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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...
September 20, 2016: Der Chirurg; Zeitschrift Für Alle Gebiete der Operativen Medizen
Amit Chattree, Jamie A Barbour, Siwan Thomas-Gibson, Pradeep Bhandari, Brian P Saunders, Andrew M Veitch, John Anderson, Bjorn J Rembacken, Maurice B Loughrey, Rupert Pullan, William V Garrett, Gethin Lewis, Sunil Dolwani, Matthew D Rutter
AIM: The management of large non-pedunculated colorectal polyps (LNPCP) is complex, with widespread variation in management and outcome, even amongst experienced clinicians. Variation in the assessment and decision-making processes are likely to be a major factor in this variability. The creation of a standardised minimum dataset to aid decision making may therefore result in improved clinical management. METHOD: An official working group of thirteen 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 LNPCP...
September 9, 2016: 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.
August 16, 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 recognised by the Association of Coloproctology of Great Britain and Ireland. Questions included type of centre, frequency of pelvic floor clinics/ inter-disciplinary joint pelvic floor clinics/ multidisciplinary meeting (MDM) and workload. RESULTS: sixty seven (38%) centres replied including 75% of units with a consultant who was as member of the Pelvic Floor Society...
March 30, 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
Samson Tou, Steven R Brown, Richard L Nelson
BACKGROUND: Complete (full-thickness) rectal prolapse is a lifestyle-altering disability that commonly affects older people. The range of surgical methods available to correct the underlying pelvic floor defects in full-thickness rectal prolapse reflects the lack of consensus regarding the best operation. OBJECTIVES: To assess the effects of different surgical repairs for complete (full-thickness) rectal prolapse. SEARCH METHODS: We searched the Cochrane Incontinence Group Specialised Register up to 3 February 2015; it contains trials from the Cochrane Central Register of Controlled Trials (CENTRAL), MEDLINE, MEDLINE in process, ClinicalTrials...
2015: Cochrane Database of Systematic Reviews
Peter C Ambe, Dirk R Wassenberg
BACKGROUND: Hemorrhoidal disease is highly prevalent in the western world. Stapled hemorrhoidopexy also known as the procedure for prolapsed hemorrhoids (pph) has been shown to be superior to conventional hemorrhoidectomy with regard to postoperative pain, length of hospital stay and early return to work. Proctitis following stapled hemorrhoidopexy has not been reported previously. Herein, we report our experience with proctitis in patients following stapled hemorrhoidopexy and question if proctitis could be a complication of stapled hemorrhoidopexy...
2015: Patient Safety in Surgery
N N Alam, D A White, S K Narang, I R Daniels, N J Smart
AIM: There is ambiguity with regard to the optimal management of anal intraepithelial neoplasia (AIN) III. The aim of this review was to assess and compare international/national society guidelines currently available in the literature on the management, treatment and surveillance of AIN III. We also aimed to assess the quality of the studies used to compile the guidelines and to clarify the terminology used in histological assessment. METHOD: An electronic search of PubMed and Embase was performed using the search terms 'anal intraepithelial neoplasia', 'AIN', 'anal cancer', 'guidelines', 'surveillance' and 'management'...
February 2016: Colorectal Disease: the Official Journal of the Association of Coloproctology of Great Britain and Ireland
B Vinson Bonnet, F Juguet
No abstract text is available yet for this article.
December 2015: Journal of Visceral Surgery
T Stornes, A Wibe, B H Endreseth
PURPOSE: The primary aim of this study was to characterise complications, identify predictors of postoperative morbidity and mortality and to evaluate existing risk prediction models in elderly rectal cancer patients. METHODS: An observational single-centre study of 330 consecutive patients >75 years treated in 1994-2006. Analyses were performed by age group: 75-79 years, 80-85 years and >85 years. RESULTS: Total observed in-hospital morbidity was 48...
January 2016: International Journal of Colorectal Disease
Jiří Hoch
No abstract text is available yet for this article.
May 2015: Rozhledy V Chirurgii: Měsíčník Československé Chirurgické Společnosti
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