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Clinics in Colon and Rectal Surgery最新文献

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Mesenteric Ischemia 肠系膜缺血
IF 1.4 4区 医学
Clinics in Colon and Rectal Surgery Pub Date : 2023-12-15 DOI: 10.1055/s-0043-1777667
Christopher O. Audu, David W. Schechtman, Frank M. Davis
{"title":"Mesenteric Ischemia","authors":"Christopher O. Audu, David W. Schechtman, Frank M. Davis","doi":"10.1055/s-0043-1777667","DOIUrl":"https://doi.org/10.1055/s-0043-1777667","url":null,"abstract":"<p>Mesenteric ischemia occurs when perfusion of the visceral organs fails to meet normal metabolic requirements and subsequently results in abdominal symptoms such as diffuse postprandial pain, peritonitis, food fear, and weight loss. While generally divided into acute and chronic manifestations, mesenteric ischemia is commonly misdiagnosed at initial presentation due to the significant overlap with symptoms of other abdominal pathologies. Prompt recognition and diagnosis, mesenteric revascularization, and critical care management remain the mainstay of treatment in these patients for optimal outcomes. This review will highlight acute versus chronic mesenteric ischemia, their etiology, diagnostic criteria, treatment options, and will emphasize the joint role of the gastrointestinal and vascular surgeon in the timely management of this condition to prevent devastating outcomes.</p> ","PeriodicalId":48754,"journal":{"name":"Clinics in Colon and Rectal Surgery","volume":"188 1","pages":""},"PeriodicalIF":1.4,"publicationDate":"2023-12-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138687560","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
Colorectal Emergencies: Preface 结肠直肠急症：前言
IF 1.4 4区 医学
Clinics in Colon and Rectal Surgery Pub Date : 2023-12-13 DOI: 10.1055/s-0043-1777438
Patrick Georgoff
{"title":"Colorectal Emergencies: Preface","authors":"Patrick Georgoff","doi":"10.1055/s-0043-1777438","DOIUrl":"https://doi.org/10.1055/s-0043-1777438","url":null,"abstract":"","PeriodicalId":48754,"journal":{"name":"Clinics in Colon and Rectal Surgery","volume":"296 1","pages":""},"PeriodicalIF":1.4,"publicationDate":"2023-12-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139003741","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
Diverticulitis: A Review of Current and Emerging Practice-Changing Evidence 憩室炎：当前和新出现的改变实践的证据综述
IF 1.4 4区 医学
Clinics in Colon and Rectal Surgery Pub Date : 2023-12-13 DOI: 10.1055/s-0043-1777439
Sonia Wu, Maher Al Khaldi, Carole S. Richard, François Dagbert
{"title":"Diverticulitis: A Review of Current and Emerging Practice-Changing Evidence","authors":"Sonia Wu, Maher Al Khaldi, Carole S. Richard, François Dagbert","doi":"10.1055/s-0043-1777439","DOIUrl":"https://doi.org/10.1055/s-0043-1777439","url":null,"abstract":"<p>Acute diverticulitis represents a common colorectal emergency seen in the Western world. Over time, management of this condition has evolved. This review aims to highlight recent evidence and update current recommendations. Notable evidence has emerged in certain aspects of diverticulitis. This includes disease pathogenesis, as emerging data suggest a potentially greater role for the microbiome and genetic predisposition than previously thought. Acute management has also seen major shifts, where traditional antibiotic treatment may no longer be necessary for acute uncomplicated diverticulitis. Following successful medical management of acute diverticulitis, indications for elective sigmoidectomy have decreased. The benefit of emergency surgery remains for peritonitis, sepsis, obstruction, and acute diverticulitis in certain immunocompromised patients. Routine colonoscopy, once recommended after all acute diverticulitis episodes, has been shown to be beneficial for cancer exclusion in a distinct patient population. Despite advances in research, certain entities remain poorly understood, such as smoldering diverticulitis and symptomatic uncomplicated diverticular disease. As research in the field expands, paradigm shifts will shape our understanding of diverticulitis, influencing how clinicians approach management and educate patients.</p> ","PeriodicalId":48754,"journal":{"name":"Clinics in Colon and Rectal Surgery","volume":"153 1","pages":""},"PeriodicalIF":1.4,"publicationDate":"2023-12-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138632200","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
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
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