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BMC Gastroenterol3 May 2025

Key risk factors for readmission after colorectal cancer surgery identified

A meta-analysis revealed a 11.73% rate of unplanned readmissions within 31 days post-colorectal cancer surgery. Significant risk factors include age, postoperative complications, advanced tumor stage, rectal tumor site, stoma creation, complicated diabetes, Charlson comorbidity index, blood transfusions, longer hospital stays, and surgical approach. Additionally, being…

Updates Surg2 May 2025

High success rate for new anal fistula surgery technique

A sphincter-preserving total fistulectomy technique demonstrated a 97.7% cure rate and a low recurrence rate of 0.7% in 618 patients treated for anal fistulas. No instances of severe postoperative faecal incontinence were recorded, with an overall incontinence rate of just 0.7%. While supralevatoric fistulas showed…

Int J Colorectal Dis1 May 2025

Persistent postoperative inflammation increases risk of muscle loss.

A study involving 193 colon cancer patients revealed that only those with persistent postoperative inflammation faced a heightened risk of muscle wasting and poor prognosis. Groups characterized by consistent high inflammation demonstrated significant increases in muscle loss compared to those with low inflammation. Elevated inflammation…

Gastroenterol Hepatol1 May 2025

Colectomy rates for ulcerative colitis decrease in Brazil.

A significant rise in ulcerative colitis prevalence was noted in Brazil, escalating from 17.31 to 84.23 per 100,000 between 2012 and 2022, with an annual increase of 15%. Conversely, while colectomy procedures accounted for 69.4% of surgeries, the percentage relative to total UC patients decreased…

Surg Today30 Apr 2025

Anemia and ICG-FI Use Increase Risk of Leakage

A study of 304 rectal cancer surgery patients revealed that moderate or severe anemia and non-use of indocyanine green fluorescence imaging (ICG-FI) are significant independent risk factors for anastomotic leakage. Preoperative anemia correction and routine ICG-FI application may reduce this risk. The analysis calculated an…

J Gastrointest Cancer30 Apr 2025

Preoperative CEA levels can predict survival in rectal cancer.

A new study identifies a preoperative carcinoembryonic antigen (CEA) cutoff of 2.8 ng/ml as significant for predicting 5-year survival in rectal cancer patients. Analysis of 316 individuals revealed that higher CEA levels correlate with poor overall survival. The presence of lymphovascular and perineural invasions also…

J Surg Res29 Apr 2025

Surgical resection improves survival in colorectal lung metastases.

A retrospective analysis of 2,976 patients with solitary colorectal lung metastases revealed that surgical resection significantly enhances survival rates. Specifically, patients who underwent surgery had a five-year survival rate of 42.7%, compared to 29.7% for radiation therapy and 23.9% for conservative management. Multivariate analysis confirmed…

Dig Liver Dis29 Apr 2025

Incomplete resections lead to high rates of residual tumors

A significant 48.4% of patients undergoing salvage local resection (SLR) for incompletely resected rectal neuroendocrine tumors (r-NETs) had residual tumors. Rates varied by resection method: 70% for cold forceps polypectomy, 41.7% for conventional polypectomy/endoscopic mucosal resection, and 0% for modified techniques. Multivariate analysis indicated that…

Br J Surg28 Apr 2025

Alignment with Bologna guidelines improves outcomes in SBO patients

Compliance with the World Society of Emergency Surgery Bologna guidelines significantly enhanced outcomes for patients with adhesive small bowel obstruction (SBO). Among 982 patients, those receiving successful non-operative management (NOM) had a mean hospital stay of 5.3 days, while surgical interventions resulted in longer stays.…

HPB & Spleen27 Apr 2025

Microwave ablation matches surgical resection for liver metastases

In a cohort study involving 1,027 patients with colorectal liver oligometastases, survival outcomes between microwave ablation (MWA) and surgical resection (SR) were compared. After a median follow-up of 39.8 months, no significant differences were found in overall survival rates (MWA: 70.6 months vs. SR: 83.2…