Radiologic spectrum of rectal stenosis

Yamamoto, Tatsuya; Hayashi, Nobushige; Hayakawa, Katsumi; Nishimura, K; Ishii, Yasushi

doi:10.1007/s003300000346

Cited by 3 publications

(2 citation statements)

References 23 publications

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“…180,181 Another less common cause of obstruction is stenosis in rectal anastomoses, which can occur when there is dehiscence that leads to inflammation, infection, and local fibrosis, and is usually detected during routine colonoscopy and can be treated by balloon dilation in most cases. 182,183 The diagnosis of obstruction was made by clinical observation, abdominal physical examination, and digital rectal examination. Abdominal radiography may help, but due to its low accuracy, total abdominal CT becomes the most important test to aid in the diagnosis of colorectal obstruction in more than 90% of cases.…”

Section: Level Of Evidence: III Grade Of Recommendation: Bmentioning

confidence: 99%

“…The rectosigmoid and rectum account for 47% of the obstructions occurring in the large intestine 180,181 . Another less common cause of obstruction is stenosis in rectal anastomoses, which can occur when there is dehiscence that leads to inflammation, infection, and local fibrosis, and is usually detected during routine colonoscopy and can be treated by balloon dilation in most cases 182,183 . The diagnosis of obstruction was made by clinical observation, abdominal physical examination, and digital rectal examination.…”

Section: The Treatment Of Intestinal Obstruction In Mid‐low Rectal Cancer Should Preferably Involve Decompression By Diversion Stomamentioning

confidence: 99%

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Brazilian society of surgical oncology: Guidelines for the surgical treatment of mid‐low rectal cancer

Valadão

Cesar

Véo

et al. 2021

Journal of Surgical Oncology

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Background: Colorectal cancer (CRC) is the third leading cause of cancer in North America, Western Europe, and Brazil, and represents an important public health problem. It is estimated that approximately 30% of all the CRC cases correspond to tumors located in the rectum, requiring complex multidisciplinary treatment. In an effort to provide surgeons who treat rectal cancer with the most current information based on the best evidence in the literature, the Brazilian Society of Surgical Oncology (SBCO) has produced the present guidelines for rectal cancer treatment that is focused on the main topics related to daily clinical practice. Objectives:The SBCO developed the present guidelines to provide recommendations on the main topics related to the treatment of mid-low rectal cancer based on current scientific evidence.Methods: Between May and June 2021, 11 experts in CRC surgery met to develop the guidelines for the treatment of mid-low rectal cancer. A total of 22 relevant topics were disseminated among the participants. The methodological quality of a final list with 221 sources was evaluated, all the evidence was examined and revised, and the treatment guideline was formulated by the 11-expert committee. To reach a final consensus, all the topics were reviewed via a videoconference meeting that was attended by all 11 of the experts. Results:The prepared guidelines contained 22 topics considered to be highly relevant in the treatment of mid-low rectal cancer, covering subjects related to the tests required for staging, surgical technique-related aspects, recommended measures to reduce surgical complications, neoadjuvant strategies, and nonoperative treatments. In addition, a checklist was proposed to summarize the important information and offer an updated tool to assist surgeons who treat rectal cancer provide the best care to their patients.

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