Is early CT in cases of elevated postoperative CRP the best option for the diagnosis of colorectal anastomotic leakage?
ConclusionEarly CT does not show perfect accuracy for an early diagnosis of AL. (Source: International Journal of Colorectal Disease)
Source: International Journal of Colorectal Disease - December 5, 2023 Category: Gastroenterology Source Type: research

Light and shadow of watch-and-wait strategy in rectal cancer: oncological result, clinical outcomes, and cost-effectiveness analysis
ConclusionsThe WW strategy in locally advanced rectal cancer offers similar oncological outcomes with respect to the surgical group and excellent results in quality of life and cost outcomes, especially for low rectal cancer. Nonetheless, the complex surgical field during salvage surgery can lead to a high permanent stoma rate; therefore, the careful selection of patients is mandatory. (Source: International Journal of Colorectal Disease)
Source: International Journal of Colorectal Disease - December 5, 2023 Category: Gastroenterology Source Type: research

Is early CT in cases of elevated postoperative CRP the best option for the diagnosis of colorectal anastomotic leakage?
ConclusionEarly CT does not show perfect accuracy for an early diagnosis of AL. (Source: International Journal of Colorectal Disease)
Source: International Journal of Colorectal Disease - December 5, 2023 Category: Gastroenterology Source Type: research

Light and shadow of watch-and-wait strategy in rectal cancer: oncological result, clinical outcomes, and cost-effectiveness analysis
ConclusionsThe WW strategy in locally advanced rectal cancer offers similar oncological outcomes with respect to the surgical group and excellent results in quality of life and cost outcomes, especially for low rectal cancer. Nonetheless, the complex surgical field during salvage surgery can lead to a high permanent stoma rate; therefore, the careful selection of patients is mandatory. (Source: International Journal of Colorectal Disease)
Source: International Journal of Colorectal Disease - December 5, 2023 Category: Gastroenterology Source Type: research

Impact of the first wave of COVID-19 epidemy on the surgical management of sigmoid diverticular disease in France: National French retrospective study
ConclusionThis study shows that the management of SDD was impacted by COVID-19 at CR, but also after and until September 2021, both on the initial clinical presentation and on postoperative mortality. (Source: International Journal of Colorectal Disease)
Source: International Journal of Colorectal Disease - December 2, 2023 Category: Gastroenterology Source Type: research

Collagenase-producing bacteria are common in anastomotic leakage after colorectal surgery: a systematic review
ConclusionCollagenase-producing bacteria are more common in patients with AL following colorectal surgery than in patients without AL, but the significance is unclear. From the current studies, it is not possible to determine the pathogenicity of the individual gut bacteria. (Source: International Journal of Colorectal Disease)
Source: International Journal of Colorectal Disease - December 1, 2023 Category: Gastroenterology Source Type: research

Prediction of disease recurrence or residual disease after primary endoscopic resection of pT1 colorectal cancer —results from a large nationwide Danish study
ConclusionWe developed a prediction model for the probability of disease recurrence in pT1 CRC with good performance and calibration based on histopathological data. Together with lymphatic and venous invasion, an involved resection margin (0  mm) as opposed to a margin of ≤ 1 mm was an independent risk factor for both disease recurrence and residual disease. (Source: International Journal of Colorectal Disease)
Source: International Journal of Colorectal Disease - November 30, 2023 Category: Gastroenterology Source Type: research

Retrospective study of sacral neuromodulator implantations in a French hospital center: Lifespan and hospital costs assessment
ConclusionsThe InterStim ™ II lifespan is shorter than the first-generation device. This is associated with an increase of the long-term hospital costs. Additional information about the new neuromodulator will be required to choose the most appropriate IPG for the patient while optimizing the costs. (Source: International Journal of Colorectal Disease)
Source: International Journal of Colorectal Disease - November 28, 2023 Category: Gastroenterology Source Type: research

The role of intraoperative swab during appendectomy in patients with uncomplicated and complicated appendicitis
ConclusionThe analysis of swab samples obtained during appendectomy for acute appendicitis can help identify patients at a higher risk of a worse postoperative outcome. However, the frequency of antibiotic regime changes based on the swab analysis is low. (Source: International Journal of Colorectal Disease)
Source: International Journal of Colorectal Disease - November 22, 2023 Category: Gastroenterology Source Type: research

Fecal incontinence was associated with depression of any severity: insights from a large cross-sectional study
ConclusionsIn conclusion, FI significantly associated with depression of any severity. Like the elderly or female patients with FI, young and middle-aged or men with FI are also at high risk of depression and should also be the focus of depression screening and early intervention. (Source: International Journal of Colorectal Disease)
Source: International Journal of Colorectal Disease - November 22, 2023 Category: Gastroenterology Source Type: research