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Diseases of the Colon and Rectum

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https://www.readbyqxmd.com/read/29944585/outcome-after-redo-surgery-for-complicated-colorectal-and-coloanal-anastomosis-a-systematic-review
#1
Emma Westerduin, Charlotte E L Klaver, Anna A W van Geloven, Marinke Westerterp, Willem A Bemelman, Pieter J Tanis
BACKGROUND: When a colorectal or coloanal anastomosis fails because of persistent leakage or stenosis, or the anastomosis has to be resected for recurrent cancer, constructing a new anastomosis might be an option in selected patients. This is a rare and complex type of redo surgery. OBJECTIVE: The aim of this review was to evaluate the current literature on redo anastomosis for complicated colorectal or coloanal anastomosis. DATA SOURCES: A systematic literature search of MEDLINE, EMBASE, the Cochrane Library, the PROSPERO register, clinicaltrials...
June 25, 2018: Diseases of the Colon and Rectum
https://www.readbyqxmd.com/read/29944584/what-every-colorectal-surgeon-should-know-about-bundled-payments-for-major-bowel-procedures-where-are-we-going
#2
Timothy M Geiger
No abstract text is available yet for this article.
June 25, 2018: Diseases of the Colon and Rectum
https://www.readbyqxmd.com/read/29944583/revisional-and-reconstructive-surgery-for-failing-ipaa-is-associated-with-good-function-and-pouch-salvage-in-highly-selected-patients
#3
Amy L Lightner, Benjamin D Shogan, Kellie L Mathis, David W Larson, Emilie Duchalais, John H Pemberton, Eric J Dozois
BACKGROUND: Revisional and reconstructive surgery for IPAA is rare given the high success of pouch surgery for chronic ulcerative colitis. Limited data exist on both surgical and functional outcomes in patients with chronic ulcerative colitis who undergo IPAA revision or reconstruction. OBJECTIVE: This study aimed to determine the surgical and functional outcome in patients with chronic ulcerative colitis who undergo IPAA revision or reconstruction. DESIGN: A prospectively collected surgical database was accessed for this study...
June 25, 2018: Diseases of the Colon and Rectum
https://www.readbyqxmd.com/read/29944582/histological-comparison-of-cold-versus-hot-snare-resections-of-the-colorectal-mucosa
#4
Daisuke Takayanagi, Daiki Nemoto, Noriyuki Isohata, Shungo Endo, Masato Aizawa, Kenichi Utano, Kensuke Kumamoto, Hiroshi Hojo, Alan Kawarai Lefor, Kazutomo Togashi
BACKGROUND: Delayed postpolypectomy bleeding occurs more frequently after hot resection than after cold resection. OBJECTIVE: To elucidate the underlying mechanism, we performed a histological comparison of tissue after cold and hot snare resections. DESIGN: This is a prospective study, registered in the University Hospital Medical Information Network (UMIN000020104). SETTING: This study was conducted at Aizu Medical Center, Fukushima Medical University, Japan...
June 25, 2018: Diseases of the Colon and Rectum
https://www.readbyqxmd.com/read/29944579/can-endorectal-ultrasound-mri-and-mucosa-integrity-accurately-predict-the-complete-response-for-mid-low-rectal-cancer-after-preoperative-chemoradiation-a-prospective-observational-study-from-a-single-medical-center
#5
Sen Liu, Guang-Xi Zhong, Wei-Xun Zhou, Hua-Dan Xue, Wei-Dong Pan, Lai Xu, Jun-Yang Lu, Bin Wu, Guo-le Lin, Hui-Zhong Qiu, Yi Xiao
BACKGROUND: Patients with locally advanced rectal cancer could be managed by a watch-and-wait approach if they achieve clinical complete response after preoperative chemoradiotherapy. Mucosal integrity, endorectal ultrasound, and rectal MRI are used to evaluate clinical complete response; however, the accuracy remains questionable. Clinical practice based on those assessment methods needs more data and discussion. OBJECTIVE: The aim of this prospective study was to evaluate the accuracy of mucosal integrity, endorectal ultrasound, and rectal MRI to predict clinical complete response after chemoradiotherapy...
June 25, 2018: Diseases of the Colon and Rectum
https://www.readbyqxmd.com/read/29944578/surgical-techniques-for-identification-of-the-prostate-gland-using-the-autonomic-nerve-as-a-landmark-during-transanal-total-mesorectal-excision-secure-dissection-of-the-male-rectourethral-muscle
#6
Jun Watanabe, Atsushi Ishibe, Yusuke Suwa, Hirokazu Suwa, Masashi Momiyama, Mitsuyoshi Ota, Itaru Endo
No abstract text is available yet for this article.
June 25, 2018: Diseases of the Colon and Rectum
https://www.readbyqxmd.com/read/29944577/how-to-insert-a-draining-seton-correctly
#7
Vladimir Bolshinsky, James Church
INTRODUCTION: Misconceptions exist about the proper way to use draining setons in the management of anal fistulas. This technical note lays out the principles for their use. TECHNIQUE: Insertion of draining setons is a prerequisite to successful management of anal fistulas. The correct technique involves identification of the correct track and internal opening and drainage of the track with a silastic seton. This sets the stage for definitive repair after the inflammation subsides...
June 25, 2018: Diseases of the Colon and Rectum
https://www.readbyqxmd.com/read/29944576/patient-perceptions-and-quality-of-life-after-colon-and-rectal-surgery-what-do-patients-really-want
#8
Sean M Wrenn, Antonio Cepeda-Benito, Diego I Ramos-Valadez, Peter A Cataldo
BACKGROUND: Colorectal surgery outcomes must be accurately assessed and aligned with patient priorities. No study to date has investigated the patient's subjective assessment of outcomes most important to them during and following their surgical recovery. Although surgeons greatly value the benefits of laparoscopy, patient priorities remain understudied. OBJECTIVE: This study aimed to assess what aspects of patients' perioperative care and recovery they value most when queried in the postoperative period...
June 25, 2018: Diseases of the Colon and Rectum
https://www.readbyqxmd.com/read/29944575/safe-and-effective-endoscopic-resection-of-massive-colorectal-adenomas-%C3%A2-8-cm-in-a-tertiary-referral-center
#9
Andrew Emmanuel, Shraddha Gulati, Margaret Burt, Bu'Hussain Hayee, Amyn Haji
BACKGROUND: Endoscopic resection of large colorectal lesions is well reported and is the first line of treatment for all noninvasive colorectal neoplasms in many centers, but little is known about the outcomes of endoscopic resection of truly massive colorectal lesions ≥8 cm. OBJECTIVE: We report on the outcomes of endoscopic resection for massive (≥8 cm) colorectal adenomas and compare the outcomes with resection of large (2.0-7.9 cm) lesions. DESIGN: This was a retrospective study...
June 25, 2018: Diseases of the Colon and Rectum
https://www.readbyqxmd.com/read/29771809/use-of-a-robotics-platform-for-surgical-management-of-presacral-tumors
#10
Craig A Messick
No abstract text is available yet for this article.
May 15, 2018: Diseases of the Colon and Rectum
https://www.readbyqxmd.com/read/29771800/left-sided-dominance-of-early-onset-colorectal-cancers-a-rationale-for-screening-flexible-sigmoidoscopy-in-the-young
#11
Lior Segev, Matthew F Kalady, James M Church
BACKGROUND: National databases show a recent significant increase in the incidence of colorectal cancer in people younger than 50. With current recommendations to begin average-risk screening at age 50, these patients do not have the opportunity to be screened. We hypothesized that most of the cancers among the young would be left sided, which would create an opportunity for screening the young by flexible sigmoidoscopy. OBJECTIVE: This study aims to analyze the anatomic distribution of sporadic colorectal cancers in patients under the age of 50...
May 15, 2018: Diseases of the Colon and Rectum
https://www.readbyqxmd.com/read/29697477/utility-scores-and-preferences-for-surgical-and-organ-sparing-approaches-for-treatment-of-intermediate-and-high-risk-rectal-cancer
#12
Alice M Couwenberg, Martijn P W Intven, Johannes P M Burbach, Marleen J Emaus, Wilhelmina M U van Grevenstein, Helena M Verkooijen
BACKGROUND: Organ-sparing approaches, including wait-and-see and local excision, are increasingly being offered to patients with rectal cancer following a good response to neoadjuvant therapy. Preferences regarding these treatment strategies are yet unknown. OBJECTIVE: This study aimed to determine the preferences and utility scores for rectal cancer treatment approaches. DESIGN: This is a cross-sectional study. SETTING: This study was conducted at the Radiation-Oncology Department of the University Medical Center Utrecht...
April 24, 2018: Diseases of the Colon and Rectum
https://www.readbyqxmd.com/read/29994963/the-authors-reply
#13
COMMENT
Bradley R Davis, Kevin R Kasten, Kathleen M Coakley
No abstract text is available yet for this article.
August 2018: Diseases of the Colon and Rectum
https://www.readbyqxmd.com/read/29994962/prophylactic-ureteral-stenting-in-colectomy-patients-who-is-at-risk
#14
COMMENT
Felix Becker, Norbert Senninger
No abstract text is available yet for this article.
August 2018: Diseases of the Colon and Rectum
https://www.readbyqxmd.com/read/29994961/in-patients-undergoing-colorectal-resection-can-preoperative-antibiotics-combined-with-mechanical-bowel-preparation-compared-with-mechanical-bowel-preparation-only-significantly-reduce-surgical-site-infection
#15
COMMENT
https://www.readbyqxmd.com/read/29994960/comparison-of-mesenteric-lengthening-techniques-in-ipaa-an-anatomic-and-angiographic-study-on-fresh-cadavers
#16
Erkin İsmail, Halil İbrahim Açar, Murat Nihat Arslan, İsmail Çoban, Ayhan Cömert, Ahmet Keşşaf Aşlar, Mehmet Ayhan Kuzu
BACKGROUND: The IPAA technique restores anal functionality in patients who have had the large intestine and rectum removed; however, 1 of the most important reasons for pouch failure is tension on the anastomosis. OBJECTIVE: The aim of this study was to compare technical procedures for mesenteric lengthening used for IPAA to reduce this tension. DESIGN: After randomization, 4 different techniques for mesenteric lengthening were performed and compared on fresh cadavers...
August 2018: Diseases of the Colon and Rectum
https://www.readbyqxmd.com/read/29994959/acute-kidney-injury-in-the-age-of-enhanced-recovery-protocols
#17
Taryn E Hassinger, Florence E Turrentine, Robert H Thiele, Bethany M Sarosiek, Timothy L McMurry, Charles M Friel, Traci L Hedrick
BACKGROUND: Acute kidney injury is a prevalent complication after abdominal surgery. With increasing adoption of enhanced recovery protocols, concern exists for concomitant increase in acute kidney injury. OBJECTIVE: This study evaluated effects of enhanced recovery on acute kidney injury through identification of risk factors. DESIGN: This was a retrospective cohort study comparing acute kidney injury rates before and after implementation of enhanced recovery protocol...
August 2018: Diseases of the Colon and Rectum
https://www.readbyqxmd.com/read/29994958/the-obese-colorectal-surgery-patient-surgical-site-infection-and-outcomes
#18
Tyler S Wahl, Fenil C Patel, Lauren E Goss, Daniel I Chu, Jayleen Grams, Melanie S Morris
BACKGROUND: Obese patients undergoing colorectal surgery are at increased risk for adverse outcomes. It remains unclear whether these risks can be further defined with more discriminatory stratifications of obesity. OBJECTIVE: The purpose of this study was to understand the association between BMI and 30-day postoperative outcomes, including surgical site infection, among patients undergoing colorectal surgery. DESIGN: This was a retrospective cohort study...
August 2018: Diseases of the Colon and Rectum
https://www.readbyqxmd.com/read/29994957/expert-commentary-on-neoadjuvant-therapy-for-rectal-cancer
#19
Alessandro Fichera
No abstract text is available yet for this article.
August 2018: Diseases of the Colon and Rectum
https://www.readbyqxmd.com/read/29994956/neoadjuvant-therapy-for-rectal-cancer
#20
Ira L Leeds, Sandy H Fang
No abstract text is available yet for this article.
August 2018: Diseases of the Colon and Rectum
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