Pancreaticoduodenectomies with concurrent colectomies for pancreatic and colon cancer are feasible, but their morbidity and oncological benefits are controversial. This review examines the outcomes of this combined procedure and finds that it is a viable option for select patients with anticipated negative resection margins. However, caution must be exercised due to increased complication rates, including […]
Category: Intestine and Lower Gastrointestinal Tract
Surgeon specialization not associated with improved outcomes in acute perianal abscess management
Surgeon specialization did not impact outcomes for acute perianal abscess patients in an acute surgical unit, despite colorectal surgeons identifying fistulas more frequently. Abscess recurrence rates were similar between colorectal and non-colorectal surgeons, suggesting drainage alone might suffice as treatment. Journal Article by Turner GA, Tham N (…) Hayes IP et 4 al. in ANZ […]
Accurate Prediction of Anti-TNF Treatment Failure in Perianal Crohn’s Disease Using MRI-Based Model
Researchers developed an MRI-based prediction model for anti-TNF treatment failure in perianal Crohn’s disease. The model, based on clinical and radiologic parameters, accurately predicts the likelihood of treatment failure and outperforms existing imaging-based indices. The study included 221 patients, with treatment failure occurring in 46% of cases. The prediction model included age at diagnosis, time […]
Predictive factors for successful same-day discharge following minimally invasive colorectal surgery
A prospective cohort study conducted at a tertiary colorectal center aimed to identify predictive factors for successful same-day discharge following minimally invasive colorectal surgery. Out of 175 patients, 161 (78.5%) were discharged on the day of surgery without complications, while 44 (21.5%) experienced same-day discharge failure. Factors associated with failure included higher comorbidities, prolonged post-anesthesia […]
Nonoperative Management Shows Promising Results for Anal Adenocarcinoma
Anal adenocarcinoma can be effectively treated with total neoadjuvant therapy and nonoperative management, according to a retrospective analysis conducted at a comprehensive cancer center. The study included 70 patients, out of which 77% received neoadjuvant therapy. Patients who underwent total neoadjuvant therapy had a higher proportion of successful watch-and-wait management compared to those who received […]
Temporary Stoma Does Not Impact Long-Term Functional Outcomes in Rectal Cancer Patients
Rectal cancer patients who undergo surgical resection with or without a temporary stoma were compared in terms of long-term functional outcomes. The study, conducted at seven Dutch hospitals with 656 patients, found that those with a temporary ileostomy experienced less constipation but more fecal incontinence and major low anterior resection syndrome compared to those without […]
Superior vertical resectability of underwater endoscopic mucosal resection (UEMR) compared to cold snare polypectomy (CSP) for small duodenal tumors.
Underwater endoscopic mucosal resection (UEMR) demonstrated higher rates of vertical resectability compared to cold snare polypectomy (CSP) for small duodenal tumors. However, CSP had shorter procedure times and fewer bleeding events. UEMR should be chosen for lesions that cannot be definitively diagnosed as mucosal low-grade neoplasias. Journal Article by Miyazaki K, Nakayama A (…) Kato […]
Patient Activation Influences Postoperative Outcomes in Digital Health Follow-Up After Colorectal Surgery
Low patient activation (pa) negatively affects postoperative outcomes, but its impact on digital health interventions is unclear. This study assessed the influence of patient activation on the effectiveness of a digital health application for remote post-discharge follow-up in patients undergoing elective colectomy. The analysis included both a control cohort (cc) and a digital application cohort […]
Preoperative 18F-FDG PET/CT Associated with Pathological Tumor Grade in Pseudomyxoma Peritonei
The clinical effectiveness of preoperative 18F-FDG PET/CT in predicting pathological tumor grade in patients with pseudomyxoma peritonei (PMP) originating from the appendix was evaluated in this retrospective cohort study. The study found that high-grade PMP patients had a significantly higher median standardized uptake value (SUVmax) on 18F-FDG PET/CT compared to low-grade patients. The highest area […]
Standardizing Indocyanine Green Fluorescence Angiography in Colorectal Surgery Impacts on Interpretation Consistency
The study aimed to assess the impact of a standardized protocol on interpretation consistency of indocyanine green fluorescence angiography (ICGFA) in colorectal surgery. Experienced and junior surgeons completed a questionnaire and interpreted nine ICGFA videos. Results showed good transection level concordance across all videos and expertise levels. However, poor agreement was observed with the standardized […]