Techniques in coloproctology
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Hartmann's procedure and its reversal are associated with high cumulative morbidity rates. We assessed the outcomes of emergency Hartmann's procedures and permanent stoma rates among Asians. ⋯ Hartmann's procedure is valid among Asians, and its mortality and morbidity rates are related to patients' pre-existing health conditions. The predominant cause is colorectal cancer and permanent stoma rates are related to patient age.
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Letter Case Reports
Brain abscess as a rare complication of acute sigmoid diverticulitis.
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Letter Case Reports
Clostridium difficile enteritis following total colectomy.
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Nicorandil is a potassium channel activator used in the prevention and long-term treatment of angina pectoris. It is widely prescribed and its use is supported by data from powerful randomised controlled trials. The colorectal community is becoming increasingly aware of a subgroup of patients with anal ulceration and other gastrointestinal manifestations of nicorandil use. ⋯ Nicorandil is a rare cause of severe perianal ulceration. This association should be recognised as these ulcers are resistant to other forms of treatment but heal well on ceasing nicorandil use.
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Transanal haemorrhoidal dearterialisation (THD) is a nonexcisional surgical technique for the treatment of piles, consisting in the ligation of the distal branches of the superior rectal artery, resulting in a reduction of blood flow and decongestion of the haemorrhoidal plexus. The aim of this study was to assess the long-term efficacy of this treatment. ⋯ The efficacy and relapse rate of this procedure appears to be similar to that of traditional surgery and stapled haemorrhoidopexy. The technique was effective and safe for all degrees of haemorrhoids because of the excellent results, low complication rate and minor postoperative pain.