BACKGROUND The present study evaluated outcomes of patients undergoing proximal diversion using either a loop ileostomy or loop colostomy following distal colorectal resection for malignant and non-malignant disease. METHODS A literature search of the Medline, Ovid, Embase and Cochrane databases was performed to identify studies published between 1966 and 2006, comparing loop ileostomy and lo...

Although the treatment strategy for colorectal trauma has advanced during the last part of the twentieth century and the result has improved, compared to other injuries, problems, such as high septic complication rates and mortality rates, still exist, so standard management for colorectal trauma is still a controversial issue. For that reason, we designed this article to address current recomm...

An anorectal foreign body can cause serious complications such as incontinence, rectal perforation, peritonitis, or pelvic abscess, so it should be managed immediately. We experienced two cases of operative treatment for a self-inserted anorectal foreign body. In one, the foreign body could not be removed as it was completely impacted in the anal canal. We failed to remove it through the anus. ...

OBJECTIVE To present our experience of patients with Hirschsprung disease (HD) operated by transanal endorrectal descent (TED). METHODS A retrospective study performed of TEDs. We correlate fundamentally the aganglionic segment length with: Complications, need for colostomy and surgical approach. RESULTS Between 2003 and 2012 we performed 73 TED (57 men), 78.6% diagnosed in the neonatal per...

OBJECTIVES Rectovesical fistula (RVF) is a rare complication of radical prostatectomy. A 57-year-old man underwent open radical prostatectomy with recognized rectal injury, primary closure of the rectal wall, and loop colostomy. The patient developed urine leakage per rectum after colostomy closure. We diverted the fecal stream with end colostomy and placed a suprapubic tube. An open transsacra...

HYPOTHESIS The adaptation of new techniques in treatment of epidermoid carcinoma of the anal canal during the past 3 decades has improved clinical outcomes. DESIGN Retrospective consecutive case review. SETTING A university hospital and Veterans Affairs medical center. PATIENTS Medical records of 76 consecutive patients treated for invasive epidermoid cancer of the anal canal between 1970...

PURPOSE To investigate whether the alterations of the diverted colon segment mucosa, evidenced in fecal colitis, would be able to alter Bacterial Translocation (BT). METHODS Sixty-two Wistar male rats ranging from 220 to 320 grams of weight, were divided in two groups: A (Colostomy) and B (Control), with 31 animals each one. In group A, all animals underwent end colostomy, one stoma, in ascen...

Mortality rates for neutropenic patients with peri-anal sepsis are high, but there is no consensus in the literature as to the optimal management strategy. At Leicester Royal Infirmary, UK, we have adopted a multidisciplinary approach as standard, with broad-spectrum antibiotics, peri-anal examination with debridement if necessary, and routine defunctioning colostomy. Eleven patients were treat...

Introduction: Stoma Prolapse and Parastomal Incisional Hernia are both, separately, very common complications after end colostomies. However, their simultaneous occurrence is rare and, to our knowledge, combining Altemeier’s procedure and Laparoscopic Sugarbaker modified technique has yet to be reported for an end colostomy related complications. Materials & methods: In this case report, we det...

tion of the colon include surgical and interventional therapy options. With an acceptable risk level, palliative tumor resection is the treatment of choice depending on tumor location, tumor extension, and others. If surgical therapy is not a reasonable option, an alternative option would be the implantation of a stent. Unfortunately, the implantation of a stent through the anus can often be di...