I read with interest the article by de Buck van Overstraeten et al., ‘Intersphincteric proctectomy with end-colostomy for anorectal Crohn's disease (CD) results in early and severe proximal colonic recurrence’.1 In their case series, 10 consecutive patients underwent intersphincteric proctectomy with end-colostomy. Early symptomatic recurrence occurred in 9 of the 10 patients at a median follow...

BACKGROUND/AIM Hirschsprung's disease is the most common identifiable developmental disorder of the enteric nervous system, characterized by a failure of its formation in a variable segment of distal bowel. Currently available surgical therapies for Hirschsprung's disease, although lifesaving, are associated with numerous complications. The aim of our study was to evaluate the effectiveness of ...

Baird, D. (1945). J . Obstet. Gynaec. 52, 339. Burke, B. S. & Stuart, H. D. (1948). J. Amer. med, Ass. I37, 1x9. Fraser, A. H. H. (1939). ?‘runs. Highl. agric. SOC. Scot. 5th ser. 51, 39. Hammond, J. (1940). Farm Ammab. London: Edward Arnold and Co. McKenzie, F. F. & Bogart, R. (1934). Amer. SOC. Anim. Plod. (Proc.) 1933-4, p. 221 Smith, C. A. (1947). A M . J. Obstet. Gynec. 53, 599. Thomson, W...

The concept of a continent stoma is an attractive one. This has been achieved with varying success for ileostomies made with a Koch pouch but not for colostomies. Permanent ileostomies, and to a proportionally lesser extent colostomies also, are becoming increasingly rare following increased expertise in sphincter saving operations, mucosal proctectomy and the success of the Jand W-ileoanal pou...

Colorectal obstruction caused by colorectal cancer has been reported to occur in 7%–29% of all patients with colorectal cancers [1, 2], with left-sided colonic obstruction being more common than right-sided colonic obstruction [3]. Massive colonic distension, localized or generalized peritonitis, fluid and electrolyte imbalance, colonic wall necrosis, and perforation may develop as a result of ...

BACKGROUND Postoperative mortality after some types of cancer surgery is inversely related to the number of operations performed at a hospital (i.e., hospital volume). This study assessed the association of hospital volume with colostomy rates and survival for patients with rectal cancer in a large representative cohort identified from the California Cancer Registry. METHODS We identified 725...

The aetiology of ulcerative colitis is unknown. Two patients without pre-existing inflammatory bowel disease in whom end colostomy for faecal incontinence was complicated by diversion colitis in the defunctioned rectosigmoid colon, are described. In both instances, colitis with the clinical, colonoscopic, and microscopic features of ulcerative colitis developed about a year later in the previou...

This study investigates couples' adjustment to rectal cancer and a colostomy using the 'Classification System of Couple Adjustment to Cancer', a framework delineating fluctuations in couples' sense of 'I' and 'We' in response to cancer. Nine couples affected by rectal cancer and adjusting to life with a colostomy were interviewed. A theoretical thematic analysis of the transcripts was conducted...

BACKGROUND Squamous cell carcinoma of the anus (SCCA) is highly sensitive to chemoradiation (CRT) which achieves good loco-regional control and preserves anal function. However, some patients require permanent stoma formation either as a result of surgery on relapse, poor anal function or treatment-related symptoms. Our aim was to determine patient, tumour and treatment-related colostomy rates ...