ReviewSurgical and radiologic anatomy : SRA2018
Is it possible to give a single definition of the rectosigmoid junction?
Review in Surgical and radiologic anatomy : SRA, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Who cites it
13 citing papers in PubMed.
- A postsurgical prognostic nomogram for patients with lymph node positive rectosigmoid junction adenocarcinoma.BMC gastroenterology · 2023Trial
- The junction between the midgut and hindgut co-localizes with the rectosigmoid junction.Journal of anatomy · 2026Article
- Large-scale convolutional neural network for clinical target and multi-organ segmentation in gynecologic brachytherapy via multi-stage learning.Medical physics · 2025Article
- A machine learning-based model for predicting survival in patients with Rectosigmoid Cancer.PloS one · 2025Article
- Evolution of surgical approach to rectal cancer resection: A multinational registry assessment.International journal of colorectal disease · 2024Article
- An updated evaluation of the implementation of the sigmoid take-off landmark 1 year after the official introduction in the Netherlands.Techniques in coloproctology · 2023Article
- Radiation Oncologists' Approach to Rectosigmoid Junction Tumors in Turkey: The Turkish Society for Radiation Oncology Gastrointestinal Group Survey Study (TROD 02-007).The Turkish journal of gastroenterology : the official journal of Turkish Society of Gastroenterology · 2023Article
- "Flexures and bends of the large intestine: Current terminology and a suggestion to simplify it".Journal of anatomy · 2023Article
- Optimizing the Personalized Care for the Management of Rectal Cancer: A Consensus Statement.The Turkish journal of gastroenterology : the official journal of Turkish Society of Gastroenterology · 2022Article
- Rectosigmoid Cancer-Rectal Cancer or Sigmoid Cancer?American journal of clinical oncology · 2022Article
- Rectal cancer lexicon: consensus statement from the society of abdominal radiology rectal & anal cancer disease-focused panel.Abdominal radiology (New York) · 2019Article
- Prediction of Inadequate Bowel Preparation Using Total and Segmental Colon Transit Time in Patients with Chronic Constipation: Some Different Outcomes.Gastroenterology research and practice · 2019Article
- Comparative Effectiveness of Neoadjuvant Chemoradiation Versus Upfront Surgery in the Management of Recto-Sigmoid Junction Cancer.Clinical colorectal cancer · 2018Article
Corrections and comments
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Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
aimThe rectosigmoid junction is the limit separating the sigmoid colon and rectum. This transition zone has different definitions. We want to highlight different landmarks of the rectosigmoid junction (RSJ), to help the clinicians to adopt a consensual definition.
methodWe reviewed anatomical, endoscopic, physiological and surgical points of view concerning the rectosigmoid junction (RSJ).
resultsThe rectosigmoid junction has a different definition depending on who is studying it. Nevertheless, it is a high pressure location, a place connecting different muscles organizations, neurological systems or vascular anastomosis. The clear pathophysiology of the RSJ is not yet determined with certainty, but its resection is essential for the therapeutic care of patients and also for the improvement of surgical skills. From a surgical point of view, anatomical landmarks has to be chosen: easily reproducible and identifiable. The disappearance of taenia coli (belonging to the colon) and the peritoneal reflection (recto-genital pouch), located below the upper rectum, seem the most reliable. The level of rectal section must, in any case, be below the promontory.
conclusionThere is not a single definition, but rather several definitions of the RSJ. Each one of them reflects one appearance of this region: embryological and anatomical evolution or clinical entity. From a surgical point of view, the criterion which seems to be the most reliable is the disappearance of taenia coli and the peritoneal reflection (recto-genital pouch).
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.