Pub Date : 2024-06-01DOI: 10.1016/j.jviscsurg.2024.03.005
Nadia Fathallah, Amine Alam, Anne L. Rentien, Giorgio La Greca, Joshua Co, Elise Pommaret, Amélie Barré, Stéphane Kegne, Hélène Beaussier, Lucas Spindler, Vincent de Parades
Introduction
There are very few French studies on hemorrhoidal disease and its management.
Patients and methods
Prospective single-center study from July to December 2021 including 472 patients.
Results
Bleeding, prolapse and pain were the main reasons for consultation. Treatment modalities were medical (44%), ± instrumental (72%), and surgical (17%). After treatment, the bleeding score and prolapse score decreased significantly (P = 0.002 and P ≤ 0.0001, respectively), but improvement was more marked in the surgery group with a better rate of “very good satisfaction” (73% vs. 54%, P = 0.003). Factors associated with likelihood of surgical treatment were: age > 44 years, hypertrophic perianal skin tags, high scores (Bristol > 5, bleeding > 5, prolapse > 2), severe impact on quality of life, smoking and reading during bowel movements. We have developed an online application, which aims to assess the risk of requiring hemorrhoidal surgery.
Conclusion
Less than 20% of patients who present with hemorrhoidal disease require surgical treatment, but it is associated with better effectiveness despite more complex postoperative consequences that sometimes motivate patient refusal. We have highlighted factors associated with surgical management, which can guide the practitioner in their therapeutic choices.
{"title":"Hemorrhoidal disease: Epidemiological study and analysis of predictive factors for surgical management","authors":"Nadia Fathallah, Amine Alam, Anne L. Rentien, Giorgio La Greca, Joshua Co, Elise Pommaret, Amélie Barré, Stéphane Kegne, Hélène Beaussier, Lucas Spindler, Vincent de Parades","doi":"10.1016/j.jviscsurg.2024.03.005","DOIUrl":"10.1016/j.jviscsurg.2024.03.005","url":null,"abstract":"<div><h3>Introduction</h3><p>There are very few French studies on hemorrhoidal disease and its management.</p></div><div><h3>Patients and methods</h3><p>Prospective single-center study from July to December 2021 including 472 patients.</p></div><div><h3>Results</h3><p>Bleeding, prolapse and pain were the main reasons for consultation. Treatment modalities were medical (44%),<!--> <!-->±<!--> <!-->instrumental (72%), and surgical (17%). After treatment, the bleeding score and prolapse score decreased significantly (<em>P</em> <!-->=<!--> <!-->0.002 and <em>P</em> <!-->≤<!--> <!-->0.0001, respectively), but improvement was more marked in the surgery group with a better rate of “very good satisfaction” (73% vs. 54%, <em>P</em> <!-->=<!--> <!-->0.003). Factors associated with likelihood of surgical treatment were: age<!--> <!-->><!--> <!-->44<!--> <!-->years, hypertrophic perianal skin tags, high scores (Bristol<!--> <!-->><!--> <!-->5, bleeding<!--> <!-->><!--> <!-->5, prolapse<!--> <!-->><!--> <!-->2), severe impact on quality of life, smoking and reading during bowel movements. We have developed an online application, which aims to assess the risk of requiring hemorrhoidal surgery.</p></div><div><h3>Conclusion</h3><p>Less than 20% of patients who present with hemorrhoidal disease require surgical treatment, but it is associated with better effectiveness despite more complex postoperative consequences that sometimes motivate patient refusal. We have highlighted factors associated with surgical management, which can guide the practitioner in their therapeutic choices.</p></div>","PeriodicalId":49271,"journal":{"name":"Journal of Visceral Surgery","volume":null,"pages":null},"PeriodicalIF":2.1,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1878788624000304/pdfft?md5=cf214765814f96ac41f8e80435239c54&pid=1-s2.0-S1878788624000304-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140579907","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The challenge of sodium-glucose cotransporter type 2 (SGLT2) inhibitors in the treatment of type 2 diabetes: Does their efficacy outweigh infectious risks?","authors":"Anne-Cécile Ezanno , Pierre-Louis Conan , Cyril Garcia","doi":"10.1016/j.jviscsurg.2024.01.001","DOIUrl":"10.1016/j.jviscsurg.2024.01.001","url":null,"abstract":"","PeriodicalId":49271,"journal":{"name":"Journal of Visceral Surgery","volume":null,"pages":null},"PeriodicalIF":2.1,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139698696","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-06-01DOI: 10.1016/j.jviscsurg.2024.02.006
Ghita Taki , Victoire Roblot , Karine Pautrat
Common mesentery is an abnormal rotation of the primary umbilical loop characterized by inverted positioning of the mesenteric vessels; the mesenteric vein is displaced to the left of the artery. The inversion can be complete or incomplete. If it is incomplete, the mesenteric root is very short, with an empty right iliac fossa and the caecum in high median or subhepatic position. If it is complete, the entire small intestine is on the right, the entire large intestine is on the left; there is no third duodenum, and the second duodenum is anastomosed in the jejunum to the right of the superior mesenteric vessels. Cecal volvulus is a rarely encountered cause of acute intestinal occlusion and should be considered as a surgical emergency. There exist two main types of volvulus: by twisting of the large intestine around its axis, which remains in place; or by tilt and to rotation of the colon, which changes position.
{"title":"Cecal volvulus in complete common mesentery","authors":"Ghita Taki , Victoire Roblot , Karine Pautrat","doi":"10.1016/j.jviscsurg.2024.02.006","DOIUrl":"10.1016/j.jviscsurg.2024.02.006","url":null,"abstract":"<div><p>Common mesentery is an abnormal rotation of the primary umbilical loop characterized by inverted positioning of the mesenteric vessels; the mesenteric vein is displaced to the left of the artery. The inversion can be complete or incomplete. If it is incomplete, the mesenteric root is very short, with an empty right iliac fossa and the caecum in high median or subhepatic position. If it is complete, the entire small intestine is on the right, the entire large intestine is on the left; there is no third duodenum, and the second duodenum is anastomosed in the jejunum to the right of the superior mesenteric vessels. Cecal volvulus is a rarely encountered cause of acute intestinal occlusion and should be considered as a surgical emergency. There exist two main types of volvulus: by twisting of the large intestine around its axis, which remains in place; or by tilt and to rotation of the colon, which changes position.</p></div>","PeriodicalId":49271,"journal":{"name":"Journal of Visceral Surgery","volume":null,"pages":null},"PeriodicalIF":2.1,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140060894","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-06-01DOI: 10.1016/j.jviscsurg.2024.04.003
Doris Da Silva , Jean-Christophe Vaillant , Sebastien Gaujoux
{"title":"Mesenteric and portal venous resections during pancreatoduodenectomy","authors":"Doris Da Silva , Jean-Christophe Vaillant , Sebastien Gaujoux","doi":"10.1016/j.jviscsurg.2024.04.003","DOIUrl":"10.1016/j.jviscsurg.2024.04.003","url":null,"abstract":"","PeriodicalId":49271,"journal":{"name":"Journal of Visceral Surgery","volume":null,"pages":null},"PeriodicalIF":2.1,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1878788624000547/pdfft?md5=4a1c3366b283a38f54403718d9eb944b&pid=1-s2.0-S1878788624000547-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140759007","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-06-01DOI: 10.1016/j.jviscsurg.2024.02.004
Edouard Roussel, Lola Duhamel, Jean-Jacques Tuech
A pathology well known by pediatric surgeons, ileal duplication is in rare instances a cause of acute surgical abdomen in adults; that said, its atypical presentation often leads it to be mistaken for other etiologies. Even though it is benign in children, the risk of malignant transformation in adults should be taken into account in surgical procedures.
{"title":"Symptomatic ileal duplication","authors":"Edouard Roussel, Lola Duhamel, Jean-Jacques Tuech","doi":"10.1016/j.jviscsurg.2024.02.004","DOIUrl":"10.1016/j.jviscsurg.2024.02.004","url":null,"abstract":"<div><p>A pathology well known by pediatric surgeons, ileal duplication is in rare instances a cause of acute surgical abdomen in adults; that said, its atypical presentation often leads it to be mistaken for other etiologies. Even though it is benign in children, the risk of malignant transformation in adults should be taken into account in surgical procedures.</p></div>","PeriodicalId":49271,"journal":{"name":"Journal of Visceral Surgery","volume":null,"pages":null},"PeriodicalIF":2.1,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139991635","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-06-01DOI: 10.1016/j.jviscsurg.2024.03.003
Manon Viennet, Paul Rat, Olivier Facy
{"title":"Robotic total esogastrectomy with thoracic esophago-jejunostomy (with video)","authors":"Manon Viennet, Paul Rat, Olivier Facy","doi":"10.1016/j.jviscsurg.2024.03.003","DOIUrl":"10.1016/j.jviscsurg.2024.03.003","url":null,"abstract":"","PeriodicalId":49271,"journal":{"name":"Journal of Visceral Surgery","volume":null,"pages":null},"PeriodicalIF":2.1,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140327301","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-06-01DOI: 10.1016/j.jviscsurg.2024.04.002
Fatma Ezzahra Najib, Moez Sahnoun, Adnen Chouchen
Gall bladder diaphragm is a rare congenital malformation of the gall bladder, entailing its segmentation in several chambers. Functioning as a non-return valve, it interferes with drainage, leading to gallstone formation and cholecystitis. We are reporting a rare case of acute cholecystitis with a double vesicular diaphragm.
{"title":"Acute cholecystitis with double gall bladder diaphragm","authors":"Fatma Ezzahra Najib, Moez Sahnoun, Adnen Chouchen","doi":"10.1016/j.jviscsurg.2024.04.002","DOIUrl":"10.1016/j.jviscsurg.2024.04.002","url":null,"abstract":"<div><p>Gall bladder diaphragm is a rare congenital malformation of the gall bladder, entailing its segmentation in several chambers. Functioning as a non-return valve, it interferes with drainage, leading to gallstone formation and cholecystitis. We are reporting a rare case of acute cholecystitis with a double vesicular diaphragm.</p></div>","PeriodicalId":49271,"journal":{"name":"Journal of Visceral Surgery","volume":null,"pages":null},"PeriodicalIF":2.1,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140770217","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-05-27DOI: 10.1016/j.jviscsurg.2024.05.002
Daniel Aparicio López, Javier Cuadal Marzo, Isabel Gascón Ferrer, Carlos Gracia Roche
Colorectal cancer is the most frequently diagnosed neoplasm in the population worldwide, regardless of sex. Its presentation is variable, from asymptomatic cases that are diagnosed in the population screening programme, to perforation or intestinal obstruction that appear urgently. The location of the neoplasia inside an inguinal hernia, although it is described in the literature, is uncommon and may increase the risk of incarceration or strangulation with the need for urgent surgery. We report a patient who presents adenocarcinoma of the sigmoid colon lodged in a giant inguino-scrotal hernia.
{"title":"Sigmoid adenocarcinoma hosted in a giant inguinoscrotal hernia.","authors":"Daniel Aparicio López, Javier Cuadal Marzo, Isabel Gascón Ferrer, Carlos Gracia Roche","doi":"10.1016/j.jviscsurg.2024.05.002","DOIUrl":"https://doi.org/10.1016/j.jviscsurg.2024.05.002","url":null,"abstract":"<p><p>Colorectal cancer is the most frequently diagnosed neoplasm in the population worldwide, regardless of sex. Its presentation is variable, from asymptomatic cases that are diagnosed in the population screening programme, to perforation or intestinal obstruction that appear urgently. The location of the neoplasia inside an inguinal hernia, although it is described in the literature, is uncommon and may increase the risk of incarceration or strangulation with the need for urgent surgery. We report a patient who presents adenocarcinoma of the sigmoid colon lodged in a giant inguino-scrotal hernia.</p>","PeriodicalId":49271,"journal":{"name":"Journal of Visceral Surgery","volume":null,"pages":null},"PeriodicalIF":2.1,"publicationDate":"2024-05-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141161918","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-05-01DOI: 10.1016/j.jviscsurg.2024.05.003
Dimitrios Kehagias, Charalampos Lampropoulos, Ioannis Kehagias
{"title":"Gastroduodenal intussusception. An insidious complication following gastric plication","authors":"Dimitrios Kehagias, Charalampos Lampropoulos, Ioannis Kehagias","doi":"10.1016/j.jviscsurg.2024.05.003","DOIUrl":"https://doi.org/10.1016/j.jviscsurg.2024.05.003","url":null,"abstract":"","PeriodicalId":49271,"journal":{"name":"Journal of Visceral Surgery","volume":null,"pages":null},"PeriodicalIF":2.1,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141136303","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
扫码关注我们
求助内容：
应助结果提醒方式：
京公网安备 11010802042870号