Colorectal Disease最新文献

{"title":"Bowel preserving surgery for stricturing jejunoileal Crohn's disease, Part 3: Small bowel resection with handsewn end-to-end anastomosis, a step-by-step video vignette","authors":"Anthony Abou Mrad, Olga Lavryk, Florian Rieder, Stefan D. Holubar","doi":"10.1111/codi.70048","DOIUrl":"https://doi.org/10.1111/codi.70048","url":null,"abstract":"","PeriodicalId":10512,"journal":{"name":"Colorectal Disease","volume":"27 3","pages":""},"PeriodicalIF":2.9,"publicationDate":"2025-03-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143535891","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 patient and clinician perspective on ‘early’ bowel resection for terminal ileal Crohn's disease (EBRIC): protocol for a multicentre mixed-methods study","authors":"Nilofer Husnoo,&nbsp;Lynda Wyld,&nbsp;Alan J. Lobo,&nbsp;Jenna L. Morgan,&nbsp;Deborah Hawkins,&nbsp;Louise Hunt,&nbsp;Nyantara Wickramasekera,&nbsp;Laura Marshall,&nbsp;Steven R. Brown","doi":"10.1111/codi.70042","DOIUrl":"https://doi.org/10.1111/codi.70042","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>Emerging evidence supports the consideration of surgery earlier in the treatment pathway for isolated luminal terminal ileal (TI) Crohn's disease (CD), as an alternative to medical therapy. Surgery is still considered late in the treatment pathway; recruiting participants into trials comparing medical therapy and surgery is difficult. This will be the first study to explore patients' and clinicians' views on bowel resection as an alternative to medical therapy for surgery-naïve luminal TI CD. An understanding of the facilitators and barriers to this approach will provide insight into the gap between the evidence base and practice; these should be considered when designing future trials.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A multicentre mixed-methods study (NCT06116604) will be conducted. This will include semi-structured interviews with 25–35 patients with TI CD exploring their views of treatment options, a survey of patients who have undergone a bowel resection for TI CD measuring their decision-regret relating to the timing of their first resection (<i>n</i> = 271), and discrete choice experiments with healthcare professionals treating inflammatory bowel disease (surgeons, nurses and gastroenterologists) and with patients with TI CD (<i>n</i> = 100–300 for each participant group) to understand the importance given to different factors when making treatment choices. Patients will be recruited from 10 English and Welsh hospitals and healthcare professionals will be recruited from across the UK.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Ethics and dissemination</h3>\u0000 \u0000 <p>This study has been approved by the London—Brent NHS Research Ethics Committee (reference 23/PR/0568). Dissemination will be through international and national colorectal and gastroenterology meetings and through the study patient panel.</p>\u0000 </section>\u0000 </div>","PeriodicalId":10512,"journal":{"name":"Colorectal Disease","volume":"27 3","pages":""},"PeriodicalIF":2.9,"publicationDate":"2025-03-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/codi.70042","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143530543","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":"Clinical features by disease duration in ulcerative colitis-associated cancers","authors":"Hiroshi Miyakita,&nbsp;Seiichiro Yamamoto,&nbsp;Motoi Uchino,&nbsp;Ikeuchi Hiroki,&nbsp;Koji Okabayashi,&nbsp;Oka Shiro,&nbsp;Kitaro Futami,&nbsp;Michio Itabashi,&nbsp;Kazuhiro Watanabe,&nbsp;Masatsune Shibutani,&nbsp;Yoshiki Okita,&nbsp;Toshifumi Wakai,&nbsp;Yusuke Mizuuchi,&nbsp;Kinya Okamoto,&nbsp;Kazutaka Yamada,&nbsp;Yu Sato,&nbsp;Takayuki Ogino,&nbsp;Hideaki Kimura,&nbsp;Kenichi Takahashi,&nbsp;Koya Hida,&nbsp;Yusuke Kinugasa,&nbsp;Fumio Ishida,&nbsp;Junji Okuda,&nbsp;Koji Daito,&nbsp;Takayuki Yamamoto,&nbsp;Fumikazu Koyama,&nbsp;Tunekazu Hanai,&nbsp;Koji Komori,&nbsp;Dai Shida,&nbsp;Tatsuki Noguchi,&nbsp;Kenichi Sugihara,&nbsp;Yoichi Ajioka,&nbsp;Soichiro Ishihara,&nbsp;for the Study Group for Inflammatory Bowel Disease Associated Intestinal Cancers by the Japanese Society for Cancer of the Colon and Rectum","doi":"10.1111/codi.70044","DOIUrl":"https://doi.org/10.1111/codi.70044","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>Ulcerative colitis (UC) is a known contributor to the development of colitis-associated cancer (CAC), although the exact mechanism remains to be elucidated. CAC typically presents as a flat type macroscopically and manifests histologically as mucinous carcinoma and signet ring cell carcinoma. While the relationship between disease duration and chronic inflammation has been studied, the impact of disease duration on CAC outcomes has yet to be thoroughly investigated. The aim of this study is to examine the effect of UC duration on the clinicopathological features of CAC.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Method</h3>\u0000 \u0000 <p>This study analysed data from the Japan Society for Colorectal Cancer Research involving UC patients diagnosed with colorectal cancer. The sample consisted of 1200 patients, and their histological and clinicopathological features were analysed. Cutoff values were established at 5 and 15 years for comparisons. Trends and prognostic outcomes corresponding to disease duration were evaluated.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Comparison between two groups (disease duration 0–5 and &gt;5 years) revealed a significant correlation in terms of diagnostic opportunity, vascular invasion, N factor, pathological stage and tumour location. However, between the two groups of 0–15 and &gt;15 years, a significant correlation was identified only in diagnostic opportunity, the presence of primary sclerosing cholangitis. Trend analysis of disease duration showed significant correlations between diagnostic opportunity, histological type, vascular invasion and tumour location, with no significant differences observed in prognostic outcomes.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Our analysis highlighted distinct histological and clinical features in the short-term and long-term disease groups, and these features appear to intensify with increased disease duration. Since no significant difference in prognosis was found, there may not be a need to distinguish between them in cancer treatment.</p>\u0000 </section>\u0000 </div>","PeriodicalId":10512,"journal":{"name":"Colorectal Disease","volume":"27 3","pages":""},"PeriodicalIF":2.9,"publicationDate":"2025-03-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143530542","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":"Intraoperative endoscopic ultrasound-guided robotic retrorectal dermoid cyst excision—A video vignette","authors":"Piercarmine Panzera,&nbsp;Francesco Vittore,&nbsp;Francesco Paolo Prete,&nbsp;Giuseppe Massimiliano De Luca,&nbsp;Silvia Malerba,&nbsp;Nicola Tartaglia,&nbsp;Arianna Pontrelli,&nbsp;Enrico Fischetti,&nbsp;Angela Gurrado,&nbsp;Mario Testini","doi":"10.1111/codi.70043","DOIUrl":"https://doi.org/10.1111/codi.70043","url":null,"abstract":"","PeriodicalId":10512,"journal":{"name":"Colorectal Disease","volume":"27 3","pages":""},"PeriodicalIF":2.9,"publicationDate":"2025-02-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143497390","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":"Role of minimal access surgery in the treatment of emergency colorectal cases—a video vignette","authors":"Haseeb Imtiaz,&nbsp;Abdul Rehman,&nbsp;Kim Suewan,&nbsp;Masood Ur-Rehman,&nbsp;Jamil Ahmed","doi":"10.1111/codi.70038","DOIUrl":"https://doi.org/10.1111/codi.70038","url":null,"abstract":"","PeriodicalId":10512,"journal":{"name":"Colorectal Disease","volume":"27 3","pages":""},"PeriodicalIF":2.9,"publicationDate":"2025-02-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143489783","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":"Minimally invasive approach to safe pedicle dissection in rectal cancer surgery—A video vignette","authors":"Akash Mor,&nbsp;Chintan Safi,&nbsp;Ankit Sharma,&nbsp;Avanish Saklani","doi":"10.1111/codi.70049","DOIUrl":"https://doi.org/10.1111/codi.70049","url":null,"abstract":"<p>This video (Video 1) addresses critical considerations for safe pedicle dissection in rectal cancer surgery, focusing on three key challenges: the meandering artery of Moskowitz, high versus low ligation of the inferior mesenteric artery (IMA) and atypical D3/D4 nodes of unknown significance. The meandering artery of Moskowitz, a vascular connection between the superior and inferior mesenteric arteries, is distinguished from the arc of Riolan by its more prominent and consistent collateral circulation [<span>1</span>]. Proper identification and management of this artery during surgery are crucial to prevent ischaemic complications, such as gangrene of the colon. Additionally, the video discusses the outcomes of high versus low IMA ligation, highlighting the preference for low ligation in elderly or atherosclerotic patients to reduce nerve damage and preserve blood flow [<span>2</span>]. Lastly, we introduce ‘Bansod nodes’, atypical nodes located between the superior hypogastric plexus and the IMA, which cannot be classified as D3 or D4 nodes. Although typically benign, these nodes should be removed during surgery due to occasional malignancy. This video provides strategies for safe pedicle dissection, and offers essential insights to improve oncological outcomes and minimize surgical risks.</p><p><b>Akash Mor:</b> Conceptualization; visualization; writing – review and editing. <b>Chintan Safi:</b> Writing – original draft. <b>Ankit Sharma:</b> Writing – original draft; writing – review and editing. <b>Avanish Saklani:</b> Conceptualization; methodology; supervision.</p><p>None.</p><p>None declared.</p><p>None, there were no human subjects.</p>","PeriodicalId":10512,"journal":{"name":"Colorectal Disease","volume":"27 3","pages":""},"PeriodicalIF":2.9,"publicationDate":"2025-02-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143489782","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":"Endoscopic circumferential stricturotomy for rectal strictures in patients with Crohn's disease – A video vignette","authors":"Ilhami Yuksel,&nbsp;Ali Atay,&nbsp;Muhammed Bahaddin Durak,&nbsp;Yavuz Cagir,&nbsp;Mucahit Ergul,&nbsp;Oguz Ozturk","doi":"10.1111/codi.70035","DOIUrl":"https://doi.org/10.1111/codi.70035","url":null,"abstract":"","PeriodicalId":10512,"journal":{"name":"Colorectal Disease","volume":"27 3","pages":""},"PeriodicalIF":2.9,"publicationDate":"2025-02-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143475473","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":"A quality-of-life meta-analysis comparing pre- and postoperative symptoms in women undergoing colorectal resection for deep infiltrating endometriosis","authors":"Barry Maguire,&nbsp;Alison DeMaio,&nbsp;Aoife O'Neill,&nbsp;Cillian Clancy","doi":"10.1111/codi.70036","DOIUrl":"https://doi.org/10.1111/codi.70036","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>Deep infiltrating endometriosis (DIE) may involve the rectum or colon and is associated with pain, gastrointestinal dysfunction and reduced quality of life (QoL). While hormonal treatment may be effective, surgical intervention including colorectal resection can be required. Colorectal resection can result in functional changes and complications, which can also impair QoL. The aim of this study is to examine all available comparative pre- and postoperative data on QoL and symptom outcomes following colorectal resection for DIE.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Method</h3>\u0000 \u0000 <p>An electronic database search was conducted for studies reporting pre- and postoperative QoL and symptom outcomes following colorectal resection for DIE. The study was registered with PROSPERO and followed PRISMA (Preferred Reporting Items in Systematic Reviews and Meta-analyses) guidelines. Data were combined using random-effects models.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Fourteen studies including 1142 patients were included. Colorectal resection was associated with improved outcomes for all items in the SF-36 QoL questionnaire as well as symptom outcomes including dysmenorrhoea, chronic pelvic pain and deep dyspareunia. Importantly, the gastrointestinal QoL index was significantly improved (mean difference 24.50, 95% CI 15.93–33.08, <i>p</i> &lt; 0.0001) as was dyschezia (mean difference −4.1, 95% CI −4.77 to −3.42, <i>p</i> &lt; 0.0001). There was no change in low anterior resection syndrome scores (mean difference −5.28, 95% CI −11.65 to 1.10, <i>p</i> = 0.1046).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>This study demonstrates a significant postoperative improvement in patient-reported QoL, pain symptoms and gastrointestinal function following colorectal resection for endometriosis.</p>\u0000 </section>\u0000 </div>","PeriodicalId":10512,"journal":{"name":"Colorectal Disease","volume":"27 2","pages":""},"PeriodicalIF":2.9,"publicationDate":"2025-02-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143455903","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":"European expert consensus on a structured approach to circular stapling anastomosis in minimally invasive left-sided colorectal resection","authors":"Samson Tou,&nbsp;Anthony G. Gallagher,&nbsp;Gabriele Bislenghi,&nbsp;Rui Farinha,&nbsp;Albert Wolthuis,&nbsp;the CAPITAL A Study Collaborative","doi":"10.1111/codi.70037","DOIUrl":"https://doi.org/10.1111/codi.70037","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>The aim of this work is to develop and operationally define performance metrics that characterize a reference approach to circular stapling anastomosis during minimally invasive left-sided colorectal resection and to obtain face and content validity through a consensus meeting.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Method</h3>\u0000 \u0000 <p>Three expert colorectal surgeons with advanced experience with minimally invasive surgery, a senior behavioural scientist and a research fellow with experience in performance metrics development formed the Metrics Group. Technical support was provided by device engineers. Published guidelines, training materials, manufacturers' instructions for use and unedited videos of circular stapling anastomosis in minimally invasive left-sided colorectal resection were used to deconstruct the task into defined, observable performance units or metrics (i.e. procedural phases, steps, errors and critical errors). The performance metrics were then subjected to detailed review by 16 expert colorectal surgeons in a modified Delphi process.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Performance metrics for circular stapling anastomosis during minimally invasive left-sided colorectal resection had three procedural phases with 32 steps, 40 errors and 38 critical errors. After the modified Delphi process the agreed performance metrics consisted of three procedural phases, 36 steps, 42 errors and 39 critical errors. A group of expert colorectal surgeons from Europe verified the face and content of these metrics. After discussion, all procedural phases received unanimous consensus by the Delphi panel.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Circular stapling anastomosis during the minimally invasive approach to left-sided colorectal resection can be broken down into procedural phases and steps, with errors and critical errors known as performance metrics. We consider the metrics essential for the development of structured training in using circular stapling anastomosis in the minimally invasive approach to left-sided colorectal resection.</p>\u0000 </section>\u0000 </div>","PeriodicalId":10512,"journal":{"name":"Colorectal Disease","volume":"27 2","pages":""},"PeriodicalIF":2.9,"publicationDate":"2025-02-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/codi.70037","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143455902","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":"Mastering colorectal surgery with dynamic grasper: ‘the invisible hand tools’—a video vignette","authors":"Supakool Jearanai,&nbsp;Chucheep Sahakitrungruang","doi":"10.1111/codi.70039","DOIUrl":"https://doi.org/10.1111/codi.70039","url":null,"abstract":"","PeriodicalId":10512,"journal":{"name":"Colorectal Disease","volume":"27 2","pages":""},"PeriodicalIF":2.9,"publicationDate":"2025-02-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143455810","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}