Colorectal Disease最新文献

{"title":"Kraske (trans-sacral) approach for an anterior rectal tumour—A video vignette","authors":"Rakesh Quinn, Assad Zahid, Andrew Gilmore","doi":"10.1111/codi.70151","DOIUrl":"https://doi.org/10.1111/codi.70151","url":null,"abstract":"","PeriodicalId":10512,"journal":{"name":"Colorectal Disease","volume":"27 7","pages":""},"PeriodicalIF":2.9,"publicationDate":"2025-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144520171","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":"Laser haemorrhoidoplasty: An alternative approach to haemorrhoidal disease—A video vignette","authors":"Easan Anand, Frederick Koh Hong Xiang, George Stravodimos, Phil Tozer, Kapil Sahnan","doi":"10.1111/codi.70152","DOIUrl":"https://doi.org/10.1111/codi.70152","url":null,"abstract":"","PeriodicalId":10512,"journal":{"name":"Colorectal Disease","volume":"27 7","pages":""},"PeriodicalIF":2.9,"publicationDate":"2025-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144520170","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":"Impact of rectal cancer multidisciplinary conferences on patient care plans","authors":"Elizabeth A. Clement,&nbsp;Wenjie Lin,&nbsp;Jerry Liu,&nbsp;Manoj Raval,&nbsp;Ahmer Karimuddin,&nbsp;Terry Phang,&nbsp;Anu Ghuman,&nbsp;Carl Brown","doi":"10.1111/codi.70150","DOIUrl":"https://doi.org/10.1111/codi.70150","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>Multidisciplinary conferences (MDCs) are standard of care for rectal cancer, and literature suggests that MDCs result in changes in as many as 50% of treatments plans. The aim of this study was to determine the frequency of changes to treatment plans at MDCs at our local institution. Secondary outcomes included clinician attendance, change in pathology and radiology reports and the association between tumour stage and care plan changes.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Method</h3>\u0000 \u0000 <p>Pre- and postconference plans were prospectively collected. Care plan changes were defined as either major (intermodality) or minor (intramodality). Changes to radiology reports (T, N, M, extramural venous invasion or mesorectal fascial status) and pathology reports (primary diagnosis, status of mismatch repair or high-risk features) were tabulated. Associations between stage and conference plan outcome were determined with Fisher's exact test and multinomial logistic regression.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Pre- and postconference plans were prospectively recorded for 44 consecutive meetings. A total of 276 patients were reviewed, with 137 being new diagnoses of rectal adenocarcinoma. Radiology reports were changed in 26% (35/137) of patients and pathology reports were changed in 3% (4/137). Major changes to treatment plans occurred in 12% (17/137) and minor changes occurred in 28% (38/137) of cases. Other than an association between Stage 3 cancers and minor changes, no factor was predictive of care plan changes or confirmation.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>MDC review resulted in changes to 40% of treatment plans, and no factors predicted confirmation of pretreatment plans. Our study supports the value of comprehensive review of every rectal cancer by MDC.</p>\u0000 </section>\u0000 </div>","PeriodicalId":10512,"journal":{"name":"Colorectal Disease","volume":"27 7","pages":""},"PeriodicalIF":2.9,"publicationDate":"2025-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/codi.70150","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144520172","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":"Care pathways and anorectal evaluation for obstetric anal sphincter injury-related incontinence: A UK survey of obstetricians","authors":"N. Elsaid,&nbsp;G. P. Thomas,&nbsp;S. Dutta,&nbsp;R. J. Fernando,&nbsp;E. V. Carrington,&nbsp;C. J. Vaizey","doi":"10.1111/codi.70140","DOIUrl":"https://doi.org/10.1111/codi.70140","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>To report on national clinical practice in relation to the post-partum management of patients with obstetric anal sphincter injury (OASI)-related incontinence in the UK.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Method</h3>\u0000 \u0000 <p>This was a cross-sectional, observational study of maternity units in the National Health Service (NHS). Data were collected using a survey that was distributed, via the British Society of Urogynaecologists (BSUG), Royal College of Obstetricians &amp; Gynaecologists (RCOG) and the NHS England email directory, to consultant obstetricians and urogynaecologists involved in the post-partum care of patients with OASI. A descriptive, thematic analysis of the data was performed.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>One hundred and twenty-six responses were included in the final analysis (estimated response rate~2.5%). The majority of respondents routinely conducted clinical and rectal examinations at the post-partum clinic visit (81.7% and 57.6%, respectively) but they were less likely to use an objective screening tool for incontinence (36.5%). Respondents were more likely to refer patients for anorectal studies if they were symptomatic (72.6%) rather than asymptomatic (34.2%); the diagnostic modality of choice was endoanal ultrasound (70%) rather than manometry (0%). Almost 80% of respondents discharged asymptomatic patients within 3 months. All respondents referred symptomatic patients for physiotherapy; 87% were seen within 6 weeks. Although 70% would discuss complicated cases at a multidisciplinary team meeting (MDT), there was a wide variation in which speciality would follow up the patient.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>This study demonstrates variability in clinical practice that does not entirely appear to be evidence driven. A nationally endorsed pathway, embedded within Perinatal Pelvic Health Services, could standardize access to expertise and enable benchmarking. A prospective multicentre audit is recommended to compare maternal functional outcomes in units that use these standardized pathways versus those that do not.</p>\u0000 </section>\u0000 </div>","PeriodicalId":10512,"journal":{"name":"Colorectal Disease","volume":"27 7","pages":""},"PeriodicalIF":2.9,"publicationDate":"2025-06-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/codi.70140","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144503071","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":"The DIVIPACT cohort profile: Evaluating the impact of colonic diverticulosis on daily life","authors":"Helene R. Dalby,&nbsp;Rune Erichsen,&nbsp;Kåre A. Gotschalck,&nbsp;Katrine J. Emmertsen","doi":"10.1111/codi.70155","DOIUrl":"https://doi.org/10.1111/codi.70155","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>Colonic diverticulosis is asymptomatic in most subjects but can impact daily life. The DIVIPACT study comprehensively explores the impact of diverticulosis on daily life. The aim of this publication is to introduce the DIVIPACT cohort, present self-reported data from a cross-sectional survey and outline the potential for further research.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Method</h3>\u0000 \u0000 <p>The DIVIPACT cohort comprises subjects diagnosed with diverticulosis (K572–9) in the Central Denmark Region (five hospitals, ~1.3 million residents) between 2010 and 2022 who responded to an online questionnaire survey conducted in 2023 assessing health factors and quality of life (QoL). Self-reported data were linked to Danish health registries for consenting responders. Responders were categorized according to previous hospital management (inpatient, outpatient or diverticulosis) and characterized based on self-reported health factors.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Of the 20 961 responders (74% response rate), 19 244 (92%) consented to data linkage. Among these, 4184 (22%) were inpatients, 8666 (45%) were outpatients and 6394 (33%) had diverticulosis only. Overall, 1596 (10%) reported restrictions on activity due to diverticulosis in the past 4 weeks. Bowel function affected QoL in 66% of inpatients, 54% of outpatients and 44% of diverticulosis-only individuals.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>The DIVIPACT cohort provides one of the most extensive datasets available for evaluating the impact of colonic diverticulosis on daily life, addressing important knowledge gaps and providing a foundation for patient-centred management strategies.</p>\u0000 </section>\u0000 </div>","PeriodicalId":10512,"journal":{"name":"Colorectal Disease","volume":"27 7","pages":""},"PeriodicalIF":2.9,"publicationDate":"2025-06-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/codi.70155","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144503070","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":"Single-port robotic anterior resection: technical know-how and tips—A video vignette","authors":"Shao Nan Khor,&nbsp;Yong ki Jeong,&nbsp;Yoon Suk Lee","doi":"10.1111/codi.70147","DOIUrl":"https://doi.org/10.1111/codi.70147","url":null,"abstract":"","PeriodicalId":10512,"journal":{"name":"Colorectal Disease","volume":"27 6","pages":""},"PeriodicalIF":2.9,"publicationDate":"2025-06-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144473061","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":"Indocyanine green-guided robotic resection for splenic flexure cancer with aberrant lymphatic draining—A video vignette","authors":"Domenico Lo Conte,&nbsp;Giuseppe Spinoglio,&nbsp;Antonello Forgione,&nbsp;Valentina Sega,&nbsp;Dario Ribero","doi":"10.1111/codi.70146","DOIUrl":"https://doi.org/10.1111/codi.70146","url":null,"abstract":"","PeriodicalId":10512,"journal":{"name":"Colorectal Disease","volume":"27 6","pages":""},"PeriodicalIF":2.9,"publicationDate":"2025-06-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144473060","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":"Bipolar lymph node dissection along the superior mesenteric vessels in robotic colectomy for transverse colon cancer: A video vignette","authors":"Kinuko Nagayoshi,&nbsp;Yusuke Mizuuchi,&nbsp;Takaaki Fujimoto,&nbsp;Koji Tamura,&nbsp;Kohei Nakata,&nbsp;Kenoki Ohuchida,&nbsp;Masafumi Nakamura","doi":"10.1111/codi.70149","DOIUrl":"https://doi.org/10.1111/codi.70149","url":null,"abstract":"","PeriodicalId":10512,"journal":{"name":"Colorectal Disease","volume":"27 6","pages":""},"PeriodicalIF":2.9,"publicationDate":"2025-06-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144367410","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":"Transanal minimally invasive surgery utilizing single-port robotic surgery—A video vignette","authors":"Salvatore A. Parascandola,&nbsp;Aimal Khan","doi":"10.1111/codi.70142","DOIUrl":"https://doi.org/10.1111/codi.70142","url":null,"abstract":"","PeriodicalId":10512,"journal":{"name":"Colorectal Disease","volume":"27 6","pages":""},"PeriodicalIF":2.9,"publicationDate":"2025-06-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144339266","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":"Neil Smart—In memoriam","authors":"Sue Clark,&nbsp;Neil Mortensen,&nbsp;John Nicholls","doi":"10.1111/codi.70145","DOIUrl":"https://doi.org/10.1111/codi.70145","url":null,"abstract":"","PeriodicalId":10512,"journal":{"name":"Colorectal Disease","volume":"27 6","pages":""},"PeriodicalIF":2.9,"publicationDate":"2025-06-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144331922","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}