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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/28544473/level-of-vascular-tie-and-its-effect-on-functional-outcome-two-years-after-anterior-resection-for-rectal-cancer
#1
Daniel Kverneng Hultberg, Ashkan A Afshar, Jörgen Rutegård, Marilyne Lange, Markku M Haapamäki, Peter Matthiessen, Martin Rutegård
AIM: Previous research indicates that high tie of the inferior mesenteric artery during anterior resection for rectal cancer might be associated with an increased risk of postoperative functional disturbances. The goal of this population-based retrospective cohort study was to further investigate that association. METHOD: Patients who underwent anterior resection for rectal cancer from April 2011-September 2012 were identified through the Swedish Colorectal Cancer Registry...
May 25, 2017: Colorectal Disease: the Official Journal of the Association of Coloproctology of Great Britain and Ireland
https://www.readbyqxmd.com/read/28544431/role-of-laparoscopy-in-multi-visceral-resection-for-colorectal-cancer
#2
LETTER
N Siddiqi, S Panteleimonits, J Ahmed, A Kuzu, A Parvaiz
A laparoscopic approach is considered to be standard practice for elective colorectal resections (1). Although, several studies have shown better short-term clinical and equivalent oncological outcomes (2,3), this technique largely remains confined to resection of primary locally resectable tumours. With increasing experience and improvement in instrumentation, an increasing number of centres are using laparoscopy for the resection of locally advanced colorectal cancers (4). This article is protected by copyright...
May 25, 2017: Colorectal Disease: the Official Journal of the Association of Coloproctology of Great Britain and Ireland
https://www.readbyqxmd.com/read/28544210/laparoscopic-re-do-rectopexies-video-vignette
#3
LETTER
Diederik V G Meylemans, Ian Lindsey, Oliver Jones, Kim Gorissen, Roel Hompes, Chris Cunningham
Laparoscopic ventral mesh rectopexy is the gold standard treatment for rectal prolapse and yields very good functional results. Unfortunately, however, recurrences do occur. In this video, we will present three cases, discussing tips, tricks and pitfalls based on laparoscopic footage. This article is protected by copyright. All rights reserved.
May 24, 2017: Colorectal Disease: the Official Journal of the Association of Coloproctology of Great Britain and Ireland
https://www.readbyqxmd.com/read/28544562/robotic-right-hemicolectomy-with-intracorporeal-anastomosis-using-v-loc-%C3%A2-video-vignette
#4
LETTER
Ahmed Al-Mazrou, Ravi Kiran, Steven Lee-Kong, Daniel Feingold, Emmanouil Pappou
The incorporation of unidirectional, knotless and self-absorbable V-Loc(™) device in minimally invasive intra-abdominal procedures has been reported to be safe and effective [1] [2]. Performance of enterotomy closure using V-Loc(™) suture has been shown to be faster than nonbarbed closure [3]. This article is protected by copyright. All rights reserved.
May 19, 2017: Colorectal Disease: the Official Journal of the Association of Coloproctology of Great Britain and Ireland
https://www.readbyqxmd.com/read/28520090/robotic-ventral-mesh-rectopexy-video-vignette
#5
LETTER
Ahmed Al-Mazrou, Ravi Kiran, Emmanouil Pappou, Daniel Feingold, Steven Lee-Kong
Correction of rectal prolapse by traditional suture rectopexy or resection rectopexy may predispose patients to constipation or anastomosis-related complications [1] [2]. The nerve sparing ventral mesh rectopexy for internal rectal prolapse allows for correction of multiple anatomical defects [3]. In this video, we describe the technical steps in performing ventral mesh rectopexy using a robotic platform [4] [5], on a fifty eight year old woman with internal rectal prolapse. This article is protected by copyright...
May 18, 2017: Colorectal Disease: the Official Journal of the Association of Coloproctology of Great Britain and Ireland
https://www.readbyqxmd.com/read/28519963/shift-in-paradigm-of-clinical-management-of-anastomotic-leak
#6
LETTER
Basut Yildiz, Mesut Tez
We read with great interest the article titled "C-reactive protein as a predictor of anastomotic leak in the first week after anterior resection for rectal cancer " by Reynolds et al. (1). The authors analyzed the ability of C-reactive protein (CRP) to predict anastomotic leak (AL) in the first week after anterior resection for rectal cancer. In methods sections it is stated that the patients were examined for clinical signs of AL. The reader's expectation after reading this sentence is seeing data on "clinical signs" like fever, tachycardia, blood pressure etc...
May 18, 2017: Colorectal Disease: the Official Journal of the Association of Coloproctology of Great Britain and Ireland
https://www.readbyqxmd.com/read/28518478/robotic-lower-anterior-resection-for-a-re-growth-following-complete-clinical-response-a-video-vignette
#7
LETTER
Sofoklis Panteleimonitis, Najaf Siddiqi, Tajwar Nasir, Jamil Ahmed, Nuno Figueiredo, Amjad Parvaiz
Chemoradiation is increasingly being recognised as an important factor for downstaging rectal cancer before surgery. A proportion of these patients would develop a complete clinical response following neo-adjuvant chemoradiation (1). This article is protected by copyright. All rights reserved.
May 18, 2017: Colorectal Disease: the Official Journal of the Association of Coloproctology of Great Britain and Ireland
https://www.readbyqxmd.com/read/28510319/response-to-zinicola-et-al
#8
LETTER
M Kołodziejczak, G A Santoro, A Obcowska, Z Lorenc, M Mańczak, I Sudoł-Szopińska
Anorectal fistula surgery, especially in complex cases, can be very difficult and surgeons can be in trouble in the operating room because of unexpected findings: external openings cannot be probed, internal openings cannot be identified, there may be unexpected anatomy of the fistulous tract, the presence of synchronous fistula or multiple tracts or horseshoe extension, or a compromised anal canal. Surgeons always face the risk of recurrence or the risk of incontinence. Many studies report that digital rectal examination is not accurate even if performed with the more educated finger of the more expert colorectal surgeons...
May 16, 2017: Colorectal Disease: the Official Journal of the Association of Coloproctology of Great Britain and Ireland
https://www.readbyqxmd.com/read/28510316/laparoscopic-en-bloc-total-mesorectal-excision-post-chemoradiotherapy-a-video-vignette
#9
LETTER
Sofoklis Panteleimonitis, Najaf Siddiqi, Talal Amjad, Nuno Figueiredo, Amjad Parvaiz
The role of laparoscopy in rectal surgery is recognised as an important development in recent years with large multicentre trials demonstrating the safety and feasibility of this approach (1-3). However, total mesorectal excision (TME) surgery in locally advanced rectal cancers remains challenging, often resulting in the adoption of an open approach by the surgical community in such patients. In this operative video we demonstrate a laparoscopic TME on a 72-year-old male patient with body mass index (BMI) 30, with locally advanced low rectal cancer (T4b anterior rectal cancer) who received long course neoadjuvant chemoradiotherapy...
May 16, 2017: Colorectal Disease: the Official Journal of the Association of Coloproctology of Great Britain and Ireland
https://www.readbyqxmd.com/read/28510310/anal-fistula-height-is-the-rate-of-sphincteric-muscle-involved-really-useful
#10
LETTER
R Zinicola, N Cracco
We read with interest the paper by Kolodziejczack on the accuracy of three dimensional endoanal ultrasound in determining the height of anal fistula compared to the intraoperative finding. High fistulas (> 30% involvement of sphincter lenght) were identified by ultrasound with high accuracy (92%)(1).In the literature nearly all studies assess the height of the fistula as the proportion of involved sphincter complex. Fistulas involving >30% of the sphincter lenght are usually classified as high(2). Several authors reported different rate cut-off of involved sphincter (25%-50%-66%-75%) to identify the amount of sphincter muscle that can be divided without continence impairement (2,3)...
May 16, 2017: Colorectal Disease: the Official Journal of the Association of Coloproctology of Great Britain and Ireland
https://www.readbyqxmd.com/read/28504867/the-ptpn13-y2081d-t-g-rs989902-polymorphism-is-associated-with-an-increased-risk-of-sporadic-colorectal-cancer
#11
Izabela Laczmanska, Pawel Karpinski, Justyna Gil, Lukasz Laczmanski, Izabela Makowska, Marek Bebenek, David Ramsey, Maria M Sasiadek
Colorectal cancer (CRC) is one of the most common cancers worldwide and, although the majority of cases are sporadic, its development and progression depends on a range of factors: environmental, genetic and epigenetic. A variety of genetic pathways have been described as being crucial in CRC, including protein tyrosine phosphatases (PTPs). PTPN13 (alias FAP-1) is a non-receptor PTP and interacts with a number of important components of growth and apoptosis pathways. It is also involved in the inhibition of Fas-induced apoptosis...
May 15, 2017: Colorectal Disease: the Official Journal of the Association of Coloproctology of Great Britain and Ireland
https://www.readbyqxmd.com/read/28503846/tailored-robotic-abdominoperineal-resection-with-the-da-vinci-xi-for-a-re-growth-of-rectal-tumour-after-complete-clinical-response-a-video-vignette
#12
LETTER
Sofoklis Panteleimonitis, Jamil Ahmed, Sotirios-Georgios Popeskou, Nuno Figueiredo, Tahseen Qureshi, Richard J Heald, Amjad Parvaiz
Controversy persists as to the optimal surgical technique for abdominoperineal excision of the rectum (APER).(1-3). Extra-levator dissection has been advocated by certain groups who claim to have better R0 resection rates and a reduced incidence of perforation (4-6). However, such a radical approach may result in poorer wound healing, prolonged hospital stay and increased wound morbidity (7). In this operative video we present an abdominoperineal resection using the da Vinci Xi on a 34-year-old lady who had a low rectal adenocarcinoma...
May 15, 2017: Colorectal Disease: the Official Journal of the Association of Coloproctology of Great Britain and Ireland
https://www.readbyqxmd.com/read/28503826/prospective-randomised-trial-of-neoadjuvant-chemotherapy-during-the-wait-period-following-pre-operative-chemoradiotherapy-for-rectal-cancer-results-of-the-wait-trial
#13
James Moore, Tim Price, Scott Carruthers, Sudarsha Selva-Nayagam, Andrew Luck, Michelle Thomas, Peter Hewett
AIMS: To determine whether the addition of additional cycles of chemotherapy during the "wait "period following neoadjuvant chemo-radiotherapy for rectal cancer improves the pathologic complete response rate (pCR). METHODS: Rectal cancer patients were randomly allocated to either a standard 10 week wait period before surgery (standard chemo-radiotherapy, SCRT) or to receive 3 cycles of 5FU based chemotherapy following chemo-radiotherapy during a similar 10 week wait (extended chemo-radiotherapy, XCRT)...
May 15, 2017: Colorectal Disease: the Official Journal of the Association of Coloproctology of Great Britain and Ireland
https://www.readbyqxmd.com/read/28503808/a-pilot-randomized-study-comparing-extralevator-with-conventional-abdominoperineal-excision-for-low-rectal-cancer-after-neoadjuvant-chemoradiation
#14
Ramakrishnan Ayloor Seshadri, Nicholas P West, Shirley Sundersingh
AIMS: The aims of this study were to assess the feasibility of performing an extralevator abdominoperineal excision (ELAPE) after neoadjuvant chemoradiation, to compare the rates of circumferential resection margin (CRM) involvement and intra-operative perforation (IOP) of the specimen, and to assess the amount of tissue removed around the muscularis propria (MP)/internal sphincter (IS) of the lower rectum in patients with low rectal cancer undergoing ELAPE as compared to conventional abdominoperineal excision (CAPE) after NCRT...
May 15, 2017: Colorectal Disease: the Official Journal of the Association of Coloproctology of Great Britain and Ireland
https://www.readbyqxmd.com/read/28498636/study-protocol-evaluating-the-use-of-bowel-stimulation-before-loop-ileostomy-closure-to-reduce-postoperative-ileus-a-multicenter-randomized-controlled-trial
#15
Richard Garfinkle, Nora Trabulsi, Nancy Morin, Terry Phang, Sender Liberman, Liane Feldman, Gerald Fried, Marylise Boutros
AIM: Postoperative ileus is the most commonly observed morbidity following ileostomy closure. Studies have demonstrated that the defunctionalized bowel of a loop ileostomy undergoes a series of functional and structural changes, such as atrophy of the intestinal villi and muscular layers, which may contribute to ileus. A single-center study in Spain demonstrated that preoperative bowel stimulation via the distal limb of the loop ileostomy decreased postoperative ileus, length of stay, and time to gastrointestinal function...
May 12, 2017: Colorectal Disease: the Official Journal of the Association of Coloproctology of Great Britain and Ireland
https://www.readbyqxmd.com/read/28498617/segmental-resection-is-a-safe-oncologic-alternative-to-total-proctocolectomy-in-elderly-patients-with-ulcerative-colitis-and-malignancy
#16
Nabeel Khan, Elisabeth Cole, Yash Shah, Emily Carter Paulson
AIM: The standard approach for the surgical management for colorectal cancer (CRC) in the setting of ulcerative colitis (UC) involves total proctocolectomy (TPC). However, some patients also undergo a partial resection (PR). This may be an attractive option in older patients with a high for surgery. The aim of this study is to compare the risk of metachronous cancer after PR or TPC for CRC in the setting of UC. METHOD: This was a retrospective cohort study conducted through the Nationwide Veterans Affairs Healthcare System (VA)...
May 12, 2017: Colorectal Disease: the Official Journal of the Association of Coloproctology of Great Britain and Ireland
https://www.readbyqxmd.com/read/28498541/current-data-about-the-benefit-of-prehabilitation-for-colorectal-cancer-patients-undergoing-surgery-are-not-sufficient-to-alter-the-nhs-cancer-waiting-targets
#17
Kai J Leong, M A S Chapman
Prehabilitation can be defined as a period whereby patients undertake physical and psychological assessments to determine their baseline functioning levels and any impairments identified so that targeted interventions can be carried out before surgery [1]. Prehabilitation is typically viewed as the beginning of the continuum of rehabilitation and occurs from the time of diagnosis to the point of receiving treatment for their cancer. The aim is to optimise patients' health, reduce the incidence and the severity of current and future impairments resulting from surgery and facilitate return of patients' function to the highest possible level...
May 12, 2017: Colorectal Disease: the Official Journal of the Association of Coloproctology of Great Britain and Ireland
https://www.readbyqxmd.com/read/28494522/response-to-bethune-et-al
#18
LETTER
S Schlichtemeier, A Logaraj, A J Gill, A Engel
We would like to thank Bethune et al. for their comments on our article. We acknowledge (and acknowledged) that there were limitations in submitting for publication a retrospective survival analysis, one without morbidity and quality of life data. However, we also believed that it was important to contribute to the scarcity of literature on surgical resection of colorectal cancer in the nonagenarian population, particularly as these patients and their families expect to discuss surgery when confronted with their diagnosis...
May 11, 2017: Colorectal Disease: the Official Journal of the Association of Coloproctology of Great Britain and Ireland
https://www.readbyqxmd.com/read/28494513/patients-who-develop-interval-colorectal-cancers-fare-worse-than-those-who-develop-colorectal-cancers-after-declining-the-bowel-cancer-screening-test
#19
LETTER
A T George, A Field
We write to highlight a unique and inadvertent study finding, that patients on the national guaiac-based faecal occult blood testing (FOBT) screening programme, who developed interval colorectal cancers (IC) and in particular right-sided cancers, had a worse outcome compared with cancers in patients who declined to participate in the National FOBT screening process. This was identified as part of a UK-based multicentre study looking into FOBT and interval cancers in patients on incident rounds of screening(1)...
May 11, 2017: Colorectal Disease: the Official Journal of the Association of Coloproctology of Great Britain and Ireland
https://www.readbyqxmd.com/read/28494511/the-ethnic-distribution-of-sessile-serrated-polyps-in-the-united-states-is-inversely-associated-with-h-pylori-prevalence
#20
Amnon Sonnenberg, Kevin O Turner, Robert M Genta
BACKGROUND: Little is known about the epidemiology of sessile serrated polyps (SSP). Our study was aimed to investigate the influence of H. pylori gastritis and demographic patient characteristics (age, sex, ethnicity) on the prevalence of sessile serrated polyps, using a large national database of patients undergoing bi-directional endoscopy. METHODS: De-identified patient data were extracted from the Miraca Life Sciences electronic database of histopathologic reports...
May 11, 2017: Colorectal Disease: the Official Journal of the Association of Coloproctology of Great Britain and Ireland
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