Surgery, Gastroenterology and Oncology
Vol. 24, No. 5, Oct 2019
Improvement in the Anal Function in Rats via Electrical Muscle Stimulation
Masahiko Nakayama, Shinichiro Ito, Fumihiko Fujita, Yusuke Inoue, Izumi Yamaguchi, Kazuma Kobayashi, Yuka Mine, Kengo Kanetaka, Yuichiro Honda, Minoru Okita, Susumu Eguchi
Article DOI: 10.21614/sgo-24-5-228
Read article Background: Intersphincteric resection (ISR) has become a common procedure for lower rectal cancer. However, while the anus can be preserved, thereby avoiding colostomy, anal sphincter dysfunction remains a troublesome complication. This is a serious problem with no effective therapies available at present. We established a novel rat model with long-term anal sphincter dysfunction. The objective of this experiment was to assess anal functional recovery after electrical muscle stimulation (EMS) of the anal sphincter in anal dysfunction model rats.

Methods: Twenty....[more]
Efficacy of Rifaximin-a vs Dietary Fiber on the Evolution of Uncomplicated Colonic Diverticular Disease
Ionel Copaci, Gabriel Constantinescu, Mariana Mihăilă, Laurenţiu Micu, Andreea Franculescu-Bertea
Article DOI: 10.21614/sgo-24-5-233
Read article Background: Life expectancy is increasing, technology progress and technique improvements allow performing more colonoscopies in more patients, and these circumstances determine an increasing rate of diagnosing diverticular disease (DD). The more is diagnosed, the better the respective patients will be followed in order to prevent the severe complications of this anatomical disease: diverticulitis, recurrences, bleeding, perforation, septic peritonitis, even death. Present statistics reveal that the number of patients
who suffer a recurrence of diverticulitis is higher t....[more]
Surgical Treatment of Synchronous Colorectal and Renal Neoplasms
Ivelin Takorov, Tsvetan Trichkov, Radoslav Kostadinov, Maria Yakova, Tsonka Lukanova, Vassil Mihaylov, Nikola Vladov
Article DOI: 10.21614/sgo-24-5-241
Read article Background: Synchronous tumors are rare clinical entity. In most cases, they are found accidentally in the process of primary tumor staging. The detection rate of synchronous blastomas has increased over the past decades due to the advance and more frequent use of imaging modalities. Only a few cases of colorectal carcinoma (CRC) and concurrent incidental renal tumors have been reported in recent years, with their incidence rates varying as reported by different authors (0.043-4.85%).

Methods: We performed retrospective analysis of our database for patients, adm....[more]
Clinical and Endoscopic Profile of Periampullary Tumour in a Tertiary Care Hospital
Rithesh Reddy G., Vijay Kumar T R., Nandeesh H P., Deepak Suvarna, Aradya H V., Anurag Lavekar, Anil Kumar G.
Article DOI: 10.21614/sgo-24-5-247
Read article Background and aims: Periampullary tumour is a clinical condition often encountered by gastroenterologist and surgeon. There is limited data regarding clinical profile and endoscopic management of patients with periampullary tumour.

Methods: We retrospectively analyzed the ERCP (Endoscopic retrograde cholangio pancreatography) records of periampullary tumour patients who were referred to Department of Gastroenterology for ERCP over a period of three years from January 2015 to January 2018. Demographic profile, clinical findings and ERCP management were taken i....[more]
What Should We Prefer in the Surgical Management of Differentiated Thyroid Carcinomas?
Fatih Çiftçi
Article DOI: 10.21614/sgo-24-5-251
Read article Aim: The study evaluates the results of surgical procedures performed in patients with differentiated thyroid carcinoma. There are many discussions regarding the optimal surgical treatment of differentiated thyroid carcinoma; their focal point is the type or extent of thyroidectomy.

Material and Method: We performed a retrospective analysis on 85 patients diagnosed with differentiated thyroid carcinoma, treated in the period July 2007 - April 2017. The average age the patients, consisting of 15 males and 70 females, was of 41 (17-85) years. The gross findings a....[more]
Solid Pseudopapillary Pancreatic Tumor - Tumor of Frantz
Rossen Madjov, Plamen Chernopolsky, Vasil Bozhkov, Valentina Madjova
Images in Clinical Medicine, Oct 2019
Article DOI: 10.21614/sgo-24-5-259
Read article The solid cystic pseudopapillary tumour, known also as the tumour of Frantz, is a rare primary neoplasm of the pancreas with unknown etiology, occurring predominantly in young females. It is characterized by a paucity of clinical symptomatology and can reach large sizes before final diagnosis.
Degenerative cystic changes and haemorrhagic areas are typical, and the most common clinical manifestation is a cystic pancreatic tumour, palpable mass and uncharacteristic abdominal pain. Although resection of the tumour provides a 5-year survival rate of almost 90%, local recurrence or ....[more]
A Case of Radical Laparoscopic Central Bisegmentectomy with S3 Subsegmentectomy for Multiple Liver Metastases After Chemotherapy
Mamoru Morimoto, Yoichi Matsuo, Kenta Saito, Ken Tsuboi, Ryo Ogawa, Hiroki Takahashi, Shuji Takiguchi
Video Case Report, Oct 2019
Article DOI: 10.21614/sgo-24-5-265
Read article Hepatic resection remains the only potentially curative treatment for patients with colorectal liver metastasis (CRLM) (1). Moreover, only15%-20% of patients with CRLM are suitable for surgical resection (2). Herein wepresent a video case-report of a radical laparoscopic central bisegmentectomy plus S3 subsegmentectomy for multiple liver metastasis after chemotherapy.
The patient was a 39-year-old man who was shown to have metachronous multiple liver metastases from sigmoid colon cancer. The size of the tumor in S3 was 7cm, and the size of the tumor in S4 S5 S8 was 13cm. At thi....[more]

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Journal Abbreviation: Surg. Gastroenterol. Oncol.

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