Colon and Rectal Surgery Regional Society Meetings
No abstract available (Source: Diseases of the Colon and Rectum)
Source: Diseases of the Colon and Rectum - June 13, 2019 Category: Gastroenterology Tags: Web-Exclusive Content: 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 - June 13, 2019 Category: Gastroenterology Tags: Web-Exclusive Content: Announcements Source Type: research

A Comment On Persistent Fistula After Anorectal Abscess Drainage: Local Experience of 11 Years
No abstract available (Source: Diseases of the Colon and Rectum)
Source: Diseases of the Colon and Rectum - June 13, 2019 Category: Gastroenterology Tags: Web-Exclusive Content: Letters to the Editor Source Type: research

Epidurals Preclude Ultra-Fast Discharges After Colorectal Resections
No abstract available (Source: Diseases of the Colon and Rectum)
Source: Diseases of the Colon and Rectum - June 13, 2019 Category: Gastroenterology Tags: Web-Exclusive Content: Letters to the Editor 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 - June 13, 2019 Category: Gastroenterology Tags: Selected Abstracts Source Type: research

Superior Mesenteric Vein-First Approach to Robotic Complete Mesocolic Excision for Right Colectomy: Technique and Preliminary Outcomes
CONCLUSIONS: Using the superior mesenteric vein-first approach, robotic complete mesocolic excision for right colectomy can be performed on patients with high or low BMI with excellent short-term oncologic outcomes and acceptable morbidity. See Video Abstract at http://links.lww.com/DCR/A960. (Source: Diseases of the Colon and Rectum)
Source: Diseases of the Colon and Rectum - June 13, 2019 Category: Gastroenterology Tags: Technical Notes Source Type: research

Z-Plasty Perineal Hernia Repair Using Biologic Mesh After Abdominoperineal Resection
No abstract available (Source: Diseases of the Colon and Rectum)
Source: Diseases of the Colon and Rectum - June 13, 2019 Category: Gastroenterology Tags: Video Vignette Source Type: research

Meta-analysis of Histological Margin Positivity in the Prediction of Recurrence After Crohn’s Resection
BACKGROUND: Despite significant advances in the medical management of Crohn’s disease, many patients will require intestinal resection during their lifetime. It is disappointing that many will also develop disease recurrence. OBJECTIVES: The current study utilizes meta-analytical techniques to determine the effect of positive histological margins at the time of index resection on disease recurrence. DATA SOURCES: Embase, Medline, PubMed, PubMed Central, and Cochrane databases were searched using a Boolean search algorithm for articles published up to August 2017. STUDY SELECTION: Meta-analysis was performe...
Source: Diseases of the Colon and Rectum - June 13, 2019 Category: Gastroenterology Tags: Current Status Reviews Source Type: research

Health and Economic Impact of Intensive Surveillance for Distant Recurrence After Curative Treatment of Colon Cancer: A Mathematical Modeling Study
CONCLUSIONS: Given currently available data and within the limitations of a model-based decision-analytic approach, the effectiveness of routine intensive surveillance for patients after treatment of colon cancer appears, on average, to be small. Compared with testing using lower cost imaging, currently recommended strategies are associated with cost-effectiveness ratios that indicate low value according to well-accepted willingness-to-pay thresholds in the United States. See Video Abstract at http://links.lww.com/DCR/A921. (Source: Diseases of the Colon and Rectum)
Source: Diseases of the Colon and Rectum - June 13, 2019 Category: Gastroenterology Tags: Original Contribution: Socioeconomic Source Type: research

Evaluating the Accuracy of Hemorrhoids: Comparison Among Specialties and Symptoms
CONCLUSIONS: A variety of anorectal complaints are diagnosed as hemorrhoids by providers who have initial contact with the patients. Educational programs directed toward improving physician knowledge can potentially improve diagnostic accuracy and earlier initiation of appropriate care. Presenting symptoms other than protrusion lead to higher rate of misdiagnosis by a referring physician. See Video Abstract at http://links.lww.com/DCR/A847. (Source: Diseases of the Colon and Rectum)
Source: Diseases of the Colon and Rectum - June 13, 2019 Category: Gastroenterology Tags: Original Contribution: Anorectal Source Type: research

Natural History and Surgical Management of Colonic Perforations in Vascular Ehlers-Danlos Syndrome: A Retrospective Review
CONCLUSION: Colonic perforations seem more severe in males, with a high rate of reperforation after Hartmann procedure. Subtotal colectomy may reduce digestive morbidity, particularly in male patients. Additional studies are required to identify other predictors of reperforation. See Video Abstract at http://links.lww.com/DCR/A937. (Source: Diseases of the Colon and Rectum)
Source: Diseases of the Colon and Rectum - June 13, 2019 Category: Gastroenterology Tags: Original Contribution: Benign Source Type: research

Does Metabolic Syndrome Increase the Risk of Postoperative Complications in Patients Undergoing Colorectal Cancer Surgery?
CONCLUSIONS: Patients with metabolic syndrome undergoing elective surgery for colorectal cancer have an increased risk of 30-day postoperative renal complications, wound complications, and unplanned hospital readmissions. A multidisciplinary approach involving lifestyle modifications and pharmacologic interventions to improve the components of metabolic syndrome should be implemented preoperatively for these patients. See Video Abstract at http://links.lww.com/DCR/A909. (Source: Diseases of the Colon and Rectum)
Source: Diseases of the Colon and Rectum - June 13, 2019 Category: Gastroenterology Tags: Original Contribution: Colorectal Cancer Source Type: research

Assessing Hereditary Colorectal Cancer Referral Patterns to a Tertiary Care Center: A Novel Approach Using Geographic Information System Mapping
CONCLUSIONS: Our hereditary colorectal cancer registry serves a large geographic area, with the largest group of referrals coming from gastroenterologists. Performing this analysis with geographic information systems technology mapping allowed us to identify clustering of patients and providers throughout the region as well as gaps. This information will help to target outreach and distribution of educational materials for providers and their patients to increase registry enrollment. See Video Abstract at http://links.lww.com/DCR/A950. (Source: Diseases of the Colon and Rectum)
Source: Diseases of the Colon and Rectum - June 13, 2019 Category: Gastroenterology Tags: Original Contribution: Colorectal Cancer Source Type: research

Necessity of Genetic Evaluation of Metachronous Metastases of Colorectal Cancer: Quantitative Analysis of Genetic Discordance Between Metachronous Metastases and Radically Resected Primary Colorectal Cancers Using Next-Generation Sequencing
CONCLUSIONS: Genetic discordance can exist between metachronous metastases and radically resected primary colorectal cancers. For appropriate target therapy, genetic evaluation of metachronous metastases needs to be considered when possible. See Video Abstract at http://links.lww.com/DCR/A932. (Source: Diseases of the Colon and Rectum)
Source: Diseases of the Colon and Rectum - June 13, 2019 Category: Gastroenterology Tags: Original Contribution: Colorectal Cancer Source Type: research

The Association of Preoperative Anemia and the Postoperative Course and Oncological Outcome in Patients Undergoing Rectal Cancer Surgery: A Multicenter Snapshot Study
BACKGROUND: There is still controversy about the relationship between preoperative anemia and outcomes after rectal cancer surgery. OBJECTIVE: The aim of this study was to analyze the association between preoperative anemia and postoperative complications and the survival of patients undergoing surgery for rectal cancer in the era of laparoscopic surgery and modern perioperative care. DESIGN: This was a cohort study. SETTINGS: Data were gathered from 71 hospitals in The Netherlands. PATIENTS: Patients who underwent resection for rectal cancer in 2011, for whom preoperative hemoglobin level was registered, wer...
Source: Diseases of the Colon and Rectum - June 13, 2019 Category: Gastroenterology Tags: Original Contribution: Colorectal Cancer Source Type: research

Patient-Reported Unmet Needs in Colorectal Cancer Survivors After Treatment for Curative Intent
This study was conducted June 2017 to January 2018 at an academic cancer center. PATIENTS: There were 99 patients (58 with colon cancer, 41 with rectal cancer). MAIN OUTCOME MEASURES: We measured patient-reported unmet needs by using a modification of the Cancer Survivor Unmet Needs instrument, within domains of emotional (stress, concerns about recurrence), relationship (fertility, interpersonal), logistical (need for accessible parking, case management), financial, treatment-related (neuropathy, bowel function), and surveillance-related needs. RESULTS: The mean (±SD) age was 58 (±12), and the time ...
Source: Diseases of the Colon and Rectum - June 13, 2019 Category: Gastroenterology Tags: Original Contribution: Colorectal Cancer Source Type: research

Anatomical Variations of Iliac Vein Tributaries and Their Clinical Implications During Complex Pelvic Surgeries
CONCLUSIONS: A comprehensive understanding of previously unreported highly prevalent external iliac vein tributaries in the presacral region is vital during complex pelvic surgery. A simplified classification of internal iliac vein variations is proposed. See Video Abstract at http://links.lww.com/DCR/A900. (Source: Diseases of the Colon and Rectum)
Source: Diseases of the Colon and Rectum - June 13, 2019 Category: Gastroenterology Tags: Original Contribution: Colorectal Cancer Source Type: research

Achieving a Complete Clinical Response After Neoadjuvant Chemoradiation That Does Not Require Surgical Resection: It May Take Longer Than You Think!
CONCLUSIONS: Assessment at 10 to 16 weeks may detect a minority of patients who achieve complete clinical response without additional recurrence after neoadjuvant chemoradiation. Patients suspected for a complete clinical response should be considered for reassessment beyond 16 weeks before definitive management when considered for a watch and wait strategy. See Video Abstract at http://links.lww.com/DCR/A901. (Source: Diseases of the Colon and Rectum)
Source: Diseases of the Colon and Rectum - June 13, 2019 Category: Gastroenterology Tags: Original Contribution: Colorectal Cancer Source Type: research

Carbon Dioxide Embolism Associated With Transanal Total Mesorectal Excision Surgery: A Report From the International Registries
CONCLUSIONS: Surgeons undertaking transanal total mesorectal excision must be aware of the possibility of carbon dioxide embolus and its potential risk factors, including venous bleeding (wrong plane surgery), high insufflation pressures, and patient positioning. Prompt recognition and management can limit the clinical impact of such events. See Video Abstract at http://links.lww.com/DCR/A961. (Source: Diseases of the Colon and Rectum)
Source: Diseases of the Colon and Rectum - June 13, 2019 Category: Gastroenterology Tags: Original Contribution: Colorectal Cancer Source Type: research

Abstracts Featured in This Issue: July 2019
No abstract available (Source: Diseases of the Colon and Rectum)
Source: Diseases of the Colon and Rectum - June 13, 2019 Category: Gastroenterology Tags: Spanish Abstract Translations Source Type: research

Expert Commentary on Colonic Surgery in Patients With Familial Adenomatous Polyposis
No abstract available (Source: Diseases of the Colon and Rectum)
Source: Diseases of the Colon and Rectum - June 13, 2019 Category: Gastroenterology Tags: Resident’s Corner Source Type: research

Colonic Surgery in Patients With Familial Adenomatous Polyposis
Case Summary: A 34-year-old woman is referred after a colonoscopy that revealed>100 polyps throughout her colon and rectum (Fig. 1). A random selection of 3 polyps is biopsied and reported as adenomas. She is adopted and is unaware of her biological family. She is found to have a deleterious germline variant in APC (c.1967-1974del). She works as a nurse and is married with 4 children (age: 17, 13, 11, and 6 years). She has had no prior abdominal operations. (Source: Diseases of the Colon and Rectum)
Source: Diseases of the Colon and Rectum - June 13, 2019 Category: Gastroenterology Tags: Resident’s Corner Source Type: research

Assessing Acceptable Risk in New Surgical Procedures, With Special Reference to Gas Emboli in Transanal Total Mesorectal Surgery
No abstract available (Source: Diseases of the Colon and Rectum)
Source: Diseases of the Colon and Rectum - June 13, 2019 Category: Gastroenterology Tags: Editorial 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 - May 15, 2019 Category: Gastroenterology Tags: Web-Exclusive Content: 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 15, 2019 Category: Gastroenterology Tags: Web-Exclusive Content: Announcements Source Type: research

American Society of Colon and Rectal Surgeons 2019 Annual Scientific Meeting Abstracts
No abstract available (Source: Diseases of the Colon and Rectum)
Source: Diseases of the Colon and Rectum - May 15, 2019 Category: Gastroenterology Tags: Web-Exclusive Content: Meeting Abstracts: PDF Only Source Type: research

The Authors Reply
No abstract available (Source: Diseases of the Colon and Rectum)
Source: Diseases of the Colon and Rectum - May 15, 2019 Category: Gastroenterology Tags: Web-Exclusive Content: Letters to the Editor Source Type: research

New Attempt to Reach a Common Sense in Pilonidal Sinus Therapy
No abstract available (Source: Diseases of the Colon and Rectum)
Source: Diseases of the Colon and Rectum - May 15, 2019 Category: Gastroenterology Tags: Web-Exclusive Content: Letters to the Editor Source Type: research

The Authors Reply
No abstract available (Source: Diseases of the Colon and Rectum)
Source: Diseases of the Colon and Rectum - May 15, 2019 Category: Gastroenterology Tags: Web-Exclusive Content: Letters to the Editor Source Type: research

Expectant Management Is a Reasonable Approach to Surveillance of High-Risk Patients With Anal Intraepithelial Neoplasia III
No abstract available (Source: Diseases of the Colon and Rectum)
Source: Diseases of the Colon and Rectum - May 15, 2019 Category: Gastroenterology Tags: Web-Exclusive Content: Letters to the Editor Source Type: research

The Authors Reply
No abstract available (Source: Diseases of the Colon and Rectum)
Source: Diseases of the Colon and Rectum - May 15, 2019 Category: Gastroenterology Tags: Web-Exclusive Content: Letters to the Editor Source Type: research

Internal Rectal Prolapse, Anismus, and Obstructed Defecation Reconsidered
No abstract available (Source: Diseases of the Colon and Rectum)
Source: Diseases of the Colon and Rectum - May 15, 2019 Category: Gastroenterology Tags: Web-Exclusive Content: Letters to the Editor Source Type: research

Pilonidal Disease: Management and Definitive Treatment–A Call to Introduce an Endoscopic Minimally Invasive Technique
No abstract available (Source: Diseases of the Colon and Rectum)
Source: Diseases of the Colon and Rectum - May 15, 2019 Category: Gastroenterology Tags: Web-Exclusive Content: Letters to the Editor Source Type: research

The Authors Reply
No abstract available (Source: Diseases of the Colon and Rectum)
Source: Diseases of the Colon and Rectum - May 15, 2019 Category: Gastroenterology Tags: Web-Exclusive Content: Letters to the Editor Source Type: research

Platelet-Rich Plasma as a Treatment Option in Pilonidal Disease
No abstract available (Source: Diseases of the Colon and Rectum)
Source: Diseases of the Colon and Rectum - May 15, 2019 Category: Gastroenterology Tags: Web-Exclusive Content: Letters to the Editor Source Type: research

The Authors Reply
No abstract available (Source: Diseases of the Colon and Rectum)
Source: Diseases of the Colon and Rectum - May 15, 2019 Category: Gastroenterology Tags: Web-Exclusive Content: Letters to the Editor Source Type: research

Real-World Situation of Lateral Lymph Node Dissection for Rectal Cancer in Japan
No abstract available (Source: Diseases of the Colon and Rectum)
Source: Diseases of the Colon and Rectum - May 15, 2019 Category: Gastroenterology Tags: Web-Exclusive Content: Letters to the Editor 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 15, 2019 Category: Gastroenterology Tags: Selected Abstracts Source Type: research

Cross-Specialty Instrument Use for Rectal Cancer in the Female Pelvis
No abstract available (Source: Diseases of the Colon and Rectum)
Source: Diseases of the Colon and Rectum - May 15, 2019 Category: Gastroenterology Tags: Video Vignette Source Type: research

Recent Advances in Fertility Preservation and Counseling for Reproductive-Aged Women with Colorectal Cancer: A Systematic Review
CONCLUSION: Reproductive-aged women with colorectal cancer benefit from fertility preservation counseling before the initiation of cancer treatment. (Source: Diseases of the Colon and Rectum)
Source: Diseases of the Colon and Rectum - May 15, 2019 Category: Gastroenterology Tags: Current Status Reviews Source Type: research

Alvimopan Significantly Reduces Length of Stay and Costs Following Colorectal Resection and Ostomy Reversal Even Within an Enhanced Recovery Protocol
CONCLUSIONS: The introduction of alvimopan to a postoperative protocol following elective colorectal resection or ostomy reversal significantly reduces length of stay and is associated with cost savings even within an enhanced recovery protocol. See Video Abstract at http://links.lww.com/DCR/A911. (Source: Diseases of the Colon and Rectum)
Source: Diseases of the Colon and Rectum - May 15, 2019 Category: Gastroenterology Tags: Original Contributions: Socioeconomic Source Type: research

Drivers of Inpatient Costs After Colorectal Surgery Within a Publicly Funded Healthcare System
BACKGROUND: The morbidity and mortality associated with colorectal resections are responsible for significant healthcare use. Identification of efficiencies is vital for decreasing healthcare cost in a resource-limited system. OBJECTIVE: The purpose of this study was to characterize the short-term cost associated with all colon and rectal resections. DESIGN: This was a population-based, retrospective administrative analysis. SETTINGS: This analysis was composed of all colon and rectal resections with anastomosis in Canada (excluding Quebec) between 2008 and 2015. PATIENTS: A total of 108,304 patients ≥18 y...
Source: Diseases of the Colon and Rectum - May 15, 2019 Category: Gastroenterology Tags: Original Contributions: Socioeconomic Source Type: research

How Patient Complexity and Surgical Approach Influence Episode-Based Payment Models for Colectomy
CONCLUSIONS: Surgical leaders must be prepared with strategies for optimizing episode efficiency. Inclusion of risk adjustment in bundled payment calculations and expanding utilization of laparoscopic surgery may represent approaches to achieve shared savings and improve surgeon engagement in alternative payment models for surgical care. See Video Abstract at http://links.lww.com/DCR/A928. (Source: Diseases of the Colon and Rectum)
Source: Diseases of the Colon and Rectum - May 15, 2019 Category: Gastroenterology Tags: Original Contributions: Socioeconomic Source Type: research

Fecal Incontinence Symptoms and Impact in Older Versus Younger Women Seeking Care
This study was conducted at a tertiary genitorectal disorder clinic. PATIENTS: Women presenting for fecal incontinence evaluation between 2003 and 2016 were classified as older or younger based on age ≥65 or (Source: Diseases of the Colon and Rectum)
Source: Diseases of the Colon and Rectum - May 15, 2019 Category: Gastroenterology Tags: Original Contributions: Pelvic Floor Source Type: research

Long-term Outcome of Hirschsprung Disease: Impact on Quality of Life and Social Condition at Adult Age
CONCLUSION: The quality of life of adult patients with Hirschsprung disease sequelae is marginally impaired in this study. Despite the consequences of this congenital abnormality, the condition eventually achieved can be considered as satisfactory. See Video Abstract at http://links.lww.com/DCR/A917. (Source: Diseases of the Colon and Rectum)
Source: Diseases of the Colon and Rectum - May 15, 2019 Category: Gastroenterology Tags: Original Contributions: Benign Source Type: research

Superior Mesenteric Artery Pseudoaneurysms in Patients With Familial Adenomatous Polyposis–Associated Intra-abdominal Desmoids: Case Series
CONCLUSIONS: We advocate an increased awareness of the possibility of visceral pseudoaneurysms in patients with familial adenomatous polyposis who have desmoid disease encasing the superior mesenteric artery. See Video Abstract at http://links.lww.com/DCR/A914. (Source: Diseases of the Colon and Rectum)
Source: Diseases of the Colon and Rectum - May 15, 2019 Category: Gastroenterology Tags: Original Contributions: Colorectal Cancer Source Type: research

Quality of Life After Curative Resection for Rectal Cancer in Patients Treated With Adjuvant Chemotherapy Compared With Observation: Results of the Randomized Phase III SCRIPT Trial
BACKGROUND: Adjuvant chemotherapy after curative resection for rectal cancer is the standard of care in several American and European guidelines. OBJECTIVE: The aim of this study was to examine the differences in health-related quality of life over time between patients with rectal cancer who were treated with adjuvant chemotherapy or observation. DESIGN: This is a randomized controlled phase III trial. SETTINGS: Health-related quality-of-life assessments were conducted in Dutch patients from 43 institutes. PATIENTS: Patients with stage II or III rectal cancer who underwent preoperative (chemo)radiotherapy fo...
Source: Diseases of the Colon and Rectum - May 15, 2019 Category: Gastroenterology Tags: Original Contributions: Colorectal Cancer Source Type: research

Predictors of Readmission Following Proctectomy for Rectal Cancer
CONCLUSIONS: An early postoperative care bundle to detect postoperative complications could prevent some unnecessary inpatient admissions following proctectomy. Key constituents should include early identification and management of stoma-related complications and surgical site infection. See Video Abstract at http://links.lww.com/DCR/A912. (Source: Diseases of the Colon and Rectum)
Source: Diseases of the Colon and Rectum - May 15, 2019 Category: Gastroenterology Tags: Original Contributions: Colorectal Cancer Source Type: research