Clinics in Colon and Rectal Surgery 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.

Blunt and Penetrating Injury to the Bowel: A Review
Clin Colon Rectal Surg DOI: 10.1055/s-0043-1777668Traumatic injuries to the small and large bowel are common and can be highly morbid. Identifying these injuries, especially in stable patients who suffer blunt trauma, can be challenging. It is critical that traumatic bowel injuries are diagnosed in a timely fashion as delays in diagnosis and treatment are associated with worse outcomes. The literature outlining the management of traumatic bowel injuries is mostly comprised of retrospective data and case reports/series. We have compiled the existing literature and relevant guidelines into a single resource for providers who...
Source: Clinics in Colon and Rectal Surgery - December 20, 2023 Category: Surgery Authors: Skelhorne-Gross, Graham Kenny, James Tags: Review article Source Type: research

Mesenteric Ischemia
Clin Colon Rectal Surg DOI: 10.1055/s-0043-1777667Mesenteric ischemia occurs when perfusion of the visceral organs fails to meet normal metabolic requirements and subsequently results in abdominal symptoms such as diffuse postprandial pain, peritonitis, food fear, and weight loss. While generally divided into acute and chronic manifestations, mesenteric ischemia is commonly misdiagnosed at initial presentation due to the significant overlap with symptoms of other abdominal pathologies. Prompt recognition and diagnosis, mesenteric revascularization, and critical care management remain the mainstay of treatment in these pati...
Source: Clinics in Colon and Rectal Surgery - December 15, 2023 Category: Surgery Authors: Audu, Christopher O. Schechtman, David W. Davis, Frank M. Tags: Review Artile Source Type: research

Diverticulitis: A Review of Current and Emerging Practice-Changing Evidence
Clin Colon Rectal Surg DOI: 10.1055/s-0043-1777439Acute diverticulitis represents a common colorectal emergency seen in the Western world. Over time, management of this condition has evolved. This review aims to highlight recent evidence and update current recommendations. Notable evidence has emerged in certain aspects of diverticulitis. This includes disease pathogenesis, as emerging data suggest a potentially greater role for the microbiome and genetic predisposition than previously thought. Acute management has also seen major shifts, where traditional antibiotic treatment may no longer be necessary for acute uncomplic...
Source: Clinics in Colon and Rectal Surgery - December 13, 2023 Category: Surgery Authors: Wu, Sonia Al Khaldi, Maher Richard, Carole S. Dagbert, Fran çois Tags: Review Article Source Type: research

Stoma Complications
Clin Colon Rectal Surg DOI: 10.1055/s-0043-1777453Stoma-related complications are among the most common sources of perioperative morbidity in colorectal surgery. Complications can occur intraoperatively, in the immediate postoperative period, or even months to years after stoma creation. Although some will require urgent surgical intervention, most are treated nonoperatively with a combination of education, appliance adjustment, and behavioral intervention. Optimal management of stoma complications nearly always requires a multidisciplinary team approach, including surgeons, enterostomal therapists, and other allied health...
Source: Clinics in Colon and Rectal Surgery - December 13, 2023 Category: Surgery Authors: Dawes, Aaron J. Gahagan, John V. Tags: Review Article Source Type: research

Colorectal Emergencies: Preface
Clin Colon Rectal Surg DOI: 10.1055/s-0043-1777438 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 - December 13, 2023 Category: Surgery Authors: Georgoff, Patrick Tags: Preface Source Type: research

Patrick Georgoff, MD, FACS
Clin Colon Rectal Surg DOI: 10.1055/s-0043-1777437 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 - December 13, 2023 Category: Surgery Authors: Steele, Scott R. Tags: Introduction to Guest Editor Source Type: research

Anorectal Abscess
Clin Colon Rectal Surg DOI: 10.1055/s-0043-1777451Anorectal abscesses are a common colorectal emergency. The hallmark of treatment is obtaining source control while avoiding injury to the underlying sphincter complex. Understanding the anatomy of an anorectal abscess is critical to planning the appropriate drainage strategy and decreasing the risk of complex fistula formation. Use of antibiotics should be reserved for those with extensive cellulitis, signs of systemic infection, or patients who are immunocompromised. Whether antibiotics prevent future fistula formation is an area of active research. Primary fistulotomy at ...
Source: Clinics in Colon and Rectal Surgery - December 8, 2023 Category: Surgery Authors: Kata, Anna Abelson, Jonathan S. Tags: Review Article Source Type: research

Surveillance after Total Neoadjuvant Therapy: What to do for Near-Complete Responders
This article will examine the therapeutic and surveillance options for these patients as well as the relevant outcomes data. [...] 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 - September 13, 2023 Category: Surgery Authors: Friedman, Garrett Tags: Review Article Source Type: research

Colorectal Cancer Genetics: An Evolutionary Tale of Us
Clin Colon Rectal Surg DOI: 10.1055/s-0043-1770379 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 - August 31, 2023 Category: Surgery Authors: Abbass, Mohammad Ali Tags: Introduction Source Type: research

Robotic Transanal Minimally Invasive Surgery for Rectal Polyps
We describe our initial experience using the SP system and provide technical suggestions for how to incorporate this technology. We also address innovations in flexible endoscopic robotic surgery that we anticipate will allow for increased use of organ preservation of the colon and rectum, as well as possibly expand the use of natural orifice surgery. [...] 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 21, 2023 Category: Surgery Authors: Friedman, Garrett Rodriguez, Miguel Tags: Review Article Source Type: research

Radiotherapy for Rectal Cancer: How Much is Enough?
Clin Colon Rectal Surg DOI: 10.1055/s-0043-1770709Though resection has been the mainstay of treatment for nonmetastatic rectal cancer over the past century, radiation has become an increasingly integral component of care for locally advanced disease. Today, two predominant radiotherapy approaches—hyperfractionated chemoradiotherapy and “short-course” radiation—are widely utilized to reduce local recurrence and, in some cases, cure disease. Both have been incorporated into total neoadjuvant therapy (TNT) regimens and achieved excellent local control and superior complete response rates compared to chemoradiation alo...
Source: Clinics in Colon and Rectal Surgery - August 21, 2023 Category: Surgery Authors: Chapman, William C. Hunt, Steven R. Henke, Lauren E. Tags: Review Article Source Type: research

Role of Lateral Pelvic Node Dissection in Rectal Cancer Surgery
Clin Colon Rectal Surg DOI: 10.1055/s-0043-1770711The role of lateral pelvic lymph node dissection in the treatment of patients with locally advanced rectal cancer is a matter of controversy. Surgical practices in Korea and Japan have accepted this approach and are widely utilized; however, it is not routinely incorporated in the practice of countries in the Western hemisphere. This review will examine the role of lateral pelvic lymph node dissection. [...] 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 - August 11, 2023 Category: Surgery Authors: Ozgur, Ilker Gorgun, Emre Tags: Review Article Source Type: research

Chemoradiation, Consolidation Chemotherapy, and Watch and Wait for Early Rectal Cancer
Clin Colon Rectal Surg DOI: 10.1055/s-0043-1770710As watch and wait has become an attractive management alternative among patients with rectal cancer who achieve a clinical complete response to neoadjuvant chemoradiation, the focus of organ preservation has now shifted toward the use of this approach in patients with early rectal cancer. These patients would otherwise be treated without the use of neoadjuvant therapy for oncological reasons. The sole purpose of any neoadjuvant treatment here would be the achievement of a complete clinical response in an attempt to avoid total mesorectal excision. This has become particular...
Source: Clinics in Colon and Rectal Surgery - August 11, 2023 Category: Surgery Authors: Cerdan-Santacruz, Carlos S ão Julião, Guilherme Pagin Vailati, Bruna Borba Perez, Rodrigo Oliva Tags: Review Article Source Type: research

Treatment of Microsatellite-Unstable Rectal Cancer in Sporadic and Hereditary Settings
Clin Colon Rectal Surg DOI: 10.1055/s-0043-1770717Microsatellite instability is rare in rectal cancer and associated with younger age of onset and Lynch syndrome. All rectal cancers should be tested for microsatellite instability prior to treatment decisions. Patients with microsatellite instability are relatively resistant to chemotherapy. However, recent small studies have shown dramatic response with neoadjuvant immunotherapy. Patients with Lynch syndrome have a hereditary predisposition to cancer and thus an elevated risk of metachronous cancer. Therefore, while “watch and wait” is a well-established practice for s...
Source: Clinics in Colon and Rectal Surgery - August 11, 2023 Category: Surgery Authors: Anderson, Cristan E. Liska, David Tags: Review Article Source Type: research

Controversies in Rectal Cancer
Clin Colon Rectal Surg DOI: 10.1055/s-0043-1770708 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 - August 11, 2023 Category: Surgery Authors: Sommovilla, Joshua Gorgun, Emre Tags: Preface Source Type: research