2篇
您的检索式：作者名="Mohammed Alessa"
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| 1 | Assessment and management of low anterior resection syndrome after sphincter preserving surgery for rectal cancer显示文摘Many patients develop a variety of bowel dysfunction after sphincter preserving surgeries(SPS)for rectal cancer.The bowel dysfunction usually manifests in the form of low anterior resection syndrome(LARS),which has a negative impact on the patients'quality of life.This study reviewed the LARS after SPS,its mechanism,risk factors,diagnosis,prevention,and treatment based on previously published studies.Adequate history taking,physical examination of the patients,using validated questionnaires and other diagnostic tools are important for assessment of LARS severity.Treatment of LARS should be tailored to each patient.Multimodal therapy is usually needed for patients with major LARS with acceptable results.The treatment includes conservative management in the form of medical,pelvic floor rehabilitation and transanal irrigation and invasive procedures including neuromodulation.If this treatment failed,fecal diversion may be needed.In conclusion,Initial meticulous dissection with preservation of nerves and creation of a neorectal reservoir during anastomosis and proper Kegel exercise of the anal sphincter can minimize the occurrence of LARS.Pre-treatment counseling is an essential step for patients who have risk factors for developing LARS. | Ahmad Sakr Fozan Sauri Mohammed Alessa Eman Zakarnah Homoud Alawfi Radwan Torky Ho Seung Kim Seung Yoon Yang Nam Kyu Kim | 2020 | Chinese Medical Journal2020，，15： | 17 |
| 2 | Triple synchronous primary neoplasms in the gastrointestinal tract显示文摘To the Editor:Most of the multiple primary malignancies are metachronous or involve more than one system,we instead describe a case with synchronous triple cancers involving one organ system.This study was approved by the Institutional Review Board of Severance hospital,Yonsei University(IRB No.4-2019-0889).A 61-year old man who had no chronic illness,underwent abdominal computerized tomography(CT)scan due to vague abdominal complains and was found to have descending colon wall thickening[Figure 1A],colon cancer(cT3N+)was suspected.He is not smoker or alcohol drunker,and has no family history of malignancies. | Fozan Mohammed Sauri Eman Adnan Zakarneh Mohammed Yousef Alessa Ahmad Hammad Sakr Yeon Seung Chung Ho Seung Kim Nam kyu Kim | 2021 | Chinese Medical Journal2021，，10： | 0 |
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