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Computed tomography classification for parastomal hernia.

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dc.contributor.authorSeo, SH-
dc.contributor.authorKim, HJ-
dc.contributor.authorOh, SY-
dc.contributor.authorLee, JH-
dc.contributor.authorSuh, KW-
dc.date.accessioned2012-05-15T06:33:00Z-
dc.date.available2012-05-15T06:33:00Z-
dc.date.issued2011-
dc.identifier.issn2233-7903-
dc.identifier.urihttp://repository.ajou.ac.kr/handle/201003/6922-
dc.description.abstractPURPOSE: The aim of this study was to investigate the clinical and radiological incidence of parastomal hernia. METHODS: We reviewed, retrospectively, 83 patients with end colostomy operated on from January 2003 to June 2009 at Ajou University hospital. Age, sex, surgical procedure type, body mass index (weight/length2), stoma size, and respiratory co-morbidity were documented. We compared the incidence of radiological and clinical parastomal hernia. RESULTS: There were 47 males (56.6%) and 36 females (43.4%). During an overall median follow-up of 30 months (range, 6 to 45 months), 24 patients (28.9%) developed a radiological parastomal hernia postoperatively and 20 patients (24.1%) presented clinical symptoms. Using computed tomography (CT) classification, the groups were as follows: type 0 (40, 48.2%), type Ia (19, 22.9%), type Ib (8, 9.6%), type II (4, 4.8%) and type III (12, 14.5%), with 63 asymptomatic patients and 20 symptomatic patients. The aperture size was significantly different between symptomatic and asymptomatic patients (76.45 mm vs. 49.41 mm; P = 0.000). There was a significant correlation between aperture size and the radiological type (P = 0.003). CONCLUSION: This study showed the incidence of radiological parastomal hernia is acceptable compared to previous studies. CT classification may be useful to evaluate parastomal hernia.-
dc.language.isoen-
dc.titleComputed tomography classification for parastomal hernia.-
dc.typeArticle-
dc.identifier.pmid22066109-
dc.identifier.urlhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC3204567/-
dc.contributor.affiliatedAuthor오, 승엽-
dc.contributor.affiliatedAuthor이, 제희-
dc.contributor.affiliatedAuthor서, 광욱-
dc.type.localJournal Papers-
dc.identifier.doi10.4174/jkss.2011.81.2.111-
dc.citation.titleJournal of the Korean Surgical Society-
dc.citation.volume81-
dc.citation.number2-
dc.citation.date2011-
dc.citation.startPage111-
dc.citation.endPage114-
dc.identifier.bibliographicCitationJournal of the Korean Surgical Society, 81(2):111-114, 2011-
dc.identifier.eissn2093-0488-
Appears in Collections:
Journal Papers > School of Medicine / Graduate School of Medicine > Surgery
Journal Papers > School of Medicine / Graduate School of Medicine > Radiology
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