Pub Date : 2022-09-13DOI: 10.4274/tjcd.galenos.2021.2021-6-2
E. Kamer, V. Çakır, Ömür Ballı, F. Cengiz, S. Karaisli, N. Ekinci
Angiodysplasia (AD), also called colonic arteriovenous malformation or colonic angioma, is the most common vascular anomaly of the gastrointestinal tract. It is the second most common cause of lower gastrointestinal (GI) bleeding after diverticulosis in the elderly population (usually over 60 years). In this study, we present a young patient with colonic AD, which caused massive lower GI bleeding. A 46-year-old male patient was referred to our hospital, which was a full-fledged hospital, due to lower GI bleeding. There was no abnormality on physical examination or blood tests, with the exception of hemoglobin, which was only 8 mg/dL. The patient underwent selective visceral angiography due to sub-optimal colonoscopic examination because of bleeding within the lumen. In super-selective ileo-colic arteriogram, bleeding was detected in the ileocecal artery tract and an “arterial embolization + microcoil” procedure was performed. However, the patient underwent emergency operation due to continuing hemorrhage and deterioration of his general medical condition. “Laparoscopic right hemicolectomy + end-to-side ileotransversostomy” was performed in the operation. Histopathological examination of the excised specimen revealed colonic AD. Selective angiography is a very important diagnostic method to identify the location of the lesion, especially in massive GI bleeding in young patients, and it should not be forgotten that AD maybe the etiology. Superselective angiography and embolization are feasible methods for treatment, but it should be kept in mind that surgery may also be necessary in cases of repeated or unstoppable bleeding.
{"title":"A Rare Cause of Massive Lower Gastrointestinal Hemorrhage in a Young Patient: Colonic Angiodysplasia","authors":"E. Kamer, V. Çakır, Ömür Ballı, F. Cengiz, S. Karaisli, N. Ekinci","doi":"10.4274/tjcd.galenos.2021.2021-6-2","DOIUrl":"https://doi.org/10.4274/tjcd.galenos.2021.2021-6-2","url":null,"abstract":"Angiodysplasia (AD), also called colonic arteriovenous malformation or colonic angioma, is the most common vascular anomaly of the gastrointestinal tract. It is the second most common cause of lower gastrointestinal (GI) bleeding after diverticulosis in the elderly population (usually over 60 years). In this study, we present a young patient with colonic AD, which caused massive lower GI bleeding. A 46-year-old male patient was referred to our hospital, which was a full-fledged hospital, due to lower GI bleeding. There was no abnormality on physical examination or blood tests, with the exception of hemoglobin, which was only 8 mg/dL. The patient underwent selective visceral angiography due to sub-optimal colonoscopic examination because of bleeding within the lumen. In super-selective ileo-colic arteriogram, bleeding was detected in the ileocecal artery tract and an “arterial embolization + microcoil” procedure was performed. However, the patient underwent emergency operation due to continuing hemorrhage and deterioration of his general medical condition. “Laparoscopic right hemicolectomy + end-to-side ileotransversostomy” was performed in the operation. Histopathological examination of the excised specimen revealed colonic AD. Selective angiography is a very important diagnostic method to identify the location of the lesion, especially in massive GI bleeding in young patients, and it should not be forgotten that AD maybe the etiology. Superselective angiography and embolization are feasible methods for treatment, but it should be kept in mind that surgery may also be necessary in cases of repeated or unstoppable bleeding.","PeriodicalId":23376,"journal":{"name":"Turkish Journal of Colorectal Disease","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-09-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75103767","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-09-13DOI: 10.4274/tjcd.galenos.2021.2021-10-6
A. Lightner, A. O. Pineiro
{"title":"Mesenchymal Stem Cells for Perianal Crohn’s Disease","authors":"A. Lightner, A. O. Pineiro","doi":"10.4274/tjcd.galenos.2021.2021-10-6","DOIUrl":"https://doi.org/10.4274/tjcd.galenos.2021.2021-10-6","url":null,"abstract":"","PeriodicalId":23376,"journal":{"name":"Turkish Journal of Colorectal Disease","volume":"10 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-09-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84180615","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-09-13DOI: 10.4274/tjcd.galenos.2022.2021-11-5
A. Elbeltagi, M. Salama, P. Boxall, J. Roos, Mi-Hye Lim
Aim: Access to colonoscopy was limited during the Coronavirus disease-2019 (COVID-19) pandemic peak. It was, therefore, of great importance that a tool such as faecal immunochemical test (FIT) be used to identify patients with a greater likelihood of colorectal cancer (CRC). Method: A prospective cohort of patients referred through the fast-track pathway was sent a FIT test. A cut-off of 7 µgHb/g was used as the threshold for a positive result. A receiver operating curve (ROC) was subsequently constructed to identify the ideal threshold for detecting cancer. Results: In total, there were 1,068 patients referred to the fast-track clinic. A greater proportion of patients who were FIT positive had CRC (17.4% vs. 0.4%, p=0.001) when compared with FIT negative patients. ROC curve analysis revealed an optimum sensitivity/specificity for detecting CRC using a FIT threshold of 19 µgHb/g. Conclusion: The yield for CRC is minimal in a FIT negative patient - such patients may be safely discharged, as long as a clinical safety net is in place. Using sensitivity and specificity analysis, patients with a FIT above 19 µgHb/g should be investigated urgently to exclude cancer.
{"title":"The Yield of Faecal Immunochemical Test in the Detection of Colorectal Cancer within a Fast-track Pathway at York, United Kingdom","authors":"A. Elbeltagi, M. Salama, P. Boxall, J. Roos, Mi-Hye Lim","doi":"10.4274/tjcd.galenos.2022.2021-11-5","DOIUrl":"https://doi.org/10.4274/tjcd.galenos.2022.2021-11-5","url":null,"abstract":"Aim: Access to colonoscopy was limited during the Coronavirus disease-2019 (COVID-19) pandemic peak. It was, therefore, of great importance that a tool such as faecal immunochemical test (FIT) be used to identify patients with a greater likelihood of colorectal cancer (CRC). Method: A prospective cohort of patients referred through the fast-track pathway was sent a FIT test. A cut-off of 7 µgHb/g was used as the threshold for a positive result. A receiver operating curve (ROC) was subsequently constructed to identify the ideal threshold for detecting cancer. Results: In total, there were 1,068 patients referred to the fast-track clinic. A greater proportion of patients who were FIT positive had CRC (17.4% vs. 0.4%, p=0.001) when compared with FIT negative patients. ROC curve analysis revealed an optimum sensitivity/specificity for detecting CRC using a FIT threshold of 19 µgHb/g. Conclusion: The yield for CRC is minimal in a FIT negative patient - such patients may be safely discharged, as long as a clinical safety net is in place. Using sensitivity and specificity analysis, patients with a FIT above 19 µgHb/g should be investigated urgently to exclude cancer.","PeriodicalId":23376,"journal":{"name":"Turkish Journal of Colorectal Disease","volume":"13 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-09-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90972832","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-09-13DOI: 10.4274/tjcd.galenos.2021.2021-10-1
Mervan Savda, S. Basceken
{"title":"A Rare Cause of Acute Abdomen: Meckel’s Diverticulitis Due to Meckel’s Enteroliths","authors":"Mervan Savda, S. Basceken","doi":"10.4274/tjcd.galenos.2021.2021-10-1","DOIUrl":"https://doi.org/10.4274/tjcd.galenos.2021.2021-10-1","url":null,"abstract":"","PeriodicalId":23376,"journal":{"name":"Turkish Journal of Colorectal Disease","volume":"2 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-09-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74317108","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-06-24DOI: 10.4274/tjcd.galenos.2022.2021-4-4
Ö. Işık, Murat Şen, Burak Bakar, T. Yılmazlar
{"title":"Wide Local Excision for Perianal Paget’s Disease","authors":"Ö. Işık, Murat Şen, Burak Bakar, T. Yılmazlar","doi":"10.4274/tjcd.galenos.2022.2021-4-4","DOIUrl":"https://doi.org/10.4274/tjcd.galenos.2022.2021-4-4","url":null,"abstract":"","PeriodicalId":23376,"journal":{"name":"Turkish Journal of Colorectal Disease","volume":"44 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-06-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82046015","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-06-24DOI: 10.4274/tjcd.galenos.2021.2021-9-8
Alpaslan Şahin, G. Şimşek
{"title":"The One Hundred Most Cited Articles from Turkey about Pilonidal Disease: A Bibliometric Study","authors":"Alpaslan Şahin, G. Şimşek","doi":"10.4274/tjcd.galenos.2021.2021-9-8","DOIUrl":"https://doi.org/10.4274/tjcd.galenos.2021.2021-9-8","url":null,"abstract":"","PeriodicalId":23376,"journal":{"name":"Turkish Journal of Colorectal Disease","volume":"91 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-06-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86460169","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-06-24DOI: 10.4274/tjcd.galenos.2021.2021-12-8
S. Sökmen, B. Manoğlu, T. Bişgin
{"title":"Pelvic Exenteration in Rectal Cancer","authors":"S. Sökmen, B. Manoğlu, T. Bişgin","doi":"10.4274/tjcd.galenos.2021.2021-12-8","DOIUrl":"https://doi.org/10.4274/tjcd.galenos.2021.2021-12-8","url":null,"abstract":"","PeriodicalId":23376,"journal":{"name":"Turkish Journal of Colorectal Disease","volume":"25 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-06-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79999759","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-06-24DOI: 10.4274/tjcd.galenos.2021.2021-5-9
Didem Can Trabulus, N. Duraker, Zeynep Civelek Çaynak
{"title":"The Prognostic Value of Preoperative Serum Levels of CEA and CA 19-9 in Patients with Colorectal Cancer","authors":"Didem Can Trabulus, N. Duraker, Zeynep Civelek Çaynak","doi":"10.4274/tjcd.galenos.2021.2021-5-9","DOIUrl":"https://doi.org/10.4274/tjcd.galenos.2021.2021-5-9","url":null,"abstract":"","PeriodicalId":23376,"journal":{"name":"Turkish Journal of Colorectal Disease","volume":"4 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-06-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75593898","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-06-24DOI: 10.4274/tjcd.galenos.2021.2021-8-8
Evin Korkmaz, Fatma Eti Aslan
{"title":"Investigating Post-Discharge Experiences in Ileostomy: Systematic Review and Meta-analysis","authors":"Evin Korkmaz, Fatma Eti Aslan","doi":"10.4274/tjcd.galenos.2021.2021-8-8","DOIUrl":"https://doi.org/10.4274/tjcd.galenos.2021.2021-8-8","url":null,"abstract":"","PeriodicalId":23376,"journal":{"name":"Turkish Journal of Colorectal Disease","volume":"17 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-06-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81171071","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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