analyzed. Read More

View Article and Full-Text PDF

Challenge and Outcome for the Prostate Squamous Cell Carcinoma Which Developed 8 Years after Low-Dose-Rate Brachytherapy Approached by a Combined Multimodal Treatment with High-Dose-Rate Interstitial Brachytherapy, External Beam Radiation Therapy, and Chemotherapy.

Case Rep Oncol 2021 May-Aug;14(2):854-860. Epub 2021 Jun 11.

Department of Urology, Kyoto Prefectural University of Medicine, Kyoto, Japan.

Prostate squamous cell carcinoma (pSCC) rarely develops as a secondary cancer after treatment with low-dose-rate brachytherapy (LDR-BT). There is no established effective treatment for the disease condition. Herein, we present a 78-year-old man who developed pSCC 8 years after LDR-BT. Read More

View Article and Full-Text PDF

Strangulating bowel obstruction due to a small intestinal knot in a case of parastomal hernia.

Nagoya J Med Sci 2021 May;83(2):375-378

Department of Gastrointestinal Surgery, Japanese Red Cross Nagoya First Hospital, Nagoya, Japan.

An intestinal knot is a rare cause of intestinal obstruction. We report a rare case of strangulating bowel obstruction due to a small intestinal knot. A 69-year-old man who had an end colostomy was admitted with severe abdominal pain and vomiting. Read More

View Article and Full-Text PDF

A Case Report of Large Bowel Obstruction in a Patient With an Inflatable Penile Prosthesis.

Sex Med 2021 Aug 5;9(4):100391. Epub 2021 Jul 5.

Columbia University Division of Urology at Mount Sinai Medical Center, Miami, FL, USA. Electronic address:

Introduction: Inflatable penile prostheses (IPP) consist of 2 cylinders implanted into the corpora cavernosa, a pump placed in the scrotum, and a saline-filled reservoir traditionally placed in the space of Retzius. IPPs are used to treat refractory erectile dysfunction with few rare, but serious, complications. Cases of reservoirs causing erosion into the bladder, small bowel obstructions, vascular compression, and inguinal herniation have been described. Read More

View Article and Full-Text PDF

The association between protease inhibitors and anal cancer outcomes in veterans living with HIV treated with definitive chemoradiation: a retrospective study.

BMC Cancer 2021 Jul 5;21(1):776. Epub 2021 Jul 5.

Department of Medicine, Baylor College of Medicine, 1155 Pressler St. Unit, Houston, 1340, USA.

Background: The incidence of anal squamous cell carcinoma has been increasing, particularly in people living with HIV (PLWH). There is concern that radiosensitizing drugs, such as protease inhibitors, commonly used in the management of HIV, may increase toxicities in patients undergoing chemoradiation. This study examines treatment outcomes and toxicities in PLWH managed with and without protease inhibitors who are receiving chemoradiation for anal cancer. Read More

View Article and Full-Text PDF