Clinics in Colon and Rectal Surgery最新文献_第8页

Kristen Ben, MD, MS; Rebecca Gunter, MD, MS; Arielle Kanters, MD, MS. Kristen Ben，医学博士，硕士；Rebecca Gunter，医学博士，硕士；Arielle Kanters，医学博士，硕士。

IF 1.4 4区医学

Clinics in Colon and Rectal Surgery Pub Date : 2023-02-08 eCollection Date: 2023-07-01 DOI: 10.1055/s-0043-1761430

Scott R Steele

引用次数: 0

Benjamin Daniel Shogan, MD, FACS, FASCRS. Benjamin Daniel Shogan，医学博士，FACS，FASCRS。

IF 1.4 4区医学

Clinics in Colon and Rectal Surgery Pub Date : 2023-02-08 eCollection Date: 2023-03-01 DOI: 10.1055/s-0043-1761472

Scott R Steele

引用次数: 0

Patient-Reported Outcomes in Colorectal Surgery. 结直肠手术的患者报告结果。

IF 1.4 4区医学

Clinics in Colon and Rectal Surgery Pub Date : 2023-02-08 eCollection Date: 2023-07-01 DOI: 10.1055/s-0043-1761607

Marianna Maspero, Tracy Hull

{"title":"Patient-Reported Outcomes in Colorectal Surgery.","authors":"Marianna Maspero, Tracy Hull","doi":"10.1055/s-0043-1761607","DOIUrl":"10.1055/s-0043-1761607","url":null,"abstract":"Given the increased life expectancy and improvements in the treatment of colorectal patients, the success of a treatment course can no longer be determined only by objective outcomes. Health care providers ought to take into consideration the impact an intervention will have on the quality of life of patients. Endpoints that take into account the patient's perspective are defined as patient-reported outcomes (PROs). PROs are assessed through patient-reported outcome measures (PROMs), usually in the form of questionnaires. PROs are especially important in colorectal surgery, whose procedures can often be associated with some degree of postoperative functional impairment. Several PROMs are available for colorectal surgery patients. However, while some scientific societies have offered recommendations, there is no standardization in the field and PROMs are seldom implemented in clinical practice. The routine use of validated PROMs can guarantee that functional outcomes are followed over time; this way, they can be addressed in case of worsening. This review will provide an overview of the most commonly used PROMs in colorectal surgery, both generic and disease specific, as well as a summary of the available evidence in support of their routine utilization.","PeriodicalId":48754,"journal":{"name":"Clinics in Colon and Rectal Surgery","volume":"36 4","pages":"240-251"},"PeriodicalIF":1.4,"publicationDate":"2023-02-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10202545/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9569964","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

Perioperative Assessment and Optimization in Major Colorectal Surgery. 大肠直肠手术的围手术期评估和优化。

IF 1.4 4区医学

Clinics in Colon and Rectal Surgery Pub Date : 2023-02-07 eCollection Date: 2023-05-01 DOI: 10.1055/s-0043-1760867

Traci L Hedrick

引用次数: 0

Perioperative Assessment and Optimization in Major Colorectal Surgery: Medication Management. 大肠直肠手术的围手术期评估和优化：药物管理。

IF 1.4 4区医学

Clinics in Colon and Rectal Surgery Pub Date : 2023-02-03 eCollection Date: 2023-05-01 DOI: 10.1055/s-0043-1761156

William J Kane, Puja Shah Berry

引用次数: 0

Smoking Cessation for Preoperative Optimization. 戒烟促进术前优化。

IF 1.4 4区医学

Clinics in Colon and Rectal Surgery Pub Date : 2023-02-03 eCollection Date: 2023-05-01 DOI: 10.1055/s-0043-1760870

Joceline V Vu, Alisha Lussiez

引用次数: 0

Preparing the Bowel (Microbiome) for Surgery: Surgical Bioresilience. 为手术准备肠道（微生物组）：手术生物复原力。

IF 1.2 4区医学

Clinics in Colon and Rectal Surgery Pub Date : 2023-02-03 eCollection Date: 2023-03-01 DOI: 10.1055/s-0042-1760675

Heidi Paine, Faye Jones, James Kinross

{"title":"Preparing the Bowel (Microbiome) for Surgery: Surgical Bioresilience.","authors":"Heidi Paine, Faye Jones, James Kinross","doi":"10.1055/s-0042-1760675","DOIUrl":"10.1055/s-0042-1760675","url":null,"abstract":"The preparation of the bowel for radical surgery is a corner stone of elective colorectal practice. The evidence for this intervention is of variable quality and it is often contradictory, yet there is now a global move toward the adoption of oral antibiotic therapy for the reduction of perioperative infective complications, such as surgical site infections. The gut microbiome is a critical mediator of the systemic inflammatory response to surgical injury, wound healing, and perioperative gut function. The loss of critical microbial symbiotic functions caused by bowel preparation and surgery has an adverse impact on surgical outcomes, yet the mechanisms through which this occurs are poorly defined. In this review, the evidence for bowel preparation strategies is critically appraised in the context of the gut microbiome. The impact of antibiotic therapy on the surgical gut microbiome and the importance of the intestinal \"resistome\" to surgical recovery is described. Data to support the augmentation of the microbiome through diet, probiotic and symbiotic approaches, as well as fecal transplantation are also appraised. Finally, we propose a novel strategy of bowel preparation defined as \" surgical bioresilience \" and define areas or prioritization in this emerging field. This describes the optimization of surgical intestinal homeostasis and core surgical exposome-microbiome interactions that regulate the wound immune microenvironment, the systemic inflammatory response to surgical injury, and gut function across the perioperative time course.","PeriodicalId":48754,"journal":{"name":"Clinics in Colon and Rectal Surgery","volume":"36 2","pages":"138-145"},"PeriodicalIF":1.2,"publicationDate":"2023-02-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9946716/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9356486","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

Frailty Assessment and Prehabilitation as Part of a PeRioperative Evaluation and Planning (PREP) Program for Patients Undergoing Colorectal Surgery. 作为结直肠手术患者围手术期评估和规划 (PREP) 计划一部分的虚弱评估和预康复。

IF 1.4 4区医学

Clinics in Colon and Rectal Surgery Pub Date : 2023-02-03 eCollection Date: 2023-05-01 DOI: 10.1055/s-0043-1761151

Cimarron E Sharon, Catherine Strohl, Nicole M Saur

引用次数: 0

Preoperative Assessment and Optimization of Cardiopulmonary Disease in Noncardiac Surgery. 非心脏手术中心肺疾病的术前评估和优化。

IF 1.4 4区医学

Clinics in Colon and Rectal Surgery Pub Date : 2023-01-28 eCollection Date: 2023-05-01 DOI: 10.1055/s-0043-1760869

Kelsey E Savery, Amanda M Kleiman, Susan M Walters

{"title":"Preoperative Assessment and Optimization of Cardiopulmonary Disease in Noncardiac Surgery.","authors":"Kelsey E Savery, Amanda M Kleiman, Susan M Walters","doi":"10.1055/s-0043-1760869","DOIUrl":"10.1055/s-0043-1760869","url":null,"abstract":"More than 50 million surgical procedures are carried out every year in the United States with the estimated risk of major adverse cardiac events perioperatively between 1.4 and 3.9%. Given that the majority of surgeries are elective, this allows ample opportunity to identify patients at higher risk of perioperative adverse events and optimize them for surgery. Preexisting cardiopulmonary disease is a major risk factor for adverse events perioperatively and can lead to significant morbidity and mortality. It can predispose patients to perioperative myocardial ischemia and infarction, perioperative pulmonary complications, and perioperative stroke among other complications. This article details an approach to preoperative interview and examination, indications for preoperative testing, and strategies for optimization in patients with underlying cardiopulmonary disease. It also includes guidelines on optimal timing of elective surgery in certain clinical scenarios that can escalate perioperative risk. Through the use of thorough preoperative assessment, targeted preoperative testing, and multidisciplinary optimization of preexisting disease, perioperative risk can be decreased significantly and perioperative outcomes improved.","PeriodicalId":48754,"journal":{"name":"Clinics in Colon and Rectal Surgery","volume":"36 3","pages":"167-174"},"PeriodicalIF":1.4,"publicationDate":"2023-01-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10125295/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9421199","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

Social Determinants of Health and Impact in Perioperative Space. 健康的社会决定因素及对围术期空间的影响。

IF 1.4 4区医学

Clinics in Colon and Rectal Surgery Pub Date : 2023-01-28 eCollection Date: 2023-05-01 DOI: 10.1055/s-0043-1761155

Courtney L Devin, Virginia O Shaffer

引用次数: 0