An international consensus has developed the CoReAL Reporting Framework for standardizing the reporting of colorectal anastomotic leaks. This framework includes 33 evidence-based statements and 43 key reporting elements derived from extensive literature review and expert consensus. Focused on addressing variability in published leak rates, it incorporates patient experiences and expert opinions, aiming to enhance management […]
Category: Intestine and Lower Gastrointestinal Tract
AI aligns closely with colorectal cancer treatment decisions
A retrospective study evaluated the concordance between therapeutic recommendations made by multidisciplinary teams and those generated by ChatGPT for colorectal cancer. Of 100 patients, pre-therapeutic discussions showed a 72.5% complete concordance, while post-therapeutic discussions revealed an increase to 82.8%. Discordance was notably higher among patients over 77 years old and with higher ASA classifications. These […]
Laparoscopic ileostomy closure reduces complications and hospital stays.
Laparoscopic ileostomy reversal significantly decreases postoperative complications compared to open surgery, lowering overall complication rates (OR=0.40). It notably reduces risks of bowel obstruction and wound infection, while requiring longer operative time. However, it facilitates shorter hospital stays without increasing blood loss. An analysis of 867 cases across 11 studies indicates that both intracorporeal and extracorporeal […]
Modified stapled hemorrhoidopexy shows improved outcomes over conventional method
A prospective randomized trial involving 110 patients revealed that modified partial stapled hemorrhoidopexy (mpsh) significantly reduced average and peak postoperative pain scores compared to conventional hemorrhoidectomy (ch). Patients in the mpsh group reported shorter laxative usage and earlier return to work, alongside higher satisfaction levels and better symptom improvement. Although the overall complication rates were […]
Updated guidelines improve colorectal cancer surveillance in IBD
New guidelines emphasize the ongoing colorectal cancer risk in inflammatory bowel disease (IBD) patients despite improved therapies. Developed by UK stakeholders, the guidelines present 73 statements focusing on factors including surveillance intervals, service organization, and the importance of patient collaboration. Key areas include dysplasia management, risk assessment, and the integration of advanced technologies like artificial […]
Deep learning model achieves high accuracy in ureter identification
A deep learning computer vision model demonstrated precise real-time identification of the left ureter during laparoscopic sigmoidectomy, achieving a mean average precision of 0.92. Key evaluation metrics, including precision, recall, and dice coefficient, reached impressive values of 0.94, 0.88, and 0.90, respectively. Operating at 32 frames per second, the model significantly aids surgical navigation. Despite […]
Introduction of biologics significantly reduced colectomy rates in ulcerative colitis patients
A 22-year retrospective study of 1,197 ulcerative colitis patients reveals that the introduction of biological agents has drastically cut colectomy rates from 12% to 2%. This major finding underscores the importance of achieving mucosal remission and maintaining low CRP levels to further reduce the necessity for surgery. Key predictors of colectomy include steroid dependency, steroid […]
Active wound dressing reduces pain and enhances healing after surgery
Active wound dressings significantly reduce postoperative pain and accelerate wound healing in patients following anorectal surgery. In a study with 110 participants, pain scores were notably lower in those receiving active dressings on days 1, 3, and 7 post-operation. Furthermore, the wound healing rates were higher and healing times shorter compared to conventional dressings. Enhanced […]
Key factors predict recurrence of advanced colorectal adenomas.
Findings indicate that age (≥45 years), male sex, and certain baseline colonoscopic findings are critical predictors of metachronous advanced colorectal adenomas post-polypectomy. Among 2,013 patients, those with multiple small or advanced adenomas showed significantly higher risks, with odds ratios of 3.27 and 5.41, respectively. These results suggest that tailoring post-polypectomy surveillance based on adenoma characteristics […]
Conventional techniques effectively manage previously partially resected colorectal lesions
Findings indicate that conventional endoscopic resection techniques can safely and effectively handle previously partially resected colorectal polyps. Out of 220 such lesions, all were successfully resected with similar recurrence rates (8.2%) compared to lesions without prior resection (7.8%). Notably, previously resected lesions required more advanced methods such as electrocautery and avulsion. Despite trends toward recommending […]