Modern practical management of acute severe colitis
AbstractAcute severe ulcerative colitis (ASUC) is one of life-threatening complications that occur in one-fifth of ulcerative colitis (UC) patients with significant morbidity and an estimated mortality rate up to 1%. There are no validated clinical scoring systems for ASUC. Intravenous corticosteroids remain the cornerstone for the management of ASUC patients However, one-third of patients are steroid refractory and require colectomy in the pre-biologic era or salvage therapy in the post-biologic era. The currently available predictors of non-response to steroids and salvages therapy are sub-optimal. Furthermore, there is ...
Source: Indian Journal of Gastroenterology - February 26, 2024 Category: Gastroenterology Source Type: research
Modified 2-stage IPAA has similar postoperative complication rates and functional outcomes compared to 3-stage IPAA
This study compares perioperative complications, quality of life (QOL) and functional outcomes of 3- ver sus modified 2-stage IPAA. (Source: American Journal of Surgery)
Source: American Journal of Surgery - February 24, 2024 Category: Surgery Authors: E. Clement, W. Lin, D. Shojaei, P. Au-Yeung, A. Motamedi, P.T. Phang Tags: Original Research Article Source Type: research
Collagen patch cover facilitates recovery of bowel function after laparoscopic colectomy
Numerous factors can influence bowel movement recovery and anastomotic healing in colorectal surgery, and poor healing can lead to severe complications and increased medical expenses. Collagen patch cover (CPC... (Source: BMC Surgery)
Source: BMC Surgery - February 20, 2024 Category: Surgery Authors: Pin-Yang Huang, Meng-Che Tsai, Kee-Thai Kiu, Min-Hsuan Yen and Tung-Cheng Chang Tags: Research Source Type: research
Can Computerized Simulation be Used to Assess Surgical Proficiency in Laparoscopic Colorectal Surgeries? A Systematic Review
CONCLUSION: CS of laparoscopic CRS may be used in assessment of proficiency using performance metrics measuring economy of movement. CS may be a viable assessment tool in advanced surgical training, but further studies should assess utility of incorporating it as a formal assessment tool in training programs.PMID:38373603 | DOI:10.1177/15533506241232791 (Source: Surgical Innovation)
Source: Surgical Innovation - February 19, 2024 Category: Surgery Authors: Si Yuan Chang Kai Siang Chan Aung Myint Oo Source Type: research
Case report: An unusual presentation of intra-abdominal desmoplastic small round cell tumor
We present a case of a 28-year-old man with a history of schizophrenia and depression who presented to an emergency room (ER) in November 2022 with constipation and pelvic pain. The patient was sent home with a bowel regimen after radiography showed no obstruction. He re-presented for evaluation due to persistent pain. A computerized tomography scan of the abdomen and pelvis (CT A/P) revealed numerous pelvic masses with severe colitis, bilateral moderate hydronephrosis, and metastatic disease in the liver. A colonoscopy showed a mass extending 3 cm from the anus to 10 cm causing a partial obstruction. Biopsy was read as ...
Source: Frontiers in Oncology - February 19, 2024 Category: Cancer & Oncology Source Type: research
Long-term mental and physical quality of life outcomes following ileal pouch anal anastomosis surgery
CONCLUSION: Our findings recognise the complex interplay between physical and psychological wellbeing after pouch surgery and advise psychological counselling where appropriate.PMID:38362797 | DOI:10.1308/rcsann.2023.0075 (Source: Annals of the Royal College of Surgeons of England)
Source: Annals of the Royal College of Surgeons of England - February 16, 2024 Category: Surgery Authors: M Abdalkoddus J Franklyn S Balasubramanya F Parker Z Zhao W Douie S Smolarek Source Type: research
Long-term mental and physical quality of life outcomes following ileal pouch anal anastomosis surgery
CONCLUSION: Our findings recognise the complex interplay between physical and psychological wellbeing after pouch surgery and advise psychological counselling where appropriate.PMID:38362797 | DOI:10.1308/rcsann.2023.0075 (Source: Annals of the Royal College of Surgeons of England)
Source: Annals of the Royal College of Surgeons of England - February 16, 2024 Category: Surgery Authors: M Abdalkoddus J Franklyn S Balasubramanya F Parker Z Zhao W Douie S Smolarek Source Type: research
Long-term mental and physical quality of life outcomes following ileal pouch anal anastomosis surgery
CONCLUSION: Our findings recognise the complex interplay between physical and psychological wellbeing after pouch surgery and advise psychological counselling where appropriate.PMID:38362797 | DOI:10.1308/rcsann.2023.0075 (Source: Annals of the Royal College of Surgeons of England)
Source: Annals of the Royal College of Surgeons of England - February 16, 2024 Category: Surgery Authors: M Abdalkoddus J Franklyn S Balasubramanya F Parker Z Zhao W Douie S Smolarek Source Type: research
Long-term mental and physical quality of life outcomes following ileal pouch anal anastomosis surgery
CONCLUSION: Our findings recognise the complex interplay between physical and psychological wellbeing after pouch surgery and advise psychological counselling where appropriate.PMID:38362797 | DOI:10.1308/rcsann.2023.0075 (Source: Annals of the Royal College of Surgeons of England)
Source: Annals of the Royal College of Surgeons of England - February 16, 2024 Category: Surgery Authors: M Abdalkoddus J Franklyn S Balasubramanya F Parker Z Zhao W Douie S Smolarek Source Type: research
Case report: Successful treatment of ulcerative colitis-related post-colectomy enteritis refractory to multiple therapies with ustekinumab
Ulcerative colitis-related severe post-colectomy enteritis is a rare condition. A few cases have undergone successful treatment with corticosteroids, Cyclosporine, Azathioprine, and Infliximab. We aim to evaluate the treatment outcome of ustekinumab in this rare case. Here we describe a 56-year-old woman with post-colectomy enteritis refractory to multiple therapies. Finally, the patient was administered with ustekinumab treatment. Under monitoring, the feces volume of the patient decreased from 5000-7000 mL per day to 1700-2000 mL. Over a one-year follow-up period, the patient gradually gained body weight, with the stoma ...
Source: Frontiers in Immunology - February 16, 2024 Category: Allergy & Immunology Source Type: research
Comparing the short-term clinical outcomes and therapeutic effects of different colectomies in patients with refractory slow-transit constipation in eastern countries: a network meta-analysis
This study included a total of six non-randomized controlled trials involving 336 subjects. It was found that subtotal colectomy with cecorectal anastomosis (CRA) demonstrated superior effectiveness in several aspects, including reduced hospital stay (MD 0.06; 95% CI [0.02, 1.96]), shorter operative time (MD 4.75; 95% CI [0.28, 14.07]), lower constipation index (MD 0.61; 95% CI [0.04, 1.71]), improved quality of life (MD 4.42; 95% CI [0.48, 4.42]). Additionally, in terms of short-term clinical outcomes, subtotal colectomy with ileosigmoidal anastomosis (SC-ISA) procedure ranked the highest in reducing small bowel obstructi...
Source: Updates in Surgery - February 8, 2024 Category: Surgery Source Type: research
Colorectal resections for malignancy: A pilot study comparing conventional < em > vs < /em > freehand robot-assisted laparoscopic colectomy
CONCLUSION: The FreeHand® robot for colectomies is safe, provides some advantages over conventional laparoscopy and does not compromise oncologic standards in the resource-poor Caribbean setting.PMID:38322459 | PMC:PMC10841952 | DOI:10.12998/wjcc.v12.i3.488 (Source: Clinical Colorectal Cancer)
Source: Clinical Colorectal Cancer - February 7, 2024 Category: Cancer & Oncology Authors: Shamir O Cawich Joseph Martin Plummer Sahle Griffith Vijay Naraynsingh Source Type: research
Internuclear ophthalmoplegia as a presentation of procedural stroke: a case report
ConclusionThis report describes an uncommon presentation of procedural stroke that is likely to be misdiagnosed, especially by medical staff unfamiliar with internuclear ophthalmoplegia. Despite the good prognosis of internuclear ophthalmoplegia, appropriate stroke care is crucial in patients with procedural stroke because of the risk of multiple brain infarcts. (Source: Journal of Medical Case Reports)
Source: Journal of Medical Case Reports - February 7, 2024 Category: General Medicine Source Type: research
Health Insurance Status and Unplanned Surgery for Access-Sensitive Surgical Conditions
This cross-sectional study examines associations between health insurance status and rates and outcomes of unplanned surgery for abdominal aortic aneurysm repair, ventral hernia repair, and colectomy for colon cancer. (Source: JAMA Surgery)
Source: JAMA Surgery - February 7, 2024 Category: Sports Medicine Source Type: research
