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Surgery as a Global Health Need
Clin Colon Rectal Surg 2022; 35: 362-370 DOI: 10.1055/s-0042-1746185Surgical care is now recognized as a fundamental component of universal health coverage. Unfortunately, most of the world is still without access to safe and timely surgical care, including 9 out of 10 people living in low- and middle-income countries (LMICs). Additionally, even in LMICs with sustainable surgical programs, surgical outcomes continue to lag behind those in high-income countries. In this article, we will provide a brief history and introduction to global surgery, an overview of the existing literature on global surgical outcomes, and a discu...
Source: Clinics in Colon and Rectal Surgery - September 13, 2022 Category: Surgery Authors: Diehl, Thomas M. Soto, Ernie Laryea, Jonathan A. Zafar, Syed Nabeel Tags: Review Article Source Type: research

Global Health 101
Clin Colon Rectal Surg 2022; 35: 355-361 DOI: 10.1055/s-0042-1746184Global health is an evolving field that has been broadly defined as the promotion of health for all through transnational collaboration and research. It centers on the concepts of equity and collaboration. The focus of global health has recently undergone a major shift toward emphasizing the importance of a systems-based approach to healthcare delivery, which considers not only the target disease but also the many contextual factors, influencing the ability to deliver care equitably to a population to reduce the burden of any particular disease. Thus, an i...
Source: Clinics in Colon and Rectal Surgery - September 13, 2022 Category: Surgery Authors: Welten, Vanessa M. Dabekaussen, Kirsten F. A. A. Melnitchouk, Nelya Tags: Review Article Source Type: research

Colorectal Surgery as a Pillar of Global Health
Clin Colon Rectal Surg 2022; 35: 353-354 DOI: 10.1055/s-0042-1745782 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 - September 13, 2022 Category: Surgery Authors: Kwakye, Gifty Tags: Preface Source Type: research

Gifty Kwakye, MD, MPH, FACS, FASCRS
Clin Colon Rectal Surg 2022; 35: 351-352 DOI: 10.1055/s-0042-1746182 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 - September 13, 2022 Category: Surgery Authors: Steele, Scott R. Tags: Introduction to the Guest Editor Source Type: research

Acute Mesenteric Ischemia
This article provides an overview of the etiology, physiology, evaluation, and management of acute mesenteric ischemia. [...] 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 - August 12, 2022 Category: Surgery Authors: Lendzion, Rebecca J. Frahm-Jensen, Gert Keck, James Tags: Review Article Source Type: research

Acute Colonic Pseudo-Obstruction
Clin Colon Rectal Surg 2022; 35: 221-226 DOI: 10.1055/s-0041-1740044Acute colonic pseudo-obstruction (ACPO) is a functional disorder of the large intestine distinguished by colonic dysmotility resulting in colonic distension in the absence of mechanical obstruction. The underlying pathophysiology of ACPO remains unclear despite technological advances in understanding the physiology of colonic motility, such as spatio-temporal mapping and high-resolution manometry. In many ways, the management of ACPO has remained relatively unchanged for 40 years. Patients with perforation or suspected ischemia undergo operative interventi...
Source: Clinics in Colon and Rectal Surgery - August 12, 2022 Category: Surgery Authors: Arthur, Thomas Burgess, Adele Tags: Review Article Source Type: research

Approach to the Adult Colorectal Patient with a History of Pediatric Abdominal Surgery
Clin Colon Rectal Surg 2022; 35: 177-186 DOI: 10.1055/s-0042-1742412Children with colorectal diseases often undergo operative management in their youth. As these patients become adult, it is important for surgeons to understand their postoperative anatomy as well as the pathophysiology of their diseases. Here, we present a description of common colorectal diseases of childhood that may have significant impact on patients' presentations as adult. We also discuss the diagnosis and management of conditions that are usually seen early in life but may present during adulthood as well. [...] Thieme Medical Publishers, Inc. 333 S...
Source: Clinics in Colon and Rectal Surgery - August 12, 2022 Category: Surgery Authors: Sajankila, Nitin DeRoss, Anthony Lipman, Jeremy M. Tags: Review Article Source Type: research

Management of the Hostile Abdomen
Clin Colon Rectal Surg 2022; 35: 169-176 DOI: 10.1055/s-0041-1740043Caring for a patient with a hostile abdomen is one of the most challenging clinical situations one can encounter. It requires specialized technical skill coupled with bold but thoughtful decision-making to achieve good outcomes. An approach to the patient with a complex, hostile abdomen must be individualized to account for the patient's personal details. However, implementing an experienced-based algorithm to help make the difficult decisions required in this setting can be helpful, as evidence-based studies are few. The purpose of this review is to provi...
Source: Clinics in Colon and Rectal Surgery - August 12, 2022 Category: Surgery Authors: Lundy, Megan Ashburn, Jean H. Tags: Review Article Source Type: research

Role of the Mesentery in Crohn's Terminal Ileitis
Clin Colon Rectal Surg DOI: 10.1055/s-0042-1743589Despite the longstanding awareness of the presence of mesenteric alterations in Crohn's disease, the functional and clinical consequences of these alterations remain a topic of debate. Guidelines advise a limited resection without resection of the adjacent mesentery to prevent short bowel syndrome and postoperative complications. However, recently mesenteric resection has been proposed as an alternative to reduce recurrence rates in Crohn's disease patients. Here, we evaluate the data available on this topic in terminal ileitis, both from a fundamental research point of vie...
Source: Clinics in Colon and Rectal Surgery - July 4, 2022 Category: Surgery Authors: Becker, Marte A.J. Willebois, Eline M.L. van der Does de Bemelman, Willem A. Wildenberg, Manon E. Buskens, Christianne J. Tags: Review Article Source Type: research

The Development of the Mesenteric Model of Abdominal Anatomy
Clin Colon Rectal Surg DOI: 10.1055/s-0042-1743585Recent advances in mesenteric anatomy have clarified the shape of the mesentery in adulthood. A key finding is the recognition of mesenteric continuity, which extends from the oesophagogastric junction to the mesorectal level. All abdominal digestive organs develop within, or on, the mesentery and in adulthood remain directly connected to the mesentery. Identification of mesenteric continuity has enabled division of the abdomen into two separate compartments. These are the mesenteric domain (upon which the abdominal digestive system is centered) and the non-mesenteric domai...
Source: Clinics in Colon and Rectal Surgery - April 19, 2022 Category: Surgery Authors: Byrnes, Kevin Gerard Cullivan, Orla Walsh, Dara Coffey, John Calvin Tags: Review Article Source Type: research

Intriguing Role of the Mesentery in Ileocolic Crohn's Disease
Clin Colon Rectal Surg DOI: 10.1055/s-0042-1743590Crohn's disease (CD) is a chronic relapsing inflammatory bowel disease with unknown etiology. Up to 80% of patients will eventually require surgery throughout their lifetime, and often repeated resections are required for disease recurrence. Observations of “creeping fat” surrounding the diseased intestine renewed interest in the mesentery, recently defined as an organ with endocrine and immune functions. According to the inside-out model, the mesentery may be primarily affected in CD and subsequent cause alterations in the mucosa. Recently, lower surgical recurrence ra...
Source: Clinics in Colon and Rectal Surgery - April 13, 2022 Category: Surgery Authors: Turri, Giulia Carvello, Michele Ben David, Nadav Spinelli, Antonino Tags: Review Article Source Type: research

Operating on the Mesentery in Robotic Colonic Surgery —General Techniques
Clin Colon Rectal Surg DOI: 10.1055/s-0042-1743586During colorectal surgery the mesentery is the organ on which the greatest amount of operating time is focused. It has recently gained increasing attention. This technical review focuses on the mesentery during robotic colonic procedures. Specifically, we focus upon how to access, dissect, and divide the mesentery using the robotic platform. We also touch on the management of bleeding and some specific disease etiologies. [...] Thieme Medical Publishers, Inc. 333 Seventh Avenue, 18th Floor, New York, NY 10001, USAArticle in Thieme eJournals: Table of contents  |  Abstra...
Source: Clinics in Colon and Rectal Surgery - April 13, 2022 Category: Surgery Authors: Coulter, Jonathan Peirce, Colin Tags: Review Article Source Type: research

Anatomy of the Mesentery
Clin Colon Rectal Surg DOI: 10.1055/s-0042-1743587It is clear that despite the importance of multimodal therapy, the most impactful weapon in the arsenal of treatment in a patient with colorectal cancer is high-quality surgery. This has been shown time and time again and surgery remains the bedrock in the management of visceral, and particularly colorectal, cancer. The reason for this is an anatomical one, based upon embryological planes. One cannot truly understand and perform high-quality surgery without an appreciation of the fascial and mesenteric anatomy of the abdomen and pelvis.R. J. (“Bill”) Heald greatly advan...
Source: Clinics in Colon and Rectal Surgery - April 13, 2022 Category: Surgery Authors: Bunni, John Tags: Review Article Source Type: research

Professor J. Calvin Coffey, BSc, MB, PhD, FRCS
Clin Colon Rectal Surg DOI: 10.1055/s-0042-1743427 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 - April 13, 2022 Category: Surgery Authors: Steele, Scott R. Tags: Introduction to the Guest Editor Source Type: research

The Mesentery - Past, Present and Future
Clin Colon Rectal Surg DOI: 10.1055/s-0042-1743428 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 - March 8, 2022 Category: Surgery Authors: Coffey, John Calvin Tags: Preface Source Type: research