Clinics in Colon and Rectal Surgery Clinics in Colon and Rectal Surgery RSS feedThis 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.

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

Overuse of Proximal Fecal Diversion in Colorectal Surgery
Clin Colon Rectal Surg DOI: 10.1055/s-0042-1757559Many surgeons tend to overuse proximal fecal diversion in the setting of colonic surgery. The decision to proximally divert an anastomosis should be made with careful consideration of the risks and benefits of proximal diversion. Proximal diversion does not decrease the rate of anastomotic leak, but it does decrease the severity of leaks. Anastomotic height for low pelvic anastomoses, hemodynamic instability, steroid use, male sex, obesity, malnutrition, smoking, and alcohol abuse increase the rate of anastomotic leak. Biologics, most immunosuppressive agents, unprepped col...
Source: Clinics in Colon and Rectal Surgery - November 2, 2022 Category: Surgery Authors: Lyman, William Buckley Whitlow, Charles B. Tags: Review Article Source Type: research

Robotic Anastomotic Technique
Clin Colon Rectal Surg DOI: 10.1055/s-0042-1757789The first robotic colectomy was performed 20 years ago. Since that time, the robotic surgery platform has made significant advancements and become increasingly prevalent in colorectal surgery. The da Vinci Xi system (Intuitive Surgical, Sunnyvale, CA) and technology such as integrated table motion has facilitated multiquadrant procedures.Intracorporeal anastomoses (ICAs) have proven benefit in the literature, including decreased length of stay, decreased narcotic requirements, and lower rate of postoperative wound infections and hernias. Additional studies have shown a lowe...
Source: Clinics in Colon and Rectal Surgery - November 2, 2022 Category: Surgery Authors: Kay, Danielle Cannon, Jamie Tags: Review Article Source Type: research

Management of Anastomotic Leaks in Ileal Pouch Anal Anastomosis for Ulcerative Colitis
Clin Colon Rectal Surg DOI: 10.1055/s-0042-1758138Anastomotic leaks remain a dreaded complication after ileal pouch anal anastomosis (IPAA). Their impacts can be devastating, ranging from an acute leak leading to postoperative sepsis to chronic leaks and sinus tracts resulting in long-term pouch dysfunction and subsequent pouch failure. The management of acute leaks is intricate. Initial management is important to resolve acute sepsis, but the type of acute intervention impacts long-term pouch function. Aggressive management in the postoperative period, including the use of IV fluids, broad-spectrum antibiotics, and operat...
Source: Clinics in Colon and Rectal Surgery - November 2, 2022 Category: Surgery Authors: Huang, Alex Liu Plietz, Michael Greenstein, Alexander J. Khaitov, Sergey Tags: Review Article Source Type: research

Anastomotic Construction
Clin Colon Rectal Surg DOI: 10.1055/s-0042-1756509 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 2, 2022 Category: Surgery Authors: Johnston, W. Forrest Tags: Preface Source Type: research

Diagnosis and Monitoring of Ulcerative Colitis
Clin Colon Rectal Surg DOI: 10.1055/s-0042-1758047Ulcerative colitis is one of the two main subtypes of inflammatory bowel disease, along with Crohn's disease. Understanding the clinical and endoscopic features of ulcerative colitis is critical in achieving a timely diagnosis. An initial evaluation includes assessing clinical symptoms, inflammatory markers, endoscopic findings, and determination of the presence or absence of extraintestinal manifestations. Initial disease management should consider disease severity at the time of diagnosis as well as prognostication, or the determination of risk factors present with a high...
Source: Clinics in Colon and Rectal Surgery - October 28, 2022 Category: Surgery Authors: Murphy, Megan E. Bhattacharya, Sumona Axelrad, Jordan E. Tags: Review Article Source Type: research

Anastomotic Considerations in Diverticulitis
This article reviews important surgical considerations when creating a colorectal anastomosis in the setting of diverticular disease, whether following the reversal of an end colostomy, during an acute episode of diverticulitis, or electively for chronic or complicated disease. Timing of surgery and preoperative assessment, minimally invasive approaches, and intraoperative maneuvers and considerations are discussed. [...] 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 - October 18, 2022 Category: Surgery Authors: McChesney, Shannon L. Hawkins, Alexander T. Tags: Review Article Source Type: research