Iatrogenic colorectal perforation induced by anorectal manometry: Report of two cases after restorative proctectomy for distal rectal cancer.

Iatrogenic colorectal perforation induced by anorectal manometry: Report of two cases after restorative proctectomy for distal rectal cancer. Research Abstract Details 

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Iatrogenic colorectal perforation induced by anorectal manometry: Report of two cases after restorative proctectomy for distal rectal cancer. Abstract Text:

Jun-Seok Park,Sung-Bum Kang,Duck-Woo Kim,Na-Young Kim,Kyoung-Ho Lee,Young-Hoon Kim,Jun-Seok Park,Sung-Bum Kang,Duck-Woo Kim,Na-Young Kim,Kyoung-Ho Lee,Young-Hoon Kim,Jun-Seok Park,Sung-Bum Kang,Duck-Woo Kim,Na-Young Kim,Kyoung-Ho Lee,Young-Hoon Kim,

There are no reports regarding perforation of the colorectum induced by anorectal manometry. We report two cases of colorectal perforation that occurred during manometry in the patients undergoing restorative proctectomy for distal rectal cancer. In the first patient, computed tomography showed an extraperitoneal perforation in the pelvic cavity and a rupture of the rectal wall. A localized perforation into the retroperitoneum was managed conservatively. In the second patient, a 3 cm linear colon rupture was detected above the anastomotic site. A primary closure of the perforated colon and proximal ileostomy were conducted, but the patient died 2 wk later. We hypothesize that the perforation induced by anorectal manometry may be associated with the relative weakening of the proximal bowel wall due to anastomosis, decreased compliance, and abnormal rectal sensation. We suggest that measurement of the maximum tolerable volume should not be routinely performed after restorative proctectomy for distal rectal cancer.

Iatrogenic colorectal perforation induced by anorectal manometry: Report of two cases after restorative proctectomy for distal rectal cancer. Publishing Authors By Initials

JS Park,SB Kang,DW Kim,NY Kim,KH Lee,YH Kim,JS Park,SB Kang,DW Kim,NY Kim,KH Lee,YH Kim,JS Park,SB Kang,DW Kim,NY Kim,KH Lee,YH Kim,

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Iatrogenic colorectal perforation induced by anorectal manometry: Report of two cases after restorative proctectomy for distal rectal cancer. Journal Published:

PUBLICATION TYPE: Journal Article

Journal: World journal of gastroenterology : WJG

VOLUME: 13

Page Numbers: 6112-4

Journal Abbreviation: World J. Gastroenterol.

ISSN: 1007-9327

DAY: 7

MONTH: Dec

YEAR: 2007

Iatrogenic colorectal perforation induced by anorectal manometry: Report of two cases after restorative proctectomy for distal rectal cancer. Information

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LANGUAGE: eng

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AFFILIATION: Department of Surgery, Seoul National University Bundang Hospital, 300 Gumi-dong Bundang-gu, Seongnam-si, Gyeonggi-do 463-707, Korea. kangsb@snubh.org.

Country: China

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MEDLINETA: World J Gastroenterol

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