The oakland and Glasgow-Blatchford scores demonstrated excellent performance in predicting severe LGIB, need for blood transfusion, and mortality, outperforming the AIMS65 score. Hemostatic interventions and rebleeding prediction by all scores were suboptimal. These results suggest Glasgow-Blatchford score as an alternative for risk stratification in patients with acute lower GI bleeding. Research Support, Non-U.S. Gov’t by […]
Category: Intestine and Lower Gastrointestinal Tract
Artificial Intelligence for Predicting Lymph Node Metastases in Early-Stage Colorectal Cancer
Artificial intelligence models demonstrated high accuracy levels in predicting lymph node metastasis in early-stage colorectal cancers, outperforming traditional clinical guidelines. With models such as support vector machine and deep learning, there is potential for refining clinical decisions and improving outcomes in this critical area of cancer treatment. Journal Article by Thompson N, Morley-Bunker A (…) […]
Effectiveness of Micronized Purified Flavonoid Fraction in Posthemorrhoidectomy Period
In this open-label randomized trial, researchers assessed the efficacy of micronized purified flavonoid fraction in reducing posthemorrhoidectomy complications. Fifty patients who underwent hemorrhoidectomy were divided into two groups: a control group receiving standard care and a study group receiving standard care plus micronized purified flavonoid fraction. The study group experienced significantly lower rates of thrombosis […]
Long-Term Survival Benefits of Surgery with HIPEC for Perforated Low-Grade Appendiceal Mucinous Neoplasms
Study demonstrates that combining surgery with HIPEC significantly improves 5- and 10-year overall survival rates and relapse-free survival of LAMN perforation patients without impacting short-term outcomes. Analysis of 91 patients revealed higher survival rates in the HIPEC group compared to non-HIPEC group, highlighting the potential impact of this combined approach on patient outcomes. Research Support, […]
Effect of Compression Time on Postoperative Complications in Stapled Hemorrhoidopexy
Longer compression time (2 minutes) before stapler firing in staple hemorrhoidopexy resulted in decreased postoperative bleeding compared to typical compression time (30 seconds). Typical compression time was associated with higher rates of bleeding, additional procedures, and fecal urgency. No significant differences were found in dehiscence and stenosis rates between the groups. Journal Article by Yoo […]
Benefit of Surgical Cytoreduction for Patients with Small Intestinal Neuroendocrine Tumors Metastatic to the Liver and Peritoneum
Complete cytoreduction can significantly improve survival and relieve symptoms in patients with small intestinal neuroendocrine tumors metastatic to the liver and peritoneum. Despite initial controversies, achieving complete cytoreduction yielded comparable outcomes in patients with isolated liver metastases and those with liver and peritoneal metastases. Aggressive surgical cytoreduction should be considered even in the presence of […]
Prophylactic Mesh Reduces Stoma Site Hernia Rates
Prophylactic biosynthetic mesh placement during stoma reversal significantly reduces stoma site incisional hernia rates compared to primary stoma closure without mesh. Observation of 174 cases showed a 1.0% incidence in the treatment group versus 17.8% in the control group, with mesh proving to be a protective factor. Body mass index and chronic kidney disease were […]
Robotic Surgery Reduces Ergonomic Risk in Minimally Invasive Colorectal Resections
Robotic-assisted surgery with the open-console versius® system significantly reduces surgeons’ ergonomic risks and cognitive strain during major colorectal resections compared to laparoscopic surgery, without compromising team communication or patient outcomes. This may be a safe and feasible solution to prevent work-related musculoskeletal injuries in surgeons. Randomized Controlled Trial by Dixon F, Vitish-Sharma P, Khanna A […]
Comparison of Purse-String vs Linear Suture for Skin Closure After Ileostomy Reversal
Comparison of purse-string technique vs linear suture for skin closure after ileostomy reversal showed a significantly lower incidence of surgical site infection (SSI) with the purse-string technique. Findings suggest purse string closure could be considered as the standard of care for wound closure after ileostomy reversal, with better cosmesis outcomes. Comparative Study by Carannante F, […]
Recommendations for Colorectal Polypectomy and Endoscopic Mucosal Resection
ESGE recommends cold snare polypectomy for diminutive and small polyps, and hot snare polypectomy for larger adenomatous polyps. For large nonpedunculated polyps, conventional endoscopic mucosal resection (EMR) is preferred, with underwater EMR as an alternative. After piecemeal EMR, thermal ablation of resection margins is advised to prevent adenoma recurrence. Prophylactic clip closure is recommended after […]