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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/28079965/transanal-endolaparoscopic-circumferential-mucosectomy-for-symptomatic-benign-rectal-stenosis-video-vignette
#1
LETTER
Giovanni Dapri, Marc VanGossum, Vinciane Muls, Guy-Bernard Cadiere
Transanal operative endolaparoscopy has becoming popular since the introduction of Total Endoscopic Microsurgery (TEM) more than 30 years ago. Recently, an evolution of laparoscopy called TransAnal Minimally Invasive Surgery (TAMIS) has been described. In this video, a 38-year-old man presented with a circumferential rectal stricture due to a rectal ulcer, underwent a transanal endolaparoscopy procedure. The patient was previously had three unsuccessful endoscopic dilatations. Preoperative work-up showed a complete circumferential benign stenosis at 2...
January 12, 2017: Colorectal Disease: the Official Journal of the Association of Coloproctology of Great Britain and Ireland
https://www.readbyqxmd.com/read/28067988/laparoscopic-peritoneal-lavage-for-perforated-sigmoid-diverticulitis-an-example-of-surgical-research-failure
#2
LETTER
K Slim, B Le Roy
We read with interest the paper for debate published by Afshar and Kurer [1]. Beyond the data of randomised trials (RCTs) discussed in the paper, we would add some elements for debate in the light of the three recent meta-analyses (MA) [2-4]. These MA included (fortunately) the three same RCTs but drew (unfortunately) opposite conclusions. This discrepancy is probably due to several methodological flaws in these MA. Seven to nine PRISMA items were not present. This article is protected by copyright. All rights reserved...
January 9, 2017: Colorectal Disease: the Official Journal of the Association of Coloproctology of Great Britain and Ireland
https://www.readbyqxmd.com/read/28067986/prospective-randomised-controlled-trial-comparing-early-post-operative-complications-in-patients-undergoing-loop-colostomy-with-and-without-a-stoma-rod
#3
Joshua Franklyn, Gigi Varghese, Rohin Mittal, Grace Rebekah, Mark Ranjan Jesudason, Benjamin Perakath
AIM: A stoma rod or bridge has been traditionally placed under the bowel loop while constructing loop colostomies. This is believed to prevent stomal retraction and provide better faecal diversion. However, the rod can cause complications such as mucosal congestion, oedema and necrosis. This single centre prospective randomized controlled trial compared outcomes after loop colostomy creation with and without a supporting stoma rod. The primary outcome studied was stoma retraction rate, and other stoma related complications were studied as secondary outcomes...
January 9, 2017: Colorectal Disease: the Official Journal of the Association of Coloproctology of Great Britain and Ireland
https://www.readbyqxmd.com/read/28067983/colonoscopic-management-of-ileocolic-anastomotic-torsion
#4
LETTER
Yousef El Gohary, Syed K Abbas, Suresh B Yelika, William Smithy, Roberto Bergamaschi
Closure of the mesenteric defect of a right colectomy has remained a topic for debate. While the defect may present as a site for internal hernia formation, the same opening in the mesentery can serve as an axis on which the anastomosis can twist. In a study of 530 patients who underwent laparoscopic right hemicolectomy, two patients required surgical re-exploration for ileocolic anastomotic torsion [1]. This article is protected by copyright. All rights reserved.
January 9, 2017: Colorectal Disease: the Official Journal of the Association of Coloproctology of Great Britain and Ireland
https://www.readbyqxmd.com/read/28067981/suprapubic-single-incision-laparoscopic-splenic-flexure-resection-with-handsewn-intracorporeal-anastomosis-video-vignette
#5
LETTER
Giovanni Dapri, Luca Cardinali, Anny Cadenas Fabres, Guy-Bernard Cadière
The authors report a 30-year-old female who presented with episodes of diverticulitis due to segmental diverticulosis of the splenic flexure. The patient was scheduled for a suprapubic single-incision laparoscopic splenic flexure resection. A right suprapubic incision was made and three abdominal trocars (11-mm, 6-mm, 6-mm) were inserted. Curved reusable instruments were utilised, apart from a 10-mm, 30° regular length scope. This article is protected by copyright. All rights reserved.
January 9, 2017: Colorectal Disease: the Official Journal of the Association of Coloproctology of Great Britain and Ireland
https://www.readbyqxmd.com/read/28052574/resource-variation-in-colorectal-surgery-a-national-centre-level-analysis
#6
Thomas M Drake, Matthew J Lee, Asha Senapati, Steven R Brown
BACKGROUND: Delivery of quality colorectal surgery requires adequate resources. We set out to assess the relationship between resources and outcomes in English colorectal units. METHODS: Data was extracted from the ACPGBI resource questionnaire to profile resources. This was correlated with Hospital Episode Statistics (HES) outcome data including 90-day mortality and readmissions. Patient satisfaction measures were extracted from the Cancer Experience Patient Survey (CEPS) and compared at unit level...
January 4, 2017: Colorectal Disease: the Official Journal of the Association of Coloproctology of Great Britain and Ireland
https://www.readbyqxmd.com/read/28027419/a-retrospective-cohort-study-of-the-influence-of-lifestyle-factors-on-survival-of-patients-undergoing-surgery-for-colorectal-cancer
#7
Dayna Alexander, Gwen M Allardice, Susan J Moug, David S Morrison
AIM: Several modifiable and non-modifiable health related behaviours are associated with the incidence of Colorectal Cancer (CRC), but there is little research on their association with survival. The project aimed to investigate possible relationships between modifiable behavioural factors and outcomes on a study cohort of CRC patients undergoing potentially curative surgery. METHOD: A retrospective cohort study was carried out of patients diagnosed with non-metastatic CRC undergoing elective curative surgery (January 2011 - December 2012), residing in the NHS Greater Glasgow & Clyde (NHSGGC) area, UK...
December 27, 2016: Colorectal Disease: the Official Journal of the Association of Coloproctology of Great Britain and Ireland
https://www.readbyqxmd.com/read/28008728/recommendations-and-consensus-on-the-treatment-of-peritoneal-metastases-of-colorectal-origin-a-systematic-review-of-national-and-international-guidelines
#8
REVIEW
C E L Klaver, H Groenen, D G Morton, S Laurberg, W A Bemelman, P J Tanis
AIM: This systematic review aimed to provide an overview of (inter)national guidelines on the treatment of peritoneal metastases of colorectal cancer origin (PMCRC) and to determine the degree of consensus and available evidence with identification of topics for future research. METHOD: A systematic search of MEDLINE, EMBASE, PubMed as well as Tripdatabase, National Guideline Clearinghouse, BMJ Best Practice and Guidelines International Network was performed to identify (inter)national guidelines and consensus statements from oncological or surgical societies on PMCRC...
December 23, 2016: Colorectal Disease: the Official Journal of the Association of Coloproctology of Great Britain and Ireland
https://www.readbyqxmd.com/read/28008705/navigating-the-mesentery-part-ii-vascular-abnormalities-and-a-review-of-the-literature
#9
Jens Marius Nesgaard, Bojan V Stimec, Arne Olav Bakka, Bjorn Edwin, Dejan Ignjatovic
AIM: Vascular abnormalities present benefits and/or disadvantages for the patient undergoing surgery. The aims of this study were to define, classify, and demonstrate the courses and to assess the clinical value of arterial and venous abnormalities in the central mesentery. METHOD: We conducted a review of the anatomy of 340 patients planned for enrolment in the "Safe Radical D3 Right Hemicolectomy for Cancer through Preoperative Biphasic MDCT Angiography" trial, 312 of whom were submitted to surgery...
December 23, 2016: Colorectal Disease: the Official Journal of the Association of Coloproctology of Great Britain and Ireland
https://www.readbyqxmd.com/read/27997766/mr-flip-a-new-method-that-combines-flip-with-anatomical-information-for-the-spatial-compliance-assessment-of-the-anal-sphincter-muscles
#10
Tobia Brusa, Daniel Abler, Radu Tutuian, Peter Studer, Elisa Fattorini, Christian Gingert, Johannes T Heverhagen, Lukas E Brügger, Philippe Büchler
INTRODUCTION: Continence results from a complex interplay between anal canal (AC) muscles and sensory-motor feedback mechanisms. The AC's passive ability to withstand opening pressure - its compliance - has recently been shown to correlate with continence. Functional lumen imaging probe (FLIP) is used to assess AC compliance, although it provides no anatomical information. Therefore, compliance assessment of specific anatomical structures has not been possible, and the anatomical position of critical functional zones remains unknown...
December 20, 2016: Colorectal Disease: the Official Journal of the Association of Coloproctology of Great Britain and Ireland
https://www.readbyqxmd.com/read/27996215/prognostic-impact-of-the-length-of-the-longitudinal-resection-margin-in-colon-cancer
#11
Soo Young Lee, Chang Hyun Kim, Young Jin Kim, Hyeong Rok Kim
AIM: Although several guidelines recommend a longitudinal resection margin (LRM) of at least a five centimetres, the impact of the LRM on survival is still unknown. The study assessed the prognostic significance of the LRM in patients with colon cancer. METHOD: We retrospectively reviewed 1343 primary colon cancer patients without distant metastasis who underwent curative resection between January 2004 and December 2012. Patients were classified into three groups: LRM <3 cm (n = 186), LRM ≥3 and <5 cm (n = 376), and LRM ≥5 cm (n = 781)...
December 20, 2016: Colorectal Disease: the Official Journal of the Association of Coloproctology of Great Britain and Ireland
https://www.readbyqxmd.com/read/27996184/anastomotic-stenosis-after-coloanal-colorectal-and-ileoanal-anastomosis-what-is-the-best-management
#12
Axel Kraenzler, Léon Maggiori, Olivier Pittet, Mohammad Saleh Alyami, Justine Prost À la Denise, Yves Panis
AIM: To assess the results of treatment for colorectal (CRA), coloanal (CAA), or ileal pouch-anal (IPAA) anastomotic stenosis (AS). METHODS: All patients operated on for AS from 1995 to 2014 were included. Success was defined as the absence of additional surgical procedure for AS during 12 months after the last procedure and the absence of a stoma at the end of follow-up. RESULTS: Fifty consecutive patients presenting AS after CRA (n=16, 32%), CAA (n=18, 36%), or IPAA (n=16, 32%), performed for colorectal cancer (n=28, 56%), familial adenomatous polyposis (n=5, 10%), inflammatory bowel disease (n=8, 16%), diverticulitis (n=4, 8%), benign colorectal neoplasia (n=3, 6%) or other (n=2, 4%) underwent a total of 99 procedures including digital (n=14, 14%), instrumental (n=38, 38%), or endoscopic dilatation (n=5, 5%), transanal AS stricturoplasty (n=9, 10%), transanal circular stapler resection (n=11, 11%), or transabdominal redo-anastomosis (n=22, 22%)...
December 20, 2016: Colorectal Disease: the Official Journal of the Association of Coloproctology of Great Britain and Ireland
https://www.readbyqxmd.com/read/27992095/faecal-occult-blood-testing-screening-for-colorectal-cancer-and-missed-interval-cancers-are-we-ignoring-the-elephant-in-the-room-results-of-a-multicentre-study
#13
A T George, S Aggarwal, S Dharmavaram, A Menon, M Dube, M Vogler, A Field
AIM: Biennial faecal occult testing (FOBT) is used to screen for colorectal cancer throughout the United Kingdom (UK). Interval cancers are tumours that develop in patients between screening rounds who have had a negative FOBT. Through a multicentre study, we compared demographics of patients with interval cancers, FOBT screen detected cancers and cancers that developed in patients who chose not to participate in the screening programme. METHOD: Five hundred and sixteen colorectal cancers were detected in the screening age group (60-74 years) population in three United Kingdom NHS Hospitals over two years...
December 19, 2016: Colorectal Disease: the Official Journal of the Association of Coloproctology of Great Britain and Ireland
https://www.readbyqxmd.com/read/27943617/relation-between-postoperative-ileus-and-anastomotic-leakage-after-colorectal-resection-a-post-hoc-analysis-of-a-prospective-randomized-controlled-trial
#14
E G Peters, M Dekkers, F W van Leeuwen-Hilbers, F Daams, K W E Hulsewé, W J de Jonge, W A Buurman, M D P Luyer
AIM: Anastomotic leakage (AL) following abdominal surgery is a critical determinant of postoperative recovery, of which the aetiology is largely unknown. Interestingly, interventions aimed at reducing the inflammatory response and postoperative ileus (POI) have an unexpected effect on AL. The aim of this study was to investigate the relation of POI with inflammation and AL after colorectal resection. METHOD: A post-hoc analysis of a prospective RCT, in which patients underwent a colorectal resection was performed...
December 10, 2016: Colorectal Disease: the Official Journal of the Association of Coloproctology of Great Britain and Ireland
https://www.readbyqxmd.com/read/27943568/laparoscopic-total-mesorectal-excision-for-rectal-cancer-video-vignette
#15
LETTER
Sherif El-Masry
Laparoscopic total mesorectal excision (TME) of rectal cancer results in similar long-term survival rates to open TME, but there is evidence that it leads to better short-term post-surgical recovery in patients with for non-locally advanced disease [1]. The video shows a laparoscopic TME resection of a mid-rectal cancer in a 51 year-old female patient with a T3N1M0 tumour in the mid-rectum 8 cm from anal verge. The patient had received neoadjuvant chemoradiotherapy which was completed eight weeks before surgery...
December 10, 2016: Colorectal Disease: the Official Journal of the Association of Coloproctology of Great Britain and Ireland
https://www.readbyqxmd.com/read/27943527/three-dimensional-endoanal-ultrasound-is-accurate-and-reproducible-in-determining-type-and-height-of-anal-fistulae
#16
M Kołodziejczak, G A Santoro, A Obcowska, Z Lorenc, M Mańczak, I Sudoł-Szopińska
AIM: Surgical treatment of high anal fistulae is associated with potential risk of faecal incontinence and recurrence. The primary aim of this study was to determine the accuracy of three-dimensional endoanal ultrasound (3D-EAUS) in the assessment of height and type of anal fistulae, compared to the intraoperative findings (gold standard). The secondary aim was to evaluate the inter-observer reproducibility of 3D-EAUS. METHODS: The study design was a prospective analysis of retrospective data...
December 10, 2016: Colorectal Disease: the Official Journal of the Association of Coloproctology of Great Britain and Ireland
https://www.readbyqxmd.com/read/27943522/no-benefit-of-ultrasound-guided-transversus-abdominis-plane-tap-blocks-over-local-anaesthetic-wound-infiltration-in-elective-laparoscopic-colonic-surgery-results-of-a-double-blind-randomised-controlled-trial
#17
A Rashid, K J Gorissen, F Ris, M P Gosselink, J R Shorthouse, A D Smith, J J Pandit, I Lindsey, N Crabtree
AIM: Advances in laparoscopic techniques combined with enhanced recovery pathways have led to faster recuperation and discharge after colorectal surgery. Peripheral nerve blockade using Transversus Abdominis Plane (TAP) blocks reduce opioid requirements and provide better analgesia than inactive controls for laparoscopic colectomies. This double-blind randomized study was performed comparing TAP blocks using Bupivacaine to standardised wound infiltration with local anaesthetic (LA). METHODS: 71 Patients were randomised between either TAP-block or wound infiltration...
December 10, 2016: Colorectal Disease: the Official Journal of the Association of Coloproctology of Great Britain and Ireland
https://www.readbyqxmd.com/read/27943513/endoscopic-monopolar-coagulation-of-internal-haemorrhoids-a-surgeon-s-experience-of-the-first-hundred-cases
#18
Wei-Liang Loh, Shaun Tan, Ming Soen Ngooi, Zhongren Konrad Ong, Sing Shang Ngoi
AIM: The purpose of the study was to evaluate one surgeon's initial experience with a novel technique of retroflexed endoscopic coagulation of internal haemorrhoids. METHOD: Patients who presented with symptoms and signs indicating Grade II-III haemorrhoids were counselled before the procedure. Those who were assessed to require an examination of their colon owing to age and other symptoms underwent a full colonoscopy before treatment of the haemorrhoids. After the procedure, patients were routinely prescribed non-steroidal anti-inflammatory drugs, antibiotics and laxatives...
December 10, 2016: Colorectal Disease: the Official Journal of the Association of Coloproctology of Great Britain and Ireland
https://www.readbyqxmd.com/read/27889945/social-media-in-colorectal-surgery
#19
Steven D Wexner, Andrea M Petrucci, Richard R Brady, Marie Ennis-O'Connor, Edward Fitzgerald, Julio Mayol
Social media engagement in healthcare continues to expand. For members of the colorectal community, social media has already made a significant impact on practice, education and patient care. The applications are unique such that they provide a platform for instant communication and information sharing with other users worldwide. The purpose of this article is to provide an overview of how social media has the potential to change clinical practice, training, research and patient care in colorectal surgery...
November 27, 2016: Colorectal Disease: the Official Journal of the Association of Coloproctology of Great Britain and Ireland
https://www.readbyqxmd.com/read/27889942/sword-a-sharp-performance-and-activity-tool-for-ibd-surgeons-with-a-blunt-message
#20
A G Acheson, S R Brown, O Faiz, N S Fearnhead
High quality performance and activity data for surgery are paramount in maintaining good clinical practice and for quality improvement initiatives. Clinical Outcome Publication (COP) is an NHS England initiative that publishes quality measures following elective bowel cancer surgery at individual consultant and Trust level using National Audit data. This article is protected by copyright. All rights reserved.
November 27, 2016: Colorectal Disease: the Official Journal of the Association of Coloproctology of Great Britain and Ireland
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