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Clinics in Colon and Rectal Surgery最新文献

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Addressing Colorectal Cancer Disparities in Unhoused Populations: A Call for Equitable Access and Compassionate Care 应对无住房人群中的结直肠癌差异：呼吁公平就医和体恤关怀
IF 1.4 4区 医学
Clinics in Colon and Rectal Surgery Pub Date : 2024-05-02 DOI: 10.1055/s-0044-1786531
{"title":"Addressing Colorectal Cancer Disparities in Unhoused Populations: A Call for Equitable Access and Compassionate Care","authors":"","doi":"10.1055/s-0044-1786531","DOIUrl":"https://doi.org/10.1055/s-0044-1786531","url":null,"abstract":"Housing is essential for health. Unhoused individuals have markedly worse health status than the general population culminating in higher rates of premature mortality. Cancer is a leading cause of death in older unhoused adults. Caring for unhoused patients at risk for or with colorectal cancer poses challenges at every stage of oncologic care: prevention, screening, diagnosis, treatment, and follow-up. These challenges result in later stages at diagnosis and worse overall survival. Health systems can work to advance health equity in colorectal cancer in unhoused patients by improving access to care, transitions of care, health care quality, and focusing on socioeconomic/environmental impact.","PeriodicalId":48754,"journal":{"name":"Clinics in Colon and Rectal Surgery","volume":"48 1","pages":""},"PeriodicalIF":1.4,"publicationDate":"2024-05-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140838314","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Anastomosis after Bowel Resection for Crohn's Disease: State of the Art Review 克罗恩病肠道切除术后的吻合术：最新技术回顾
IF 1.4 4区 医学
Clinics in Colon and Rectal Surgery Pub Date : 2024-05-02 DOI: 10.1055/s-0044-1786534
{"title":"Anastomosis after Bowel Resection for Crohn's Disease: State of the Art Review","authors":"","doi":"10.1055/s-0044-1786534","DOIUrl":"https://doi.org/10.1055/s-0044-1786534","url":null,"abstract":"Recurrence after surgically induced remission in Crohn's disease remains a topic of research and debate with significant clinical implications for overall quality of life and intestinal and defecatory functions. While the surgeon continues to play a critical role in surgical prophylaxis of recurrence, optimal results will only be obtained in the setting of a true multidisciplinary team approach, following the principles of “the right surgery, on the right patient, at the right time, performed by the right surgeon, supported by the right team.” The centerpiece of surgical prophylaxis is the intestinal anastomosis. The ideal anastomosis after resection for Crohn's disease should be safe and reliable, as postoperative septic complications have been shown to increase the risk of recurrence; result in a wide lumen and a configuration that would not impede enteric flow; exclude or excise the mesentery, a known culprit in primary and recurrent disease; and preserve vascularization and innervation. This article will review the evidence supporting the above-mentioned surgical principles and the long-term results of the different anastomotic configurations.","PeriodicalId":48754,"journal":{"name":"Clinics in Colon and Rectal Surgery","volume":"24 1","pages":""},"PeriodicalIF":1.4,"publicationDate":"2024-05-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140838595","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Difficulties and Disparities in Colorectal Cancer End-of-Life Care: A Patient's Story 结直肠癌临终关怀的困难与差距：一位患者的故事
IF 1.4 4区 医学
Clinics in Colon and Rectal Surgery Pub Date : 2024-04-29 DOI: 10.1055/s-0044-1786393
Stacy Ranson, Danielle Noreika, Emily B. Rivet
{"title":"Difficulties and Disparities in Colorectal Cancer End-of-Life Care: A Patient's Story","authors":"Stacy Ranson, Danielle Noreika, Emily B. Rivet","doi":"10.1055/s-0044-1786393","DOIUrl":"https://doi.org/10.1055/s-0044-1786393","url":null,"abstract":"<p>Patients with advanced colorectal cancer nearing the end of life require a multidisciplinary approach to address the unique challenges they face. Using a case vignette, we outline the various stages of a patient's journey with advanced rectal cancer and the common obstacles to their care as they interface with the medical system. We highlight how Black persons might be vulnerable to differences in screening, treatment, procedural interventions, end-of-life care, and health care decision-making. The article also addresses how health inequities and barriers relating to concordant treatment goals can impact the relationship between patient and surgeon. This vignette illustrates the importance of ensuring a team approach to treatment and the value of early involvement of palliative medicine for patients with advanced colorectal cancer.</p> ","PeriodicalId":48754,"journal":{"name":"Clinics in Colon and Rectal Surgery","volume":"50 1","pages":""},"PeriodicalIF":1.4,"publicationDate":"2024-04-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140838312","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Minimally Invasive Management of Complicated and Re-operative Crohn's Disease 微创治疗并发症和再手术克罗恩病
IF 1.4 4区 医学
Clinics in Colon and Rectal Surgery Pub Date : 2024-04-29 DOI: 10.1055/s-0044-1786515
Conor Kinford, Vitaliy Poylin
{"title":"Minimally Invasive Management of Complicated and Re-operative Crohn's Disease","authors":"Conor Kinford, Vitaliy Poylin","doi":"10.1055/s-0044-1786515","DOIUrl":"https://doi.org/10.1055/s-0044-1786515","url":null,"abstract":"<p>Minimally invasive techniques for the surgical management of Crohn's disease have become the recommended approach for initial surgical intervention in noncomplicated patients as there is lower morbidity for patients without compromising treatment outcomes. There has been a push to expand minimally invasive approaches to complex and recurrent diseases, trying to benefit these difficult patients. However, until recently there have been little data to support the adoption of minimally invasive surgery (MIS) in these scenarios. This article aims to build on the 2019 Clinics in Colon and Rectal Surgery article on complex Crohn's and MIS by introducing new data in support of these approaches. Decisions for technique should be based on patient characteristics, but minimally invasive techniques have emerged as valid and possibly superior for complex and recurrent disease.</p> ","PeriodicalId":48754,"journal":{"name":"Clinics in Colon and Rectal Surgery","volume":"155 1","pages":""},"PeriodicalIF":1.4,"publicationDate":"2024-04-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140838313","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Socially Responsible Surgical Care. 对社会负责的外科护理。
IF 1.2 4区 医学
Clinics in Colon and Rectal Surgery Pub Date : 2024-04-26 eCollection Date: 2025-01-01 DOI: 10.1055/s-0044-1786530
Pasithorn A Suwanabol
{"title":"Socially Responsible Surgical Care.","authors":"Pasithorn A Suwanabol","doi":"10.1055/s-0044-1786530","DOIUrl":"10.1055/s-0044-1786530","url":null,"abstract":"","PeriodicalId":48754,"journal":{"name":"Clinics in Colon and Rectal Surgery","volume":"38 1","pages":"3-4"},"PeriodicalIF":1.2,"publicationDate":"2024-04-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11679193/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142904068","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Nonfistulizing Perianal Crohn's Disease 非瘘性肛周克罗恩病
IF 1.4 4区 医学
Clinics in Colon and Rectal Surgery Pub Date : 2024-04-19 DOI: 10.1055/s-0044-1786198
Emily Simon, Emily Steinhagen
{"title":"Nonfistulizing Perianal Crohn's Disease","authors":"Emily Simon, Emily Steinhagen","doi":"10.1055/s-0044-1786198","DOIUrl":"https://doi.org/10.1055/s-0044-1786198","url":null,"abstract":"<p>Perianal Crohn's disease (CD) includes a wide range of nonfistulizing sequela, including fissures and ulcers, skin tags, anal stricture, and anal cancer. Symptoms related to perianal manifestations of CD are often disabling and have a significant impact on patients' quality of life. They include pain, drainage, bleeding, difficulty with hygiene and may cause secondary difficulties with sexual and defecatory dysfunction. The care of patients with perianal CD requires a thoughtful approach, including detailed history taking, physical examination, and often multidisciplinary care teams to maximize quality of life and ameliorate symptoms.</p> ","PeriodicalId":48754,"journal":{"name":"Clinics in Colon and Rectal Surgery","volume":"27 1","pages":""},"PeriodicalIF":1.4,"publicationDate":"2024-04-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140625964","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Management of Severe Colitis and Toxic Megacolon 严重结肠炎和中毒性巨结肠的处理方法
IF 1.4 4区 医学
Clinics in Colon and Rectal Surgery Pub Date : 2023-12-29 DOI: 10.1055/s-0043-1777665
Marjorie R. Liggett, Hasan B. Alam
{"title":"Management of Severe Colitis and Toxic Megacolon","authors":"Marjorie R. Liggett, Hasan B. Alam","doi":"10.1055/s-0043-1777665","DOIUrl":"https://doi.org/10.1055/s-0043-1777665","url":null,"abstract":"<p>Severe colitis is a well-defined condition encompassing several etiologies but is most often caused by severe ulcerative colitis or <i>Clostridioides difficile</i> infection. Severe colitis can evolve into toxic colitis, or toxic megacolon when associated with bowel dilation and systemic manifestations, resulting in a life-threatening scenario where multidisciplinary management is often required. Medical management continues to play an important role in the initial treatment of toxic megacolon. However, timely surgical intervention can be lifesaving.</p> ","PeriodicalId":48754,"journal":{"name":"Clinics in Colon and Rectal Surgery","volume":"13 1","pages":""},"PeriodicalIF":1.4,"publicationDate":"2023-12-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139068794","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Large Bowel Obstruction: Etiologies, Diagnosis, and Management 大肠梗阻：病因、诊断和处理
IF 1.4 4区 医学
Clinics in Colon and Rectal Surgery Pub Date : 2023-12-29 DOI: 10.1055/s-0043-1777452
Kevin A. Chen, Muneera R. Kapadia
{"title":"Large Bowel Obstruction: Etiologies, Diagnosis, and Management","authors":"Kevin A. Chen, Muneera R. Kapadia","doi":"10.1055/s-0043-1777452","DOIUrl":"https://doi.org/10.1055/s-0043-1777452","url":null,"abstract":"<p>Large bowel obstructions (LBOs) often require urgent surgical intervention. Diagnosis relies on astute history and physical examination, as well as imaging with computed tomography (CT) scan for stable patients. Because of the high mortality associated with colonic perforation in patients with LBOs, decisive surgical decision-making is needed for optimal outcomes. This review seeks to provide an overview of the etiologies of LBO, diagnosis, and general management principles, as well as specific management for the most common etiologies, including colorectal cancer and strictures.</p> ","PeriodicalId":48754,"journal":{"name":"Clinics in Colon and Rectal Surgery","volume":"45 1","pages":""},"PeriodicalIF":1.4,"publicationDate":"2023-12-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139068682","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Management of Acute Hemorrhoidal Crisis: Evaluation, Treatment, and Special Considerations 急性痔疮危象的处理：评估、治疗和特殊考虑因素
IF 1.4 4区 医学
Clinics in Colon and Rectal Surgery Pub Date : 2023-12-28 DOI: 10.1055/s-0043-1777663
Ayman Khan, Arielle E. Kanters
{"title":"Management of Acute Hemorrhoidal Crisis: Evaluation, Treatment, and Special Considerations","authors":"Ayman Khan, Arielle E. Kanters","doi":"10.1055/s-0043-1777663","DOIUrl":"https://doi.org/10.1055/s-0043-1777663","url":null,"abstract":"<p>Hemorrhoidal disease is one of most common pathologies seen by colorectal and general surgeons. Although hemorrhoids themselves are a normal anatomic occurrence, development of symptomatic disease, usually due to bleeding, prolapse, or thrombosis, can cause significant patient distress. Acute presentation related to significant thrombosis or bleeding is referred to as acute hemorrhoidal crisis. Management of this pathology varies from nonoperative intervention for symptom control to definitive incisional or excisional hemorrhoidectomy. Here we will explore the approach to evaluating and treating acute hemorrhoidal crises.</p> ","PeriodicalId":48754,"journal":{"name":"Clinics in Colon and Rectal Surgery","volume":"164 1","pages":""},"PeriodicalIF":1.4,"publicationDate":"2023-12-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139069088","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Colonic Volvulus 结肠溃疡
IF 1.4 4区 医学
Clinics in Colon and Rectal Surgery Pub Date : 2023-12-28 DOI: 10.1055/s-0043-1777664
Samantha L. Savitch, Calista M. Harbaugh
{"title":"Colonic Volvulus","authors":"Samantha L. Savitch, Calista M. Harbaugh","doi":"10.1055/s-0043-1777664","DOIUrl":"https://doi.org/10.1055/s-0043-1777664","url":null,"abstract":"<p>Colonic volvulus represents 10 to 15% of all large bowel obstructions in the United States. It most commonly occurs in the sigmoid colon or cecum. Morbidity and mortality from colonic volvulus are high. It is therefore essential to have a high level of suspicion based on presentation and expedient diagnosis and management to prevent progression to ischemia or perforation. Broad goals of management include evaluation of colon viability, relief of obstruction, and prevention of recurrence. Endoscopic and surgical approaches vary based on the site of volvulus, presence of ischemia or perforation, and patient characteristics. This review outlines the epidemiology, presentation, diagnosis, and management of colonic volvulus. A contemporary diagnostic and treatment algorithm is included.</p> ","PeriodicalId":48754,"journal":{"name":"Clinics in Colon and Rectal Surgery","volume":"72 1","pages":""},"PeriodicalIF":1.4,"publicationDate":"2023-12-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139068782","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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