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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/30230157/metastatic-pattern-and-new-primary-tumors-after-neoadjuvant-therapy-and-surgery-in-rectal-cancer
#1
Patrick Frambach, Salvatore Pucciarelli, Alessandro Perin, Matteo Zuin, Paola Toppan, Isacco Maretto, Emanuele Damiano Luca Urso, Gaya Spolverato
BACKGROUND: Current follow-up guidelines for distant tumor recurrence after rectal cancer surgery are not defined or agreed. AIM: To elucidate the pattern of recurrence over time and provide information that could help direct a strategy for surveillance. METHOD: 378 patients with locally advanced rectal cancer were treated with preoperative chemoradiotherapy and surgery with curative intent. Patients were followed up with a standard protocol, and data were prospectively collected in a dedicated database...
September 19, 2018: Colorectal Disease: the Official Journal of the Association of Coloproctology of Great Britain and Ireland
https://www.readbyqxmd.com/read/30230148/the-impact-of-preoperative-anaemia-and-anaemic-subtype-on-patient-outcome-in-colorectal-cancer
#2
Ryuma Tokunaga, Shigeki Nakagawa, Yuji Miyamoto, Mayuko Ohuchi, Daisuke Izumi, Keisuke Kosumi, Katsunobu Taki, Takaaki Higashi, Tatsunori Miyata, Naoya Yoshida, Hideo Baba
AIM: Preoperative anaemia is associated with adverse outcomes in colorectal cancer (CRC). To clarify the reason, we aimed to comprehensively assess the association of preoperative anaemia with tumour characteristics, host systemic inflammation and nutrition status, and perioperative blood transfusion. METHOD: We used an integrated database of 592 CRC cases. The association of preoperative anaemic subtype, calculated from haemoglobin and erythrocyte mean corpuscular volume levels, with patient outcome, preoperative serum data relating to systemic inflammation and nutrition, and perioperative blood transfusion was analysed...
September 19, 2018: Colorectal Disease: the Official Journal of the Association of Coloproctology of Great Britain and Ireland
https://www.readbyqxmd.com/read/30218632/acceptability-effectiveness-and-safety-of-a-renew-%C3%A2-anal-insert-in-patients-who-have-undergone-restorative-proctocolectomy-with-ileal-pouch-anal-anastomosis
#3
Jonathan P Segal, Cosimo Alex Leo, Jonathan D Hodgkinson, Emanuel Cavazzoni, Elissa Bradshaw, Phillip F C Lung, Rajpandian Ilangovan, Carolynne J Vaizey, Omar D Faiz, Ailsa L Hart, Susan K Clark
INTRODUCTION: Restorative proctocolectomy has gained acceptance in the surgical management of medically refractive ulcerative colitis and cancer prevention in familial adenomatous polyposis. Incontinence following restorative proctocolectomy occurs in up to 25% of patients overnight. The Renew® insert is an inert single use device which acts as an anal plug. The aim of this study was to assess the acceptability, effectiveness and safety of the Renew® insert in patients who have undergone restorative proctocolectomy...
September 15, 2018: Colorectal Disease: the Official Journal of the Association of Coloproctology of Great Britain and Ireland
https://www.readbyqxmd.com/read/30218631/martius-flap-for-repair-of-complex-rectovaginal-fistulas-video-vignette
#4
LETTER
Gaetano Gallo, Alberto Realis Luc, Giuseppe Clerico, Mario Trompetto
Rectovaginal fistula (RVF) is defined as a pathological communication between the rectum and vagina, accounting for 5% of all anorectal fistulae [1]. It is one of the most symptomatic benign diseases in women with a recurrence rate after surgical treatment ranging from between 0 and 80% [2]. Its main aetiological factor is obstetric trauma [3] occuring in 0.1% of women undergoing vaginal delivery [4]. This article is protected by copyright. All rights reserved.
September 15, 2018: Colorectal Disease: the Official Journal of the Association of Coloproctology of Great Britain and Ireland
https://www.readbyqxmd.com/read/30218628/achieving-the-maximum-by-doing-the-minimum-in-the-treatment-of-pilonidal-sinus-where-does-evidence-point
#5
LETTER
Pankaj Garg
The article by Pappas et al highlighted the results of the laser treatment of Pilonidal disease (PND)[1]. Although this treatment seems impressive t there are a few points which merit discussion. The laser treatment had a cure rate of 90% after first surgery[1]. This suggests that any type of excision (simple or wide local excision) is not a mandatory requirement for the cure of PND[1]. This article is protected by copyright. All rights reserved.
September 15, 2018: Colorectal Disease: the Official Journal of the Association of Coloproctology of Great Britain and Ireland
https://www.readbyqxmd.com/read/30216636/laparoscopic-repair-of-massive-morgagni-hernia-video-vignette
#6
LETTER
Shinban Liu, H Hande Aydinli, Vadim Meytes
Morgagni hernias (MH) form due to the failure of pars sternalis closure leading to an anterior-medial septum transversum defect. The majority of these hernias are seen in neonates but can be diagnosed incidentally in adulthood due to their asymptomatic nature. Chronic pain and pulmonary complaints are the most common presentation in adults but more serious life-threatening complications may arise such as acute obstruction, volvulus, or strangulation. We present the case of a 60-year-old female with several new episodes of shortness of breath that woke her up from sleep...
September 14, 2018: Colorectal Disease: the Official Journal of the Association of Coloproctology of Great Britain and Ireland
https://www.readbyqxmd.com/read/30216630/simultaneous-laparoscopic-totally-extraperitoneal-tep-and-transabdominal-preperitoneal-tapp-repair-for-bilateral-inguinal-hernia-in-a-patient-with-a-history-of-robotic-prostatectomy-video-vignette
#7
LETTER
Tahir Koray Yozgatli, Ismail Ahmet Bilgin, Fuat Baris Bengur, Mustafa Bas, Volkan Ozben, Erman Aytac, Bilgi Baca, Ismail Hamzaoglu, Tayfun Karahasanoglu
Patients undergoing radical prostatectomy are under the risk of developing inguinal hernia in the long term, most likely due to the damage to rectus muscle and anterior and posterior rectus sheaths, which loosens the transversalis aponeurosis, which, in turn weakens the internal inguinal ring [1-3]. Repair of these hernias using a laparoscopic approach can be challenging due to intense fibrosis and preperitoneal adhesions [4]. While several studies have shown the safety and feasibility of both totally extraperitoneal (TEP) and transabdominal preperitoneal (TAPP) repair of inguinal hernia in patients with a history of prostatic surgery [5-7], there are limited reports explaining the technical tips and tricks of this complex operation...
September 14, 2018: Colorectal Disease: the Official Journal of the Association of Coloproctology of Great Britain and Ireland
https://www.readbyqxmd.com/read/30216625/rectal-neuroendocrine-tumors-nets-treated-by-esd-with-myectomy-video-vignette
#8
LETTER
Kumpei Honjo, Kure Kazumasa, Hisashi Ro, Kosuke Mizukoshi, Masaya Kawai, Shun Ishiyama, Makoto Takahashi, Yuichi Tomiki, Kazuhiro Sakamoto
Rectal neuroendocrine tumors (NETs) smaller than 10 mm in diameter are generally considered to be less malignant and suitable for endoscopic treatment【1,2】. However, since NETs grow like submucosal tumors (SMTs), conventional endoscopic mucosal resection (EMR) may result in a positive vertical margin. Although the usefulness of endoscopic submucosal dissection (ESD) has recently been reported, no standard treatment has been established. This article is protected by copyright. All rights reserved.
September 14, 2018: Colorectal Disease: the Official Journal of the Association of Coloproctology of Great Britain and Ireland
https://www.readbyqxmd.com/read/30216621/the-reverse-smile-trick-how-to-transform-a-double-stapled-into-a-single-stapled-anastomosis-video-vignette
#9
LETTER
Caterina Foppa, Matteo Sacchi, Antonino Spinelli
Major drawbacks of the double-stapled Knight-Griffen anastomosis are identified as multiple stapler firings1,2 that may be needed for rectal transection and intersecting staple lines 3,4 . These are regarded as two major risks factors for anastomotic leak. This article is protected by copyright. All rights reserved.
September 14, 2018: Colorectal Disease: the Official Journal of the Association of Coloproctology of Great Britain and Ireland
https://www.readbyqxmd.com/read/30199608/colorectal-surgery-and-preoperative-bowel-preparation-aren-t-we-drawing-hasty-conclusions
#10
Laura Beyer-Berjot, Karem Slim
In the mid-2000s, most surgical leading societies assumed that mechanical bowel preparation (MBP) was not indicated in colonic surgery [1-4], and restricted to rectal surgery [1,5]. However, since 2015, several large nationwide American studies [6-16] have challenged these notions, finding concordant benefits of a combination of MBP and oral antibiotics (OA) in both colonic and rectal surgery. As a result, the 2017 joint guidelines of the American Society of Colon and Rectal Surgeons (ASCRS) and the Society of American Gastrointestinal and Endoscopic Surgeons (SAGES) recommended a combination of MBP and OA in colorectal surgery [17]...
September 10, 2018: Colorectal Disease: the Official Journal of the Association of Coloproctology of Great Britain and Ireland
https://www.readbyqxmd.com/read/30199606/advancement-flap-procedure-in-crohn-and-non-crohn-perineal-fistulas-for-a-simple-surgical-approach
#11
Grégoire Bessi, Laurent Siproudhis, Alexandre Merlini l'Héritier, Timothée Wallenhorst, Eric Le Balc'h, Guillaume Bouguen, Charlène Brochard
AIM: Rectal flap advancement is still a part of therapeutic management of anal fistulas. Data on the outcome of rectal flap advancement in patients with Crohn's Disease (CD) is scarce. Our objective was to ascertain rates of failure of rectal flap advancement and to determine predictive factors for failure, with a special focus on CD. METHOD: The patients details, the characteristics of the fistula and the main clinical and therapeutic events were prospectively assessed among patients who underwent rectal flap advancement...
September 10, 2018: Colorectal Disease: the Official Journal of the Association of Coloproctology of Great Britain and Ireland
https://www.readbyqxmd.com/read/30199598/human-papillomavirus-infection-and-colorectal-cancer-in-chinese-population-a-meta-analysis
#12
Xian-Hui Zhang, Wei Wang, Ya-Qi Wang, Dan-Feng Jia, Lei Zhu
AIM: Human papillomavirus (HPV) infection has been reported in colorectal cancer in many studies. We conducted a meta-analysis to access the association between HPV infection and colorectal cancer/adenomas in Chinese population. METHODS: Relevant studies up to January 2018 were search in PubMed, EMBASE, Chinese national knowledge infrastructure and Wanfang database. We used random effects model to determine the HPV prevalence and odds ratios (ORs) with 95% confidence intervals (CIs)...
September 10, 2018: Colorectal Disease: the Official Journal of the Association of Coloproctology of Great Britain and Ireland
https://www.readbyqxmd.com/read/30199140/proctectomy-and-ipaa-for-ulcerative-colitis-with-diffuse-enteritis-after-colectomy-video-vignette
#13
LETTER
Wei Liu, Wei Zhou, Shasha Tang, Xiaolong Ge, Weilin Qi
This is a 25-year-old man with acute severe ulcerative colitis, who underwent an emergency subtotal colectomy 8 months ago. Post-operatively, the patient developed a fever, ileus and a bloody stomal output. Endoscopy revealed deep ulcers in esophagus, stomach, duodenum and small bowel. This article is protected by copyright. All rights reserved.
September 10, 2018: Colorectal Disease: the Official Journal of the Association of Coloproctology of Great Britain and Ireland
https://www.readbyqxmd.com/read/30194908/complete-robotic-lateral-pelvic-node-dissection-using-davinci-xi-platform-in-rectal-cancer-video-vignette
#14
LETTER
Praveen Kammar, Kamlesh Verma, Pavan Sugoor, Avanish Saklani
Anatomical constraints make lateral nodal clearance, in rectal cancer, challanging. Since most of the nodal burden is along the internal iliac/pudendal and obturator arteries (1) significant genitourinary dysfunction is a risk; the degree of dysfunction directly correlating with surgical extent.(2) 3D vision, stable platform, dexterity and precision of robotic system gives an unparalleled advantage over other approaches, to perform this procedure with minimum risk. This article is protected by copyright. All rights reserved...
September 8, 2018: Colorectal Disease: the Official Journal of the Association of Coloproctology of Great Britain and Ireland
https://www.readbyqxmd.com/read/30194903/colonoscopic-removal-of-giant-appendiceal-fecalith-without-appendectomy-for-acute-appendicitis-video-vignette
#15
LETTER
Chao-Wen Hsu
The faecolith is a rigid stool particle seen in the appendicular lumen [1]. It is generally accepted that faecolith is the main etiology of acute appendicitis in adults [2]. A giant appendiceal faecolith (>2 cm) is rare, and only a few cases have been reported [3,4]. Colonoscopic removal of faecolith for appendicitis has been reported in two cases thus far, including one for small faecolith [5] and one for giant faecolith in stump appendicitis[4]. This article is protected by copyright. All rights reserved...
September 8, 2018: Colorectal Disease: the Official Journal of the Association of Coloproctology of Great Britain and Ireland
https://www.readbyqxmd.com/read/30194901/laparoscopic-management-of-bowel-obstruction-due-to-multiple-congenital-adhesion-bands-in-pregnancy-video-vignette
#16
LETTER
Fuat Baris Bengur, Mustafa Bas, Aydin Aktas, Tahir Koray Yozgatli, Ismail Ahmet Bilgin, Volkan Ozben, Erman Aytac, Bilgi Baca, Ismail Hamzaoglu, Tayfun Karahasanoglu
Intestinal obstruction is a rare yet serious complication of pregnancy [1,2]. Congenital bands rarely cause bowel obstruction in patients without a prior history of surgery or trauma [3]. Excluding obstruction related to Ladd bands, the most common location of obstruction due to congenital bands is the terminal ileum, [4]. This article is protected by copyright. All rights reserved.
September 8, 2018: Colorectal Disease: the Official Journal of the Association of Coloproctology of Great Britain and Ireland
https://www.readbyqxmd.com/read/30192431/outcomes-of-treatment-of-faecal-incontinence-with-sacral-nerve-stimulation-a-finnish-multicentre-study
#17
Jaan Kirss, Tarja Pinta, Pirita Varpe, Tero Rautio, Matti Kairaluoma, Marja Hyöty, Saija Hurme, Camilla Böckelman, Valtteri Kairaluoma, Sinikka Salmenkylä, Mikael Victorzon
AIM: The aim of this multicentre study is to report the results of sacral nerve stimulation (SNS) treatment for faecal incontinence (FI) in Finland and determine factors that could influence SNS treatment outcomes. METHOD: This is a national multicentre study, involving all patients tested for SNS implantation in Finland from 1999-2017. Data were collected retrospectively from electronic patient archives and analysed for possible effects on treatment outcome. RESULTS: Of the 432 patients tested for FI with SNS, 365 were female...
September 7, 2018: Colorectal Disease: the Official Journal of the Association of Coloproctology of Great Britain and Ireland
https://www.readbyqxmd.com/read/30184335/intraoperative-fluorescence-angiography-facilitates-tailored-resection-in-ischaemic-colitis-video-vignette
#18
LETTER
Joshua R Burke, Gemma Armstrong, Tamara Mullaney, David Jayne
Acute intestinal ischaemia is a life threatening disease. CT scans may be misleading and can complicate or delay diagnosis. In this video we demonstrate that diagnostic laparoscopy with intraoperative fluorescence angiography (IFA) may be a valuable tool in the assessment of this condition in the acute setting. This article is protected by copyright. All rights reserved.
September 5, 2018: Colorectal Disease: the Official Journal of the Association of Coloproctology of Great Britain and Ireland
https://www.readbyqxmd.com/read/30184334/long-term-outcomes-and-quality-of-life-following-ligation-of-the-intersphincteric-fistula-tract-for-high-transsphincteric-fistulas
#19
Xue-Liang Sun, Ke Wen, Ying-Hui Chen, Zhi-Zhong Xu, Xiao-Peng Wang
AIM: Published outcomes following ligation of the intersphincteric fistula tract (LIFT) for high transsphincteric fistulas (HTFs) are equivocal probably because most trials are small and comprise mixed patient populations. The aim of this study was to highlight the long-term efficacy of LIFT for HTFs in a large homogeneous sample and to determine the risk factors that contribute to nonhealing resulting in failure and recurrence. METHOD: A retrospective study was performed which assessed patients with HTFs treated by LIFT without prior loose-seton from September 2012 to December 2017...
September 5, 2018: Colorectal Disease: the Official Journal of the Association of Coloproctology of Great Britain and Ireland
https://www.readbyqxmd.com/read/30184316/routine-splenic-flexure-mobilization-may-increase-compliance-with-pathologic-quality-metrics-in-patients-undergoing-low-anterior-resection
#20
Tyler J Mouw, Chase King, John H Ashcraft, Joseph D Valentino, Peter J DiPasco, Mazin Al-Kasspooles
AIM: Mandatory splenic flexure mobilization (SFM) has been debated for rectal cancers. Proponents argue that additional mobilization facilitates a tension-free anastomosis; however this is weighed against heightened morbidity. Little is known about how specific techniques impact pathology quality metrics. We aim to determine the impact of SFM on pathology quality metrics for patients undergoing rectal resections for colorectal adenocarcinoma. METHODS: Patients were selected by query of the University of Kansas electronic medical records and the ACS NSQIP database based on CPT codes...
September 5, 2018: Colorectal Disease: the Official Journal of the Association of Coloproctology of Great Britain and Ireland
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