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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/29352563/proper-placement-of-colorectal-self-expandable-metal-stents-with-the-help-of-a-thin-colonoscope-video-vignette
#1
LETTER
Antonietta Lamazza, Enrico Fiori, Alberto Schillaci, Antonio V Sterpetti
Endoscopic placement of Self Expandable Metal Stents (SEMS) to relieve malignant colorectal obstruction is now accepted clinical practice [1,2,3,4,5]. Over the past 17 years we have performed over 200 endoscopic procedures for malignant obstruction and as a result have adopted a modification of the standard procedure. The procedure was approved by the Department Council. This article is protected by copyright. All rights reserved.
January 20, 2018: Colorectal Disease: the Official Journal of the Association of Coloproctology of Great Britain and Ireland
https://www.readbyqxmd.com/read/29352518/ropivacaine-preperitoneal-wound-infusion-for-pain-relief-and-prevention-of-incisional-hyperalgesia-after-laparoscopic-colorectal-surgery
#2
M Beaussier, Y Parc, J Guechot, M Cachanado, A Rousseau, T Lescot
AIM: The abdominal incision for specimen extraction could trigger postoperative pain after laparoscopic colorectal resections (LCR). Continuous Wound Infusion (CWI) of ropivacaine may be a valuable option for postoperative analgesia. This study was undertaken to evaluate the potential benefits of ropivacaine CWI on pain relief, metabolic stress reaction, prevention of wound hyperalgesia and residual incisional pain after LCR. A subgroup with intravenous lidocaine infusion (IVL) was added to discriminate between the peripheral and systemic effects of local anaesthetic infusions...
January 19, 2018: Colorectal Disease: the Official Journal of the Association of Coloproctology of Great Britain and Ireland
https://www.readbyqxmd.com/read/29345860/reply-to-mucosal-ischemia-and-bowel-gangrene-can-have-different-treatment-options-in-sigmoid-volvulus
#3
LETTER
S S Atamanalp
I thank Uylas and Kayaalp [1] for their interest in my work and I appreciate their comments. Firstly, as the authors expressed, the Atamanalp classification [2] describes class III patients as gangrenous cases. It is clear that such patients with sigmoid volvulus (SV) require sigmoid resection independent of other factors [3]. This article is protected by copyright. All rights reserved.
January 18, 2018: Colorectal Disease: the Official Journal of the Association of Coloproctology of Great Britain and Ireland
https://www.readbyqxmd.com/read/29345771/reply-to-kan-and-wang
#4
LETTER
Aurélie Beaufrère, Nathalie Guedj, Léon Maggiori, Alexia Patroni, Pierre Bedossa, Yves Panis
We appreciate the interest of Drs Wang and Kan regarding our manuscript. Our study has suggested that, following total mesorectal excision for mid or low rectal cancer, R1 patients do not all have the same outcome. Indeed, patients with a circumferential resection margin (CRM) ≤ 0.4 mm are more likely to develop locoregional recurrence, leading to a reduced disease-free survival, as compared to patients with 0.4 < CRM ≤ 1 mm and R0 patients, who have similar long-term outcomes. This article is protected by copyright...
January 18, 2018: Colorectal Disease: the Official Journal of the Association of Coloproctology of Great Britain and Ireland
https://www.readbyqxmd.com/read/29345753/restorative-proctocolectomy-and-ipaa-for-right-sided-colonic-adenocarcinoma-on-fap-abdominal-laparoscopic-approach-combined-with-transanal-total-mesorectal-excision-video-vignette
#5
LETTER
Michele Carvello, Giulia David, Matteo Sacchi, Francesca Di Candido, Antonino Spinelli
Transanal total mesorectal excision (taTME) has been proposed to overcome the difficulties related to pelvic dissection for low rectal cancer by a "bottom-up" technique set-up. This procedure has recently seen a widespread usage in the management of rectal cancer1 . However, its indications have been broadened to benign colorectal pathologies such as inflammatory bowel disease2 . This article is protected by copyright. All rights reserved.
January 18, 2018: Colorectal Disease: the Official Journal of the Association of Coloproctology of Great Britain and Ireland
https://www.readbyqxmd.com/read/29345734/glove-port-path-for-transanal-resection-of-rectal-lesion-a-video-vignette
#6
LETTER
Jian Xu, Haiyang Zhou, Jun Ying, Zhiqian Hu
The technique of transanal resection is playing an increasing role as colorectal surgeons explore organ preservation for T1/2 rectal cancer [1]. Manufacturers have responded by developing a choice of platforms including 3D binocular transanal endoscopic microsurgery (TEM) (Richard Wolf Medical Instruments) and transanal minimally invasive surgery (TAMIS) which combines conventional laparoscopy with a SILS™ Port (Covidien Medical Instruments) or a GelPoint™ Port (Applied Medical Instruments)[2]. These techniques are expensive...
January 18, 2018: Colorectal Disease: the Official Journal of the Association of Coloproctology of Great Britain and Ireland
https://www.readbyqxmd.com/read/29341403/robotic-low-anterior-resection-of-rectal-cancer-with-partial-resection-of-urinary-bladder-and-reconstruction-video-vignette
#7
LETTER
Tzu-Chun Chen, Jin-Tung Liang
When a rectosigmoid cancer (T4) involves the urinary bladder, the operation of choice is an anterior resection with en bloc (partial or total) bladder resection, depending on the site and extent of bladder involvement. At the very least, this should achieve local control and in the case of an R0 resection, long-term survival but in the case of total cystectomy, the necessity for an ileal conduit is an added burden for the patient 1-3 . For that reason, many surgeons prefer to carry out a partial cystectomy ...
January 17, 2018: Colorectal Disease: the Official Journal of the Association of Coloproctology of Great Britain and Ireland
https://www.readbyqxmd.com/read/29338108/the-timing-of-liver-resection-in-patients-with-colorectal-cancer-and-synchronous-liver-metastases-a-population-based-study-of-current-practice-and-survival
#8
A E Vallance, J van der Meulen, A Kuryba, S C Charman, I D Botterill, K R Prasad, J Hill, D G Jayne, K Walker
AIM: There is uncertainty regarding the optimal sequence of surgery for patients with colorectal cancer (CRC) and synchronous liver metastases. This study was designed to describe temporal trends and inter-hospital variation in surgical strategy, and to compare long-term survival in a propensity score-matched analysis. METHODS: The National Bowel Cancer Audit dataset was used to identify patients diagnosed with primary CRC between 1st January 2010 and 31st December 2015 who underwent CRC resection in the English National Health Service...
January 16, 2018: Colorectal Disease: the Official Journal of the Association of Coloproctology of Great Britain and Ireland
https://www.readbyqxmd.com/read/29331086/current-management-of-small-bowel-obstruction-in-the-uk-results-from-the-national-audit-of-small-bowel-obstruction-clinical-practice-survey
#9
Matthew J Lee, Adele E Sayers, Timothy R Wilson, Austin G Acheson, Iain D Anderson, Nicola S Fearnhead
AIM: Small bowel obstruction (SBO) is associated with high rates of morbidity and mortality. The National Audit of Small Bowel Obstruction (NASBO) is a collaboration between trainees and specialty associations to improve the care of patients with SBO through national clinical audit. The aim of this study was to define current Consultant practice preferences in the management of small bowel obstruction in the UK. METHOD: A survey was designed to assess practice preferences of consultant surgeons...
January 13, 2018: Colorectal Disease: the Official Journal of the Association of Coloproctology of Great Britain and Ireland
https://www.readbyqxmd.com/read/29327441/response-to-circumferential-margin-involvement-after-total-mesorectal-excision-for-mid-or-low-rectal-cancer-are-all-r1-resections-equal
#10
LETTER
Jun-Feng Wang, Qiang-Bo Kan
We read with great interest the report by Beaufrere and colleagues on the impact of circumferential resection margins (CRM) on outcomes following surgery for mid or low rectal cancer. This study suggested a new CRM classification, which was demonstrated to provide more detailed prognostic information than the traditional Royal College of Pathologists (RCP) criteria [1]. However, some points of the manuscript warrant discussion. Firstly, the authors did not justify the use of 0.4 mm as the optimal cutoff point for CRM...
January 12, 2018: Colorectal Disease: the Official Journal of the Association of Coloproctology of Great Britain and Ireland
https://www.readbyqxmd.com/read/29327402/response-to-high-stoma-prevalence-and-stoma-reversal-complications-following-anterior-resection-for-rectal-cancer-a-population-based-multicentre-study
#11
LETTER
L Massey, N Dyar, R Bethune
We read with interest the article by Holmgren et al1 . There is no doubt that formation of a defunctioning stoma is a decision not to be taken lightly and we welcome research into ways in which we may be able to identify patients most and least likely to benefit from a defunctioning stoma formation alongside a primary resection for rectal cancer. Nearly 87% of patients in this study had a defunctioning stoma formed alongside a primary anastomosis at the time of their original resection. This article is protected by copyright...
January 12, 2018: Colorectal Disease: the Official Journal of the Association of Coloproctology of Great Britain and Ireland
https://www.readbyqxmd.com/read/29323789/mucosal-ischaemia-and-bowel-gangrene-can-have-different-treatment-options-in-sigmoid-volvulus
#12
LETTER
Mustafa Ufuk Uylaş, Cuneyt Kayaalp
We read with great interest the article titled ''A new classification, treatment algorithm and prognosis-estimating system for sigmoid volvulus' published in November 2017, in Colorectal Disease, by Atamanalp (1). We believe that sigmoid volvulus requires a staging system for determining the prognosis and comparison of the results. We appreciate the efforts of Atamanalp for creating a staging system for sigmoid volvulus. However, we want to ask some questions about this classification and share our observations about a case...
January 11, 2018: Colorectal Disease: the Official Journal of the Association of Coloproctology of Great Britain and Ireland
https://www.readbyqxmd.com/read/29323778/antibiotics-versus-no-antibiotics-in-the-treatment-of-acute-uncomplicated-diverticulitis-a-systematic-review-and-meta-analysis
#13
REVIEW
Ashutosh Tandon, Victoria L Fretwell, Quentin M Nunes, Paul S Rooney
BACKGROUND: Acute uncomplicated diverticulitis (AUD) is common and antibiotics are the cornerstone of traditional conservative management. This approach lacks clear evidence base and studies have recently suggested that avoidance of antibiotics is a safe and efficacious way to manage AUD. The aim of this systematic review is to determine the safety and efficacy of treating AUD without antibiotics. METHODS: A systematic search of Embase, Cochrane library, MEDLINE, Science Citation Index Expanded, and ClinicalTrials...
January 11, 2018: Colorectal Disease: the Official Journal of the Association of Coloproctology of Great Britain and Ireland
https://www.readbyqxmd.com/read/29323452/laparoscopic-lateral-pelvic-lymph-node-dissection-for-rectal-cancer-video-vignette
#14
LETTER
Aleksei Karachun, Igor Berlev, Aleksei Petrov, Lidiia Panaiotti
Local recurrence is one of the most important problems in rectal cancer surgery. One of the ways to possibly reduce the frequency of relapses is addition of lateral pelvic dissection to traditional TME. While TME is currently the standard of treatment for rectal cancer, lateral pelvic dissection is a debatable option and is performed in various clinical scenarios. This article is protected by copyright. All rights reserved.
January 11, 2018: Colorectal Disease: the Official Journal of the Association of Coloproctology of Great Britain and Ireland
https://www.readbyqxmd.com/read/29323446/response-to-gum-chewing-aids-bowel-function-return-and-analgesic-requirements-after-bowel-surgery-a-randomised-controlled-trial
#15
LETTER
D P V Lambrichts, J F Lange
We read, with great interest, the randomised controlled trial by Byrne et al. (1), which concluded that chewing sugar-free gum resulted in an earlier return of bowel function and decreased analgesic requirements. Postoperative ileus (POI) remains an important and common clinical problem after abdominal surgery. This article is protected by copyright. All rights reserved.
January 11, 2018: Colorectal Disease: the Official Journal of the Association of Coloproctology of Great Britain and Ireland
https://www.readbyqxmd.com/read/29322689/the-limits-of-tem-and-beyond-video-vignette
#16
LETTER
Diederik Vg Meylemans, Roel Hompes, Chris Cunningham
Transanal Endoscopic Microsurgery (TEM) has been shown to be safe and feasible for both benign and malignant lesions, which aren't amendable to colonoscopic resection.[1, 2] Nonetheless these can be challenging, especially for circumferential, low and high anteriorly located lesions above the peritoneal reflection. Complications such as peritoneal perforation can be managed by TEM and a 360° resection can be closed and heals with minimal stenosis, even after prior radiotherapy. These add to the benefits of TEM (minimally invasive procedure with low morbidity and mortality, short length of stay and improved organ preservation rate with adequate function)[3, 4]...
January 10, 2018: Colorectal Disease: the Official Journal of the Association of Coloproctology of Great Britain and Ireland
https://www.readbyqxmd.com/read/29316159/safety-of-extraperitoneal-rectal-resection-and-ileo-or-colorectal-anastomosis-without-loop-ileostomy-in-patients-with-peritoneal-metastases-treated-with-crs-and-hipec
#17
Andreas Brandl, Wieland Raue, Felix Aigner, Maria Clara Arroyave, Johann Pratschke, Beate Rau
AIM: Extraperitoneal rectal resection combined with complete peritonectomy of the pelvis in patients with peritoneal metastases is associated with a high rate of morbidity and mortality due to anastomotic leakage (AL). Therefore, many centers tend to perform loop ileostomy to reduce the clinical impact of AL. The aim of this study was to analyze the need for protective stoma creation in this patient group to avoid major complications and mortality in the case of AL. METHOD: We analyzed 53 patients who underwent extraperitoneal rectal resection from 409 consecutive patients treated with cytoreductive surgery and hyperthermic intraperitoneal chemotherapy (HIPEC) at our department between January 1997 and December 2016...
January 6, 2018: Colorectal Disease: the Official Journal of the Association of Coloproctology of Great Britain and Ireland
https://www.readbyqxmd.com/read/29316139/stem-cell-therapy-in-refractory-perineal-crohn-s-disease-long-term-follow-up
#18
Claudio Wainstein, Rodrigo Quera, Daniela Fluxá, Udo Kronberg, Alejandro Conejero, Francisco López-Köstner, Claudio Jofre, Alejandro J Zarate
AIM: To describe the long-term outcomes of adipose-mesenchymal stem cells, platelet-rich plasma, and endorectal advancement flaps in patients with Perineal Crohn's Disease. METHOD: This was a single-center, prospective, observational pilot study performed between March 2013 and December 2016. The study included adult patients diagnosed with Perianal Crohn's Disease (with complex perianal fistulas) refractory to previous surgical and/or biological treatment. Patients underwent surgical treatment in two stages...
January 6, 2018: Colorectal Disease: the Official Journal of the Association of Coloproctology of Great Britain and Ireland
https://www.readbyqxmd.com/read/29316138/comments-on-recurrence-risk-of-sigmoid-volvulus-a-single-center-cohort-study
#19
LETTER
S S Atamanalp
I read with interest the article by Johansson et al. [1] titled 'Recurrence risk of sigmoid volvulus - a single center cohort study', which consists of a retrospective analysis of 168 patients with sigmoid volvulus (SV), who were treated between 2000 and 2016. The article hass some interesting messages on SV. .My comment relates to the non-operative treatment of SV.I practice in the Eastern part of Turkey, which is an endemic SV area[2]. This article is protected by copyright. All rights reserved.
January 6, 2018: Colorectal Disease: the Official Journal of the Association of Coloproctology of Great Britain and Ireland
https://www.readbyqxmd.com/read/29316129/anastomotic-leakage-after-side-to-end-anastomosis-for-rectal-cancer-does-leakage-location-matter
#20
Elisabeth Hain, Léon Maggiori, Magaly Zappa, Justine Prost À la Denise, Yves Panis
AIM: To assess outcome according to location of anastomotic leakage (AL) after side-to-end stapler or manual low colorectal or coloanal anastomosis following laparoscopic total mesorectal excision (TME) for rectal cancer. METHODS: All patients presenting with symptomatic or asymptomatic AL after TME and side-to-end low anastomosis for rectal cancer performed from 2005 to 2014 were identified from our prospective database. CT-scans with contrast enema were reviewed to assess location of AL origin...
January 6, 2018: Colorectal Disease: the Official Journal of the Association of Coloproctology of Great Britain and Ireland
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