A meta-analysis involving 3,508 early colorectal cancer patients reveals that those undergoing additional surgery post non-curative endoscopic resection experience significantly enhanced overall survival and recurrence-free survival compared to those under surveillance alone. Specifically, the additional surgery group demonstrated better recurrence and local recurrence rates, with odds ratios of 1.96 and 2.35, respectively. Findings suggest that […]
Category: Intestine and Lower Gastrointestinal Tract
Screen-detected colon cancer leads to better outcomes.
Long-term outcomes for screen-detected right-sided colon cancer patients significantly outperformed those of symptomatic cases. In a cohort of 909 patients, screen-detected individuals exhibited higher rates of early-stage lesions, achieving 98% R0 resection compared to lower rates in elective (93.3%) and emergency cases (79.4%). After five years, survival rates were 85.4% for screen-detected patients compared to […]
Patient-Centric Mobile App Boosts Compliance in Colorectal Surgery
A patient-centered mobile application enhanced compliance with the Enhanced Recovery After Surgery (ERAS) protocol by 10% among colorectal surgery patients. Notable improvements were observed in early solid food intake (42% increase) and early mobilization (27% increase). While adherence to active ERAS elements improved, postoperative outcomes did not show significant differences between the intervention and control […]
ESSQS qualification improves outcomes in laparoscopic rectal surgery
A multicenter study involving 933 rectal cancer patients indicates that surgeons certified by the endoscopic surgical skill qualification system (ESSQS) demonstrate superior performance in laparoscopic surgeries. After matching, patients operated on by ESSQS-qualified surgeons had significantly lower rates of open conversions (0.3% vs 2.3%) and postoperative complications (18.1% vs 26.1%). Despite differences before matching, relapse-free […]
Vitamin D supplementation enhances quality of life in cancer patients
A randomized controlled trial at Hasan Sadikin Hospital demonstrated that vitamin D supplementation significantly improved the quality of life for stage II-III colorectal cancer patients undergoing adjuvant chemotherapy. With a daily intake of 10,000 IU, participants’ serum vitamin D levels rose sharply, contrasting with declines in the placebo group. Quality of life assessments revealed substantial […]
Virtual scale endoscope outperforms snares in polyp size measurement
A randomized controlled trial with 221 patients showed that the virtual scale endoscope (VSE) achieved superior accuracy in measuring smaller colorectal polyps compared to snare-based techniques. VSE demonstrated an accuracy rate of 80.0%, significantly higher than the 66.4% accuracy from snares, with notably lower misclassification rates for polyps greater than 2mm and 3mm. These results […]
CRS/HIPEC improves survival in small bowel adenocarcinoma patients
A systematic review and meta-analysis of 746 patients revealed that cytoreduction and hyperthermic intraperitoneal chemotherapy (CRS/HIPEC) significantly enhances median overall survival to 32.3 months, compared to 14.5 months with systemic chemotherapy alone. In patients undergoing complete cytoreduction, the study reported a major morbidity rate of 20.7% and a mortality rate of 1.7% associated with CRS/HIPEC. […]
Early oral feeding reduces complications after colorectal surgery
A systematic review of 13 studies involving 1,556 patients revealed that early oral feeding (EOF) significantly reduces total complications after elective colorectal surgery, with an odds ratio of 0.50. Specifically, EOF decreased anastomotic leakage rates (odds ratio 0.40) and shortened hospital stays. However, an increased incidence of vomiting (odds ratio 1.58) was noted, alongside a […]
Diverting ileostomy effectively addresses ileoanal pouch dysfunction.
Diverting ileostomy provides symptom relief and reduces the need for complex surgeries in patients with dysfunctional ileoanal pouches. This technical approach includes preoperative planning by a multidisciplinary team and meticulous surgical technique using laparoscopic methods to minimize complications. Postoperative care emphasizes stoma management and symptom management, ensuring patients experience improvements in their quality of life. […]
New AI model enhances detection of colorectal liver metastases
An innovative AI-based recognition model for detecting colorectal liver metastases during contrast-enhanced intraoperative ultrasonography was developed. By integrating the basic recognition model and a subtraction model, a combination model demonstrated superior accuracy, reaching 96.5%. Overall, the combination model achieved an exceptional area under the curve (AUC) of 0.99, significantly surpassing individual models, which achieved 89.4% […]