2024-03-29T18:46:54Z
https://colorectalresearch.sums.ac.ir/?_action=export&rf=summon&issue=5412
Iranian Journal of Colorectal Research
Iran. J. Colorectal. Res.
2019
7
3
Influenza related colitis: a summary on little mentioned colorectal disorder
Beuy
Joob
Viroj
Wiwanitkit
Context : Influenza is an important viral respiratory disease. The disease mainly affects respiratory organ. In severe case, the patient might die. Influenza is still the important problematic infectious disease. The atypical manifestation of influenza is observable in clinical practice. The colorectal presentation of influenza is very interesting. Evidence Acquisition: The authors hereby searched and summarized clinical data from published article in international database regarding colitis in influenza. Results : An important condition is influenza related colitis. Hemorrhagic colitis is a rare but possible clinical complication of influenza. In case with influenza related colitis, the patient might have a lower abdominal pain, bloody diarrhea, and hematochezia. Severe colonic bleeding might occur and hemostatic therapy is required. On the other hand, the antiviral therapy is also a possible cause of colitis. In a patient with influenza receiving oseltamivir, a possible adverse effect of antiviral drug is hemorrhagic colitis. The problem might be acute. The patient usually has abdominal pain, diarrhea, and hematochezia after the first administration of oseltamivir. In addition to hemorrhagic colitis, ischemic colitis due to influenza is also observable . The patient might require colectomy and this condition might lead to death. Another possible colonic complication due to influenza is colonic apoptosis due to influenza related fulminant hemophagocytic lymphohistiocytosis. The patient will have abdominal pain and skin rash. Conclusions: Therefore, it is not impossible that the colonic complication might occur in any patient with influenza. The practitioner should recognize for the possibility that there might be a colorectal manifestation in any patients with influenza.
Colitis
Influenza
Colorectal disorders
2019
09
01
1
4
https://colorectalresearch.sums.ac.ir/article_45862_36cb4b836385c803c9c712980e3b62d6.pdf
Iranian Journal of Colorectal Research
Iran. J. Colorectal. Res.
2019
7
3
Lateral Internal Sphincterotomy versus V-Y Anoplasty in Treatment of Chronic Anal Fissure: a Comparative Trial Based on Manometry Results
Marwa
Sobhi
Sameh Hany
Emile
Ahmed
AbdelMawla
Mohamed
Youssef
Sabry
Mahmoud
Abstract Background: Conservative treatment of chronic anal fissure (CAF) is the first line of treatment. Patients who fail conservative treatment are offered surgical treatment in the form of lateral internal sphincterotomy (LIS) or V-Y anoplasty.Objective: This prospective study aimed to compare LIS and V-Y anoplasty in the treatment of CAF based on the baseline resting anal pressure of patients.Methods: Female patients with CAF were investigated with anal manometry. Patients with elevated resting anal pressure were treated with LIS and patients with normal or low resting anal pressure were treated with V-Y anoplasty. Data about healing of anal fissure, reduction in pain score, continence disturbance, and complications were recorded on follow-up.Results: Twenty-four female patients of a mean age of 37.6 years were included to this study. Sixteen patients underwent LIS (group I) and 8 underwent V-Y flap (group II). Both groups achieved comparable time to complete healing. Both groups showed significant decrease in pain score at 3 months of follow-up (Group I: 6.1±0.85 to 0.93±0.7, p
Chronic anal fissure
Lateral internal sphincterotomy
V-Y
Anoplasty
Manometry
2019
09
01
1
6
https://colorectalresearch.sums.ac.ir/article_45848_03f47c79782fc86aa1a8e332be9461d4.pdf
Iranian Journal of Colorectal Research
Iran. J. Colorectal. Res.
2019
7
3
Socio-demographic and delivery characteristics of patients with obstetric fistula in Haut-Katanga Province, Democratic Republic of Congo
Joseph
Nesambi
Olivier
Mukuku
Prosper
Kakudji
Jean-Baptiste
Kakoma
Background: In developing countries, fistulae are generally caused by long obstructed labors. Obstetric fistula (OF) is a severe condition which can have devastating consequences for a woman’s life.Objective: Describe the socio-demographic and delivery characteristics of patients with OF in Haut-Katanga province in the DRCongo.Methods: This is a prospective descriptive study of 413 patients with OF in Haut-Katanga province during the period from September 2009 to December 2018.Results: At fistula occurrence, 53.3% of patients were younger than 20 years (mean age: 21.3 ± 6.7 years) and 65.8% were primiparous. More than half had primary education and 39.7% were illiterate; 70.2% of the patients were separated or divorced. Fistula developed after delivery at home in 239 (57.9%) of 413 women. A total of 393 (95.2%) women developed fistula after vaginal delivery. A total of 387 (93.7%) of the 413 women reported that the fetus did not survive the labor during which fistula developed. 92.3% had a vesico-vaginal fistula and the mean age of fistula was 6.5 years. Surgical repair was successful in 82.9%.Conclusion: Obstructed labor remains the most important cause of OF in Haut-Katanga. It is important to prevent OF arising from obstructive causes. The surgical treatment of OF will depend upon the type, size and location of fistula.
Obstetric fistula
Socio-demographic
delivery
Haut-Katanga
2019
09
01
1
5
https://colorectalresearch.sums.ac.ir/article_45846_9b0c57769b802b408eadb9587a82d937.pdf
Iranian Journal of Colorectal Research
Iran. J. Colorectal. Res.
2019
7
3
Effects of platelet-rich plasma on healing of sphincteroplasty: An experiment in rabbit model
Ahmad
Izadpanah
Habibollah
Nikzad Jamnani
Alireza
Safarpour
Ahad
Izadpanah
Seyed Mohammad Kazem
Tadayon
Background: Inability to manage of stool release, fecal incontinence, is a condition with sever negative effects on the patients’ quality of life. Use of platelet-rich plasma in healing of anal sphincter might improve outcomes. The current study investigated the healing effects of PRP application after surgical repair of sphincter in rabbits as an animal model for human studies. Methods: Twenty-four New Zealand rabbits were randomly allocated into 4 groups based on the time of healing at one and three weeks after sphincteroplasty and using of PRP. Sphincterotomy and then sphincteroplasty were performed in all animals and autologous PRP was prepared and used as dose as 0.5 ml per animal. The healing scores of sphincter were compared between four groups using histological scoring system. Results: The histological healing score in PRP used group was significantly higher than not PRP used group after one week (18.6 ± 0.8 vs. 13.0 ± 1.8 respectively, P = 0.01) but no significant difference was detected between healing score of PRP used and not PRP used groups after three weeks (19.0 ± 0.0 vs. 18.5 ± 0.8 respectively, P = 0.17).Conclusion: Our findings indicated that although PRP had an accelerator role in wound healing of sphincter repair, but it has not significant effects over time especially after 3 weeks.
Anal sphincter
Healing
Platelet-Rich plasma
sphincterotomy
Sphincteroplasty
2019
09
01
1
7
https://colorectalresearch.sums.ac.ir/article_45847_106caa06b5757d3abab9b2efbb3d3ecf.pdf
Iranian Journal of Colorectal Research
Iran. J. Colorectal. Res.
2019
7
3
Prevalence of faecal incontinence among a healthy population in a tertiary referral center in Ireland
Colin
Sirr
Siobhan
Rooney
Amir
Samy
Rishabh
Sehgal
Aisling
Hogan
Background: Faecal incontinence (FI) is a debilitating condition associated with social isolation and poor quality of life. The prevalence of FI within the Irish setting has yet to be fully elucidated. The aim of the current study was to provide insights into the prevalence of FI among the population of the West of Ireland.Method: An anonymized questionnaire-based survey was conducted between May and August 2018 in a tertiary referral centre. Staff members and patients above the age of 18yrs were invited to take part in the study. The Rome IV criteria for FI was utilized. Data collected included patient demographics, co-morbidities, FI risk factors, surgical and obstetric history. Severity of faecal incontinence was assessed using the Wexner Continence Scale (WCS). Results: A total of 200 participants (F/M 124/76, median age 47yrs (18-86yrs)) were enrolled into the study. The overall prevalence of FI was 31.5% (63/200). 81 (40.5%) experienced some form of bowel dysfunction in the past. Of the 81, only 45 (55.5%) had discussed their FI symptoms with a healthcare professional. The FI group had 14 individuals (7%) with severe incontinence (Wexner score ≥ 9), 18 (9%) reported moderate incontinence (Wexner 5-8) and 31 (16%) reported mild incontinence (Wexner score 1-4). The FI cohort had a significantly greater incidence of inflammatory bowel disease, irritable bowel syndrome and previous bowel surgery (p
Faecal Incontinence
prevalence
Wexner Continence Scale
Rome IV criteria
2019
09
01
1
6
https://colorectalresearch.sums.ac.ir/article_45849_1545ab22afba263b8672278d53f4e9d6.pdf
Iranian Journal of Colorectal Research
Iran. J. Colorectal. Res.
2019
7
3
A Rare case of Type 4 Congenital Pouch colon without fistula with external anal marking in a female subject
Parveen
Kumar
Rishabh
Jain
Arti
Khatri
CPC is a rare reginal variant as per international Krickenbeck classification, in which colon (partly or complete) is replaced by a pouch like dilatation, opening into urogenital tract via a large fistula. Theassociation of CPC without a fistula with ARM is very rare. Type I: Absent large colon, with ileum opening directly into pouch. Type II: The presence of short segment of caecum which then opens into pouch. Type III: The presence of good length of colon between ileum and pouch. Type IV: The presence of large colon with only sigmoid and rectum converted into pouch A 2-day-old female baby presented with radiological features of pouch colon, which intra-operatively revealed type 4 CPC without fistula. The vestibule had two normal openings, with an external anal marking in perineum with puckering of skin but without any caliber. She underwent excision of pouch with end stoma and awaiting abdomino-perineal pull through at 6 months of age. To best of our knowledge, there is no case reported of CPC without fistula with external anal marking and puckering.
CPC (Congenital Pouch colon)
ARM (Anorectal malformation)
Fistula
2019
09
01
1
3
https://colorectalresearch.sums.ac.ir/article_45861_e324ca93579167b15e295eb782c78acc.pdf
Iranian Journal of Colorectal Research
Iran. J. Colorectal. Res.
2019
7
3
Rectal Squamous Cell Carcinoma: A Case Report Of A Rare Histology
Sankal
Psingh
Nishant
Lohia
Manoj
Prashar
Subramananiam
Anand
Sundaram
Viswanath
Richa
Ranjan
The rectum is an unusual and unlikely site for squamous carcinoma of the gastrointestinal tract. The clinicalpresentation of this rare histology though, is similar to adenocarcinoma rectum. Being a rare clinical entity withlimited cases, the etiology, pathogenesis and optimal treatment regimen is still unclear. In this paper, we presenta case of a 55 years old man presenting with complaints of bleeding per rectum for previous six months. Imagingrevealed mass in rectum and the biopsy was suggestive of squamous cell carcinoma. He was treated withabdominoperineal resection followed by adjuvant chemoradiotherapy.The rectum is an unusual and unlikely site for squamous carcinoma of the gastrointestinal tract. The clinicalpresentation of this rare histology though, is similar to adenocarcinoma rectum. Being a rare clinical entity withlimited cases, the etiology, pathogenesis and optimal treatment regimen is still unclear. In this paper, we presenta case of a 55 years old man presenting with complaints of bleeding per rectum for previous six months. Imagingrevealed mass in rectum and the biopsy was suggestive of squamous cell carcinoma. He was treated withabdominoperineal resection followed by adjuvant chemoradiotherapy.
Squamous cell carcinoma
hematochezia
Rectum
2019
09
01
1
4
https://colorectalresearch.sums.ac.ir/article_45850_215a9ee66d58a63d963d135aa9d2e502.pdf
Iranian Journal of Colorectal Research
Iran. J. Colorectal. Res.
2019
7
3
An Unusual Cause of Obstruction of the Appendiceal Lumen:Acute appendicitis due to trichobezoar: a rare case report
Masoud
Hosseinzadeh
Sahand
Mohammadzadeh
case report abstract Introduction: Acute appendicitis is usually developing due obstruction of appendix and is one of the most common emergency surgical cases. Many factors are involved in the etiology like fecalith, stricture, foreign body, worm infestation and neoplasm [1]. Among causes of acute appendicitis foreign body is more frequent in children compared to adults. Various types of foreign bodies may obstruct the appendix lumen and cause acute appendicitis but most of foreign bodies generally do not cause any complication and pass spontaneously [2]. Trichobezoar is made of hair which become hard, like a mass and usually found in stomach.
Appendix
Acute Appendicitis
Trichobezoar
2019
09
01
1
3
https://colorectalresearch.sums.ac.ir/article_45863_0b75636e9d30c083ea04711179775cea.pdf