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Triple synchronous primary neoplasms in the gastrointestinal tract

Chinese Medical Journal 2021年第10期134卷 1233-1235页

作者： fozan mohammed sauri Eman Adnan Zakarneh mohammed Yousef Alessa Ahmad Hammad Sakr Yeon Seung Chung Ho Seung Kim Nam kyu Kim Department of Surgery Colorectal DivisionYonsei University College of MedicineSeoul120-752South Korea Department of General Surgery King Faisal UniversityAlahsa 31982Saudi Arabia Colorectal Surgery Unit Department of General SurgeryMansoura Faculty of MedicineMansoura University HospitalMansoura 35511Egypt Department of Pathology Yonsei University College of MedicineSeoul 120-752South Korea

To the Editor:Most of the multiple primary malignancies are metachronous or involve more than one system,we instead describe a case with synchronous triple cancers involving one organ *** study was approved by the Institutional Review Board of Severance hospital,Yonsei University(IRB No.4-2019-0889).A 61-year old man who had no chronic illness,underwent abdominal computerized tomography(CT)scan due to vague abdominal complains and was found to have descending colon wall thickening[Figure 1A],colon cancer(cT3N+)was *** is not smoker or alcohol drunker,and has no family history of malignancies.

关键词： neoplasms colon Figure

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Assessment and management of low anterior resection syndrome after sphincter preserving surgery for rectal cancer

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Chinese Medical Journal 2020年第15期133卷 1824-1833页

作者： Ahmad Sakr fozan sauri mohammed Alessa Eman Zakarnah Homoud Alawfi Radwan Torky Ho Seung Kim Seung Yoon Yang Nam Kyu Kim Division of Colorectal Surgery Department of SurgerySeverance HospitalYonsei University College of MedicineSeoul 03722Korea Colorectal Surgery Unit Department of General SurgeryMansoura Faculty of MedicineMansoura University HospitalsMansoura 35511Egypt ‘Department of General Surgery King Faisal UniversityAlahsa 31982Saudi Arabia Department of General Surgery Main hospitalAssiut Faculty of MedicineAssiut UniversityAssiut 71511Egypt

Many patients develop a variety of bowel dysfunction after sphincter preserving surgeries(SPS)for rectal *** bowel dysfunction usually manifests in the form of low anterior resection syndrome(LARS),which has a negative impact on the patients'quality of *** study reviewed the LARS after SPS,its mechanism,risk factors,diagnosis,prevention,and treatment based on previously published *** history taking,physical examination of the patients,using validated questionnaires and other diagnostic tools are important for assessment of LARS *** of LARS should be tailored to each *** therapy is usually needed for patients with major LARS with acceptable *** treatment includes conservative management in the form of medical,pelvic floor rehabilitation and transanal irrigation and invasive procedures including *** this treatment failed,fecal diversion may be *** conclusion,Initial meticulous dissection with preservation of nerves and creation of a neorectal reservoir during anastomosis and proper Kegel exercise of the anal sphincter can minimize the occurrence of ***-treatment counseling is an essential step for patients who have risk factors for developing LARS.

关键词： Bowel dysfunction Low anterior resection syndrome Rectal cancer Sphincter-preserving surgery

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