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Journal articles on the topic 'Anorectal polyps'

Author: Grafiati

Published: 5 June 2025

Last updated: 2 August 2025

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1

Dr., Akhilesh. R. "Melanoma Mimicking a Polyp in an Unusual Location- A Rare Case Report." MAR Pathology & Clinical Research 2, no. 3 (2023): 8. https://doi.org/10.5281/zenodo.10029615.

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<i><strong>Abstract</strong></i><i>Anorectal melanomas are rare and have a far worse prognosis as compared to cutaneous melanomas. They can be highly deceptive with their presentation like bleeding and mass descending per rectum, that can often mimick some benign lesions such as hemorrhoids, polyps and also ano-rectal carcinomas unless a histological diagnosis of melanoma is made. Here, we present a case of anorectal melanoma in a 75-year old male who presented with bleeding per rectum for 2 months, following which an abdomino-perineal resection was performed based on a preliminary diagnosis o

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2

Mohamed, Rawia Mubarak, Ashraf ALakkad, Ipsita Panda, and Aref Chehal. "A Rare Connection: Case Report of Neuroendocrine Tumors Misdiagnosed as Hemorrhoids." Saudi Journal of Pathology and Microbiology 9, no. 11 (2024): 249–53. https://doi.org/10.36348/sjpm.2024.v09i11.003.

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Background: Hemorrhoids are a prevalent condition affecting the anal and rectal area, often resulting in symptoms such as bleeding, pain, and prolapse. While typically benign, they can coexist with other anorectal issues, including anal fissures and polyps. Rarely, neuroendocrine tumors may be discovered in patients with hemorrhoids, underscoring the necessity for thorough evaluation and histopathological examination to identify and address any significant underlying conditions. Case Presentation: This case describes a 39-year-old male presenting to the clinic on August 13, 2024. He reported a

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3

Okasha, Hussein Hassan, Katarzyna M. Pawlak, Amr Abou-elmagd, et al. "Practical approach to linear endoscopic ultrasound examination of the rectum and anal canal." Endoscopy International Open 10, no. 10 (2022): E1417—E1426. http://dx.doi.org/10.1055/a-1922-6500.

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AbstractStandard endosonographic examination of the rectal area is usually performed with radial endoscopic ultrasound (EUS). However, in recent years, widespread availability of linear EUS for assessing various anatomical regions in the gastrointestinal tract has facilitated its use in the assessment of anorectal disorders. Currently, many rectal and anal diseases, including perianal abscesses, fistulae, polyps, and neoplastic lesions, can be well-visualized and evaluated with linear EUS. The aim of this review is to shed light on the anatomy and systematic examination of the anorectal region

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4

Prem, Dayal, Singh Meena Komal, Prakash Jaiswal Rajat, Kumar Gupta Anil, Chawla Deshraj, and Kumar Dewanda Neeraj. "A Prospective Cohort Study of Prevalence of Anorectal Diseases during Pregnancy." International Journal of Toxicological and Pharmacological Research 13, no. 4 (2023): 264–71. https://doi.org/10.5281/zenodo.11218407.

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<strong>Introduction: </strong>Anorectal disorders are among the most common digestive complications among pregnant women. Due to the physical and psychological problems they cause a significant reduction in the quality of the life of those afflicted. In this study, we study the prevalence of Anorectal diseases and the factors influencing it during pregnancy. <strong>Materials and Method:</strong> This research is an observatory study based on the descriptive and sectional methods. 230 pregnant women reporting to the OPD of obstetric and gynaecology at tertiary centre were selec

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5

Ceccopieri, Bruno, Anna Rosa Marcomin, Feliciano Vitagliano, and Paolo Fragapane. "Primary Anorectal Malignant Melanoma: Report of two Cases." Tumori Journal 86, no. 4 (2000): 356–58. http://dx.doi.org/10.1177/030089160008600430.

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Primary anorectal malignant melanoma is a fairly uncommon but highly malignant disease. It is sometimes mistaken for benign conditions such as hemorrhoids or rectal polyps. Here we describe two cases of primary malignant melanoma of the rectum: in one patient a wide local excision (WLE) was performed and in the other an abdominoperineal resection (APR), both with curative intent. Both patients developed systemic recurrences and died of their disease at 24 and 10 months, respectively. In conclusion, the prognosis of anorectal melanoma is poor, irrespective of surgical treatment. WLE is the firs

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Agarwal, Nirmal Kumar, Dhirendra Nath Choudhury, and Akshit Minocha. "Rectal Polyp Prolapse: A Case Report." Asian Pacific Journal of Cancer Biology 8, no. 4 (2023): 407–8. http://dx.doi.org/10.31557/apjcb.2023.8.4.407-408.

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Colorectal adenomas are polyps that develop from the mucosa and exhibit neoplastic characteristics. Adenomas’ increasing dysplasia and malignant potential are connected to their size, villous content, and patient’s age. An anorectal emergency is definitely a possibility when there are large villous polyps in the rectum. They could be involved in rectal bleeding, blockage, prolapse, or imprisonment. We describe a 53-year-old female who was treated successfully for giant tubulovillous rectal adenoma that was prolapsed through anal opening. The patient’s clinical symptoms and signs were mistaken

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javid, Waseem, Hilal A. Teli, Showkat A. Kadla, and Nisar A. Shah. "Etiological spectrum of Anorectal Bleeding in the Kashmiri Population: A retrospective and prospective analysis of 4 years in a tertiary care center." Journal of Neonatal Surgery 14, no. 4S (2025): 1242–47. https://doi.org/10.52783/jns.v14.1939.

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Background: Anorectal bleeding is a frequent clinical presentation with a wide range of underlying causes. This study aims to analyze the etiological profile of anorectal bleeding in the Kashmiri population to identify trends, risk factors, and management strategies. Methods: A hospital-based retrospective and prospective observational study was conducted for a period of four years in Department of Gastroenterology, GMC, Srinagar,Kashmir, India. Data was collected from patients presenting with anorectal bleeding, and evaluated using clinical history, colonoscopy, and histo-pathological finding

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Jyotirmaya, Nayak, Prusty Nilamadhaba, Kumar Rajsamant Nagendra, Panda Sridhar, and Swayam Prakash Routray Omm. "Etiology, Clinical Picture and Diagnosis of Lower Gastrointestinal Bleeding at a Tertiary Care Institute in Eastern Odisha: A Retroprospective Study." International Journal of Pharmaceutical and Clinical Research 15, no. 12 (2023): 327–32. https://doi.org/10.5281/zenodo.11187081.

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<strong>Aim of the Study: </strong>To evaluate the various etiologies, clinical assessment, and requirement for blood transfusion in patients with lower gastrointestinal bleeding admitted to an eastern Odisha tertiary care center. <strong>Materials and Procedures:</strong> The research comprised 988 patients, 824 retrospective cases and 164 prospective cases from Department of Surgery in S.C.B. Medical College and Hospital in Cuttack, Odisha. Analyzing case sheets from retrospective cases yielded information. Prospective patients were handled in accordance with departmental prac

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9

M., Ramu, and Anil M. "Colonoscopic Evaluation for Lower G.I Bleeding in a Tertiary Care Teaching Hospital." International Journal of Toxicological and Pharmacological Research 12, no. 10 (2022): 142–47. https://doi.org/10.5281/zenodo.11437252.

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<strong>Background:</strong> The most frequent cause of endoscopic examination is hematochezia (Lower Gastrointestinal Bleeding (LGIB). Hemorrhoids and diverticular illness are the most common causes, however, other anorectal disorders can also cause LGIB. Secondary iron deficiency anemia could be brought on by persistent bleeding. The primary diagnostic method for determining whether colonic bleeding is present is a colonoscopy. <strong>Methods:</strong> A total of n=50 cases were included in the study based on the inclusion and exclusion criteria. All the colonoscopy procedure

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10

Poškus, Tomas, Narimantas Evaldas Samalavičius, Romanas Kęstutis Drąsutis, Gintautas Radžiūnas, Antanas Vaitkus, and Alfredas Songaila. "Užpakalinis tarpvietės blokas operuojant išangę ir tiesiąją žarną." Lietuvos chirurgija 1, no. 3 (2003): 0. http://dx.doi.org/10.15388/lietchirur.2003.3.2411.

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Tomas Poškus, Narimantas Evaldas Samalavičius, Romanas Kęstutis Drąsutis, Gintautas Radžiūnas, Antanas Vaitkus, Alfredas SongailaVilniaus centro universitetinės ligoninės Chirurgijos skyrius,Žygimantų g. 3, LT-2001 VilniusEl paštas: toshcus@yahoo.com Tikslas Įvertinti kombinuoto vietinės ir regioninės nejautros metodo – užpakalinio tarpvietės bloko – rezultatus atliekant išangės ir tiesiosios žarnos operacijas. Ligoniai ir metodai Nuo 2002 07 10 iki 2003 04 18 Vilniaus centro universitetinės ligoninės Chirurgijos skyriuje buvo operuota 117 ligonių, sirgusių įvairiomis išangės ir tiesiosios žar

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Ueberroth, Benjamin Edward, Alex John Liu, Thorvardur Ragnar Halfdanarson, and Mohamad Bassam Sonbol. "Anorectal neuroendocrine carcinoma (NEC): Patient characteristics and treatment outcomes." Journal of Clinical Oncology 38, no. 15_suppl (2020): e16702-e16702. http://dx.doi.org/10.1200/jco.2020.38.15_suppl.e16702.

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e16702 Background: There are only a few reports examining the treatment patterns for poorly differentiated rectal/anal NEC. In this study, we sought to report treatment and survival outcomes for patients with NEC of the anus and rectum seen at Mayo Clinic. Methods: We identified patients with a primary NEC of the anus or rectum using Mayo Clinic databases (Minnesota, Arizona, Florida) from the year 2000 to present. NEC identified within polyps on colonoscopy was excluded from this study. Patients’ demographics were compiled. Kaplan Meier analyses were performed to evaluate overall survival (OS

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Negoescu, Andrada, Cristina-Diana Borfalău, Claudiu Gal, Marian Taulescu, and Cornel Cătoi. "Epidemiology of gastrointestinal proliferative neoplastic-like lesions and tumors in dogs and cats: a retrospective study in two Romanian reference laboratories." Cluj Veterinary Journal 30, no. 1 (2025): 1–8. https://doi.org/10.52331/cvj.v30i1.91.

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Gastrointestinal neoplasms are rare in dogs and cats, primarily comprising adenocarcinomas, lymphomas, leiomyomas, leiomyosarcomas, and gastrointestinal stromal tumors (GISTs). In the current literature epidemiological data are scars. The aim of this study was to identify the epidemiological and the pathological features of these neoplasms in dogs and cats. Epidemiological data were collected from the databases of two laboratories in Romania, covering a period of 10 years. A total of 192 cases of neoplastic and neoplastic-like lesions were selected and subjected to statistical analysis. Older

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13

Jiang, S. X., A. Zarrin, A. Walia, et al. "A134 ENDOSCOPIC RESECTION IS EFFECTIVE FOR COMPLEX LARGE NON-PEDUNCULATED COLORECTAL POLYPS." Journal of the Canadian Association of Gastroenterology 7, Supplement_1 (2024): 102–3. http://dx.doi.org/10.1093/jcag/gwad061.134.

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Abstract Background Endoscopic resection is preferred for most large (≥20 mm) non-pedunculated colorectal polyps (LNPCPs) due to superior efficacy, safety, and cost-efficiency compared to surgery. However, endoscopic resection can be challenging due to anatomical location, lesion characteristics, and concomitant colonic disease; these complex LNPCPs (C-LNPCPs) historically have suboptimal outcomes compared to uncomplicated LNPCPs (UC-LNPCPs). Aims To compare the outcomes of C-LNPCPs to UC-LNPCPs following endoscopic resection. Methods Consecutive patients ampersand:003E 18 years of age who und

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Bölük, Sümeyra Emine, Salih Bölük, Mahmut Salih Genç, Berkay Özcan, Merve Karadağ, and Ugur Kesici. "Clinical Importance of Evaluating the Results of Excused Perianal Lesions." Open Access Macedonian Journal of Medical Sciences 12 (March 20, 2024): 1–6. http://dx.doi.org/10.3889/oamjms.2024.11874.

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BACKGROUND: Perianal and anal region lesions are mostly benign, typically polypoid formations seen adjacent and distal to the anal canal. Fibroepithelial anal polyps are benign lesions commonly found in the perianal region, composed of squamous epithelium and subepithelial connective tissue. Despite their benign nature, excision may be necessary in cases where they cause pain, progressively increase in size, or give rise to suspicion of an infectious or malignant disease, as well as during treatment for accompanying perianal conditions. Follow-up of the pathology results for all removed lesion

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15

Bansal, R., H. Ghanta, R. Blue, and R. Sharma. "Anorectal polyp." Acta Gastro Enterologica Belgica 84, no. 2 (2021): 387–88. http://dx.doi.org/10.51821/84.2.387.

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A 71-year-old female with hypertension presented with painless rectal bleeding and found to have a soft mass on rectal exam. The colonoscopy revealed a large pedunculated polyp with patchy discoloration arising from the dentate line (Fig. 1). Biopsies of the polyp were obtained.

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16

Jocic, Tatiana, Olgica Latinovic-Bosnjak, Ljiljana Hadnadjev, Dragomir Damjanov, Zeljka Savic, and Tihomir Orlic. "Acute lower gastrointestinal bleeding." Medical review 67, no. 11-12 (2014): 361–66. http://dx.doi.org/10.2298/mpns1412361j.

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Introduction. Acute lower gastrointestinal bleeding accounts for approximately 20% of all acute gastrointestinal hemorrhages, and they are the most common urgent cases in gastroenterology. The aim of this study was to determine the most common etiology, efficacy in diagnostics and therapy, and the outcome in patients with acute lower gastrointestinal bleeding. Material and Methods. Data were collected from the medical records of 86 patients who had been hospitalized for acute lower gastrointestinal bleeding in 2009 at the Ward of Gastroenterology and Hepatology, Clinical Centre of Vojvodina. R

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Pouw, Roos E., Raf Bisschops, Krisztina B. Gecse, et al. "Endoscopic tissue sampling – Part 2: Lower gastrointestinal tract. European Society of Gastrointestinal Endoscopy (ESGE) Guideline." Endoscopy 53, no. 12 (2021): 1261–73. http://dx.doi.org/10.1055/a-1671-6336.

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Recommendations 1 ESGE suggests performing segmental biopsies (at least two from each segment), which should be placed in different specimen containers (ileum, cecum, ascending, transverse, descending, and sigmoid colon, and rectum) in patients with clinical and endoscopic signs of colitis.Weak recommendation, low quality of evidence. 2 ESGE recommends taking two biopsies from the right hemicolon (ascending and transverse colon) and, in a separate container, two biopsies from the left hemicolon (descending and sigmoid colon) when microscopic colitis is suspected.Strong recommendation, low qual

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Kosorok, P. "Ambulatory surgery in proctology." Acta chirurgica Iugoslavica 51, no. 2 (2004): 81–83. http://dx.doi.org/10.2298/aci0402081k.

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Introduction: In our institution we?ve had a lot of exerience in proctology. Ten years ago, we introduced one day surgery in our practice and had really good results in treating practically all patients who needed proctologic surgery. Materials, methods and results: During this period of time 9.636 out of 73.235 outpatient cases were chosen for surgery. Among them, 2664 were patients with operations of perianal haematomas. We had some experiences with minor anal surgery (excisions of skin tags in 537 patients, excisions of papillas in 545 patients); patients with haemorrhoids, operated classic

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Pimenova, E. S., and G. A. Korolev. "Rectal prolapse in children. Causes, diagnostics, treatment (a literature review)." Russian Journal of Pediatric Surgery 25, no. 3 (2021): 186–91. http://dx.doi.org/10.18821/1560-9510-2021-25-3-186-191.

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Introduction. Rectal prolapse is evagination of the rectal wall outside the anal opening. It can be full-thickness, partial thickness or mucosal. Rectal prolapse is most often met in children from 1 to 4 years of age. This is due to their anatomical features: vertical position of the rectum (open anorectal angle), mobile sigmoid colon, increased mobility of the rectal mucous. Chronic constipation plays an important role in evagination as well as infection, parasitic diseases and cystic fibrosis.Material and methods. Literature searches were done in Scopus, PubMed, Google Scolar and eLibrary da

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Yang, Tzu-Wei, Chi-Chih Wang, and Chun-Che Lin. "A Symptomatic Anorectal Polyp." Gastroenterology 148, no. 2 (2015): 298–99. http://dx.doi.org/10.1053/j.gastro.2014.10.059.

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21

Gad, Mostafa, Mostafa Nabil Dessouky, Khaled Salah Abdullateef, et al. "Management of Complete Persistent Rectal Prolapse in Children: A Comparative Study Between Mesh Repair Versus Suturing Rectopexy." African Journal of Paediatric Surgery 21, no. 1 (2023): 28–33. http://dx.doi.org/10.4103/ajps.ajps_92_22.

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Abstract Background: Rectal prolapse is a relatively common, usually self-limiting illness in children. Peak incidence is between 1 and 3 years. The primary treatment of rectal prolapse is non-operative. Surgical intervention is needed in long-standing intractable cases of rectal prolapse, rectal pain/bleeding/ulceration and prolapse that needs frequent manual or difficult reduction. The aim of this study was to compare the efficacy and outcome of laparoscopic ventral mesh rectopexy versus laparoscopic suture rectopexy in the management of persistent rectal prolapse in children not responding

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Coyne, JD, and P. O’Byrne. "Malignant melanoma of the rectum presenting as cloacogenic polyp: a case report." Annals of The Royal College of Surgeons of England 102, no. 3 (2020): e67-e69. http://dx.doi.org/10.1308/rcsann.2019.0160.

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Mucosal malignant melanomas are uncommon. It is rare for a primary mucosal melanoma to occur in the anorectal region. Anorectal polypoid mucosal prolapse however, is a relatively common condition. We report a case of malignant melanoma presenting as mucosal prolapse and inducing changes similar to inflammatory cloacogenic polyp.

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23

Ghaffar, Haseeb, M. Imran Anwar, Haleema Sadia, Usman Iqbal, and Bilal Afsar. "FREQUENCY AND SURGICAL CAUSES OF PATIENTS WITH BLEEDING PER RECTUM AT OUTPATIENTS DEPARTMENT OF SHAIKH ZAYED HOSPITAL LAHORE." Insights-Journal of Health and Rehabilitation 2, no. 2 (Health & Rehab) (2024): 431–39. https://doi.org/10.71000/s0wkbg03.

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Background: Bleeding per rectum is a prevalent clinical symptom with diverse surgical and non-surgical causes, ranging from benign anorectal conditions to life-threatening malignancies. Accurate identification of its etiology is critical for timely diagnosis and effective management. The symptom is particularly alarming to patients due to visible blood, often leading them to seek immediate medical care. This study was conducted to explore the frequency and surgical causes of bleeding per rectum in a tertiary care setting, providing insights for region-specific healthcare strategies. Objective:

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Ndjitoyap Ndam, Antonin Wilson, Marie Josiane Ntsama Essomba, Mohamed Njoya Manjeli, et al. "Apport et performance de la coloscopie dans le diagnostic des pathologies digestives basses chez les sujets âgés de plus 60 ans : étude descriptive dans la ville de Yaoundé (Cameroun)." European Scientific Journal, ESJ 21, no. 9 (2025): 229. https://doi.org/10.19044/esj.2025.v21n9p229.

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Contexte: La réalisation d’une endoscopie digestive est un défi chez les personnes âgées. L’objectif de l’étude était d’analyser l’apport des coloscopies dans le diagnostic des pathologies digestives basses chez les sujets de plus de 60 ans à Yaoundé (Cameroun). Méthodologie: Il s’agissait d’une étude transversale descriptive, avec collecte rétrospective des données menée dans 2 hôpitaux de Yaoundé (Cameroun). Les dossiers des patients âgés de plus de 60 ans ayant bénéficié d’une coloscopie entre le 1er janvier 2018 et le 31 décembre 2023 (6 ans) ont été inclus. L’analyse des données a porté s

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Mathialagan, Rajaratnam, Michael J. Turner, and David A. Gorard. "Inflammatory cloacogenic polyp mimicking anorectal malignancy." European Journal of Gastroenterology & Hepatology 12, no. 2 (2000): 247–50. http://dx.doi.org/10.1097/00042737-200012020-00020.

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Bagny, A., LM Lawson-Ananissoh, O. Bouglouga, et al. "La Pathologie Anorectale Au Chu Campus De Lome (Togo)." European Scientific Journal, ESJ 13, no. 3 (2017): 423. http://dx.doi.org/10.19044/esj.2017.v13n3p423.

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Objective: To describe the clinical and endoscopic presentation of anorectal pathologies in the gastroenterology department of the CHU campus of Lomé. Patients and methods: Retrospective study based on reports of low digestive endoscopy carried out at the university teaching hospital Campus of Lome. We collected the age of the patients, their sex, the indications of the examination and the different anorectal lesions encountered. Results: The mean age was 41.8 ± 14.3 years. There was a predominance of 30-40 years (38.8%). There was also a male predominance with a sex ratio of 1.6. The most fre

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Garrido, I., R. Coelho, E. Rios, and G. Macedo. "A rare and unique inflammatory anorectal lesion." Acta Gastro Enterologica Belgica 85, no. 2 (2022): 412–13. http://dx.doi.org/10.51821/85.2.9877.

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A 50-year-old Caucasian woman, without relevant past medical history, was referred to the gastroenterology consultation due to chronic constipation. She had no previous endoscopic evaluation or past surgeries. The digital rectal examination revealed a soft mobile mass at the lower rectum. Pelvic floor dyssynergia was diagnosed on magnetic resonance defecography and, therefore, biofeedback therapy was started. Colonoscopy revealed a light yellowish sessile polyp with 20 mm at the anorectal junction (Figure 1).

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Tappero, Gianfranco, Renato Parente, Raffaele Borghini, and Antonello Trecca. "A dark polyp in the anorectum." Techniques in Coloproctology 23, no. 11 (2019): 1097–99. http://dx.doi.org/10.1007/s10151-019-02085-9.

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Peng, Frederick B., and Mimi C. Tan. "1554 An Unusual Cause of Hematochezia: Anorectal Inflammatory Myoglandular Polyp." American Journal of Gastroenterology 114, no. 1 (2019): S864—S865. http://dx.doi.org/10.14309/01.ajg.0000595744.03507.26.

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Nor, Azmi Md, Abdul Malek Mohamad, Faisal Elagili, and AsmahHanim Hamdan. "Incarcerated strangulated anal fibroepithelial polyp: a rare case of anorectal emergency." ANZ Journal of Surgery 91, no. 12 (2021): 2855–56. http://dx.doi.org/10.1111/ans.17303.

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Zimmer, Vincent, and Bert Bier. "Cap-assisted underwater endoscopic mucosal resection of an anorectal mucosal prolapse polyp." Clinics and Research in Hepatology and Gastroenterology 43, no. 5 (2019): 508–9. http://dx.doi.org/10.1016/j.clinre.2018.12.004.

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Ortega, AdriÁN E., Nancy Klipfel, Rebecca Kelso, et al. "Changing Concepts in the Pathogenesis, Evaluation, and Management of Solitary Rectal Ulcer Syndrome." American Surgeon 74, no. 10 (2008): 967–72. http://dx.doi.org/10.1177/000313480807401018.

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The purpose of this study was to assess the impact of new technology on both the understanding of the underlying pathophysiology and treatment of solitary rectal ulcer syndrome (SRUS). This study is a retrospective review of patients with a histologic diagnosis of SRUS (1993 to 2007) complimented with a prospective database of those patients studied with defecography and dynamic pelvic MRI. Thirty patients were available for evaluation. A polyp or mass was present in 74 per cent. Ulcers were found in only 23 per cent. All 12 patients undergoing defecography demonstrated rectorectal intussuscep

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Ashry, Ahmed Mohamed Ibrahim Ismail. "The Administration of Spinal or Local Anesthesia in Anal Fissure and Hemorrhoidectomy: A Comparative Literature Review." Asian Journal of Medicine and Health 21, no. 10 (2023): 185–90. http://dx.doi.org/10.9734/ajmah/2023/v21i10892.

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The purpose of this review is to consider the risks, benefits, and prospective benefits of spinal and local anesthetic. Comparing the safest and most suitable anesthetic to utilize with each surgical technique also helps. An extremely sensitive area of the human body is the anorectal region. Although it is normally shorter than the remainder of the gastrointestinal system, measuring between 2.5 and 4 cm, it is extremely complex physically and functionally. The anal canal's only purpose is to serve as a link between the rectum and the digestive system. It is crucial for maintaining fecal contin

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Singh, Swati, Sanjeev Kumar Singh, Roopak Aggarwal, and Savita Agarwal. "An amelanotic melanoma of the rectum: report of a rare aggressive primary tumor." International Journal of Research in Medical Sciences 11, no. 8 (2023): 3071–73. http://dx.doi.org/10.18203/2320-6012.ijrms20232450.

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Anorectal melanoma is a rare and highly aggressive malignancy accounting for 0.4% to 1.6% of all melanoma and 0.5% of all anorectal cancer. About 80% cases are confused with haemorrhoids, rectal polyp, rectal ulcer or adenocarcinoma as they commonly present with rectal bleed. We herein reported a case of a 55-year male presenting with a 6-months history of vague abdominal pain, constipation, tenesmus, weight loss, and passage of blood in stool. Clinical examination and proctoscopy revealed a fungating mass. CT scan showed a mass involving lower rectum with periserosal infiltration. The patient

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Jawanjal, Pravin, and Bishwajyoti Patgiri. "Therapeutics Aspects of Apamarga Kshara (Herbomineral Formulation) in Ayurveda - A Review." AYUHOM 8, no. 2 (2021): 51–56. http://dx.doi.org/10.4103/ayuhom.ayuhom_57_21.

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Kshara is one of the dosage forms utilizes in Ayurveda. Apamarga Kshara is prepared from alkaline ash of herbs used in Ayurveda as local and internal therapeutics. In local therapeutics, it is used in the form of Ksharasutra and as Pratisrniya Kashara. It can be also administered for internal use termed as Paniya Khara. Apamarga Kshara is a herbomineral formulation commonly used in anorectal disorders. It is used in various ailments such as warts, polyp, renal disorders calculus, nasal diseases, ear diseases, and leukoderma. The Apamarga Kshara having properties of Ksharana (debridation), Bhed

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Vyshegorodtsev, D. V., A. M. Kuzminov, S. I. Achkasov, E. A. Kogan, V. Yu Korolik, and G. T. Sukhikh. "Cellular Reconstruction of the Rectal Mucosa during surgical Treatment of Familial Adenomatosis of the Colon: 12 Years after the First Experience of Introduction into Clinical Practice." Russian Journal of Gastroenterology, Hepatology, Coloproctology 29, no. 4 (2019): 60–65. http://dx.doi.org/10.22416/1382-4376-2019-29-4-60-65.

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Aim. To study long-term results of surgical treatment of patients with familial adenomatous polyposis (FAP) with the cell reconstruction of the rectal mucosa.Materials and methods. 57 FAP patients were subjected to treatment, which involved colproctectomy, the preservation of the lower rectal ampulla, mucosectomy and the reconstruction of the mucosa by cell transplantation. Endoscopic monitoring was carried out, with the endoscopic observation covering the period of 19–120 months (median — 44.3 months). Morphological and immunohistochemical studies were conducted. The long-term functional resu

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Orenstein, Jan Marc, and Douglas T. Dieterich. "The Histopathology of 103 Consecutive Colonoscopy Biopsies From 82 Symptomatic Patients With Acquired Immunodeficiency Syndrome." Archives of Pathology & Laboratory Medicine 125, no. 8 (2001): 1042–46. http://dx.doi.org/10.5858/2001-125-1042-thoccb.

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Abstract Objective.—To compare the primary diagnoses assigned by general surgical pathologists on a series of 103 consecutive colon biopsies from individuals infected with human immunodeficiency virus (HIV) with diagnoses rendered by a pathologist with extensive experience in gastrointestinal pathology in HIV/acquired immunodeficiency syndrome. Design.—New sections were cut from paraffin blocks of 103 consecutive colon biopsies taken during colonoscopies of 82 different HIV-infected patients; all new sections were stained with hematoxylin-eosin. These individuals either had negative stool stud

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Brière, Raphaëlle, Rogeh Habashi, Shaila Merchant та ін. "2023 Canadian Surgery Forum01. Evaluation of physicians’ practices and knowledge regarding the treatment of acute uncomplicated diverticulitis03. What is the effect of rurality on outcomes for parathyroidectomy in a large North American jurisdiction?05. Characteristics of opioid providers for patients undergoing same-day breast surgery in Ontario, Canada06. Improving the management and outcomes of complex non-pedunculated colorectal polyps at a regional hospital in British Columbia10. Actinomycosis presenting as an anterior abdominal mass after laparoscopic cholecystectomy12. Prioritizing melanoma surgeries to prevent wait time delays and upstaging of melanoma during the COVID-19 pandemic13. Trust me, I know them: assessing interpersonal bias in general surgery residency interviews14. Current state of female and BIPOC representation in Canadian academic surgical societies15. Harnessing a province-wide network of surgical excellence and diverse talents for the continuous improvement of surgical care in BC16. Massive stone or is it glass: a curious case of porcelain gallbladder17. Choosing your endoscopist: a retrospective single-centre cohort study18. The local experience with endoscopic ampullectomy for noninvasive ampullary lesions at a single tertiary care centre19. Defining appropriate intraoperative patient blood management strategies in noncardiac surgery: the Ottawa Intraoperative Transfusion Consensus20. Postoperative gastrointestinal dysfunction after neuromuscular blockade reversal with sugammadex versus cholinesterase inhibitors in patients undergoing gastrointestinal surgery: a systematic review and meta-analysis21. Factors influencing recurrence in medial breast cancer after skin-sparing mastectomy and immediate breast reconstruction22. What is the role of fit in medical education? A scoping review23. The obesity paradox revisited: Is obesity still a protective factor for patients with severe comorbidities or in high-risk operations?24. Planetary health education for residents — an integrative approach through quality improvement25. A rare case of concurrent primary malignancies: adrenal cortical carcinoma and metastatic colon cancer26. Effect of video-based self-assessment on intraoperative skills: a pilot randomized controlled trial28. A cost–utility study of elective hemorrhoidectomies in Canada30. Opioid-free hernia repair using local anesthetic: an assessment of postoperative pain and recovery31. Mitigating the environmental burden of surgical and isolation gowns33. The evolution and contributions of theCanadian Journal of Surgery: a bibliometric study34. Clinical and oncologic outcomes of patients with rectal cancer and past radiotherapy for prostate cancer: a case–control study35. Antibiotic prophylaxis and mechanical bowel preparation in elective colorectal surgery: a survey of Quebec general surgeons36. Identifying core deficiencies and needs in the surgical knot-tying curriculum: a single-centre qualitative analysis37. Spleen-preserving surgery for symptomatic benign splenic cyst: video case report38. Learning to manage power differentials and navigate uncertainty: a qualitative interview study about decision-making in surgery39. Surgical education checklist: a novel tool to improve uptake of Competence By Design in a residency program and surgical resident experience40. A comparative evaluation of management strategies and patient outcomes for acute appendicitis in the post-COVID era41. External benchmarking of colorectal resection outcomes using ACS-NSQIP: accurately categorizing procedures at risk of morbidity42. Role of thymectomy in surgical treatment of secondary and tertiary hyperparathyroidism43. Starting position during colonoscopy: a systematic review and meta-analysis of randomized controlled trials44. Enhanced Recovery After Surgery protocols following emergency intra-abdominal surgery reduces length of stay and postoperative morbidity: a systematic review and meta-analysis45. Competencies, privileging and geography: preparing general surgery residents for rural practice in British Columbia46. Holographic surgical skills training: Can we use holograms to teach hand ties and is it comparable to in-person learning?47. The association between gender and confidence in UBC general surgery residents48. Quality improvement in timeliness of EPA completion in general surgery residency49. Gastrointestinal system surgical outcomes in the highly active antiretroviral therapy (HAART)-era HIV-positive patient: a scoping review50. Joint rounds as a method to partner surgical residency programs and enhance global surgical training52. Preoperative frailty and mortality in medicare beneficiaries undergoing major and minor surgical procedures53. What’s going on out there? Evaluating the scope of rural general surgery in British Columbia54. Short-stay compared with long-stay admissions for loop ileostomy reversals: a systematic review and meta-analysis55. General surgeons’ right hemicolectomy costs proficiency and preferences56. Staple line with bioabsorbable reinforcement for gastropexy in hiatal hernia repair57. Impact of enhanced recovery pathways on patient-reported outcomes after abdominal surgery: a systematic review58. Evaluation of outcomes between rural, northern/remote, and urban surgical patients diagnosed with moderate to severe acute pancreatitis: a retrospective study59. Outcome of preoperative percutaneous drainage of intraabdominal abscess versus initial surgery in patients with Crohn disease60. Preliminary analysis: dexamethasone-supplemented TAP blocks may reduce opioid requirements after colorectal surgery: a multi-centre randomized controlled trial61. Preoperative skin preparation with chlorhexidine alcohol versus povidone–iodine alcohol for the prevention of surgical site infections: a systematic review and meta-analysis of randomized controlled trials62. “Why didn’t you call me?” Factors junior learners consider when deciding whether to call their supervisor63. Cost savings associated with general surgical consultation within remote Indigenous communities in Quebec: a costing evaluation64. Right lateral decubitis patient position during colonoscopy increases endoscopist’s risk of musculoskeletal injury65. Reducing re-visit to hospital rates among pediatric post-appendectomy patients: a quality-improvement project66. Exploring gender diversity in surgical residency leadership across Canada67. Operating room sustainability project: quantifying the surgical environmental footprint for a laparoscopic cholecystectomy in 2 major surgical centres68. ERCP under general anesthesia compared with conscious sedation (EUGACCS) study69. Complications requiring intervention following gastrostomy/gastrojejunostomy tube insertion: a retrospective analysis70. Equity, diversity and inclusion (EDI) in underrepresented in medicine (URiM) residents: Where are we and what now?71. Association between complications and death within 30 days after general surgery procedures: a Vascular Events in Noncardiac Surgery Patients Cohort Evaluation (VISION) substudy72. What is the long-term impact of gastrograffin on adhesive small bowel obstruction? A systematic narrative review73. TRASH-CAN: Trainee-Led Research and Sudit for Sustainability in Healthcare Canada74. Representation and reporting of sociodemographic variables in BREAST-Q studies: a systematic review75. A scoping review: should tap water instead of sterile water be used for endoscopy of the colon and rectum?76. Laparoscopic revision of Nissen fundoplication with EndoFLIP intraoperative assistance: a video presentation77. Environmental sustainability in the operating room: perspectives and practice patterns of general surgeons in Canada78. The impact of COVID-19 on medical students applying to general surgery in the CaRMS matching process79. Novel approach to laparoscopic gastrostomy tube placement80. Using prucalopride for prevention of postoperative ileus in gastrointestinal surgery: a systematic review and meta-analysis of randomized controlled trials81. Assessment of environmental and economic sustainability of perioperative patient warming strategies83. Development of a Canadian colorectal robotic surgery program: the first three years84. Patient safety and quality improvement lessons from review of Canadian thyroid and parathyroid surgery malpractice litigation case law01. Changes in sarcopenia status predict survival among patients with resectable esophageal cancer02. The feasibility of near-infrared fluorescence-guided robotic-assisted minimally invasive esophagectomy using indocyanine green dye03. Does patient experience with robotic thoracic surgery influence their willingness to pay for it?04. Artificial intelligence–augmented endobronchial ultrasound-elastography is a useful adjunct for lymph node staging for lung cancer05. Preoperative mediastinal staging in early-stage lung cancer: targeted nodal sampling is not inferior to systematic nodal sampling06. The application of an artificial intelligence algorithm to predict lymph node malignancy in non-small cell lung cancer07. Pneumonectomy for non-small cell lung cancer: long-term overall survival from a 15-year experience09. Primary spontaneous pneumothorax occurred in pectus excavatum patients10. Optimizing management for early-stage esophageal adenocarcinoma: longitudinal results from a multidisciplinary program11. Needle decompressions in post-traumatic tension pneumothorax: boon or bane12. 10-year follow-up of endoscopic mucosal resection versus esophagectomy for esophageal intramucosal adenocarcinoma in the setting of Barrett esophagus: a Canadian experience13. Outcomes after thoracic surgery for malignancy in patients with severe and persistent mental illness15. Stage II/III esophageal cancer patients with complete clinical response after neoadjuvant chemoradiotherapy: a Markov decision analysis16. Development of a surgical stabilization of rib fractures program at a Level I trauma centre in Qatar: initial report17. Screening Criteria Evaluation for Expansion in Pulmonary Neoplasias (SCREEN) II18. Multi-centre study evaluating the risks and benefits of intraoperative steroids during pneumonectomy19. Prediction of esophageal cancer short-term survival using a pretreatment health-related quality of life measure20. Evaluating the impact of virtual care in thoracic surgery: patients’ perspective21. Virtual thoracic surgical outpatient encounters are non-inferior to in-person visits for overall patient care satisfaction in the post-COVID-19 era22. Concurrent minimally invasive esophagectomy and laparoscopic right hemicolectomy23. Assessing the impact of robotic-assisted thoracic surgery on direct carbon dioxide emissions — a retrospective analysis of a prospective cohort24. Young’s modulus of human lung parenchyma and tumours25. Thoracic surgery trauma: nail gun v. SVC26. Thymomatous myasthenia gravis after total thymectomy at a tertiary care surgical centre: a 15-year retrospective review27. Effectiveness of 18F-FDG-PET/CT in the stage diagnosis of non-small cell lung cancer (NSCLC): a diagnostic test accuracy systematic review and meta-analysis01. Emergency colon resection in the geriatric population: the modified frailty score as a risk factor of early mortality02. Laparoscopic ovarian transposition prior to pelvic radiation in young female patients with anorectal malignancies: a systematic review and meta-analysis of prevalence03. Using preoperative C-reactive protein levels to predict anastomotic leaks and other complications after elective colorectal surgery: a systematic review and meta-analysis04. Perioperative intravenous dexamethasone for patients undergoing colorectal surgery: a systematic review and meta-analysis05. Population-based study comparing time from presentation to diagnosis and treatment between younger and older adults with colorectal cancer06. The role of warmed-humidified CO₂insufflation in colorectal surgery: a meta-analysis07. Total abdominal colectomy versus diverting loop ileostomy and antegrade colonic lavage for fulminantClostridioidescolitis: analysis of the national inpatient sample 2016–201908. Cutting seton for the treatment of cryptoglandular fistula-inano: a systematic review and meta-analysis09. Prognostic value of routine stain versus elastic trichrome stain in identifying venous invasion in colon cancer10. Anastomotic leak rate following the implementation of a powered circular stapler in elective colorectal surgeries11. Surgical technique and recurrence of Crohn disease following ileocolic resection12. Implementation of synoptic reporting for endoscopic localization of complex colorectal neoplasms: Can we reduce rates of repeat preoperative colonoscopy?13. Effects of diet and antibiotics on anastomotic healing: a mouse model study with varied dietary fibre and fat, and preoperative antibiotics14. Assessment of rectal surgery–related physical pain and conditioning: a national survey of Canadian rectal surgeons15. Does specimen extraction incision and transversus abdominis plane block affect opioid requirements after laparoscopic colectomy?16. Colorectal and therapeutic GI working together: What is the role for TAMIS for benign lesions?17. Impact of the COVID-19 pandemic on readmission rates following colorectal surgery18. More than the sum of its parts: the benefits of multidisciplinary conferences extend beyond patient care19. Multidisciplinary conference for rectal cancer — measuring patient care impact20. Patient outcomes in emergency colorectal cancer resections: a 15-year cohort analysis21. Enhanced Recovery after Surgery (ERAS) protocols in colorectal cancer resection: a 15-year analysis of patient outcomes22. Laparoscopic to open conversion in colorectal cancer resection: a 15-year analysis of postoperative outcomes23. Management of postoperative ileus in colorectal cancer resections: a 15-year evaluation of patient outcomes24. Timing of ostomy reversal and associated outcomes: a systematic review25. Fragility of statistically significant outcomes in colonic diverticular disease randomized trials26. Postoperative day 1 and 2 C-reactive protein values for predicting postoperative morbidity following colorectal surgery27. Bariatric surgery before colorectal surgery reduces postoperative morbidity and health care resource utilization: a propensity score matched analysis28. Ileocolic Crohn disease: a video vignette of the Kono-S anastomosis29. Association between patient activation and postoperative outcomes in rectal cancer survivors30. Understanding surgeon and nurse perspectives on the use of patient-generated data in the management of low anterior resection syndrome31. Characteristics of interval colorectal cancer: a Canadian retrospective population-level analysis from Newfoundland and Labrador32. Current rectal cancer survivorship care: unmet patient needs and fragmented specialist and family physician care33. Local excision for T1 rectal cancer: a population-based study of practice patterns and oncological outcomes34. Can nonoperative management of acute complicated diverticulitis be successfully treated with a future hospital at home program? A retrospective cohort study35. Does patient activation impact remote digital health follow-up and same-day discharge after elective colorectal surgery36. Parastomal hernia prevention, assessment and management: best practice guidelines37. Anastomotic leak rates in circular powered staplers versus manual circular staplers in left sided colorectal anastomoses: a systematic review38. The Gips procedure for pilonidal disease: a video presentation39. Local recurrence-free survival after transanal total mesorectal excision: a Canadian institutional experience40. The impact of operative approach for obese colorectal cancer patients: analysis of the national inpatient sample (2015–2019)41. Safety and feasibility of discharge within 24 hours of colectomy: a systematic review and meta-analysis42. Laparoscopic lateral lymph node dissection for an advanced rectal cancer: a video abstract43. “Dear diary”: challenges in adopting routine operative recording in surgical training44. Rectal cancer in the very young (age < 40) — more treatment, worse survival: a population-based study45. Surveillance following treatment for stage I–III rectal cancer in Ontario — a population-based descriptive study46. A 15-year institutional experience of trananal endoscopic microsurgery for local excision of benign and malignant rectal neoplasia47. Robotic approach to reoperative pelvic surgery48. A mucosa-adherent bacterium impairs colorectal anastomotic healing by upregulating interleukin-17: the role of low-grade inflammation as a driver of anastomotic leak49. High uptake of total neoadjuvant therapy for rectal cancer in Canada despite surgeon concerns for possible overtreatment and treatment-related toxicity50. Safety and feasibility of discharge within 24 hours of ileostomy reversal: a systematic review and meta-analysis51. Safety and efficacy of intravenous antifibrinolytic use in colorectal surgery: systematic review and meta-analysis52. Impact of ileal pouch anal anastomosis on fertility in female patients with uulcerative colitis: a systemic review53. Modulation of the gut microbiota with fermentable fibres and 5-aminosalicylate to prevent peri-anastomotic and metastatic recurrence of colorectal cancer54. Patients with locally advanced rectal cancer and a non-threatened circumferential resection margin may go straight to surgery and avoid radiation toxicities: the QuickSilver Trial55. Colonoscopies during the COVID-19 pandemic recovery period: Are we caught up on colorectal cancer detection and prevention? A single-institution experience56. Interim results of a phase II study evaluating the safety of nonoperative management for locally advanced low rectal cancer57. Assessing a tailored curriculum for endoscopic simulation for general surgery residency programs in Canada58. Modified Frailty Index for patients undergoing surgery for colorectal cancer: analysis of the National Inpatient Sample (2015–2019)59. Reducing postoperative bloodwork in elective colorectal surgery: a quality-improvement initiative60. A Nationwide Readmission Database (NRD) analysis assessing timing of readmission for complications following emergency colectomy: why limiting follow-up to postoperative day 30 underserves patients61. The same but different: clinical and Enhanced Recovery After Surgery outcomes in right hemicolectomy for colon cancer versus ileocecal resection in Crohn disease01. How reliable are postmastectomy breast reconstruction videos on YouTube?02. Knowledge, perceptions, attitudes, and barriers to genetic literacy among surgeons: a scoping review03. Exploring neutrophil-to-lymphocyte ratio as a predictor of postoperative breast cancer overall survival04. High β integrin expression is differentially associated with worsened pancreatic ductal adenocarcinoma outcomes05. Epidemiology of undifferentiated carcinomas06. An evidence-based approach to the incorporation of total neoadjuvant therapy into a standardized rectal cancer treatment algorithm07. Pushing the boundaries: right retroperitoneoscopic adrenalectomy after laparoscopic right nephrectomy08. The role of caspase-1 in triple negative breast cancer, the immune tumour microenvironment and response to anti-PD1 immunotherapy09. Perioperative neutrophil-to-lymphocyte ratio is associated with survival in patients undergoing colorectal cancer surgery10. Achievement of quality metrics in older adults undergoing elective colorectal cancer surgery11. Opportunities to improve the environmental sustainability of breast cancer surgical care12. Does margin status after biopsy matter in melanoma? A cohort study of micro- and macroscopic margin status and their impact on residual disease and survival13. Demonstration of D2 Lymph node stations during laparoscopic total gastrectomy14. Incidence of metastatic tumours to the ovary (Krukenberg) versus primary ovarian neoplasms associated with colorectal cancer surgery15. Spatial biomarkers in cancer16. How informed is the consent process for complex cancer resections?17. Adjuvant radiation therapy among immigrant and Canadian-born/long-term resident women with breast cancer18. Human peritoneal explant model reveals genomic alterations that facilitate peritoneal implantation of gastric cancer cells19. Preoperative breast satisfaction association with major complications following oncologic breast surgery20. Impact of geography on receipt of medical oncology consultation and neoadjuvant chemotherapy for triple negative andHER2positive breast cancer21. Comparison of radiation, surgery or both in women with breast cancer and 3 or more positive lymph nodes22. Impact of synoptic operative reporting as a quality indicator for thyroid surgery: a Canadian national study01. The Toronto management of initially unresectable liver metastases from colorectal cancer in a living donor liver transplant program02. Dissection of a replaced right hepatic artery arising from the superior mesenteric artery during a laparoscopic Whipple03. Implementing the HIBA index: a low-cost method for assessing future liver remnant function04. Oncologic outcomes after surgical resection versus thermoablation in early-stage hepatocellular carcinoma: a systematic review of randomized controlled trials with meta-analysis05. Robotic pancreatic necrosectomy and internal drainage for walled-off pancreatic necrosis06. Predicting diabetes mellitus after partial pancreatectomy: PRIMACY, a pilot study07. Bleed and save: patient blood management in hepatectomy08. Defining standards for hepatopancreatobiliary cancer surgery in Ontario, Canada: a population-based cohort study of clinical outcomes09. Laparoscopic choledochoduodenostomy for recurrent choledocholithiasis10. A comparison of daytime versus evening versus overnight liver transplant from a single Canadian centre11. Pilot study validating the line of safety as a landmark for safe laparoscopic cholecystectomy using indocyanine green and near-infrared imagine12. Effect of transversus abdominis plane catheters on postoperative opioid consumption in patients undergoing open liver resections — a single-centre retrospective review13. Comparing the RETREAT score to the Milan criteria for predicting 5-year survival in post-liver transplant hepatocellular carcinoma patients: a retrospective analysis14. Characterizing the effect of a heat shock protein-90 inhibitor on porcine liver for transplantation using ex-vivo machine perfusion15. Modulation by PCSK9 of the immune recognition of colorectal cancer liver metastasis17. Implementation of a preoperative ketogenic diet for reduction of hepatic steatosis before hepatectomy19. Trends in the incidence and management of hepatocellular carcinoma in Ontario20. Canadian coaching program leads to successful transition from open to laparoscopic hepatopancreatobiliary surgery21. The impact of a positive pancreatic margin analyzed according to LEEPP on the recurrence and survival of patients with pancreatic head adenocarcinoma22. Armed oncolytic virus VSV-LIGHT/TNFSF14 promotes survival and results in complete pathological and radiological response in an immunocompetent model of advanced pancreatic cancer23. Comparing the efficacy of cefazolin/metronidazole, piperacillin-tazobactam, or cefoxitin as surgical antibiotic prophylaxis in patients undergoing pancreaticoduodenectomy: a retrospective cohort study01. Not just jumping on the bandwagon: a cost-conscious establishment of a robotic abdominal wall reconstruction program in a publicly funded health care system02. Shouldice method brief educational video03. Laparoscopic recurrent hiatal hernia repair with mesh gastropexy04. Robotic transabdominal preperitoneal Grynfeltt lumbar hernia repair with mesh01. Substance abuse screening prior to bariatric surgery: an MBSAQIP cohort study evaluating frequency and factors associated with screening02. MBSAQIP risk calculator use in elective bariatric surgery is uncommon, yet associated with reduced odds of serious complications: a retrospective cohort analysis of 210 710 patients03. Short-term outcomes of concomitant versus delayed revisional bariatric surgery after adjustable gastric band removal04. Safety and outcomes of bariatric surgery in patients with inflammatory bowel disease: a systematic review and meta-analysis08. Prescription drug usage as measure of comorbidity resolution after bariatric surgery — a population-based cohort study09. Experiences and outcomes of Indigenous patients undergoing bariatric surgery: a mixed-methods scoping review10. Bariatric surgery reduces major adverse kidney events in patients with chronic kidney disease: a multiple-linked database analysis in Ontario11. Inter-rater reliability of indocyanine green fluorescence angiography for blood flow visualization in laparoscopic Roux-en-Y gastric bypass12. Characterization of small bowel obstructions following elective bariatric surgery13. Revision of bariatric surgery for gastroesophageal reflux disease: characterizing patient and procedural factors and 30-day outcomes for a retrospective cohort of 4412 patients14. Duodenal-jejunal bypass liners are superior to optimal medical management in ameliorating metabolic dysfunction: a systematic review and meta-analysis15. Characteristics and outcomes for patients undergoing revisional bariatric surgery due to persistent obesity: a retrospective cohort study of 10 589 patients01. Collateral damage: the impact of the COVID-19 pandemic on the severity of abdominal emergency surgery at a regional hospital02. Pseudoaneurysms after high-grade penetrating solid organ injury and the utility of delayed CT angiography03. Pseudoaneurysm screening after pediatric high-grade solid organ injury04. Witnessed prehospital traumatic arrest: predictors of survival to hospital discharge05. A tension controlled, noninvasive device for reapproximation of the abdominal wall fascia in open abdomens08. Delayed vs. early laparoscopic appendectomy (DELAY) for adult patients with acute appendicitis: a randomized controlled trial09. Days at home after malignant bowel obstructions: a patient-centred analysis of treatment decisions10. Polytrauma and polyshock: prevailing puzzle11. National emergency laparotomy audit: a 9-year evaluation of postoperative mortality in emergency laparotomy13. A comparison of stress response in high-fidelity and low-fidelity trauma simulation14. ASA versus heparin in the treatment of blunt cerebrovascular injury — a systematic review and meta-analysis15. Comparison of complication reporting in trauma systems: a review of Canadian trauma registries16. Benefits of the addition of a nurse practitioner to a high-volume acute care surgery service: a quantitative survey of nurses, residents and surgery attendings17. Examining current evidence for trauma recurrence preventions systems18. Disparities in access to trauma care in Canada: a geospatial analysis of Census data19. Fast-track pathway to accelerated cholecystectomy versus standard of care for acute cholecystitis: the FAST pilot trial20. Using the modified Frailty Index to predict postoperative outcomes in patients undergoing surgery for adhesive small bowel obstruction: analysis of the National Inpatient Sample, 2015–201921. Adequacy of thromboprophylaxis in trauma patients receiving conventional versus higher dosing regimens of low-molecular-weight heparin: a prospective cohort study22. The hidden epidemiology of trauma in Nunavik: a comparison of trauma registries as a call to action23. Mapping surgical services in rural British Columbia: an environmental scan". Canadian Journal of Surgery 66, № 6 Suppl 1 (2023): S53—S136. http://dx.doi.org/10.1503/cjs.014223.

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Elancheran, M., K. Siva Kaliyamoorthy, V. Sriram, V. Archana, and S. Ragavendran. "Rare and Aggressive Primary Amelanotic Melanoma in Anorectal Region: A Case Series." JOURNAL OF CLINICAL AND DIAGNOSTIC RESEARCH, 2022. http://dx.doi.org/10.7860/jcdr/2022/59796.17174.

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Anorectal amelanotic melanoma is a rare and aggressive disease with high morbidity and mortality. A conclusive diagnosis of anorectal amelanotic melanoma poses a challenge to pathologists and clinicians due to the protean nature of this entity, be it in its initial clinical assessment appearing as non pigmented polypoidal growths usually mistaken for haemorrhoids or anorectal polyps. Histomorphologically, these entities get categorised in bewildering array of diagnoses like spindle cell carcinoma, Gastrointestinal Stromal Tumour (GIST), High grade sarcomas and even lymphoma. Thus Immunohistoch

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Kim, You Ie, Jung Yeon Joo, and Hye Ran Yang. "Inflammatory cloacogenic polyps in children: diagnostic yield of rectal retroflexion during colonoscopy." BMC Gastroenterology 22, no. 1 (2022). http://dx.doi.org/10.1186/s12876-022-02119-x.

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Abstract Background and aims Inflammatory cloacogenic polyps (ICPs) are inflammatory lesions occurring around the anal transitional zone. These are rare in the pediatric population, and most reported cases are found in adults. Therefore, this study aimed to evaluate the usefulness of rectal retroflexion (RR) during colonoscopy in detecting ICPs in children. Methods A total of 1837 colonoscopies were performed in 1278 children between September 2003 and August 2020 at the Seoul National University Bundang Hospital. The laboratory test results and colonoscopic and histopathological findings were

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Abuaagla, KY, Ahmed A. Abdalla, and Faisal A. Nugud. "Acquired Ano Rectal Conditions (AARC) in Children Seen at Gezira National Center for Pediatric Surgery (GNCPS-Sudan), Epidemiology, Management, and Outcome." Tropical Health and Medical Research, July 15, 2021. http://dx.doi.org/10.35916/thmr.vi0.44.

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The study's main objective is to determine the epidemiology, treatment, and outcome of the acquired anorectal conditions seen at the GNCPS. This study was a retrospective and prospective descriptive hospital-based study involving (131) child with Acquired anorectal conditions (AARC) who presented to GNCPS during the two-year study period. Data regarding the presentation, management, and post-operative course to look after complications and outcomes were collected. Data were collected using a formulated questionnaire and analyzed using (SPSS 17). Data considered statistically significant when P

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Stratmann, Katharina, Katarzyna Czerwinska, Natalie Filmann, et al. "Prevalence of colorectal cancer and its precursor lesions in symptomatic patients under 55 years of age undergoing total colonoscopy: results of a large retrospective, multicenter, controlled endoscopy study." International Journal of Colorectal Disease, March 5, 2021. http://dx.doi.org/10.1007/s00384-021-03898-7.

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Abstract Purpose Colorectal cancer (CRC) is the second most common cancer in Germany. Around 60,000 people were diagnosed CRC in 2016 in Germany. Since 2019, screening colonoscopies are offered in Germany for men by the age of 50 and for women by the age of 55. It is recently discussed if women should also undergo a screening colonoscopy by the age of 50 and if there are any predictors for getting CRC. Methods Colonoscopies of 1553 symptomatic patients younger than 55 years were compared with colonoscopies of 1075 symptomatic patients older than 55 years. We analyzed if there are any significa

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Başak, Fatih, Yahya Kemal Çalışkan, and Yıldız Büyükdereli Atadağ. "Exploring the Association between Benign Anorectal Conditions and Colorectal Cancer from the Analysis of Lower Gastrointestinal Endoscopies." Ibnosina Journal of Medicine and Biomedical Sciences, June 4, 2024. http://dx.doi.org/10.1055/s-0044-1787110.

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Abstract Objective Patients experiencing hemorrhoids or fissures may overlook other gastrointestinal (GI) symptoms, assuming that they are linked solely to their existing condition. However, colon cancer, often asymptomatic, can coincide with benign pathologies detected during colonoscopy. This study investigates the prevalence of colorectal cancer (CRC) in patients undergoing lower GI endoscopy for hemorrhoids and elucidates the correlation between cancer and benign pathologies identified during colonoscopy. Highlighting its potential to reveal hidden cancers emphasizes the critical role of c

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Xu, Shumin, Luo Zhang, Zhi Li, Kaiping Wang, Fang Liu, and Bo Cao. "Enhancing surgical precision: unveiling the impact of preoperative colonoscopy in anal fistula patients." BMC Gastroenterology 23, no. 1 (2023). http://dx.doi.org/10.1186/s12876-023-03066-x.

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Abstract Background Anal fistula is a common benign anorectal disease that often requires surgical intervention for effective treatment. In recent years, preoperative colonoscopy as a diagnostic tool in patients with anal fistula has garnered increasing attention due to its potential clinical application value. By investigating underlying inflammatory bowel disease (IBD), polyps, and other abnormalities, preoperative colonoscopy can offer insights to refine surgical strategies and improve patient outcomes. Methods This retrospective study focused on 1796 patients with various benign anorectal

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Deng, Tie, Junbang Feng, Wenjing Wang, Mingjuan Feng, Zhongrui Wang, and Chuanming Li. "Dual-energy Spectral CT Imaging of Primary Anorectal Malignant Melanoma: A Case Report." Current Medical Imaging Formerly Current Medical Imaging Reviews 20 (August 29, 2023). http://dx.doi.org/10.2174/1573405620666230829150146.

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Background: Primary anorectal malignant melanoma (ARMM) is a rare tumor. It is often misdiagnosed as hemorrhoids, polyps or colorectal cancer due to the lack of specificity of their clinical symptoms and imaging manifestations. Case presentation: In this study, we reported an 83-year-old female patient with ARMM. Computed tomography (CT) and Magnetic Resonance Imaging (MRI) showed uneven thickening of the intestinal wall about 7.0 cm from the anal margin, and no typical T1 high signal was seen on MRI. Dual-energy spectral CT showed that the effective atomic number (Zeff) of the tumor and the i

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N, Rashmi, Keerthana Srinivas, Prajwala HV, and Ravi MD. "Hematochezia in a 6-year-old girl: An unusual cause." Indian Journal of Case Reports, September 3, 2022, 237–39. http://dx.doi.org/10.32677/ijcr.v8i8.3536.

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Anorectal disorders, anal fissures, and distal polyps are the most common causes of hematochezia in children. However, inflammatory bowel disease (IBD), even though quite rare in children, can present with an isolated per rectal bleeding. Early onset IBD is described in patients younger than 10 years of age; however, these are rare instances of even neonates presenting with IBD. Here, we report the case of a 6-year-old girl who presented with episodes of per rectal bleeding for several months with severe anemia and malnutrition and was also found to have an anteriorly displaced anus. She under

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Hoshmand R. Asaad, Heero Ismael Faraj, Dana T. Gharib, et al. "Colonoscopic Findings in Patients with Rectal Bleeding Suspected to Have Internal Hemorrhoids: A Cohort Study." Barw Medical Journal, February 27, 2024. http://dx.doi.org/10.58742/rq7zk053.

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Introduction Rectal bleeding is a prevalent clinical symptom associated with various anorectal pathology. Colonoscopy is a valuable diagnostic and therapeutic tool for a wide range of colorectal diseases. The objective of this study was to identify potential alternative diagnoses for hematochezia observed during colonoscopy, which initially appeared to be caused by hemorrhoids. Methods A retrospective study was conducted on a total of 80 consecutive patients who had been clinically diagnosed with rectal bleeding. The patients underwent a digital rectal examination, and then they were prepared

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O'Sullivan, Timothy, Mayenaaz Sidhu, Sunil Gupta, et al. "A novel tool for case selection in Endoscopic Mucosal Resection training." Endoscopy, June 30, 2023. http://dx.doi.org/10.1055/a-2121-1148.

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Background and study aims: As Endoscopic mucosal resection (EMR) of large (20mm) adenomatous non-pedunculated colonic polyps (LNPCPs) becomes widely practiced outside expert centres, appropriate training is necessary to avoid failed resection and inappropriate surgical referral. No EMR-specific tool guides case selection for endoscopists learning EMR. This study aimed to develop an EMR case selection score (EMR-CSS) to identify potentially challenging lesions for “EMR-naïve” endoscopists developing competency. Patients and methods: Consecutive EMRs were recruited from a single centre from Sep

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Clarke, Ethan, Khine Thu, and Tim Bracey. "Rectal gastric heterotopia with fundic gland polyps, mimicking a high-risk primary anorectal neoplasm: histological evidence of the effects of gastric acid-suppressing medication in a rectal ‘outlet patch’." Diagnostic Histopathology, April 2024. http://dx.doi.org/10.1016/j.mpdhp.2024.03.005.

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Kocaaga, Ayca, Sevgi Yimenicioglu, and Cigdem Arslan Alıcı. "Case report: a de-novo 7p12.3 microduplication detected in an infant with perineal hamartoma and imperforate anus." Egyptian Journal of Medical Human Genetics 22, no. 1 (2021). http://dx.doi.org/10.1186/s43042-021-00205-5.

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Abstract:

Abstract Background Anorectal malformations (ARM) represent a wide spectrum of defects. Caudal and genitourinary malformations can associate with anorectal malformations. Genetic factors may play role in the development of anorectal malformations. Perineal masses like sacrococcygeal teratoma, rectal prolapse, or duplication cysts were reported before, but their association with perineal hamartoma and anal atresia is extremely rare. Case presentation Here, we report an 11-month-old female infant. She had 551 kb duplication at 7p12.3 with perineal hamartoma and anal atresia consisting a cystic l

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