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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/30411480/does-external-beam-radiation-therapy-to-the-pelvis-portend-worse-ileal-pouch-outcomes-an-international-multi-institution-collaborative-study
#1
Amy L Lightner, Antonino Spinelli, Nicholas P McKenna, Christopher L Hallemeier, Phillip Fleshner
AIM: Short-term morbidity and long-term functional outcome of patients with an ileal pouch-anal anastomosis (IPAA) exposed to pelvic external beam radiation therapy (EBRT) remains unknown. We report the largest series to date regarding the effects of pelvic EBRT on 1) 30-day postoperative outcomes and 2) long term functional outcome following IPAA. METHOD: A retrospective chart review was conducted of patients who received EBRT before or after IPAA between 1980 and 2017 across three international inflammatory bowel disease referral centers...
November 9, 2018: Colorectal Disease: the Official Journal of the Association of Coloproctology of Great Britain and Ireland
https://www.readbyqxmd.com/read/30411476/treatment-of-anal-fissure-a-survey-of-surgical-practice-in-australia-and-new-zealand
#2
Javariah Siddiqui, George E Fowler, Assad Zahid, Kilian Brown, Christopher J Young
AIM: To determine whether or not the clinical management of anal fissure in Australia and NZ accords with published guidelines. METHODS: A comprehensive survey based on common clinical scenarios was distributed to 206 colorectal surgeons in Australia and New Zealand. RESULTS: The response rate was 44% (91 surgeons). For 19 topic areas, only 7 (37%) reached consensus (defined as >70% majority opinion). Of these, 6 (86%) agreed with guideline recommendations...
November 9, 2018: Colorectal Disease: the Official Journal of the Association of Coloproctology of Great Britain and Ireland
https://www.readbyqxmd.com/read/30411471/high-risk-of-permanent-stoma-after-anastomotic-leakage-in-anterior-resection-for-rectal-cancer
#3
H Jutesten, J Draus, J Frey, G Neovius, G Lindmark, P Buchwald, M L Lydrup
AIM: This study investigates how often bowel continuity (BC) was restored after anastomotic leakage (AL) in anterior resection (AR) for rectal cancer and assesses clinical factors associated with permanent stomas (PS). METHOD: The Swedish ColoRectal Cancer Registry was used to identify AL cases registered between January 2001 and December 2011 in southern Sweden. Patient characteristics, surgical details, and clinical information about the ALs were retrieved from medical records...
November 9, 2018: Colorectal Disease: the Official Journal of the Association of Coloproctology of Great Britain and Ireland
https://www.readbyqxmd.com/read/30411461/oncological-outcomes-before-and-after-the-elape-era-in-rectal-cancer-patients-treated-with-abdominoperineal-excision-in-a-single-center-high-volume-unit
#4
T Lehtonen, M Räsänen, M Carpelan-Holmström, A Lepistö
AIM: The extralevator abdominoperineal excision (ELAPE) has been expected to reduce the risk of positive circumferential resection margins (CRM) and local recurrence in locally advanced distal rectal cancer. The aim was to determine whether there is any difference in local recurrence rates between the patients who were operated on for distal rectal cancer, before and after the introduction of ELAPE in our unit. PATIENTS AND METHODS: 206 patients with distal rectal cancer without distant metastases (T1-4N0-2M0) were treated with curative intent...
November 9, 2018: Colorectal Disease: the Official Journal of the Association of Coloproctology of Great Britain and Ireland
https://www.readbyqxmd.com/read/30407708/receiver-operating-characteristic-analysis-to-determine-optimal-fluid-management-during-open-colorectal-surgery
#5
Basile Pache, Martin Hübner, Josep Solà, Dieter Hahnloser, Nicolas Demartines, Fabian Grass
BACKGROUND: The present study aimed to analyse fluid management and to define optimal fluid-related thresholds for elective open colorectal surgery. METHODS: A retrospective analysis of all consecutive elective open colorectal resections performed between May 2011 and May 2017 in our tertiary centre was done. The main outcomes were postoperative complications (overall (I-V) and severe (IIIB-V) according to Clavien classification), respiratory complications and postoperative ileus...
November 8, 2018: Colorectal Disease: the Official Journal of the Association of Coloproctology of Great Britain and Ireland
https://www.readbyqxmd.com/read/30387927/laparoscopic-sigmoidectomy-and-double-stapling-technique-anastomosis-via-needlescopic-surgery-a-video-vignette
#6
LETTER
Yukiharu Hiyoshi, Yuji Miyamoto, Rikako Kato, Hiroshi Sawayama, Kojiro Eto, Yohei Nagai, Shiro Iwagami, Yoshifumi Baba, Naoya Yoshida, Hideo Baba
Needlescopic surgery (NS) is a minimally invasive technique that requires the use of thin forceps without a reduction in the number of ports [1], and maintains the oncological quality compared with conventional laparoscopic surgery for selected patients with colorectal cancer [2]. Here we show a laparoscopic sigmoid resection with NS in our institution. This article is protected by copyright. All rights reserved.
November 2, 2018: Colorectal Disease: the Official Journal of the Association of Coloproctology of Great Britain and Ireland
https://www.readbyqxmd.com/read/30382598/laparoscopic-treatment-of-ileocecal-herniation-through-the-foramen-of-winslow-a-video-vignette
#7
LETTER
N Colucci, B Schiltz, E Liot, N C Buchs, P Morel, F Ris
The foramen of Winslow is the passage between the main abdominal cavity and the lesser sac, a site of herniation for the abdominal content. Hernia through the foramen of Winslow is an unusual condition, representing 8% of all internal hernias (1). A growing number of cases treated by a laparoscopic approach is described in the literature, although there are no guidelines for treatment of viable herniated content or for foramen closure (2). This article is protected by copyright. All rights reserved.
November 1, 2018: Colorectal Disease: the Official Journal of the Association of Coloproctology of Great Britain and Ireland
https://www.readbyqxmd.com/read/30381910/mri-imaging-for-perianal-fistulas-a-step-by-step-guide-for-trainees-video-vignette-escp-trainee-video
#8
LETTER
David D E Zimmerman
Transanal Advancement Flap Repair is considered to be the gold standard for complex transsphincteric fistulas by many authors. It was first described early 20th century and popularised by several American and European authors.Several systematic reviews have identified the healing rate to be around 80 percent (1,2). Even though there is considerable variety in the reported healing rates, functional outcome after this operation is generally considered to be good (1,2).
November 1, 2018: Colorectal Disease: the Official Journal of the Association of Coloproctology of Great Britain and Ireland
https://www.readbyqxmd.com/read/30381886/mr-imaging-of-perianal-fistulas-a-step-by-step-guide-for-trainees-video-vignette-escp-trainee-video
#9
LETTER
David Zimmerman
MR Imaging is considered to be the mainstay imaging modality for complex perianal fistulas by many authors. Even though it is accessible and easy, many trainees are unsure how to interpret MR images. Moreover, it is not always easy to determine what consequences MRI findings have. This ESCP trainee video explains these conundrums in detail, it was presented in the 2017 annual ESCP scientific meeting in Berlin in the Trainee Video Session. This article is protected by copyright. All rights reserved.
November 1, 2018: Colorectal Disease: the Official Journal of the Association of Coloproctology of Great Britain and Ireland
https://www.readbyqxmd.com/read/30341932/changing-trends-in-surgery-for-abdominal-crohn-s-disease
#10
Diane Mege, Kelly Garrett, Jeff Milsom, Toyooki Sonoda, Fabrizio Michelassi
BACKGROUND: The introduction of biologic agents and laparoscopy are, arguably, the most important developments for the treatment of Crohn's disease (CD) in the last two decades. Due to the efficacy of the biologic agents in treating mild disease, it is likely that the percentage of surgery for complex cases may have increased. The objective of this study was to analyse the changing characteristics and results of surgical treatment of patients with Crohn's disease over the past 12 years...
October 20, 2018: Colorectal Disease: the Official Journal of the Association of Coloproctology of Great Britain and Ireland
https://www.readbyqxmd.com/read/30341922/spin-in-minimally-invasive-transanal-total-mesorectal-excision-articles-tatme-an-assessment-of-the-current-literature
#11
REVIEW
Sunil V Patel, Lisa Zhang, Basheer Elsolh, Daid Yu, A Sami Chadi
AIM: Minimally Invasive Trans anal Total Mesorectal Excision (TaTME) is a new approach in treating rectal cancer. "Spin" can be defined as "reporting strategies to highlight that the experimental treatment is beneficial" despite limitations in study design. The aim of this study was to assess Spin within TaTME publications. METHODS: EMBASE and MEDLINE (2009 - 2017) were searched for publications assessing TaTME in rectal cancer. All publications, published between 2009 - 2017 were eligible for inclusion...
October 20, 2018: Colorectal Disease: the Official Journal of the Association of Coloproctology of Great Britain and Ireland
https://www.readbyqxmd.com/read/30324692/robotic-ileocolic-resection-with-intracorporeal-anastomosis-for-complex-crohn-s-disease-a-video-vignette
#12
LETTER
H H Aydinli, M Bernstein, A Grucela
No abstract text is available yet for this article.
October 15, 2018: Colorectal Disease: the Official Journal of the Association of Coloproctology of Great Britain and Ireland
https://www.readbyqxmd.com/read/30307103/prolonged-hospital-stay-and-readmission-rate-in-an-eras-cohort-undergoing-colorectal-cancer-surgery
#13
Astrid Louise Bjørn Bennedsen, Jens Ravn Eriksen, Ismail Gögenur
AIM: The present database study aimed to identify patients with a longer postoperative length of stay (LOS) or patients readmitted, and to characterize both groups based on perioperative factors. METHOD: A retrospective review of the Danish Colorectal Cancer Group (DCCG) database and a local database was performed of all patients undergoing elective resection for colorectal cancer in a 25 month period. Primary outcome was the number of patients with a prolonged hospital stay (LOS ≥10 days after the primary operation), and readmissions within 30 days after discharge...
October 11, 2018: Colorectal Disease: the Official Journal of the Association of Coloproctology of Great Britain and Ireland
https://www.readbyqxmd.com/read/30302892/co2-embolus-during-transanal-tme-thoughts-on-aetiology
#14
Vladimir Bolshinsky, Sherief Shawki, Scott Steele
We describe a series of three carbon dioxide (CO2) emboli that have been encountered over a period of eighteen months during the perineal dissection of the transanal total mesorectal excision (taTME) in our unit. It is a concerning phenomenon, particularly as the risk of CO2 embolism in the setting of laparoscopic transabdominal surgery is negligible. This article is protected by copyright. All rights reserved.
October 9, 2018: Colorectal Disease: the Official Journal of the Association of Coloproctology of Great Britain and Ireland
https://www.readbyqxmd.com/read/30300973/reply-to-incidence-risk-factors-and-prevention-of-stoma-site-incisional-hernias-a-systematic-review-and-meta-analysis
#15
LETTER
Ian Jun Yan Wee
I read with great interest the systematic review and meta-analysis by Lambrichts et al, and congratulate them for a comprehensive study on stoma site incisional hernias. However, I wish to highlight a few points regarding their methodology. The authors have performed a prevalence meta-analysis of incisional hernias after stoma reversal. It is unclear, however, how the authors derived these figures from a statistical standpoint. Did the authors consider calculating pooled prevalence and their 95% confidence intervals (CI) based on the exact binomial distributions with Freeman-Tukey double-arcsine transformation? This would have been a more accurate and appropriate method of analyzing prevalence rates...
October 9, 2018: Colorectal Disease: the Official Journal of the Association of Coloproctology of Great Britain and Ireland
https://www.readbyqxmd.com/read/30300969/does-transanal-local-resection-increase-morbidity-for-subsequent-total-mesorectal-excision-for-early-rectal-cancer
#16
C Coton, J H Lefevre, C Debove, B Creavin, N Chafai, E Tiret, Y Parc
AIM: Local excision is recommended for early rectal cancer (pT1). Complementary total mesorectal excision (cTME) is warranted when bad pathological features are present. The impact of a prior local resection on the outcome remains unclear. The aim of this study was to assess if prior local excision increases the morbidity of a subsequent cTME compared with primary TME. METHODS: From 2001 to 2016 all patients who underwent TME after local excision for rectal adenocarcinoma were studied...
October 9, 2018: Colorectal Disease: the Official Journal of the Association of Coloproctology of Great Britain and Ireland
https://www.readbyqxmd.com/read/30295417/reply-to-wee
#17
LETTER
D P V Lambrichts, G H J de Smet, S Buettner, J F Lange
No abstract text is available yet for this article.
October 8, 2018: Colorectal Disease: the Official Journal of the Association of Coloproctology of Great Britain and Ireland
https://www.readbyqxmd.com/read/30295416/delorme-operation-for-full-thickness-complete-rectal-prolapse-video-vignette
#18
LETTER
Waleed Omar, Hossam Elfeki, Mohamed Anwar Abdel-Razik, Mostafa Shalaby
Full-thickness complete rectal prolapse (RP) is a protrusion of the rectal wall through the anus. With the pathogenesis remains unclarified, old theories described RP as a sliding herniation through a pelvic fascia defect or a progression of internal rectal intussusception with straining, with a recent insight toward a connective tissue element as the cause. This article is protected by copyright. All rights reserved.
October 8, 2018: Colorectal Disease: the Official Journal of the Association of Coloproctology of Great Britain and Ireland
https://www.readbyqxmd.com/read/30269401/chronic-pain-after-rectal-cancer-surgery-development-and-validation-of-a-scoring-system
#19
A R Mortensen, A Thyø, K J Emmertsen, S Laurberg
AIM: The aim was to develop and validate a scoring system for the assessment of chronic pain on quality of life (QoL) following surgical treatment of rectal cancer (RC). METHOD: Patients diagnosed with RC between 2001 and 2014 in Denmark were evaluated for inclusion. Eligible patients were mailed questionnaires concerning pain and QoL. Questionnaire items were associated with QoL by odds ratio using regression analyses. The patients were randomized into a development group and a validation group...
September 30, 2018: Colorectal Disease: the Official Journal of the Association of Coloproctology of Great Britain and Ireland
https://www.readbyqxmd.com/read/30260551/clinical-outcomes-and-inflammatory-response-to-single-incision-laparoscopic-sil-colorectal-surgery-a-single-blinded-randomized-controlled-pilot-study
#20
D W Borowski, E A Baker, D Wilson, D K Garg, T S Gill
AIM: Single-incision laparoscopic (SIL) surgery is expanding, but its benefits, efficacy and safety compared with conventional laparoscopic (CL) surgery remain unclear. This pilot study examined clinical outcomes and biochemical markers of inflammation for colorectal resections by SIL and CL in a randomized controlled pilot trial. METHOD: Fifty patients undergoing elective colorectal resection were randomized to either SIL or CL. Primary outcomes were operating time and length of stay (LoS); secondary outcomes included combined length of scars, pain scores, complications, Quality of Life EQ5D-VAS and the inflammatory markers interleukin-6 (IL-6), IL-8 and C-reactive protein (CRP) at baseline, 2, 6, 24 and 72 h...
September 27, 2018: Colorectal Disease: the Official Journal of the Association of Coloproctology of Great Britain and Ireland
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