Lateral Node Dissection in Rectal Cancer in the Era of Minimally Invasive Surgery: A Step-by-Step Description for the Surgeon Unacquainted with This Complex Procedure with the Use of the Laparoscopic Approach
CONCLUSIONS: Lateral node dissection for rectal cancer is a procedure that may follow standardized technical steps by using precise anatomical landmarks with the use of minimally invasive approach. (Source: Diseases of the Colon and Rectum)
Source: Diseases of the Colon and Rectum - September 12, 2018 Category: Gastroenterology Tags: Technical Note Source Type: research

Robotic Complete Mesocolic Excision and Para-Aortic Lymph Node Dissection for Cecal Cancer and Paraganglioma
No abstract available (Source: Diseases of the Colon and Rectum)
Source: Diseases of the Colon and Rectum - September 12, 2018 Category: Gastroenterology Tags: Video Vignette Source Type: research

Indocyanine Green Fluorescence Angiography and the Incidence of Anastomotic Leak After Colorectal Resection for Colorectal Cancer: A Meta-analysis
BACKGROUND: Anastomotic leak is a life-threatening complication of colorectal surgery. Recent studies showed that indocyanine green fluorescence angiography might be a method to prevent anastomotic leak. OBJECTIVE: The purpose of this study was to investigate whether intraoperative indocyanine green fluorescence angiography can reduce the incidence of anastomotic leak. DATA SOURCES: Potential relevant studies were identified from the following databases: PubMed, Embase, Web of Science, Cochrane Library, and China National Knowledge Infrastructure. STUDY SELECTION: This meta-analysis included comparative studies ...
Source: Diseases of the Colon and Rectum - September 12, 2018 Category: Gastroenterology Tags: Current Status Source Type: research

The Effect of Nonoperative Management of Chronic Anal Fissure and Hemorrhoid Disease on Bowel Function Patient-Reported Outcomes
CONCLUSIONS: Nonoperative management of chronic anal fissures and hemorrhoid disease is associated with significant improvement in patient-reported outcome scores in several domains, suggesting that dietary counseling and medical therapy should be the first-line outpatient therapy for these diseases. See Video Abstract at http://links.lww.com/DCR/A726. (Source: Diseases of the Colon and Rectum)
Source: Diseases of the Colon and Rectum - September 12, 2018 Category: Gastroenterology Tags: Original Contributions: Anorectal Source Type: research

Life After Surgery: Surgeon Assessments of Quality of Life Among Patients With Familial Adenomatous Polyposis
CONCLUSIONS: For patients with familial adenomatous polyposis and relative rectal sparing, surgeon preferences are greatest for colectomy with ileorectal anastomosis. Utility estimates provided by this study are important for understanding surgical decision-making and suggest a role for ileorectal anastomosis in appropriately selected patients. See Video Abstract at http://links.lww.com/DCR/A656. (Source: Diseases of the Colon and Rectum)
Source: Diseases of the Colon and Rectum - September 12, 2018 Category: Gastroenterology Tags: Original Contributions: Benign Source Type: research

Intraperitoneal Local Anesthetic Instillation and Postoperative Infusion Improves Functional Recovery Following Colectomy: A Randomized Controlled Trial
This study determines whether intraperitoneal local anesthetic improves postoperative recovery in patients undergoing colectomy, in the absence of epidural analgesia, with standardized enhanced recovery after surgery perioperative care. DESIGN: This is a multisite, double-blinded, randomized, placebo-controlled trial (ClinicalTrials.gov Identifier NCT02449720). SETTINGS: This study was conducted at 3 hospital sites in South Australia. PATIENTS: Eighty-six adults undergoing colectomy were stratified by approach (35 open; 51 laparoscopic), then randomly assigned to intraperitoneal local anesthetic (n = 44) and contr...
Source: Diseases of the Colon and Rectum - September 12, 2018 Category: Gastroenterology Tags: Original Contributions: Benign Source Type: research

Liposomal Bupivacaine Transversus Abdominis Plane Block Versus Epidural Analgesia in a Colon and Rectal Surgery Enhanced Recovery Pathway: A Randomized Clinical Trial
This study compared liposomal bupivacaine transversus abdominis plane block with epidural analgesia in patients undergoing elective open and minimally invasive colorectal surgery in an enhanced recovery pathway. PATIENTS: Two hundred were enrolled. Following randomization, allocation, and follow-up, there were 92 patients with transversus abdominis plane block and 87 patients with epidural analgesia available for analysis. INTERVENTIONS: The interventions comprised liposomal bupivacaine transversus abdominis plane block versus epidural analgesia. MAIN OUTCOME MEASURES: The primary outcomes measured were numeric pa...
Source: Diseases of the Colon and Rectum - September 12, 2018 Category: Gastroenterology Tags: Original Contributions: Benign Source Type: research

Early Diuresis After Colon and Rectal Surgery Does Not Reduce Length of Hospital Stay: Results of a Randomized Trial
CONCLUSIONS: Early administration of furosemide does not significantly reduce the length of hospital stay after elective colon and rectal surgery in the setting of enhanced recovery after surgery practice. See Video Abstract at http://links.lww.com/DCR/A714. (Source: Diseases of the Colon and Rectum)
Source: Diseases of the Colon and Rectum - September 12, 2018 Category: Gastroenterology Tags: Original Contributions: Benign Source Type: research

Early Urinary Catheter Removal Following Pelvic Colorectal Surgery: A Prospective, Randomized, Noninferiority Trial
CONCLUSIONS: Following pelvic colorectal surgery, early urinary catheter removal, when combined with the addition of an oral α-antagonist, is noninferior to standard urinary catheter removal and carries a lower risk of symptomatic infection and shorter hospital stay. Clinical Trial Registration: http://www.clinicaltrials.gov (NCT01923129). See Video Abstract at http://links.lww.com/DCR/A738. (Source: Diseases of the Colon and Rectum)
Source: Diseases of the Colon and Rectum - September 12, 2018 Category: Gastroenterology Tags: Original Contributions: Benign Source Type: research

Extended Venous Thromboembolism Prophylaxis After Elective Surgery for IBD Patients: Nomogram-Based Risk Assessment and Prediction from Nationwide Cohort
CONCLUSION: Given the higher risk of venous thromboembolism in patients with IBD after elective abdominopelvic surgery compared with other indications, an accurate prediction of venous thromboembolism before and after discharge using the proposed nomogram can facilitate decision making for individualized extended thromboprophylaxis in the preoperative setting as a screening tool. See Video Abstract at http://links.lww.com/DCR/A711. (Source: Diseases of the Colon and Rectum)
Source: Diseases of the Colon and Rectum - September 12, 2018 Category: Gastroenterology Tags: Original Contributions: Inflammatory Bowel Disease Source Type: research

Radiologic Evaluation of Clinically Benign Rectal Neoplasms May Not Be Necessary Before Local Excision
CONCLUSIONS: Preoperative imaging did not accurately identify malignancy in clinically benign rectal lesions and did not affect the incidence of malignancy, margin involvement, or proportion of patients requiring salvage surgery. Therefore, preoperative imaging may not be necessary for clinically benign lesions undergoing local excision. See Video Abstract at http://links.lww.com/DCR/A695. (Source: Diseases of the Colon and Rectum)
Source: Diseases of the Colon and Rectum - September 12, 2018 Category: Gastroenterology Tags: Original Contributions: Colorectal Cancer Source Type: research

The ALCCaS Trial: A Randomized Controlled Trial Comparing Quality of Life Following Laparoscopic Versus Open Colectomy for Colon Cancer
This study reports the quality-of-life assessment of the ALCCaS trial. The ALCCaS trial compared laparoscopic and open resection for colon cancer. It reported equivalence of survival at 5 years. Quality of life was measured as a secondary outcome. OBJECTIVE: This study aimed to report on the quality of life data of the ALCCaS Trial. DESIGN: This study reports a randomized controlled trial comparing laparoscopic with open colonic resection. SETTINGS: The study was conducted in Australasia. PATIENTS: Patients with a single adenocarcinoma of the right, left, or sigmoid colon, presenting for elective treatment, wer...
Source: Diseases of the Colon and Rectum - September 12, 2018 Category: Gastroenterology Tags: Original Contributions: Colorectal Cancer Source Type: research

Consolidation mFOLFOX6 Chemotherapy After Chemoradiotherapy Improves Survival in Patients With Locally Advanced Rectal Cancer: Final Results of a Multicenter Phase II Trial
BACKGROUND: Adding modified FOLFOX6 (folinic acid, fluorouracil, and oxaliplatin) after chemoradiotherapy and lengthening the chemoradiotherapy-to-surgery interval is associated with an increase in the proportion of rectal cancer patients with a pathological complete response. OBJECTIVE: The purpose of this study was to analyze disease-free and overall survival. DESIGN: This was a nonrandomized phase II trial. SETTINGS: The study was conducted at multiple institutions. PATIENTS: Four sequential study groups with stage II or III rectal cancer were included. INTERVENTION: All of the patients received 50 Gy o...
Source: Diseases of the Colon and Rectum - September 12, 2018 Category: Gastroenterology Tags: Original Contributions: Colorectal Cancer Source Type: research

Expert Commentary on Uncomplicated Sigmoid Diverticulitis
No abstract available (Source: Diseases of the Colon and Rectum)
Source: Diseases of the Colon and Rectum - September 12, 2018 Category: Gastroenterology Tags: Resident’s Corner Source Type: research

Uncomplicated Sigmoid Diverticulitis
No abstract available (Source: Diseases of the Colon and Rectum)
Source: Diseases of the Colon and Rectum - September 12, 2018 Category: Gastroenterology Tags: Resident’s Corner Source Type: research

The American Society of Colon and Rectal Surgeons Clinical Practice Guidelines for the Treatment of Chronic Radiation Proctitis
No abstract available (Source: Diseases of the Colon and Rectum)
Source: Diseases of the Colon and Rectum - September 12, 2018 Category: Gastroenterology Tags: Clinical Practice Guidelines Source Type: research

Benefits and Early Outcomes of a New Mock Oral Examination for Colorectal Surgery
No abstract available (Source: Diseases of the Colon and Rectum)
Source: Diseases of the Colon and Rectum - September 12, 2018 Category: Gastroenterology Tags: Ascrs Committee Report:Young Surgeons Committee Source Type: research

Current Procedural Terminology Codes – Why Are They Important?
No abstract available (Source: Diseases of the Colon and Rectum)
Source: Diseases of the Colon and Rectum - September 12, 2018 Category: Gastroenterology Tags: Legislative Updates and Healthcare Economics Source Type: research

Diuretics and the Perioperative Fluid Balance
No abstract available (Source: Diseases of the Colon and Rectum)
Source: Diseases of the Colon and Rectum - September 12, 2018 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 - August 10, 2018 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 - August 10, 2018 Category: Gastroenterology Tags: Web-Exclusive Content: Announcements Source Type: research

Sitz Bath in Europe
No abstract available (Source: Diseases of the Colon and Rectum)
Source: Diseases of the Colon and Rectum - August 10, 2018 Category: Gastroenterology Tags: Web-Exclusive Content: Letters to the Editor Source Type: research

The Author Replies
No abstract available (Source: Diseases of the Colon and Rectum)
Source: Diseases of the Colon and Rectum - August 10, 2018 Category: Gastroenterology Tags: Web-Exclusive Content: Letters to the Editor Source Type: research

Oral Antibiotics Without a Mechanical Bowel Preparation in Colorectal Surgery
No abstract available (Source: Diseases of the Colon and Rectum)
Source: Diseases of the Colon and Rectum - August 10, 2018 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 - August 10, 2018 Category: Gastroenterology Tags: Web-Exclusive Content: Letters to the Editor Source Type: research

Circumferential Margin Positivity Should Be Considered as the Remnant Tumor Cells in the Perirectal Area After Rectal Resection
No abstract available (Source: Diseases of the Colon and Rectum)
Source: Diseases of the Colon and Rectum - August 10, 2018 Category: Gastroenterology Tags: Web-Exclusive Content: Letters to the Editor Source Type: research

How to Insert a Draining Seton Correctly
CONCLUSIONS: Appropriate seton drainage of an anorectal fistula is an important part of the ultimate repair. Correct use of setons minimizes symptoms from the seton itself and optimizes its effectiveness. (Source: Diseases of the Colon and Rectum)
Source: Diseases of the Colon and Rectum - August 10, 2018 Category: Gastroenterology Tags: Technical Note Source Type: research

Robotic Lateral Pelvic Lymph Node Dissection after Neoadjuvant Chemoradiation: View from the West
No abstract available (Source: Diseases of the Colon and Rectum)
Source: Diseases of the Colon and Rectum - August 10, 2018 Category: Gastroenterology Tags: Video Vignette Source Type: research

Enhanced Recovery Protocols for Adults Undergoing Colorectal Surgery: A Systematic Review and Meta-analysis
CONCLUSIONS: Enhanced recovery protocols for adults undergoing colorectal surgery improve patient outcomes with no increase in adverse events. Evidence was insufficient regarding which components, or component combinations, are key to improving patient outcomes. PROSPERO registration number: CRD42017067991. (Source: Diseases of the Colon and Rectum)
Source: Diseases of the Colon and Rectum - August 10, 2018 Category: Gastroenterology Tags: Current Status Source Type: research

Simulation of Supralevator Abscesses and Complex Fistulas in Cadavers: Pelvic Dissemination and Drainage Routes
CONCLUSIONS: A proper anatomical knowledge of the supralevator abscesses and surgical training by using cadaveric simulations could improve the diagnostic criteria, facilitate the correct decision on surgical drainage pathways, and, thus, decrease postoperative morbidity in patients with this disease. (Source: Diseases of the Colon and Rectum)
Source: Diseases of the Colon and Rectum - August 10, 2018 Category: Gastroenterology Tags: Dynamic Article Source Type: research

Risk Factors Associated With Pouch Adenomas in Patients With Familial Adenomatous Polyposis
This study was designed as a cohort study. SETTINGS: This study was conducted in a specialized outpatient clinic at the University of Heidelberg. PATIENTS: A total of 192 patients with familial adenomatous polyposis were included, and all of the available endoscopy reports after pouch surgery were screened for pouch adenomas. Additional clinical information was retrieved from the Heidelberg Polyposis Register. MAIN OUTCOME MEASURES: This present study revealed 3 main independent risk factors for the development of pouch adenomas: age (Source: Diseases of the Colon and Rectum)
Source: Diseases of the Colon and Rectum - August 10, 2018 Category: Gastroenterology Tags: Original Contributions: Benign Source Type: research

Management of Large Cecal Polyps: When Can the Ileocecal Valve Be Spared?
This study compares the outcomes of patients with cecal polyps who underwent either endoscopic mucosal resection, a cecectomy, or a right hemicolectomy. DATA SOURCES: Patients undergoing either endoscopic mucosal resection, partial cecectomy, or right hemicolectomy from 2008 to 2017 at a single tertiary care institution were selected. STUDY SELECTION: This was a retrospective cohort study. MAIN OUTCOME MEASURES: The primary outcomes measured were the rate of malignancy, complication rate, estimated blood loss, and hospital length of stay between surgical cohorts. RESULTS: One hundred twenty-nine patients with c...
Source: Diseases of the Colon and Rectum - August 10, 2018 Category: Gastroenterology Tags: Original Contributions: Benign Source Type: research

Perioperative Transcutaneous Tibial Nerve Stimulation to Reduce Postoperative Ileus After Colorectal Resection: A Pilot Study
CONCLUSIONS: Posterior tibial nerve stimulation was safe in a perioperative setting and had a potential effect on GI motility recovery. The results of this study will be useful for sample size calculations in a larger prospective randomized trial. See Video Abstract at http://links.lww.com/DCR/A708. (Source: Diseases of the Colon and Rectum)
Source: Diseases of the Colon and Rectum - August 10, 2018 Category: Gastroenterology Tags: Original Contributions: Benign Source Type: research

POLD1 and POLE Gene Mutations in Jewish Cohorts of Early-Onset Colorectal Cancer and of Multiple Colorectal Adenomas
This study is a comparison of genetic and clinical data from affected and control groups. SETTINGS: The study was conducted at a high-volume tertiary referral center. PATIENTS: The study cohort included 132 subjects: 68 with multiple colorectal adenomas and 64 with early-onset mismatch repair proficient colorectal cancers. The control group included 5685 individuals having no colorectal cancer or colorectal adenomas. MAIN OUTCOME MEASURES: Study and control subjects were tested for POLD1 and POLE mutations and a clinical correlation was assessed. RESULTS: Eleven of the 132 study subjects (8.3%) carried either a...
Source: Diseases of the Colon and Rectum - August 10, 2018 Category: Gastroenterology Tags: Original Contributions: Colorectal Cancer Source Type: research

Long-term Functional Outcome After Right-Sided Complete Mesocolic Excision Compared With Conventional Colon Cancer Surgery: A Population-Based Questionnaire Study
CONCLUSION: Right-sided complete mesocolic excision seems associated with neither bowel dysfunction nor impaired quality of life when compared with conventional surgery. See Video Abstract at http://links.lww.com/DCR/A665. (Source: Diseases of the Colon and Rectum)
Source: Diseases of the Colon and Rectum - August 10, 2018 Category: Gastroenterology Tags: Original Contributions: Colorectal Cancer Source Type: research

Nomogram Predicting Survival After Recurrence in Patients With Stage I to III Colon Cancer: A Nationwide Multicenter Study
CONCLUSIONS: Our nomogram, which is based on a nationwide multicenter study, is the first statistical model predicting survival after recurrence in patients with stage I to III colon cancer. It promises to be of use in postoperative colon cancer surveillance. See Video Abstract at http://links.lww.com/DCR/A687. (Source: Diseases of the Colon and Rectum)
Source: Diseases of the Colon and Rectum - August 10, 2018 Category: Gastroenterology Tags: Original Contributions: Colorectal Cancer Source Type: research

Impact of Tumor Deposits on Oncologic Outcomes in Stage III Colon Cancer
BACKGROUND: The prognosis of tumor deposits in stage III colon adenocarcinoma is poorly described. OBJECTIVE: The purpose of this study was to determine the impact of tumor deposits on oncologic outcomes in patients with stage III colon cancer. DESIGN: This was a multicenter retrospective cohort study. SETTINGS: The 2010 to 2014 National Cancer Database was queried for patients with resected stage III colon adenocarcinoma on final pathology. PATIENTS: Patients were divided into 3 groups: lymph nodes+tumor deposits–, lymph nodes+tumor deposits+, and lymph nodes–tumor deposits+. MAIN OUTCOME MEASUR...
Source: Diseases of the Colon and Rectum - August 10, 2018 Category: Gastroenterology Tags: Original Contributions: Colorectal Cancer Source Type: research

Intersphincteric Resection Has Similar Long-term Oncologic Outcomes Compared With Abdominoperineal Resection for Low Rectal Cancer Without Preoperative Therapy: Results of Propensity Score Analyses
CONCLUSIONS: Our findings suggest similar oncologic outcomes for intersphincteric resection and abdominoperineal resection without preoperative chemoradiotherapy in patients with low rectal cancer adjusted for background variables. See Video Abstract at http://links.lww.com/DCR/A661. (Source: Diseases of the Colon and Rectum)
Source: Diseases of the Colon and Rectum - August 10, 2018 Category: Gastroenterology Tags: Original Contributions: Colorectal Cancer Source Type: research

Should a History of Extraperitoneal Disease Be a Contraindication to Cytoreductive Surgery and Hyperthermic Intraperitoneal Chemotherapy for Colorectal Cancer Peritoneal Metastases?
CONCLUSIONS: A history of extraperitoneal disease is associated with poorer prognosis. However, survival benefit may be obtained in selected patients with limited peritoneal involvement. See Video Abstract at http://links.lww.com/DCR/A655. (Source: Diseases of the Colon and Rectum)
Source: Diseases of the Colon and Rectum - August 10, 2018 Category: Gastroenterology Tags: Original Contributions: Colorectal Cancer Source Type: research

Recurrence Risk After Up-to-Date Colon Cancer Staging, Surgery, and Pathology: Analysis of the Entire Swedish Population
CONCLUSIONS: The recurrence rate is less than that previously observed in historical materials, but current, commonly used risk factors are still useful in evaluating recurrence risks. Stratification by pT and pN classification and the number of risk factors enables the identification of large patient groups characterized by such a low recurrence rate that it is questionable whether adjuvant treatment is motivated. See Video Abstract at http://links.lww.com/DCR/A663. (Source: Diseases of the Colon and Rectum)
Source: Diseases of the Colon and Rectum - August 10, 2018 Category: Gastroenterology Tags: Original Contributions: Colorectal Cancer Source Type: research

Expert Commentary on the Management of Ulcerative Colitis
No abstract available (Source: Diseases of the Colon and Rectum)
Source: Diseases of the Colon and Rectum - August 10, 2018 Category: Gastroenterology Tags: Resident’s Corner Source Type: research

Management of Acute Ulcerative Colitis
No abstract available (Source: Diseases of the Colon and Rectum)
Source: Diseases of the Colon and Rectum - August 10, 2018 Category: Gastroenterology Tags: Resident’s Corner Source Type: research

A Surgical Plane: Now "Holy" In 4 Specialties
No abstract available (Source: Diseases of the Colon and Rectum)
Source: Diseases of the Colon and Rectum - August 10, 2018 Category: Gastroenterology Tags: Reflections Source Type: research

Reduction of Postoperative Ileus by Perioperative Transcutaneous Electrical Tibial Nerve Stimulation
No abstract available (Source: Diseases of the Colon and Rectum)
Source: Diseases of the Colon and Rectum - August 10, 2018 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 - July 12, 2018 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 - July 12, 2018 Category: Gastroenterology Tags: Web-Exclusive Content: Announcements Source Type: research

The Authors Reply
No abstract available (Source: Diseases of the Colon and Rectum)
Source: Diseases of the Colon and Rectum - July 12, 2018 Category: Gastroenterology Tags: Letters to the Editor Source Type: research

Prophylactic Ureteral Stenting in Colectomy Patients: Who Is at Risk?
No abstract available (Source: Diseases of the Colon and Rectum)
Source: Diseases of the Colon and Rectum - July 12, 2018 Category: Gastroenterology Tags: Letters to the Editor Source Type: research

In Patients Undergoing Colorectal Resection, Can Preoperative Antibiotics Combined With Mechanical Bowel Preparation Compared With Mechanical Bowel Preparation Only Significantly Reduce Surgical Site Infection?
No abstract available (Source: Diseases of the Colon and Rectum)
Source: Diseases of the Colon and Rectum - July 12, 2018 Category: Gastroenterology Tags: Letters to the Editor Source Type: research

Surgical Techniques for Identification of the Prostate Gland Using the Autonomic Nerve as a Landmark During Transanal Total Mesorectal Excision: Secure Dissection of the Male Rectourethral Muscle
No abstract available (Source: Diseases of the Colon and Rectum)
Source: Diseases of the Colon and Rectum - July 12, 2018 Category: Gastroenterology Tags: Video Vignette Source Type: research