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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/27889945/social-media-in-colorectal-surgery
#1
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
#2
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
https://www.readbyqxmd.com/read/27885800/sacral-neuromodulation-for-the-treatment-of-faecal-incontinence-following-proctectomy
#3
Ido Mizrahi, Sami A Chadi, Nadav Haim, Dana R Sands, Brooke Gurland, Massarat Zutshi, Steven D Wexner, Giovanna da Silva
AIM: This study assessed the effectiveness of sacral neuromodulation (SNM) for faecal incontinence (FI) following proctectomy with colorectal or coloanal anastomosis. METHODS: An IRB-approved database identified patients treated for FI following proctectomy (SNM-P) for benign or malignant disease, who were matched 1:1 by pre-operative Cleveland Clinic Florida Faecal Incontinence Scores (CCF-FIS) with patients without proctectomy (SNM-NP). Primary outcome was change in CCF-FIS...
November 25, 2016: Colorectal Disease: the Official Journal of the Association of Coloproctology of Great Britain and Ireland
https://www.readbyqxmd.com/read/27885759/transanal-minimally-invasive-rectal-resection-for-deep-endometriosis-a-promising-technique
#4
Stijn L Vlek, Marit C I Lier, Thomas W A Koedam, Ingeborg Melgers, Judith J M L Dekker, Jaap H Bonjer, Velja Mijatovic, Jurriaan B Tuynman
AIM: Surgical management of patients with deep endometriosis (DE) of the rectum is difficult. Inflammation and subsequent adhesions due to DE impede access to the lower pelvis and may lead to complications during laparoscopic low anterior resection (LAR). Transanal minimally invasive surgery (TAMIS) is an alternative to an abdominal approach with potential advantages. The aim of this study was to provide a description of the TAMIS technique and to present the perioperative results of TAMIS and of conventional LAR in patients with DE...
November 25, 2016: Colorectal Disease: the Official Journal of the Association of Coloproctology of Great Britain and Ireland
https://www.readbyqxmd.com/read/27886434/integrated-total-pelvic-floor-ultrasound-in-pelvic-floor-defaecatory-dysfunction
#5
Alison J Hainsworth, Deepa Solanki, Ahmed Hamad, Samantha J Morris, Alexis M P Schizas, Andrew B Williams
INTRODUCTION: Imaging for pelvic floor defaecatory dysfunction includes defaecation proctography. Integrated total pelvic floor ultrasound (transvaginal, transperineal, endoanal) may be an alternative. This study assesses ultrasound accuracy for detection of rectocoele, intussusception, enterocoele and dyssynergy compared with defaecation proctography, and determines if ultrasound can predict symptoms and findings on proctography. Treatment is examined. METHODS: The images of 323 women who underwent integrated total pelvic floor ultrasound and defaecation proctography between 2011 and 2014 were blindly reviewed...
November 24, 2016: Colorectal Disease: the Official Journal of the Association of Coloproctology of Great Britain and Ireland
https://www.readbyqxmd.com/read/27883259/the-association-between-intensified-medical-treatment-time-to-surgery-and-ileocolic-specimen-length-in-crohn-s-disease
#6
E Joline de Groof, Tjibbe J Gardenbroek, Christianne J Buskens, Pieter J Tanis, Cyriel Y Ponsioen, Geert R A M D'Haens, Willem A Bemelman
BACKGROUND: During the last decade, treatment protocols have changed for patients with ileocolic Crohn's disease. Anti-TNF has become part of standard medical treatment, usually in a step-up approach. The aim was to analyse if improved medical treatment has resulted in more limited ileocolic resections and a longer interval between diagnosis and surgery. METHODS: Patients undergoing ileocolic resection for Crohn's disease were included (1999-2014). Patient characteristics were compared to the results of a population based study (between 2004-2010) previously performed in the catchment area of the present tertiary referral centre...
November 24, 2016: Colorectal Disease: the Official Journal of the Association of Coloproctology of Great Britain and Ireland
https://www.readbyqxmd.com/read/27883254/the-degree-of-extramural-spread-of-t3-rectal-cancer-an-appeal-to-the-ajcc
#7
R Zinicola, G Pedrazzi, N Haboubi, R J Nicholls
AIM: The T3 category of the TNM classification includes over 60% of all rectal tumours and encompasses the greatest variance in cancer specific end points than any other T category. The most recent edition of the cancer staging handbook of the American Joint Committee on Cancer (AJCC) (1) dated 2010 does not divide T3 tumours into subgroups which reflect cancer specific outcome more sensitively. The original aim of the present study was to review the literature to assess the influence of the degree of extramural extent of T3 rectal cancer on local recurrence and survival...
November 24, 2016: Colorectal Disease: the Official Journal of the Association of Coloproctology of Great Britain and Ireland
https://www.readbyqxmd.com/read/27883253/the-colostomy-impact-score-development-and-validation-of-a-patient-reported-outcome-measure-for-rectal-cancer-patients-with-a-permanent-colostomy-a-population-based-study
#8
Anne Thyø, Katrine J Emmertsen, Thomas D Pinkney, Peter Christensen, Søren Laurberg
AIM: The aim was to develop and validate a simple scoring system evaluating the impact of colostomy dysfunction on quality of life (QOL) in patients with a permanent stoma after rectal cancer treatment. METHOD: In this population-based study, 610 patients with a permanent colostomy after previous rectal cancer treatment during the period 2001-2007 completed two questionnaires: i) the 'Basic Stoma Questionnaire' consisting of 22 items about stoma-function with one anchor-question addressing the overall stoma-impact on QOL, and ii) the EORTC-QLQ-C30-questionnaire...
November 24, 2016: Colorectal Disease: the Official Journal of the Association of Coloproctology of Great Britain and Ireland
https://www.readbyqxmd.com/read/27870254/a-national-patient-and-public-colorectal-research-agenda-integration-of-consumer-perspectives-in-bowel-disease-through-early-consultation
#9
A G K McNair, N Heywood, J Tiernan, A Verjee, S P Bach, N S Fearnhead
AIM: There is a recognised need to include the views of patients and the public in prioritising health research. This study aimed 1) to explore patients' views on colorectal research and 2) to prioritise research topics with patients and the public. METHOD: In phase 1, twelve charitable organisations and patient groups with an interest in bowel disease were invited to attend a consultation exercise. Participants were briefed on 25 colorectal research topics prioritised by members of the Association of Coloproctology of Great Britain and Ireland...
November 21, 2016: Colorectal Disease: the Official Journal of the Association of Coloproctology of Great Britain and Ireland
https://www.readbyqxmd.com/read/27870169/comparison-of-dynamic-magnetic-resonance-defecography-with-rectal-contrast-and-conventional-defecography-for-posterior-pelvic-floor-compartment-prolapse
#10
Jan J van Iersel, Hendrik A Formijne Jonkers, Paul M Verheijen, Ivo A M J Broeders, Ben G F Heggelman, Vicknesh Sreetharan, Jurgen J Fütterer, Inne Somers, Marloes van der Leest, Esther C J Consten
AIM: The study compared the diagnostic capabilities of dynamic magnetic resonance defecography (D-MRI) with conventional defecography (CD, reference standard) in patients with symptoms of prolapse of the posterior compartment of the pelvic floor. METHOD: Forty-five consecutive patients underwent CD and D-MRI. Outcome measures were the presence or absence of rectocele, enterocele, intussusception, rectal prolapse and the descent of the anorectal junction on straining measured in millimetres...
November 21, 2016: Colorectal Disease: the Official Journal of the Association of Coloproctology of Great Britain and Ireland
https://www.readbyqxmd.com/read/27860124/continent-ileostomy-kock-pouch-formation-a-video-vignette
#11
LETTER
A L A Bloemendaal, R Lovegrove, N C Buchs, R J Guy, B D George
Chronic inflammatory bowel disease (IBD) refractory to medical therapy and acute severe inflammation (pseudomembranous colitis or IBD-related), or familial adenomatous polyposis coli (FAP) may require surgery in the form of a proctocolectomy, either in one stage or as a multistage procedure. In the latter case, most patients will have an initial colectomy with an end-ileostomy and preservation of the anorectal stump. Subsequently, patient and surgeon are left with the question, whether to leave the situation as it is, or to attempt to restore intestinal continuity...
November 17, 2016: Colorectal Disease: the Official Journal of the Association of Coloproctology of Great Britain and Ireland
https://www.readbyqxmd.com/read/27805791/a-double-blind-randomised-controlled-trial-of-collagen-mesh-for-the-prevention-of-abdominal-incisional-hernia-in-patients-having-a-vertical-rectus-abdominis-myocutaneus-vram-flap-during-surgery-for-advanced-pelvic-malignancy
#12
Alexander Risskov Mortensen, Irene Grossmann, Mona Rosenkilde, Pål Wara, Søren Laurberg, Peter Christensen
AIM: The study investigated the effect of collagen mesh-assisted closure at the donor site in preventating the formation of incisional hernia following a vertical rectus abdominis myocutaneus (VRAM) flap as part of pelvic surgery for recurrent colorectal cancer.. METHOD: The study was a double blinded randomised controlled superiority trial performed designed according to the Consort Statement. Eligible patients undergoing surgery for advanced colorectal pelvic malignancy including a VRAM flap were prospectively randomised to conventional abdominal wound closure or collagen mesh-assisted closure...
November 2, 2016: Colorectal Disease: the Official Journal of the Association of Coloproctology of Great Britain and Ireland
https://www.readbyqxmd.com/read/27805772/reversal-after-hartmann-s-procedure-in-patients-with-complicated-sigmoid-diverticulitis
#13
Gabriel Fridolin Hess, Juliane Schäfer, Rachel Rosenthal, Christoph Kettelhack, Daniel Oertli
AIM: Hartmann's procedure (HP) is commonly used for the emergency treatment of complicated sigmoid diverticulitis (CSD). While it is intended to restore intestinal continuity, in practice reversal is not carried out in all cases. It is important to know the frequency of reversal and the impact of patient-related factors on the decision for reversal. METHOD: A retrospective was conducted on all patients who underwent HP for CSD at a tertiary referral hospital between May 2005 and December 2010...
November 2, 2016: Colorectal Disease: the Official Journal of the Association of Coloproctology of Great Britain and Ireland
https://www.readbyqxmd.com/read/27801543/management-of-rectal-cancer-the-2016-french-guidelines
#14
Zaher Lakkis, Gilles Manceau, Valérie Bridoux, Antoine Brouquet, Sylvain Kirzin, Léon Maggiori, Cécile de Chaisemartin, Jérémie H Lefevre, Yves Panis, The French Research Group Of Rectal Cancer Surgery Greccar And The French National Society Of Coloproctology Snfcp
AIM: Rectal cancer is a malignant disease requiring multidisciplinary management. The increasing number of studies published over the past decade has called for a comprehensive update to draw recommendations for clinical practice mandated by the French Research Group of Rectal Cancer Surgery (GRECCAR) and the French National Coloproctology Society (SNFCP). METHOD: Seven questions summarizing the treatment of rectal cancer were selected. A search for evidence in the literature from January 2004 to December 2015 was performed...
November 1, 2016: Colorectal Disease: the Official Journal of the Association of Coloproctology of Great Britain and Ireland
https://www.readbyqxmd.com/read/27801539/does-a-more-extensive-mucosal-excision-prevent-haemorrhoidal-recurrence-after-stapled-haemorrhoidopexy-long-term-outcome-of-a-randomised-controlled-trial
#15
Donato F Altomare, Giuseppe Pecorella, Guido Tegon, Fabrizio Aquilino, Damiano Pennisi, Michele De Fazio
AIM: The study aimed in a multicentric randomised controlled trial to define the role of a more extensive mucosal resection on recurrence of mucosal prolapse in patients with stage III haemorrhoids undergoing stapled haemorrhoidopexy . METHOD: 135 patients were randomised to treatment with PPH01/03 or an EEA stapler. They were reviewed after a minimum follow-up of four years to determine the rate of recurrent mucosal prolapse, and general condition (Wellness evaluation score)...
November 1, 2016: Colorectal Disease: the Official Journal of the Association of Coloproctology of Great Britain and Ireland
https://www.readbyqxmd.com/read/27717124/is-colorectal-surgery-beyond-the-age-of-80-still-feasible-with-acceptable-mortality-an-analysis-of-the-predictive-value-of-cr-possum-and-life-expectancy-after-hospital-discharge
#16
Anthony de Buck van Overstraeten, Jasper Stijns, Annouschka Laenen, Steffen Fieuws, Albert M Wolthuis, André D'Hoore
AIM: Increased morbidity and mortality could mitigate the positive effect of surgery in elderly patients undergoing colorectal resections. This retrospective study aims to describe early morbidity and mortality together with long-term survival in octogenarians and nonagenarians undergoing colorectal surgery. Predictors for in-hospital mortality will be identified. The predictive value of CR-POSSUM will be assessed. METHOD: Data on consecutive patients of 80 years old or more, undergoing a colorectal resection in our center from 2004 until 2010 were analyzed...
October 7, 2016: Colorectal Disease: the Official Journal of the Association of Coloproctology of Great Britain and Ireland
https://www.readbyqxmd.com/read/27704667/quality-of-life-in-the-following-fistulotomy-short-term-follow-up
#17
H A Owen, G N Buchanan, A Schizas, A Emmanuel, R Cohen, A B Williams
INTRODUCTION: Anal fistula causes pain, discharge of pus and blood. Fistulotomy has the highest success, however, can risk continence; treatment balances cure with continence. This study assessed the impact of fistulotomy on Quality Of Life (QOL) and continence. METHODS: Patients selected for fistulotomy prospectively completed St Mark's Continence Score (full incontinence = 24) and Short Form - 36 questionnaires pre-operatively at two institutions with an interest in anal fistula, and reassessed 3 months post-operatively...
October 5, 2016: Colorectal Disease: the Official Journal of the Association of Coloproctology of Great Britain and Ireland
https://www.readbyqxmd.com/read/27688067/the-prevalence-of-chronic-peri-pouch-sepsis-in-patients-treated-for-antibiotic-dependent-or-refractory-primary-idiopathic-pouchitis
#18
V A van der Ploeg, Y Maeda, O D Faiz, A L Hart, S K Clark
AIM: Chronic peri-pouch sepsis (CPPS) may be mistaken for antibiotic-dependent or refractory primary idiopathic pouchitis (ADRP), but requires different treatment such as drainage. The study aimed to identify the prevalence of CPPS in patients thought to have ADRP. The secondary aims were to identify any specific features on pouchoscopy suggesting CPPS and to determine the results of treatment for CPPS. METHOD: The records of patients who had been treated for ADRP between March 2006 and June 2015 were reviewed retrospectively...
September 30, 2016: Colorectal Disease: the Official Journal of the Association of Coloproctology of Great Britain and Ireland
https://www.readbyqxmd.com/read/27673438/adjuvant-chemotherapy-may-improve-disease-free-survival-in-patients-with-mremvi-positive-rectal-cancer-following-chemoradiation
#19
Manish Chand, Shahnawaz Rasheed, Richard Heald, Ian Swift, Nick West, Sheela Rao, Paris Tekkis, Gina Brown
AIM: MRI-detected extramural venous invasion (mrEMVI) is a poor prognostic factor in rectal cancer. Pre-operative chemoradiotherapy (CRT) can cause regression in the severity of EMVI and subsequently improve survival whereas mrEMVI persisting after CRT confers an increased risk of recurrence. The effect of adjuvant chemotherapy (AC) following CRT on survival in rectal cancer remains unclear. The aim of this study was to determine whether there is a survival advantage for AC given to patients with mrEMVI persisting after CRT...
September 27, 2016: Colorectal Disease: the Official Journal of the Association of Coloproctology of Great Britain and Ireland
https://www.readbyqxmd.com/read/27671222/a-collaborative-review-of-the-current-concepts-and-challenges-of-anastomotic-leaks-in-colorectal-surgery
#20
A Vallance, S Wexner, M Berho, R Cahill, M Coleman, N Haboubi, R J Heald, R H Kennedy, B Moran, N Mortensen, R W Motson, R Novell, P R O'Connell, F Ris, T Rockall, A Senapati, A Windsor, D G Jayne
The reduction of the incidence, detection, and treatment of anastomotic leakage (AL) continues to challenge the colorectal surgical community. AL is not consistently defined and reported in clinical studies, its occurrence is variably reported and its impact on long-term morbidity and healthcare resources has received relatively little attention. Controversy continues about the best strategies to reduce the risk. Diagnostic tests lack sensitivity and specificity, resulting in delayed diagnosis and increased morbidity...
September 27, 2016: Colorectal Disease: the Official Journal of the Association of Coloproctology of Great Britain and Ireland
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