Emergency General Surgeons, Subspecialty Surgeons and the Future Management of Emergency Surgery: Results of a National Survey
ConclusionRespondents were supportive of EGS surgeons ’ ability to relieve pressure from subspecialists however there were significant concerns about the sustainability and quality of the EGS surgeon role. Emergency colorectal resections should have the input of a surgeon performing elective colorectal resections.This article is protected by copyright. All rights reserved. (Source: Colorectal Disease)
Source: Colorectal Disease - November 16, 2018 Category: Gastroenterology Authors: Nicholas R A Symons,
David McArthur,
Andrew Miller,
Azmina Verjee,
Asha Senapati Tags: Original Article Source Type: research
Ileal pouch revision vs. excision: short ‐term (30‐day) outcomes from the National Surgical Quality Improvement Program
ConclusionsPouch revision and excision have comparable short ‐term post‐operative outcomes, but pouch excisionis appears to be more commonly utilized. Increased awareness of the indications for pouch revision or referral to specialized centers may improve pouch excision rates.This article is protected by copyright. All rights reserved. (Source: Colorectal Disease)
Source: Colorectal Disease - November 16, 2018 Category: Gastroenterology Authors: Stefan D. Holubar,
Peter Neary,
Alexandra Aiello,
Sherief Shawki,
Conor P. Delaney,
Scott R. Steele,
Tracy Hull,
Luca Stocchi Tags: Original Article Source Type: research
Assessing surgical difficulty in locally advanced mid ‐low rectal cancer: the accuracy of two MRI‐based predictive scores
ConclusionTheEuMaRCS score was found to be more sensitive and specific than the previous one in predicting surgical difficulty in LARC patients who are a candidate for L ‐TME. However, this score has yet to be externally validated.This article is protected by copyright. All rights reserved. (Source: Colorectal Disease)
Source: Colorectal Disease - November 14, 2018 Category: Gastroenterology Authors: Nicola de'Angelis,
Frederic Pigneur,
Aleix Mart ínez‐Pérez,
Giulio Cesare Vitali,
Filippo Landi,
Segundo A. Gómez‐Abril,
Michela Assalino,
Eloy Espin,
Frederic Ris,
Alain Luciani,
Francesco Brunetti,
The EuMaRCS Study Group Tags: Original Article Source Type: research
Primary versus myocutaneous flaps closure of perineal defects following abdominoperineal resection for colorecal disease: a systematic review and meta ‐analysis
ConclusionsThis is the first systematic review with meta ‐analysis comparing primary closure with myocutaneous flap closure of perineal defects after APR for colorectal disease. Although taking more operation time and increased risk of specific complications, the pooled results have validated the use of myocutaneous flaps for reducing total/major perine al wound complications. More investigations are needed to draw definitive conclusion on this dilemma.This article is protected by copyright. All rights reserved. (Source: Colorectal Disease)
Source: Colorectal Disease - November 14, 2018 Category: Gastroenterology Authors: Xuyang Yang,
Mingtian Wei,
Xinting Yang,
Yazhou He,
Yu Hao,
Xubing Zhang,
Xiangbing Deng,
Ziqiang Wang,
Zongguang Zhou Tags: Systematic Review Source Type: research
Robotic versus laparoscopic rectal tumour surgery: a cohort study
ConclusionRobotic surgery was associated with shorter LOS, lower conversion rates and less postoperative complications compared to laparoscopic surgery. Robotic surgery may add benefits to the ERAS protocol.This article is protected by copyright. All rights reserved. (Source: Colorectal Disease)
Source: Colorectal Disease - November 14, 2018 Category: Gastroenterology Authors: Daniel Asklid,
Roger Gerjy,
Fredrik Hjern,
Klas Pekkari,
Ulf O Gustafsson Tags: Original Article Source Type: research
Re: Evaluating the incidence of pathological complete response in current international rectal cancer practice: the barriers to widespread safe deferral of surgery. The 2017 European Society of Coloproctology (ESCP) collaborating group
This article is protected by copyright. All rights reserved. (Source: Colorectal Disease)
Source: Colorectal Disease - November 14, 2018 Category: Gastroenterology Authors: Arthur Sun Myint,
Amandeep Dhadda,
Christopher Rao,
Raj Sripadam,
Karen Whitmarsh,
Jean Pierre Gerard,
International Contact Radiotherapy N etwork (ICONE) Tags: Correspondence Source Type: research
Does External Beam Radiation Therapy to the Pelvis Portend Worse Ileal Pouch Outcomes? An International Multi ‐Institution Collaborative Study
ConclusionPelvic EBRT administered prior to IPAA is associated with acceptable long ‐term function outcome. However, when pelvic EBRT is given to an IPAA in situ, most patients experience long‐term poor pouch function without pouch failure.This article is protected by copyright. All rights reserved. (Source: Colorectal Disease)
Source: Colorectal Disease - November 9, 2018 Category: Gastroenterology Authors: Amy L. Lightner,
Antonino Spinelli,
Nicholas P. McKenna,
Christopher L. Hallemeier,
Phillip Fleshner Tags: Original Article Source Type: research
Oncological outcomes before and after the ELAPE ‐era in rectal cancer patients treated with abdominoperineal excision in a single center, high volume unit
ConclusionThe local recurrence rate, intraoperative tumor perforation and positive CRM rate, were significantly lower during the later period when more extensive surgery (ELAPE) was performed for locally advanced T3 ‐T4 rectal cancer with threatened margins.This article is protected by copyright. All rights reserved. (Source: Colorectal Disease)
Source: Colorectal Disease - November 9, 2018 Category: Gastroenterology Authors: T Lehtonen,
M R äsänen,
M Carpelan‐Holmström,
A Lepistö Tags: Original Article Source Type: research
Treatment of anal fissure: a survey of surgical practice in Australia and New Zealand
ConclusionWhile areas of consensus mostly agreed with guideline recommendations, there remain many areas of community equipoise some of which warrant further research.This article is protected by copyright. All rights reserved. (Source: Colorectal Disease)
Source: Colorectal Disease - November 9, 2018 Category: Gastroenterology Authors: Javariah Siddiqui,
George E Fowler,
Assad Zahid,
Kilian Brown,
Christopher J Young Tags: Original Article Source Type: research
High risk of permanent stoma after anastomotic leakage in anterior resection for rectal cancer
ConclusionAL is highly associated with PS after AR, especially in patients>70 years. In this cohort of AL patients, 65% had PS at the long ‐term follow‐up. A defunctioning stoma ameliorates the clinical course but does not impact the end‐result of BC in established AL after AR.This article is protected by copyright. All rights reserved. (Source: Colorectal Disease)
Source: Colorectal Disease - November 9, 2018 Category: Gastroenterology Authors: H Jutesten,
J Draus,
J Frey,
G Neovius,
G Lindmark,
P Buchwald,
M. L Lydrup Tags: Original Article Source Type: research
Receiver operating characteristic analysis to determine optimal fluid management during open colorectal surgery
ConclusionsA weight gain of>3.5 kg at POD 2 has been identified as the critical threshold for overall and respiratory complications and prolonged length of stay after open elective colorectal surgery.This article is protected by copyright. All rights reserved. (Source: Colorectal Disease)
Source: Colorectal Disease - November 8, 2018 Category: Gastroenterology Authors: Basile Pache,
Martin H übner,
Josep Solà,
Dieter Hahnloser,
Nicolas Demartines,
Fabian Grass Tags: Original Article Source Type: research
Prolonged hospital stay and readmission rate in an enhanced recovery after surgery cohort undergoing colorectal cancer surgery
ConclusionIn patients with colon cancer, older age and conversion to open surgery were associated with prolonged hospital stay. In patients with rectal cancer, CCS ≥ 2, TME and conversion were associated with prolonged hospital stay, and a preoperative ASA score ≥ 3, TME and a duration of surgery ≥ 300 min were associated with readmission. (Source: Colorectal Disease)
Source: Colorectal Disease - November 7, 2018 Category: Gastroenterology Authors: A. L. B. Bennedsen,
J. R. Eriksen,
I. G ögenur Tags: Original Article Source Type: research
Laparoscopic sigmoidectomy and double ‐stapling technique anastomosis via needlescopic surgery – a video vignette
Colorectal Disease,Volume 0, Issue ja, -Not available-. (Source: Colorectal Disease)
Source: Colorectal Disease - November 2, 2018 Category: Gastroenterology Authors: Yukiharu Hiyoshi,
Yuji Miyamoto,
Rikako Kato,
Hiroshi Sawayama,
Kojiro Eto,
Yohei Nagai,
Shiro Iwagami,
Yoshifumi Baba,
Naoya Yoshida,
Hideo Baba Source Type: research
Issue Information ‐ Editorial Board
Colorectal Disease,Volume 20, Issue 11, Page 949-950, November 2018. (Source: Colorectal Disease)
Source: Colorectal Disease - November 2, 2018 Category: Gastroenterology Source Type: research
Issue Information ‐ TOC
Colorectal Disease,Volume 20, Issue 11, Page 947-948, November 2018. (Source: Colorectal Disease)
Source: Colorectal Disease - November 2, 2018 Category: Gastroenterology Source Type: research
