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Colorectal Disease: the Official Journal of the Association of Coloproctology of Great Britain and Ireland

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https://www.readbyqxmd.com/read/29136328/organ-preservation-in-rectal-cancer-a-synopsis-of-current-guidelines
#1
W A A Borstlap, S E van Oostendorp, C E L Klaver, D Hahnloser, C Cunningham, E Rullier, W A Bemelman, J B Tuynman, P J Tanis
BACKGROUND: The high morbidity associated with radical resection for rectal cancer is an incentive for surgeons to adopt strategies aimed at organ preservation, particularly for early disease. There are a number of different approaches to achieve this. In this study we have collated current national and international guidelines to produce a synopsis to support this changing practice. METHODS: The databases PubMed, Embase, Trip database, national guideline clearinghouse, BMJ Best practice were interrogated...
November 14, 2017: Colorectal Disease: the Official Journal of the Association of Coloproctology of Great Britain and Ireland
https://www.readbyqxmd.com/read/29136319/response-to-laparoscopic-ventral-rectopexy-for-rectal-prolapse-and-rectal-intussusception-using-a-biological-mesh
#2
LETTER
H Davis, I H Mallick
We read with interest the article by Albayati et al published recently.(1) There is a sparsity of long term data in use of biological mesh in laparoscopy rectopexy for the treatment of rectal prolapse. We appreciate the efforts made by Albayati et al in this study and note the homogeneous population in terms of gender, age and BMI. This article is protected by copyright. All rights reserved.
November 14, 2017: Colorectal Disease: the Official Journal of the Association of Coloproctology of Great Britain and Ireland
https://www.readbyqxmd.com/read/29110390/a-novel-three-dimensional-printed-guiding-device-for-electrode-implantation-of-sacral-neuromodulation
#3
Zhe Cui, Zheng Wang, Guangyao Ye, Cheng Zhang, Guangyu Wu, Jianwei Lv
OBJECTIVE: To test the feasibility of a novel three-dimensional (3D) printed guiding device for electrode implantation of sacral neuromodulation (SNM). METHOD: A 3D printed guiding device for electrode implantation was customized as patients' anatomy of sacral region. Liquid photopolymer was selected as printing material. The details of device designation and prototype building are described. The guiding device was used in two patients underwent SNM for intractable constipation...
November 7, 2017: Colorectal Disease: the Official Journal of the Association of Coloproctology of Great Britain and Ireland
https://www.readbyqxmd.com/read/29105290/endoscopic-resection-of-large-colorectal-adenomas-clinical-experience-of-a-tertiary-referral-center
#4
Liat Mlynarsky, Shira Zelber-Sagi, Eliaz Miller, Revital Kariv
BACKGROUND: Colorectal cancer is a leading cause for cancer-related mortality. Adenomatous polyps are typically resected endoscopically to prevent cancer while giant and complex polyps are managed surgically. No criteria clearly define the indications for surgical versus endoscopic resection. AIM: To evaluate factors associated with short-term efficacy and safety of endoscopic resection of large (≥20mm) and giant (≥40mm) adenomas. METHODS: Consecutive cases with colonic adenomas larger than 20mm, resected endoscopically were included...
November 4, 2017: Colorectal Disease: the Official Journal of the Association of Coloproctology of Great Britain and Ireland
https://www.readbyqxmd.com/read/29105275/laparoscopic-repair-of-right-congenital-diaphragmatic-hernia-with-intrathoracic-kidney
#5
LETTER
Selene Bogoni, Marta Silvestri, Fabio Porcelli, Nicolò de Manzini
A congenital diaphragmatic hernia is caused by failure of the postero-lateral diaphragmatic foramina to close and it usually therefore presents in the neonatal period. Adult cases are rare, with a frequency of 0.17%-6% of all diaphragmatic hernias(1,2) . Mini-invasive surgery helps in delineating clearly the anatomy and helps with early recovery(3-5) . This article is protected by copyright. All rights reserved.
November 4, 2017: Colorectal Disease: the Official Journal of the Association of Coloproctology of Great Britain and Ireland
https://www.readbyqxmd.com/read/29105253/identification-of-the-ureter-during-robotic-colorectal-surgery-using-lighted-stents-a-video-vignette
#6
LETTER
A E Ricardo Hamilton, David A Westwood, Tahleesa J Cuda, Andrew R L Stevenson
The incidence of ureteric injury during colorectal surgery is reported to be 0.28-7.6% [1,2]. Although there is no evidence that ureteric stents reduce the incidence of injury, they may assist early intraoperative identification of injury and thus enable immediate repair to be undertaken which reduces long-term complications [3,4]. In open surgery, ureteric stents may enable the surgeon to identify the ureter by palpation. This article is protected by copyright. All rights reserved.
November 4, 2017: Colorectal Disease: the Official Journal of the Association of Coloproctology of Great Britain and Ireland
https://www.readbyqxmd.com/read/29105248/laparoscopic-total-pelvic-exenteration-for-locally-advanced-carcinoma-of-the-rectum-a-video-vignette
#7
LETTER
Rahul Bhamre, Ashish Pokharkar, Rajesh Shinde, Avanish Saklani
Pelvic exenteration (PE) has traditionally been performed in advanced gynaecological malignancies(1) . The utilisation of PE for locally advanced rectal cancer has been limited, with questionable benefit. Locally advanced rectal cancer with direct invasion of the prostate and seminal vesicles presents a formidable surgical challenge to surgeons. This article is protected by copyright. All rights reserved.
November 4, 2017: Colorectal Disease: the Official Journal of the Association of Coloproctology of Great Britain and Ireland
https://www.readbyqxmd.com/read/29091349/randomised-controlled-trial-of-colonic-stent-insertion-in-non-curable-large-bowel-obstruction-a-post-hoc-cost-analysis
#8
Christopher J Young, Assad Zahid
AIM: With the increasing burden on the health care system, this study aims to perform a cost-effectiveness analysis on the management of incurable large bowel obstruction comparing the cost of a stent versus surgery. METHOD: A prospective randomised controlled trial was conducted at two major teaching hospitals in Australia between September 2006 and November 2011. 56 patients with malignant incurable large bowel obstruction were randomised to stent insertion or surgical decompression, of whom 52 were included in the final analysis...
November 1, 2017: Colorectal Disease: the Official Journal of the Association of Coloproctology of Great Britain and Ireland
https://www.readbyqxmd.com/read/29091337/complete-mesocolic-excision-cme-in-right-sided-colon-cancer-does-not-increase-severe-short-term-postoperative-adverse-events
#9
Richard Bernhoff, Annika Sjövall, Christian Buchli, Fredrik Granath, Torbjörn Hol, Anna Martling
OBJECTIVE: To assess whether Complete Mesocolic Excision (CME) in patients with right sided colon cancer is related to short term mortality or postoperative adverse events requiring reoperation. BACKGROUND: The complete mobilization of an integral mesocolon and central ligation of blood vessels are essential steps in CME-surgery. The resultant specimen, with an intact mesocolic fascia and a high number of harvested lymph nodes is believed to be oncologically favourable...
November 1, 2017: Colorectal Disease: the Official Journal of the Association of Coloproctology of Great Britain and Ireland
https://www.readbyqxmd.com/read/29091335/outcome-of-restorative-proctocolectomy-with-ileo-anal-pouch-for-ulcerative-colitis-effect-of-changes-in-clinical-practice
#10
Adeline Germain, Anthony de Buck van Overstraeten, Albert Wolthuis, Marc Ferrante, Séverine Vermeire, Gert Van Assche, Andre D'Hoore
BACKGROUND: Surgery for ileal pouch-anal anastomosis (IPAA) has evolved over time, especially since the introduction of laparoscopy. OBJECTIVE: The aim of this retrospective study was to report the impact of surgical evolution on outcome over a period of 25 years. DESIGN AND PATIENTS: All patients with IPAA surgery for ulcerative colitis from 1990 to 2015 at the University Hospitals of Leuven were included. Patients were divided into 3 period arms (Period A:1990 - 1999; Period B: 2000 - 2009; Period C: 2010 - 2015)...
November 1, 2017: Colorectal Disease: the Official Journal of the Association of Coloproctology of Great Britain and Ireland
https://www.readbyqxmd.com/read/29091330/multicentre-observational-study-of-gastrointestinal-recovery-after-elective-colorectal-surgery
#11
(no author information available yet)
INTRODUCTION: Postoperative ileus (POI) is characterised by delayed gastrointestinal recovery and is common after colorectal surgery. Numerous strategies to optimise POI have been proposed but its management remains unclear. This study aimed to characterise the duration and management of gastrointestinal recovery in patients undergoing elective colorectal surgery. METHODS: A snapshot, prospective, observational study was undertaken between November 2016 and January 2017 at 10 regional hospitals in the United Kingdom...
November 1, 2017: Colorectal Disease: the Official Journal of the Association of Coloproctology of Great Britain and Ireland
https://www.readbyqxmd.com/read/29069532/robotic-vascular-ligation-medial-to-lateral-dissection-and-splenic-flexure-mobilization-for-rectal-cancer-video-vignette
#12
LETTER
S-G Popeskou, S Panteleimonitis, N Figueiredo, T Qureshi, A Parvaiz
The average number of laparoscopic colonic resections needed to gain surgical proficiency for self-taught senior surgeons is estimated to range between 100-150 procedures. (1-3) Although supervised training by senior colorectal surgeons may shorten this learning curve, almost 50% of U.S. surgical trainees perform less than 10 laparoscopic colectomies during their training. This article is protected by copyright. All rights reserved.
October 25, 2017: Colorectal Disease: the Official Journal of the Association of Coloproctology of Great Britain and Ireland
https://www.readbyqxmd.com/read/29068554/internal-anal-sphincter-nerves-a-macroanatomical-and-microscopic-description-of-the-extrinsic-autonomic-nerve-supply-of-the-internal-anal-sphincter
#13
S Stelzner, M Böttner, J Kupsch, W Kneist, P Quirke, N P West, H Witzigmann, T Wedel
BACKGROUND: The internal anal sphincter (IAS) contributes substantially to anorectal functions. While its autonomic nerve supply has been studied at the microscopic level, little information is available concerning the macroscopic topography of extrinsic nerve fibres. This study was designed to identify neural connections between the pelvic plexus and the IAS, provide a detailed topographical description, and give histological proof of autonomic nerve tissue. METHODS: Macroscopic dissection of pelvic autonomic nerves was performed under magnification in seven (5 males, 2 females) hemipelvises obtained from body donors (67-92 years)...
October 25, 2017: Colorectal Disease: the Official Journal of the Association of Coloproctology of Great Britain and Ireland
https://www.readbyqxmd.com/read/29059489/risk-factors-for-anastomotic-leakage-following-ileosigmoid-or-ileorectal-anastomosis
#14
J Segelman, I Matsson, B Jung, P J Nilsson, G Palmer, C Buchli
AIM: Reconstruction with an ileosigmoidal anastomosis (ISA) or ileorectal anastomosis (IRA) is a surgical option after a subtotal colectomy. Anastomotic leakage (AL) is a significant risk and high rates have been reported (AL) but here is however limited understanding of the risk factors involved. The aim of this study was to assess the established and potential predictors of AL following ISA and IRA. METHOD: This is a retrospective cohort-study including all patients who have undergone ISA or IRA at three Swedish referral centres for colorectal surgery between January 2007 and March 2015...
October 23, 2017: Colorectal Disease: the Official Journal of the Association of Coloproctology of Great Britain and Ireland
https://www.readbyqxmd.com/read/29059483/surgical-management-of-colonic-basidiobolomycosis-among-adolescent-and-adult-patients-presentation-and-outcome
#15
Walid M Abd El Maksoud, Mohammed A Bawahab, Tarique H Ashraf, DaferM Al Shehri, Nihal I Mirza
AIM: The aim of this study was to review retrospectivelythe clinical presentations, indications for surgery and surgical outcomes of adolescent and adult patients who were diagnosed with colonic basidiobolomycosis in the last 10years. METHODS: The study was carried out in Aseer Central Hospital, Abha, Saudi Arabia by reviewing the medical files of all patients in the last 10 yearswho were diagnosed with colonic basidiobolomycosis and required surgical intervention...
October 23, 2017: Colorectal Disease: the Official Journal of the Association of Coloproctology of Great Britain and Ireland
https://www.readbyqxmd.com/read/29059479/anti-tnf-therapy-is-not-associated-with-an-increased-risk-of-post-colectomy-complications-a-population-based-study
#16
S T Ward, J Mytton, L Henderson, V Amin, J R Tanner, F Evison, S Radley
AIM: Previous studies have raised concerns that the use of anti-TNF therapy in patients with ulcerative colitis (UC) undergoing surgery may increase the risk of post-operative complications. We have taken a population-based approach to investigate whether there is an association between anti-TNF therapy and post-operative complications in UC patients undergoing subtotal colectomy. METHOD: Hospital Episode Statistics (HES) data and procedural coding was used to identify all patients in England between April 2006 and March 2015 undergoing subtotal colectomy for UC...
October 23, 2017: Colorectal Disease: the Official Journal of the Association of Coloproctology of Great Britain and Ireland
https://www.readbyqxmd.com/read/29053914/transabdominal-preperitoneal-tapp-bilateral-inguinal-hernia-repair-according-to-stoppa-s-principles-a-video-vignette
#17
LETTER
Sante Capitano
I describe the surgical technique of laparoscopic transabdominal preperitoneal bilateral inguinal hernia repair with single large mesh according to Stoppa's principles. For repair of bilateral inguinal hernia, Stoppa reported a recurrence rate of 1,4 per cent using a preperitoneal approach (1,2). The endoscopic technique for bilateral inguinal hernia is attractive since it is known to cause less postoperative pain and ensure more rapid recovery than conventional hernia repair (3-4). This article is protected by copyright...
October 20, 2017: Colorectal Disease: the Official Journal of the Association of Coloproctology of Great Britain and Ireland
https://www.readbyqxmd.com/read/29053230/a-randomised-control-trial-of-four-different-regimes-of-biofeedback-program-in-the-treatment-of-faecal-incontinence
#18
Christopher J Young, Assad Zahid, Cherry E Koh, Jane M Young, Christopher M Byrne, Michael J Solomon, Jenny Rex, Janet Candido
AIM: Biofeedback is an established, effective and non-invasive treatment for faecal incontinence (FI). The aim was to compare the effectiveness of four different biofeedback treatment regimes. METHOD: Randomised control trial of patients with FI, stratified into two groups (metropolitan and rural) and then randomised into two subgroups (groups 1 and 2 within metropolitan, groups 3 and 4 within rural) with varying face-to-face and telephone biofeedback components...
October 20, 2017: Colorectal Disease: the Official Journal of the Association of Coloproctology of Great Britain and Ireland
https://www.readbyqxmd.com/read/29053222/techniques-of-tension-free-colorectal-anal-anastomosis-in-a-reoperative-abdomen
#19
LETTER
H Hande Aydinli, Erman Aytac, Feza Remzi
After extended left colon resections for either benign or malignant diseases of the colon, achieving a tension-free colorectal anastomosis might be difficult due to reach issues(1) . There are several manoeuvers to overcome the reaching problems and to achieve a tension-free colorectal anastomosis. In this video, we demonstrated the techniques to manage reach related issues in different scenarios to perform a healthy colorectal anastomosis. This article is protected by copyright. All rights reserved.
October 20, 2017: Colorectal Disease: the Official Journal of the Association of Coloproctology of Great Britain and Ireland
https://www.readbyqxmd.com/read/29053221/totally-extraperitoneal-approach-tep-for-scrotal-cystocele-a-video-vignette
#20
LETTER
Sante Capitano
Scrotal cystocele is a large sliding inguinal hernia involving the urinary bladder. This situation is very rare, occurring in fewer than 1% of all inguinal hernias and are diagnosed preoperatively in less than 7% of cases. Depending on the relationship with the peritoneum, we can classify them in: paraperitoneal, intraperitoneal and extraperitoneal type. There are currently very few cases of laparoscopic repair of bladder hernias in the published literature [1-4] and no case of Totally Extraperitoneal (TEP) approach planned...
October 20, 2017: Colorectal Disease: the Official Journal of the Association of Coloproctology of Great Britain and Ireland
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