World J Gastroentero
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World J Gastroentero · Oct 2006
Editorial ReviewTechniques for restoring bowel continuity and function after rectal cancer surgery.
A very low local recurrence rate of 3%-6% (associated with improved 5 year survival) is possible when proper oncological surgery is performed of mid and distal rectal adenocarcinoma. Restoration of bowel continuity is possible in most cases, without compromise of cancer clearance. Re-anastomosis can be performed with stapled, transabdominal hand-sewn or coloanal pull-through techniques. ⋯ However, the risk of anastomotic complications is higher possibly related to its end-to-end anastomotic configuration. Laparoscopic techniques for accomplishing all the above are being proven to be effective. Restorative surgery for rectal cancer can be safely and effectively performed with methods to improve bowel function very acceptably; the future advances are likely in laparoscopy.
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World J Gastroentero · Oct 2006
Diagnostic dilemma of abdominal tuberculosis in non-HIV patients: an ongoing challenge for physicians.
To assess the clinical features, yield of the diagnostic tests and outcome of abdominal tuberculosis in non-HIV patients. ⋯ Abdominal TB has diverse and non- specific symptomatology. No single test is adequate for diagnosis of abdominal tuberculosis in all patients. Abdominal TB in non-HIV patients remains an ongoing diagnostic dilemma requiring a high index of clinical suspicion.