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Intestine and Lower Gastrointestinal Tract

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Cytoreductive Surgery & Peritoneum2 Dec 2023

Equivalency in Colorectal Metastases Management: Liver vs. Peritoneum

Examining outcomes in metastatic colorectal cancer treatment, researchers conducted a review, analyzing six selected studies. Comparing surgical interventions on the liver and peritoneum, cytoreductive surgery with heated intraperitoneal chemotherapy showed comparable safety and survival outcomes to hepatectomy. This suggests a need for early integration of…

Intestine and Lower Gastrointestinal Tract2 Dec 2023

Virtual Reality for Colorectal Cancer Surgery Consent

In a pilot trial, colorectal cancer patients undergoing elective surgery were randomized to receive standard consent (CT images) or virtual reality (VR) consent (CT images and immersive VR models). While not statistically significant, VR showed a trend toward improved patient-reported understanding, with most patients preferring…

J Gastrointest Surg1 Dec 2023

Unveiling Survival Insights: Radiotherapy Redundant for Stage III Mucinous Rectal Cancer

Contrary to the conventional recommendation, researchers analyzed SEER data (2004-2015) for stage III rectal mucinous adenocarcinoma (RMC) patients. RMC, distinct in T and N stage at diagnosis, emerged as an independent poor prognostic factor for overall and cancer-specific survival. Notably, adjuvant radiotherapy failed to confer…

Clin Gastroenterol Hepatol30 Nov 2023

Tailoring Prophylaxis in Crohn’s Disease Surgery: Real-world Insights into Risk Factors and Recurrence

Examining 1404 Crohn's disease patients post-ileocecal resection, researchers identified high-risk factors for surgical recurrence (multiple surgeries, active smoking, penetrating or perianal disease). Biologic prophylaxis post-surgery lowered surgical recurrence in high-risk patients. Additionally, prophylaxis reduced endoscopic recurrence regardless of risk, suggesting its potential benefits across risk…

J Crohns Colitis30 Nov 2023

ECCO Workshop Yields Postoperative Management Algorithm for Crohn’s Disease Patients

The 8th ECCO scientific workshop addressed postoperative recurrence (POR) in Crohn's disease after ileocolonic resection. Despite modern therapies, POR remains a challenge, impacting patients' lives. The workshop extensively reviewed data on preventive and treatment strategies, including medications, endoscopic procedures, and surgery. Synthesizing available knowledge, the…

Int J Surg30 Nov 2023

Feasibility and Safety of Single-Incision Robotic Assisted Colorectal Surgery

In a nonrandomized cohort pilot study, researchers explored the feasibility and safety of single-incision robotic-assisted surgery (SIRAS) using the Shurui Endoscopic Surgical Robotic System (SR-ENS-600). Seven patients underwent successful SIRAS for colorectal malignancy. The SR-ENS-600 platform exhibited preferable maneuverability/stability in confined fields. Although one case…

Intestine and Lower Gastrointestinal Tract29 Nov 2023

Advancing Rectal Cancer Care: Safe Implementation of a Stent-Assisted Ileal Bypass

In a study spanning January 2022 to January 2023, researchers explored the safety and viability of a pioneering stent-assisted ileal bypass for individuals undergoing sphincter-preserving surgery for rectal cancer. With 11 successful cases, the innovative approach, involving a biofragmentable ileal stent and diversion tube, proved…

BMJ Open28 Nov 2023

Enhancing Recovery: Postoperative Stellate Ganglion Block for Colorectal Cancer Surgery

Investigating the potential cardiovascular benefits of postoperative stellate ganglion block (SGB) after laparoscopic colorectal cancer surgery, this randomized trial aims to enroll 950 patients with at least one risk factor for myocardial injury after non-cardiac surgery. Assessing outcomes such as myocardial injury incidence, pain levels,…