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International Journal of Colorectal Disease

https://read.qxmd.com/read/38607585/two-row-three-row-or-powered-circular-stapler-which-to-choose-when-performing-colorectal-anastomosis-a-systematic-review-and-meta-analysis
#1
JOURNAL ARTICLE
José Martín-Arévalo, Vicente Pla-Martí, Dixie Huntley, Stephanie García-Botello, Leticia Pérez-Santiago, A Izquierdo-Moreno, L P Garzón-Hernández, M Garcés-Albir, A Espí-Macías, David Moro-Valdezate
PURPOSE: Three types of circular staplers can be used to perform a colorectal anastomosis: two-row (MCS), three-row (TRCS) and powered (PCS) devices. The objective of this meta-analysis has been to provide the existing evidence on which of these circular staplers would have a lower risk of presenting a leak (AL) and/or anastomotic bleeding (AB). METHODS: An in-depth search was carried out in the electronic bibliographic databases Embase, PubMed and SCOPUS. Observational studies were included, since randomized clinical trials comparing circular staplers were not found...
April 12, 2024: International Journal of Colorectal Disease
https://read.qxmd.com/read/38598172/is-there-a-link-between-appendicitis-and-the-risk-of-diverticular-disease-a-large-german-cohort-study
#2
JOURNAL ARTICLE
Sarah Krieg, Ernst W Kolbe, Sven H Loosen, Christoph Roderburg, Andreas Krieg, Karel Kostev
PURPOSE: Appendicitis, characterized by inflammation of the vermiform appendix, is a common abdominal emergency necessitating appendectomy. Recent evidence suggests a potential link between appendicitis and subsequent diverticular disease, yet population-based studies investigating this association are limited. METHODS: Utilizing the Disease Analyzer database encompassing data from over 1000 primary care practices in Germany, we conducted a retrospective cohort study...
April 10, 2024: International Journal of Colorectal Disease
https://read.qxmd.com/read/38589520/minor-impact-of-anastomotic-leakage-in-anterior-resection-for-rectal-cancer-on-long-term-male-urinary-and-sexual-function
#3
JOURNAL ARTICLE
Martin Rutegård, Henrik Jutesten, Pamela Buchwald, Eva Angenete, Marie-Louise Lydrup
PURPOSE: Anastomotic leakage after anterior resection for rectal cancer induces bowel dysfunction, but the influence on urinary and sexual function is largely unknown. This cross-sectional cohort study evaluated long-term effect of anastomotic leakage on urinary and sexual function in male patients. METHODS: Patients operated with anterior resection for rectal cancer in 15 Swedish hospitals 2007-2013 were identified. Anastomotic leakage and other clinical variables were retrieved from the Swedish Colorectal Cancer Registry and medical records...
April 9, 2024: International Journal of Colorectal Disease
https://read.qxmd.com/read/38584226/analysis-of-the-differential-expression-of-serum-mir-21-5p-mir-135-5p-and-mir-155-5p-by-bifidobacterium-triplex-viable-capsules-during-the-perioperative-stage-of-colorectal-cancer
#4
JOURNAL ARTICLE
Jing Zhang, Ji Guo, Ruochong He, Ji Li, Bingyi Du, Yi Zhang, Rongliang He, Haixia Cheng
OBJECTIVE: In this study, we investigated the impact of perioperative administration of Bifidobacterium triplex viable capsules on the serum levels of circulating miR-21-5p, miR-135-5p, and miR-155-5p in patients with colorectal cancer (CRC). The purpose of this study is to provide a foundation for future research on the use of Bifidobacterium triplex viable capsules to enhance postoperative recovery in patients with CRC. METHODS: A total of 60 patients with primary CRC admitted to the Department of General Surgery at Shanxi Bethune Hospital between June 2020 and December 2020 were selected and randomly divided into two groups: 20 cases in the control group and 40 cases in the experimental group...
April 7, 2024: International Journal of Colorectal Disease
https://read.qxmd.com/read/38578433/systematic-review-and-meta-analysis-of-the-management-of-acute-uncomplicated-diverticulitis-time-to-change-traditional-practice
#5
JOURNAL ARTICLE
Ali Yasen Mohamedahmed, Shafquat Zaman, Niloy Das, Georgios Kakaniaris, Stelios Vakis, James Eccersley, Pradeep Thomas, Najam Husain
BACKGROUND: To evaluate comparative outcomes of outpatient (OP) versus inpatient (IP) treatment and antibiotics (ABX) versus no antibiotics (NABX) approach in the treatment of uncomplicated (Hinchey grade 1a) acute diverticulitis. METHODS: A systematic online search was conducted using electronic databases. Comparative studies of OP versus IP treatment and ABX versus NABX approach in the treatment of Hinchey grade 1a acute diverticulitis were included. Primary outcome was recurrence of diverticulitis...
April 5, 2024: International Journal of Colorectal Disease
https://read.qxmd.com/read/38565736/a-new-clinical-model-for-predicting-lymph-node-metastasis-in-t1-colorectal-cancer
#6
RANDOMIZED CONTROLLED TRIAL
Kai Wang, Hui He, Yanyun Lin, Yanhong Zhang, Junguo Chen, Jiancong Hu, Xiaosheng He
PURPOSE: Lymph node metastasis (LNM) is a crucial factor that determines the prognosis of T1 colorectal cancer (CRC) patients. We aimed to develop a practical prediction model for LNM in T1 CRC. METHODS: We conducted a retrospective analysis of data from 825 patients with T1 CRC who underwent radical resection at a single center in China. All enrolled patients were randomly divided into a training set and a validation set at a ratio of 7:3 using R software. Risk factors for LNM were identified through multivariate logistic regression analyses...
April 3, 2024: International Journal of Colorectal Disease
https://read.qxmd.com/read/38563889/prognostic-value-of-depression-and-anxiety-on-colorectal-cancer-related-mortality-a-systematic-review-and-meta-analysis-based-on-univariate-and-multivariate-data
#7
REVIEW
Shijun Xia, Yuwen Zhu, Lidan Luo, Wenjiang Wu, Lijuan Ma, Linchong Yu, Yue Li
BACKGROUND: Depression and anxiety are common mental disorders in patients with colorectal cancer (CRC); however, it remains unclear whether they are related to cancer mortality. METHOD: Based on a systematic literature search, 12 eligible studies involving 26,907 patients with CRC were included in this study. RESULTS: Univariate analysis revealed that anxiety was associated with an all-cause mortality rate of 1.42 (1.02, 1.96), whereas multivariate analysis revealed that anxiety was not associated with an all-cause mortality rate of 0...
April 2, 2024: International Journal of Colorectal Disease
https://read.qxmd.com/read/38558258/a-novel-log-odds-of-positive-lymph-nodes-based-nomogram-for-predicting-overall-survival-in-patients-with-colorectal-signet-ring-cell-carcinoma-a-seer-population-based-study
#8
JOURNAL ARTICLE
Wenqian Yu, Boqi Xu, Peng Li
PURPOSE: Considering the poor prognosis and high lymph node (LN) involvement rate of colorectal signet ring cell carcinoma (SRCC), this study aimed to construct a prognostic nomogram to predict overall survival (OS) with satisfactory accuracy and utility, based on LN status indicators with superior predictability. METHODS: Using the Surveillance, Epidemiology, and End Results (SEER) database, we obtained cases of colorectal SRCC patients and employed univariate and multivariate Cox analyses to determine independent prognostic factors...
April 1, 2024: International Journal of Colorectal Disease
https://read.qxmd.com/read/38538931/association-between-microsatellite-status-and-characteristics-and-outcomes-of-early-onset-compared-to-late-onset-rectal-cancer
#9
JOURNAL ARTICLE
Sameh Hany Emile, Nir Horesh, Zoe Garoufalia, Rachel Gefen, Peige Zhou, Victor Strassmann, Steven D Wexner
BACKGROUND: Microsatellite instability (MSI) is an important prognosticator for colorectal cancer (CRC). The present study aimed to assess the impact of MSI status on the characteristics and outcomes of early-onset compared to late-onset rectal cancer. METHODS: This retrospective cohort study used data from the US National Cancer Database (2004-2019) to assess the baseline characteristics, treatment patterns, short-term outcomes, and overall survival (OS) of early-onset rectal adenocarcinoma affecting patients < 50 years compared to late-onset rectal adenocarcinoma according to the MSI status...
March 28, 2024: International Journal of Colorectal Disease
https://read.qxmd.com/read/38530486/correction-to-robotic-colorectal-resection-in-combination-with-a-multimodal-enhanced-recovery-program-results-of-the-first-100-cases
#10
M El-Ahmar, F Peters, M Green, M Dietrich, M Ristig, L Moikow, J-P Ritz
No abstract text is available yet for this article.
March 26, 2024: International Journal of Colorectal Disease
https://read.qxmd.com/read/38520546/fluorescence-guidance-using-near-infrared-fluorescent-clips-in-robotic-rectal-surgery-a-case-series
#11
JOURNAL ARTICLE
Satoshi Narihiro, Syunsuke Nakashima, Mutsumi Kazi, Tomotaka Kumamoto, Kazuo Kitagawa, Naoki Toya, Ken Eto
PURPOSE: Tattoo markings are often used as preoperative markers for colorectal cancer. However, scattered ink markings adversely affect tumor site recognition intraoperatively; therefore, interventions for rectal cancer may lead to an inaccurate distal resection margin (DRM) and incomplete total mesorectal excision (TME). This is the first case series of fluorescence-guided robotic rectal surgery in which near-infrared fluorescence clips (NIRFCs) were used to localize rectal cancer lesions...
March 23, 2024: International Journal of Colorectal Disease
https://read.qxmd.com/read/38519703/correction-to-laparoscopic-rectal-resection-without-epidural-catheters-does-it-work
#12
M El-Ahmar, F Koch, A Köhler, L Moikow, M Ristig, J-P Ritz
No abstract text is available yet for this article.
March 23, 2024: International Journal of Colorectal Disease
https://read.qxmd.com/read/38498217/prophylactic-defunctioning-stomas-improve-clinical-outcomes-of-anastomotic-leak-following-rectal-cancer-resections-an-analysis-of-the-us-rectal-cancer-consortium
#13
MULTICENTER STUDY
Katherine Hrebinko, Vincent P Anto, Katherine M Reitz, Adriana C Gamboa, Scott E Regenbogen, Alexander T Hawkins, M Benjamin Hopkins, Aslam Ejaz, Philip S Bauer, Paul E Wise, Glen C Balch, Jennifer Holder-Murray
PURPOSE: Anastomotic leak (AL) is a complication of low anterior resection (LAR) that results in substantial morbidity. There is immense interest in evaluating immediate postoperative and long-term oncologic outcomes in patients who undergo diverting loop ileostomies (DLI). The purpose of this study is to understand the relationship between fecal diversion, AL, and oncologic outcomes. METHODS: This is a retrospective multicenter cohort study using patient data obtained from the US Rectal Cancer Consortium database compiled from six academic institutions...
March 18, 2024: International Journal of Colorectal Disease
https://read.qxmd.com/read/38492080/total-neoadjuvant-therapy-for-locally-advanced-rectal-cancer-a-three-group-propensity-score-matched-study
#14
JOURNAL ARTICLE
Jiahao Zhou, Jun Huang, Zikai Zhou, Xiangbing Deng, Qingbin Wu, Ziqiang Wang
PURPOSE: Total neoadjuvant therapy (TNT) has emerged as a therapeutic approach for locally advanced rectal cancer (LARC). However, the optimal chemotherapy cycles within TNT remain uncertain. This study aimed to evaluate and compare the prognostic efficacy of varying cycles of chemotherapy during TNT for LARC. METHODS: Patients diagnosed with LARC (T3-4N0M0/T1-4N1-2M0), who underwent TNT or chemoradiotherapy followed by total mesorectal excision (TME) between 2015 and 2020, were retrospective included...
March 16, 2024: International Journal of Colorectal Disease
https://read.qxmd.com/read/38466439/predictors-of-recurrence-and-long-term-patient-reported-outcomes-following-surgical-repair-of-anal-fistula-a-retrospective-analysis
#15
JOURNAL ARTICLE
Sidrah Khan, Rebecca Kotcher, Paul Herman, Li Wang, Robert Tessler, Kellie Cunningham, James Celebrezze, David Medich, Jennifer Holder-Murray
PURPOSE: Surgery for anal fistulas can result in devastating complications, including reoperations and fecal incontinence. There is limited contemporary evidence comparing outcomes since the adoption of the ligation of intersphincteric fistula tract procedure into mainstream practice. The purpose of this study is to compare recurrence rates and long-term outcomes of anal fistula following repair. METHODS: Data was collected from the electronic medical records or patient reported outcomes from patients aged 18 or older with a primary or recurrent cryptoglandular anal fistula...
March 11, 2024: International Journal of Colorectal Disease
https://read.qxmd.com/read/38456914/clinical-outcomes-and-perioperative-morbidity-and-mortality-following-segmental-resections-of-the-colon-for-crohn-s-colitis
#16
JOURNAL ARTICLE
Alina-Sophie Kappenberger, Josefine Schardey, Ulrich Wirth, Florian Kühn, Jens Werner, Petra Zimmermann
INTRODUCTION: Crohn's disease (CD) is a chronic inflammatory bowel disease of a multifactorial pathogenesis. Recently numerous genetic variants linked to an aggressive phenotype were identified, leading to a progress in therapeutic options, resulting in a decreased necessity for surgery. Nevertheless, surgery is often inevitable. The aim of the study was to evaluate possible risk factors for postoperative complications and disease recurrence specifically after colonic resections for CD...
March 8, 2024: International Journal of Colorectal Disease
https://read.qxmd.com/read/38441657/developing-a-multivariable-prediction-model-of-global-health-related-quality-of-life-in-patients-treated-for-rectal-cancer-a-prospective-study-in-five-countries
#17
RANDOMIZED CONTROLLED TRIAL
John Andersson, Eva Angenete, Martin Gellerstedt, Eva Haglind
PURPOSE: Rectal cancer and its treatment have a negative impact on health-related quality of life (HRQoL). If risk factors for sustained low HRQoL could be identified early, ideally before the start of treatment, individualised interventions could be identified and implemented to maintain or improve HRQoL. The study aimed to develop a multivariable prediction model for global HRQoL 12 months after rectal cancer treatment. METHODS: Within COLOR II, a randomised, multicentre, international trial of laparoscopic and open surgery for rectal cancer, a sub-study on HRQoL included 385 patients in 12 hospitals and five countries...
March 5, 2024: International Journal of Colorectal Disease
https://read.qxmd.com/read/38436757/pulse-pressure-variation-guided-goal-direct-fluid-therapy-decreases-postoperative-complications-in-elderly-patients-undergoing-laparoscopic-radical-resection-of-colorectal-cancer-a-randomized-controlled-trial
#18
RANDOMIZED CONTROLLED TRIAL
Qiu-Rong Wu, Zi-Zuo Zhao, Ke-Ming Fan, Hui-Ting Cheng, Bin Wang
OBJECTIVE: The use of goal-directed fluid therapy (GDFT) has been shown to reduce complications and improve prognosis in high-risk abdominal surgery patients. However, the utilization of pulse pressure variation (PPV) guided GDFT in laparoscopic surgery remains a subject of debate. We hypothesized that utilizing PPV guidance for GDFT would optimize short-term prognosis in elderly patients undergoing laparoscopic radical resection for colorectal cancer compared to conventional fluid therapy...
March 4, 2024: International Journal of Colorectal Disease
https://read.qxmd.com/read/38436741/analgesic-effect-of-local-anaesthetic-in-haemorrhoid-banding-systematic-review-and-meta-analysis
#19
JOURNAL ARTICLE
Eleanor G R Watson, Hwa Ian Ong, Nicholas J W Shearer, Philip J Smart, Adele N Burgess, David M Proud, Helen M Mohan
PURPOSE: Rubber band ligation of haemorrhoids can be,painful and there is no consensus regarding the optimal analgesic strategy. This study aims to determine whether there is a difference in post-procedural pain in adults undergoing haemorrhoid banding who have received local anaesthetic, a pudendal nerve block or no regional or local analgesia. METHODS: MEDLINE, Embase, Google Scholar and clinical trial registries were searched for randomised trials of local anaesthetic or pudendal nerve block use in banding...
March 4, 2024: International Journal of Colorectal Disease
https://read.qxmd.com/read/38431759/long-term-prognosis-after-stapled-and-hand-sewn-ileal-pouch-anal-anastomoses-for-familial-adenomatous-polyposis-a-multicenter-retrospective-study
#20
JOURNAL ARTICLE
Kyota Tatsuta, Mayu Sakata, Moriya Iwaizumi, Kazuya Okamoto, Shigeto Yoshii, Masashi Mori, Yutaro Asaba, Takashi Harada, Mikihiro Shimizu, Kiyotaka Kurachi, Hiroya Takeuchi
PURPOSE: The long-term prognosis of stapled and hand-sewn ileal pouch-anal anastomoses in familial adenomatous polyposis patients in Japan remains unknown. This study aimed to compare the overall survival in familial adenomatous polyposis patients who underwent stapled or hand-sewn ileal pouch-anal anastomosis. METHODS: This multicenter retrospective study was conducted at 12 institutions in Shizuoka Prefecture, Japan. The clinical outcomes of 53 eligible familial adenomatous polyposis patients who underwent stapled (n = 24) and hand-sewn (n = 29) ileal pouch-anal anastomosis were compared...
March 2, 2024: International Journal of Colorectal Disease
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