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Clinics in Colon and Rectal Surgery最新文献

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Stoma Complications 造口并发症
IF 1.4 4区 医学
Clinics in Colon and Rectal Surgery Pub Date : 2023-12-13 DOI: 10.1055/s-0043-1777453
Aaron J. Dawes, John V. Gahagan
{"title":"Stoma Complications","authors":"Aaron J. Dawes, John V. Gahagan","doi":"10.1055/s-0043-1777453","DOIUrl":"https://doi.org/10.1055/s-0043-1777453","url":null,"abstract":"<p>Stoma-related complications are among the most common sources of perioperative morbidity in colorectal surgery. Complications can occur intraoperatively, in the immediate postoperative period, or even months to years after stoma creation. Although some will require urgent surgical intervention, most are treated nonoperatively with a combination of education, appliance adjustment, and behavioral intervention. Optimal management of stoma complications nearly always requires a multidisciplinary team approach, including surgeons, enterostomal therapists, and other allied health professionals, depending on the specific situation. Patients with a functional stoma should be expected to be able to do anything that patients without a stoma can do with minimal exceptions. The treatment of stoma complications therefore centers on improving stoma function and maximizing quality of life. Although timely and comprehensive intervention will result in the resolution of most stoma complications, there is no substitute for preoperative planning and meticulous stoma creation.</p> ","PeriodicalId":48754,"journal":{"name":"Clinics in Colon and Rectal Surgery","volume":"26 1","pages":""},"PeriodicalIF":1.4,"publicationDate":"2023-12-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138632400","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
Patrick Georgoff, MD, FACS 帕特里克-乔治格夫（Patrick Georgoff），医学博士，全科医学硕士
IF 1.4 4区 医学
Clinics in Colon and Rectal Surgery Pub Date : 2023-12-13 DOI: 10.1055/s-0043-1777437
Scott R. Steele
{"title":"Patrick Georgoff, MD, FACS","authors":"Scott R. Steele","doi":"10.1055/s-0043-1777437","DOIUrl":"https://doi.org/10.1055/s-0043-1777437","url":null,"abstract":"","PeriodicalId":48754,"journal":{"name":"Clinics in Colon and Rectal Surgery","volume":"71 1","pages":""},"PeriodicalIF":1.4,"publicationDate":"2023-12-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138976940","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
Anorectal Abscess 肛门直肠脓肿
IF 1.4 4区 医学
Clinics in Colon and Rectal Surgery Pub Date : 2023-12-08 DOI: 10.1055/s-0043-1777451
Anna Kata, Jonathan S. Abelson
{"title":"Anorectal Abscess","authors":"Anna Kata, Jonathan S. Abelson","doi":"10.1055/s-0043-1777451","DOIUrl":"https://doi.org/10.1055/s-0043-1777451","url":null,"abstract":"<p>Anorectal abscesses are a common colorectal emergency. The hallmark of treatment is obtaining source control while avoiding injury to the underlying sphincter complex. Understanding the anatomy of an anorectal abscess is critical to planning the appropriate drainage strategy and decreasing the risk of complex fistula formation. Use of antibiotics should be reserved for those with extensive cellulitis, signs of systemic infection, or patients who are immunocompromised. Whether antibiotics prevent future fistula formation is an area of active research. Primary fistulotomy at time of the index drainage is controversial; however, there may be situations where it is appropriate. It is important to counsel patients that after effective drainage of an anorectal abscess, they have a 30 to 50% chance of developing an anal fistula that will then require further treatment.</p> ","PeriodicalId":48754,"journal":{"name":"Clinics in Colon and Rectal Surgery","volume":"1 1","pages":""},"PeriodicalIF":1.4,"publicationDate":"2023-12-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138563832","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
Surveillance after Total Neoadjuvant Therapy: What to do for Near-Complete Responders 全新辅助治疗后的监测:对接近完全应答者该怎么办
4区 医学
Clinics in Colon and Rectal Surgery Pub Date : 2023-09-13 DOI: 10.1055/s-0043-1770716
Garrett Friedman
{"title":"Surveillance after Total Neoadjuvant Therapy: What to do for Near-Complete Responders","authors":"Garrett Friedman","doi":"10.1055/s-0043-1770716","DOIUrl":"https://doi.org/10.1055/s-0043-1770716","url":null,"abstract":"Abstract A proportion of patients who undergo total neoadjuvant therapy for rectal cancer will achieve what is classified as a near-complete response. Significant debate exists as to the optimal management strategy for these patients with large heterogeneity in management. This article will examine the therapeutic and surveillance options for these patients as well as the relevant outcomes data.","PeriodicalId":48754,"journal":{"name":"Clinics in Colon and Rectal Surgery","volume":"63 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135734541","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
The Importance of Parental Leave and Lactation Support for Surgeons. 外科医生育儿假和哺乳支持的重要性。
IF 1.2 4区 医学
Clinics in Colon and Rectal Surgery Pub Date : 2023-08-02 eCollection Date: 2023-09-01 DOI: 10.1055/s-0043-1764288
Arielle E Kanters, Sarah P Shubeck
{"title":"The Importance of Parental Leave and Lactation Support for Surgeons.","authors":"Arielle E Kanters, Sarah P Shubeck","doi":"10.1055/s-0043-1764288","DOIUrl":"10.1055/s-0043-1764288","url":null,"abstract":"<p><p>Despite the growing population of surgeons who will spend the bulk of their potential childbearing years in medical school, training, or early in practice, the stigma associated with pregnancy remains. The challenges of childbearing for surgeons also extend to the pregnancy experience from a health perspective including increased rates of infertility, miscarriage, and preterm labor. Given the unique demands of a surgical practice, surgeons may experience pressure to minimize the disruption of their work during and after pregnancy. This may include attempts at carrying a full workload until the day of delivery, reducing the length of planned parental leave, and not requesting accommodations for time to express milk. Concern for discrimination, clinical productivity expectations, and promotion timelines can limit a surgeon's ability to receive pregnancy-related support and adequate parental leave. Though not all surgeons will choose to pursue pregnancy, we must still acknowledge the need to support these individuals. Furthermore, this support should not be limited to the pregnancy alone but include postpartum support including that related to family leave and lactation. Here, we provide an overview of just some of the challenges faced by surgeons in the pursuit of parenthood and present the arguments for accommodations related to pregnancy, parental leave, and lactation.</p>","PeriodicalId":48754,"journal":{"name":"Clinics in Colon and Rectal Surgery","volume":"36 5","pages":"333-337"},"PeriodicalIF":1.2,"publicationDate":"2023-08-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10411055/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10033071","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
The Role of Local Excision after Neoadjuvant Therapy for Locally Advanced Rectal Cancer: A Different Perspective. 局部晚期直肠癌新辅助治疗后局部切除的作用:一个不同的视角。
IF 1.4 4区 医学
Clinics in Colon and Rectal Surgery Pub Date : 2023-07-01 DOI: 10.1055/s-0042-1758808
Amr Aref, Ahmed Abdalla, Ernesto Raul Drelichman
{"title":"The Role of Local Excision after Neoadjuvant Therapy for Locally Advanced Rectal Cancer: A Different Perspective.","authors":"Amr Aref,&nbsp;Ahmed Abdalla,&nbsp;Ernesto Raul Drelichman","doi":"10.1055/s-0042-1758808","DOIUrl":"https://doi.org/10.1055/s-0042-1758808","url":null,"abstract":"of using preoperative radiation to downstage locallyadvanced rectal cancer (LARC) beforelimiting surgical resection to only local excision (LE","PeriodicalId":48754,"journal":{"name":"Clinics in Colon and Rectal Surgery","volume":"36 4","pages":"290-294"},"PeriodicalIF":1.4,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/57/89/10-1055-s-0042-1758808.PMC10202544.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9888076","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
An Argument for State-Driven Quality Collaboratives. 国家驱动的质量合作论证。
IF 1.4 4区 医学
Clinics in Colon and Rectal Surgery Pub Date : 2023-05-22 eCollection Date: 2023-07-01 DOI: 10.1055/s-0043-1768710
Arielle Kanters
{"title":"An Argument for State-Driven Quality Collaboratives.","authors":"Arielle Kanters","doi":"10.1055/s-0043-1768710","DOIUrl":"10.1055/s-0043-1768710","url":null,"abstract":"","PeriodicalId":48754,"journal":{"name":"Clinics in Colon and Rectal Surgery","volume":"36 4","pages":"287-289"},"PeriodicalIF":1.4,"publicationDate":"2023-05-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10202534/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9569965","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
Cancer Risk of Peutz-Jeghers Syndrome and Treatment Experience: A Chinese Medical Center. 癌症的标致-杰格斯综合征风险和治疗经验：中国医学中心。
IF 1.4 4区 医学
Clinics in Colon and Rectal Surgery Pub Date : 2023-05-03 eCollection Date: 2023-11-01 DOI: 10.1055/s-0043-1767704
Zuxin Xu, Guoli Gu
{"title":"Cancer Risk of Peutz-Jeghers Syndrome and Treatment Experience: A Chinese Medical Center.","authors":"Zuxin Xu, Guoli Gu","doi":"10.1055/s-0043-1767704","DOIUrl":"10.1055/s-0043-1767704","url":null,"abstract":"<p><p>Peutz-Jeghers syndrome (PJS), also known as hereditary mucocutaneous pigmented gastrointestinal polyposis, is a clinically rare autosomal dominant genetic disease, which falls into the category of hereditary colorectal cancer. There are ∼7,000 new cases of PJS in China every year, and 170,000 PJS patients may survive for a long time in society. PJS polyps are characterized by an early age of onset, difficult diagnosis and treatment, and easy recurrence. With repeated growth, polyps can lead to serious complications such as intestinal obstruction, intussusception, gastrointestinal bleeding, and cancerization, which cause serious clinical problems. Due to repeated hospitalization and endoscopic follow-up, PJS patients and their families suffer from great physical and mental pain and economic burden. With the in-depth understanding of PJS and the development and popularization of endoscopic techniques in the past decade, an integrated treatment modality based on endoscopy plus surgery has gradually become the preferred treatment in most hospitals, which greatly improves the quality of life of PJS patients. However, there is still a lack of effective drug prevention and cure means. In this paper, the current clinical treatment means for PJS polyps were summarized by literature review combined with the treatment experience of our medical center, with a focus on their clinical diagnosis, treatment, and cancer risk.</p>","PeriodicalId":48754,"journal":{"name":"Clinics in Colon and Rectal Surgery","volume":"36 6","pages":"406-414"},"PeriodicalIF":1.4,"publicationDate":"2023-05-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10547534/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41155878","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
Screening and Management of Lynch Syndrome: The Chinese Experience. 林奇综合征的筛查和治疗：中国经验。
IF 1.4 4区 医学
Clinics in Colon and Rectal Surgery Pub Date : 2023-05-03 eCollection Date: 2023-11-01 DOI: 10.1055/s-0043-1767706
Jiehai Yu, Pei-Rong Ding, Wu Jiang
{"title":"Screening and Management of Lynch Syndrome: The Chinese Experience.","authors":"Jiehai Yu, Pei-Rong Ding, Wu Jiang","doi":"10.1055/s-0043-1767706","DOIUrl":"10.1055/s-0043-1767706","url":null,"abstract":"<p><p>Lynch syndrome (LS), caused by germline mutations in the mismatch repair genes, is the most common hereditary colorectal cancer. While LS is also associated with various cancers, early detection of the proband is meaningful for tumor prevention, treatment, and familial management. It has been a dramatic shift on the screening approaches for LS. As the rapid development of the molecular biological methods, a comprehensive understanding of the LS screening strategies will help to improve the clinical care for this systematic disease. The current screening strategies have been well validated but mainly by evidence derived from western population, lacking consideration of the ethnic heterogeneity, which hampers the universality and clinical application in China. Hence, this review will focus on the Chinese experience in LS screening, aiming to help better understand the ethnic diversity and further optimize the screening strategies.</p>","PeriodicalId":48754,"journal":{"name":"Clinics in Colon and Rectal Surgery","volume":"36 6","pages":"369-377"},"PeriodicalIF":1.4,"publicationDate":"2023-05-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10547539/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41137767","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
Application of Molecular Profiling in Colorectal Cancer Surgery. 分子图谱在癌症结直肠癌手术中的应用。
IF 1.4 4区 医学
Clinics in Colon and Rectal Surgery Pub Date : 2023-04-17 eCollection Date: 2023-11-01 DOI: 10.1055/s-0043-1767702
Pei-Rong Ding
{"title":"Application of Molecular Profiling in Colorectal Cancer Surgery.","authors":"Pei-Rong Ding","doi":"10.1055/s-0043-1767702","DOIUrl":"10.1055/s-0043-1767702","url":null,"abstract":"","PeriodicalId":48754,"journal":{"name":"Clinics in Colon and Rectal Surgery","volume":"36 6","pages":"367-368"},"PeriodicalIF":1.4,"publicationDate":"2023-04-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10547531/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41155018","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
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