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Intractable rectal stricture caused by hot water enema
Bong-Hyeon Kye,Hyung-Jin Kim,Kang Moon Lee,Hyeon-Min Cho 대한외과학회 2011 Annals of Surgical Treatment and Research(ASRT) Vol.81 No.5
Rectal burns caused by hot water enema have been reported only occasionally and the majority of them were treated in a conservative manner. Although intractable rectal stricture caused by rectal burn is rare, it may be treated by endoscopic intervention or surgery. A 52-year-old woman who had used various methods of enema to treat her chronic constipation eventually undertook a hot water enema herself. After that, anal pain and constipation became aggravated prompting her to visit our clinic. Although various nonoperative treatments including endoscopic stenting were performed, her obstructive symptom did not improve and endoscopic findings had not changed. Hence, we performed a laparoscopic proctosigmoidectomy and transanal coloanal anastomosis with ileal diversion to treat the disease, and as a result, her obstructive symptom improved well. Corrective surgery such as resection of involved segment with anastomosis may be beneficial in relieving obstructive symptoms of an intractable rectal stricture caused by hot water enema.
Hemorrhage from a jejunal polypoid hemangioma
Bong Hyeon Kye,Soo Hong Kim,Jae Im Lee,Jun Gi Kim,Seong Taek Oh,Won Kyung Kang,Chan Kwon Jung 대한외과학회 2011 Annals of Surgical Treatment and Research(ASRT) Vol.80 No.5
Bleeding lesions in the small bowel are a much more significant challenge in terms of detection and treatment than those of the stomach or the large bowel, and require extensive gastrointestinal evaluation before a diagnosis can be made. The authors report the case of an 81-year-old female patient who underwent small bowel segmental resection by single incisional laparoscopic approach for distal jejunalhemangioma, which caused severe anemia. An abdominal computed tomography scan demonstrated a highly enhancing polypoid tumor in the distal ileum. During the single incisional laparoscopic exploration using a 2 cm sized skin incision, jejuno-jejunal intussusceptions and a jejunal tumor were noted. Single incisional laparoscopy was performed to assist the jejunal segmental resection. Pathologic reports confirmed the lesion to be a jejunalhemangioma. The authors report an unusual case of jejunalhemangioma caused by intussusception and gastrointestinal hemorrhage, which was treated by single incisional laparoscopic surgery.
Clinicopathological features of retrorectal tumors in adults
Bong-Hyeon Kye,Hyung-Jin Kim,Hyeon-Min Cho,Hyung-Min Chin,Jun-Gi Kim 대한외과학회 2011 Annals of Surgical Treatment and Research(ASRT) Vol.81 No.2
Purpose: Primary tumors of the retrorectal space in adults are very rare. Most of them are benign masses, but malignant masses are reported on occasion. This study aimed to investigate the clinicopathological features of retrorectal tumors. Methods: The medical records of fifteen patients who underwent surgical resection of a retrorectal tumor from March 2002 to April 2010 in our hospital were reviewed retrospectively. Results: Out of 15 patients, thirteen were females and two males. About 1.7 patients were diagnosed with retrorectal tumor annually in our hospital. The incidence is one per 1,500 surgeries performed under general anesthesia. An anterior approach was performed in eight patients and a posterior approach with excision of the coccyx in five patients. Combined approach was performed in two patients. Four patients (three in abdominal approach and one in combined approach) underwent laparoscopic resection. The mean size of tumors was 6.2 ± 2.9 cm. Mature teratoma (four) and neurilemmoma (four) were the most common tumors. Except for one case of chondrosarcoma, fourteen tumors were confirmed to be of benign nature in histologic examination. Patients who underwent a transabdominal approach with laparoscopic surgery had no postoperative complication and had a tendency to experience earlier recovery than those with open surgery. Conclusion: Surgical resection of a retrorectal tumor is recommended to relieve pressure symptoms and to confirm the diagnosis. A laparoscopic approach may offer excellent visualization of the deep structures in the retrorectal space, reduce surgical trauma, and be helpful for early postoperative recovery.
Bong-Hyeon Kye,이석환,Woon Kyung Jeong,Chang Sik Yu,In Ja Park,Hyeong Rok Kim,Jin Kim,In Kyu Lee,Ki-Jea Park,Hong-Jo Choi,Ho Young Kim,Jeong-Heum Baek,Yoon-Suk Lee 대한외과학회 2019 Annals of Surgical Treatment and Research(ASRT) Vol.97 No.4
Purpose: The optimal treatment for synchronous liver metastasis (LM) from colorectal cancer (CRC) depends on various factors. The present study was intended to investigate the oncologic outcome according to the time of resection of metastatic lesions. Methods: Data from patients who underwent treatment with curative intent for primary CRC and synchronous LM between 2004 and 2009 from 9 university hospitals in Korea were collected retrospectively. One hundred forty-three patients underwent simultaneous resection for primary CRC and synchronous LM (simultaneous surgery group), and 65 patients were treated by 2-stage operation (staged surgery group). Results: The mean follow-up length was 41.2 ± 24.6 months. In the extent of resection for hepatic metastasis, major hepatectomy was more frequently performed in staged surgery group (33.8% vs. 8.4%, P < 0.001). The rate of severe complications of Clavien-Dindo classification grade III or more was not significantly different between the 2 groups. The 3-year overall survival (OS) rate was 85.0% in staged surgery group and 69.4% in simultaneous surgery group (P = 0.013), and the 3-year recurrence-free survival (RFS) rate was 46.4% in staged surgery group and 30.2% in simultaneous surgery group (P = 0.143). In subgroup analysis based on the location of primary CRC, the benefit of staged surgery for OS and RFS was clearly shown in rectal cancer (P = 0.021 and P = 0.015). Conclusion: Based on our results, staged surgery with or without neoadjuvant chemotherapy should be considered for resectable synchronous LM from CRC, especially in rectal cancer, as a safe and fairly promising option
( Bong Hyeon Kye ),( Hyung Jin Kim ),( Hyeon Min Cho ) 한국정맥경장영양학회 2012 한국정맥경장영양학회 학술대회집 Vol.2012 No.-
Background: Diverting stomas following rectal cancer surgery can affect patients` quality of life, and any complications associated with the formation or closure of a diverting stoma may negatively affect patients` long-term outcomes and quality of life. Objective: The purpose of this study is to investigate the relationship between diverting stoma-related complications and nutritional status. Methods: In a retrospective study of 124 patients aged 65 years and older who underwent diverting stoma following rectal cancer surgery between June 2004 and March 2011, we analyzed diverting stoma-related complications and nutrition status for the following time periods: before stoma construction; before stoma closure; and after stoma closure. Results: Complications related to the diverting stoma developed in 26 (20.9%) patients, consisting of 8 high output renal failures, 9 adhesive ileus, 4 parastomal hernias, 1 stoma perforation, and 4 prolapses. Complications related to stoma closure developed in 12 (9.7%) patients, consisting of 10 adhesive ileus, 1 wound infection, 1 incisional hernia, and 1 anastomosis site leakage. Nutritional screening performed prior to stoma closure showed that patients who experienced stoma formation-related complications had lower albumin levels (p=0.019), lower total lymphocytes (p=0.008), and lower BMI level (p=0.042). Body weight loss was more severe in patients with stoma-related complication (p=0.031). Conclusions: Diverting stoma-related complications may affect patient`s nutritional status. Stoma closure operation and proper nutritional support may be important for avoiding complications and improving patients` long-term outcomes and quality of life.
A case of inflammatory myofibroblastic tumor originated from the greater omentum in young adult
Bong Hyeon Kye,Hyung Jin Kim,Se-Goo Kang,Changyoung Yoo,Hyeon-Min Cho 대한외과학회 2012 Annals of Surgical Treatment and Research(ASRT) Vol.82 No.6
Inflammatory myofibroblastic (IMF) tumor is a rare solid tumor that often affects children. IMF tumors occur primarily in the lung, but the tumor may affect any organ system with protean manifestations. A 22-year-old woman was evaluated for palpable low abdominal mass that had been increasing in size since two months prior. Abdominal computed tomography showed a lobulated, heterogeneous contrast enhancing soft tissue mass, 6.5 × 5.7 ㎝ in size in the ileal mesentery. At surgery, the mass originated from the greater omentum laying in the pelvic cavity and was completely excised without tumor spillage. Histologically, the mass was a spindle cell lesion with severe atypism and some mitosis. Immunohistochemistry for anaplastic lymphoma kinase-1 revealed that the lesion was an IMF tumor. Because of its local invasiveness and its tendency to recur, this tumor can be confused with a soft tissue sarcoma. Increasing physician awareness of this entity should facilitate recognition of its clinical characteristics and laboratory findings.
Case Reports : Intractable rectal stricture caused by hot water enema
( Bong Hyeon Kye ),( Hyung Jin Kim ),( Kang Moon Lee ),( Hyeon Min Cho ) 대한내과학회 2011 대한내과학회지 Vol.81 No.5
Rectal burns caused by hot water enema have been reported only occasionally and the majority of them were treated in a conservative manner. Although intractable rectal stricture caused by rectal burn is rare, it may be treated by endoscopic intervention or surgery. A 52-year-old woman who had used various methods of enema to treat her chronic constipation eventually undertook a hot water enema herself. After that, anal pain and constipation became aggravated prompting her to visit our clinic. Although various nonoperative treatments including endoscopic stenting were performed, her obstructive symptom did not improve and endoscopic findings had not changed. Hence, we performed a laparoscopic proctosigmoidectomy and transanal coloanal anastomosis with ileal diversion to treat the disease, and as a result, her obstructive symptom improved well. Corrective surgery such as resection of involved segment with anastomosis may be beneficial in relieving obstructive symptoms of an intractable rectal stricture caused by hot water enema.