Diseases of the Colon & Rectum最新文献

{"title":"Author's Response to \"When Minimally Invasive Surgery is NOT the Least Invasive Surgical Option\".","authors":"Brian N Williams, Sang W Lee","doi":"10.1097/DCR.0000000000003925","DOIUrl":"https://doi.org/10.1097/DCR.0000000000003925","url":null,"abstract":"","PeriodicalId":11299,"journal":{"name":"Diseases of the Colon & Rectum","volume":" ","pages":""},"PeriodicalIF":3.7,"publicationDate":"2025-07-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144728733","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"What Every Colorectal Surgeon Should Know About Artificial Intelligence.","authors":"Kurt S Schultz, Samantha M Linhares, Anne K Mongiu","doi":"10.1097/DCR.0000000000003924","DOIUrl":"https://doi.org/10.1097/DCR.0000000000003924","url":null,"abstract":"","PeriodicalId":11299,"journal":{"name":"Diseases of the Colon & Rectum","volume":" ","pages":""},"PeriodicalIF":3.7,"publicationDate":"2025-07-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144728739","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A Decision Aid for Diverticulitis: One Piece of the Puzzle.","authors":"Jessica N Cohan","doi":"10.1097/DCR.0000000000003921","DOIUrl":"https://doi.org/10.1097/DCR.0000000000003921","url":null,"abstract":"","PeriodicalId":11299,"journal":{"name":"Diseases of the Colon & Rectum","volume":" ","pages":""},"PeriodicalIF":3.7,"publicationDate":"2025-07-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144728732","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Incidence and Risk Factors of Pulmonary Metastasis as the Initial Site of Metastasis After Surgical Resection for Rectal Cancer by TNM Stage.","authors":"Misol Do, Seijong Kim, Woo Yong Lee, Seong Hyeon Yun, Hee Cheol Kim, Yong Beom Cho, Jung Wook Huh, Yoon Ah Park, Jung Kyong Shin","doi":"10.1097/DCR.0000000000003899","DOIUrl":"https://doi.org/10.1097/DCR.0000000000003899","url":null,"abstract":"<p><strong>Background: </strong>There is scant data on the incidence and risk factors associated with pulmonary metastasis in rectal cancer, particularly according to TNM stage.</p><p><strong>Objective: </strong>To determine the incidence of pulmonary metastasis in stage I-III rectal cancer patients following surgical resection and to identify stage-specific risk factors.</p><p><strong>Design: </strong>A retrospective analysis was conducted on rectal cancer patients who underwent radical resection.</p><p><strong>Settings: </strong>Samsung Medical Center from January 2007 to December 2019.</p><p><strong>Patients: </strong>A total of 3,504 patients were diagnosed with either a pathologic complete response following neoadjuvant concurrent chemoradiotherapy and subsequent radical resection or stage I-III rectal cancer with no initial metastasis.</p><p><strong>Main outcome measures: </strong>The main outcomes were the incidence of pulmonary metastasis and overall survival.</p><p><strong>Results: </strong>Of the patients, 313 (8.9%) developed pulmonary metastasis. The median time to pulmonary metastasis was 16 months (range, 6-92 months). The incidence rates of pulmonary metastasis by TNM stage were: 2.0% (pathologic complete response), 2.4% (Stage I), 8.0% (Stage II), and 17.4% (Stage III). For the neoadjuvant chemoradiotherapy group, the incidence rates were 2.0% (pathologic complete response), 5.1% (Stage I), 9.9% (Stage II), and 21.4% (Stage III). In the non-neoadjuvant chemoradiotherapy group, the incidence rates were 1.0% (Stage I), 6.5% (Stage II), and 15.8% (Stage III). Major risk factors for pulmonary metastasis included neoadjuvant chemoradiotherapy status, elevated carcinoembryonic antigen ≥ 5 ng/mL, tumor location, (yp)TNM stage, (yp)T stage, vascular invasion, perineural invasion and tumor budding.</p><p><strong>Limitations: </strong>Single-center retrospective study.</p><p><strong>Conclusion: </strong>As TNM stage increases, the incidence of pulmonary metastasis also increases, regardless of neoadjuvant chemoradiotherapy. Elevations in carcinoembryonic antigen levels, neoadjuvant chemoradiotherapy status, tumor location, vascular invasion, perineural invasion, and tumor budding were identified as risk factors for pulmonary metastasis in rectal cancer. Patients presenting these risk factors may benefit from protocolized surveillance to facilitate timely detection and management. See Video Abstract.</p>","PeriodicalId":11299,"journal":{"name":"Diseases of the Colon & Rectum","volume":" ","pages":""},"PeriodicalIF":3.7,"publicationDate":"2025-07-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144728736","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Pouch Inlet Transposition: A Novel Approach for Recurrent Small Bowel Volvulus From Pouch Inlet Twists.","authors":"Stefan D Holubar, Olga Lavryk, Imran Khan, George Kereselidze, Michael Goldenshluger, Gilad Alon","doi":"10.1097/DCR.0000000000003724","DOIUrl":"https://doi.org/10.1097/DCR.0000000000003724","url":null,"abstract":"","PeriodicalId":11299,"journal":{"name":"Diseases of the Colon & Rectum","volume":" ","pages":""},"PeriodicalIF":3.2,"publicationDate":"2025-07-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144697859","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"V-Y Advancement Flap for Correcting Severe Perianal Fistulizing Crohn's Disease.","authors":"María A Casas, Nicholas S Murdoch Duncan, Agustin C Valinoti, Maximiliano E Bun, Nicolás A Rotholtz","doi":"10.1097/DCR.0000000000003828","DOIUrl":"https://doi.org/10.1097/DCR.0000000000003828","url":null,"abstract":"","PeriodicalId":11299,"journal":{"name":"Diseases of the Colon & Rectum","volume":" ","pages":""},"PeriodicalIF":3.2,"publicationDate":"2025-07-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144697860","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Improvement in Functional Outcomes Following Ileal Pouch-Anal Anastomosis: Results from the United States Ileal Pouch-Anal Anastomosis Study.","authors":"Jesse Zuckerman, Anthony de Buck van Overstraeten, Gil Y Melmed, William Conan Mustain, Jeffrey S Scow, Mary Otterson, James Ogilvie, Liliana Bordeianou, Mantaj Brar, Katerina Wells, Gayane Ovsepyan, James Mirocha, Stefan D Holubar, Steven Wexner, Neil Hyman, Phillip Fleshner, Karen Zaghiyan","doi":"10.1097/DCR.0000000000003894","DOIUrl":"https://doi.org/10.1097/DCR.0000000000003894","url":null,"abstract":"<p><strong>Background: </strong>Ileal pouch-anal anastomosis is the standard procedure for patients with ulcerative colitis or unclassified inflammatory bowel disease seeking intestinal continuity post-proctocolectomy. Previous studies on function are limited by retrospective design, single-center scope, and insufficient functional domain data.</p><p><strong>Objective: </strong>To provide prospective, multicenter data on functional outcomes after ileal pouch-anal anastomosis.</p><p><strong>Design: </strong>Prospective cohort study.</p><p><strong>Settings: </strong>Several North American centers.</p><p><strong>Patients: </strong>Adults scheduled for ileal pouch-anal anastomosis between June 2018 and June 2022.</p><p><strong>Main outcome measures: </strong>Patient-reported colorectal (COREFO, Wexner Fecal Incontinence), sexual (PROMIS Sex-FS), urinary (International Prostate Symptom Score), and global (PROMIS Global-10) function.</p><p><strong>Results: </strong>A total of 203 patients were included (mean age, 35.8 ± 13.4, 59% male). Most had UC (95%) with refractory disease the most common surgical indication (91%). Fifty-seven patients (28%) had subtotal colectomy without ileal pouch-anal anastomosis. Bowel function improved significantly after ileal pouch-anal anastomosis (COREFO mean, 50.6 ± 18.8 at baseline to 24.3 ± 17.7 at 12 months, p < 0.0001; Wexner mean 8.2 ± 5.3 at baseline to 4.3 ± 4.5 at 12 months, p < 0.0001) as did global health satisfaction (mental health mean T-score 41.5±10.8 at baseline to 51.2 ± 10.3 at 12 months, p < 0.0001; physical health mean T-score 39.2±9.2 at baseline to 52.2 ± 9.2 at 12 months, p < 0.0001). Sexual interest increased for both females (mean T-score, 34.2 ± 13.2 at baseline to 41.9 ± 13.0 at 12 months, p = 0.007) and males (mean T-score, 39.4 ± 13.8 at baseline to 51.1 ± 9.6 at 12 months, p < 0.0001); other sexual domains were stable. Urinary function remained stable (mean, 7.2 ± 6.3 at baseline to 5.4 ± 6.3 at 12 months, p = 0.08). Surgical indication significantly associated with postoperative bowel function (p = 0.0003).</p><p><strong>Limitations: </strong>Sample size is limited; follow-up limited to 12 months.</p><p><strong>Conclusion: </strong>In this prospective multicenter cohort, ileal pouch-anal anastomosis led to significant improvements in bowel function, continence, sexual interest, and overall health, with no decline in urinary or other sexual functions. These findings support the role of ileal pouch-anal anastomosis in restoring function and inform preoperative counseling and decision-making. See Video Abstract.</p>","PeriodicalId":11299,"journal":{"name":"Diseases of the Colon & Rectum","volume":" ","pages":""},"PeriodicalIF":3.2,"publicationDate":"2025-07-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144689533","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Reply.","authors":"Colleen Donahue, Thomas Curran","doi":"10.1097/DCR.0000000000003903","DOIUrl":"https://doi.org/10.1097/DCR.0000000000003903","url":null,"abstract":"","PeriodicalId":11299,"journal":{"name":"Diseases of the Colon & Rectum","volume":" ","pages":""},"PeriodicalIF":3.2,"publicationDate":"2025-07-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144689536","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Preventing the Risk of Readmission and Dehydration of Patients With Ileostomy in Elective Colorectal Surgery: The PREDESTO Study.","authors":"Francesco Ferrara, Andrea Bondurri, Marco Della Sanità, Fabrizio Alessi, Diletta Cassini, Marco Ceresoli, Giacomo Calini, Stefano Cardelli, Dario Parini","doi":"10.1097/DCR.0000000000003904","DOIUrl":"https://doi.org/10.1097/DCR.0000000000003904","url":null,"abstract":"","PeriodicalId":11299,"journal":{"name":"Diseases of the Colon & Rectum","volume":" ","pages":""},"PeriodicalIF":3.2,"publicationDate":"2025-07-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144689535","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Being Curious.","authors":"James Church","doi":"10.1097/DCR.0000000000003885","DOIUrl":"https://doi.org/10.1097/DCR.0000000000003885","url":null,"abstract":"","PeriodicalId":11299,"journal":{"name":"Diseases of the Colon & Rectum","volume":" ","pages":""},"PeriodicalIF":3.2,"publicationDate":"2025-07-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144689532","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}