Role of Emergency Laparoscopic Colectomy for Colorectal Cancer: A Population-based Study in England
Objective: To evaluate factors associated with the use of laparoscopic surgery and the associated postoperative outcomes for urgent or emergency resection of colorectal cancer in the English National Health Service. Summary of Background Data: Laparoscopy is increasingly used for elective colorectal cancer surgery, but uptake has been limited in the emergency setting. Methods: Patients recorded in the National Bowel Cancer Audit who underwent urgent or emergency colorectal cancer resection between April 2010 and March 2016 were included. A multivariable multilevel logistic regression model was used to estimate odds ratios (ORs) of undergoing laparoscopic resection and postoperative outcome according to approach. Results: There were 15,516 patients included. Laparoscopy use doubled from 15.1% in 2010 to 30.2% in 2016. Laparoscopy was less common in patients with poorer physical status [American Society of Anaesthesiologists (ASA) 4/5 vs 1, OR 0.29 (95% confidence interval, 95% CI 0.23–0.37), P
By combining three different drugs, researchers may have found a potential alternative to chemotherapy as a treatment for an advanced form of bowel cancer.
CONCLUSIONS: A multicomponent intervention delivered in general practice significantly increased self-reported FOBT uptake in those at average risk of CRC. Implications for public health: General practice interventions could serve as an important adjunct to the Australian National Bowel Cancer Screening Program to boost plateauing screening rates. PMID: 31268211 [PubMed - as supplied by publisher]
Abstract Through the implementation of national bowel cancer screening programmes we have seen a three-fold increase in early pT1 colorectal cancers, but how these lesions should be managed is currently unclear. Local excision can be an attractive option, especially for fragile patients with multiple comorbidities, but it is only safe from an oncological point of view in the absence of lymph node metastasis. Patient risk stratification through careful analysis of histopathological features in local excision or polypectomy specimens should be performed according to national guidelines to avoid under- or over-treatm...
Bowel cancer is the fourth most common cancer in the UK. It affects the large bowel, which is made up of the colon and rectum. Certain lifestyle decisions can reduce the risk, such as eating this popular food, a new study suggests.
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Sir — We thank Laverty et al. for their correspondence and congratulations in response to our work.1 Please accept our apologies for the discrepancy in polyp categorisation. The revised polyp data in line with National Bowel Cancer Screening programme, the European Society of Gastrointestinal and Abd ominal Radiology (ESGAR) consensus guidelines2 and other published studies is as follows3,4: the total polyp detection rate was 13.5% (241 polyps) in 170 patients; 153 (63.5%) polyps were ≥10 mm in size compared to 88 (36.5%) measuring between 6–9 mm.
There is increased demand for endoscopies largely driven by the National Bowel Cancer Screening Program impacting positively to reduce colorectal cancers. However, with a largely uninsured population, this additionally burdens the already bulging waiting lists within publicly provided endoscopy services. Nurse endoscopy is one tool utilised to address demand in the UK, Netherlands, USA, and now in Australia and NZ. Questions surround beyond the key performance indicators for colonoscopies quality metrics, with consideration needing to be applied to other performance metrics such as repeating procedures for interventional t...
BOWEL cancer affects the large bowel made up of the rectum and colon. The cells in the body normally divide and grow in a controlled way, however when cancer develops these cells change and grow in an uncontrolled way. There is a major sign of bowel cancer to look out for.
The rate of bowel cancer, also known as colorectal cancer, is rising across Europe among younger adults in the 20 to 49 age bracket, according to Dutch researchers, who called on clinicians to be “aware” of the trend.
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