48 patients with the fluid colonal functional disorder used “Tu than” pill at dose of 10g/day x2 times/day after a meal within 30 days. The results have showed that after 30 days of the treatment, the symptoms such as abdominal pain, diarrhea, bloating, cold anxiety were improved. The drug was well tolerated, easy to use and had a little side effects.
Colonic Diseases, Functional ; Pharmaceutical Preparations

Coloduodenal fistula (CDF) is uncommon, and it is often secondary to other colon and duodenal diseases that are benign or malignant. The clinical manifestations of CDF are variable, and upper abdominal pain, feculent vomiting and diarrhea are the common symptoms. Digestive tract contrast radiography and enhanced CT imaging are very helpful for diagnosing CDF, and gastrointestinal endoscopy can give more information about the fistula. Procedure selection should depend on whether the primary disease is malignant and the extent of the lesion. Because the duodenum has complicated anatomic relationship with its adjacent organs including bile duct system and pancreas, procedure for this clinical entity is a challenging task. Decision-making and experienced surgical skills are critical.
Colonic Diseases ; Duodenal Diseases ; Humans ; Intestinal Fistula

Pilonidal disease is a common clinical condition which is not sufficiently recognized with regard to the clinical manifestation and treatment by colorectal surgeons in China, resulting in high misdiagnosis rate and recurrent rate. With reference to the Practice Parameters for the Management of Pilonidal Disease published in 2013 by The American Society of Colon and Rectal Surgeons, we discuss the management of pilonidal disease in four aspects, including etiology, diagnoses, nonoperative and operative management.
Colonic Diseases ; surgery ; Humans ; Rectal Diseases ; surgery ; United States

No abstract available.
Colonic Diseases/*diagnosis ; Colonic Polyps/*surgery ; Female ; Gastrointestinal Hemorrhage/*etiology ; Humans ; Male

BACKGROUND/AIMS: Some studies showed the higher prevalence of H. pylori infection in the patients with colon adenoma and carcinoma than control subjects. The association between H. pylori infection and colonic diseases is controversial. We evaluated H. pylori infection rate and the related upper gastrointestinal lesions in the patients with colon polyp and cancer. METHODS: Ninety-four subjects, 67 with colonic lesions and 27 without colonic lesions were enrolled. Colon polyp and cancer were confirmed by colonoscopic biopsy or polypectomy. The enrolled subjects were received gastroduodenoscopic examination. H. pylori infection was evaluated serologically and/or with rapid urease test. The fasting serum gastrin level was measured. RESULTS: H. pylori infection rates in the patients with and without colonic lesions were 67.2% and 44.4%, respectively (p<0.05). Upper gastrointestinal lesions were observed in 27 of 67 patients (40.3%) with colonic lesions and in 11 of 27 patients (40.7%) without colonic lesions (p=1.0). Mean levels of serum gastrin with and without colonic lesions were 91.7+/-31.1 pg/mL and 88.1+/-37.7 pg/mL, respectively (p=0.15). CONCLUSIONS: Our study supports the relationship between H. pylori infection, colorectal neoplasia. Although there was no significant difference, the possibility of the simultaneous presence of upper gastrointestinal lesions in the patients with colorectal polyp and cancer was suggested. But the relationship between serum gastrin and the development of colorectal polyp and cancer was not documented.
Adenoma ; Biopsy ; Colon* ; Colonic Diseases ; Colonic Neoplasms ; Fasting ; Gastrins ; Helicobacter pylori* ; Helicobacter* ; Humans ; Polyps ; Prevalence ; Urease

Recently the incidence of colonic disease increases in Korea. Because a large proportion of polyps and cancer occur in the rectosigmoid colon, fecal occult blood test and sigmoidoscopy have been used widely in screening test. (continue...)
Colon* ; Colonic Diseases ; Colonic Neoplasms ; Colonoscopy ; Incidence ; Korea ; Mass Screening ; Occult Blood ; Polyps ; Sigmoidoscopy

In 2015, capsule endoscopy was introduced as the main investigation method for small bowel mucosal diseases, and its role in colonic diseases has been gradually revealed. Future challenges for capsule endoscopy, besides improvements of image quality and visualization of each part of the small bowel and colonic mucosa, include the development of gastric capsules, the capacity to perform histological examination of the mucosa, and maybe in the future, some capsule endoscopy-driven therapeutics. The aim of this review was to evaluate the clinical demands and feasibility of achieving the aforementioned objectives.
Capsule Endoscopy* ; Capsules ; Colon ; Colonic Diseases ; Forecasting ; Mucous Membrane ; Stomach

Comparison between Americans colonic diseases are much less prevalence in Korea. But, recent days much increased incidence in these disases caused by changes of food habits and development of diagnostic methods. We studied 1456 cases who complained colonic symptoms and colonofiberscopic biopsy was taken from 1981 to 1985 at Han Yang Univ. Hospital, Age, Sex, elinical symptoms, histopathological findings, location and relation between of barium study were analized for 1002 cases wha confirmed by biopsy. (continue...)
Barium ; Biopsy ; Colon ; Colonic Diseases ; Food Habits ; Incidence ; Korea ; Prevalence

No abstract available.
Colonic Diseases/*surgery ; Colonoscopy/*methods ; Female ; Humans ; Male ; *Stents

OBJECTIVEThe objective was to review the factors affecting the feasibility of performing successful laparoscopic colectomy.

DATA SOURCESThe literatures about the risk factors closely related to the ability to perform laparoscopic colectomy on different surgical diseases of the colon cited in this review were obtained from PubMed published in English from 2006 to 2012.

STUDY SELECTIONOriginal articles regarding the risk factors that affect the ability to perform laparoscopic colectomy were selected.

RESULTSObesity, diabetes, inflammatory bowel diseases, advanced age, emergency operation, and pelvic anatomy are all important risk factors that increase the risk of developing serious complications such as hemorrhage, anastomotic leak, and skin and soft tissue infections following laparoscopic colectomy. These factors also increase the likelihood of conversion to an open operation. In this study, we reviewed the recent original articles about the relationship of laparoscopic colectomy with these risk factors. We also describe some strategies that limit the likelihood of these complications and the likelihood of conversion to an open operation.

CONCLUSIONSObesity, diabetes, inflammatory bowel diseases, age, emergency operation, and pelvic anatomy are all important risk factors that increase the risk of either serious complications or conversion to open operation with laparoscopic colectomy. Evaluation of these risk factors preoperatively should influence the decision to perform colectomy using laparoscopic techniques.