HIV-Seropositive Patients in Colorectal Surgery Clinic at King Chulalongkorn Memorial Hospital
Main Article Content
Abstract
Colorectal unit, Department of Surgery, Maharat Nakhon Ratchasima Hospital, Nakhon Ratchasima, 30000
Introduction: HIV causes decreased immunity and predisposition to disease. As the number of individuals with HIV disease continues to increase rapidly and in fact, 5-35% of HIV–positive patients will develop perianal disease during evolution of AIDS. The objective of this study is to present the clinical syndrome of HIV-positive patients in colorectal surgery clinic.
Patients and methods: Retrospective study of HIV-seropositive patients in colorectal surgery clinic at King Chulalongkorn Memorial Hospital during July 2001 to June 2002 was performed. The data were analyzed in term of baseline data, diagnosis in colorectal surgery clinic, treatment outcome. Statistical analysis were mean, SD, and percent.
Results: General background of 80 from 85 patients (94.1%) recruited were: 63.8% male, mean age 36.1 years, 85% labor, 66.3% AIDS, 32.5% hemorrhoids, 17.5% condyloma acuminate, 16.3% herpetic ulcer, and 11.2% fistula in ano. No poor wound healing was found in non- AIDS patients.
Conclusion: The non-AIDS patients were treated as normal host in colorectal surgery clinic.
Article Details
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
References
Wexner SD, Smithy WB, Milsom JW, Dailey TH. The surgical manangement of anorectal discases in AIDS and preAIDS patients. Dis Colon Rectum 1986; 29: 719-23.
Scholefield JH, Northover JM, Carr ND. Male homosexuality, HIV infection and colorectal surgery. Br J Surg 1990;77:493-6.
Miles AJ, Mellor CH,Gazzard B, Allen-Mersh TG, Wastell C. Surgical manangement of anorectal disease in HIV-positive homosexuals. Br J Surg 1990;77:869-71.
Schmitt SL, Wexner SD, Nogueras JJ, Jagelman DG. Is aggressive manangement of perianal ulcers in homosexual HIV-scropositive man justified? Dis Colon Rectum 1993; 36:240-6.
Safavi A, Gottesman L. Dailcy TH. Anorectal surgery in The HIV+ patient: update. Dis Colon Rectum 1991;34:299-304
Nadal SR, Manzione CR, Galvao VM, Salim VRBM, Speranzini MB. Perianal disease in HIV-positive patients compared with a seronegative population. Dis Colon Rectum 1999; 42: 649-54.
Yuhan R, Orsay C, Delpino A, et al. Anorectal disease in HIV- infected patients. Dis Colon Rectum 1998;41367-70.
Heweitt WR, Sokol TP, Fleshner PR. Should HIV status alter indications for hemorhoidectomy? Dis Colon Rectum 1996;39:615-8.
Morandi E, Merlini D, Salvaggio A, Foschi D, Trabucchi E. Prospective study of healing time after hemorrhoidectomy, influence of Hily infection, acquired immunodeticiency syndrome, and anal wound infection. Dis Colon Rectum 1999;42:1140-3.
Scaglia M, Delaini G, Destefano I, Hulten L. Injection treatment of hemorrhoids in patients with acquired immunodeficiency syndrome. Dis Colon Rectum 2001;44:401-4.
Moore BA, Fleshner PR. Rubber band ligation for hemorrhoidal disease can be safely performed in select HHV-positive patients. Dis Colon Rectum 2001;44:1079-82.
Buchmann P, Seefeld H. Rubber band ligation for piles can be disastrous in HIV-positive patients. Int J Colorectal Dis 1989;4:57-8.
Beck DE, Jaso RG, Zajic RA. Surgical manangement of anal condyloma in HIV-positive patient. Dis Colon Rectum 1990;33:180-3.
Gordon PH. Condyloma acuminata. In: Gordon PH, Nivatvongs S, editors. Principles and practice of surgery the colon, rectum, and anus. 2nd ed. St Louis: Quality Medical Publishing; 1999. p. 323-40.
Goldberg GS, Orkin BA, Smith LE. Microbiology of human immuno deficiency virus anorectal discasc. Dis Colon Rectum 1994;37:439-43.
Wexner SD, Roberts PL, Lowry A, Bumstein M, Hicks T, Kerner B, et al. Practice parameters for treatment of fistula-in-ano supporting documentation. Dis Colon Rectum 1996; 39:1363-72.
Manookian CM, Sakol TP, Headrick C, Fleshner PR. Does HIV status influence the anatomy of anal fistula? Dis Colon Rectum 1998;41:1529-33.
Nadal SR, Manzione CR, Galvao VDM, Salim VRMB, Speranzini MB. Healing after fistulotomy, comparative study between HIV+ and HIV- patients. Dis Colon Rectum 1998;41:177-9.
Nada I SR, Manzion e CR, Horta SHC, Galvao VDM. Manangement of idiopathic ulcer of the anal canal by excision in HIV- positive patients. Dis Colon Rectum 1999;42:1598-601.
Iorianni P, Oliver GC. Synergistic soft tissue infection of the perineum. Dis Colon Rectum 1992;35:640-4.
Page MJ, Dreese JC, Poritz LS, Koltun WA.Cytomegalovinus enteritis, a highly lethal condition requiring early deterection and intervention. Dis Colon Rectum 1998;41:619-23.