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Colorectal

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15 papers 25 to 100 followers
https://www.readbyqxmd.com/read/27322187/early-closure-of-a-temporary-ileostomy-in-patients-with-rectal-cancer-a-multicenter-randomized-controlled-trial
#1
Anne K Danielsen, Jennifer Park, Jens E Jansen, David Bock, Stefan Skullman, Anette Wedin, Adiela Correa Marinez, Eva Haglind, Eva Angenete, Jacob Rosenberg
OBJECTIVE: The objective was to study morbidity and mortality associated with early closure (8-13 days) of a temporary stoma compared with standard procedure (closure after > 12 weeks) after rectal resection for cancer. BACKGROUND: A temporary ileostomy may reduce the risk of pelvic sepsis after anastomotic dehiscence. However, the temporary ileostomy is afflicted with complications and requires a second surgical procedure (closure) with its own complications...
June 17, 2016: Annals of Surgery
https://www.readbyqxmd.com/read/27304798/clinical-practice-guidelines-for-colorectal-cancer-screening-new-recommendations-and-new-challenges
#2
EDITORIAL
David F Ransohoff, Harold C Sox
No abstract text is available yet for this article.
June 21, 2016: JAMA: the Journal of the American Medical Association
https://www.readbyqxmd.com/read/25110994/feasibility-of-reirradiation-in-the-treatment-of-locally-recurrent-rectal-cancer-br-j-surg-2014-101-1280-1289
#3
COMMENT
A G Heriot
No abstract text is available yet for this article.
September 2014: British Journal of Surgery
https://www.readbyqxmd.com/read/25088598/colorectal-cancer-screening
#4
R J C Steele
No abstract text is available yet for this article.
October 2014: British Journal of Surgery
https://www.readbyqxmd.com/read/25087854/readmissions-after-ileostomy-closure-cause-to-revisit-a-standardized-enhanced-recovery-pathway
#5
Deborah S Keller, Brian Swendseid, Sadaf Khan, Conor P Delaney
BACKGROUND: Our objective was to evaluate ileostomy reversal patients managed with a standardized enhanced recovery pathway to identify factors associated with readmissions. METHODS: Prospective review database identified ileostomy reversal patients. Variables for the index admission and readmission were evaluated. RESULTS: Three hundred thirty-two patients were analyzed. The primary diagnosis was colorectal cancer (57.6%). Thirteen percent of the patients were discharged by postoperative day (POD) 1, 47% by POD 2, and 65% by POD 3...
October 2014: American Journal of Surgery
https://www.readbyqxmd.com/read/24947893/incorporation-of-apical-lymph-node-status-into-the-seventh-edition-of-the-tnm-classification-improves-prediction-of-prognosis-in-stage-iii-colonic-cancer
#6
MULTICENTER STUDY
H Kawada, N Kurita, F Nakamura, J Kawamura, S Hasegawa, K Kotake, K Sugihara, S Fukuhara, Y Sakai
BACKGROUND: The node classification outlined in the seventh edition of the TNM classification is based solely on the number of metastasized lymph nodes. This study examined the prognostic value of apical lymph node (ALN) metastasis and the additional value of incorporating ALN status into a risk model based on the seventh edition. METHODS: This was a cohort study of patients with stage III colonic cancer who underwent tumour resection with dissection of regional (including apical) lymph nodes at 71 hospitals across Japan between 2000 and 2002...
August 2014: British Journal of Surgery
https://www.readbyqxmd.com/read/24916313/cardiopulmonary-exercise-testing-for-the-prediction-of-morbidity-risk-after-rectal-cancer-surgery
#7
M A West, M G Parry, D Lythgoe, C P Barben, G J Kemp, M P W Grocott, S Jack
BACKGROUND: This study investigated the relationship between objectively measured physical fitness variables derived by cardiopulmonary exercise testing (CPET) and in-hospital morbidity after rectal cancer surgery. METHODS: Patients scheduled for rectal cancer surgery underwent preoperative CPET (reported blind to patient characteristics) with recording of morbidity (recorded blind to CPET variables). Non-parametric receiver operating characteristic (ROC) curves and logistic regression were used to assess the relationship between CPET variables and postoperative morbidity...
August 2014: British Journal of Surgery
https://www.readbyqxmd.com/read/24485152/accordion-complication-grading-predicts-short-term-outcome-after-right-colectomy
#8
Coen L Klos, Bashar Safar, Steven R Hunt, Paul E Wise, Elisa H Birnbaum, Matthew G Mutch, James W Fleshman, Sekhar Dharmarajan
BACKGROUND: The Accordion severity grading system is a novel system to score the severity of postoperative complications in a standardized fashion. This study aims to demonstrate the validity of the Accordion system in colorectal surgery by correlating severity grades with short-term outcomes after right colectomy for colon cancer. METHODS: This is a retrospective cohort review of patients who underwent right colectomy for cancer between January 1, 2002, and January 31, 2007, at a single tertiary care referral center...
August 2014: Journal of Surgical Research
https://www.readbyqxmd.com/read/24430321/sigmoid-diverticulitis-a-systematic-review
#9
REVIEW
Arden M Morris, Scott E Regenbogen, Karin M Hardiman, Samantha Hendren
IMPORTANCE: Diverticulitis is a common disease. Recent changes in understanding its natural history have substantially modified treatment paradigms. OBJECTIVE: To review the etiology and natural history of diverticulitis and recent changes in treatment guidelines. EVIDENCE REVIEW: We searched the MEDLINE and Cochrane databases for English-language articles pertaining to diagnosis and management of diverticulitis published between January 1, 2000, and March 31, 2013...
January 15, 2014: JAMA: the Journal of the American Medical Association
https://www.readbyqxmd.com/read/24239530/improved-perioperative-and-short-term-outcomes-of-robotic-versus-conventional-laparoscopic-colorectal-operations
#10
COMPARATIVE STUDY
Mark A Casillas, Stefan W Leichtle, Wendy L Wahl, Richard M Lampman, Kathleen B Welch, Trisha Wellock, Erin B Madden, Robert K Cleary
BACKGROUND: Robotic assistance may offer unique advantages over conventional laparoscopy in colorectal operations. METHODS: This prospective observational study compared operative measures and postoperative outcomes between laparoscopic and robotic abdominal and pelvic resections for benign and malignant disease. RESULTS: From 2005 through 2012, 200 (58%) laparoscopic and 144 (42%) robotic operations were performed by a single surgeon. After adjustment for differences in demographics and disease processes using propensity score matching, all laparoscopic operations had a significantly shorter operative time (P < ...
July 2014: American Journal of Surgery
https://www.readbyqxmd.com/read/24169163/reduction-of-postoperative-ileus-by-early-enteral-nutrition-in-patients-undergoing-major-rectal-surgery-prospective-randomized-controlled-trial
#11
RANDOMIZED CONTROLLED TRIAL
Petra G Boelens, Fanny F B M Heesakkers, Misha D P Luyer, Kevin W Y van Barneveld, Ignace H J T de Hingh, Grard A P Nieuwenhuijzen, Arnout N Roos, Harm J T Rutten
BACKGROUND: The current trend in postoperative nutrition is to promote a normal oral diet as early as possible. However, postoperative ileus is a frequent and common problem after major abdominal surgery. This study was designed to investigate whether early enteral nutrition (EEN), as a bridge to a normal diet, can reduce postoperative ileus. METHODS: Patients undergoing major rectal surgery for locally advanced primary or recurrent rectal carcinoma (after neoadjuvant (chemo)-radiation, with or without intraoperative radiotherapy) were randomly assigned to EEN (n = 61) or early parenteral nutrition (EPN, n = 62) in addition to an oral diet...
April 2014: Annals of Surgery
https://www.readbyqxmd.com/read/22290281/randomized-clinical-trial-of-antibiotics-in-acute-uncomplicated-diverticulitis
#12
RANDOMIZED CONTROLLED TRIAL
A Chabok, L Påhlman, F Hjern, S Haapaniemi, K Smedh
BACKGROUND: The standard of care for acute uncomplicated diverticulitis today is antibiotic treatment, although there are no controlled studies supporting this management. The aim was to investigate the need for antibiotic treatment in acute uncomplicated diverticulitis, with the endpoint of recovery without complications after 12 months of follow-up. METHODS: This multicentre randomized trial involving ten surgical departments in Sweden and one in Iceland recruited 623 patients with computed tomography-verified acute uncomplicated left-sided diverticulitis...
April 2012: British Journal of Surgery
https://www.readbyqxmd.com/read/18254064/systemic-prokinetic-pharmacologic-treatment-for-postoperative-adynamic-ileus-following-abdominal-surgery-in-adults
#13
REVIEW
U Traut, L Brügger, R Kunz, C Pauli-Magnus, K Haug, H C Bucher, M T Koller
BACKGROUND: Postoperative adynamic bowel atony interferes with recovery following abdominal surgery. Prokinetic pharmacologic drugs are widely used to accelerate postoperative recovery. OBJECTIVES: To evaluate the benefits and harms of systemic acting prokinetic drugs to treat postoperative adynamic ileus in patients undergoing abdominal surgery. SEARCH STRATEGY: Trials were identified by computerised searches of the Cochrane Central Register of Controlled Trials, MEDLINE, EMBASE, and the Cochrane Colorectal Cancer Group specialised register...
2008: Cochrane Database of Systematic Reviews
https://www.readbyqxmd.com/read/18156032/mechanical-bowel-preparation-for-elective-colorectal-surgery-a-multicentre-randomised-trial
#14
RANDOMIZED CONTROLLED TRIAL
Caroline M E Contant, Wim C J Hop, Hans Pieter van't Sant, Henk J M Oostvogel, Harm J Smeets, Laurents P S Stassen, Peter A Neijenhuis, Floris J Idenburg, Cees M Dijkhuis, Piet Heres, Willem F van Tets, Jos J G M Gerritsen, Wibo F Weidema
BACKGROUND: Mechanical bowel preparation is a common practice before elective colorectal surgery. We aimed to compare the rate of anastomotic leakage after elective colorectal resections and primary anastomoses between patients who did or did not have mechanical bowel preparation. METHODS: We did a multicentre randomised non-inferiority study at 13 hospitals. We randomly assigned 1431 patients who were going to have elective colorectal surgery to either receive mechanical bowel preparation or not...
December 22, 2007: Lancet
https://www.readbyqxmd.com/read/17253517/ileostomy-or-colostomy-for-temporary-decompression-of-colorectal-anastomosis
#15
REVIEW
K F Güenaga, S A S Lustosa, S S Saad, H Saconato, D Matos
BACKGROUND: The use of loop ileostomy or loop transverse colostomy represents an important issue in colorectal surgery. Despite a slight preference for a loop ileostomy as a temporary stoma, the best form for temporary decompression of colorectal anastomosis still remains controversial. OBJECTIVES: To assess the evidence in the use of loop ileostomy compared with loop transverse colostomy for temporary decompression of colorectal anastomosis, comparing the safety and effectiveness...
2007: Cochrane Database of Systematic Reviews
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