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BACKGROUND: Anastomosis technique following right sided colonic resection is widely variable and may affect patient outcomes. This study aimed to assess the association between leak and anastomosis technique (stapled versus handsewn) METHODS: This was a prospective, multicentre, international audit including patients undergoing elective or emergency right hemicolectomy or ileo-caecal resection operations over a two-month period in early 2015. The primary outcome measure was the presence of anastomotic leak within 30 days of surgery, using a pre-specified definition...
March 6, 2017: Colorectal Disease: the Official Journal of the Association of Coloproctology of Great Britain and Ireland
C E L Klaver, H Groenen, D G Morton, S Laurberg, W A Bemelman, P J Tanis
AIM: This systematic review aimed to provide an overview of (inter)national guidelines on the treatment of peritoneal metastases of colorectal cancer origin (PMCRC) and to determine the degree of consensus and available evidence with identification of topics for future research. METHOD: A systematic search of MEDLINE, EMBASE, PubMed as well as Tripdatabase, National Guideline Clearinghouse, BMJ Best Practice and Guidelines International Network was performed to identify (inter)national guidelines and consensus statements from oncological or surgical societies on PMCRC...
December 23, 2016: Colorectal Disease: the Official Journal of the Association of Coloproctology of Great Britain and Ireland
A G K McNair, N Heywood, J Tiernan, A Verjee, S P Bach, N S Fearnhead
AIM: There is a recognized need to include the views of patients and the public in prioritizing health research. This study aimed: (i) to explore patients' views on colorectal research; and (ii) to prioritize research topics with patients and the public. METHOD: In phase 1, 12 charitable organizations and patient groups with an interest in bowel disease were invited to attend a consultation exercise. Participants were briefed on 25 colorectal research topics prioritized by members of the Association of Coloproctology of Great Britain and Ireland...
January 2017: Colorectal Disease: the Official Journal of the Association of Coloproctology of Great Britain and Ireland
Keun Chul Lee, Heung-Kwon Oh, Gibeom Park, SoHyun Park, Bongwon Suh, Woo Kyung Bae, Jin Won Kim, Hyuk Yoon, Myung Jo Kim, Sung-Il Kang, Il Tae Son, Duck-Woo Kim, Sung-Bum Kang
PURPOSE: The Korean Society of Coloproctology holds its annual colorectal awareness month every September. This study analyzed the users and the contents of Korean tweets regarding colorectal cancer and estimated the transmissibility of the awareness campaign among Twitter users. METHODS: Prospective data collection was employed to accumulate Korean tweets containing the keywords "colorectal cancer," "colorectal cancer awareness campaign," "gold ribbon," and/or "love handle," from August 1 to September 30, 2014...
October 2016: Annals of Coloproctology
Michele Rubbini
Many documents from the International Institutions point out that Health represents an engine of economic and social development. Based on these documents and concepts, the European Parliament decided to create a system of European Reference Networks as a synthesis of clinical and research activities, particularly in the field of rare diseases. This initiative, properly implemented, could be first step towards a new European health system. This article instead, wanting to deepen this perspective, postulates that the ERNs may also be related to widespread diseases, such as those of coloproctological interest, with the aim of setting up a European Network of Coloproctology (ENCP)...
December 2016: Updates in Surgery
Z Lakkis, G Manceau, V Bridoux, A Brouquet, S Kirzin, L Maggiori, C de Chaisemartin, J H Lefevre, Y Panis
AIM: Rectal cancer is a malignant disease requiring multidisciplinary management. In view of the increasing number of studies published over the past decade, a comprehensive update is required to draw recommendations for clinical practice mandated by the French Research Group of Rectal Cancer Surgery and the French National Coloproctology Society. METHOD: Seven questions summarizing the treatment of rectal cancer were selected. A search for evidence in the literature from January 2004 to December 2015 was performed...
February 2017: Colorectal Disease: the Official Journal of the Association of Coloproctology of Great Britain and Ireland
(no author information available yet)
No abstract text is available yet for this article.
October 2016: Colorectal Disease: the Official Journal of the Association of Coloproctology of Great Britain and Ireland
(no author information available yet)
No abstract text is available yet for this article.
September 2016: Colorectal Disease: the Official Journal of the Association of Coloproctology of Great Britain and Ireland
O Schwandner
Anterior rectocele is a common morphological condition in patients with obstructive defecation syndrome. Typical symptoms include incomplete evacuation, transanal or transvaginal digitation and soiling, which is frequently interpreted as fecal incontinence. Diagnosis of rectocele is made clinically and functional assessment of rectocele can be performed by dynamic imaging, e.g. by magnetic resonance (MR) defecography. Primary treatment should be conservative. Concerning surgical treatment, transanal, transperineal, transvaginal and transabdominal procedures are available...
November 2016: Der Chirurg; Zeitschrift Für Alle Gebiete der Operativen Medizen
A Chattree, J A Barbour, S Thomas-Gibson, P Bhandari, B P Saunders, A M Veitch, J Anderson, B J Rembacken, M B Loughrey, R Pullan, W V Garrett, G Lewis, S Dolwani, M D Rutter
AIM: The management of large non-pedunculated colorectal polyps (LNPCPs) is complex, with widespread variation in management and outcome, even amongst experienced clinicians. Variations in the assessment and decision-making processes are likely to be a major factor in this variability. The creation of a standardized minimum dataset to aid decision-making may therefore result in improved clinical management. METHOD: An official working group of 13 multidisciplinary specialists was appointed by the Association of Coloproctology of Great Britain and Ireland (ACPGBI) and the British Society of Gastroenterology (BSG) to develop a minimum dataset on LNPCPs...
January 2017: Colorectal Disease: the Official Journal of the Association of Coloproctology of Great Britain and Ireland
Colin J Rees, Siwan Thomas Gibson, Matt D Rutter, Phil Baragwanath, Rupert Pullan, Mark Feeney, Neil Haslam
Colonoscopy should be delivered by endoscopists performing high quality procedures. The British Society of Gastroenterology, the UK Joint Advisory Group on GI Endoscopy, and the Association of Coloproctology of Great Britain and Ireland have developed quality assurance measures and key performance indicators for the delivery of colonoscopy within the UK. This document sets minimal standards for delivery of procedures along with aspirational targets that all endoscopists should aim for.
December 2016: Gut
A Davenport, J Morris, S A Pritchard, E Salmo, M Scott, N Y Haboubi
BACKGROUND: Malignant colorectal polyps (MCRP) have become a major challenge in the field of coloproctology from diagnosis to full treatment. One important facet of the challenge is the histopathological staging of the lesion and identifying various prognostic parameters. The primary aim of this study was to find the interobserver variation amongst 4 experienced gastrointestinal pathologists when assessing important parameters and staging systems (Haggitt, Kikuchi and Ueno) in MCRPs. METHODS: Four experienced gastrointestinal pathologists independently assessed 56 cases of MCRP, and each pathologist completed a pro forma for each case...
September 2016: Techniques in Coloproctology
Kathryn Oakland, Richard Guy, Raman Uberoi, Frances Seeney, Gary Collins, John Grant-Casey, Neil Mortensen, Mike Murphy, Vipul Jairath
INTRODUCTION: Acute lower gastrointestinal bleeding (LGIB) is a common indication for emergency hospitalisation worldwide. In contrast to upper GIB, patient characteristics, modes of investigation, transfusion, treatment and outcomes are poorly described. There are minimal clinical guidelines to inform care pathways and the use of endoscopy, including (diagnostic and therapeutic yields), interventional radiology and surgery are poorly defined. As a result, there is potential for wide variation in practice and clinical outcomes...
August 4, 2016: BMJ Open
M Kim, G Meurette, R Ragu, P A Lehur
BACKGROUND: The aim of this study was to perform a survey on the surgical management of obstructed defecation (OD) across advocated selected coloproctological experts across Europe. METHODS: Surgeons from 42 centers of coloproctology in Europe were asked to complete a questionnaire, including seven questions about their past and present operative treatment strategy for patients with OD. RESULTS: The questionnaire was completed by 32 experts of pelvic floor surgery in 13 European countries...
June 2016: Techniques in Coloproctology
A J Hainsworth, A M P Schizas, S Brown, A B Williams
AIM: The study aimed to determine the current state of UK pelvic floor services and to discuss future strategies. METHOD: A questionnaire developed by the Pelvic Floor Society was sent in 2014 to the 175 colorectal units recognized by the Association of Coloproctology of Great Britain and Ireland. Questions included type of centre, frequency of pelvic floor clinics/interdisciplinary joint pelvic floor clinics/multidisciplinary meetings (MDMs) and workload. RESULTS: Sixty-seven (38%) centres replied including 75% of units with a consultant who was as member of the Pelvic Floor Society...
November 2016: Colorectal Disease: the Official Journal of the Association of Coloproctology of Great Britain and Ireland
P Moya, P Parra, A Arroyo, E Peña, J Benavides, R Calpena
BACKGROUND: Sacral nerve stimulation and percutaneous posterior tibial nerve stimulation have been described previously as effective treatments for fecal incontinence. Nevertheless, there does not exist any study that compares the efficiency of both. The aim of this study was to compare the use of SNS and PPTNS in males with FI. METHODS: We conducted a prospective cohort study on men with FI treated with SNS or PTNS in the Coloproctology Unit of the University General Hospital of Elche and Reina Sofia of Murcia between January 2010 and December 2011...
May 2016: Techniques in Coloproctology
Nicholas Farkas, Kohmal Solanki, Adam E Frampton, John Black, Ashish Gupta, Nicholas J West
BACKGROUND: Anal fissure is one of the commonest proctological diseases with considerable national variation in sequential treatment. We aimed to audit our compliance of chronic anal fissure (CAF) management with national guidance provided by the Association of Coloproctology of Great Britain and Ireland (ACPGBI). METHODS: We retrospectively audited patients presenting to outpatient clinics with CAF over a 6-month period. Using electronic patient records, notes and clinic letters, we compared their management with ACPGBI algorithm...
February 2016: Annals of Medicine and Surgery
E J de Groof, V N Cabral, C J Buskens, D G Morton, D Hahnloser, W A Bemelman
AIM: Treatment of perianal fistula has evolved with the introduction of new techniques and biologicals in Crohn's disease (CD). Several guidelines are available worldwide, but many recommendations are controversial or lack high-quality evidence. The aim of this work was to provide an overview of the current available national and international guidelines for perianal fistula and to analyse areas of consensus and areas of conflicting recommendations, thereby identifying topics and questions for future research...
April 2016: Colorectal Disease: the Official Journal of the Association of Coloproctology of Great Britain and Ireland
S N Scherba, V N Bensman
The bacterial analysis of wound secretion of perineal wounds before their closure in coloproctologic patients established microbial contamination of 92% of cases. The post-operative wound abscesses, developed against this background, made up to 16.7% in control group and only 2% (p < 0.001) in main group where technique of double crossed prolonged flow suction drainage was applied In all patients with developed wound abscesses the monocultures of microorganisms or their associations were obtained by intraoperational way...
October 2015: Klinicheskaia Laboratornaia Diagnostika
A Hajji, X Deffieux
INTRODUCTION: The subjects presented at scientific congresses often remain confidential because of the non-indexation of the communications. A subsequent publication is necessary for the dissemination of knowledge. The value of a congress is somehow rated by the level of its publications. OBJECTIVES: To analyze, quantitatively and qualitatively, the fate of the communications presented orally at the annual meeting of the SIFUD-PP between 2006 and 2012. METHOD: From the authors' names and the title of the communications presented orally at congresses between 2006 and 2012, we investigated if those communications had resulted as an indexed publication PubMed/Medline until April 2015...
September 2016: Progrès en Urologie
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