Colon and Rectal Surgery Regional Society Meetings
No abstract available (Source: Diseases of the Colon and Rectum)
Source: Diseases of the Colon and Rectum - November 12, 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 - November 12, 2020 Category: Gastroenterology Tags: Announcements Source Type: research

Reviewers for the Diseases of the Colon & Rectum
No abstract available (Source: Diseases of the Colon and Rectum)
Source: Diseases of the Colon and Rectum - November 12, 2020 Category: Gastroenterology Tags: Reviewers for the Diseases of the Colon & Rectum Source Type: research

The Authors Reply
No abstract available (Source: Diseases of the Colon and Rectum)
Source: Diseases of the Colon and Rectum - November 12, 2020 Category: Gastroenterology Tags: Web-Exclusive Content: Letters to the Editor Source Type: research

Evolution of Colorectal Surgical Pathways in the Coronavirus Disease 2019 Pandemic
No abstract available (Source: Diseases of the Colon and Rectum)
Source: Diseases of the Colon and Rectum - November 12, 2020 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 - November 12, 2020 Category: Gastroenterology Tags: Web-Exclusive Content: Letters to the Editor Source Type: research

Understanding Pouch Dysfunction
No abstract available (Source: Diseases of the Colon and Rectum)
Source: Diseases of the Colon and Rectum - November 12, 2020 Category: Gastroenterology Tags: Web-Exclusive Content: Letters to the Editor Source Type: research

Abstracts Featured in This Issue: December 2020
No abstract available (Source: Diseases of the Colon and Rectum)
Source: Diseases of the Colon and Rectum - November 12, 2020 Category: Gastroenterology Tags: Web-Exclusive Content: Spanish Abstract Translations Source Type: research

Improved 30-Day Surgical Outcomes in Ostomates Using a Remote Monitoring and Care Management Program: An Observational Study
No abstract available (Source: Diseases of the Colon and Rectum)
Source: Diseases of the Colon and Rectum - November 12, 2020 Category: Gastroenterology Tags: Web-Exclusive Content: New Technology Report Source Type: research

Rectal Foreign Body Removal: Kadlec Technique
No abstract available (Source: Diseases of the Colon and Rectum)
Source: Diseases of the Colon and Rectum - November 12, 2020 Category: Gastroenterology Tags: Web-Exclusive Content: Didactic Video Collection 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 - November 12, 2020 Category: Gastroenterology Tags: Web-Exclusive Content: Selected Abstracts Source Type: research

Sacrectomy for Recurrent Rectal Cancer Using the Transanal Total Mesorectum Excision Technique
CONCLUSIONS: Our new technique utilizing transanal total mesorectum excision is feasible to secure the lateral surgical margin with minimal skin incision and dissection and may prevent severe postoperative complications. (Source: Diseases of the Colon and Rectum)
Source: Diseases of the Colon and Rectum - November 12, 2020 Category: Gastroenterology Tags: Web-Exclusive Content: Technical Note Source Type: research

Slug Method: A Technique for Stoma Prolapse Reduction Using High Osmolality of the 50% Glucose Solution
No abstract available (Source: Diseases of the Colon and Rectum)
Source: Diseases of the Colon and Rectum - November 12, 2020 Category: Gastroenterology Tags: Web-Exclusive Content: Video Vignette Source Type: research

Management of Isolated Anal Strictures in Crohn’s Disease
CONCLUSIONS: Despite significant advances in medical and surgical therapy in Crohn’s disease over the last decades, there is clearly an unmet need in the management of anorectal strictures in Crohn’s disease. (Source: Diseases of the Colon and Rectum)
Source: Diseases of the Colon and Rectum - November 12, 2020 Category: Gastroenterology Tags: Current Status Reviews Source Type: research

Assessment of the Risk and Economic Burden of Surgical Site Infection Following Colorectal Surgery Using a US Longitudinal Database: Is There a Role for Innovative Antimicrobial Wound Closure Technology to Reduce the Risk of Infection?
CONCLUSIONS: Surgical site infection cost burden was found to be higher than previously reported, with payer costs escalating over a 24-month postoperative period. Cost analysis results for adopting antimicrobial wound closure aligns with previous evidence-based studies, suggesting a fiscal benefit for its use as a component of a comprehensive evidence-based surgical care bundle for reducing the risk of infection. See Video Abstract at http://links.lww.com/DCR/B358. EVALUACIÓN DEL RIESGO Y LA CARGA ECONÓMICA DE LA INFECCIÓN DEL SITIO QUIRÚRGICO DESPUÉS DE UNA CIRUGÍA COLORRE...
Source: Diseases of the Colon and Rectum - November 12, 2020 Category: Gastroenterology Tags: Original Contributions: Socioeconomic Source Type: research

Short-term and Long-term Outcomes Following Pelvic Pouch Excision: The Mount Sinai Hospital Experience
CONCLUSIONS: Pouch excision is associated with high postoperative morbidity and long-term reintervention due to nonhealing perineal wounds, stoma complications, and hernias. Further study is required to clarify risk reduction strategies to limit perineal wound complications and the appropriate selection of patients for diversion alone vs pouch excision in IPAA failure. See Video Abstract at http://links.lww.com/DCR/B348. RESULTADOS A CORTO Y LARGO PLAZO DESPUÉS DE LA EXTIRPACIÓN DE LA BOLSA PéLVICA: LA EXPERIENCIA DEL HOSPITAL MOUNT SINAÍ ANTECEDENTES: Pocos estudios han informado ...
Source: Diseases of the Colon and Rectum - November 12, 2020 Category: Gastroenterology Tags: Original Contributions: Inflammatory Bowel Disease Source Type: research

Differential Expression of PEG10 Contributes to Aggressive Disease in Early Versus Late-Onset Colorectal Cancer
CONCLUSIONS: PEG10 is differentially expressed in early onset colorectal cancer and may functionally contribute to tumor cell proliferation and invasion. An increase in PEG10 expression correlates with decreased overall survival. See Video Abstract at http://links.lww.com/DCR/B343. LA EXPRESIÓN DIFERENCIAL DE PEG10 CONTRIBUYE A LA ENFERMEDAD AGRESIVA EN EL CÁNCER COLORRECTAL DE INICIO TEMPRANO VERSUS INICIO TARDÍO ANTECEDENTES: El cáncer colorrectal es una de las principales causas de muerte relacionada con el cáncer. El cáncer colorrectal de inicio temprano (edad &le...
Source: Diseases of the Colon and Rectum - November 12, 2020 Category: Gastroenterology Tags: Original Contributions: Cancer Source Type: research

Randomized Pilot Trial of Percutaneous Posterior Tibial Nerve Stimulation Versus Medical Therapy for the Treatment of Low Anterior Resection Syndrome: One-Year Follow-up
CONCLUSIONS Percutaneous tibial nerve stimulation could be an effective treatment for low anterior resection syndrome. Additional studies are warranted to investigate clinical effectiveness in low anterior resection syndrome. See Video Abstract at http://links.lww.com/DCR/B371. ESTUDIO PILOTO ALEATORIO DE ESTIMULACIÓN PERCUTÁNEA DEL NERVIO TIBIAL POSTERIOR VERSUS TERAPIA MÉDICA PARA EL TRATAMIENTO DEL SÍNDROME DE RESECCIÓN ANTERIOR BAJA: UN AÑO DE SEGUIMIENTO ANTECEDENTES: El síndrome de resección anterior baja se asocia con un deterioro significativo en...
Source: Diseases of the Colon and Rectum - November 12, 2020 Category: Gastroenterology Tags: Original Contributions: Cancer Source Type: research

Clinical–Pathologic Characteristics and Long-term Outcomes of Left Flexure Colonic Cancer: A Retrospective Analysis of an International Multicenter Cohort
BACKGROUND: Colorectal cancer seldom presents at the splenic flexure. Small series on left flexure tumors reported a high occurrence of negative prognostic factors called into question as causes of poor prognosis. However, because of the small number of cases, no definite conclusions can be drawn. OBJECTIVE: The aim of this study was to compare clinical-pathologic characteristics and short- and long-term outcomes of left flexure tumors with other colonic locations. DESIGN: This was a retrospective analysis of consecutive patients who underwent surgery for tumors at the splenic flexure. Each tumor was pair...
Source: Diseases of the Colon and Rectum - November 12, 2020 Category: Gastroenterology Tags: Original Contributions: Cancer Source Type: research

CD4/CD8 Ratio as a Novel Marker for Increased Risk of High-Grade Anal Dysplasia and Anal Cancer in HIV+ Patients: A Retrospective Cohort Study
This study was conducted at the University of Wisconsin School of Medicine and Public Health. PATIENTS: Patients with advanced disease (high-grade anal dysplasia and/or anal cancer) were compared with patients with negative anal cytology. MAIN OUTCOME MEASURES: The independent variables were lowest (nadir) CD4/CD8 and CD4/CD8 nearest to screening/diagnosis. Logistic regression modeling was used to estimate the adjusted odds of advanced disease. RESULTS: A total of 377 people living with HIV were examined: 266 with negative cytology and 111 with advanced disease (16 cancer, 95 high-grade anal dysplasia)...
Source: Diseases of the Colon and Rectum - November 12, 2020 Category: Gastroenterology Tags: Original Contributions: Anal Neoplasia Source Type: research

Expert Commentary on Treatment Strategies for Massive Presacral Bleeding
No abstract available (Source: Diseases of the Colon and Rectum)
Source: Diseases of the Colon and Rectum - November 12, 2020 Category: Gastroenterology Tags: Resident’s Corner Source Type: research

Treatment Strategies for Massive Presacral Bleeding
CASE SUMMARY: An 84-year-old male patient was complaining of constipation and rectal bleeding for 6 months. Colonoscopy and rigid sigmoidoscopy showed a posterior upper rectal mass (13 cm from anus). Histopathology confirmed moderately differentiated adenocarcinoma. A CT scan of the thorax, abdomen, and pelvis, as well as pelvic magnetic nuclear resonance imaging, revealed midrectal cancer cT3N0M0 with clear predicted circumferential margin. The patient underwent anterior resection with tumor-specific total mesorectal excision and end colostomy. During the posterior rectal dissection, dilated fragile varicose pr...
Source: Diseases of the Colon and Rectum - November 12, 2020 Category: Gastroenterology Tags: Resident’s Corner Source Type: research

“You’re Used To Being The One That Can Fix Things…”: A Qualitative Snapshot of Colorectal Surgeons During COVID-19
No abstract available (Source: Diseases of the Colon and Rectum)
Source: Diseases of the Colon and Rectum - November 12, 2020 Category: Gastroenterology Tags: Viewpoints Source Type: research

Practice Patterns of Colorectal Surgery During the COVID-19 Pandemic
No abstract available (Source: Diseases of the Colon and Rectum)
Source: Diseases of the Colon and Rectum - November 12, 2020 Category: Gastroenterology Tags: Viewpoints Source Type: research

Transparency: A Good First Step Toward Eliminating Bias
No abstract available (Source: Diseases of the Colon and Rectum)
Source: Diseases of the Colon and Rectum - November 12, 2020 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 - October 16, 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 - October 16, 2020 Category: Gastroenterology Tags: Announcements Source Type: research

Comments on “Complicated Diverticulitis”
No abstract available (Source: Diseases of the Colon and Rectum)
Source: Diseases of the Colon and Rectum - October 16, 2020 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 - October 16, 2020 Category: Gastroenterology Tags: Web-Exclusive Content: Letters to the Editor Source Type: research

Middle-Term Outcomes of Gatekeeper Implantation for Fecal Incontinence: Statistical or Clinical Significance?
No abstract available (Source: Diseases of the Colon and Rectum)
Source: Diseases of the Colon and Rectum - October 16, 2020 Category: Gastroenterology Tags: Web-Exclusive Content: Letters to the Editor Source Type: research

Abstracts Featured in This Issue: November 2020
No abstract available (Source: Diseases of the Colon and Rectum)
Source: Diseases of the Colon and Rectum - October 16, 2020 Category: Gastroenterology Tags: Web-Exclusive Content: Spanish Abstract Translations Source Type: research

Robotic Total Intracorporeal Completion Proctectomy With Restorative IPAA: The NICE Approach
No abstract available (Source: Diseases of the Colon and Rectum)
Source: Diseases of the Colon and Rectum - October 16, 2020 Category: Gastroenterology Tags: Web-Exclusive Content: New Technology Brief Source Type: research

Transanal Minimally Invasive Surgery for Mid-Rectal Carcinoma in Situ
No abstract available (Source: Diseases of the Colon and Rectum)
Source: Diseases of the Colon and Rectum - October 16, 2020 Category: Gastroenterology Tags: Web-Exclusive Content: Didactic Video Collection 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 - October 16, 2020 Category: Gastroenterology Tags: Web-Exclusive Content: Selected Abstracts Source Type: research

Laparoscopic Transabdominal Dissection and Transection of the Distal Rectum Followed by Local Excision Through the Anus for Rectal Gastrointestinal Stromal Tumor
No abstract available (Source: Diseases of the Colon and Rectum)
Source: Diseases of the Colon and Rectum - October 16, 2020 Category: Gastroenterology Tags: Web-Exclusive Content: Video Vignette Source Type: research

Organoid Models of Colorectal Pathology: Do They Hold the Key to Personalized Medicine? A Systematic Review
CONCLUSIONS: Historical disease models including cell lines, patient-derived tumor xenografts, and animal models have created a strong foundation for our understanding of colorectal pathology. Recent advances in 3-dimensional cell cultures, in the form of patient-derived epithelial organoids and induced human intestinal organoids have opened a new avenue for high-resolution analysis of pathology at the level of an individual patient. Recent research has shown the potential of organoids as a tool for personalized medicine with their ability to retain patient characteristics, including treatment response. (Source: Diseases...
Source: Diseases of the Colon and Rectum - October 16, 2020 Category: Gastroenterology Tags: Current Status Reviews Source Type: research

Early Follow-up After Colorectal Surgery Reduces Postdischarge Emergency Department Visits
This study’s aim was to determine whether early follow-up with the surgical team reduces 30-day emergency department visits. DESIGN: This retrospective cohort study used a central data repository of clinical and administrative data for 2013 through 2018. SETTING: This study was conducted in a large statewide health care system (10 affiliated hospitals,>300 practices). PATIENTS: All adult patients undergoing colorectal surgery were included unless they had a length of stay (Source: Diseases of the Colon and Rectum)
Source: Diseases of the Colon and Rectum - October 16, 2020 Category: Gastroenterology Tags: Original Contributions: Socioeconomic Source Type: research

Overprescription of Opioids Following Outpatient Anorectal Surgery: A Single-Institution Study
CONCLUSIONS: The majority of patients do not need more than five to ten 5-mg oxycodone equivalents to achieve adequate pain management after outpatient anorectal surgical procedures. See Video Abstract at http://links.lww.com/DCR/B347. EXCESO DE PRESCRIPCIÓN DE OPIOIDES DESPUÉS DE UNA CIRUGÍA ANORRECTAL AMBULATORIA: UN ESTUDIO DE UNA SOLA INSTITUCIÓN ANTECEDENTES: Cirujanos contribuyen a la epidemia de opioides al recetar en exceso opioides para el dolor postoperatorio. El exceso de opioides no utilizados puede ser desviado por para mal uso o abuso. OBJETIVO: Caracterizar la prescripci&o...
Source: Diseases of the Colon and Rectum - October 16, 2020 Category: Gastroenterology Tags: Original Contributions: Anorectal Source Type: research

Video-Assisted Ligation of Intersphincteric Fistula Tract for Complex Anal Fistula: Technique and Preliminary Outcomes
This study aimed to report outcomes of video-assisted ligation of intersphincteric fistula tract (a procedure combining video-assisted anal fistula treatment and ligation of intersphincteric fistula tract) for treating complex anal fistulas and to compare its results with conventional ligation of intersphincteric fistula tract. DESIGN: A review of prospectively collected data from October 2014 to December 2017 was performed. SETTINGS: The study was conducted at a large tertiary hospital in Thailand. PATIENTS: All patients with primary or recurrent complex anal fistulas undergoing video-assisted ligation of intersp...
Source: Diseases of the Colon and Rectum - October 16, 2020 Category: Gastroenterology Tags: Original Contributions: Anorectal Source Type: research

Use of Biological Medications Does Not Increase Postoperative Complications Among Patients With Ulcerative Colitis Undergoing Colectomy: A Retrospective Cohort Analysis of Privately Insured Patients
BACKGROUND: Existing studies on the effects of biological medications on surgical complications among patients with ulcerative colitis have mixed results. Because biologicals may hinder response to infections and wound healing, preoperative exposure may increase postoperative complications. OBJECTIVE: The purpose of this study was to evaluate associations between biological exposure within 6 months preceding colectomy or proctocolectomy and postoperative complications among patients with ulcerative colitis. DESIGN: This was a retrospective cohort study with multivariate regression analysis after coarsened exact mat...
Source: Diseases of the Colon and Rectum - October 16, 2020 Category: Gastroenterology Tags: Original Contributions: Inflammatory Bowel Disease Source Type: research

Colonic J-Pouch or Straight Colorectal Reconstruction After Low Anterior Resection For Rectal Cancer: Impact on Quality of Life and Bowel Function: A Multicenter Prospective Randomized Study
This study aimed to assess quality of life and bowel function in patients who underwent colonic J-pouch or straight colorectal anastomosis reconstruction after low anterior resection. DESIGN: Bowel function and quality of life were assessed within a multicenter randomized trial. Questionnaires were administered before the surgery (baseline) and at 6, 12, and 24 months after surgery. SETTINGS: Patients were enrolled by 19 centers. The enrollment started in October 2009 and was stopped in February 2016. The study was registered at www.clinicaltrials.gov (Identifier: NCT01110798). PATIENTS: Patients who underwent low...
Source: Diseases of the Colon and Rectum - October 16, 2020 Category: Gastroenterology Tags: Original Contributions: Colorectal Cancer Source Type: research

Early Experience With Transanal Total Mesorectal Excision Compared With Laparoscopic Total Mesorectal Excision for Rectal Cancer: A Propensity Score-Matched Analysis
BACKGROUND: Laparoscopic total mesorectal excision is widely used for rectal cancers; however, it is sometimes challenging, especially in obese patients with low tumors, particularly after chemoradiotherapy. Transanal total mesorectal excision was developed to overcome these limitations in terms of visualization, dissection, and stapling. OBJECTIVE: The purpose of this study was to compare the pathologic and early oncologic outcomes of the laparoscopic and transanal approaches. DESIGN: This was a retrospective comparative study using propensity score–matched analysis. SETTING: The study was conducted at a ...
Source: Diseases of the Colon and Rectum - October 16, 2020 Category: Gastroenterology Tags: Original Contributions: Colorectal Cancer Source Type: research

Expert Commentary on Endometriosis of the Bowel
No abstract available (Source: Diseases of the Colon and Rectum)
Source: Diseases of the Colon and Rectum - October 16, 2020 Category: Gastroenterology Tags: Resident’s Corner Source Type: research

Endometriosis of the Bowel
CASE SUMMARY: A 31-year-old woman with a history of endometriosis was referred to the outpatient colorectal surgery office for evaluation of rectal bleeding. Colonoscopy was recommended because of the ongoing symptoms, and a polyp was discovered in the colon (Fig. 1A). Pathology was consistent with endometriosis (Fig. 1B). The patient was previously scheduled for laparoscopic endometriosis resection and underwent laparoscopic colon resection at the same time. She recovered and continued to do well postoperatively with no additional signs of rectal bleeding. (Source: Diseases of the Colon and Rectum)
Source: Diseases of the Colon and Rectum - October 16, 2020 Category: Gastroenterology Tags: Resident’s Corner Source Type: research

Care of the Geriatric Colorectal Surgical Patient and Framework for Creating a Geriatric Program: A Compendium From the 2019 American Society of Colon and Rectal Surgeons Annual Meeting
No abstract available (Source: Diseases of the Colon and Rectum)
Source: Diseases of the Colon and Rectum - October 16, 2020 Category: Gastroenterology Tags: Practice Pearls Source Type: research

How to Be An Educated Consumer of Observational Data
No abstract available (Source: Diseases of the Colon and Rectum)
Source: Diseases of the Colon and Rectum - October 16, 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 - September 18, 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 - September 18, 2020 Category: Gastroenterology Tags: Announcements Source Type: research

The Authors Reply
No abstract available (Source: Diseases of the Colon and Rectum)
Source: Diseases of the Colon and Rectum - September 18, 2020 Category: Gastroenterology Tags: Web-Exclusive Content: Letters to the Editor Source Type: research