journal
MENU ▼
Read by QxMD icon Read
search

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

journal
https://www.readbyqxmd.com/read/28444968/carcinoembryonic-antigen-directed-pet-cect-scanning-for-post-operative-surveillance-of-colorectal-cancer
#1
Karthik Chandra Vallam, Guruchannabasavaiah B, Archi Agrawal, Venkatesh Rangarajan, Vikas Ostwal, Reena Engineer, Avanish Saklani
AIM: During the follow-up of surgically resected colorectal cancer (CRC), positron emission tomography-contrast-enhanced computed tomography (PET-CECT) is indicated for asymptomatic elevation of carcinoembryonic antigen (CEA) > 5 ng/ml and no obvious site of recurrence on clinical examination and basic imaging. As an institutional policy, PET-CECT scan was performed at our institute whenever (1) CEA levels rose above 5 ng/ml and (2) CEA values were doubled (even if CEA level was <5 ng/ml)...
April 26, 2017: Colorectal Disease: the Official Journal of the Association of Coloproctology of Great Britain and Ireland
https://www.readbyqxmd.com/read/28436214/a-comparison-of-the-cost-of-primary-closure-or-rectus-abdominis-myocutaneous-flap-closure-of-the-perineum-after-abdominoperineal-excision
#2
John Woodfield, Michael Hulme-Moir, Jasen Ly
AIM: Perineal wound complications following abdominoperineal resection continue to be a major challenge.. The aim of this study was to compare the clinical outcomes and cost of primary closure (PC) and rectus abdominis myocutaneous flap reconstruction (RAM). METHOD: Retrospective case review of consecutive patients by one surgeon over 11 years. Patient demographics, risk factors, operative details and complications were identified. Inpatient and outpatient costs were calculated...
April 24, 2017: Colorectal Disease: the Official Journal of the Association of Coloproctology of Great Britain and Ireland
https://www.readbyqxmd.com/read/28436201/brain-responses-to-mechanical-rectal-stimuli-in-patients-with-faecal-incontinence-an-fmri-study
#3
Naseem Mirbagheri, Sean Hatton, Kheng-Seong Ng, Jim Lagopoulos, Marc A Gladman
AIM: Continence is dependent on anorectal/brain interactions. Consequently, aberrations of the brain-gut axis may be important in the pathophysiology of faecal incontinence (FI) in certain patients. The aim of this study was to assess the feasibility of recording brain responses to rectal mechanical stimuli in patients with FI using functional Magnetic Resonance Imaging (fMRI). METHOD: A prospective, cohort pilot study was performed to assess brain responses during rectal stimulation in 14 patients (4 male, mean [SD] age 62 [15] years)...
April 24, 2017: Colorectal Disease: the Official Journal of the Association of Coloproctology of Great Britain and Ireland
https://www.readbyqxmd.com/read/28436197/magnetic-resonance-imaging-following-neoadjuvant-chemoradiation-and-transanal-endoscopic-microsurgery-for-rectal-cancer
#4
Guilherme P São Julião, Cinthia Denise Ortega, Bruna Borba Vailati, Angelita Habr-Gama, Laura Melina Fernandez, Joaquim Gama-Rodrigues, Sergio Eduardo Araujo, Rodrigo O Perez
AIM: Full thickness local excision after neoadjuvant chemoradiotherapy (CRT) for patients with rectal cancer and incomplete clinical response has been a treatment strategy for organ preservation. Follow up of these patients is challenging since anatomic distortion and postoperative changes may be clinically indistinguishable from tumor recurrence. Magnetic resonance imaging (MRI) may have a role in detecting recurrence. The aim of this study is to describe the MRI findings during follow-up in patients having local excision following CRT with and without local recurrence...
April 24, 2017: Colorectal Disease: the Official Journal of the Association of Coloproctology of Great Britain and Ireland
https://www.readbyqxmd.com/read/28436177/limited-evidence-of-abnormal-intra-colonic-pressure-profiles-in-diverticular-disease-a-systematic-review
#5
REVIEW
R Jaung, J Robertson, G O'Grady, T Milne, D Rowbotham, I P Bissett
AIM: Abnormal colonic pressure profiles and high intraluminal pressures are postulated to contribute to the formation of sigmoid colon diverticulosis and the pathophysiology of diverticular disease (DD). This study aimed to review evidence for abnormal colonic pressure profiles in diverticulosis. METHOD: All published studies investigating colonic pressure in patients with diverticulosis were searched in three databases (MEDLINE, EMBASE, SCOPUS). No language restrictions were applied...
April 24, 2017: Colorectal Disease: the Official Journal of the Association of Coloproctology of Great Britain and Ireland
https://www.readbyqxmd.com/read/28436176/does-bowel-preparation-for-inflammatory-bowel-disease-surgery-matter
#6
C Shwaartz, A C Fields, M Sobrero, C M Divino
AIM: The purpose of this study is to determine if bowel preparation influences outcomes in inflammatory bowel disease patients undergoing surgery. METHODS: The American College Surgeons National Surgical Quality Improvement Program, Procedure Targeted Colectomy databases from 2012-2014 were analyzed. Inflammatory bowel disease patients undergoing colorectal resection with or without bowel preparation were included in the study. RESULTS: There were 3,679 patients with inflammatory bowel disease identified...
April 24, 2017: Colorectal Disease: the Official Journal of the Association of Coloproctology of Great Britain and Ireland
https://www.readbyqxmd.com/read/28419742/detachable-laparoscopic-bulldog-clamp-in-laparoscopic-assisted-colonoscopic-polypectomy-video-vignette
#7
LETTER
Suresh B Yelika, Syed K Abbas, Kathreen P Lee, Samson Tou, Roberto Bergamaschi
Minimising unnecessary morbidity is the duty of any surgeons caring for patients. The treatment of difficult colonic polyps is no exception to this rule. It should not be a surprise that in the early 1990s when minimally invasive surgery was on its rise, laparoscopic-assisted colonoscopic polypectomy was first described [1]. Laparoscopic atraumatic cross clamping of the bowel proximal to the polyp site is useful in order to prevent small bowel distention impairing the laparoscopic view. This article is protected by copyright...
April 18, 2017: Colorectal Disease: the Official Journal of the Association of Coloproctology of Great Britain and Ireland
https://www.readbyqxmd.com/read/28419688/combined-laparoscopic-robotic-approach-in-complex-re-operative-colorectal-surgery-video-vignette
#8
LETTER
Ismail Ahmet Bilgin, Erman Aytac, Ilknur Erguner, Bilgi Baca, Ismail Hamzaoglu, Tayfun Karahasanoglu
Robotic surgery has potential to improve outcomes of minimally invasive surgery by providing excellent dexterity. We believe the use of a robot with laparoscopy may overcome limitations associated with re-operative surgery and improve the quality and outcomes of minimally invasive surgery, especially in patients who had prior colorectal operations [1,2,3]. We present a 61-year-old male who had a right colectomy, end ileostomy with distal colonic mucous fistula for a caecal perforation secondary to severe sigmoid stricture operated in another hospital...
April 18, 2017: Colorectal Disease: the Official Journal of the Association of Coloproctology of Great Britain and Ireland
https://www.readbyqxmd.com/read/28419677/transanal-minimally-invasive-surgery-tamis-for-excision-of-rectal-carcinoid-video-vignette
#9
LETTER
Husay Janebdar, Arshad Malik
Rectal carcinoids are rare neuroendocrine tumours that form only 1-2% of all rectal tumours [1,2]. Their incidence is on the rise and as yet there isn't a gold standard treatment for it [1,3,4]. Management options vary from local excision for small lesions to more radical surgery such as a low anterior resection and an abdominoperineal resection [4]. This article is protected by copyright. All rights reserved.
April 18, 2017: Colorectal Disease: the Official Journal of the Association of Coloproctology of Great Britain and Ireland
https://www.readbyqxmd.com/read/28419673/tatme-eexcision-of-denonvilliers-fascia-in-anterior-rectal-tumours-video-vignette
#10
LETTER
S Heterierchi, A Askari, E Donelly, I Driver, J Pitt, A Malik
Oncological rules for resection of rectal cancer are well established. Total Mesorectal Excision (TME) is considered the gold standard treatment for rectal cancers. The main aim of surgery is to ensure a curative resection with complete removal of both macroscopic and microscopic tumour (R0 resection). This article is protected by copyright. All rights reserved.
April 18, 2017: Colorectal Disease: the Official Journal of the Association of Coloproctology of Great Britain and Ireland
https://www.readbyqxmd.com/read/28419672/laparoscopic-ventral-mesh-rectopexy-video-vignette
#11
LETTER
N Z Ahmad, J S Khan
Rectal prolapse is a distal displacement of rectum through the pelvic diaphragm like a sliding hernia [1]. The surgical treatments described in the literature primarily focus on reducing the prolapse either through a perineal or abdominal approach. With the expansion of minimal access surgery, abdominal rectopexy is now fairly taken over by the laparoscopic approach [2]. This article is protected by copyright. All rights reserved.
April 18, 2017: Colorectal Disease: the Official Journal of the Association of Coloproctology of Great Britain and Ireland
https://www.readbyqxmd.com/read/28418599/use-of-the-harmonic-scalpel-for-delorme-s-procedure
#12
David Parés, Ioanna Drami, Katie Adams, Ugo Grossi, Ibnauf Suliman, Charles H Knowles
AIM: There are many surgical techniques to deal with external rectal prolapse but perineal procedures have the advantage of reduced invasiveness. Therefore, despite concerns regarding high recurrence rates, the technique is still used by many surgeons. METHOD: This manuscript and video describe our early clinical experience using the harmonic scalpel in eleven consecutive patients who underwent a Delorme's procedure for external rectal prolapse. RESULTS: The median age of patients was 76 years (range 30-94)...
April 18, 2017: Colorectal Disease: the Official Journal of the Association of Coloproctology of Great Britain and Ireland
https://www.readbyqxmd.com/read/28407458/ultrasound-anal-sphincter-defects-and-3d-anal-pressure-defects
#13
LETTER
F Mion, A Garros, H Damon, S Roman
We read with interest the paper by Rezaie et al. on the use of 3D high definition anorectal manometry (3DARM) to detect anal sphincter defects in patients with faecal incontinence [1]. In their series of 39 patients, they described a new metrics to define anal pressure defect (defect of at least 18° of the 25 mmHg isobaric contour on anal resting pressures), and then compared the results of pressure defects determined by 3DARM and 3D anal ultrasound results. They found a rather good negative predictive value of manometry to eliminate the presence of ultrasound anal sphincter defects (92%), and suggested the possibility to use 3DARM to rule out anal sphincter defects and avoid the need of anal ultrasound in selected patients...
April 13, 2017: Colorectal Disease: the Official Journal of the Association of Coloproctology of Great Britain and Ireland
https://www.readbyqxmd.com/read/28407411/risk-of-metachronous-colorectal-cancer-following-colectomy-in-lynch-syndrome-a-systematic-review-and-meta-analysis
#14
REVIEW
Chukwuemeka C Anele, Samuel O Adegbola, Alan Askari, Arun Rajendran, Susan K Clark, Andrew Latchford, Omar D Faiz
AIM: Lynch syndrome (LS) accounts for 2-4% of all colorectal cancer (CRC) cases, and is associated with an increased risk of developing metachronous colorectal cancer (mCRC). The role of extended colectomy (EXTC) in LS CRC is controversial. There is limited evidence comparing the risk of mCRC following segmental colectomy (SEGC) and EXTC. The objective of this systematic review is to evaluate the risk of developing mCRC following SEGC and EXTC for LS CRC and endoscopic compliance. METHOD: A systematic review of major databases was performed using predefined terms...
April 13, 2017: Colorectal Disease: the Official Journal of the Association of Coloproctology of Great Britain and Ireland
https://www.readbyqxmd.com/read/28407341/response-to-postoperative-ileus-a-diagnosis-by-exclusion
#15
LETTER
E G Peters, M Dekkers, M D P Luyer
We thank Dr. Wu et al. for their interest in our article [1]. Postoperative ileus (POI) is considered to be inevitable after abdominal surgery by many and has been underestimated consequently. We have shown that POI not only affects patient comfort and recovery, but is also associated with severe complications such as anastomotic leakage. It has been unclear until now the cause and effect of POI, though the inflammatory response plays a significant role in these conditions. This article is protected by copyright...
April 13, 2017: Colorectal Disease: the Official Journal of the Association of Coloproctology of Great Britain and Ireland
https://www.readbyqxmd.com/read/28406549/postoperative-ileus-a-diagnosis-by-exclusion-comment-on-relation-between-postoperative-ileus-and-anastomotic-leakage-after-colorectal-resection-a-post-hoc-analysis-of-a-prospective-randomized-controlled-trial
#16
LETTER
Zhouqiao Wu, Jiafu Ji, Johan F Lange
We read with interest the article by Peters et al. who reported a higher anastomotic complication rate in patients with postoperative ileus (POI) [1]. The question raised by the authors is extremely important, and we found similar results in our literature review that many patients were treated to have "POI", which can often be treated conservatively, harbour serious complications including anastomotic leakage or intraabdominal infections [2]. Delay in diagnosis or intervention in those patients may significantly worsen their outcomes...
April 13, 2017: Colorectal Disease: the Official Journal of the Association of Coloproctology of Great Britain and Ireland
https://www.readbyqxmd.com/read/28387062/association-of-coloproctology-of-great-britain-and-ireland-consensus-exercise-on-surgical-management-of-fistulating-perianal-crohn-s-disease
#17
M J Lee, N Heywood, P M Sagar, S R Brown, N S Fearnhead
BACKGROUND: Management of fistulating perianal Crohn's disease (fpCD) is a significant challenge for a colorectal surgeon. A recent survey of surgical practice in this condition showed variation in management approaches. As a result we set out to devise recommendations for practice for UK colorectal surgeons. METHODS: Results from a national survey were used to devise a set of potential consensus statements. Consultant colorectal surgeons were invited to participate in the exercise via the previous survey and the mailing list of the professional society...
April 7, 2017: Colorectal Disease: the Official Journal of the Association of Coloproctology of Great Britain and Ireland
https://www.readbyqxmd.com/read/28387059/pouch-excision-indications-and-outcomes
#18
Amy L Lightner, Sheev Dattani, Eric J Dozois, Sara B Moncrief, John H Pemberton, Kellie L Mathis
INTRODUCTION: Resotrative proctolectomy (RPC) with Ileal-pouch anal anastomosis (IPAA) is the procedure of choice for ulcerative colitis. Unfortunately, up to 10% of pouches will fail, requiring either reconstruction or excision. While several series have reported on the aetiology of pouch failure, no study to date has focused on the postoperative complications associated with pouch excision. METHODS: Patients who had excision of ileoanal reservoir with ileostomy (CPT code 45136) were included...
April 7, 2017: Colorectal Disease: the Official Journal of the Association of Coloproctology of Great Britain and Ireland
https://www.readbyqxmd.com/read/28371339/surgical-treatment-of-uncomplicated-diverticulitis-in-switzerland-comparison-of-population-based-data-over-two-time-periods
#19
Marco von Strauss Und Torney, Sarah Thommen, Salome Dell-Kuster, Henry Hoffmann, Rachel Rosenthal, James Young, Christoph Kettelhack
INTRODUCTION: The standard of care for acute uncomplicated diverticulitis used to be an elective colon resection after second or third episode. This practice was replaced by a more conservative and individualised approach. This study investigates current surgical practice in the treatment of acute uncomplicated diverticulitis in Switzerland. METHODS: Retrospective cross sectional analysis of all hospital admissions due to uncomplicated diverticulitis in Switzerland using prospectively collected data from the Swiss federal statistical office in two periods: 2004 to 2005 and 2010 to 2011...
March 29, 2017: Colorectal Disease: the Official Journal of the Association of Coloproctology of Great Britain and Ireland
https://www.readbyqxmd.com/read/28371160/short-term-outcome-of-percutaneous-tibial-nerve-stimulation-for-low-anterior-resection-syndrome-results-of-a-pilot-study
#20
D F Altomare, A Picciariello, C Ferrara, R Digennaro, Y Ribas, M De Fazio
AIM: Percutaneous tibial nerve stimulation (PTNS) is a minimally invasive procedure, which has been demonstrated to be effective in faecal/urinary incontinence, but has never been tested in Low Anterior Resection Syndrome (LARS). The severity of LARS may be evaluated by the LARS-score, but rectal cancer treatments may also affect urinary and sexual function, which are not explored by the LARS-score. The TAPE-score is a new validated index addressing the overall pelvic-floor functions...
March 29, 2017: Colorectal Disease: the Official Journal of the Association of Coloproctology of Great Britain and Ireland
journal
journal
20086
1
2
Fetch more papers »
Fetching more papers... Fetching...
Read by QxMD. Sign in or create an account to discover new knowledge that matter to you.
Remove bar
Read by QxMD icon Read
×

Search Tips

Use Boolean operators: AND/OR

diabetic AND foot
diabetes OR diabetic

Exclude a word using the 'minus' sign

Virchow -triad

Use Parentheses

water AND (cup OR glass)

Add an asterisk (*) at end of a word to include word stems

Neuro* will search for Neurology, Neuroscientist, Neurological, and so on

Use quotes to search for an exact phrase

"primary prevention of cancer"
(heart or cardiac or cardio*) AND arrest -"American Heart Association"