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Andrew Yuen, Ahmad Elnahas, Arash Azin, Allan Okrainec, Timothy D Jackson, Fayez A Quereshy
BACKGROUND: Enhanced recovery pathways have become standard practice after elective colorectal surgery to improve postoperative care while reducing length of stay in hospital. However, there is concern that early discharge may result in increased rates of adverse events including readmission. This study aims to determine whether it is safe to discharge patients on postoperative day 1 or 2 if they have undergone an elective colorectal operation for cancer. METHODS: The 2012 American College of Surgeons National Surgical Quality Improvement Program dataset was used...
September 2016: Surgical Endoscopy
Mary E Charlton, Kevin A Matthews, Anne Gaglioti, Camden Bay, Bradley D McDowell, Marcia M Ward, Barcey T Levy
BACKGROUND: Colorectal cancer (CRC) screening has been shown to decrease the incidence of late-stage colorectal cancer, yet a substantial proportion of Americans do not receive screening. Those in rural areas may face barriers to colonoscopy services based on travel time, and previous studies have demonstrated lower screening among rural residents. Our purpose was to assess factors associated with late-stage CRC, and specifically to determine if longer travel time to colonoscopy was associated with late-stage CRC among an insured population in Iowa...
September 2016: Journal of Rural Health
Ziyad Makoshi, Claire Perrott, Khadija Al-Khatani, Fadia Al-Mohaisen
INTRODUCTION: Colon cancer in pregnancy is uncommon. Only a small number of case reports have been published in the literature on the use of chemotherapeutic drugs during pregnancy. Reports of such cases assist clinicians in further investigating the use of chemotherapy in pregnancy. CASE PRESENTATION: FOLFOX-6 was administered to a pregnant, 33-year-old Saudi woman with metastatic colon cancer from 22 to 30 weeks of gestation. Her cancer was diagnosed during her pregnancy...
June 13, 2015: Journal of Medical Case Reports
R Albrecht, H Hönicke, C Bochmann, U Settmacher, T Wirth
BACKGROUND: Frequently, the first clinical sign of colorectal cancer is complete obstruction, which has to be considered an emergency situation. The treatment goal is to overcome ileus including reduction of the associated high morbidity and mortality. Therefore, alternative therapeutic options to emergency surgery have been sought in order to allow adequate preparation for elective surgery or stabilization of palliative patients and avoid colostoma. Therapeutic results of the placement of self-expanding metal stents (SEMS) are discussed in terms of a single-center, retrospective observational study...
August 2015: Der Chirurg; Zeitschrift Für Alle Gebiete der Operativen Medizen
Sarah A Knowles, Kimberly A Bertens, Kristopher P Croome, Roberto Hernandez-Alejandro
INTRODUCTION: Liver resections with negative margins improve survival in patients with colorectal liver metastases (CRLM). Intraoperative ultrasound (IOUS) is a valuable tool that gives information about lesions that ultimately changes surgical strategy to ensure complete removal, which subsequently improves disease free survival (DFS). METHODS: A retrospective review of patients who underwent a resection for CRLM from 2009 to 2012 was completed to determine the impact of IOUS...
August 2015: International Journal of Surgery
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