In evaluating post-proctocolectomy patients with ileal pouch anal anastomosis (IPAA), anopouch manometry (APM) highlights defecatory symptoms. Less than 10% of symptomatic IPAA patients undergo APM. Dyssynergic defecation, prevalent in 47.0% to 100% of cases, associates with fecal incontinence. APM alone proves imperfect for pouch function assessment, prompting the need for confirmatory dynamic imaging. This study […]

This retrospective study explored the relationship between postoperative discharge timing and complications in patients who underwent uncomplicated elective colectomy. Findings from over 113,000 patients revealed that early discharge (≥3 days for laparoscopic/robotic, or ≥5 days for open surgery) after minimally invasive colectomy significantly lowered the odds of post-discharge complications. The same benefit wasn’t observed in […]

Researchers investigated the locations of death among colorectal cancer (CRC) patients in the United States, aiming to identify determinants and trends. From 2003 to 2019, they observed a shift from hospital and institutional settings toward home and hospice as preferred places for end-of-life care. However, disparities existed among racial and educational groups, with non-white and […]

This study delves into the factors contributing to the non-closure of temporary stomas following anterior resection for rectal cancer. Researchers identified several risk factors, including age over 60, advanced tumor stage, high American Society of Anesthesiologists (ASA) score, neoadjuvant chemoradiotherapy, open surgery, postoperative chemotherapy, anastomotic leakage, and local recurrence. Shockingly, one out of every five […]

Researchers created a predictive model to identify tumor deposits (TDs) in colorectal cancer (CRC) patients. Analyzing data from these patients, the study revealed that variables such as female sex, preoperative intestinal obstruction, left-sided CRC, and lymph node metastasis are independent risk factors for TD formation. Their nomogram, with strong predictive performance, can assist surgeons in […]

A collaborative project by EAES, SAGES, and ESCP developed clinical practice recommendations for bowel preparation before minimally invasive colorectal surgery. After conducting a systematic review and network meta-analysis, a panel of experts suggested different approaches for various procedures. They recommend mechanical bowel preparation (MBP) with oral antibiotics for certain cases and offer conditional recommendations for […]

In this analysis of high-risk stage II colon cancer patients, significant prognostic factors for disease-free survival (DFS) and overall survival (OS) were determined. Gender, tumor invasion depth, extent of lymph node dissection, number of examined lymph nodes, and postoperative adjuvant chemotherapy (POAC) were found to be independent predictors of DFS. Similarly, age, gender, tumor invasion […]

Hemorrhoids, a common anal condition, present recurring challenges. Effective treatment relies on accurate classification, making cure rates higher and recurrence rates lower. This study reviews various classification methods for hemorrhoids, assessing their pros and cons, treatment relevance, practicality, and assessment value. It proposes strategies to address current assessment limitations, aiming to enhance the classification of […]