Colorectal Disease最新文献

{"title":"Laparoscopic Deloyers procedure after left extended hemicolectomy: A resource technique – A video vignette","authors":"César Barsén Pérez Izquierdo, Juan Ocaña Jiménez, Carlota Juste Escribano, Irene de Vicente Bernal, Ana del Carmen Ortega Ferrete, Nieto Martos María del Rocío, Araceli Ballestero Pérez, Gloria Rodríguez Velasco, Javier Die Trill, José María Fernández Cebrián","doi":"10.1111/codi.70118","DOIUrl":"https://doi.org/10.1111/codi.70118","url":null,"abstract":"","PeriodicalId":10512,"journal":{"name":"Colorectal Disease","volume":"27 5","pages":""},"PeriodicalIF":2.9,"publicationDate":"2025-05-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144085298","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Controlling Nutritional Status (CONUT) as a predictor of survival and complications among colorectal cancer patients: A systematic review and meta-analysis","authors":"Akhil Deepak Vatvani,&nbsp;Pratik Patel,&nbsp;Dhienda Cempaka Shahannaz,&nbsp;Theo Audi Yanto,&nbsp;Timotius Ivan Hariyanto","doi":"10.1111/codi.70120","DOIUrl":"https://doi.org/10.1111/codi.70120","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>The Controlling Nutritional Status (CONUT) scoring system integrates components of inflammation and nutrition, both of which significantly influence cancer progression. However, its utility in colorectal cancer remains ambiguous and contradictory. The aim of this study is to evaluate the efficacy of the CONUT score in forecasting the prognosis of colorectal cancer patients.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Method</h3>\u0000 \u0000 <p>A thorough search was performed on the Scopus, Medline, Europe PMC and Cochrane Library databases up to 18 November 2024. This review includes evidence that investigates the correlation between the CONUT score and outcomes in colorectal cancer patients. We utilized random-effects models to evaluate the hazard ratio (HR) for the occurrence of the outcomes.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>A total of 22 papers were included in the systematic review, with 20 of them included in the meta-analysis. The pooled analysis from multivariable data revealed that a high CONUT score was an independent predictor of poor overall survival (HR 2.02, 95% CI 1.74–2.34, <i>p</i> &lt; 0.00001), disease-free survival (HR 2.96, 95% CI 1.28–6.85, <i>p</i> = 0.01), cancer-specific survival (HR 3.93, 95% CI 2.16–7.15, <i>p</i> &lt; 0.00001) and recurrence-free survival (HR 1.76, 95% CI 1.42–2.19, <i>p</i> &lt; 0.00001) among colorectal cancer patients. A high CONUT score was also correlated with a greater likelihood of postoperative complications than a low CONUT score in colorectal cancer patients (HR 2.04, 95% CI 1.44–2.89, <i>p</i> &lt; 0.0001).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>This study suggests the prognostic capability of the CONUT score in forecasting the short- and long-term outcomes of colorectal cancer patients; it therefore can be routinely calculated to stratify the risk of patients.</p>\u0000 </section>\u0000 </div>","PeriodicalId":10512,"journal":{"name":"Colorectal Disease","volume":"27 5","pages":""},"PeriodicalIF":2.9,"publicationDate":"2025-05-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144085299","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Editorial May 2025 emergency laparotomy for Crohn's disease – Should it be a ‘never event’?","authors":"Steven R. Brown,&nbsp;Thomas D. Pinkney","doi":"10.1111/codi.70122","DOIUrl":"https://doi.org/10.1111/codi.70122","url":null,"abstract":"","PeriodicalId":10512,"journal":{"name":"Colorectal Disease","volume":"27 5","pages":""},"PeriodicalIF":2.9,"publicationDate":"2025-05-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144074513","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Standardized robotic lateral pelvic lymph node dissection—A video vignette","authors":"Gomathi Meenakshi Periyasamy,&nbsp;Syed Althaf,&nbsp;Srinivas Chunduri,&nbsp;Pavan Sugoor","doi":"10.1111/codi.70121","DOIUrl":"https://doi.org/10.1111/codi.70121","url":null,"abstract":"","PeriodicalId":10512,"journal":{"name":"Colorectal Disease","volume":"27 5","pages":""},"PeriodicalIF":2.9,"publicationDate":"2025-05-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143950155","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Prospective longitudinal trajectory of cancer survivorship among patients with recurrent rectal cancer: impact of treatment modalities and resection status","authors":"Tarik Sammour,&nbsp;Oliver Peacock,&nbsp;Brian K. Bednarski,&nbsp;Arvind Dasari,&nbsp;Prajnan Das,&nbsp;Benny Johnson,&nbsp;Grace L. Smith,&nbsp;George J. Chang,&nbsp;John Skibber,&nbsp;Y. Nancy You","doi":"10.1111/codi.70110","DOIUrl":"https://doi.org/10.1111/codi.70110","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>Recurrent rectal cancer (RRC) can be morbid and optimising cancer survivorship is a priority. The longitudinal trajectories of survivorship associated with RRC have not been prospectively depicted.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>We prospectively enrolled patients with RRC. Participants self-reported quality of life (QOL) using validated European Organisation for Research and Treatment of Cancer Quality of Life Questionnaire C30 and CR29, and pain using the Brief Pain Inventory, at baseline and then every 6 months for up to 5 years or until death. Baseline scores and the longitudinal trajectory of scores were examined using linear mixed-effects modelling.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Among 104 patients, 73 (70.2%) received multimodality salvage treatment with curative intent, while the remainder received best palliative treatments. Curative-intent salvage including surgery was associated with a 30-day operative morbidity rate of 49% and a 5-year overall survival of 51%. Patients undergoing curative-intent salvage versus palliative treatments did not differ in baseline QOL or pain, but the longitudinal trajectory after curative-intent salvage showed sustained improvement of QOL and symptoms over time. This contrasted with the initial transient improvement but persistent decline with palliative treatments. Baseline QOL was significantly impacted by the anatomical site of RRC, with posterior location associated with worst QOL (<i>P</i> = 0.012). Long-term QOL was impacted by anatomical site and status of residual tumour. Pain scores were worse among men.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Trajectories of cancer survivorship for patients with RRC diverge, mainly influenced by anatomical site of the RCC, residual tumour status, and ability to complete curative-intent salvage. These should inform treatment planning. Optimising selection and success of multimodality therapy remains the cornerstone for durable cancer survivorship.</p>\u0000 </section>\u0000 </div>","PeriodicalId":10512,"journal":{"name":"Colorectal Disease","volume":"27 5","pages":""},"PeriodicalIF":2.9,"publicationDate":"2025-05-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/codi.70110","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143950154","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Authors' response: A personalized approach is essential for enhancing the clinical relevance of exercise prehabilitation","authors":"Evy E. J. Jetten,&nbsp;Ruud F. W. Franssen,&nbsp;Melissa J. J. Voorn,&nbsp;Roberto Falz,&nbsp;Martin Busse,&nbsp;Bart C. Bongers,&nbsp;Maryska L. G. Janssen-Heijnen,&nbsp;Thomas J. Hoogeboom","doi":"10.1111/codi.70112","DOIUrl":"https://doi.org/10.1111/codi.70112","url":null,"abstract":"","PeriodicalId":10512,"journal":{"name":"Colorectal Disease","volume":"27 5","pages":""},"PeriodicalIF":2.9,"publicationDate":"2025-05-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143944611","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Addressing survivorship challenges in locally recurrent rectal cancer: Methodological considerations and future directions","authors":"Manhong Xu,&nbsp;Huiting Fu","doi":"10.1111/codi.70116","DOIUrl":"https://doi.org/10.1111/codi.70116","url":null,"abstract":"","PeriodicalId":10512,"journal":{"name":"Colorectal Disease","volume":"27 5","pages":""},"PeriodicalIF":2.9,"publicationDate":"2025-05-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143939278","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Laparoscopic en bloc supralevator posterior exenteration—A video vignette","authors":"Sujata Sai,&nbsp;Syed Althaf,&nbsp;Ravi Arjunan,&nbsp;Srinivas Chunduri,&nbsp;Pavan Sugoor","doi":"10.1111/codi.70115","DOIUrl":"https://doi.org/10.1111/codi.70115","url":null,"abstract":"","PeriodicalId":10512,"journal":{"name":"Colorectal Disease","volume":"27 5","pages":""},"PeriodicalIF":2.9,"publicationDate":"2025-05-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143938941","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The influence of sacrocolporectopexy on pelvic anatomy assessed in an upright position using MRI","authors":"Mart C. P. Kortman,&nbsp;Jan W. P. Vanstiphout,&nbsp;Akeel Alhafidh,&nbsp;Frank F. J. Simonis,&nbsp;Anique T. M. Grob","doi":"10.1111/codi.70114","DOIUrl":"https://doi.org/10.1111/codi.70114","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>Rectopexy with concomitant sacrocolpopexy (sacrocolporectopexy) is the favoured technique for treating combined pelvic organ prolapse and internal or external rectal prolapse, despite limited functional improvement. Previous studies have assessed anatomical change after standalone rectopexy or sacrocolpopexy, based on supine MRI defaecography. Since a supine position can underestimate the extent of pelvic organ prolapse, it might also incorrectly assess the anatomical effect of sacrocolporectopexy. The aim of this study was to assess the effect of sacrocolporectopexy on the pelvic anatomy in an upright position.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Method</h3>\u0000 \u0000 <p>Twenty one female patients undergoing sacrocolporectopexy from December 2022 to June 2024 were included. All patients underwent physical examination and MRI defaecography preoperatively and postoperatively. The descent of the bladder, vaginal vault and anorectal junction and the size of the rectocele and enterocele were assessed on the MRI defaecography images during maximum straining. Significance was tested using a paired <i>t</i>-test and an improvement of ≥10 mm was considered clinically relevant. The results were compared with previous studies, which used supine assessment.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Postoperative improvement was found for the bladder, vaginal vault, anorectal junction, rectocele and enterocele with 14, 44, 5, 16 and 54 mm respectively. The bladder, vaginal vault, rectocele and enterocele showed clinically relevant improvement. Compared with supine results, upright assessments revealed a larger organ lift for the vaginal vault as well as a higher, overall, position of the anorectal junction.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Upright assessment of sacrocolporectopexy differs from supine assessment, with statistical and clinically relevant lift for the pelvic organs.</p>\u0000 </section>\u0000 </div>","PeriodicalId":10512,"journal":{"name":"Colorectal Disease","volume":"27 5","pages":""},"PeriodicalIF":2.9,"publicationDate":"2025-05-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/codi.70114","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143914607","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Biofeedback training versus botox injection for the treatment of dyssynergic defaecation: A randomized controlled trial","authors":"Noha Emad,&nbsp;Hosam Ghazy Elbanna,&nbsp;Ahmed AbdelMawla,&nbsp;Mohamed Balata","doi":"10.1111/codi.70109","DOIUrl":"https://doi.org/10.1111/codi.70109","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>Dyssynergic defaecation (DD) is a condition characterized by impaired relaxation or paradoxical contraction of the puborectalis muscle and external anal sphincter during defaecation. This dysfunction leads to chronic constipation and obstructed defaecation, significantly impacting quality of life. The aim of this work was to compare biofeedback (BFB) training and botulinum toxin type-A (BTX-A) injection in the management of DD.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Method</h3>\u0000 \u0000 <p>This a randomized, controlled, intervention including 78 patients complaining of DD. The patients were classified into two categories each comprising 39 participants: Group I (BFB training group) underwent six sessions of BFB over one and half months of retraining and Group II (BTX-A injection group) underwent three-dimensional endoluminal ultrasound-guided BTX-A injection at the Colorectal Surgery Unit, Mansoura University Hospitals, Mansoura, Egypt from August 2023 to August 2024.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>A statistically significant difference was observed between before and after BTX-A injection regarding the presence of anal fissure. There was a significant relation between history of vaginal delivery and change in maximum resting pressure (<i>p</i> = 0.02) and in maximum tolerable volume (<i>p</i> = 0.03). In contrast, no relation was observed with the changes in maximum squeeze pressure, rectal sensation and desire to defaecate. There was no statistically significant difference between the two groups with regard to the preintervention Wexner Constipation Score (WCS). On the other hand, there were significant differences at 2 weeks (<i>p</i> = 0.006), 1 month (<i>p</i> = 0.009) and 3 months (<i>p</i> = 0.01) postintervention in favour of the BFB group.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Both groups were effective in managing DD; however, BFB demonstrated greater short-term improvement in WCS while BTX-A significantly improved anorectal physiology, as evidenced by anorectal manometry.</p>\u0000 </section>\u0000 </div>","PeriodicalId":10512,"journal":{"name":"Colorectal Disease","volume":"27 5","pages":""},"PeriodicalIF":2.9,"publicationDate":"2025-05-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143914045","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}