Frailty Index (FI) is a comprehensive tool for assessing frailty in the elderly population with colorectal cancer (CRC). This review evaluates methods for frailty assessment and presents modifications of the FI to accurately evaluate surgical complication risk and prognosis in CRC patients. The research findings highlight the FI’s role in predicting surgical complications, postoperative recovery, […]
Category: Intestine and Lower Gastrointestinal Tract
A Delayed Diagnosis: Tuberculosis Mimicking Colorectal Malignancy
Gastrointestinal tuberculosis is a rare manifestation that often imitates various gastrointestinal diseases. In this case study of an 85-year-old male patient, a cecal mass initially suspected to be malignant was removed through colonic resection. Acid-fast staining of the surgical specimen later revealed acid-fast bacilli and necrotizing granulomas in multiple lymph nodes. The study highlights the […]
Significant advancements in prevention, detection, and treatment have led to an increase in the survival rate of colorectal cancer
Colorectal cancer, a common neoplasm, is increasing in developing countries due to the adoption of Western dietary and lifestyle habits. However, mortality rates have been decreasing in countries with effective prevention and treatment strategies. Routine screenings, improved imaging techniques, surgical advancements, and advancements in chemotherapy and radiation have contributed to earlier detection, accurate staging, and […]
Majority of Variation in Lymph Node Assessment for Colon Cancer Linked to Non-modifiable Tumor Factors
Researchers investigated the factors contributing to variation in lymph node assessment for colon cancer and found that non-modifiable tumor factors were responsible for the majority of variation. A dataset of over 280,000 patient records from 15,000 surgeons across 1,200 facilities was analyzed. The achievement of the 12 lymph node standard was high at 90.3%. Factors […]
No Antibiotics Comparable to Antibiotics in Acute Diverticulitis: Level 1a Meta-Analysis
Researchers conducted a meta-analysis including 5 randomized controlled trials and 1934 patients to compare the use of antibiotics with no antibiotics in the management of acute uncomplicated diverticulitis (AUD). Their findings revealed that there is no significant difference in baseline characteristics, clinical presentation, and adverse health outcomes between AUD patients treated without antibiotics compared to […]
Preoperative QLB-LSAL decreases opioid usage and offers improved analgesia in laparoscopic colorectal surgery
A randomized controlled trial compared the effectiveness of anterior quadratus lumborum block at the lateral supra-arcuate ligament (QLB-LSAL) with lateral quadratus lumborum block (LQLB) for postoperative analgesia in laparoscopic colorectal surgery. The study found that QLB-LSAL reduced postoperative opioid usage, decreased morphine consumption at 24 hours postoperatively, and prolonged the time to the first patient-controlled […]
Early Discharge Reduces Postdischarge Complications in Minimally Invasive Colectomy
A retrospective cohort study analyzed the association between discharge timing and postdischarge complications in patients undergoing uncomplicated elective colectomy. After matching the early discharge group with the delayed discharge group, the study found that early discharge was associated with lower odds of postdischarge complications in laparoscopic and robotic approaches. However, there was no significant difference […]
Development of an MRI-Based Prediction Model for Anti-TNF Treatment Failure in Perianal Crohn’s Disease
A multicenter study developed a prediction model for anti-tumor necrosis factor (TNF) treatment failure in perianal Crohn’s disease. The model, based on clinical and radiologic parameters, accurately predicted the likelihood of treatment failure at 6 months. The model outperformed existing imaging-based perianal fistula activity indices and showed fair discriminatory capacity. Key predictors included age at […]
The Impact of Prolonged Operative Time on Surgical Outcomes in Minimally Invasive Colorectal Surgery
Research conducted across multiple colorectal operations and surgical approaches found that prolonged operative time is associated with longer length of stay and increased complications. The study revealed that each additional hour above the median operative time is linked to a 1.08 relative risk of longer length of stay for open operations and a 1.07 relative […]
Procedure-specific Risks of Thrombosis and Bleeding in Abdominal Surgery Vary Significantly
This systematic review and meta-analysis of 285 studies, including over 8 million patients, evaluated the procedure-specific risks of symptomatic venous thromboembolism (VTE) and major bleeding in general abdominal, colorectal, upper gastrointestinal, and hepatopancreatobiliary surgeries. The risk of VTE varied widely among procedures, with VTE rates ranging from