Clinics in Colon and Rectal Surgery 
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This is an RSS file. You can use it to subscribe to this data in your favourite RSS reader or to display this data on your own website or blog.Surgical and Interventional Management of Liver Metastasis
Clin Colon Rectal Surg DOI: 10.1055/s-0042-1758822Colorectal cancer is one of the most common cancers diagnosed worldwide. While the incidence of colorectal cancer has been declining since the adoption of screening colonoscopy, the findings of liver metastasis are still found in up to 25% of patients at diagnosis. The management of liver metastasis has evolved over the past two to three decades, and survival rates have improved secondary to improved systemic therapy, surgical options, and local therapies. In this article, we aim to review the available surgical and ablative options for management of colorectal liver metast...
Source: Clinics in Colon and Rectal Surgery - December 9, 2022 Category: Surgery Authors: Itenberg, Edwin R. Lozano, Ana M. Tags: Review Article Source Type: research
Laparoscopic Intracorporeal Anastomosis
Clin Colon Rectal Surg DOI: 10.1055/s-0042-1758560Given the progression of laparoscopic surgery, questions continue to arise as to the ideal technique for a laparoscopic colectomy. The most debated of these questions is whether it is best to complete an intracorporeal (ICA) or extracorporeal (ECA) intestinal anastomosis. Here, we review the literature to date and report the equivalent safety and efficacy of ICA and ECA for laparoscopic right colectomy. However, these studies also indicate that when completed, ICA may prove beneficial with respect to earlier return of bowel function, less postoperative pain, shorter incisio...
Source: Clinics in Colon and Rectal Surgery - December 9, 2022 Category: Surgery Authors: Goldstone, Robert N. Popowich, Daniel A. Tags: Review Article Source Type: research
Ileocolic Anastomoses
Clin Colon Rectal Surg DOI: 10.1055/s-0042-1757786Ileocolic anastomoses are commonly performed by surgeons in both open and minimally invasive settings and can be created by using many different techniques and configurations. Here the authors review both current literature and the author's preference for creation of ileocolic anastomoses in the setting of malignancy, inflammatory bowel disease, and colonic inertia. The authors also review evidence surrounding adjuncts to creation of anastomoses such as use of indocyanine green and closing mesenteric defects. While many techniques of anastomotic creation have adapted with n...
Source: Clinics in Colon and Rectal Surgery - December 9, 2022 Category: Surgery Authors: Gleason, Lauren Gunnells, Drew Tags: Review Article Source Type: research
The Colorectal Anastomosis: A Timeless Challenge
Clin Colon Rectal Surg DOI: 10.1055/s-0042-1756510Colorectal anastomosis is a sophisticated problem that demands an elaborate discussion and an elegant solution.“Those who forget the past are condemned to repeat it.”George Santayana, Life of Reason, 1905 [...] Thieme Medical Publishers, Inc. 333 Seventh Avenue, 18th Floor, New York, NY 10001, USAArticle in Thieme eJournals: Table of contents | Abstract | Full text (Source: Clinics in Colon and Rectal Surgery)
Source: Clinics in Colon and Rectal Surgery - December 9, 2022 Category: Surgery Authors: Gaidarski III, Alexander A. Ferrara, Marco Tags: Review Article Source Type: research
Surgical and Interventional Management of Lung Metastasis: Surgical Assessment, Resection, Ablation, Percutaneous Interventions
Clin Colon Rectal Surg DOI: 10.1055/s-0042-1758823The lungs are the second most common site of metastases for colorectal cancer after the liver. Pulmonary metastases can be identified at the time of diagnosis of the primary tumor, or metachronously. About 20% of patients with colorectal cancer will develop pulmonary metastases. The best options for treatment include a multidisciplinary treatment approach consisting of surgical resection whenever possible, and chemotherapy. Surgical options most often include minimally invasive segmentectomy or wedge resection, while patients unable to have surgery may benefit from radio fr...
Source: Clinics in Colon and Rectal Surgery - November 29, 2022 Category: Surgery Authors: Stefanou, Amalia J. Tags: Review Article Source Type: research
Don't Forget about the K-Pouch!
Clin Colon Rectal Surg DOI: 10.1055/s-0042-1758192The continent ileostomy (CI) was popularized by Nils Kock as a means to provide fecal continence to patients, most commonly in those with ulcerative colitis, after proctocolectomy. Although the ileal pouch-anal anastomosis (IPAA) now represents the most common method to restore continence after total proctocolectomy, CI remains a suitable option for highly selected patients who are not candidates for IPAA or have uncorrectable IPAA dysfunction but still desire fecal continence. The CI has exhibited a fascinating and marked evolution over the past several decades, from the a...
Source: Clinics in Colon and Rectal Surgery - November 29, 2022 Category: Surgery Authors: Shuford, Rebecca Ashburn, Jean H. Tags: Review Article Source Type: research
Minimally Invasive and Robotic Surgery for Ulcerative Colitis
Clin Colon Rectal Surg DOI: 10.1055/s-0042-1758137Significant advancements have been made over the last 30 years in the use of minimally invasive techniques for curative and restorative operations in patients with ulcerative colitis (UC). Numerous studies have demonstrated the safety and feasibility of laparoscopic and robotic approaches to subtotal colectomy (including in the urgent setting), total proctocolectomy, completion proctectomy, and pelvic pouch creation. Data show equivalent or improved short-term postoperative outcomes with minimally invasive techniques compared to open surgery, and equivalent or improved long...
Source: Clinics in Colon and Rectal Surgery - November 29, 2022 Category: Surgery Authors: Lee, Grace C. Bhama, Anuradha R. Tags: Review Article Source Type: research
Elective and Emergent Surgery in the Ulcerative Colitis Patient
This article reviews the most recent literature on the indications for elective and emergent surgical intervention for UC and the considerations behind the surgical options. [...] Thieme Medical Publishers, Inc. 333 Seventh Avenue, 18th Floor, New York, NY 10001, USAArticle in Thieme eJournals: Table of contents | Abstract | Full text (Source: Clinics in Colon and Rectal Surgery)
Source: Clinics in Colon and Rectal Surgery - November 29, 2022 Category: Surgery Authors: DeLeon, Michelle F. Stocchi, Luca Tags: Review Article Source Type: research
The Role of Local Excision after Neoadjuvant Therapy for Locally Advanced Rectal Cancer: A Different Perspective
Clin Colon Rectal Surg DOI: 10.1055/s-0042-1758808 Thieme Medical Publishers, Inc. 333 Seventh Avenue, 18th Floor, New York, NY 10001, USAArticle in Thieme eJournals: Table of contents | Full text (Source: Clinics in Colon and Rectal Surgery)
Source: Clinics in Colon and Rectal Surgery - November 29, 2022 Category: Surgery Authors: Aref, Amr Abdalla, Ahmed Drelichman, Ernesto Raul Tags: Letter to the Editor Source Type: research
Crohn's of the Pouch: Now What?
Clin Colon Rectal Surg DOI: 10.1055/s-0042-1758139Total proctocolectomy and ileal pouch anal anastomosis (IPAA) is the gold standard surgical treatment for the majority (∼90%) of ulcerative colitis (UC) patients. In cases of carefully selected Crohn's colitis patients without small bowel or perianal involvement an “intentional IPAA” may be a viable option for disease resection and restoration of intestinal continuity. More commonly, Crohn's is incidentally found either in the resection specimen or, more commonly, when inflammatory complications subsequently arise after pouch construction for UC or indeterminate colit...
Source: Clinics in Colon and Rectal Surgery - November 8, 2022 Category: Surgery Authors: Connelly, Tara M. Lincango, Eddy Holubar, Stefan D. Tags: Review Article Source Type: research
The Evolution of Pelvic Pouch Surgery: Optimal Pouch Design for an Ileal Pouch Anal Anastomosis
Clin Colon Rectal Surg DOI: 10.1055/s-0042-1758135The history of pouch surgery is rooted in surgical innovation to improve quality of life in patients requiring surgical extirpation of the colon and rectum. From the early straight ileoanal anastomosis to the continent ileostomy to the modern ileal pouch anal anastomosis (IPAA), techniques have evolved in response to pitfalls in design. Optimal IPAA design and construction have changed in response to functional outcomes. Nowadays, restorative proctocolectomy with IPAA is the optimal treatment for patients with ulcerative colitis or familial adenomatous polyposis. The J-pouc...
Source: Clinics in Colon and Rectal Surgery - November 4, 2022 Category: Surgery Authors: Miller-Ocuin, Jennifer L. Dietz, David W. Tags: Review Article Source Type: research
The Benefits and Drawbacks of Staging Pelvic Pouches
Clin Colon Rectal Surg DOI: 10.1055/s-0042-1758217Since the mid-20th century, physicians have searched for way to improve the lives of patients with ulcerative colitis (UC). Early attempts of curative resection left the patients with a permanent stoma with only primitive stoma appliances available. Gradually, stoma care improved and operations were devised to give the patient bowel continuity without the need for a permanent ostomy. As these operations were evolving, benefits and drawbacks related to fertility, ease of small bowel reach to the pelvis, and postoperative pelvic sepsis were observed. In this article, we will ...
Source: Clinics in Colon and Rectal Surgery - November 4, 2022 Category: Surgery Authors: Addison, Poppy Keshinro, Ajaratu O. Schwartzberg, David M. Tags: Review Article Source Type: research
William Forrest Johnston, MD
Clin Colon Rectal Surg DOI: 10.1055/s-0042-1757558 Thieme Medical Publishers, Inc. 333 Seventh Avenue, 18th Floor, New York, NY 10001, USAArticle in Thieme eJournals: Table of contents | Full text (Source: Clinics in Colon and Rectal Surgery)
Source: Clinics in Colon and Rectal Surgery - November 4, 2022 Category: Surgery Authors: Steele, Scott R. Tags: Introduction to Guest Editor Source Type: research
Intraoperative Techniques for Gaining Ileoanal Pouch Reach
We present a brief review of the literature discussing various approaches aimed at improving ileal pouch reach into the low pelvis. Although these techniques are used with different frequencies, they serve as important adjuncts to the gastrointestinal surgeons' armamentarium. [...] Thieme Medical Publishers, Inc. 333 Seventh Avenue, 18th Floor, New York, NY 10001, USAArticle in Thieme eJournals: Table of contents | Abstract | Full text (Source: Clinics in Colon and Rectal Surgery)
Source: Clinics in Colon and Rectal Surgery - November 2, 2022 Category: Surgery Authors: Mankarious, Marc M. Deutsch, Michael J. Jeganathan, Nimalan A. Tags: Review Article Source Type: research
Pelvic Pouch Failure: Treatment Options
This article will discuss the identification, workup, and treatment options for pouch failure after IPAA. [...] Thieme Medical Publishers, Inc. 333 Seventh Avenue, 18th Floor, New York, NY 10001, USAArticle in Thieme eJournals: Table of contents | Abstract | Full text (Source: Clinics in Colon and Rectal Surgery)
Source: Clinics in Colon and Rectal Surgery - November 2, 2022 Category: Surgery Authors: Lynn, Patricio B. Brandstetter, Steven Schwartzberg, David M. Tags: Review Article Source Type: research
