keyword
https://read.qxmd.com/read/38340630/ileocecal-colonic-intussusception-with-adenocarcinoma-a-rare-case-report-and-management-strategy
#21
Mohamed Ali Chaouch, Wassim Touir, Maissa Jellali, Sadok Ben Jabra, Besma Gafsi, Faouzi Noomen
INTRODUCTION AND IMPORTANCE: Intussusception, a condition primarily seen in pediatric populations, involves the telescoping of one segment of the bowel into an adjacent section. In adults, intussusception is rare and presents unique diagnostic and management challenges. This case report highlights a 73-year-old female with ileocecal colonic intussusception complicated by an underlying adenocarcinoma, emphasizing the need for early diagnosis and a multidisciplinary approach. CASE PRESENTATION: A 73-year-old female with a history of hypertension and type 2 diabetes presented with right-sided abdominal pain, nausea, and vomiting...
February 8, 2024: International Journal of Surgery Case Reports
https://read.qxmd.com/read/38336762/a-modified-method-for-precise-anastomosis-during-laparoscopic-low-anterior-resection-for-rectal-cancer-the-first-clinical-experience-and-application
#22
MULTICENTER STUDY
Bobo Zheng, Ben Wang, Zeyu Li, Yaqi Qu, Jian Qiu
BACKGROUND: There is no criterion to guide and evaluate the anastomosis of laparoscopic low anterior resection (LAR). We developed a new technique for precise anastomosis. This study endeavored to evaluate the effectiveness and safety of this new technology. METHODS: Patients with mid-low rectal cancer who underwent laparoscopic LAR in our department were enrolled retrospectively between January 1, 2021 and July 1, 2023. During the LAR, the distance between the sacral promontory and the rectal stump was measured and used to determine the length of the sigmoid colon, which was preserved for anastomose...
February 9, 2024: BMC Surgery
https://read.qxmd.com/read/38319746/predicting-colonic-neoplasia-surgical-complications-a-machine-learning-approach
#23
JOURNAL ARTICLE
Chibueze A Nwaiwu, Krissia Rivera Perla, Logan B Abel, Isaac J Sears, Andrew T Barton, Race C Peterson, Yao Z Liu, Ishaani S Khatri, Indra N Sarkar, Nishit Shah
BACKGROUND: A range of statistical approaches have been used to help predict outcomes associated with colectomy. The multifactorial nature of complications suggest that machine learning algorithms may be more accurate in determining postoperative outcomes by detecting nonlinear associations, which are not readily measured by traditional statistics. OBJECTIVE: The aim of this study was to investigate the utility of machine learning algorithms to predict complications in patients undergoing colectomy for colonic neoplasia...
February 6, 2024: Diseases of the Colon and Rectum
https://read.qxmd.com/read/38302723/national-trends-and-outcomes-of-total-proctocolectomy-and-completion-proctectomy-ileal-pouch-anal-anastomosis-procedures-for-ulcerative-colitis
#24
JOURNAL ARTICLE
Sophia Y Chen, Shannon N Radomski, Miloslawa Stem, Joy Z Done, Giorgio Caturegli, Chady Atallah, Jonathan E Efron, Bashar Safar
AIM: The purpose of this study is to assess US operative trends and outcomes of ulcerative colitis (UC) patients undergoing total proctocolectomy with ileal pouch-anal anastomosis (TPC-IPAA) or completion proctectomy with IPAA (CP-IPAA). METHODS: Adult UC patients who underwent TPC-IPAA or CP-IPAA were analysed retrospectively using the 2016-2020 American College of Surgeons National Surgical Quality Improvement Program database. Factors associated with 30-day overall and serious morbidity were identified using multivariable logistic regression...
February 1, 2024: Colorectal Disease
https://read.qxmd.com/read/38302691/rectal-circular-stapler-anastomosis-a-crossover-free-dog-earless-technique
#25
JOURNAL ARTICLE
Yousra Abualnaja, Ian Driver, Arshad Malik
No abstract text is available yet for this article.
February 1, 2024: Colorectal Disease
https://read.qxmd.com/read/38294838/impact-of-biologics-and-small-molecule-agents-on-postoperative-complications-in-inflammatory-bowel-disease-a-systematic-review
#26
JOURNAL ARTICLE
Kate E Lee, J Alexander Sizemore, Grace Kim, Bo Shen, Bruce E Sands
BACKGROUND: Patients with inflammatory bowel disease may require colectomy for severe disease unresponsive or refractory to pharmacological therapy. The question of the impact of biologic use on postoperative complications is a topic of active investigation. OBJECTIVE: A systematic literature review was performed to describe the current state of knowledge of the impact of perioperative biologic and tofacitinib use on postoperative complications in patients with inflammatory bowel disease...
January 31, 2024: Diseases of the Colon and Rectum
https://read.qxmd.com/read/38282071/the-influence-of-preoperative-e-intraoperative-factors-in-predicting-postoperative-morbidity-and-mortality-in-perforated-diverticulitis-a-systematic-review-and-meta-analysis
#27
JOURNAL ARTICLE
Doris Sarmiento-Altamirano, Daniela Neira-Quezada, Emilia Willches-Encalada, Catherine Cabrera-Ordoñez, Rafael Valdivieso-Espinoza, Amber Himmler, Salomone Di Saverio
To determine if preoperative-intraoperative factors such as age, comorbidities, American Society of Anesthesiologists (ASA) classification, body mass index (BMI), and severity of peritonitis affect the rate of morbidity and mortality in patients undergoing a primary anastomosis (PA) or Hartmann Procedure (HP) for perforated diverticulitis. This is a systematic review and meta-analysis, conducted according to PRISMA, with an electronic search of the PubMed, Medline, Cochrane Library, and Google Scholar databases...
January 28, 2024: Updates in Surgery
https://read.qxmd.com/read/38257141/metabolic-and-nutritional-issues-after-lower-digestive-tract-surgery-the-important-role-of-the-dietitian-in-a-multidisciplinary-setting
#28
REVIEW
Alejandra Utrilla Fornals, Cristian Costas-Batlle, Sophie Medlin, Elisa Menjón-Lajusticia, Julia Cisneros-González, Patricia Saura-Carmona, Miguel A Montoro-Huguet
Many patients undergo small bowel and colon surgery for reasons related to malignancy, inflammatory bowel disease (IBD), mesenteric ischemia, and other benign conditions, including post-operative adhesions, hernias, trauma, volvulus, or diverticula. Some patients arrive in the operating theatre severely malnourished due to an underlying disease, while others develop complications (e.g., anastomotic leaks, abscesses, or strictures) that induce a systemic inflammatory response that can increase their energy and protein requirements...
January 12, 2024: Nutrients
https://read.qxmd.com/read/38231409/impact-of-ct-measured-sarcopenic-obesity-on-postoperative-outcomes-following-colon-cancer-surgery
#29
JOURNAL ARTICLE
Mariam Bajawi, Sara Corral, Javier Blázquez, Javier Die, Paula Muñoz, Alberto G Barranquero, Luz Juez, Francisca García-Moreno Nisa
OBJECTIVE: This study aimed to investigate the influence of sarcopenic obesity on anastomotic leak following elective colon resection for non-metastatic colon cancer. Secondary outcomes included overall morbidity, mortality and length of hospital stay. METHODS: This retrospective observational study, conducted at a colorectal surgery referral centre, spanned from January 1, 2015, to January 1, 2020. A total of 544 consecutive patients who underwent elective colon resection were included in the analysis, excluding patients with rectal cancer, urgent surgery, absence of anastomosis, lack of imaging, multivisceral resections and synchronic tumours...
January 17, 2024: Langenbeck's Archives of Surgery
https://read.qxmd.com/read/38205271/the-role-of-open-pore-film-drainage-systems-in-endoscopic-vacuum-therapy-current-status-and-review-of-the-literature
#30
REVIEW
Konstantinos Kouladouros, Dörte Wichmann, Gunnar Loske
BACKGROUND: Endoscopic vacuum therapy (EVT) is an increasingly popular endoscopic technique used for the treatment of wall defects in the gastrointestinal tract. Open-pore film drainage (OFD) systems are a new addition to the armamentarium of EVT and have shown encouraging results in a wide spectrum of applications. The aim of this review is to summarize the current literature on the applications of OFD systems in the gastrointestinal tract. SUMMARY: Open-pore film drainage (OFD) systems have been used for the treatment of several defects of the gastrointestinal tract...
January 2024: Visceral Medicine
https://read.qxmd.com/read/38174165/robotic-sigmoidectomy-with-natural-orifice-specimen-extraction-a-single-center-experience
#31
JOURNAL ARTICLE
Naved Salim, Camryn Daidone, Leslie Smith, Ahsan Raza
Background Natural orifice specimen extraction (NOSE) involves the removal of specimens through a naturally occurring orifice, such as the anus, rather than trans-abdominal extraction. NOSE procedures have been shown to significantly reduce postoperative complications and improve healing.  Objective The purpose of this case series is to report the outcomes of 27 patients undergoing sigmoidectomies through natural orifice specimen extraction. Materials and methods We carefully recorded demographic data on age and BMI, as well as operative data on surgical indication, and length of stay...
December 2023: Curēus
https://read.qxmd.com/read/38158622/stapler-size-independently-predicts-postoperative-complications-following-stapled-ileocolic-anastomosis-a%C3%A2-retrospective-cohort-study
#32
JOURNAL ARTICLE
Zoe Garoufalia, Sameh Hany Emile, Peige Zhou, Rachel Gefen, Nir Horesh, Victor Strassmann, Emeka Ray-Offor, Giovanna DaSilva, Steven D Wexner
AIM: Staplers used in ileocolic anastomosis construction differ in length and height. We assessed the impact of stapler type in creating ileocolic anastomoses on postoperative outcomes. METHODS: This retrospective cohort study of an Institutional Review Board approved database included patients who underwent laparoscopic right colectomy for cancer between January 2011 and August 2021. All patients had construction of extracorporeal antiperistaltic stapled ileocolic anastomosis using a linear cutting stapler...
December 29, 2023: Colorectal Disease
https://read.qxmd.com/read/38157060/risk-factors-that-impact-long-term-outcomes-in-sigmoid-colon-cancer-with-urinary-bladder-involvement
#33
JOURNAL ARTICLE
Vladimir Balaban, Igor Sedakov, Nikolay Bondarenko, Stanislav Zolotukhin, Mingze He, Petr Tsarkov
PURPOSE: This study aimed to identify the risk factors impacting long-term outcomes in patients diagnosed with sigmoid colon cancer with urinary bladder involvement. METHODS: A comprehensive analysis was conducted on a retrospective cohort of 118 patients who underwent multivisceral resection for sigmoid colon cancer with urinary bladder involvement between June 2002 and May 2017. Univariate and multivariate analyses were employed to identify risk factors associated with long-term outcomes...
December 29, 2023: Langenbeck's Archives of Surgery
https://read.qxmd.com/read/38125316/colonic-transposition-using-mid-colon-for-corrosive-oesophageal-strictures
#34
JOURNAL ARTICLE
Vinay H G, Ramesh Reddy G, Ramprashanth M P
PURPOSE: To evaluate mid colon as a viable alternative for reconstruction in diffuse corrosive oesophageal stricture compared to other modes. METHODS: This is a prospective observational study of surgical management of corrosive oesophageal stricture using the colonic interposition graft. Eight patients were included for a period of 4 years from January 2017 to December 2020 and followed up for a mean period of 32 months (range of 24 to 46 months)...
January 2024: Indian Journal of Thoracic and Cardiovascular Surgery
https://read.qxmd.com/read/38096772/maximizing-readmission-reduction-in-colon-cancer-patients
#35
JOURNAL ARTICLE
Mario Schootman, Chenghui Li, Jun Ying, Sonia T Orcutt, Jonathan Laryea
INTRODUCTION: Multiple studies have identified risk factors for readmission in colon cancer patients. We need to determine which risk factors, when modified, produce the greatest decrease in readmission for patients so that limited resources can be used most effectively by implementing targeted evidence-based performance improvements. We determined the potential impact of various modifiable risk factors on reducing 30-d readmission in colon cancer patients. METHODS: We used a cohort design with the 2012-2020 American College of Surgeons' National Surgical Quality Improvement Program data to track colon cancer patients for 30 d following surgery...
December 13, 2023: Journal of Surgical Research
https://read.qxmd.com/read/38088199/intestinal-autotransplantation-for-locally-advanced-or-locally-recurrent-colon-cancer-invading-sma
#36
JOURNAL ARTICLE
Guosheng Wu, Long Zhao, Weiqin Jiang, Chaoxu Liu, Xile Zhou, Wentong Zhang, Jinhai Wang, Tingbo Liang
OBJECTIVE: To examine the outcomes of intestinal autotransplantation (IATx) in patients with locally advanced or recurrent colon cancer (LACC or LRCC) invading the superior mesenteric artery (SMA). BACKGROUND: SMA Involvement in LACC or LRCC is deemed unresectable and is associated with a poor prognosis. Combined extended resections of multiple organs together with SMA, followed by IATx may offer favorable clinical outcomes. However, data on its safety and efficacy are scarce...
December 13, 2023: Annals of Surgery
https://read.qxmd.com/read/38084042/anastomotic-leak-in-colorectal-surgery-predictive-factors-and-survival
#37
JOURNAL ARTICLE
Swetha Prabhakaran, Sowmya Prabhakaran, Wei Mou Lim, Glen Guerra, Alexander G Heriot, Joseph C Kong
<br><b>Introduction:</b> Anastomotic leak (AL) is a serious complication following colorectal surgery.</br> <br><b>Aim:</b> The aim of this study was to identify factors associated with the development of AL and to analyze its impact on survival.</br> <br><b>Materials and methods:</b> All consecutive adult colorectal cancer resections performed between 2007 and 2020 with curative intent and anastomosis formation were included from a prospectively maintained database...
December 20, 2022: Polski Przeglad Chirurgiczny
https://read.qxmd.com/read/38083875/fact-or-fiction-does-the-position-of-the-end-to-end-eea-stapler-spike-matter-for-colorectal-anastomoses-using-a-double-stapled-technique
#38
JOURNAL ARTICLE
Paul Cavallaro, Grace C Lee, Arielle Kanters, Michael Valente, Stefan D Holubar, Bradley Champagne, David Rosen, Emre Gorgun, Scott Steele
AIM: Surgeons often have strong opinions about how to perform colorectal anastomoses with little data to support variations in technique. The aim of this study was to determine if location of the end-to-end (EEA) stapler spike relative to the rectal transection line is associated with anastomotic integrity. METHOD: This study was a retrospective analysis of a quality collaborative database at a quaternary centre and regional hospitals. Patients with any left-sided colon resection with double-stapled anastomosis were included (December 2019 to August 2022)...
January 2024: Colorectal Disease
https://read.qxmd.com/read/38068412/multivisceral-resection-for-locally-advanced-gastric-cancer-a-systematic-review-and-evidence-quality-assessment
#39
REVIEW
Dimitrios Schizas, Ilias Giannakodimos, Konstantinos S Mylonas, Emmanouil I Kapetanakis, Alexandra Papavgeri, Georgios D Lianos, Dionysios Dellaportas, Aikaterini Mastoraki, Andreas Alexandrou
Patients with locally advanced gastric cancer (LAGC) often require multivisceral resection (MVR) of the involved organs to achieve R0 resection and local disease control. The aim of the present study was to systematically review all available literature on the postoperative and long-term outcomes of MVR for gastric cancer. The PubMed database was systematically searched by two independent investigators for studies concerning MVR for LAGC. In total, 30 original studies with 3362 patients met our inclusion criteria...
November 28, 2023: Journal of Clinical Medicine
https://read.qxmd.com/read/38064246/risk-of-proctectomy-after-ileorectal-anastomosis-in-familial-adenomatous-polyposis-in-the-modern-era
#40
JOURNAL ARTICLE
Sudeep Banerjee, Carol A Burke, Joshua Sommovilla, Cristan E Anderson, Margaret O'Malley, Lisa A LaGuardia, Ana C Vazquez Villasenor, Carole Macaron, David Liska
BACKGROUND: Prophylactic surgery for familial adenomatous polyposis has evolved over several decades. Restorative proctocolectomy with IPAA provides an alternative to total abdominal colectomy with ileorectal anastomosis. We have previously shown that the rate of proctectomy and rectal cancer after total abdominal colectomy with ileorectal anastomosis in the "pre-pouch era" was 32% and 13%, respectively. OBJECTIVE: To determine the rate of proctectomy and rectal cancer among familial adenomatous polyposis patients and relative rectal sparing (fewer than 20 rectal polyps) selected for total abdominal colectomy with ileorectal anastomosis in the modern era...
March 1, 2024: Diseases of the Colon and Rectum
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