Transanal opening of the intersphincteric space (TROPIS): a novel procedure on the horizon to effectively manage high complex anal fistulas
Ann Coloproctol. 2024 Feb;40(1):74-81. doi: 10.3393/ac.2022.01263.0180. Epub 2023 Oct 24.ABSTRACTAnal fistulas, especially complex and high fistulas, are difficult to manage. The transanal opening of the intersphincteric space (TROPIS) procedure was first described in 2017, and a high success rate of over 90% was reported in high complex fistulas. Since then, more studies and even a meta-analysis have corroborated the high efficacy of this procedure in high fistulas. Conventionally, the main focus was to close the internal (primary) opening for the fistula to heal. However, most complex fistulas have a component of the fis...
Source: Annals of Coloproctology - February 28, 2024 Category: Gastroenterology Authors: Pankaj Garg Anvesha Mongia Source Type: research
Can the Heald anal stent help to reduce anastomotic or rectal stump leak in elective and emergency colorectal surgery? A single-center experience
We describe our use of the Heald anal stent and its potential impact in reducing anastomotic or rectal stump leak after elective or emergency colorectal surgery. We performed a single-center retrospective analysis of patients in whom a Heald anal stent had been used to "protect" a colorectal anastomosis or a rectal stump, in an elective or emergency context, for benign and malignant pathology. Intraoperative and postoperative outcomes were reviewed using clinical and radiological records. The Heald anal stent was used in 93 patients over 4 years. Forty-six cases (49%) had a colorectal anastomosis, and 47 (51%) had an end s...
Source: Annals of Coloproctology - February 28, 2024 Category: Gastroenterology Authors: Michael Jones Brendan Moran Richard John Heald John Bunni Source Type: research
Performance reporting design in artificial intelligence studies using image-based TNM staging and prognostic parameters in rectal cancer: a systematic review
CONCLUSION: Image-based AI studies for rectal can-cer have shown acceptable diagnostic performance but face several challenges, including limited dataset sizes with standardized data, the need for multicenter studies, and the absence of oncologic relevance and external validation for clinical implantation. Overcoming these pitfalls and hurdles is essential for the feasible integration of AI models in clinical settings for rectal cancer, warranting further research.PMID:38414120 | DOI:10.3393/ac.2023.00892.0127 (Source: Annals of Coloproctology)
Source: Annals of Coloproctology - February 28, 2024 Category: Gastroenterology Authors: Minsung Kim Taeyong Park Bo Young Oh Min Jeong Kim Bum-Joo Cho Il Tae Son Source Type: research
Long-term bowel functional outcomes following anal sphincter-preserving surgery for upper and middle rectal cancer: a single-center longitudinal study
CONCLUSION: Neoadjuvant chemoradiotherapy in combination with low tumor level was significantly associated with delayed bowel dysfunction even after 2 years of follow-up. Therefore, careful selection and discussion with patients are paramount.PMID:38414121 | DOI:10.3393/ac.2022.01067.0152 (Source: Annals of Coloproctology)
Source: Annals of Coloproctology - February 28, 2024 Category: Gastroenterology Authors: Ahmad Sakr Seung Yoon Yang Min Soo Cho Hyuk Hur Byung Soh Min Kang Young Lee Nam Kyu Kim Source Type: research
Long-term clinical outcomes after high and low ligations with lymph node dissection around the root of the inferior mesenteric artery in patients with rectal cancer
CONCLUSION: LL with LNs dissection around the root of the IMA might not affect the oncologic outcomes comparing to HL; however, it has minimal benefit for defecatory function.PMID:38414122 | DOI:10.3393/ac.2023.00094.0013 (Source: Annals of Coloproctology)
Source: Annals of Coloproctology - February 28, 2024 Category: Gastroenterology Authors: Min Wan Lee Sung Sil Park Kiho You Dong Eun Lee Dong Woon Lee Sung Chan Park Kyung Su Han Dae Kyung Sohn Chang Won Hong Bun Kim Byung Chang Kim Hee Jin Chang Dae Yong Kim Jae Hwan Oh Source Type: research
Transanal opening of the intersphincteric space (TROPIS): a novel procedure on the horizon to effectively manage high complex anal fistulas
Ann Coloproctol. 2024 Feb;40(1):74-81. doi: 10.3393/ac.2022.01263.0180. Epub 2023 Oct 24.ABSTRACTAnal fistulas, especially complex and high fistulas, are difficult to manage. The transanal opening of the intersphincteric space (TROPIS) procedure was first described in 2017, and a high success rate of over 90% was reported in high complex fistulas. Since then, more studies and even a meta-analysis have corroborated the high efficacy of this procedure in high fistulas. Conventionally, the main focus was to close the internal (primary) opening for the fistula to heal. However, most complex fistulas have a component of the fis...
Source: Annals of Coloproctology - February 28, 2024 Category: Gastroenterology Authors: Pankaj Garg Anvesha Mongia Source Type: research
Can the Heald anal stent help to reduce anastomotic or rectal stump leak in elective and emergency colorectal surgery? A single-center experience
We describe our use of the Heald anal stent and its potential impact in reducing anastomotic or rectal stump leak after elective or emergency colorectal surgery. We performed a single-center retrospective analysis of patients in whom a Heald anal stent had been used to "protect" a colorectal anastomosis or a rectal stump, in an elective or emergency context, for benign and malignant pathology. Intraoperative and postoperative outcomes were reviewed using clinical and radiological records. The Heald anal stent was used in 93 patients over 4 years. Forty-six cases (49%) had a colorectal anastomosis, and 47 (51%) had an end s...
Source: Annals of Coloproctology - February 28, 2024 Category: Gastroenterology Authors: Michael Jones Brendan Moran Richard John Heald John Bunni Source Type: research
Performance reporting design in artificial intelligence studies using image-based TNM staging and prognostic parameters in rectal cancer: a systematic review
CONCLUSION: Image-based AI studies for rectal can-cer have shown acceptable diagnostic performance but face several challenges, including limited dataset sizes with standardized data, the need for multicenter studies, and the absence of oncologic relevance and external validation for clinical implantation. Overcoming these pitfalls and hurdles is essential for the feasible integration of AI models in clinical settings for rectal cancer, warranting further research.PMID:38414120 | DOI:10.3393/ac.2023.00892.0127 (Source: Annals of Coloproctology)
Source: Annals of Coloproctology - February 28, 2024 Category: Gastroenterology Authors: Minsung Kim Taeyong Park Bo Young Oh Min Jeong Kim Bum-Joo Cho Il Tae Son Source Type: research
Long-term bowel functional outcomes following anal sphincter-preserving surgery for upper and middle rectal cancer: a single-center longitudinal study
CONCLUSION: Neoadjuvant chemoradiotherapy in combination with low tumor level was significantly associated with delayed bowel dysfunction even after 2 years of follow-up. Therefore, careful selection and discussion with patients are paramount.PMID:38414121 | DOI:10.3393/ac.2022.01067.0152 (Source: Annals of Coloproctology)
Source: Annals of Coloproctology - February 28, 2024 Category: Gastroenterology Authors: Ahmad Sakr Seung Yoon Yang Min Soo Cho Hyuk Hur Byung Soh Min Kang Young Lee Nam Kyu Kim Source Type: research
Long-term clinical outcomes after high and low ligations with lymph node dissection around the root of the inferior mesenteric artery in patients with rectal cancer
CONCLUSION: LL with LNs dissection around the root of the IMA might not affect the oncologic outcomes comparing to HL; however, it has minimal benefit for defecatory function.PMID:38414122 | DOI:10.3393/ac.2023.00094.0013 (Source: Annals of Coloproctology)
Source: Annals of Coloproctology - February 28, 2024 Category: Gastroenterology Authors: Min Wan Lee Sung Sil Park Kiho You Dong Eun Lee Dong Woon Lee Sung Chan Park Kyung Su Han Dae Kyung Sohn Chang Won Hong Bun Kim Byung Chang Kim Hee Jin Chang Dae Yong Kim Jae Hwan Oh Source Type: research
Transanal opening of the intersphincteric space (TROPIS): a novel procedure on the horizon to effectively manage high complex anal fistulas
Ann Coloproctol. 2024 Feb;40(1):74-81. doi: 10.3393/ac.2022.01263.0180. Epub 2023 Oct 24.ABSTRACTAnal fistulas, especially complex and high fistulas, are difficult to manage. The transanal opening of the intersphincteric space (TROPIS) procedure was first described in 2017, and a high success rate of over 90% was reported in high complex fistulas. Since then, more studies and even a meta-analysis have corroborated the high efficacy of this procedure in high fistulas. Conventionally, the main focus was to close the internal (primary) opening for the fistula to heal. However, most complex fistulas have a component of the fis...
Source: Annals of Coloproctology - February 28, 2024 Category: Gastroenterology Authors: Pankaj Garg Anvesha Mongia Source Type: research
Can the Heald anal stent help to reduce anastomotic or rectal stump leak in elective and emergency colorectal surgery? A single-center experience
We describe our use of the Heald anal stent and its potential impact in reducing anastomotic or rectal stump leak after elective or emergency colorectal surgery. We performed a single-center retrospective analysis of patients in whom a Heald anal stent had been used to "protect" a colorectal anastomosis or a rectal stump, in an elective or emergency context, for benign and malignant pathology. Intraoperative and postoperative outcomes were reviewed using clinical and radiological records. The Heald anal stent was used in 93 patients over 4 years. Forty-six cases (49%) had a colorectal anastomosis, and 47 (51%) had an end s...
Source: Annals of Coloproctology - February 28, 2024 Category: Gastroenterology Authors: Michael Jones Brendan Moran Richard John Heald John Bunni Source Type: research
Performance reporting design in artificial intelligence studies using image-based TNM staging and prognostic parameters in rectal cancer: a systematic review
CONCLUSION: Image-based AI studies for rectal can-cer have shown acceptable diagnostic performance but face several challenges, including limited dataset sizes with standardized data, the need for multicenter studies, and the absence of oncologic relevance and external validation for clinical implantation. Overcoming these pitfalls and hurdles is essential for the feasible integration of AI models in clinical settings for rectal cancer, warranting further research.PMID:38414120 | DOI:10.3393/ac.2023.00892.0127 (Source: Annals of Coloproctology)
Source: Annals of Coloproctology - February 28, 2024 Category: Gastroenterology Authors: Minsung Kim Taeyong Park Bo Young Oh Min Jeong Kim Bum-Joo Cho Il Tae Son Source Type: research
Long-term bowel functional outcomes following anal sphincter-preserving surgery for upper and middle rectal cancer: a single-center longitudinal study
CONCLUSION: Neoadjuvant chemoradiotherapy in combination with low tumor level was significantly associated with delayed bowel dysfunction even after 2 years of follow-up. Therefore, careful selection and discussion with patients are paramount.PMID:38414121 | DOI:10.3393/ac.2022.01067.0152 (Source: Annals of Coloproctology)
Source: Annals of Coloproctology - February 28, 2024 Category: Gastroenterology Authors: Ahmad Sakr Seung Yoon Yang Min Soo Cho Hyuk Hur Byung Soh Min Kang Young Lee Nam Kyu Kim Source Type: research
Long-term clinical outcomes after high and low ligations with lymph node dissection around the root of the inferior mesenteric artery in patients with rectal cancer
CONCLUSION: LL with LNs dissection around the root of the IMA might not affect the oncologic outcomes comparing to HL; however, it has minimal benefit for defecatory function.PMID:38414122 | DOI:10.3393/ac.2023.00094.0013 (Source: Annals of Coloproctology)
Source: Annals of Coloproctology - February 28, 2024 Category: Gastroenterology Authors: Min Wan Lee Sung Sil Park Kiho You Dong Eun Lee Dong Woon Lee Sung Chan Park Kyung Su Han Dae Kyung Sohn Chang Won Hong Bun Kim Byung Chang Kim Hee Jin Chang Dae Yong Kim Jae Hwan Oh Source Type: research
