Coloproctology 

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  • Bleeding Hemorrhoids

    A colonoscopy or a rectoscopy performed for rectal bleedings often put in evidence the presence of internal hemorrhoids, treated with electrocoagulation or infrared photocoagulation. Another option is rubber band ligation, but this procedure implies a great amount of pain, an easy bleeding and, [...]


  • Colonoscopy and Video-Colonoscopy

    Video-colonoscopy through a little camera introduced into a capsule certainly represents a less invasive method than traditional colonoscopy to reveal colic lesions, so the procedure is more and more improved in order to avoid false negatives due to tool defects. A video camera has been recently [...]


  • CT Colonography Screening

    CT colonography, inappropriately defined by someone as “virtual colonoscopy”, has been, up to now, evaluated as a screening means in trials concerning above all populations with a high risk of intestinal cancer. In this European trial, 937 subjects with a high risk for tumours (family history for [...]


  • Surveillance After Colonoscopy

    It is not clear yet what is the ideal follow-up in those patients in whom a screening colonoscopy has identified the presence of adenomatous polyps, also because the following control is often depending on the polyp’s characteristics. In order to assess whether results can depend on the various [...]


  • CT Colonography or Traditional Colonoscopy?

    In some trials, the diagnostic accuracy of CT colonography has been compared with traditional colonoscopy for the diagnosis of colon cancers. Now, a trial performed at the University of Wisconsin has compared two groups: 3120 subjects underwent colon CT and, in case of detection of at least 6-mm [...]


  • Polyethylene Glycol and Tegaserod in Constipation

    Polyethylene glycol has occasional constipation in its indications, but it is usually used also for long periods. In this randomized trial, researchers have compared it with tegaserod, whose use was recently restricted because of its cardiovascular effects on young women. The trial was sponsored by [...]


  • Polyethylene Glycol in Chronic Constipation

    Polyethylene glycol (PEG) is an osmotic laxative used in the short-term treatment of constipation. A multicentric trial was performed, sponsored by pharmaceutical industry, in which PEG was evaluated in the long-term treatment of constipation. 304 patients were evaluated, affected by chronic [...]


  • Folic Acid And Risk Of Colorectal Adenomas

    Among the so many substances used for intestinal cancer prevention, some trials on animals have indicated the favourable effect of folic acid administration. Through an international multicentric trial the possibility was studied that folic acid can prevent the relapse of colorectal adenomas in [...]


  • Calcium Supplement and Colorectal Adenomas

    According to some experimental data, it seems that calcium has anti-cancer effects on colorectal mucosa: in a randomized study published in 1999, 930 patients with recently removed colorectal adenomas had been treated with a daily supplementation of 1,2 g of calcium or placebo for 4 years. The use [...]


  • Video-Endoscopy in Intestinal Bleeding

    In case of intestinal bleeding for unknown cause, the use of capsule vide-endoscopy is spreading. In this retrospective review performed in Arizona, results obtained through 206 video-capsule endoscopies performed on patients presenting intestinal bleeding not explained through traditional [...]


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