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Anal cytology in patients with AIDSEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
The objective of the present study was to study the prevalence of abnormal anal cytology in patients with AIDS. Anal smears, obtained with a cytobrush, of 102 HIV-positive patients of the Emilio Ribas Institute (Sao Paulo, Brazil) were collected, and only after that, the patients were submitted to anoscopy. Thirty-two patients had LSIL and 14 others had HSIL. Squamous intra-epithelial lesions were also observed in 38% of the patients without condyloma (18/47): in 9 of the 33 patients without history of condyloma (27%) and in 9 of the 14 patients who had previously treated condyloma (64%). An invasive squamous cell carcinom...
Source: Diagnostic Cytopathology - October 7, 2009 Category: Pathology Authors: E. E. Calore, S. R. Nadal, C. R. Manzione, S. C. Horta, R. R. Santos, L. M. Nadal Source Type: journals

Short-term results of DST EEA 33 stapler and neu@ anoscope for stapled haemorrhoidectomy: a prospective study of 1,118 patients from a single centreEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusion Stapled haemorrhoidectomy using the DST EEA 33 stapler is safe. The neu@ anoscope provides good visibility and handling, and is a useful tool in this procedure. Content Type Journal ArticleCategory Original ArticleDOI 10.1007/s10151-009-0532-0Authors Ming Hian Kam, Singapore General Hospital Department of Colorectal Surgery Outram Road Singapore 169608 SingaporeJit Fong Lim, Singapore General Hospital Department of Colorectal Surgery Outram Road Singapore 169608 SingaporeKok Sun Ho, Singapore General Hospital Department of Colorectal Surgery Outram Road Singapore 169608 SingaporeBoon Swee Oo...
Source: Techniques in Coloproctology - September 19, 2009 Category: Surgery Tags: Techniques in Coloproctology Source Type: journals

Management of Anal Squamous Intraepithelial LesionsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Clinics in Colon and Rectal Surgery 2009; 22: 094-101DOI: 10.1055/s-0029-1223840ABSTRACTAnal squamous intraepithelial lesions include both low-grade squamous intraepithelial lesions (LSIL) and high-grade squamous intraepithelial lesions (HSIL) and are caused by chronic infection with the human papillomavirus (HPV). The disease is increasing in both incidence and prevalence, especially among patients with the following risk factors: homosexual men, acquired or iatrogenic immunosuppression, and presence of other HPV-related diseases. Although the natural history of the disease is unknown, there is significant evidence that u...
Source: Clinics in Colon and Rectal Surgery - May 28, 2009 Category: Surgery Source Type: journals

High level of HPV 16 and 18 DNA load in anal swabs from male and female HIV-1 infected patientsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions: Longitudinal studies are needed to evaluate the link between high anal HPV DNA load and progression to anal squamous intraepithelial lesions and anal cancer. (Source: Journal of Clinical Virology)
Source: Journal of Clinical Virology - April 1, 2009 Category: Virology Authors: Isabelle Poizot-Martin, Mireille Henry, Serge Benhaim, Véronique Obry-Roguet, Dominique Figarella, Catherine Tamalet Tags: Short communications Source Type: journals

High level of HPV 16 and 18 DNA load in anal swabs from male and female HIV-1 infected patients.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
CONCLUSIONS: Longitudinal studies are needed to evaluate the link between high anal HPV DNA load and progression to anal squamous intraepithelial lesions and anal cancer. PMID: 19269245 [PubMed - as supplied by publisher] (Source: Journal of Clinical Virology)
Source: Journal of Clinical Virology - March 5, 2009 Category: Virology Authors: Poizot-Martin I, Henry M, Benhaim S, Obry-Roguet V, Figarella D, Tamalet C Tags: J Clin Virol Source Type: journals

[Anogenital warts: a clinical, pathological and virological study.]Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
The objective of this study was to investigate the possible relationship between the presence of anogenital warts (AGW) in children and the sexual abuse as mode of transmission. Our series includes 8 patients with AGW who were treated in our hospital during the year 2007. A complete physical examination was carried out, including colposcopy or anoscopy, and samples were taken for histopathological examination and human papiloma virus (HPV) subtyping. We considered perinatal transmission as a possible route in two cases. Although sexual abuse was definitively confirmed in only one case, we observed some findings in four cas...
Source: Anales de Pediatria - December 1, 2008 Category: Pediatrics Authors: Mataix Díaz J, Betlloch Mas I, Pastor Tomás N, Bañuls Roca J, Martínez MT Tags: An Pediatr (Barc) Source Type: journals

Comparison of patient- and clinician-collected anal cytology samples to screen for human papillomavirus-associated anal intraepithelial neoplasia in men who have sex with men.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
CONCLUSION: In a community-based sample, a high proportion of HIV-positive and HIV-negative men who have sex with men have AIN. The sensitivity of cytology to detect AIN is higher for clinician-collected versus self-collected specimens and for HIV-positive versus HIV-negative men. The specificity of cytology to detect AIN is higher in HIV-negative versus HIV-positive men. However, the probability of AIN in a patient with a negative cytology result may not be low enough (23% for HIV-negative men and 45% for HIV-positive men with a patient-collected specimen) for clinicians to be comfortable recommending no anoscopy for thos...
Source: Annals of Internal Medicine - September 2, 2008 Category: Internal Medicine Authors: Chin-Hong PV, Berry JM, Cheng SC, Catania JA, Costa MD, Darragh TM, Fishman F, Jay N, Pollack LM, Palefsky JM Tags: Ann Intern Med Source Type: journals

A simplified method for anal ultrasonography: assessment of patient satisfaction and the simplicity of the procedureEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions This simple and less-costly adaptation of anal ultrasonography allows good quality examinations to be performed with better patient comfort in units with echoendoscopes already available, avoiding the need for a more expensive dedicated probe. Content Type Journal ArticleCategory Original ArticleDOI 10.1007/s10151-008-0422-xAuthors D. Castellani, University of Perugia Gastroenterology and Hepatology Section Department of Clinical and Experimental Medicine Perugia ItalyE. Antonelli, University of Perugia Gastroenterology and Hepatology Section Department of Clinical and Experimental Medicine...
Source: Techniques in Coloproctology - August 5, 2008 Category: Surgery Tags: Techniques in Coloproctology Source Type: journals

Performing Handsewn Coloanal Anastomosis with the Pursestring Suture AnoscopeEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Abstract The pursestring suture anoscope, originally developed for the procedure for rectal prolapse and hemorrhoids, has been successfully used when performing coloanal anastomosis. The use of this tool for handsewn coloanal anastomosis can achieve relatively atraumatic results to the patient. It is a suitable and handy tool that makes handsewn transanal colonanal anastomosis simple and easy to perform. Content Type Journal ArticleCategory Technical NotesDOI 10.1007/s10350-008-9309-1Authors Chih-Chien Chin, Chang Gung Memorial Hospital Division of Colon and Rectal Surgery, Department of Surgery 6 West, ...
Source: Diseases of the Colon & Rectum - July 3, 2008 Category: Gastroenterology Tags: Diseases of the Colon & Rectum Source Type: journals

Videoanoscope-assisted stapled haemorrhoidopexy: analysis of 18 patientsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Abstract An optimal stapled haemorrhoidopexy requires the purse-string suture to be placed circumferentially at a constant distance from the dentate line and to pass through an appropriate thickness of rectal mucosa. An unsuitable purse-string suture may increase the risk of postoperative complications. We developed a new anoscope (the videoanoscope) to prevent the difficulties during application of the purse-string suture, and we used the videoanoscope in 18 stapled haemorrhoidopexy procedures. The videoanoscope is made up of three pieces. The front part is in the form of an open half-cylinder. The second p...
Source: Techniques in Coloproctology - June 11, 2008 Category: Surgery Tags: Techniques in Coloproctology Source Type: journals

Management of internal genital warts: do we all agree? A postal surveyEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
A postal survey was undertaken to determine whether there was any consensus of opinion regarding the management of internal genital warts in genitourinary medicine clinics in the UK. Overall, 110 forms were returned (57% response). The majority of clinics would refer patients with cervical warts for colposcopy especially if the patient was over the age of 25 or HIV-positive. Proctoscopy or anoscopy was performed in 60% of clinics for patients with perianal warts to determine the presence of warts within the anal canal or rectum. Only 24% of patients with intra-anal warts are referred directly to surgery for biopsy, increas...
Source: International Journal of STD and AIDS - May 20, 2008 Category: Global & Universal Authors: Bushby, S A, Chauhan, M Tags: Original research articles Source Type: journals

Hybrid Capture II Detection of Oncogenic Human Papillomavirus: A Useful Tool When Evaluating Men Who Have Sex with Men with Atypical Squamous Cells of Undetermined Significance on Anal CytologyEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions Hybrid-Capture II testing for high-risk human papillomavirus in men who have sex with men with atypical cells of undetermined significance and referring only those with high-risk human papillomavirus reduces the number who require high-resolution anoscopy by more than half. Five percent with high-grade squamous intraepithelial lesions would be missed. Content Type Journal ArticleCategory Original ContributionDOI 10.1007/s10350-008-9306-4Authors Stephen E. Goldstone, Department of Surgery Mt. Sinai School of Medicine New York New York USAAdam Z. Kawalek, Department of Internal Medicine New ...
Source: Diseases of the Colon & Rectum - May 15, 2008 Category: Gastroenterology Tags: Diseases of the Colon & Rectum Source Type: journals

A new anoscope for transanal surgery.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
CONCLUSION: Preliminary histologic studies in the pig suggest that the design of the anoscope prevents inclusion of the muscular layer in the pursestring. PMID: 18466861 [PubMed - as supplied by publisher] (Source: American Journal of Surgery)
Source: American Journal of Surgery - May 6, 2008 Category: Surgery Authors: Rebuffat C, Porta MD, Ciccarese F, Rosati R Tags: Am J Surg Source Type: journals

[Clinical] Diagnosing chlamydia and managing proctitis in men who have sex with men: current UK practiceEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions: There is a wide variation in the diagnosis and management of chlamydial infection in MSM and there is an urgent need for a more consistent approach. (Source: Sexually Transmitted Infections)
Source: Sexually Transmitted Infections - March 27, 2008 Category: Sexual Medicine Authors: McMillan, A, Kell, P, Ward, H, on behalf of the British Co-operative Clinical Group of the British Association for Sexual Health and HIV Tags: Clinical Source Type: journals

High-Resolution Anoscopy Targeted Surgical Destruction of Anal High-Grade Squamous Intraepithelial Lesions: A Ten-Year ExperienceEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions High-resolution anoscopy-targeted destruction combined with office-based surveillance and therapy is effective in controlling high-grade squamous intraepithelial lesions and is superior to reports of expectant management or traditional mapping procedures. Content Type Journal ArticleCategory Original ContributionDOI 10.1007/s10350-008-9233-4Authors Carlos E. Pineda, Stanford University School of Medicine Department of General Surgery Stanford California USAJ. Michael Berry, University of California San Francisco Department of Medicine San Francisco California USANaomi Jay, University of Cal...
Source: Diseases of the Colon & Rectum - March 25, 2008 Category: Gastroenterology Tags: Diseases of the Colon & Rectum Source Type: journals

Validation set correlates of anogenital injury after sexual assault.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
CONCLUSIONS: Approximately half the patients displayed AGI. This rate is higher than earlier studies, but consistent with current investigations utilizing similar injury detection methods. The correlates of injury found reinforce the findings of prior studies, while prompting questions for future study. PMID: 18304053 [PubMed - in process] (Source: Accident and Emergency Nursing)
Source: Accident and Emergency Nursing - February 29, 2008 Category: Emergency Medicine Authors: Drocton P, Sachs C, Chu L, Wheeler M Tags: Acad Emerg Med Source Type: journals

High-Resolution Anoscopy in the Diagnosis of Anal Cancer Precursor Lesions in Renal Graft RecipientsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions With a prevalence of 23.81% of subclinical ASIL-ACU lesions, the studied renal graft recipients had all these lesions detected by high-resolution anoscopy, notwithstanding most anal transition zone acetowhitened biopsied areas did not reveal histopathological aspects of anal cancer precursor lesions or condyloma acuminatum. Therefore, greater experience with the diagnostic tool was felt necessary to enhance its positive predictive value, specificity and diagnostic precision. Content Type Journal ArticleCategory Gastrointestinal OncologyDOI 10.1245/s10434-007-9750-8Authors Ivan Tramujas da...
Source: Annals of Surgical Oncology - February 26, 2008 Category: Cancer & Oncology Tags: Annals of Surgical Oncology Source Type: journals

Anal Human Papillomavirus Testing with Digene’s Hybrid Capture 2 Using Two Different Sampling MethodsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions Anal screening for human papillomavirus-DNA by hybrid capture 2 is a useful method for detection of human papillomavirus-associated disease. Sample collection using Dacron swabs identifies more human papillomavirus-positive patients, and yields higher relative light unit values than using the cervical brush. Further studies are needed to determine the exact value of hybrid capture 2 in the screening for (pre)cancerous lesions of the anal canal. Content Type Journal ArticleCategory Original ContributionsDOI 10.1007/s10350-007-9082-6Authors Florian Roka, Medical University Vienna Department...
Source: Diseases of the Colon & Rectum - November 21, 2007 Category: Gastroenterology Tags: Diseases of the Colon & Rectum Source Type: journals

Perianal squamous cell carcinoma with high-grade anal intraepithelial neoplasia in an HIV-positive patient using highly active antiretroviral therapy: case report.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
CONTEXT: Highly active antiretroviral therapy (HAART) has turned human immunodeficiency virus (HIV) infection into a chronic condition, and this has led to increased incidence of anal dysplasia among HIV-positive patients. Routine anal evaluation including the anal canal and perianal area is recommended for this population, especially for patients infected by oncogenic human papillomavirus (HPV) types. CASE REPORT: A 54-year-old homosexual HIV-positive man presented with a six-year history of recurrent perianal and anal warts. He had previously undergone incomplete surgical excision and fulguration in another instituti...
Source: Sao Paulo Medical Journal - September 1, 2007 Category: Journals (General) Authors: Nahas SC, Nahas CS, Silva Filho EV, Levi JE, Atui FC, Marques CF Tags: Sao Paulo Med J Source Type: journals

High Resolution Anoscopy in the Planned Staged Treatment of Anal Squamous Intraepithelial Lesions in HIV-Negative PatientsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Abstract Anal dysplasia (low-grade squamous intraepithelial lesions, LSIL; high-grade squamous intraepithelial lesions, HSIL) is a challenging disease for the surgeon. We reviewed 42 patients that underwent high-resolution anoscopy (HRA)-targeted surgical therapy of anal dysplasia in the past 10 years. Patients were followed up in the Anal Neoplasia Clinic with physical examination, cytology, HRA, and biopsy if indicated. Patients with disease amenable to local therapy were treated with office-based HRA-directed therapies. There were 30 men (mean age 39 years, range 21–63) and 12 women (mean age ...
Source: Journal of Gastrointestinal Surgery - August 21, 2007 Category: Surgery Tags: Journal of Gastrointestinal Surgery Source Type: journals

Combined Colonoscopy and Three-Quadrant Hemorrhoidal Ligation: 500 Consecutive CasesEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions Combining colonoscopy with three-quadrant hemorrhoidal ligation is a safe and effective method of treating symptomatic internal hemorrhoids. The procedure is convenient for both physician and patient and makes more efficient use of time and resources. Content TypeJournal Article JournalDiseases of the Colon & RectumOnline ISSN 1530-0358Print ISSN 0012-3706 (Source: Diseases of the Colon & Rectum)
Source: Diseases of the Colon & Rectum - July 31, 2007 Category: Gastroenterology Tags: Diseases of the Colon & Rectum Source Type: journals

Local Anesthesia of Upper Anal Canal for Multiple Rubber Band Ligation: Description of Technique and Preliminary ResultsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions Local anesthesia of the upper anal canal results in full relaxation and maximal mucosal redundancy of the anal canal simulating the anus in a natural condition during defecation. This gives an excellent exposure of the anal canal, enabling an accurate and multiple applications of rubber bands without pain during and shortly after the procedure. Content TypeJournal Article JournalDiseases of the Colon & RectumOnline ISSN 1530-0358Print ISSN 0012-3706 (Source: Diseases of the Colon & Rectum)
Source: Diseases of the Colon & Rectum - July 31, 2007 Category: Gastroenterology Tags: Diseases of the Colon & Rectum Source Type: journals

Ethicon Endo-Surgery Inc - Proximate PPH, Procedure for Prolapse and Hemmorroids Set, REF PPH03 - Class 2 RecallEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Proximate PPH, Procedure for Prolapse and Hemmorroids Set, REF PPH03. Each set contains: 1 hemorrhoidal circular stapler, 1 suture threader, 1 circular anal dilator, and 1 purse string suture anoscope. (Source: Medical Device Recalls since July 07, 2006)
Source: Medical Device Recalls since July 07, 2006 - June 28, 2007 Category: Medical Equipment Source Type: organizations

Long-term outcome of a multicentre randomized clinical trial of stapled haemorrhoidopexy versus Milligan-Morgan haemorrhoidectomyEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This study reports the long-term follow-up of a randomized clinical trial comparing the two techniques in 100 patients affected by third- and fourth-degree haemorrhoids.All patients were contacted and invited to attend the clinic to assess long-term functional outcome. The degree of continence and satisfaction were assessed by questionnaire. Anal manometry and anoscopy were performed.Eighty patients were available after a median follow-up of 87 months. No statistically significant differences were found between the two groups in terms of incontinence, stenosis, pain, bleeding, residual skin tags or recurrent prolapse. A te...
Source: British Journal of Surgery - May 22, 2007 Category: Surgery Authors: E. Ganio, D. F. Altomare, G. Milito, F. Gabrielli, S. Canuti Source Type: journals

Prevalence and Risk Factors for Anal Cytologic Abnormalities and Human Papillomavirus Infection in a Rural Population of HIV-Infected MalesEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions Anal squamous intraepithelial lesions and oncogenic human papillomavirus are highly prevalent in males infected with HIV and living in a rural setting. Content TypeJournal Article JournalDiseases of the Colon & RectumOnline ISSN 1530-0358Print ISSN 0012-3706 (Source: Diseases of the Colon & Rectum)
Source: Diseases of the Colon & Rectum - April 12, 2007 Category: Gastroenterology Tags: Diseases of the Colon & Rectum Source Type: journals

Infrared Coagulator Ablation of High-Grade Anal Squamous Intraepithelial Lesions in HIV-Negative Males Who Have Sex with MalesEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions Infrared coagulation is a safe and effective office-based procedure for treating anal high-grade squamous intraepithelial lesions. Although recurrence was high after the first infrared coagulation, repeated treatment led to resolution of high-grade squamous intraepithelial lesions. Treatment success with infrared coagulation is significantly superior in HIV-negative patients compared with HIV-positive patients. Content TypeJournal Article JournalDiseases of the Colon & RectumOnline ISSN 1530-0358Print ISSN 0012-3706 (Source: Diseases of the Colon & Rectum)
Source: Diseases of the Colon & Rectum - March 23, 2007 Category: Gastroenterology Tags: Diseases of the Colon & Rectum Source Type: journals

Response to "Anoscopy could be beneficial for women with external anogenital condyloma"Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
PMID: 17343975 [PubMed - as supplied by publisher] (Source: European Journal of Obstetrics, Gynecology, and Reproductive Biology)
Source: European Journal of Obstetrics, Gynecology, and Reproductive Biology - March 5, 2007 Category: OBGYN Authors: O'mahony C Tags: Eur J Obstet Gynecol Reprod Biol Source Type: journals

Anoscopy could be beneficial for women with external anogenital condyloma-A response to the letter by Dr. C. O'Mahony.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
PMID: 17320265 [PubMed - as supplied by publisher] (Source: European Journal of Obstetrics, Gynecology, and Reproductive Biology)
Source: European Journal of Obstetrics, Gynecology, and Reproductive Biology - February 21, 2007 Category: OBGYN Authors: Mlakar B Tags: Eur J Obstet Gynecol Reprod Biol Source Type: journals

Anoscopy could be beneficial for women with external anogenital condyloma.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
PMID: 17314001 [PubMed - as supplied by publisher] (Source: European Journal of Obstetrics, Gynecology, and Reproductive Biology)
Source: European Journal of Obstetrics, Gynecology, and Reproductive Biology - February 19, 2007 Category: OBGYN Authors: Mlakar B Tags: Eur J Obstet Gynecol Reprod Biol Source Type: journals

Siascopy Sees Stuff In SkinEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
The good people of Frost & Sullivan have bestowed their European Technology Innovation of the Year award upon UK company Astron Clinica for their SIAscope. Now, we've used scopes of all kinds, from ophthalmoscopes to anoscopes, and had never heard of the SIAscope. But it's real, it's new, and this spectrophotometric intra-cutaneous analysis (SIA, see?) lets doctors see the constituents of skin without hacking it to pieces. "Astron Clinica's SIAscopy utilises both visible and infrared (IR) light to examine skin components such as blood, melanin, dermal melanin and collagen to a depth of 2 mm below the skin's surface, and pr...
Source: Medgadget - December 8, 2006 Category: Technology Consultants Authors: Nicholas Source Type: info

Prevalence of Perianal Intraepithelial Neoplasia in HIV-Infected Patients Referred for High-Resolution AnoscopyEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This study was designed to describe perianal disease in a cohort of HIV-infected patients referred for high-resolution anoscopy. Content TypeJournal Article JournalDiseases of the Colon & RectumOnline ISSN 1530-0358Print ISSN 0012-3706 (Source: Diseases of the Colon & Rectum)
Source: Diseases of the Colon & Rectum - September 15, 2006 Category: Gastroenterology Source Type: journals

Dna 2.0?Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
If there is one cardinal truth in the gadget world, it is that products must continually change and improve to become better, faster, and sexier. Plain Xray films have evolved into digital films on my smartphone. Anoscopes have become self-propelling, self navigating, disposable colonoscopes. Now, in an effort to win the techno rat-race, plain boring old DNA has released its newest model which is sure to rock the ribonucleic acid world. Ladies and gentlemen, we introduce to you--DNA 2.0!! Researchers believe they have found a second code in DNA in addition to the genetic code. The genetic code specifies all the proteins th...
Source: Medgadget - July 25, 2006 Category: Technology Consultants Source Type: info