The effect of the endoscopic device Endocuff™/Endocuff Vision™ on quality standards in colonoscopy: a systematic review and meta‐analysis of randomised trials
Colorectal Disease
by M. Walls, B. B. S. L. Houwen, S. Rice, A. Seager, E. Dekker, L. Sharp, C. J. Rees
2d ago
Abstract Background and Aims Adenoma detection rate (ADR) is an important quality measure, with high ADR reflecting high-quality colonoscopy. This systematic review and meta-analysis assessed the effects of Endocuff™/Endocuff Vision™- assisted colonoscopy (EAC) versus standard colonoscopy (SC) on ADR and other clinical, patient, and resource-use outcomes. Methods MEDLINE, EMBASE, Web of Science, Scopus and the Cochrane Central Register of Controlled Trials were searched for full papers reporting randomised studies, comparing EAC with SC. The primary outcome was ADR. Secondary outcomes comprise ..read more
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United Kingdom Criteria for Liver Transplantation in the Setting of Isolated Unresectable Colorectal Liver Metastases
Colorectal Disease
by Jamie Murphy, Raj Prasad, Krishna Menon, The NHS Blood and Transplant Liver Transplantation for Colorectal Liver Metastases Fixed Term Working Unit, Anya Adair, Ian Parker, Lindy Berkman, William Gelson, John Isaac, Rebecca Jones, Derek Manas, Gary Middleton, Jamie Murphy, Praveen Peddu, Thamara Perera, Raj Prasad, Joerg Pollok, Andrew Scarsbrook, Yoh Zen
2d ago
Abstract Aim Studies have demonstrated that liver transplantation may be an effective treatment for isolated unresectable colorectal cancer liver metastases (CRCLM). Published data suggest 5-year survival may be as high as 80%; however, recurrent disease is commonplace. Consequently, the Liver Transplantation for Un-resectable Colorectal Liver Metastases Fixed Term Working Unit (FTWU) recommended to NHS Blood and Transplant Liver Advisory Group that while CRCLM is an appropriate indication for transplantation, selection criteria should be conservative, and that it should be undertaken within a ..read more
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First robotic natural orifice transluminal extraction colectomy (NOTEC) in Europe: New technique for optimizing results
Colorectal Disease
by Thalia Petropoulou, Aris Bakas, Olga Tataridi, Jolanda Gallou, Andreas Polydorou
2d ago
Colorectal Disease, Accepted Article ..read more
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Development of a Core Descriptor Set for Crohn's Anal Fistula
Colorectal Disease
by Matthew J. Lee, The ENiGMA CODE Collaborators, Kate M. Williams, Segun Lamidi, Peter O. Coe, Liliana G. Bordeianou, Ailsa L. Hart, Daniel Hind, James O. Lindsay, Alan J. Lobo, Pär Myrelid, Tim Raine, Shaji Sebastian, Nicola S. Fearnhead, Matthew J. Lee, K. Adams, S. Almer, A. Ananthakrishnan, R. M. Bethune, M. Block, S. R. Brown, W. C. Cirocco, R. Cooney, R. J. Davies, S. Demirli Atici, A. Dhar, S. Din, D. Drobne, E. Espin‐Basany, J. P. Evans, P. R. Fleshner, J. Folkesson, A. Fraser, W. Graf, D. Hahnloser, J. Hager, L. Hancock, J. Hanzel, R. Hargest, C. R. H. Hedin, J. Hill, C. Ihle, J. Jongen, R. Kader, K. Karmiris, K. H. Katsanos, D. S. Keller, U. Kopylov, I. E. Koutrabakis, C. A. Lamb, K. Landerholm, G. C. Lee, F. Litta, J. K. Limdi, E. W. Lopes, R. D. Madoff, S. T. Martin, B. Martin‐Perez, G. Michalopoulos, M. Millan, A. Münch, R. Nakov, N. M. Noor, T. Oresland, I. M. Paquette, G. Pellino, T. Perra, A. Porcu, A. C. Roslani, M. A. Samaan, G. M. Sebepos‐Rogers, J. P. Segal, S. D. de Silva, A. M. Söderholm, A. Spinelli, R. A. Speight, R. M. Steinhagen, P. Stenström, K. E. Tsimogiannis, M. G. Varma, A. M. Verma, B. Verstockt, C. Warden, N. A. Yassin, A. Zawadzki, P. Carr, B. Devlin, Mannick S. P. Avery, K. B. Gecse, I. Goren, P. M. Hellström, P. G. Kotze, D. McWhirter, A. S. Naik, T. Sammour, C. P. Selinger, S. L. Stein, J. Torres, S. D. Wexner, L. C. Younge
3d ago
Abstract Introduction Crohn's Anal Fistula (CAF) is a complex condition, with no agreement on which patient characteristics should be routinely reported in studies. The aim of this study was to develop a core descriptor set of key patient characteristics for reporting in all CAF research. Methods Candidate descriptors were generated from published literature and stakeholder suggestions. Colorectal surgeons, gastroenterologists, and specialist nurses in Inflammatory Bowel Disease took part in three rounds of an international modified Delphi process using 9-point Likert scales to rank importance ..read more
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Posterior perineal hernia repair with perineal approach: a video vignette
Colorectal Disease
by Philip Deslarzes, Serena Faes, Michael Winiker, Nicolas Demartines, Dieter Hahnloser
3d ago
Abstract Background Perineal hernia (PH) is a well-known complication after abdominopelvic resection, but no consensus exists about the best technique for perineal hernia repair (Reference 1-3). We present the case of a man with a posterior perineal hernia after low anterior resection with subtotal inter-sphincter resection and colo-anal anastomosis. Case presentation The patient is a 72-year-old man known to have an adenocarcinoma of the rectum treated with neoadjuvant radiochemotherapy (50 Gy and Xeloda) and low anterior resection with subtotal inter-sphincteric resection, colo-anal anastomo ..read more
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Implementation of a perioperative pain management algorithm reduces the use of opioid analgesia following pelvic exenteration surgery
Colorectal Disease
by Charlotte S. Johnstone, Cherry E. Koh, Gregory J. Britton, Michael J. Solomon, Andrew J. McLachlan
5d ago
Abstract Aim This study aimed to investigate the implementation and pain-related outcomes of a peri-operative pain management regimen for patients undergoing pelvic exenteration surgery at a university teaching hospital. Method This is a single-site prospective observational cohort study involving 100 patients who underwent pelvic exenteration surgery between January 2017 and December 2018. A pain management algorithm was developed between the departments of anaesthesia, pain management and intensive care in line with opioid-sparing multimodal analgesia. The primary outcomes were: compliance w ..read more
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Clinical impact of pre‐ and postoperative sarcopenia on oncological outcomes in non‐metastatic colorectal cancer
Colorectal Disease
by Jeehye Lee, Jung Rae Cho, Duck‐Woo Kim, In Jun Yang, Jung Wook Suh, Heung‐Kwon Oh, Sung‐Bum Kang
5d ago
Abstract Aim This study investigated the association between preoperative and postoperative changes in skeletal muscle mass and long-term oncological outcomes in patients with non-metastatic colorectal cancer. Method Patients who underwent surgery for stage I–III colorectal cancer from January 2014 to December 2015 were included. Skeletal muscle mass was evaluated through preoperative and postoperative abdominopelvic computed tomography scans. A multivariable analysis was conducted to determine the factors affecting disease-free survival rates. Results A total of 238 patients were analyzed. Fo ..read more
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Modified suction connecting tubing: a simple and cost‐effective method of smoke evacuation during transanal total mesorectal excision – A video vignette
Colorectal Disease
by Isaac Seow‐En, Emile Kwong‐Wei Tan
6d ago
Colorectal Disease, Accepted Article ..read more
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The retrocolic fascial system revisited for right hemicolectomy with complete mesocolic excision based on anatomical terminology. Do we need the eponyms Toldt, Gerota, Fredet, and Treitz?
Colorectal Disease
by Thilo Wedel, Marvin Heimke, Jordan Fletcher, Danilo Miskovic, Stefan Benz, Sigmar Stelzner, Tillmann Heinze
6d ago
Abstract Aim Right hemicolectomy with complete mesocolic excision (CME) requires the removal of an intact mesocolic envelope. The study aimed to determine, on the basis of macroscopic and microscopic anatomical studies, the optimal surgical dissection planes for CME to preserve fascial integrity. Unequivocal anatomical nomenclature was applied to describe the retrocolic fascial system and compared to frequently used eponyms (Toldt, Gerota, Fredet, Treitz). Method Stepwise macroscopic dissections, cross-section studies and histological analysis were performed on body donors to identify the comp ..read more
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The page‐turning approach: a novel technique for laparoscopic right hemicolectomy with complete mesocolic excision
Colorectal Disease
by Jian Liu, Enlin Zhang, Xiaobo Yang, Miao Wu
6d ago
Colorectal Disease, Accepted Article ..read more
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