Researchers conducted a study in Taiwan to assess the risk of recurrent small bowel obstruction (SBO) after non-operative management in patients with a history of intra-abdominal surgery. They developed a scoring system, the Small Bowel Obstruction Recurrence Score (SBORS), which successfully predicted 6-month recurrence of SBO after non-surgical management. Patients with scores >2 had higher […]
Category: Intestine and Lower Gastrointestinal Tract
Core data set and definition for empty pelvis syndrome after pelvic exenteration
Empty pelvis syndrome (EPS) following pelvic exenteration is poorly defined, leading to inconsistent reporting. This study established a core outcome set and descriptor set for EPS through a consensus process involving healthcare professionals and patients. The study identified seven core outcomes (e.g., bowel obstruction, chronic perineal sinus) and four core descriptors (e.g., magnitude of surgery, […]
Improved Odds of Cytoreductive Surgery with HIPEC and Survival for Colorectal Peritoneal Metastases
Findings from a nationwide population-based study revealed that patients diagnosed in hipec centers had better odds of undergoing cytoreductive surgery with hyperthermic intraperitoneal chemotherapy (CRS-HIPEC) and improved survival rates before 2016. However, after national efforts to increase awareness and improve referral networks, these differences were no longer present between patients diagnosed in hipec and referring […]
Effectiveness of Dietary Interventions for Ileal Pouch-Anal Anastomosis
Patients with an ileal pouch-anal anastomosis often experience complications like acute pouchitis. Studies on dietary interventions and supplements for pouch function improvement and pouchitis management have conflicting results. Concrete evidence-based recommendations are lacking, despite patient interest in maintaining pouch health through diet. This systematic review consolidates data on dietary patterns, interventions, and supplement effects in […]
Radical resection favored for grade 2 rectal neuroendocrine tumors >1.5 cm
Comparing local excision and radical resection for grade 2 rectal neuroendocrine tumors showed no significant difference in survival for tumors ≤1.5 cm. However, tumors >1.5 cm had significantly lower relapse-free survival with local excision. Lymph node metastasis was present in 60% of patients who underwent radical resection. The study concluded that local excision is suitable […]
Common Colorectal Procedures Can Be Safely Performed Using the Hugo™ RAS System with No Prior Robotic Surgery Experience
Colorectal procedures were successfully performed using the Hugo™ RAS system by a team inexperienced in robotic surgery after intensive training. Ten patients underwent procedures with no conversions, technical difficulties, or postoperative morbidity. Median total operative time was 185 minutes, and median docking time was 14 minutes. Hospital stays ranged from 2 to 4 days, and […]
Total neoadjuvant therapy increases risk of breached mesorectal excision but reduces disease progression in rectal cancer
Total neoadjuvant therapy for rectal cancer is associated with higher rates of breached total mesorectal excision compared to standard long-course chemoradiation, but no significant differences in surgical mortality or major complications. However, it significantly lowers the risk of disease progression to an unresectable stage during neoadjuvant treatment. Further research is needed to identify patients who […]
Risk of Anastomotic Leak Higher with Early Ileostomy Closure
Early closure of diverting loop ileostomy after proctectomy is associated with a higher risk of anastomotic leak, particularly when closure is done within 2 weeks of ileostomy formation. Factors such as diabetes mellitus, smoking, and early closure within 2 weeks are significantly associated with postoperative complications. Routine early ileostomy closure cannot be recommended based on […]
Robot-Assisted Surgery Reduces Surgical Stress Response in Colon Cancer
In a randomized clinical trial (SIRIRALS), patients with stage 1-3 colon cancer underwent robot-assisted or laparoscopic surgery. The laparoscopic group exhibited a higher postoperative C-reactive protein response on the first day, but no significant differences on subsequent days. Robot-assisted surgery was associated with reduced surgical stress response, providing evidence for its benefits in stage 1-3 […]
Laparoscopic vs. Open Surgery After Colorectal Stent in Obstructive Cancer
Comparing laparoscopic and open surgery in obstructive colorectal cancer patients following stent placement, a meta-analysis of 12 cohort studies found no difference in 30-day mortality rates. While laparoscopic surgery had less blood loss, longer operation time, and shorter hospital stay, open surgery had more complications. Although not statistically significant, some data suggest favorable long-term outcomes […]