Abstract:
PURPOSE:Subtotal colectomy (STC) is performed for severe acute and refractory colitis. The diagnosis can be difficult even after the surgery when colectomy specimen has overlapping features of ulcerative colitis (UC) and Crohn's disease (CD). The aim of this study was to evaluate the rate of postoperative diagnostic revision to CD after surgery and determine predictor factors. METHODS:Retrospective study of 110 patients who underwent STC (2005-2018). RESULTS:Preoperative diagnosis comprised UC = 80 (73%), CD = 11 (10%), and unclassified colitis (IBDU = 19, 17%). Initial diagnosis of IBDU and UC was modified to CD in 6 patients (6%) after STC. The final diagnosis after the follow-up of 10 ± 6 years switched from CD for 8 patients (9%). The multivariate analysis showed that patients with a colitis evolving for less than 10 years and initial diagnosis of IBDU were the two independent factors associated with an increased risk of diagnosis change to CD (p = 0.03; p = 0.016). At the end of the follow-up, 15 patients (14%) had a definitive stoma. CONCLUSIONS:In patients with IBD, attention must be paid to determine the right restorative strategy to patients with an evolution of the disease less than 10 years or with IBDU who are more at risk to have a diagnosis change to CD after STC.
journal_name
Int J Colorectal Disjournal_title
International journal of colorectal diseaseauthors
Hermand H,Lefèvre JH,Shields C,Chafai N,Debove C,Beaugerie L,Svrcek M,Parc Y,Saint-Antoine IBD Network.doi
10.1007/s00384-020-03783-9subject
Has Abstractpub_date
2020-10-21 00:00:00eissn
0179-1958issn
1432-1262pii
10.1007/s00384-020-03783-9pub_type
杂志文章abstract:PURPOSE:Some recent studies have suggested that fluorescence angiography with indocyanine green (ICG) might be useful for preventing anastomotic leakage (AL) after laparoscopic colorectal surgery. However, its efficacy has not been proven. We evaluated whether intraoperative ICG fluorescence angiography could decrease ...
journal_title:International journal of colorectal disease
pub_type: 杂志文章
doi:10.1007/s00384-019-03482-0
更新日期:2020-02-01 00:00:00
abstract:BACKGROUND:Diverticular disease is a common, chronic inflammatory disease of the bowel. This study investigates the differences in body composition between patients with diverticular disease and those without. METHODS:Appropriate patients were identified using a search of the radiology database. Demographic and diseas...
journal_title:International journal of colorectal disease
pub_type: 杂志文章
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更新日期:2018-09-01 00:00:00
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journal_title:International journal of colorectal disease
pub_type: 杂志文章
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journal_title:International journal of colorectal disease
pub_type: 杂志文章
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pub_type: 杂志文章
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更新日期:2020-10-01 00:00:00
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journal_title:International journal of colorectal disease
pub_type: 临床试验,杂志文章
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abstract:PURPOSE:For rectal neuroendocrine tumors (NETs) ≤ 10 mm, endoscopic resection is a standard treatment. However, there is no consensus whether additional surgery should be performed for patients at risk of lymph node metastasis (LNM) after endoscopic resection. The purpose of this study was to analyze the results of end...
journal_title:International journal of colorectal disease
pub_type: 杂志文章
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更新日期:2013-06-01 00:00:00
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pub_type: 杂志文章
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更新日期:2012-03-01 00:00:00
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journal_title:International journal of colorectal disease
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journal_title:International journal of colorectal disease
pub_type: 杂志文章
doi:10.1007/s00384-018-2969-y
更新日期:2018-03-01 00:00:00
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pub_type: 杂志文章
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journal_title:International journal of colorectal disease
pub_type: 杂志文章
doi:10.1007/s00384-015-2498-x
更新日期:2016-03-01 00:00:00
abstract::Continence following the gracilis stimulated neosphincter reconstruction after total rectal excision is inferior to that obtained in the presence of an intact anal canal. We describe a modification of the alpha loop in which the tendon is brought through the belly of the gracilis muscle. The results in three patients ...
journal_title:International journal of colorectal disease
pub_type: 杂志文章
doi:10.1007/BF00292246
更新日期:1994-01-01 00:00:00
abstract:OBJECTIVE:Our study is the first meta-analysis to compare total mesorectal excision (TME) plus lateral lymph node dissection (LLND) with TME on rectal cancer patients regarding outcomes including overall survival, disease-free survival, local recurrence, complications, urinary dysfunction, and sexual dysfunction. METH...
journal_title:International journal of colorectal disease
pub_type: 杂志文章,评审
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更新日期:2020-06-01 00:00:00
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journal_title:International journal of colorectal disease
pub_type: 临床试验,杂志文章
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journal_title:International journal of colorectal disease
pub_type: 临床试验,杂志文章
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pub_type: 杂志文章
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journal_title:International journal of colorectal disease
pub_type: 杂志文章
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更新日期:2019-12-01 00:00:00
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journal_title:International journal of colorectal disease
pub_type: 杂志文章,meta分析
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更新日期:2017-10-01 00:00:00
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pub_type: 杂志文章
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更新日期:2006-07-01 00:00:00
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journal_title:International journal of colorectal disease
pub_type: 杂志文章,随机对照试验
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journal_title:International journal of colorectal disease
pub_type: 杂志文章
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更新日期:2018-07-01 00:00:00
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pub_type: 杂志文章
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