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World Journal of Colorectal Surgery
ISSN 1941-8213 · Wolters Kluwer Medknow Publications · 151 artikel di indeks
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Artikel Jurnal
Metastatic Prostate Cancer Presenting as a Malignant, Obstructing Rectal Mass
Prostate cancer is a prevalent clinical entity that uncommonly metastasizes to the rectum. We present the case of an 87-year-old man with previously diagnosed prostate cancer and Crohn’s disease, who presented to our Emergency Department with constipation and was found on Computed tomography (CT)…
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Combined Transabdominal and Transvaginal Repair of a Recurrent Rectovaginal Fistula Using Laparoscopic Omental Flap Interposition: A Case Report
Rectovaginal fistula (RVF) significantly reduces quality of life and almost always requires surgical excision, frequently followed by tissue reconstruction. Insufficient tissue volume and low blood supply may hinder direct repair and coverage of the fistula site, often necessitating tissue…
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Obstructive Defecation with Vaginal Vault Complicated By Bowel Evisceration
Transvaginal small bowel evisceration is an exceedingly rare but potentially life-threatening surgical emergency. Prompt recognition and surgical intervention are crucial to prevent bowel ischemia, necrosis, and sepsis. We present the case of a 47-year-old female with acute small bowel evisceration…
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Consequences of Preoperative Evaluation in Hartmann’s Reversal: Futile or Valuable?
Background: A Hartmann’s reversal (HR) is commonly preceded by both endoscopic and contrast radiographic imaging to assess the rectal remnant. However, evidence regarding the clinical utility and impact of this preoperative evaluation on surgical management and outcomes is not well established…
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Artikel Jurnal
Early Outcomes of Total Neoadjuvant Therapy Using the RAPIDO Protocol in Locally Advanced Rectal Cancer: Experience from a Malaysian Colorectal Centre
Background: Locally advanced rectal cancer (LARC) is commonly treated with long-course chemoradiotherapy followed by total mesorectal excision and adjuvant chemotherapy; however, systemic recurrence remains a major challenge. The RAPIDO trial introduced total neoadjuvant therapy using short-course…
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Time Trends in Emergency Sigmoidectomy for perforated Diverticulitis: A Single-Center Evaluation
Background: Optimal surgical treatment for complicated sigmoid diverticulitis remains a subject of considerable debate, especially in the era of laparoscopy. Objectives: This study evaluated changes over time in emergency sigmoidectomy for perforated diverticulitis, including the period following…
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A View from the Shoulders of Giants: Using History to Optimize the Modern Minimally Invasive Proctectomy
Minimally invasive surgery (MIS), including laparoscopic and robotic techniques, has helped improve visualization and ergonomic positioning for proctectomy surgeons within the narrow pelvic space. With increasing pressure to perform MIS, historical landmarks are essential for performing proctectomy…
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Artikel Jurnal
Rare Low-Grade Undifferentiated Sarcoma of the Colon: A Case Report
Primary colorectal sarcomas are exceedingly rare and account for approximately 0.1% of all colorectal cancers. Among these, undifferentiated colonic sarcomas are even less common, and presentation with vague, nonspecific symptoms can make the diagnosis challenging. In this report, we present a…
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Acute Ulcerative Colitis Flare Following Diversion in Patients with Inflammatory Bowel Disease
Surgery remains a part of the treatment for inflammatory bowel disease despite recent advances in medical management. Although most acute flares are managed medically, some are severe enough that surgical treatment is needed to control them. Historically, diverting loop ileostomy creation was…
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Artikel Jurnal
Percutaneous Endoscopic Colostomy for Morbid Obesity with Chronic Intestinal Pseudo-Obstruction: Technical Challenges and Long-Term Outcomes
Chronic intestinal pseudo-obstruction (CIPO) is a rare motility disorder, with recurrent sigmoid volvulus as a possible life-threatening complication. Surgical resection is curative; however, this is rarely possible in high-risk patients. A 68-year-old man, with a body mass index (BMI) of 52 kg/m²…
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Artikel Jurnal
Early Fever is Associated with Failure of Noninvasive Management and Peak Inflammatory Response in Acute Left-Sided Diverticulitis: A Retrospective Cohort Study
Background: Outpatient nonantibiotic treatment for mild acute left-sided diverticulitis (ALD) is supported by several randomised trials. Identifying factors that predict failure of medical management may facilitate implementation. Objectives: To evaluate the relationship between early fever and…
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Artikel Jurnal
Rectal Leiomyoma on Routine Colonoscopy: Narrative Review and an Australian Case Report
Rectal leiomyomas are extremely rare benign smooth muscle tumors, accounting for under 1% of all rectal neoplasms. We report a case of an asymptomatic 64-year-old male who was found to have a small rectal polyp that histologically proved to be a leiomyoma during a routine colonoscopy. The polyp was…
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Artikel Jurnal
Predictive Risk Factors for Urinary Retention After Hemorrhoid Surgery
Background: Although urinary retention (UR) is one of the most frequent complications after proctological surgery, most studies identifying risk factors were conducted before the development of current good practice guidelines. Objective: This study aimed to update the list of risk factors for UR…
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Artikel Jurnal
Low Anterior Resection for Rectal Cancer: A 5-Year Study at a National Referral Center
Background: Colorectal cancer is one of the most commonly diagnosed cancers in Indonesia. Low anterior resection (LAR) is the preferred surgical modality for rectal cancer because of its sphincter-preserving advantage. Objectives: To describe the clinical characteristics, anastomotic leakage rate…
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Artikel Jurnal
Navigating Uncommon Presentations of Appendicitis: A Case Series on Abdominal Wall Cellulitis, Gluteal Involvement, and Perinephric Abscesses
Acute appendicitis can rarely perforate extraperitoneally, tracking into the abdominal wall, gluteal region, or perinephric space, leading to delayed diagnosis. We report three such cases managed at our tertiary centre between January 2022 and December 2024, detailing clinical features, imaging…
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Artikel Jurnal
Early Colonoscopy and Endoscopic Hemostasis for Suspected Diverticular Bleeding Potentially Avoids Emergency Surgery and Reduces Surgical Morbidity
In cases of presumed diverticular bleeding, early colonoscopy is recommended, as it is both diagnostic and therapeutic. Although precise identification of the acutely bleeding diverticula is uncommon, when identified, successful endoscopic hemostasis can potentially avoid the need for emergency…
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Potential Impact of Extended Postoperative Antibiotics on the Incidence of Surgical Site Infections after Diverticulitis Surgery: A Pilot Study
Background: Patients who undergo surgery for diverticulitis have high rates of postoperative surgical site infections (SSI). The Prediction and Enaction of Prevention Treatment Trigger (PREVENTT) Scale (Ann Surg) is used to identify patients at a high risk for SSI. Objectives: We hypothesized that…
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Artikel Jurnal
Clinical Presentation and Surgical Outcomes of Intestinal Malrotation with Congenital Peritoneal Encapsulation (Cocoon Deformity)
Background: Congenital peritoneal encapsulation (cocoon deformity) is a rare variant of intestinal malrotation. Objectives: To characterize the clinical presentation and outcomes in patients undergoing surgery for intestinal malrotation with cocoon deformity. Design: Retrospective review. Settings…