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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/30025195/sigmoid-volvulus-effects-of-high-altitude
#1
LETTER
S S Atamanalp
Sigmoid volvulus (SV) is a closed-loop intestinal obstruction form, in which the sigmoid colon wraps around its own base [1]. Although SV is rare worldwide, it is endemic in Latin America, Africa, Eastern Europa, Scandinavia, Russia, Middle East, Pakistan and India [2]. Eastern Anatolia, which is the highest region of Turkey with a mean altitude of 6,000 feet, is also an endemic area for SV [3]. This article is protected by copyright. All rights reserved.
July 19, 2018: Colorectal Disease: the Official Journal of the Association of Coloproctology of Great Britain and Ireland
https://www.readbyqxmd.com/read/30004171/surgical-management-of-haemorrhoids-an-italian-survey-of-over-32000-patients-over-17-years
#2
D F Altomare, A Picciariello, G Pecorella, G Milito, G Naldini, A Amato, C Ratto, R Perinotti, P De Nardi, J Martellucci, R Pietroletti, D Scardigno, F Marino, F Pezzolla, F La Torre, C Bottini, C R Asteria, R E Bellomo, C Mattana, G Graziano
INTRODUCTION: The management of haemorrhoids has changed significantly in the last two decades as a result of new insights into their pathophysiology and the availability of new surgical devices. The aim of this survey was to evaluate changes in the management of haemorrhoids in Italy over the last 17 years. METHODS: An electronic database which recorded details of management relating to severity of haemorrhoids between 2000 and 2016 was obtained from 18/34 colorectal surgeons who were invited to participate...
July 13, 2018: Colorectal Disease: the Official Journal of the Association of Coloproctology of Great Britain and Ireland
https://www.readbyqxmd.com/read/29999580/variations-in-the-management-of-significant-polyps-and-early-colorectal-cancer-specc-results-from-a-multi-centre-observational-study-of-383-patients
#3
Mit Dattani, Sarah Crane, Nicholas J Battersby, Francesco Di Fabio, Brian P Saunders, Sunil Dolwani, Matthew D Rutter, Brendan J Moran
AIM: The concept of significant polyp and early colorectal cancer (SPECC) encompasses complex polyps not amenable to routine snare polypectomy, or where malignancy cannot be excluded. Surgical resection (SR) offers definitive treatment, but is overtreatment for the majority which are benign and amenable to less invasive endoscopic resection (ER). The aim of this study was to investigate variations in the management and outcomes of significant colorectal polyps. METHOD: Retrospective observational study of significant colorectal polyps, defined as non-pedunculated lesions of ≥20mm size, diagnosed across 9 U...
July 12, 2018: Colorectal Disease: the Official Journal of the Association of Coloproctology of Great Britain and Ireland
https://www.readbyqxmd.com/read/29992741/reply-to-comments-on-a-new-classification-treatment-algorithm-and-prognosis-estimating-system-for-sigmoid-volvulus-factors-affecting-recurrence
#4
LETTER
S S Atamanalp
I thank Korkut and Aksungur [1] for their comments on my correspondence [2] and I appreciate their ideas. Sigmoid volvulus (SV), has a mean recurrence rate of 25%, ranging between 0% and 55%, principally depending on the treatment method [2,3]. The most important factor in the development of both primary and recurrent SV is dolichosigmoid, which is a redundant sigmoid loop with a long and narrow-based mesentery [4,5]. Other rare factors are Hirschsprung's disease (congenital aganglionic megacolon) and acquired megacolon [5,6]...
July 10, 2018: Colorectal Disease: the Official Journal of the Association of Coloproctology of Great Britain and Ireland
https://www.readbyqxmd.com/read/29992737/transanal-endoscopic-microsurgery-as-day-surgery-a-single-center-experience-in-500-patients
#5
C J Brown, J Q Gentles, P T Phang, A A Karimuddin, M J Raval
AIM: Transanal endoscopic microsurgery (TEM) is the current treatment of choice for rectal adenomas and early rectal cancer. Postoperative admission to hospital is common but possibly unnecessary. Our objective was to analyze predictors and outcomes of TEM patients with same day discharge (TEM-D) compared to those with hospital admission (TEM-A). METHODS: At St. Paul's Hospital (SPH), demographic, surgical, pathological, and follow up data has been collected prospectively since TEM was started in 2007...
July 10, 2018: Colorectal Disease: the Official Journal of the Association of Coloproctology of Great Britain and Ireland
https://www.readbyqxmd.com/read/29992729/a-systematic-review-of-local-excision-followed-by-adjuvant-therapy-in-early-rectal-cancer-are-pt1-tumours-the-limit
#6
REVIEW
Jonathan E Cutting, Sally E Hallam, Michael G Thomas, David E Messenger
AIM: Total mesorectal excision remains the cornerstone of treatment for rectal cancer. Significant morbidity means local excision may be more appropriate in selected patients. Adjuvant therapy reduces local recurrence and improves survival, however, there is a paucity of data on its impact following local excision, which this systematic review aims to address. METHODS: A Systematic search of Medline, EMBASE and Cochrane databases using validated terms for rectal cancer, adjuvant therapy and local excision was performed...
July 10, 2018: Colorectal Disease: the Official Journal of the Association of Coloproctology of Great Britain and Ireland
https://www.readbyqxmd.com/read/29989291/acetone-clearance-of-the-mesocolic-and-mesorectal-fat-increases-lymph-node-yield-and-may-improve-detection-of-high-risk-stage-ii-colorectal-cancer
#7
C A W Leung, G Fazzi, J Melenhorst, D Rennspiess, H I Grabsch
AIMS: The lymph node (LN) status is key to determining the need for adjuvant therapy in colorectal cancer and for disease which has progressed to stage II (T3-T4, N0, M0. A LN yield of less than 12 is considered a risk factor similar to high grade histology, vascular, lymphatic and perineural invasion. The object of this retrospective study was to investigate the effect of acetone fat clearance of the mesocolon and mesorectum on LN yield and the identification of high risk stage II CRC patients...
July 10, 2018: Colorectal Disease: the Official Journal of the Association of Coloproctology of Great Britain and Ireland
https://www.readbyqxmd.com/read/29985547/persistent-involvement-of-anterior-mesorectal-fascia-in-carcinoma-rectum-extended-resection-of-rectum-versus-total-pelvic-exenteration-results-from-a-single-center-retrospective-study
#8
Kamlesh Verma, Reena Engineer, Vikas Ostwal, Suman Kumar, Supreeta Arya, Ashwin L Desouza, Avanish P Saklani
INTRODUCTION: Involvement of anterior mesorectal fascia (iAMRF) after neoadjuvant treatment leads to either resection of involved organ alone [extended resection of rectum (ERR)] or total pelvic exenteration (TPE). The purpose of this study was to compare the rate of recurrence and survival of patients undergoing ERR or TPE for iAMRF after neoadjuvant treatment. Outcome of patients who underwent total mesorectal excision (TME) after down staging was also compared. METHOD: Retrospective study of primary rectal cancer patients...
July 9, 2018: Colorectal Disease: the Official Journal of the Association of Coloproctology of Great Britain and Ireland
https://www.readbyqxmd.com/read/29972721/anorectal-symptoms-during-pregnancy-and-postpartum-a-prospective-cohort-study
#9
K Ferdinande, Y Dorreman, K Roelens, W Ceelen, D De Looze
AIM: To determine the prevalence and risk factors of anal symptoms pre- and postpartum. METHOD: A prospective observational cohort study carried out in Ghent University Hospital, Belgium. Ninety-four pregnant women between their 19th and 25th week of pregnancy were included. An anal symptom questionnaire was filled in at four different times: in the second and third trimester, immediately postpartum and 3 months postpartum. Descriptive data were obtained from patient files...
July 3, 2018: Colorectal Disease: the Official Journal of the Association of Coloproctology of Great Britain and Ireland
https://www.readbyqxmd.com/read/29969179/a-real-world-multicenter-experience-on-the-pathologic-features-of-colon-ischemia-and-their-relationship-to-symptom-duration-disease-distribution-and-clinical-outcome
#10
Marc Fenster, Paul Feuerstadt, Lawrence J Brandt, Muhammad Sohail Mansoor, Tsipora Huisman, Olga C Aroniadis
AIM: To determine the pathologic features of colon ischemia (CI) and their relationship to symptom duration, disease distribution, and clinical outcome in a real-world, clinical setting. METHOD: A retrospective, multi-center chart review was performed in patients diagnosed with CI at Montefiore Medical Center (01/2005-07/2015), and Yale-New Haven Hospital (01/2005-06/2010). Patients were included if clinical presentation, colonoscopic findings, and colonic pathology were all consistent with CI...
July 3, 2018: Colorectal Disease: the Official Journal of the Association of Coloproctology of Great Britain and Ireland
https://www.readbyqxmd.com/read/29956867/perirenal-fat-surface-area-as-a-risk-factor-for-perioperative-difficulties-and-30-day-postoperative-complications-in-elective-colon-cancer-surgery
#11
Olof der Hagopian, Martin Dahlberg, Göran Heinius, Jonas Nordberg, Johan Gustafsson, Caroline Nordenvall, Gabriel Sandblom, Parastou Farahnak, Åsa H Everhov
AIM: Visceral obesity is associated with perioperative and postoperative complications in colorectal surgery. We aimed to investigate the association between perirenal fat surface area (PRF) and postoperative complications. METHOD: Data on 610 patients undergoing curative, elective colon cancer resection in 2006-2016 at Stockholm South General Hospital were retrieved from a local quality register. We assessed perioperative and postoperative outcomes using a multinomial regression model adjusted for age, sex, ASA classification, and surgical approach (open/laparoscopy) in relation to PRF...
June 29, 2018: Colorectal Disease: the Official Journal of the Association of Coloproctology of Great Britain and Ireland
https://www.readbyqxmd.com/read/29956455/survivorship-care-for-early-stage-colorectal-cancer-a-national-survey-of-general-surgeons-and-colorectal-surgeons
#12
Youngjee Choi, Joseph H Huntley, Jonathan E Efron, Kyoko Sato, Michael R Marohn, Craig E Pollack
AIM: Few data are available on the optimal long term care of early stage colorectal cancer survivors, termed survivorship care. We aimed to investigate current practice in the management of patients following treatment for early stage colorectal cancer. METHOD: We performed an internet survey of members of the American Society for Colon and Rectal Surgeons about several aspects of long term care, including allocation of clinician responsibility, challenges with transitions to primary care physicians (PCPs), long term care plan provision, and recommended surgical follow-up duration...
June 29, 2018: Colorectal Disease: the Official Journal of the Association of Coloproctology of Great Britain and Ireland
https://www.readbyqxmd.com/read/29956442/online-self-test-added-to-crc-screening-can-increase-effectiveness-of-familial-cancer-risk-assessment-without-increasing-distress
#13
Arjen van Erkelens, Aisha S Sie, Marcel B W Spanier, Mariëtte van Kouwen, Annemiek Visser, Judith B Prins, Nicoline Hoogerbrugge
AIM: Most persons at increased familial colorectal cancer (FCRC) risk are not identified, despite needing enhanced surveillance colonoscopies for effective CRC prevention. An online self-test may enhance this identification. We assessed whether taking an online self-test for identifying increased FCRC risk increases anxiety, distress, or CRC risk perception in population-based CRC screening. METHODS: After the colonoscopy pre-procedure consultation, patients with a positive immunohistochemical occult fecal blood test (iFOBT+) in population-based CRC screening were invited by e-mail to take an online self-test at home which returned family history details...
June 28, 2018: Colorectal Disease: the Official Journal of the Association of Coloproctology of Great Britain and Ireland
https://www.readbyqxmd.com/read/29947168/the-risk-of-long-term-bowel-dysfunction-after-resection-for-sigmoid-adenocarcinoma-a-cross-sectional-survey-comparing-complete-mesocolic-excision-with-conventional-surgery
#14
Claus Anders Bertelsen, Hossam Elfeki, Anders Ulrich Neuenschwander, Søren Laurberg, Bent Kristensen, Katrine J Emmertsen
AIM: To investigate if complete mesocolic excision (CME) might carry a higher risk of bowel dysfunction and subsequent reduction in quality of life when compared with conventional resection. METHOD: A cross-sectional questionnaire study based on data from a national survey regarding long-term bowel function and a population-based cohort study comparing CME (study group) with conventional resections (control group). 622 patients undergoing elective resections for stage I-III sigmoid adenocarcinoma at four university colorectal centres between June 2008 and December 2014 were eligible to receive the questionnaire in mid-November 2015...
June 27, 2018: Colorectal Disease: the Official Journal of the Association of Coloproctology of Great Britain and Ireland
https://www.readbyqxmd.com/read/29927537/review-of-current-practice-and-outcomes-following-ileoanal-pouch-surgery-lessons-learned-from-the-ileoanal-pouch-registry-and-the-2017-ileoanal-pouch-report
#15
Guy H T Worley, Nicola S Fearnhead, Steven R Brown, Austin G Acheson, Matthew J Lee, Omar D Faiz
INTRODUCTION: The second ACPGBI Ileoanal Pouch Registry (IPR) report was released in July 2017 following a first report in 2012. This article provides a summary of data derived from the most recent IPR report (1). METHOD: The IPR is an electronic database of voluntarily submitted data including patient demographics, disease, intra and post-operative factors submitted by consultant surgeons or delegates. Data up to 31st March 2017 have been analysed for this report...
June 21, 2018: Colorectal Disease: the Official Journal of the Association of Coloproctology of Great Britain and Ireland
https://www.readbyqxmd.com/read/29927515/pilot-study-on-bacterial-contaminaton-of-the-pelvis-in-proctectomy-for-cancer
#16
LETTER
F Iordache, A Prodan, M Beuran, M Gachabayov, R Bergamaschi
Although it is known that laparoscopic surgery has decreased the overall extent of bacterial contamination [1], new minimally invasive approaches such as transanal total mesorectal excision (taTME) may actually represent a source of concern [2]. In fact, a recent case series reported a 3-fold increase in intraperitoneal contamination in patients undergoing taTME [3]. We conducted a pilot study to evaluate whether bacterial contamination of the pelvis would differ if the rectal stump was closed or left open during laparoscopic proctectomy for cancer...
June 21, 2018: Colorectal Disease: the Official Journal of the Association of Coloproctology of Great Britain and Ireland
https://www.readbyqxmd.com/read/29924499/which-is-more-effective-in-the-treatment-of-hepatic-metastases-from-colorectal-cancer-sbrt-or-rfa
#17
LETTER
Yasemin Benderli Cihan
Colorectal cancers are one of most common causes of death worldwide. The liver is the most common site for distant metastases, which are present in 25% of patients at time of diagnosis. Hepatic metastases develop during the course of the disease in 50% of non-metastatic patients. This article is protected by copyright. All rights reserved.
June 20, 2018: Colorectal Disease: the Official Journal of the Association of Coloproctology of Great Britain and Ireland
https://www.readbyqxmd.com/read/29920945/the-impact-of-stapling-technique-and-surgeon-specialism-on-anastomotic-failure-after-right-sided-colorectal-resection-an-international-multi-centre-prospective-audit
#18
(no author information available yet)
BACKGROUND: There is little evidence to support choice of technique and configuration for stapled anastomoses after right hemicolectomy and ileocaecal resection. This study aimed to determine the relationship between stapling technique and anastomotic failure. METHODS: Any unit performing gastrointestinal surgery was invited to contribute data on consecutive adult patients undergoing right hemicolectomy or ileocolic resection to this prospective, observational, international, multicentre study...
June 19, 2018: Colorectal Disease: the Official Journal of the Association of Coloproctology of Great Britain and Ireland
https://www.readbyqxmd.com/read/29920919/referral-and-treatment-pathways-for-pseudomyxoma-peritonei-of-appendiceal-origin-within-a-national-treatment-programme
#19
Rebecca Fish, Andrew G Renehan, Grant Punnett, Omer Aziz, Paul Fulford, Chelliah Selvasekar, Malcolm Wilson, Rebecca Halstead, Sarah T O'Dwyer
AIM: Pseudomyxoma peritonei (PMP) is a rare neoplasm of the appendix, which if untreated disseminates throughout the abdominal cavity and generates considerable morbidity. Since 2002 in the UK, patients with PMP have been managed via two nationally commissioned centres. We evaluated referrals and treatment pathways over time at the Manchester centre. METHOD: Data from all patients referred with suspected PMP were prospectively collected (2002-2015). Definitive treatment was cytoreductive surgery (CRS) and hyperthermic intra-peritoneal chemotherapy (HIPEC)...
June 19, 2018: Colorectal Disease: the Official Journal of the Association of Coloproctology of Great Britain and Ireland
https://www.readbyqxmd.com/read/29920911/predictors-of-complications-and-mortality-following-left-colectomy-with-primary-stapled-anastomosis-for-cancer-results-of-a-multicentric-study-with-1111-patients
#20
Gianluca Pellino, Matteo Frasson, Alvaro García-Granero, Pablo Granero-Castro, José Luis Ramos Rodríguez, Blas Flor-Lorente, José Bargallo Berzosa, Natalia Alonso Hernández, Francisco Javier Labrador Vallverdú, Pedro Antonio Parra Baños, Guillermo Ais Conde, Eduardo Garcia-Granero
AIM: Reports detailing the morbidity-mortality after left colectomy are sparse and do not allow to draw definitive conclusions. We aimed to identify risk factors for anastomotic leak, perioperative mortality and complications following left colectomy for colonic malignancies. METHOD: We undertook a STROBE-compliant analysis of left colectomies included in the National prospective online database. Forty-two variables were analyzed as potential independent risk factors for anastomotic leak, post-operative morbidity and mortality...
June 19, 2018: Colorectal Disease: the Official Journal of the Association of Coloproctology of Great Britain and Ireland
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