Colon and Rectal Surgery Regional Society Meetings
No abstract available (Source: Diseases of the Colon and Rectum)
Source: Diseases of the Colon and Rectum - May 7, 2020 Category: Gastroenterology Tags: Colon and Rectal Surgery Regional Society Meetings Source Type: research

Announcements
No abstract available (Source: Diseases of the Colon and Rectum)
Source: Diseases of the Colon and Rectum - May 7, 2020 Category: Gastroenterology Tags: Announcements Source Type: research

The American Society of Colon and Rectal Surgeons 2020 Annual Scientific Meeting Abstracts
No abstract available (Source: Diseases of the Colon and Rectum)
Source: Diseases of the Colon and Rectum - May 7, 2020 Category: Gastroenterology Tags: Web-Exclusive Content: Meeting Abstracts Source Type: research

Abstracts Featured in This Issue: June 2020
No abstract available (Source: Diseases of the Colon and Rectum)
Source: Diseases of the Colon and Rectum - May 7, 2020 Category: Gastroenterology Tags: Web-Exclusive Content: Spanish Abstract Translations Source Type: research

Abridged Abstracts From the Medical Literature
No abstract available (Source: Diseases of the Colon and Rectum)
Source: Diseases of the Colon and Rectum - May 7, 2020 Category: Gastroenterology Tags: Selected Abstracts Source Type: research

Autologous Platelet-Rich Stroma in Complex Perianal Fistulas
No abstract available (Source: Diseases of the Colon and Rectum)
Source: Diseases of the Colon and Rectum - May 7, 2020 Category: Gastroenterology Tags: Video Vignettes Source Type: research

Reliable Dissection Technique During Transanal Total Mesorectal Excision Using a Lateral-First Approach
No abstract available (Source: Diseases of the Colon and Rectum)
Source: Diseases of the Colon and Rectum - May 7, 2020 Category: Gastroenterology Tags: Video Vignettes Source Type: research

Peer Support as an Ideal Solution for Racial/Ethnic Disparities in Colorectal Cancer Screening: Evidence from a Systematic Review and Meta-analysis
CONCLUSIONS: Peer support can significantly improve the awareness about and the intention for receiving colorectal cancer screening in ethnic minorities and is an ideal choice for promoting the screening among ethnic minorities, particularly in a diverse community. Peer support intervention is recommended to promote the implementation of screening in Asian Americans. Peer counseling is worth promoting; however, church-based peer counseling programs require enhanced management to maintain their fidelity. (Source: Diseases of the Colon and Rectum)
Source: Diseases of the Colon and Rectum - May 7, 2020 Category: Gastroenterology Tags: Current Status Reviews Source Type: research

Endoscopic Step Up: A Colon-Sparing Alternative to Colectomy to Improve Outcomes and Reduce Costs for Patients With Advanced Neoplastic Polyps
BACKGROUND: The optimal strategy for colonic polyps not amenable to traditional endoscopic polypectomy is unknown. Endoscopic step up is a promising strategy for definitive treatment. OBJECTIVE: The purpose of this study was to determine whether endoscopic step up leads to improved outcomes and decreased costs compared with planned colectomy for endoscopically unresectable colon polyps. DESIGN: This was a retrospective review of a prospective database. SETTING: The study was conducted at a tertiary referral center. PATIENTS: Consecutive patients referred for endoscopically unresectable colon polyps 15 to 50&t...
Source: Diseases of the Colon and Rectum - May 7, 2020 Category: Gastroenterology Tags: Original Contributions: Encoscopy Source Type: research

Differential Index-Hospitalization Cost Center Impact of Enhanced Recovery After Surgery Program Implementation
This study was conducted at an academic medical center. PATIENTS: A total of 1297 patients with diagnosis-related group 330 (colectomy with complications/comorbidities) and 331 (colectomy without complications/comorbidities) were selected. MAIN OUTCOME MEASURES: The primary outcome was total index-hospitalization cost. Secondary outcomes included specific cost center expenses. RESULTS: Total median cost for diagnosis-related group 330 in the pre-enhanced recovery after surgery group was $24,111 ($19,285–$28,658) compared to $21,896 ($17,477–$29,179) in the enhanced recovery after surgery group, p = 0.0...
Source: Diseases of the Colon and Rectum - May 7, 2020 Category: Gastroenterology Tags: Original Contributions: Socioeconomic Source Type: research

Long-term Outcomes of Laser Ablation of Fistula Tract for Fistula-in-Ano: A Considerable Option in Sphincter Preservation
BACKGROUND: Ablation of anal fistula tract using a radial laser-emitting probe is a sphincter-preserving technique. OBJECTIVE: The purpose of this study was to assess long-term outcomes of laser ablation of fistula tract. DESIGN: This was a retrospective analysis of the long-term outcomes of 100 patients who underwent laser ablation of fistula tract. SETTINGS: This was a single-center study from a tertiary center in Turkey. PATIENTS: All of the patients with fistula-in-ano were included. Exclusion criteria were the presence of perianal abscess, underlying Crohn’s disease, fistula tract (Source: Diseases...
Source: Diseases of the Colon and Rectum - May 7, 2020 Category: Gastroenterology Tags: Original Contributions: Anorectal Source Type: research

Redo IPAA After a Failed Pouch In Patients With Crohn’s Disease: Is It Worth Trying?
This study included patients who underwent redo pouch with a primary surgical specimen diagnosis of ulcerative or Crohn’s colitis at the time of initial pouch. MAIN OUTCOME MEASURES: Pouch failure was defined as either pouch excision or indefinite pouch diversion. Patient characteristics, perioperative and functional outcomes, pouch survival, and quality of life were compared according to the diagnosis. RESULTS: Of 422 patients, 392 had ulcerative colitis and 30 had Crohn’s disease. Age and sex were comparable. The most common indications for redo pouch included anastomotic separation and fistulas (220 (5...
Source: Diseases of the Colon and Rectum - May 7, 2020 Category: Gastroenterology Tags: Original Contributions: Inflammatory Bowel Disease Source Type: research

Impact on Fertility After Failure of Restorative Proctocolectomy in Men and Women With Ulcerative Colitis: A 17-Year Cohort Study
CONCLUSIONS: Restorative proctocolectomy failure impairs birth rate, primarily in women. Although in vitro fertilization incidence is similar in women with and without failure, the likelihood of giving birth after in vitro fertilization is reduced. See Video Abstract at http://links.lww.com/DCR/B202. Impacto Sobre la Fertilidad Después del Fracaso de la Proctocolectomía Restauradora en Hombres y Mujeres con Colitis Ulcerosa: Un Estudio de Cohorte de 17 Años ANTECEDENTES: No se ha estudiado el impacto de la falla de la proctocolectomía restauradora en la fertilidad y es muy relevante. OBJE...
Source: Diseases of the Colon and Rectum - May 7, 2020 Category: Gastroenterology Tags: Original Contributions: Inflammatory Bowel Disease Source Type: research

Sarcopenia, as Assessed by Psoas Cross-Sectional Area, Is Predictive of Adverse Postoperative Outcomes in Patients Undergoing Colorectal Cancer Surgery
This study aimed to determine the association between sarcopenia, as assessed by psoas cross-sectional area, and postoperative outcomes in patients undergoing colorectal cancer surgery. DESIGN: This was a retrospective review of patient records from 2014 to 2016. SETTINGS: This study was conducted at a single tertiary center. PATIENTS: Patients undergoing elective resection of colorectal cancer were included. MAIN OUTCOME MEASURES: Sarcopenia was assessed using the total psoas index, calculated by measuring the cross-sectional area of the psoas muscle at the third lumbar vertebra and normalized for patient heig...
Source: Diseases of the Colon and Rectum - May 7, 2020 Category: Gastroenterology Tags: Original Contributions: Colorectal Cancer Source Type: research

Association of a Preoperative Leisure-Time Physical Activity With Short- and Long-term Outcomes of Patients Undergoing Curative Resection for Stage I to III Colorectal Cancer: A Propensity Score Matching Analysis
This study aimed to elucidate whether preoperative physical activity plays a role in reducing short-term postoperative complications and improving long-term survival of patients with colorectal cancer. DESIGN: This was a retrospective analysis of prospectively collected data. SETTINGS: This study was conducted at a department of colorectal surgery in a tertiary teaching hospital between January 1995 and December 2016. PATIENTS: Patients who underwent curative resection for stage I to III primary colorectal cancer were enrolled. According to the preoperative leisure-time weekly metabolic equivalent of task values, ...
Source: Diseases of the Colon and Rectum - May 7, 2020 Category: Gastroenterology Tags: Original Contributions: Colorectal Cancer Source Type: research

Characteristics of Patients Seeking Second Opinions at a Multidisciplinary Colorectal Cancer Clinic
CONCLUSIONS: Patients seeking a second opinion represent a unique subset of patients with colorectal cancer. In general, they are younger and more likely to have stage IV or recurrent disease than patients seeking an initial opinion. Although transfer of care to a multidisciplinary colorectal cancer clinic after second opinion is lower than for initial consultations, multidisciplinary colorectal cancer clinics provide an important role for patients with complex disease characteristics and treatment needs. See Video Abstract at http://links.lww.com/DCR/B192. Características de los Pacientes Que Buscan una Segunda ...
Source: Diseases of the Colon and Rectum - May 7, 2020 Category: Gastroenterology Tags: Original Contributions: Colorectal Cancer Source Type: research

Outcomes of Minimally Invasive Versus Open Proctectomy for Rectal Cancer: A Propensity-Matched Analysis of Bi-National Colorectal Cancer Audit Data
This study aims to analyze prospectively collected data from a large Australasian colorectal cancer database. DESIGN: This is a retrospective cohort study using propensity score matching. SETTING: This study was conducted using data supplied by the Bi-National Colorectal Cancer Audit. PATIENTS: A total of 3451 patients who underwent open (n = 1980), laparoscopic (n = 1269), robotic (n = 117), and transanal total mesorectal excision (n = 85) for rectal cancer were included in this study. MAIN OUTCOME MEASURE: The primary outcome was positive margin rates (circumferential resection margin and/or distal resection ...
Source: Diseases of the Colon and Rectum - May 7, 2020 Category: Gastroenterology Tags: Original Contributions: Colorectal Cancer Source Type: research

Long-term Oncological Outcomes Following Anastomotic Leak in Rectal Cancer Surgery
CONCLUSIONS: The occurrence of anastomotic leak after restorative resection for rectal cancer did not impact long-term oncological outcomes in our cohort of patients. See Video Abstract at http://links.lww.com/DCR/B187. RESULTADOS ONCOLÓGICOS A LARGO PLAZO DESPUÉS DE UNA FUGA ANASTOMÓTICA EN CIRUGÍA DE CÁNCER RECTAL ANTECEDENTES: La fuga anastomótica sigue siendo una complicación crítica después de la cirugía restauradora del cáncer rectal y se asocia con tasas significativas de morbilidad y mortalidad, mientras que las tasas reportadas var&...
Source: Diseases of the Colon and Rectum - May 7, 2020 Category: Gastroenterology Tags: Original Contributions: Colorectal Cancer Source Type: research

Survival Benefit for Metformin Through Better Tumor Response by Neoadjuvant Concurrent Chemoradiotherapy in Rectal Cancer
This study aimed to compare tumor responses and prognoses of metformin and nonmetformin groups of diabetic patients receiving neoadjuvant concurrent chemoradiotherapy for rectal cancer. DESIGN: This is a retrospective study. SETTING: This study was conducted at a single institution in the Republic of Korea. PATIENTS: Between January 2000 and November 2017, 104 patients with rectal cancer who were taking diabetes medication and treated with neoadjuvant concurrent chemoradiotherapy followed by radical surgery were reviewed. Patients were divided into those taking (n = 62) and not taking metformin (n = 42). Tumor res...
Source: Diseases of the Colon and Rectum - May 7, 2020 Category: Gastroenterology Tags: Original Contributions: Colorectal Cancer Source Type: research

Salvage Abdominoperineal Resection for Anal Squamous Cell Carcinoma: Use, Risk Factors, and Outcomes in a Canadian Population
CONCLUSIONS: In this large, contemporary cohort of patients with squamous cell carcinoma of the anus, the proportion of patients undergoing salvage surgery was considerably lower than previous reports. Younger age was associated with salvage surgery, and there was a suggestion of lower risk of salvage surgery with completion of chemoradiation. Patients requiring salvage surgery had poor 5-year overall survival. See Video Abstract at http://links.lww.com/DCR/B205. Rap de Rescate Para el Carcinoma Anal de Células Escamosas: Uso, Factores de Riesgo y Resultados en una Población Canadiense ANTECEDENTES: Est...
Source: Diseases of the Colon and Rectum - May 7, 2020 Category: Gastroenterology Tags: Original Contributions: Anal Neoplasia Source Type: research

The American Society of Colon and Rectal Surgeons Clinical Practice Guidelines for the Treatment of Left-Sided Colonic Diverticulitis
No abstract available (Source: Diseases of the Colon and Rectum)
Source: Diseases of the Colon and Rectum - May 7, 2020 Category: Gastroenterology Tags: Clinical Practice Guidelines Source Type: research

Expert Commentary on Fertility Preservation in Colorectal Cancers: Current State and Practical Tips for the Cancer Practitioner
No abstract available (Source: Diseases of the Colon and Rectum)
Source: Diseases of the Colon and Rectum - May 7, 2020 Category: Gastroenterology Tags: Resident’s Corner Source Type: research

Fertility and Endocrine Preservation in the Management of Colorectal Cancer in Women
Case Summary: A 28-year-old nulliparous woman presented with rectal bleeding. Colonoscopy revealed a 4-cm malignant-appearing mass in the proximal rectum, and biopsies confirmed invasive adenocarcinoma of the rectum. Computed tomography scan showed no evidence of metastatic disease. Staging MRI found transmural extension with minimal stranding in the adjacent fat, as well as no evidence of pathological pelvic adenopathy, consistent with a T3N0 lesion. The proposed treatment plan involved neoadjuvant chemotherapy and radiation therapy before primary surgical resection. The patient desired fertility preservation and was re...
Source: Diseases of the Colon and Rectum - May 7, 2020 Category: Gastroenterology Tags: Resident’s Corner Source Type: research

How Coronavirus Disease 2019 Outbreak Is Impacting Colorectal Cancer Patients in Italy: A Long Shadow Beyond Infection
No abstract available (Source: Diseases of the Colon and Rectum)
Source: Diseases of the Colon and Rectum - May 7, 2020 Category: Gastroenterology Tags: Viewpoint Source Type: research

Metformin Use in Patients With Rectal Cancer Undergoing Neoadjuvant Chemoradiation: The New Magic Bullet?
No abstract available (Source: Diseases of the Colon and Rectum)
Source: Diseases of the Colon and Rectum - May 7, 2020 Category: Gastroenterology Tags: Editorials Source Type: research

Evidence-Based Management of Diverticular Disease: What’s New and What’s Missing?
No abstract available (Source: Diseases of the Colon and Rectum)
Source: Diseases of the Colon and Rectum - May 7, 2020 Category: Gastroenterology Tags: Editorials Source Type: research

Colon and Rectal Surgery Regional Society Meetings
No abstract available (Source: Diseases of the Colon and Rectum)
Source: Diseases of the Colon and Rectum - April 10, 2020 Category: Gastroenterology Tags: Colon and Rectal Surgery Regional Society Meetings Source Type: research

Announcements
No abstract available (Source: Diseases of the Colon and Rectum)
Source: Diseases of the Colon and Rectum - April 10, 2020 Category: Gastroenterology Tags: Announcements Source Type: research

Abstracts Featured in This Issue: May 2020
No abstract available (Source: Diseases of the Colon and Rectum)
Source: Diseases of the Colon and Rectum - April 10, 2020 Category: Gastroenterology Tags: Web-Exclusive Content: Spanish Abstract Translations Source Type: research

Abridged Abstracts From the Medical Literature
No abstract available (Source: Diseases of the Colon and Rectum)
Source: Diseases of the Colon and Rectum - April 10, 2020 Category: Gastroenterology Tags: Selected Abstracts Source Type: research

Removal of a Large Rectal Lesion With Endoscopic Submucosal Dissection Using a New Endolumenal Platform
No abstract available (Source: Diseases of the Colon and Rectum)
Source: Diseases of the Colon and Rectum - April 10, 2020 Category: Gastroenterology Tags: Video Vignette Source Type: research

Systematic Review and Meta-analysis on Colorectal Cancer Findings on Colonic Evaluation After CT-Confirmed Acute Diverticulitis
BACKGROUND: CT findings of acute diverticulitis can overlap with features of malignancy, and current guidelines recommend colonic evaluation after acute diverticulitis. However, the benefits of routine colonic evaluation have been questioned. OBJECTIVE: We review 30 studies, composed of 29,348 subjects, to evaluate the role of routine colonic evaluation after CT-proven acute diverticulitis. DATA SOURCES: Medline, EMBASE, and the Cochrane Library were searched for articles published up to July 2018 to identify all relevant articles. STUDY SELECTION: A combination of both Medical Subject Headings and non-Medical S...
Source: Diseases of the Colon and Rectum - April 10, 2020 Category: Gastroenterology Tags: Current Status Reviews Source Type: research

Stereotactic Navigation for Rectal Surgery: Comparison of 3-Dimensional C-Arm−Based Registration to Paired-Point Registration
This study was based on a prospective case series. SETTING: The study was conducted in a single university hospital. PATIENTS: Four patients who underwent laparoscopic rectal surgery were included. INTERVENTIONS: Paired-point registration was performed for 2 cases, whereas 3-dimensional C-arm−based registration was performed for the other 2 cases. In addition, 3-dimensional C-arm−based registration was performed twice during the operation. MAIN OUTCOME MEASURE: Navigation accuracy was evaluated by measuring target registration error at 8 anatomical landmarks. RESULTS: Target registration error of...
Source: Diseases of the Colon and Rectum - April 10, 2020 Category: Gastroenterology Tags: Dynamic Article Source Type: research

Intracorporeal Anastomoses in Minimally Invasive Right Colectomies Are Associated With Fewer Incisional Hernias and Shorter Length of Stay
BACKGROUND: Intracorporeal anastomosis is associated with several short-term benefits. However, it is a technically challenging procedure with potential risk OBJECTIVE: The purpose of this study was to investigate differences in short-term complications and long-term incisional hernia rates after robotic right colectomy with intracorporeal versus extracorporeal anastomoses and standardized extraction sites. DESIGN: This was a historical cohort study. SETTINGS: The study was conducted at a single institution. PATIENTS: All of the patients undergoing robotic right colectomy with intracorporeal anastomosis and a...
Source: Diseases of the Colon and Rectum - April 10, 2020 Category: Gastroenterology Tags: Original Contributions: Outcomes Source Type: research

Prospective, Randomized Study on the Use of Prosthetic Mesh to Prevent a Parastomal Hernia in a Permanent Colostomy: Results of a Long-term Follow-up
CONCLUSION: Prophylactic intra-abdominal keyhole mesh did not decrease the rate of clinically detectable hernias but reduced the need for the surgical repair of parastomal hernias. Further trials are needed to identify a more efficient method to prevent parastomal hernias. See Video Abstract at http://links.lww.com/DCR/B171. CLINICAL TRIAL REGISTRATION: https://clinicaltrials.gov. Identifier: NCT02368873. ESTUDIO PROSPECTIVO ALEATORIZADO SOBRE EL USO DE MALLA PROTÉSICA PARA PREVENIR UNA HERNIA PARAESTOMAL EN UNA COLOSTOMÍA PERMANENTE: RESULTADOS DE UN SEGUIMIENTO A LARGO PLAZO: PREVENCIÓN DE HERN...
Source: Diseases of the Colon and Rectum - April 10, 2020 Category: Gastroenterology Tags: Original Contributions: Outcomes Source Type: research

Accidental Bowel Leakage Evaluation: A New Patient-Centered Validated Measure of Accidental Bowel Leakage Symptoms in Women
BACKGROUND: Questionnaires assessing accidental bowel leakage lack important patient-centered symptoms. OBJECTIVE: We aimed to create a valid measure of accidental bowel leakage symptoms. DESIGN: We previously created a conceptual framework capturing patient-centered accidental bowel leakage symptoms. The framework included bowel leakage type, severity and bother, and ancillary bowel symptoms, including predictability, awareness, leakage control, emptying disorders, and discomfort. SETTINGS: The study was conducted in outpatient clinics. PATIENTS: Women with at least monthly accidental bowel leakage were incl...
Source: Diseases of the Colon and Rectum - April 10, 2020 Category: Gastroenterology Tags: Original Contributions: Pelvic Floor Source Type: research

Minimal Open Hemorrhoidectomy Versus Transanal Hemorrhoidal Dearterialization: The Effect on Symptoms: An Open-Label Randomized Controlled Trial
BACKGROUND: There is limited evidence on the long-term efficacy of transanal hemorrhoidal dearterialization compared with hemorrhoidectomy. Most studies investigated short-term effects with postoperative pain as the primary outcome. Being a benign disease, the long-term goal of treatment for hemorrhoids is the resolution of symptoms and improvement of quality of life. OBJECTIVE: The purpose of this study was to compare the effect of minimal open hemorrhoidectomy versus transanal hemorrhoidal dearterialization on patient-reported symptoms. DESIGN: This was an open-label randomized controlled trial. SETTINGS: This...
Source: Diseases of the Colon and Rectum - April 10, 2020 Category: Gastroenterology Tags: Original Contributions: Anorectal Source Type: research

Can We Predict Surgically Complex Diverticulitis in Elective Cases?
BACKGROUND: Diverticulitis is separated into complicated and uncomplicated, based on the patient’s presentation at the time of his or her initial attack of acute diverticulitis. OBJECTIVE: The aim of this study was to identify risk factors for persistent complex diverticulitis, defined as an abscess, fistula, or stricture, at the time of elective surgery, and to characterize outcomes in this patient population. DESIGN: This was a retrospective review of 2010 to 2016 in the American College of Surgeons National Surgical Quality Improvement Project database. SETTINGS: Individuals diagnosed with diverticuliti...
Source: Diseases of the Colon and Rectum - April 10, 2020 Category: Gastroenterology Tags: Original Contributions: Benign Source Type: research

Multivariate Prediction of Intraoperative Abandonment of Ileal Pouch Anal Anastomosis
CONCLUSIONS: Ileoanal pouch abandonment is rare and can be mitigated by initial total abdominal colectomy and weight loss. Male, obese patients are at a higher risk of failure. Intraoperative assessment of ileoanal pouch feasibility should occur before rectal dissection. See Video Abstract at http://links.lww.com/DCR/B156. PREDICCIÓN MULTIVARIANTE DEL ABANDONO INTRAOPERATORIO DE LA ANASTOMOSIS ANAL CON BOLSA ILEAL ANTECEDENTES: La proctocolectomía total restaurativa con anastomosis de bolsa ileoanal puede no ser posible en algunos pacientes debido a limitaciones técnicas intraoperatorias. OBJETI...
Source: Diseases of the Colon and Rectum - April 10, 2020 Category: Gastroenterology Tags: Original Contributions: Inflammatory Bowel Disease Source Type: research

Nomogram to Predict Postoperative Intra-abdominal Septic Complications After Bowel Resection and Primary Anastomosis for Crohn’s Disease
This study was conducted in a tertiary center. PATIENTS: Data of 949 Crohn’s disease-related primary bowel resections and anastomosis from January 2011 to December 2017 were collected. MAIN OUTCOME MEASURES: Primary outcomes were prevalence of intra-abdominal septic complications. RESULTS: Overall prevalence of intra-abdominal septic complications after Crohn’s disease surgery was 11.6%. Predictors included preoperative C-reactive protein level ≥40 mg/L (OR = 3.545), preoperative glucocorticoids (OR = 1.829) and infliximab use (OR = 3.365), upper GI involvement (OR = 2.072), and hypoalbuminem...
Source: Diseases of the Colon and Rectum - April 10, 2020 Category: Gastroenterology Tags: Original Contributions: Inflammatory Bowel Disease Source Type: research

The Impact of Anastomotic Leakage on Long-term Function After Anterior Resection for Rectal Cancer
This study aimed to evaluate how anastomotic leakage following anterior resection for rectal cancer influences defecatory, urinary, and sexual function. DESIGN: In this retrospective population-based cohort study, patients were identified through the Swedish Colorectal Cancer Registry, which was also used for information on the exposure variable anastomotic leakage and covariates. SETTINGS: A nationwide register was used for including patients. PATIENTS: All patients undergoing anterior resection for rectal cancer in Sweden from April 2011 to June 2013 were included. MAIN OUTCOME MEASURES: Outcome was any defec...
Source: Diseases of the Colon and Rectum - April 10, 2020 Category: Gastroenterology Tags: Original Contributions: Colorectal Cancer Source Type: research

Predictors for Anastomotic Leak, Postoperative Complications, and Mortality After Right Colectomy for Cancer: Results From an International Snapshot Audit
CONCLUSIONS: Anastomotic leak after oncologic right hemicolectomy is a frequent complication, and it is associated with increased mortality. The key contributing surgical factors for anastomotic leak were anastomotic technique, surgical approach, and duration of surgery. See Video Abstract at http://links.lww.com/DCR/B165. Predictores de Fuga Anastomótica, Complicaciones Postoperatorias y Mortalidad Después de la Colectomía Derecha por Cáncer: Resultados de Una Auditoría Internacional de Corto Plazo ANTECEDENTES: La hemicolectomía derecha se encuentra entre las operaciones m&...
Source: Diseases of the Colon and Rectum - April 10, 2020 Category: Gastroenterology Tags: Original Contributions: Colorectal Cancer Source Type: research

Oncological Outcomes and Hospital Costs of the Treatment in Patients With Rectal Cancer: Watch-and-Wait Policy and Standard Surgical Treatment
CONCLUSIONS: Overall survival was good in both subgroups and comparable to literature. The mean costs per patient differ between the watch-and-wait subgroup (€6713) and the total mesorectal excision subgroup (€17,108). No comparison between the groups could be made. Based on the results of this study, the current strategy, where patients with a clinical complete response are treated in a watch-and-wait policy, and patients with an incomplete response are treated with total mesorectal excision, is likely to be (cost)saving. See Video Abstract at http://links.lww.com/DCR/B177. RESULTADOS ONCOLÓGICOS Y COS...
Source: Diseases of the Colon and Rectum - April 10, 2020 Category: Gastroenterology Tags: Original Contributions: Colorectal Cancer Source Type: research

Frailer Patients Undergoing Robotic Colectomies for Colon Cancer Experience Increased Complication Rates Compared With Open or Laparoscopic Approaches
BACKGROUND: Minimally invasive surgical techniques are routinely promoted as alternatives to open surgery because of improved outcomes. However, the impact of robotic surgery on certain subsets of the population, such as frail patients, is poorly understood. OBJECTIVE: The purpose of our study was to examine the association between frailty and minimally invasive surgical approaches with colon cancer surgery. DESIGN: This is a retrospective study of prospectively collected outcomes data. Thirty-day surgical outcomes were compared by frailty and surgical approach using doubly robust multivariable logistic regression ...
Source: Diseases of the Colon and Rectum - April 10, 2020 Category: Gastroenterology Tags: Original Contributions: Colorectal Cancer Source Type: research

Patient-Reported Work Ability During the First Two Years After Rectal Cancer Diagnosis
This study was conducted at the Radiation-Oncology Department of a tertiary center. PATIENTS: Patients with rectal cancer, (Source: Diseases of the Colon and Rectum)
Source: Diseases of the Colon and Rectum - April 10, 2020 Category: Gastroenterology Tags: Original Contributions: Colorectal Cancer Source Type: research

Expert Commentary on Anal Melanoma: A Rare Perianal Tumor With a Poor Prognosis
No abstract available (Source: Diseases of the Colon and Rectum)
Source: Diseases of the Colon and Rectum - April 10, 2020 Category: Gastroenterology Tags: Resident’s Corner Source Type: research

Anal Melanoma: A Rare Perianal Tumor With a Poor Prognosis
Case Summary: A 69-year-old woman with a nonrelevant past medical history was referred to an outpatient colorectal clinic because of the incidental finding of an anal pigmented lesion during a routine gynecological examination. Anal inspection and proctoscopy indicated possible anal melanoma (Fig. 1A and B). (Source: Diseases of the Colon and Rectum)
Source: Diseases of the Colon and Rectum - April 10, 2020 Category: Gastroenterology Tags: Resident’s Corner Source Type: research

Congress Report from the Shanghai Lujiazui International Colorectal Week 2019
No abstract available (Source: Diseases of the Colon and Rectum)
Source: Diseases of the Colon and Rectum - April 10, 2020 Category: Gastroenterology Tags: International Meeting Summary Source Type: research

Running Around
No abstract available (Source: Diseases of the Colon and Rectum)
Source: Diseases of the Colon and Rectum - April 10, 2020 Category: Gastroenterology Tags: Profiles Source Type: research

Work Ability and Rectal Cancer
No abstract available (Source: Diseases of the Colon and Rectum)
Source: Diseases of the Colon and Rectum - April 10, 2020 Category: Gastroenterology Tags: Editorial Source Type: research