BACKGROUND: Colorectal cancer (CRC) is the world’s third most common type of cancer. Case studies have shown an inverse correlation between serum Vitamin D levels and the incidence of human colorectal cancer. AIM: This study aims to assess Vitamin D levels in patients who underwent colonoscopy for diagnostic colorectal cancer. METHODS: This research is a cross-sectional study. This study’s subjects were patients who visited the Digestive Surgery polyclinic and underwent a colonoscopy to diagnose colorectal cancer. Level of Vitamin D was collected before the colonoscopy examination and categorized into three groups: Vitamin D with a value of < 20 ng/mL indicates a deficiency, a level of 20–30 ng/mL as an insufficiency level, and a value > 30 ng/mL as a sufficient value. A colonoscopy examination was performed to obtain a diagnosis of colorectal cancer based on anatomical pathology examination. RESULTS: Examination of Vitamin D levels from 120 subjects showed that the average vitamin level was 16.36 ng/mL, which indicates Vitamin D deficiency levels. A total of 85 (70.8%) subjects showed Vitamin D deficiency, as many as 24 (20%) showed Vitamin D insufficiency levels, and only 11 (9.2%) study subjects showed sufficient Vitamin D levels. The colonoscopy showed 60 (50%) subjects with colorectal cancer. The relationship between Vitamin D levels and the diagnosis of CRC showed a value of p = 0.60 (p > 0.05). CONCLUSION: There is no significant difference between low levels of Vitamin D and the diagnosis of colorectal cancer patients.
Objective: Colorectal cancer (CRC) is the world’s third most common type of cancer. Case studies have shown an inverse correlation between serum vitamin D levels and the incidence of human colorectal cancer. This study aims to assess vitamin D levels in patients who underwent colonoscopy for diagnostic colorectal cancer. Methods: This research is a cross-sectional study with subjects in this study were patients who came to the Digestive Surgery polyclinic and underwent a colonoscopy for diagnosis of colorectal cancer. Level of vitamin D was collected before the colonoscopy examination and categorized into three groups, vitamin D with a value of < 20 ng/mL indicate a deficiency, a level of 20 – 30 ng/mL as an insufficiency level, and a value > 30 ng/mL as a sufficient value. A colonoscopy examination was performed to obtain a diagnosis of colorectal cancer based on anatomical pathology examination. Result: Examination of vitamin D levels from 120 subjects showed the average vitamin level was 16.36 ng/mL, which indicates vitamin D deficiency levels. A total of 85 subjects (70.8%) showed vitamin D deficiency, as many as 24 (20%) showed vitamin D insufficiency levels, and only 11 study subjects (9.2%) showed sufficient vitamin D levels. The colonoscopy showed 60 subjects (50%) with colorectal cancer. The relationship between vitamin D levels and the diagnosis of CRC showed a value of p = 0.60 (p > 0.05). Conclusion: There is no significant difference between low levels of Vitamin D and the diagnosis of colorectal cancer patients.
Objective:Rare disease Background:The surgical procedure of perineal proctosigmoidectomy with levatorplasty is known as the Altemeier procedure. This report presents the case of a 54-year-old man with a large rectal prolapse treated with perineal proctosigmoidectomy with levatorplasty (Altemeier procedure). Case Report:A 54-year-old male had a large bulging in the rectum since 5 months ago. At first, the bulging was small, but its size had increased to approximately 10 cm at presentation. The patient also stated that the bulging used to reduce spontaneously after defecating or manually by applying sufficient pressure, but lately it had been irreducible. Another concern was chronic constipation over the last few years, which was treated with over-thecounter laxatives and stool softeners. Physical examination of the perianal region revealed a full-thickness, irreducible, prolapsed bowel segment, approximately 10 cm long, with multiple mucosal ulcerations. Grade V rectal prolapse was diagnosed. Follow-up at 7, 14, and 30 days after surgery showed complete resolution of symptoms and no recurrence. Conclusions:Individually tailored and prompt surgical treatment for all patients with rectal prolapse is vital. The Altemeier procedure, which has good efficacy with low morbidity, complications, and recurrence, should be considered in elderly patients with an irreducible, large rectal prolapse.
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