L. Ghahramani, M. H. Asl, M. H. Asl, R. Ravan, S. Pourahmad, A. Izadpanah, S. Hosseini, Zahra Zabangirfard, Fatemeh Enjavi Amiri
Background: Post-operative adhesions are the most common cause of small bowel obstruction. The management of small bowel obstruction is surgical and non-surgical. Some studies are conducted to show the efficacy of non-surgical management of adhesive small bowel obstruction such as sesame oil, water soluble contrasts such as gastrographin. Objectives: The current study aimed to evaluate the effect of oral olive oil on the management of adhesive small bowel obstruction. Methods: All the patients admitted with adhesive bowel obstruction in the hospital affiliated to Shiraz University of Medical Sciences, Shiraz, Iran, from October 2012 to September 2013 that had inclusion criteria were evaluated by general surgeon. The patients were separated into two groups and standard management was done. Then 12 hours after admission, 150 mL olive oil was given by nasogastric (NG) tube to the first group. Results: The spontaneous resolution time of small bowel obstruction was significantly longer in the control group than the treatment group (59 hours vs. 35 hours). The hospital stay was shorter in the treatment group than the control (three days vs. six days). Conclusions: The study results demonstrated that olive is an effective and safe adjunct to the conservative management of small bowel obstruction and markedly reduces the time of resolution of symptoms and length of hospital stay.
背景:术后粘连是小肠梗阻最常见的原因。小肠梗阻的治疗分为手术治疗和非手术治疗。一些研究显示非手术治疗粘连性小肠梗阻的疗效，如芝麻油，水溶性对比剂如胃素。目的:本研究旨在评价口服橄榄油对粘连性小肠梗阻的治疗效果。方法:选取2012年10月至2013年9月在伊朗设拉子医学院附属设拉子医院收治的所有符合纳入标准的粘连性肠梗阻患者，由普通外科医生进行评估。将患者分为两组，进行规范化管理。入院后12 h，第一组患者经鼻胃管滴注橄榄油150 mL。结果:对照组小肠梗阻自发消退时间明显长于治疗组(59 h vs. 35 h)。治疗组的住院时间比对照组短(3天对6天)。结论:研究结果表明，橄榄是保守治疗小肠梗阻的一种有效和安全的辅助治疗方法，可显著缩短症状缓解时间和住院时间。
{"title":"Olive Oil and the Treatment of Adhesive Small Bowel Obstruction","authors":"L. Ghahramani, M. H. Asl, M. H. Asl, R. Ravan, S. Pourahmad, A. Izadpanah, S. Hosseini, Zahra Zabangirfard, Fatemeh Enjavi Amiri","doi":"10.17795/ACR.25393","DOIUrl":"https://doi.org/10.17795/ACR.25393","url":null,"abstract":"Background: Post-operative adhesions are the most common cause of small bowel obstruction. The management of small bowel obstruction is surgical and non-surgical. Some studies are conducted to show the efficacy of non-surgical management of adhesive small bowel obstruction such as sesame oil, water soluble contrasts such as gastrographin. Objectives: The current study aimed to evaluate the effect of oral olive oil on the management of adhesive small bowel obstruction. Methods: All the patients admitted with adhesive bowel obstruction in the hospital affiliated to Shiraz University of Medical Sciences, Shiraz, Iran, from October 2012 to September 2013 that had inclusion criteria were evaluated by general surgeon. The patients were separated into two groups and standard management was done. Then 12 hours after admission, 150 mL olive oil was given by nasogastric (NG) tube to the first group. Results: The spontaneous resolution time of small bowel obstruction was significantly longer in the control group than the treatment group (59 hours vs. 35 hours). The hospital stay was shorter in the treatment group than the control (three days vs. six days). Conclusions: The study results demonstrated that olive is an effective and safe adjunct to the conservative management of small bowel obstruction and markedly reduces the time of resolution of symptoms and length of hospital stay.","PeriodicalId":8370,"journal":{"name":"Annals of Colorectal Research","volume":"13 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2016-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83362727","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}
{"title":"Anal Sphincter Tears During Vaginal Delivery: A New Challenging Problem for the Health System in Iran","authors":"A. Bananzadeh, M. Karami","doi":"10.17795/ACR-39490","DOIUrl":"https://doi.org/10.17795/ACR-39490","url":null,"abstract":"","PeriodicalId":8370,"journal":{"name":"Annals of Colorectal Research","volume":"13 4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2016-09-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91473016","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}
Ankit Shukla, Ramesh Bharti, Amar Verma, R. Chaudhry, Rakesh B Anand
Giant condyloma acuminatum (GCA) commonly known as Buschke-Lowenstein tumor (BLT) is a rare sexually transmitted disease, which is always preceded by condyloma accuminata and linked to human papillomavirus (HPV). Most commonly affected sites are male and female genitalia, anal and perianal regions. Giant condyloma acuminatum is well-known as slow growing but locally destructive with a high rate of recurrence and increased frequency of malignant transformation. Surgical management is considered to be the best among all the options.
{"title":"Giant Condyloma Acuminatum: A Surgical Riddle","authors":"Ankit Shukla, Ramesh Bharti, Amar Verma, R. Chaudhry, Rakesh B Anand","doi":"10.17795/ACR-38307","DOIUrl":"https://doi.org/10.17795/ACR-38307","url":null,"abstract":"Giant condyloma acuminatum (GCA) commonly known as Buschke-Lowenstein tumor (BLT) is a rare sexually transmitted disease, which is always preceded by condyloma accuminata and linked to human papillomavirus (HPV). Most commonly affected sites are male and female genitalia, anal and perianal regions. Giant condyloma acuminatum is well-known as slow growing but locally destructive with a high rate of recurrence and increased frequency of malignant transformation. Surgical management is considered to be the best among all the options.","PeriodicalId":8370,"journal":{"name":"Annals of Colorectal Research","volume":"175 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2016-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79721499","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}
A. Brind’Amour, F. Letarte, A. Bouchard, S. Drolet
Background: Rectal resection for cancer can be technically challenging, especially in the obese patient. While some have investigated the impact of laparoscopic surgery on rectal cancer, no study looked at the subgroup of morbidly obese patients. Objectives: Our goal was to evaluate feasibility and safety of laparoscopic rectal resection for cancer in this population. Methods: All morbidly obese patients, defined as a body mass index (BMI) of 40 kg/m or greater, undergoing laparoscopic rectal cancer resection for primary cancer between January 2006 and July 2013, were identified using medical records in a single academic hospital center. Results: Thirteen patients underwent laparoscopic approach. The median BMI was 42.4 kg/m. There were 4 conversions (30%). Anastomotic leak occurred in 2 patients (15.4%). TME was complete in only 9 patients (69.2%), with 3 patients with incomplete TME being also in the conversion group. There was no mortality. There was no recurrence. Conclusions: This study suggests that laparoscopic rectal resection for cancer in morbidly obese patients is challenging and associated with a higher rate of conversion compared to patients with lower BMI. Mortality, morbidity and readmission rates are similar to the literature showing the same benefit for laparoscopic procedure.
{"title":"Security and Feasibility of Laparoscopic Rectal Cancer Resection in Morbidly Obese Patients","authors":"A. Brind’Amour, F. Letarte, A. Bouchard, S. Drolet","doi":"10.17795/ACR-37919","DOIUrl":"https://doi.org/10.17795/ACR-37919","url":null,"abstract":"Background: Rectal resection for cancer can be technically challenging, especially in the obese patient. While some have investigated the impact of laparoscopic surgery on rectal cancer, no study looked at the subgroup of morbidly obese patients. Objectives: Our goal was to evaluate feasibility and safety of laparoscopic rectal resection for cancer in this population. Methods: All morbidly obese patients, defined as a body mass index (BMI) of 40 kg/m or greater, undergoing laparoscopic rectal cancer resection for primary cancer between January 2006 and July 2013, were identified using medical records in a single academic hospital center. Results: Thirteen patients underwent laparoscopic approach. The median BMI was 42.4 kg/m. There were 4 conversions (30%). Anastomotic leak occurred in 2 patients (15.4%). TME was complete in only 9 patients (69.2%), with 3 patients with incomplete TME being also in the conversion group. There was no mortality. There was no recurrence. Conclusions: This study suggests that laparoscopic rectal resection for cancer in morbidly obese patients is challenging and associated with a higher rate of conversion compared to patients with lower BMI. Mortality, morbidity and readmission rates are similar to the literature showing the same benefit for laparoscopic procedure.","PeriodicalId":8370,"journal":{"name":"Annals of Colorectal Research","volume":"64 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2016-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78188484","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}
Background: Acute colonic diverticulitis is generally considered to be a clinical diagnosis, however the use of CT (computed tomography) imaging in diverticulitis is becoming more common to exclude complicated diverticulitis. Objectives: To assess the use of CT imaging in the acute presentation of suspected colonic diverticulitis and whether clinical management was altered depending on imaging findings. Methods: Retrospective audit of all patients admitted to Flinders Medical Centre with a clinical diagnosis of acute colonic diverticulitis in ED or following investigation with CT between July 2011 and February 2012. Results: A total of 79 patients were suspected of having diverticulitis. 57 (72.2%) patients were confirmed to have diverticulitis following imaging of which 46 (80.7%) patients had simple diverticulitis and 11 (19.3%) patients had complicated diverticulitis (perforation n = 7 [12.3%]; abscess n = 4 [7.0%]). Overall only 6.3% of patients required radiological or surgical management for their presentation. Conclusions: There is an overuse of CT in the investigation of acute diverticulitis with limited change in clinical management as only 6.3% of patients required surgical or radiological intervention. We suggest medical management with intravenous antibiotics and bowel rest with imaging indicated after 72 hours if no clinical improvement (or earlier if warranted by the clinical status).
{"title":"Use of CT Imaging in Acute Diverticulitis","authors":"A. Maré, N. Jones","doi":"10.17795/ACR-37979","DOIUrl":"https://doi.org/10.17795/ACR-37979","url":null,"abstract":"Background: Acute colonic diverticulitis is generally considered to be a clinical diagnosis, however the use of CT (computed tomography) imaging in diverticulitis is becoming more common to exclude complicated diverticulitis. Objectives: To assess the use of CT imaging in the acute presentation of suspected colonic diverticulitis and whether clinical management was altered depending on imaging findings. Methods: Retrospective audit of all patients admitted to Flinders Medical Centre with a clinical diagnosis of acute colonic diverticulitis in ED or following investigation with CT between July 2011 and February 2012. Results: A total of 79 patients were suspected of having diverticulitis. 57 (72.2%) patients were confirmed to have diverticulitis following imaging of which 46 (80.7%) patients had simple diverticulitis and 11 (19.3%) patients had complicated diverticulitis (perforation n = 7 [12.3%]; abscess n = 4 [7.0%]). Overall only 6.3% of patients required radiological or surgical management for their presentation. Conclusions: There is an overuse of CT in the investigation of acute diverticulitis with limited change in clinical management as only 6.3% of patients required surgical or radiological intervention. We suggest medical management with intravenous antibiotics and bowel rest with imaging indicated after 72 hours if no clinical improvement (or earlier if warranted by the clinical status).","PeriodicalId":8370,"journal":{"name":"Annals of Colorectal Research","volume":"5 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2016-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85104029","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}
F. J. P. Lara, A. F. Berges, J. M. González, E. Cardenas, A. D. R. Moreno, H. O. Muñoz
Surgical treatment of high perianal fistulas, which affect a significant proportion of the sphincter apparatus, is difficult and associated with considerable risk of impaired anal continence. The diversity of approaches proposed for the treatment of complex perianal fistulas reflects the fact that no method has yet been shown to be fully satisfactory. We believe the successful treatment of this condition is directly proportional to the amount of fibrous tissue that can be removed. We used a kit of small curettes, of different thicknesses and sizes, incorporating spicules that enable the physician to remove fibrous tissue from the fistula tract. The small size and varying thicknesses of the curettes enable them to mold to the curves of the fistula tract and to remove tissue by de-roofing from the shallowest to the deepest layers, thus excising the entire fibrous tract. The tract is then sealed using autologous fibrin, applied through a catheter, with the help of a monitor indicating the amount of product remaining at all times. Finally, the internal orifice is closed by simple suturing.
{"title":"Method for Management of Perianal Fistula with New Device: Progressive Curettage of the Tract and Sealing with Platelet-Rich Fibrin","authors":"F. J. P. Lara, A. F. Berges, J. M. González, E. Cardenas, A. D. R. Moreno, H. O. Muñoz","doi":"10.17795/ACR-37452","DOIUrl":"https://doi.org/10.17795/ACR-37452","url":null,"abstract":"Surgical treatment of high perianal fistulas, which affect a significant proportion of the sphincter apparatus, is difficult and associated with considerable risk of impaired anal continence. The diversity of approaches proposed for the treatment of complex perianal fistulas reflects the fact that no method has yet been shown to be fully satisfactory. We believe the successful treatment of this condition is directly proportional to the amount of fibrous tissue that can be removed. We used a kit of small curettes, of different thicknesses and sizes, incorporating spicules that enable the physician to remove fibrous tissue from the fistula tract. The small size and varying thicknesses of the curettes enable them to mold to the curves of the fistula tract and to remove tissue by de-roofing from the shallowest to the deepest layers, thus excising the entire fibrous tract. The tract is then sealed using autologous fibrin, applied through a catheter, with the help of a monitor indicating the amount of product remaining at all times. Finally, the internal orifice is closed by simple suturing.","PeriodicalId":8370,"journal":{"name":"Annals of Colorectal Research","volume":"63 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2016-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83324855","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}
Colorectal Research Center, Shiraz University of Medical Sciences, Shiraz, IR Iran Gasteroenterohepatology Research Center, Nemazee Hospital, School of Medicine, Shiraz University of Medical Sciences, Shiraz, IR Iran Department of Biochemistry, Faculty of Medicine, Shiraz University of Medical Sciences, Shiraz, IR Iran Corresponding author: Pooneh Mokarram, Department of Biochemistry, Shiraz University of Medical Sciences, P.O. Box: 1167, Shiraz, IR Iran. Tel/Fax: +98-7112303029, E-mail: mokaramp@sums.ac.ir
{"title":"The Correlation Between Single Nucleotide Polymorphism Patterns and Colorectal Cancer in the Iranian Population","authors":"Mozhdeh Zamani, S. Hosseini, P. Mokarram","doi":"10.17795/ACR-41527","DOIUrl":"https://doi.org/10.17795/ACR-41527","url":null,"abstract":"Colorectal Research Center, Shiraz University of Medical Sciences, Shiraz, IR Iran Gasteroenterohepatology Research Center, Nemazee Hospital, School of Medicine, Shiraz University of Medical Sciences, Shiraz, IR Iran Department of Biochemistry, Faculty of Medicine, Shiraz University of Medical Sciences, Shiraz, IR Iran Corresponding author: Pooneh Mokarram, Department of Biochemistry, Shiraz University of Medical Sciences, P.O. Box: 1167, Shiraz, IR Iran. Tel/Fax: +98-7112303029, E-mail: mokaramp@sums.ac.ir","PeriodicalId":8370,"journal":{"name":"Annals of Colorectal Research","volume":"6 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2016-08-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90399606","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}
Dear Editor, Greetings and thanks for the publication of the valuable article: “Use of General Surgery and Urology Online Modules in Medical Education” (1). E-learning has now become an absolute necessity for the world’s progressive universities, and we read this article with interest and found it very strong and evidence-based. I would like to raise two points that may be of interest to the authors and your readership: 1. No Significant Difference Phenomenon 2. Teaching skills in e-learning
{"title":"Letter to Editor Concerning the Article “Use of General Surgery and Urology Online Modules in Medical Education”","authors":"M. Mehrabi","doi":"10.17795/ACR-39633","DOIUrl":"https://doi.org/10.17795/ACR-39633","url":null,"abstract":"Dear Editor, Greetings and thanks for the publication of the valuable article: “Use of General Surgery and Urology Online Modules in Medical Education” (1). E-learning has now become an absolute necessity for the world’s progressive universities, and we read this article with interest and found it very strong and evidence-based. I would like to raise two points that may be of interest to the authors and your readership: 1. No Significant Difference Phenomenon 2. Teaching skills in e-learning","PeriodicalId":8370,"journal":{"name":"Annals of Colorectal Research","volume":"11 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2016-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77919238","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}
Background: Colorectal cancers (CRCs) often occur in octogenarians. However, data on treatment and survival are sparse. Objectives: Octogenarians were studied in order to gain data on treatment, outcomes, and survival related to CRC. Patients andMethods: All consecutive octogenarians with CRC in the period of 2002 2008 were included. An extensive review of hospital records was carried out. Patients were divided into two groups, as follows: group 1 included patients who were alive after five years of follow-up, while group 2 comprised patients who died within 5 years of their diagnosis. Cause of death was determined and classified as related to cancer, non-related, or because of treatment. Results: One hundred and eleven octogenarians were diagnosed with CRC (82 colon cancers and 29 rectal cancers). Patients in group 2 had a significantly higher disease stage compared with group 1 (P < 0.001). Patients in group 1 more often underwent surgery with curative intent (P < 0.0001). There was no difference in clinical presentation or localization of the malignancy. In group 1, 14 patients died more than 5 years after surgery. The cause of death was not related to cancer in 100% of cases. In group 2, 29 (46.0%) died as a direct consequence of CRC, 14 (22.2%) due to the treatment, and 20 (31.7%) died due to non-cancer-related causes. The overall 5year survival rate was 40% in colon cancer patients and 51.7% in rectal cancer patients. The Charlson age co-morbidity scores were significantly lower in colon cancer patients in group 1 (P = 0.005). This was not the case in patients with rectal cancer. Conclusions: The co-morbidity score is important in survival after surgery. Forty-four percent of octogenarians with CRC died because of non-tumor-related disease or illness. Fit elderly people can benefit from standard therapy for CRC.
{"title":"Colorectal Cancer in Octogenarians: Results of Treatment, a Descriptive Clinical Study","authors":"E. E. V. Eeghen, S. Bakker, R. Loffeld","doi":"10.17795/ACR-32715","DOIUrl":"https://doi.org/10.17795/ACR-32715","url":null,"abstract":"Background: Colorectal cancers (CRCs) often occur in octogenarians. However, data on treatment and survival are sparse. Objectives: Octogenarians were studied in order to gain data on treatment, outcomes, and survival related to CRC. Patients andMethods: All consecutive octogenarians with CRC in the period of 2002 2008 were included. An extensive review of hospital records was carried out. Patients were divided into two groups, as follows: group 1 included patients who were alive after five years of follow-up, while group 2 comprised patients who died within 5 years of their diagnosis. Cause of death was determined and classified as related to cancer, non-related, or because of treatment. Results: One hundred and eleven octogenarians were diagnosed with CRC (82 colon cancers and 29 rectal cancers). Patients in group 2 had a significantly higher disease stage compared with group 1 (P < 0.001). Patients in group 1 more often underwent surgery with curative intent (P < 0.0001). There was no difference in clinical presentation or localization of the malignancy. In group 1, 14 patients died more than 5 years after surgery. The cause of death was not related to cancer in 100% of cases. In group 2, 29 (46.0%) died as a direct consequence of CRC, 14 (22.2%) due to the treatment, and 20 (31.7%) died due to non-cancer-related causes. The overall 5year survival rate was 40% in colon cancer patients and 51.7% in rectal cancer patients. The Charlson age co-morbidity scores were significantly lower in colon cancer patients in group 1 (P = 0.005). This was not the case in patients with rectal cancer. Conclusions: The co-morbidity score is important in survival after surgery. Forty-four percent of octogenarians with CRC died because of non-tumor-related disease or illness. Fit elderly people can benefit from standard therapy for CRC.","PeriodicalId":8370,"journal":{"name":"Annals of Colorectal Research","volume":"25 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2016-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76398507","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}
Context: The mobile right colon is a developmental aberration. During the development and rotation of the gut, the cecum and ascending colon are the last to take their final position and fuse with the posterior abdominal wall. Evidence Acquisition: Though a mobile right colon may be present in 20% 30% of the population but causes symptoms in very few. The patients present intermittent colicky right lower quadrant abdominal pain with associated abdominal distention and symptomatic relief after passing flatus or having a bowel movement. Results: Non fixation along with heavy load of the right colon drags the cecum and ascending colon down and leads to stasis, obstruction or volvulus. The diagnosis of this entity is very difficult as radiological studies are not conclusive. Conclusions: The mobile colon syndrome should be considered in the differential diagnosis of right lower quadrant pain from obscure causes. A proper detailed history is a must to consider this as differential diagnosis. Laparoscopy offers diagnostic and therapeutic treatment. Colopexy provides dramatic relief in carefully selected patients.
{"title":"Mobile Right Colon Syndrome: Obscure Cause of Lower Right Abdominal Pain","authors":"L. Bains, Amit Gupta, Daljit Kaur, Aman Batish","doi":"10.17795/ACR-35527","DOIUrl":"https://doi.org/10.17795/ACR-35527","url":null,"abstract":"Context: The mobile right colon is a developmental aberration. During the development and rotation of the gut, the cecum and ascending colon are the last to take their final position and fuse with the posterior abdominal wall. Evidence Acquisition: Though a mobile right colon may be present in 20% 30% of the population but causes symptoms in very few. The patients present intermittent colicky right lower quadrant abdominal pain with associated abdominal distention and symptomatic relief after passing flatus or having a bowel movement. Results: Non fixation along with heavy load of the right colon drags the cecum and ascending colon down and leads to stasis, obstruction or volvulus. The diagnosis of this entity is very difficult as radiological studies are not conclusive. Conclusions: The mobile colon syndrome should be considered in the differential diagnosis of right lower quadrant pain from obscure causes. A proper detailed history is a must to consider this as differential diagnosis. Laparoscopy offers diagnostic and therapeutic treatment. Colopexy provides dramatic relief in carefully selected patients.","PeriodicalId":8370,"journal":{"name":"Annals of Colorectal Research","volume":"2 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2016-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88101026","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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