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Clinics in Colon and Rectal Surgery

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https://www.readbyqxmd.com/read/30186053/colorectal-lymphoma-a-review
#1
REVIEW
Nathan D Gay, Andy Chen, Craig Y Okada
Non-Hodgkin lymphoma (NHL) that primarily involves the colon is rare and should be distinguished from the more common systemic nodal lymphoma. It has unique clinical expectations and management consideration. Different histologic subtypes of NHL involve the colon, which varies in the clinical behavior and likelihood of obtaining durable remissions with treatment. This article will review the current understanding of the different histologic subtypes of primary colorectal lymphoma and propose management algorithms...
September 2018: Clinics in Colon and Rectal Surgery
https://www.readbyqxmd.com/read/30186052/small-bowel-and-colorectal-carcinoids
#2
REVIEW
Raphael M Byrne, Rodney F Pommier
Neuroendocrine tumors, or carcinoid tumors, of both the midgut and hindgut are quite rare, but their incidence is increasing. Surgery is the treatment of choice in patients who can tolerate an operation and have operable disease. Options for the treatment of metastatic disease include cytoreductive surgery, somatostatin analogues, interferon α, local liver therapies (hepatic arterial embolization, ablation), chemotherapy, Peptide-Receptor Radionucleotide Radiotherapy, angiogenesis inhibitors, and mammalian target of rapamycin inhibitors...
September 2018: Clinics in Colon and Rectal Surgery
https://www.readbyqxmd.com/read/30186051/gastrointestinal-stromal-tumors-of-the-distal-gastrointestinal-tract
#3
REVIEW
Katherine A Kelley, Raphael Byrne, Kim C Lu
Gastrointestinal stromal tumors (GISTs) are rare in occurrence, but comprise the most common mesenchymal tumors of the gastrointestinal tract and affect between 15 and 20 individuals per million per year. Due to recent advancements in molecular classification of these tumors, medical therapy has provided improved outcomes to a historically surgically managed disease. This review article briefly discusses the molecular characteristics, medical and surgical therapies, and future of GIST management.
September 2018: Clinics in Colon and Rectal Surgery
https://www.readbyqxmd.com/read/30186050/the-role-of-cytoreductive-surgery-and-hyperthermic-intraperitoneal-chemotherapy-for-appendiceal-tumors-and-colorectal-adenocarcinomas
#4
REVIEW
Michael Kuncewitch, Edward A Levine, Perry Shen, Konstantinos I Votanopoulos
Peritoneal surface disease (PSD) has historically been used interchangeably with the term peritoneal carcinomatosis (PC) and has a dismal natural history. A variety of malignant pathologies, including colorectal and appendiceal primary tumors, can disseminate throughout the peritoneal cavity, leading to bowel obstruction and death. In general, peritoneal spread from high-grade appendiceal and colorectal primaries has the potential of hepatic and distant spread and best classified as PC. Low-grade appendiceal tumors are better categorized as PSD, due to low cellularity, high mucin production, and lack of potential spread outside the peritoneal cavity...
September 2018: Clinics in Colon and Rectal Surgery
https://www.readbyqxmd.com/read/30186049/appendiceal-neoplasms
#5
REVIEW
Quinton M Hatch, Erin W Gilbert
Appendiceal neoplasms are identified in 0.9 to 1.4% of appendiceal specimens, and the incidence is increasing. It has long been professed that neuroendocrine tumors (formerly carcinoids) are the most common neoplastic process of the appendix; recent data, however, has suggested a shift in epidemiology. Our intent is to distill the complex into an algorithm, and, in doing so, enable the surgeon to seamlessly maneuver through operative decisions, treatment strategies, and patient counseling. The algorithm for evaluation and treatment is complex, often starts from the nonspecific presenting complaint of appendicitis, and relies heavily on often subtle histopathologic differences...
September 2018: Clinics in Colon and Rectal Surgery
https://www.readbyqxmd.com/read/30186048/small-bowel-adenocarcinoma
#6
REVIEW
Emerson Y Chen, Gina M Vaccaro
Small bowel adenocarcinoma is a clinically and anatomically distinct gastrointestinal cancer that lacks prospective data to support its optimal management. Patients with inflammatory bowel disease and inherited conditions that cause gastrointestinal polyps are at especially high risk. Due to a lack of effective surveillance programs resulting in missed or delayed diagnoses only when symptoms develop, this disease is generally discovered at an advanced stage. Surgical resection is the only treatment modality with a chance of cure...
September 2018: Clinics in Colon and Rectal Surgery
https://www.readbyqxmd.com/read/30186047/-miscellaneous-tumors-of-the-small-bowel-and-colon-and-rectum
#7
V Liana Tsikitis
No abstract text is available yet for this article.
September 2018: Clinics in Colon and Rectal Surgery
https://www.readbyqxmd.com/read/30186046/vassiliki-liana-tsikitis-md-mcr-facs-fascrs
#8
Scott R Steele
No abstract text is available yet for this article.
September 2018: Clinics in Colon and Rectal Surgery
https://www.readbyqxmd.com/read/29942217/uncommon-diverticular-disease
#9
REVIEW
Sanjay Mohanty, Shawn P Webb
This article describes the epidemiology, pathogenesis, diagnosis, and treatment of three rare variants of diverticular disease: cecal and right-sided colonic diverticula, giant colonic diverticula, and small bowel diverticula.
July 2018: Clinics in Colon and Rectal Surgery
https://www.readbyqxmd.com/read/29942216/evaluation-of-quality-of-life-and-surgical-outcomes-for-treatment-of-diverticular-disease
#10
REVIEW
Mayin Lin, Shankar R Raman
The prevalence of diverticular disease in the Western and industrialized nations has increased over the last century, and our understanding of this disease and its management continues to evolve. In this article, we review the literature regarding the postoperative quality of life (QOL) and functional outcomes following surgical management of diverticulitis, including information regarding bowel function, recurrence of symptoms, and other postoperative sequelae. While objective parameters, such as attacks of diverticulitis, complications, and clinical episodes have been studied, there is a paucity of data on less objective factors, such as overall patient satisfaction after operative management of diverticular disease...
July 2018: Clinics in Colon and Rectal Surgery
https://www.readbyqxmd.com/read/29942215/management-of-diverticular-bleeding-evaluation-stabilization-intervention-and-recurrence-of-bleeding-and-indications-for-resection-after-control-of-bleeding
#11
REVIEW
Mohammed Iyoob Mohammed Ilyas, Eric J Szilagy
Diverticular bleeding is the most common cause of lower gastrointestinal bleeding with nearly 200,000 admissions in the United States annually. Less than 5% of patients with diverticulosis present with diverticular bleeding and present usually as painless, intermittent, and large volume of lower gastrointestinal bleeding. Management algorithm for patients presenting with diverticular bleeding includes resuscitation followed by diagnostic evaluation. Colonoscopy is the recommended first-line investigation and helps in identifying the stigmata of recent hemorrhage and endoscopic management of the bleeding...
July 2018: Clinics in Colon and Rectal Surgery
https://www.readbyqxmd.com/read/29942214/surgical-management-of-diverticular-disease-in-the-elective-setting
#12
REVIEW
Jeffrey A Neale
Diverticulosis is a common condition that has increased in prevalence in industrialized countries over the past century. Estimates of developing diverticular disease in the United states range from 5% by 40 years of age up, to over 80% by age 80. It is estimated that approximately 20% of patients with diverticulosis develop diverticulitis over the course of their lifetime. Diverticular disease can be divided into simple and chronic diverticulitis with various sub categories. There are various instances and circumstances where elective resection is indicated for both complex and simple forms of this disease process...
July 2018: Clinics in Colon and Rectal Surgery
https://www.readbyqxmd.com/read/29942213/current-options-for-the-emergency-management-of-diverticular-disease-and-options-to-reduce-the-need-for-colostomy
#13
REVIEW
Dimitra Theodoropoulos
This article reviews the current options and recommendations for the emergency management of acute diverticulitis, including the spectrum of antibiotics, percutaneous drainage, laparoscopic lavage, and surgical options for resection with the restoration of bowel continuity.
July 2018: Clinics in Colon and Rectal Surgery
https://www.readbyqxmd.com/read/29942212/management-of-diverticular-disease-in-the-setting-of-other-colorectal-pathology-data-on-simultaneous-issues-in-segmental-colitis-inflammatory-bowel-disease-cancer-and-complications
#14
REVIEW
Nasrin Ghalyaie
Diverticulosis of the colon is a very common anatomical condition. In the Western world, it affects more than 70% of over 65 years old population and represents the fifth most important gastrointestinal disease in terms of health care costs in Western countries. The diagnosis of diverticular disease and diverticulitis can be challenging. Often, there is overlap with other colonic pathologies, such as segmental colitis, ischemia, inflammatory bowel disease, cancer, or infectious colitis. Management of diverticular disease in these settings might be different...
July 2018: Clinics in Colon and Rectal Surgery
https://www.readbyqxmd.com/read/29942211/considerations-and-changes-in-the-evaluation-management-and-outcomes-in-the-management-of-diverticular-disease-the-diagnosis-pathology-and-treatment-of-diverticular-colitis
#15
REVIEW
Robert J Kucejko, Juan L Poggio
Diverticular colitis, also known as segmental colitis associated with diverticulosis, is a colonic inflammatory disorder on the spectrum of inflammatory bowel disease (IBD). The disease consists of macroscopic and microscopic inflammation affecting inter-diverticular mucosa, sparing peri-diverticular mucosa, with inflammation confined to the descending and sigmoid colon. The disease likely arises from the altered immune response of an individual, genetically susceptible to the IBD spectrum of diseases. Patients with segmental colitis associated with diverticulosis (SCAD) are typically older, and likely represent a subgroup of IBD-susceptible patients who lacked an environmental trigger until that point in their life...
July 2018: Clinics in Colon and Rectal Surgery
https://www.readbyqxmd.com/read/29942210/current-status-of-the-radiologic-assessment-of-diverticular-disease
#16
REVIEW
Pridvi G Kandagatla, Amalia J Stefanou
Radiologic assessment plays a vital role in the management of diverticulitis. It not only helps in the diagnosis, but also helps to guide the management. As technology has progressed, different modalities have offered insight into the treatment of this disease process. Through various trials and studies, certain modalities stand above the rest in terms of sensitivity and specificity. Computed tomography (CT) imaging has also proved to help us guide the management through a grading system. Newer studies show us the advantages of other modalities such as ultrasound and magnetic resonance imaging (MRI)...
July 2018: Clinics in Colon and Rectal Surgery
https://www.readbyqxmd.com/read/29942209/medical-management-of-diverticular-disease
#17
REVIEW
Liam Knott, Craig A Reickert
This article reviews the current literature supporting the non-surgical options for treatment in acute uncomplicated diverticulitis, complicated diverticulitis, and options for prevention of recurrent diverticulitis.
July 2018: Clinics in Colon and Rectal Surgery
https://www.readbyqxmd.com/read/29942208/epidemiology-and-pathophysiology-of-diverticular-disease
#18
REVIEW
Semeret T Munie, Surya P M Nalamati
Colonic diverticular disease is a common health care issue which has historically been attributed to western countries and older age population. Recent studies have shown a rise in incidence among developing countries that have adopted western diets as well as rise in prevalence among younger patients. In this article, the authors discuss the incidence, epidemiology, and pathophysiology of colonic diverticular disease.
July 2018: Clinics in Colon and Rectal Surgery
https://www.readbyqxmd.com/read/29942207/diverticular-disease
#19
Craig A Reickert
No abstract text is available yet for this article.
July 2018: Clinics in Colon and Rectal Surgery
https://www.readbyqxmd.com/read/29942206/craig-a-reickert-md-facs-fascrs
#20
Scott R Steele
No abstract text is available yet for this article.
July 2018: Clinics in Colon and Rectal Surgery
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