High Rate of Emergency Surgery for Sigmoid Diverticulitis in France
This study from 41 French hospitals reveals a 33% rate of emergency surgery for sigmoid diverticulitis, significantly associated with patient age, BMI
Newsletter
Intestine and Lower Gastrointestinal Tract
Every new paper in this field, in your inbox.
Surgery improves quality of life in patients with recurrent diverticulitis
This systematic review and meta-analysis suggest that surgery for recurrent diverticulitis may enhance long-term quality of life compared to conservative treatment. Although associated with risks, surgical intervention resulted in higher SF-36 and GIQLI scores and fewer recurrences. These findings advocate for considering surgery in patients…
Impact of Hazard Function Analysis on Prognosis After Colorectal Cancer Recurrence
Hazard function analysis provided new insights into patient prognosis post colorectal cancer recurrence, revealing a peak risk of death at 2.9 years post-recurrence. Factors like metastatic organs, treatment type, and recurrence interval influenced short-term survival. The method offers an alternative to mean survival time and…
Comparing Circular Staplers for Colorectal Anastomosis
A systematic review and meta-analysis compared two-row, three-row, and powered circular staplers for colorectal anastomosis. Powered staplers showed significantly lower risk of leakage and anastomotic bleeding, while three-row staplers only reduced leakage risk. Subgroup analysis did not reveal significant differences between the groups. An important…
Disappointing Results of SMART Technique for Parastomal Hernia Repair
The study assesses the Modified Stapled Mesh Stoma Reinforcement Technique (mSMART) for parastomal hernia repair, revealing a high recurrence rate of 57.1% during follow-up. Despite low rates of surgical site occurrence and infection, disappointing outcomes indicate the need for alternative approaches in addressing parastomal hernias…
Feasibility and Safety of Hepatic Arterial Infusion Pump Chemotherapy for Colorectal Liver Metastases
Feasible and safe, hepatic arterial infusion pump chemotherapy combined with systemic chemotherapy (HAIP-SYS) for colorectal liver metastases (CRLMs) showed promising results in a phase II study in the Netherlands. With a completion rate of 90% for two cycles, it demonstrated favorable disease control rates at…
Laparoscopic Liver Resection Shows Comparable Outcomes to Open Liver Resection for High Tumour Burden Colorectal Liver Metastases
Laparoscopic liver resection (LLR) matches open liver resection (OLR) in outcomes for ≥ 3 colorectal liver metastases (CRLM), showing similar morbidity, mortality, and survival rates. LLR offers shorter hospital stays, advocating its consideration for selected patients with high tumour burden disease. This study, analyzing 277 patients, demonstrates…
Overweight and Thin Rectus Abdominis are Risk Factors for Stoma Prolapse After Laparoscopic Loop Colostomy
Being overweight (BMI ≥ 25) and a thin rectus abdominis penetration (
Extent of Resection and Long-Term Outcomes for Appendiceal Adenocarcinoma
Mucinous and non-mucinous appendiceal adenocarcinomas exhibit differences in recurrence rates and nodal positivity. Colectomy is associated with improved disease-specific survival for non-mucinous tumors at certain stages and grades, but not for mucinous tumors. This suggests that colectomy may not be necessary for mucinous appendiceal adenocarcinoma…
Mesenteric-based Surgery for Crohn’s Disease: Addressing Anastomotic Recurrence
Mesenteric-based surgery offers insights into postoperative anastomotic recurrence in Crohn's disease. The mesenteric pole is implicated in recurrence after resection. However, the mesentery's role remains debated. This review explores mesenteric changes, its proposed role in disease progression, and the potential of mesenteric-based surgery in managing…