ERAS protocol compliance at a model 4 hospital in Ireland was over 70%, with satisfactory adherence to elements like laparoscopic surgery and nutritional drinks. Areas needing improvement included postoperative antibiotics and preoperative gabapentin documentation. Educating and involving the multidisciplinary team can successfully implement ERAS protocol in this hospital, facilitating early patient discharge and preventing common […]
Category: Intestine and Lower Gastrointestinal Tract
Postoperative Chemotherapy Improves Survival in Colorectal Mucinous Adenocarcinoma
Analysis of 6829 patients showed those receiving postoperative chemotherapy had significantly better overall survival rates compared to those who did not. Effective prognostic nomograms were developed, offering clinicians valuable tools for personalized treatment planning and promoting precision medicine for patients with colorectal mucinous adenocarcinoma. These findings highlight the survival benefits of postoperative chemotherapy in this […]
Surgery Improves Outcomes in Acute Colonic Pseudo-obstruction
Patients with acute colonic pseudo-obstruction (ACPO) who underwent surgery experienced lower mortality rates than previously reported. Surgical interventions, including colectomies and stomas, effectively treated refractory cases. Severe postoperative complications were observed in a minority of patients, with no recurrences or reoperations needed. Further research is needed to optimize surgical strategies for ACPO management. Surgical treatment […]
Nomogram Predicts Cancer-Specific Survival in Small-Bowel Adenocarcinoma
Development of a nomogram using SEER database data for small-bowel adenocarcinoma patients shows superior predictive performance in cancer-specific survival over traditional staging systems. Factors like sex, age, tumor characteristics, and treatment modalities significantly impact survival outcomes. Nomogram offers enhanced predictive accuracy and clinical utility, highlighting its potential for personalized treatment strategies and improved patient outcomes. […]
Effectiveness and Safety of Sinus Laser Therapy for Pilonidal Disease
Study on 111 patients undergoing sinus laser therapy for pilonidal disease showed a healing rate of 78.4% with high patient satisfaction and minimal complications. No predictive factors for healing were identified. Results suggest sinus laser therapy is an efficient and safe treatment option, potentially warranting its incorporation into the therapeutic algorithm for pilonidal disease. Journal […]
Improved Management of Elderly Patients with Complicated Colorectal Cancer
Colorectal cancer in elderly patients presents unique challenges with high morbidity and mortality rates. The CO-OLDER WSES project aims to collect data on patients aged ≥75 years with complicated colorectal cancer requiring emergency surgical management. This global study evaluates modifiable risk factors and outcomes, comparing pre and post-COVID-19 periods. By providing insights into effective management […]
Surgical Repair of Colonic Perforations Shows Comparable Outcomes
Patients who underwent surgical repair for colonoscopy-related perforations had similar short-term morbidity and mortality rates compared to those undergoing elective or emergency colorectal surgeries. Mortality rate was 4.1%, with no significant difference among open colectomy, suturing, and laparoscopic colectomy. Laparoscopic colectomy had significantly lower morbidity rates. Patients with iatrogenic colonic perforation had better outcomes than […]
Increased Risk of Colorectal Neoplasia After Polyp Removal
High-risk adenomas and serrated polyps significantly increase the risk of colorectal cancer within 3 years post-polypectomy. Surveillance colonoscopy is vital for preventing subsequent cancer, especially for patients with high-risk polyps. The study highlights the importance of early surveillance within 3 years for patients with high-risk polyps, suggesting that incomplete resection and missed lesions contribute to […]
Nonoperative Management of Diverticulitis with Extraluminal Air
Nonoperative management of acute complicated diverticulitis with pericolic and/or distant extraluminal air is feasible and safe, with an 88% success rate among patients. While pericolic extraluminal air had a 93.1% success rate, distant extraluminal air had a 71.1% success rate. Distant subgroup showed higher failure rates but remains a challengingly feasible treatment option, with 18.3% […]
Optimal Lymph Node Retrieval Enhances Prognosis in Rectal Cancer
Key study findings reveal that removing 14 lymph nodes during surgery for T3-4/N+ rectal cancer patients post neoadjuvant therapy significantly impacts survival outcomes. Notably, elderly and non-elderly patients showed distinct differences in overall and cancer-specific survival rates, supporting 14 lymph nodes as the optimal benchmark for personalized treatment decisions. These results present a crucial cutoff point […]