A novel classification for ileocolic Crohn’s disease revealed that 56.8% of patients exhibit complex cases, linked to higher blood loss, prolonged hospital stays, and increased need for open surgery. Complex cases also experienced more emergencies and worse surgical outcomes compared to simpler forms. The classification system aims to enhance preoperative planning and communication among health […]
Category: Intestine and Lower Gastrointestinal Tract
Prehabilitation improves outcomes in gastrointestinal cancer surgeries
A systematic review reveals that multimodal prehabilitation programs significantly enhance functional capacity and reduce postoperative complications for patients undergoing major gastrointestinal cancer surgeries. These programs lead to shorter hospital stays and improved recovery, particularly in colorectal surgeries. However, the efficacy varies by cancer type, and while inpatient programs yield better results, they also incur higher […]
A machine learning model predicts anastomotic leakage after surgery
An advanced interpretable machine learning model, based on the XGBoost algorithm, shows promising results in predicting anastomotic leakage (AL) following rectal cancer resection. Utilizing data from multiple centers, the model achieved an AUC of 0.984 in the test set, with high accuracy, sensitivity, and specificity. Serum calcium ion levels emerged as a critical predictor. This […]
AI model enhances diagnosis of anal injuries
A novel convolutional neural network (CNN) algorithm for endoanal ultrasound (EUS) efficiently distinguishes between benign anal injuries, notably achieving 100% accuracy for fissures. In assessing external and internal lacerations, the model demonstrated 82.5% sensitivity and 93.5% specificity, alongside 91.7% sensitivity and 85.9% specificity, respectively. This groundbreaking AI-assisted approach could significantly enhance diagnostic accuracy in proctology, […]
Deep learning model accurately predicts postoperative complications
A deep learning neural network (DLNN) showed superior predictive ability for postoperative complications in laparoscopic right hemicolectomy, achieving an accuracy of 86%. Key predictors included intraoperative minimal bleeding and adherence to fast-track recovery protocols. Compared to traditional machine learning models, the DLNN outperformed decision trees and random forests, showcasing potential for enhancing patient safety and […]
Prophylactic clipping demonstrates cost savings for colon polyp procedures
A comprehensive analysis of 4,557 patients revealed that prophylactic clipping after endoscopic mucosal resection for large non-pedunculated colon polyps resulted in significant cost savings. Specifically, in a typical case, clipping yielded an incremental cost-effectiveness ratio (ICER) of -$154,706. This technique proved cost-effective for large polyps and beneficial for patients on antithrombotic therapy when utilizing up […]
EUS-FNA/B proves effective for rectal and perirectal lesions
Endoscopic ultrasound-guided fine-needle aspiration and biopsy (EUS-FNA/B) was found effective in diagnosing rectal and perirectal lesions in 79.2% of cases. Of 77 patients studied, EUS-FNA/B provided conclusive diagnoses, enabling timely treatment decisions—confirming malignancies in 32 patients and preventing unnecessary procedures in 14. A definitive diagnosis of a gastrointestinal stromal tumor facilitated neoadjuvant chemotherapy and subsequent […]
Non-invasive CT-based model predicts tumor immune environment in CRC
A deep learning radiomics model utilizing preoperative CT scans shows promise for non-invasively predicting the tumor immune microenvironment (TIME) in colorectal cancer patients. The Densenet-169 model achieved an AUC of 0.892 for tumor-stroma ratio (TSR), while the Densenet-121 model reached AUCs of 0.851 for tumor-infiltrating lymphocytes and 0.852 for immune score. These models could facilitate […]
Postsurgical endoscopy is essential for optimal GI surgery outcomes
Postsurgical endoscopy emerges as a vital diagnostic tool in gastrointestinal surgery. It significantly aids in early complication detection, healing assessment, symptom management, and monitoring for cancer recurrence. As endoscopic techniques advance, their integration into clinical practice and surgical training is crucial for improving postoperative care. This review not only highlights the advancements in endoscopic technologies […]
New surgical framework enhances management of small bowel Crohn’s disease
A novel four-tier surgical strategy (R0-R3) for small bowel Crohn’s disease has been proposed, emphasizing individualized treatment based on lesion severity and bowel function preservation. R0 involves complete resection for mild lesions, while R1 and R2 focus on preserving certain lesions during resection. R3 indicates temporary stoma creation for complex cases. This tailored approach promotes […]