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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/28816010/robotic-ventral-mesh-rectopexy-technique-for-rectal-intussusception-with-rectocele-a-video-vignette
#1
LETTER
Deniz Atasoy, Afag Aghayeva, Onur Bayraktar, Neslihan Pirinc, Erman Aytac, Bilgi Baca, Tayfun Karahasanoglu, Ismail Hamzaoglu
Various surgical techniques have been described for the treatment of rectocele[1].Ventral mesh rectopexy is one of the surgical techniques for the treatment of pelvic floor diseases. This approach could be performed laparoscopically or robotically[1,2]. Robotic (da Vinci Surgical System, Intuitive Surgical, Sunnyvale, CA, USA) platform has several benefits compared to the laparoscopic approach such as stable retraction and enhanced dexterity[3,4]. This article is protected by copyright. All rights reserved.
August 16, 2017: Colorectal Disease: the Official Journal of the Association of Coloproctology of Great Britain and Ireland
https://www.readbyqxmd.com/read/28795777/the-three-approaches-to-the-colonic-splenic-flexure-mobilization-video-vignette
#2
LETTER
Giovanni Dapri, Nigel Antonio Bascombe, Guy Bernard Cadière, John H Marks
The mobilization of the colonic splenic flexure during laparoscopic colorectal surgery can be a challenge, especially in anatomically difficult patients, but allows more than 20 cm of colonic redundancy (1). In this video the infra-mesocolic, the supramesocolic and the lateral-to-medial approaches are demonstrated. This article is protected by copyright. All rights reserved.
August 10, 2017: Colorectal Disease: the Official Journal of the Association of Coloproctology of Great Britain and Ireland
https://www.readbyqxmd.com/read/28795776/redo-coloanal-anastomosis-for-anastomotic-leakage-after-low-anterior-resection-for-rectal-cancer-an-analysis-of-59-cases
#3
Emma Westerduin, Wernard A Borstlap, Gijsbert D Musters, Marinke Westerterp, Anna A W van Geloven, Pieter J Tanis, Albert M Wolthuis, Willem A Bemelman, André D'Hoore
AIM: Constructing a new coloanal anastomosis (CAA) following anastomotic leakage after low anterior resection (LAR) is challenging. The available literature on this topic is scarce. The aim of this two-centre study was to determine the clinical success and morbidity after redo CAA. METHOD: In this retrospective cohort study, all patients with anastomotic leakage after LAR for rectal cancer who underwent a redo CAA between 2010 and 2014 in two tertiary referral centres were included...
August 10, 2017: Colorectal Disease: the Official Journal of the Association of Coloproctology of Great Britain and Ireland
https://www.readbyqxmd.com/read/28795773/tamis-esd-emr-excision-of-circumferential-lst-g-polyp-in-mid-and-upper-rectum-video-vignette
#4
LETTER
H El-Beialy, M L Venn, S Gangadharan, J Pitt, I Driver, A Malik
Rectal preservation is gaining popularity in the management of advanced rectal polyps and early rectal cancers while major surgery is becoming less critical. Radical surgery doubles operative mortality and increases post-operative morbidity due to both immediate and delayed complications including impaired continence and sexual dysfunction.(1-3) This article is protected by copyright. All rights reserved.
August 10, 2017: Colorectal Disease: the Official Journal of the Association of Coloproctology of Great Britain and Ireland
https://www.readbyqxmd.com/read/28795771/complete-robotic-mesocolic-excision-for-right-sided-colon-cancer-video-vignette
#5
LETTER
Emre Gorgun, Cigdem Benlice
With the introduction of da Vinci(®) Xi in 2014; robotic platform provides further advantages including greater range of motions, added dexterity and precision with extended operative reach in multiple quadrants. Complete mesocolic excision for colon cancer was shown to provide superior oncological outcomes and better survival advantage when compared to standard resection [1] . This article is protected by copyright. All rights reserved.
August 10, 2017: Colorectal Disease: the Official Journal of the Association of Coloproctology of Great Britain and Ireland
https://www.readbyqxmd.com/read/28783240/social-media-use-in-german-visceral-surgeons-a-cross-sectional-study-of-a-national-cohort
#6
C M Boßelmann, B Griffiths, H J Gallagher, K E Matzel, R R W Brady
BACKGROUND: Engagement in social media is increasing. Medical professionals have been adapting LinkedIn, a professional networking site, and Twitter, a micro-blogging service, for a number of uses. This development has been described for a number of medical specialties, but there remains a paucity of European data. A study was undertaken to measure engagement and activity of German visceral surgeons on social media platforms. METHOD: Visceral surgeons were identified from 15 regional Associations of Statutory Health Insurance Physicians (Kassenärztliche Vereinigungen) opt-in registers...
August 7, 2017: Colorectal Disease: the Official Journal of the Association of Coloproctology of Great Britain and Ireland
https://www.readbyqxmd.com/read/28782277/long-term-outcome-of-intractable-constipation-treated-by-sacral-neuromodulation-a-comparison-between-children-and-adults
#7
Paul T J Janssen, Yannick M Meyer, Sander M J Van Kuijk, Marc A Benninga, Laurents P S Stassen, Nicole D Bouvy, Jarno Melenhorst, Stephanie O Breukink
AIM: Sacral neuromodulation (SNM) is a minimal invasive therapy for functional-constipation (FC) and is most often used to treat adults. Recent studies suggest that SNM may also beneficial in children. However, comparative data regarding preferred age of SNM for FC are lacking. Therefore, long-term results of SNM for FC were compared between children and adults. METHOD: All patients treated with SNM for FC between 2004 and 2015 were evaluated. Outcomes of children (age 10-18 years) were compared with adults (≥18 years)...
August 7, 2017: Colorectal Disease: the Official Journal of the Association of Coloproctology of Great Britain and Ireland
https://www.readbyqxmd.com/read/28777877/timely-access-to-care-in-the-treatment-of-rectal-cancer-and-the-effect-on-quality-of-life
#8
Sofie Walming, Mattias Block, David Bock, Eva Angenete
AIM: The aim of this study was to investigate if a delay in a patient's first contact with a health care professional, and any subsequent delay in diagnosis, affected self-assessed quality of life prior to start of treatment for rectal cancer. METHOD: Questionnaires were administered when the patients had been informed of the diagnosis and planned treatment. The primary endpoint was self-assessed quality of life according to a seven-point Likert scale. The response variables were dichotomized and analysed by unadjusted and adjusted binary logistic regression...
August 4, 2017: Colorectal Disease: the Official Journal of the Association of Coloproctology of Great Britain and Ireland
https://www.readbyqxmd.com/read/28772347/diffusion-kurtosis-imaging-in-identifying-the-malignancy-of-lymph-node-during-the-primary-staging-of-rectal-cancer
#9
Jing Yu, Xin Dai, Hai-Hua Zou, Jia-Cheng Song, Yan Li, Hai-Bin Shi, Qing Xu, Hongbing Shen
AIM: To assess the diagnostic value of diffusion kurtosis imaging (DKI) for discriminating between benign and malignant lymph nodes (LNs) in patients with rectal carcinoma. METHOD: Eighty-five patients with rectal adenocarcinoma who underwent total mesorectal excision of the rectum were studied. A total of 273 lymph nodes were harvested and subjected to histological analysis.. Quantitative parameters (apparent diffusion parameter of Gaussian distribution (Dapp ), apparent kurtosis coefficient (Kapp ) and apparent diffusion coefficient (ADC)) of lymph node were derived from DKI...
August 3, 2017: Colorectal Disease: the Official Journal of the Association of Coloproctology of Great Britain and Ireland
https://www.readbyqxmd.com/read/28772341/ethnic-profiles-in-the-national-bowel-cancer-screening-programme-results-from-a-multicentre-study
#10
LETTER
A T George, A Field
We write to report hitherto unreported ethnic divides in the uptakes and outcomes of the National Guaiac based faecal occult blood testing (FOBT) screening programme for colorectal cancer (CRC). This was identified as part of a UK-based multicentre study looking into FOBT and CRCs in patients on incident rounds of screening [1]. This article is protected by copyright. All rights reserved.
August 3, 2017: Colorectal Disease: the Official Journal of the Association of Coloproctology of Great Britain and Ireland
https://www.readbyqxmd.com/read/28755446/the-effect-of-a-multidisciplinary-regional-educational-programme-on-the-quality-of-colon-cancer-resection
#11
Gemma E Sheehan-Dare, Kate M Marks, Emma Tinkler-Hundal, Peter Ingeholm, Claus Anders Bertelsen, Phil Quirke, Nicholas P West
Mesocolic plane surgery with central vascular ligation produces an oncologically superior specimen following colon cancer resection and appears to be related to optimal outcomes. Aim We aimed to assess whether a regional educational programme in optimal mesocolic surgery led to an improvement in the quality of specimens. METHOD: Following an educational programme in the Capital and Zealand areas of Denmark, 686 cases of primary colon cancer resected across six hospitals were assessed by grading the plane of surgery and undertaking tissue morphometry...
July 29, 2017: Colorectal Disease: the Official Journal of the Association of Coloproctology of Great Britain and Ireland
https://www.readbyqxmd.com/read/28755421/smoking-is-a-risk-factor-of-pulmonary-metastasis-in-colorectal-cancer
#12
Masashi Yahagi, Masashi Tsuruta, Hirotoshi Hasegawa, Koji Okabayashi, Naoyuki Toyoda, Nozomi Iwama, Satoru Morita, Yuko Kitagawa
AIM: The hepatic microenvironment, which may include chronic inflammation and fibrosis, is considered to contribute to the pathogenesis of liver metastases of colorectal cancer. A similar mechanism is anticipated in pulmonary metastases, although no reports are available. Smoking causes pulmonary inflammation and fibrosis. Thus, we hypothesized that smokers would be especially affected by pulmonary metastases of colorectal cancer. In this study, we attempted to clarify the impact of smoking on pulmonary metastasis of colorectal cancer...
July 29, 2017: Colorectal Disease: the Official Journal of the Association of Coloproctology of Great Britain and Ireland
https://www.readbyqxmd.com/read/28755390/gentamicin-a-read-through-agent-for-the-treatment-of-rectal-cancer
#13
LETTER
Jesse Frumkin
I would like to commend Collin and colleagues for their paper addressing whether locally administered gentamicin reduces cancer recurrence. This paper followed a surprising finding by Nowacki and colleagues that locally administered gentamicin reduced distant metastasis and significantly improved overall survival. These results were surprising because gentamicin is an anti-bacterial rather than a chemotherapeutic drug. This article is protected by copyright. All rights reserved.
July 29, 2017: Colorectal Disease: the Official Journal of the Association of Coloproctology of Great Britain and Ireland
https://www.readbyqxmd.com/read/28746794/response-to-shift-in-paradigm-of-clinical-management-of-anastomotic-leak
#14
LETTER
Ian S Reynolds, Joseph Deasy, John P Burke, Deborah A McNamara
We would like to thank Basut Yildiz and Mesut Tez for their interest in our work [1] and correspondence entitled "Shift In Paradigm of Clinical Management of Anastomotic Leak?". The authors state they would like to see an in depth presentation of known markers for anastomotic leak (AL) such as white cell count (WCC), fever and tachycardia. At the beginning of this study we considered what markers we should measure and analyse. This article is protected by copyright. All rights reserved.
July 26, 2017: Colorectal Disease: the Official Journal of the Association of Coloproctology of Great Britain and Ireland
https://www.readbyqxmd.com/read/28736972/reduced-risk-of-emergency-admission-for-colorectal-cancer-associated-with-introduction-of-bowel-cancer-screening-across-england-retrospective-national-cohort-study
#15
J Geraghty, M Shawihdi, E Devonport, S Sarkar, M G Pearson, K Bodger
AIM: We examined whether roll out of the bowel cancer screening programme (BCSP) across England was associated with a reduced risk of emergency hospital admission for people presenting with colorectal cancer (CRC) during this period. METHOD: This is a retrospective cohort study of 27,763 incident cases of CRC over a 1-year period during the roll-out of screening across parts of England. The primary outcome was the number of emergency (unplanned) hospital admissions during the diagnostic pathway...
July 24, 2017: Colorectal Disease: the Official Journal of the Association of Coloproctology of Great Britain and Ireland
https://www.readbyqxmd.com/read/28736932/current-practice-of-continence-advisors-in-managing-faecal-incontinence-in-the-united-kingdom-results-of-an-online-survey
#16
Cosimo Alex Leo, Yasuko Maeda, Brigitte Collins, Gregory P Thomas, Jonathan D Hodgkinson, Jamie Murphy, Carolynne J Vaizey
AIM: To investigate the current practice of continence advisors in the United Kingdom. METHOD: Continence advisors were contacted by email or letter to participate in a survey. The survey contained 27 questions which addressed the practice of each continence advisor, their knowledge of continence management and the adequacy of their training. RESULTS: Two hundred and twenty six out of a total of 448 continence advisors (50.4%), responded. One hundred and seventy (76...
July 24, 2017: Colorectal Disease: the Official Journal of the Association of Coloproctology of Great Britain and Ireland
https://www.readbyqxmd.com/read/28733982/postoperative-complications-in-individuals-aged-70-and-over-undergoing-elective-surgery-for-colorectal-cancer
#17
Katleen Fagard, Julie Casaer, Albert Wolthuis, Johan Flamaing, Koen Milisen, Jean-Pierre Lobelle, Hans Wildiers, Cindy Kenis
AIM: This study aims to describe the nature, incidence, severity and outcomes of in-hospital postoperative complications (POCs) in older patients undergoing elective surgery for colorectal cancer (CRC).. METHOD: Patients were identified from a prospectively collected database (2009-2015) focusing on the implementation of geriatric screening and assessment in patients with cancer. Medical and surgical POCs were retrieved retrospectively from the medical records, and the severity of the POCs was graded by the Clavien-Dindo (CD) grading system...
July 22, 2017: Colorectal Disease: the Official Journal of the Association of Coloproctology of Great Britain and Ireland
https://www.readbyqxmd.com/read/28727899/sacral-neuromodulation-for-combined-faecal-and-urinary-incontinence-following-obstetric-anal-sphincter-injury
#18
M Rydningen, Stine Riise, T Wilsgaard, R O Lindsetmo, S Norderval
AIM: The aim of this study was to investigate the efficacy of sacral neuromodulation (SNM) in the treatment of faecal incontinence and concomitant urinary incontinence in women with a history of obstetric anal sphincter injury (OASIS). METHOD: In this prospective study, consecutive women with faecal incontinence following OASIS accepted for SNM were screened for concomitant urinary incontinence. The primary outcome was the change in urinary incontinence score (ICIQ-UI-SF) between baseline and 12 months...
July 20, 2017: Colorectal Disease: the Official Journal of the Association of Coloproctology of Great Britain and Ireland
https://www.readbyqxmd.com/read/28710846/robotic-mesocolic-excision-with-top-to-down-no-touch-technique-for-right-colon-cancer
#19
LETTER
Ismail Ahmet Bilgin, Erman Aytac, Ilknur Erenler, Deniz Atasoy, Volkan Ozben, Burcu Akpinarli, Bilgi Baca, Ismail Hamzaoglu, Tayfun Karahasanoglu
Complete mesocolic excision (CME) with high ligation of the vessels is a surgical technique ensuring wide resection of the colonic mesentery and contained lymph nodes.(1) Radical colectomy, using the no-touch technique of Turnbull, was employed.(2)  The concept was for early isolation and division of mesenteric vessels in order to prevent venous spread of tumor cells during removal of the tumor. This educational video describes robotic mesocolic excision with " Top to Down No-Touch" technique" for a right colonic cancer...
July 15, 2017: Colorectal Disease: the Official Journal of the Association of Coloproctology of Great Britain and Ireland
https://www.readbyqxmd.com/read/28710784/pregnancy-after-laparoscopic-ventral-mesh-rectopexy-implications-and-outcomes
#20
A M Hogan, P Tejedor, I Lindsey, O Jones, R Hompes, K J Gorissen, C Cunningham
AIM: Surgical management of rectal prolapse varies considerably. Most surgeons are reluctant to use ventral mesh rectopexy in young women until they have completed their family. The aim of the present study was to review outcomes of pregnancy following laparoscopic ventral mesh rectopexy (LVMR) from a tertiary referral centre over a 10 year period (2006-2016) and to review the impact on pelvic floor symptoms. METHOD: We undertook a retrospective review of a prospectively compiled database of patients who had undergone laparoscopic ventral rectopexy in a single centre over a 10 years period...
July 15, 2017: Colorectal Disease: the Official Journal of the Association of Coloproctology of Great Britain and Ireland
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