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Colorectal Disease: the Official Journal of the Association of Coloproctology of Great Britain and Ireland

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https://read.qxmd.com/read/30771246/long-term-follow-up-of-a-multicentre-cohort-study-on-laparoscopic-peritoneal-lavage-for-perforated-diverticulitis
#1
D Sneiders, D P V Lambrichts, H A Swank, C F J M Blanken-Peeters, S W Nienhuijs, M J P M Govaert, M F Gerhards, A G M Hoofwijk, R J I Bosker, J D W van der Bilt, B H M Heijnen, H O Ten Cate Hoedemaker, G J Kleinrensink, J F Lange, W A Bemelman
AIM: Laparoscopic peritoneal lavage has increasingly been investigated as a promising alternative to sigmoidectomy for perforated diverticulitis with purulent peritonitis. Most studies only reported outcomes up to 12 months. Therefore, the objective of this study was to evaluate long-term outcomes of patients treated with laparoscopic lavage. METHODS: Between 2008 and 2010, 38 patients treated with laparoscopic lavage for perforated diverticulitis in ten Dutch teaching hospitals were included...
February 16, 2019: Colorectal Disease: the Official Journal of the Association of Coloproctology of Great Britain and Ireland
https://read.qxmd.com/read/30770633/the-renew-%C3%A2-anal-insert-for-passive-faecal-incontinence-a-retrospective-audit-of-our-use-of-a-novel-device
#2
Cosimo Alex Leo, Gregory P Thomas, Jonathan D Hogkinson, Jonathan P Segal, Yasuko Maeda, Jamie Murphy, Carolynne J Vaizey
INTRODUCTION: The Renew® Anal Insert is a recent treatment for patients who suffer from passive faecal incontinence (FI). The aim was to assess the effectiveness of the insert and patient satisfaction. METHOD: A retrospective audit of patients who were treated with the Renew® Anal Insert was undertaken. The St Mark's Incontinence Score was used to evaluate clinical outcome. Renew® size, the number of inserts used per day and per week had also been recorded. Subjective assessment of symptoms, how beneficial Renew® was and how satisfied patients were with the device were all recorded...
February 15, 2019: Colorectal Disease: the Official Journal of the Association of Coloproctology of Great Britain and Ireland
https://read.qxmd.com/read/30748083/hormone-replacement-therapies-oral-contraceptives-reproductive-factors-and-colorectal-adenomas-risk-a-systematic-review-and-dose-response-meta-analysis-of-observational-studies
#3
REVIEW
Jiaqi Song, Zhichao Jin, Hedong Han, Meng Li, Yibin Guo, Honglei Guo, Wei Guo, Jia He
AIM: The association between the use of oral contraceptives (OCs) and hormone replacement therapy (HRT) or other reproductive factors and the risk of colorectal adenoma (CRA) remains controversial. Our study aimed to review the evidence by conducting a dose-response meta-analysis to investigate this association. METHODS: We searched PubMed and Embase databases for relevant studies published until May 2017. Traditional and dose-response meta-analyses were conducted...
February 12, 2019: Colorectal Disease: the Official Journal of the Association of Coloproctology of Great Britain and Ireland
https://read.qxmd.com/read/30742736/a-cohort-study-of-local-excision-followed-by-adjuvant-therapy-incorporating-a-contact-x-ray-brachytherapy-boost-instead-of-radical-resection-in-180-patients-with-rectal-cancer
#4
F M Smith, D M Pritchard, H Wong, K Whitmarsh, M J Hershman, A Sun Myint
AIM: Recent data have suggested near-equivalent oncological results when treating early rectal cancer by local excision followed by radio +/- chemotherapy rather than salvage radical surgery. The aim of this retrospective study was to assess the use of contact x-ray brachytherapy within this paradigm. METHODS: All patients had undergone local excision and were referred to our radiotherapy centre for treatment with contact x-ray brachytherapy. Postoperative (chemo) radiotherapy was also given in their local hospital in most cases...
February 11, 2019: Colorectal Disease: the Official Journal of the Association of Coloproctology of Great Britain and Ireland
https://read.qxmd.com/read/30740875/preadmission-use-of-antidepressants-and-risk-of-complications-and-death-after-colorectal-cancer-surgery-a-nationwide-population-based-cohort-study
#5
Kathrine D Lycke, Christian F Christiansen, Jennifer L Lund, Lene H Iversen, Mette Nørgaard
AIM: Few studies have evaluated how preadmission antidepressant use affects outcomes in colorectal cancer (CRC) patients undergoing surgery. Therefore, our aim is to examine if preadmission use of antidepressants increased the risk of complications and death in patients undergoing CRC surgery. METHODS: We identified patients undergoing CRC surgery in Denmark from 2005 to 2012 through the Danish Colorectal Cancer Group Database. We identified prescriptions for antidepressants redeemed within one year prior to surgery and categorized users as current (≤90 days), former (91-365 days), and non-users...
February 11, 2019: Colorectal Disease: the Official Journal of the Association of Coloproctology of Great Britain and Ireland
https://read.qxmd.com/read/30740878/rectal-surgery-evaluation-trial-reset-protocol-for-a-parallel-cohort-trial-of-outcomes-using-surgical-techniques-for-total-mesorectal-excision-with-low-anterior-resection-in-high-risk-rectal-cancer-patients
#6
P Rouanet, S Gourgou, I Gogenur, D Jayne, A Ulrich, T Rautio, G Spinoglio, N Bouazza, A Moussion, M Gomez Ruiz
BACKGROUND: Total mesorectal excision (TME) is the standard of care for rectal cancer, which can be combined with low anterior resection (LAR) in patients with mid-to-low rectal cancer. The narrow pelvic space and difficulties in obtaining adequate exposure make surgery technically challenging. Four techniques are used to perform the surgery: open laparotomy, laparoscopy, robot-assisted surgery, and transanal surgery. Comparative data for these techniques is required to provide clinical data on the surgical management of rectal cancers...
February 10, 2019: Colorectal Disease: the Official Journal of the Association of Coloproctology of Great Britain and Ireland
https://read.qxmd.com/read/30740877/a-randomized-controlled-trial-on-the-effect-of-topical-phenytoin-2-on-wound-healing-after-anal-fistulotomy
#7
Aly Sanad, Sameh Emile, Waleed Thabet, Ramadan Ellaithy
BACKGROUND: Laying open fistulotomy is the standard treatment for simple anal fistula. However, healing of the resultant anal wound may be prolonged and may adversely affect patients' lifestyle and work. This randomized trial aimed to assess the effect of topical phenytoin 2% powder spray on healing of the anal wound following fistulotomy. METHODS: Adult patients with simple anal fistula who underwent anal fistulotomy were divided into two equal groups; group I applied topical phenytoin 2% powder spray on the anal wound regularly with Sitz baths until complete healing was confirmed clinically and group II had regular Sitz baths only...
February 10, 2019: Colorectal Disease: the Official Journal of the Association of Coloproctology of Great Britain and Ireland
https://read.qxmd.com/read/30724458/response-to-lee-et-al-addressing-the-empty-pelvic-syndrome-following-total-pelvic-exenteration-does-mesh-reconstruction-help
#8
LETTER
Fabio Carboni, Orietta Federici, Mario Valle
We read with great interest the article by Lee et al. on the prevention of empty pelvic syndrome, a major clinical problem after total pelvic exenteration (1). Different methods for closure of large wounds have been proposed, with each technique showing its associated advantages and disadvantages. Biological mesh recostruction of the pelvis floor is quick and safe. This article is protected by copyright. All rights reserved.
February 6, 2019: Colorectal Disease: the Official Journal of the Association of Coloproctology of Great Britain and Ireland
https://read.qxmd.com/read/30724456/response-to-carboni-et-al
#9
LETTER
Peter J Lee, Winson Tan, Kilian Brown, Michael Solomon
Pelvic exenteration surgery for recurrence rectal cancer is especially challenging compared to locally advanced primary rectal cancer due to fibrosis, pelvic sepsis secondary to anastomotic leak, radiotherapy and the change in anatomical planes due to previous rectal dissection. The healing of the pelvic floor and skin can be also affected, especially with the empty pelvis after total exenteration. This is due to pelvic fluid accumulation, which has approximately 20-25% risk of infection from our data. This article is protected by copyright...
February 6, 2019: Colorectal Disease: the Official Journal of the Association of Coloproctology of Great Britain and Ireland
https://read.qxmd.com/read/30706608/surgical-solutions-for-refractory-j-pouch-inlet-obstruction
#10
Morgan M Sellers, Brandon M Elnekaveh, Sue J Hahn, Robert P Hirten, Alexander J Greenstein
BACKGROUND: Many surgeons consider total proctectomy with ileal pouch-anal anastomosis as the treatment of choice for patients with medically refractory ulcerative colitis (UC) or UC with dysplasia. However, obstruction occurring at the pouch inlet or involving the afferent limb can be refractory to nonoperative or endoscopic management. Historically, these refractory obstructions have usually required resection of the pouch. There is now increasing evidenceto suggest that pouch salvage surgery may be feasible n these patients...
January 31, 2019: Colorectal Disease: the Official Journal of the Association of Coloproctology of Great Britain and Ireland
https://read.qxmd.com/read/30702797/trrpcs-a-new-promising-technique-in-treatment-of-rectal-prolapse-video-vignette
#11
LETTER
Ashwin Porwal
Rectal prolapse, defined as the protrusion of the rectum from the anal canal, is a severe problem suffered sometimes by children and frequently by the elderly. Full-thickness rectal prolapse is the protrusion of the rectum beyond the anal canal. Although a benign condition, it impairs quality of life due to the prolapse itself and also because of the associated symptoms such as urinary, flatus, and/or faecal incontinence. Choosing the correct approach to manage this condition is important because the elderly, in whom it frequently occurs, usually also have other comorbidities...
January 31, 2019: Colorectal Disease: the Official Journal of the Association of Coloproctology of Great Britain and Ireland
https://read.qxmd.com/read/30702197/short-and-long-term-outcomes-of-laserhemorrhoidoplasty-for-grade-ii-iii-haemorrhoidal-disease
#12
S Faes, M Pratsinis, S Hasler-Gehrer, A Keerl, A Nocito
AIM: Laserhemorrhoidoplasty is associated with minimal postoperative pain and good symptom improvement in the short-term. Less is known about its long-term efficacy. This study aims to determine the short and long-term outcomes of laserhemorrhoidoplasty. METHOD: Between October 2010 and May 2012, 50 consecutive patients with grade II-III hemorrhoids were treated with laserhemorrhoidoplasty. Short-term follow-up was assessed on day 1, 30, 60 and long-term at 5 years (hemorrhoidal stage reduction, pain, patient's satisfaction, symptom improvement, incapacity for work, continence, complications, recurrence)...
January 31, 2019: Colorectal Disease: the Official Journal of the Association of Coloproctology of Great Britain and Ireland
https://read.qxmd.com/read/30698869/morbidity-related-to-diverting-ileostomy-after-restorative-proctocolectomy-in-patients-with-ulcerative-colitis
#13
Essi K Karjalainen, Laura Renkonen-Sinisalo, Harri K Mustonen, Anna H Lepistö
AIM: Restorative proctocolectomy with ileal pouch-anal anastomosis is considered by many surgeons to be the standard procedure for the surgical management of ulcerative colitis. Controversy exists whether a covering ileostomy should be constructed or not. The aim of this study was to evaluate the outcomes and morbidity of patients with ulcerative colitis who underwent restorative proctocolectomy with or without a diverting ileostomy. METHOD: This is a retrospective study of a consecutive series of 510 patients with ulcerative colitis who were operated in Helsinki University Hospital between January 2005 and June 2016...
January 30, 2019: Colorectal Disease: the Official Journal of the Association of Coloproctology of Great Britain and Ireland
https://read.qxmd.com/read/30689272/a-systematic-review-of-outcomes-after-salvage-abdominoperineal-resection-for-persistent-or-recurrent-anal-squamous-cell-cancer
#14
Gary Ko, Anisha Sarkaria, Shaila J Merchant, Christopher M Booth, Sunil V Patel
AIM: Up to 30% of patients with squamous cell cancer of the anus (SCCA) will require a salvage abdominoperineal resection (APR) for either persistent or recurrent disease. The objective of this study is to assess cancer-related outcomes in patients with (i) persistent or (ii) recurrent SCCA. METHOD: EMBASE and MEDLINE were searched. Publications were included if they assessed overall survival (OS), disease free survival (DFS), and locoregional recurrence or metastatic disease after salvage APR for persistent or recurrent SCCA...
January 28, 2019: Colorectal Disease: the Official Journal of the Association of Coloproctology of Great Britain and Ireland
https://read.qxmd.com/read/30687991/early-stage-anal-margin-cancer-towards-evidence-based-management
#15
Andrew G Renehan, Rebecca Muirhead, Lindy Berkman, Lucy McParland, David Sebag-Montefiore
Anal squamous cell carcinoma is an uncommon Human Papilloma Virus (HPV)-related malignancy, the incidence of which has increased two- to four-fold over the past three decades. Results from the first three phase III trials, performed in the 1990s (the largest being the ACT I trial in the UK), established concurrent mitomycin C (MMC), 5-fluorouracil chemotherapy and radiotherapy (CRT) as the main primary treatment. Three subsequent trials (including ACT II in the UK, performed between 1998 and 2008, demonstrated evidence of no benefit from the use of additional chemotherapy before or after CRT, or concurrent cisplatin...
January 27, 2019: Colorectal Disease: the Official Journal of the Association of Coloproctology of Great Britain and Ireland
https://read.qxmd.com/read/30687990/robotic-intersphincteric-resection-right-seminal-vesicle-excision-right-vascular-approach-da-vinci-xi-robotic-system-video-vignette
#16
LETTER
Ashwin Desouza, Pavan Sugoor, Sajith Sasi, Jitender Rohila, Avanish Saklani
Annually, about 5-10% cases of newly diagnosed rectal cancer are locally advanced (T4). An R-0 resection is the single most predictor of outcome. This has been made possible by surgical resection beyond the regular TME (Total Mesorectal Excision) plane, also known as extended rectal resection which involves removal of the total mesorectum along with en bloc resection of involved pelvic structures. Long-term 5-year survival rates in locally advanced cases vary between 30-50% . This article is protected by copyright...
January 27, 2019: Colorectal Disease: the Official Journal of the Association of Coloproctology of Great Britain and Ireland
https://read.qxmd.com/read/30674077/laparoscopic-right-extended-hemicolectomy-complete-mesocolic-excision-video-vignette
#17
LETTER
Ashwin Desouza, Sajith Sasi, Kamlesh Verma, Amit Gupta, Avanish Saklani
The concept of Complete Mesocolic Excision (CME) was introduced by Hohenberger et al to standardize colonic resection within an intact mesocolic envelop (1). The three main components are - 1) maintaining an intact mesocolic envelop 2) central vascular ligation with exposure of the left border of the Superior Mesenteric Vein (SMV) to remove all draining lymph nodes at the root of the vascular pedicles and 3) resection of 10 cms of bowel on either side to remove all the pericolic lymph nodes. Recent systematic reviews have shown that specimens resected with CME have superior pathological outcomes along with survival benefits, especially for Stage III disease (2)...
January 23, 2019: Colorectal Disease: the Official Journal of the Association of Coloproctology of Great Britain and Ireland
https://read.qxmd.com/read/30674075/rectal-endometriosis-treated-with-transanal-endoscopic-microsurgery-a-video-vignette
#18
LETTER
M A Javed, G Botros, R Wiles, S Slawik, S Ahmed
Trans anal endoscopic microsurgery (TEMS) is a recognized technique for treating benign rectal polyps and early rectal cancer. We report that TEMS is a treatment option for rectal endometriosis [1,2]. A 35 year old otherwise healthy nulliparous lady presented with cyclical dyschezia, chronic pelvic pain, severe dysmenorrhea and rectal bleeding. A diagnosis of complex endometriosis was made and she underwent laparoscopic surgery in 2015. Her symptoms did not resolve and she was re-referred to our unit in 2017...
January 23, 2019: Colorectal Disease: the Official Journal of the Association of Coloproctology of Great Britain and Ireland
https://read.qxmd.com/read/30673147/modified-gant-miwa-thiersch-procedure-mucosal-plication-with-anal-encircling-for-rectal-prolapse
#19
Yoshiro Iida, Katuhiko Honda, Hideo Saitou, Yoshinori Munemoto, Hiromasa Tanaka
AIM: Rectal prolapse (RP) is usually associated with elderly women and is well recognized as having a detrimental effect on quality of life. A number of surgical procedures for RP are available, but morbidity and mortality are substantial. The Gant-Miwa-Thiersch procedure (GMT) has been frequently used for RP in Japan. However, as the GMT has a high recurrence rate it is not widely used elsewhere. The aim of this study was to evaluate a modified version of GMT (mGMT) in comparison with other procedures...
January 23, 2019: Colorectal Disease: the Official Journal of the Association of Coloproctology of Great Britain and Ireland
https://read.qxmd.com/read/30673146/endorectal-advancement-flap-for-complex-anal-fistula-does-flap-configuration-matter
#20
Shlomo Yellinek, Dimitri Krizzuk, Teresa Moreno Djadou, Daniel Lavy, Steven D Wexner
INTRODUCTION: Treatment of complex anal fistulas is challenging, often requiring multiple operations due to a high failure rate. The plethora of options attests to the lack of a panacea. Endorectal advancement flap carries the advantages of no sphincter division, no contour defect to the anal canal, and no perineal wound. The failure rate of this procedure ranges between 15-60%. Although the procedure traditionally described a rhomboid (tongue-shape) flap, an elliptical (curvilinear) flap was introduced to try to improve the results...
January 23, 2019: Colorectal Disease: the Official Journal of the Association of Coloproctology of Great Britain and Ireland
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