A pre-operative imaging landmark to define the rectum would optimise clinical care of rectal cancer patients and research efforts to improve outcomes. The sigmoid take-off has been suggested as an imaging landmark for the rectosigmoid junction (RSJ). This study aimed to investigate whether this imaging definition of the rectum was validated by surg...
Published in International journal of surgery (London, England)
Published in International journal of surgery (London, England)
The diversity in definitions for the rectosigmoid junction is becoming a major obstacle in standardizing optimal treatment of rectal cancers. The study aimed to determine the average distance of the sigmoid take-off from the anal verge and its association with individual factors. Patients diagnosed with rectal and sigmoid colon cancer in our centre...
Although carcinomas of the rectosigmoid junction are frequent, specific data on these tumors are sparse because assignment either to the colon or rectum is common. The objective of this study is to determine whether carcinomas of the rectosigmoid junction can be assigned to the sigmoid colon or to the upper rectum in terms of tumor characteristics ...
Published in Surgical and Radiologic Anatomy
AimThe rectosigmoid junction is the limit separating the sigmoid colon and rectum. This transition zone has different definitions. We want to highlight different landmarks of the rectosigmoid junction (RSJ), to help the clinicians to adopt a consensual definition.MethodWe reviewed anatomical, endoscopic, physiological and surgical points of view co...
Published in Langenbeck's Archives of Surgery
PurposeTo investigate the prognosis of adenocarcinomas of the upper third of the rectum and the rectosigmoid-junction without radiotherapy.MethodsPatients from a multicenter randomized controlled trial from 1987–1993 on adjuvant chemotherapy for R0-resected colorectal cancers with stage I–III disease were retrospectively allocated: cancers of the l...
Published in Middle East journal of digestive diseases
Primary colorectal lymphoma (PCL) is a rare condition that accounts for asmall percentage of all gastrointestinal (GI) malignancies. There are severalreports in the literature regarding the most common features of PCL. However,primary lymphoma in the rectosigmoid junction has been rarely reported. Ourcase was a 67-year-old male who presented with n...
Published in European Surgical Research
Purpose The sigmoid colon (SC) is the site of stool storage. The stools accumulate in the SC until, at a certain volume, the mechanoreceptors in the SC wall are stimulated, evoking the sigmoidorectal junction inhibitory reflex with a resulting SC contraction, rectosigmoid junction (RSJ) relaxation and passage of the stools to the rectum. However, t...
Published in International Journal of Colorectal Disease
In a previous study we determined the rectal pacing parameters needed for rectal evacuation in patients with rectal inertia. Here we investigated the effect of rectal pacing on rectal myoelectric activity, motility, and evacuation in ten patients with constipation due to rectal inertia. A pacemaker was implanted in a subcutaneous pocket above the i...
