Camélia Labiad , Hadrien Alric , Maximilien Barret , Antoine Cazelles , Gabriel Rahmi , Mehdi Karoui , Gilles Manceau
{"title":"Management after local excision of small rectal cancers. Indications for completion total mesorectal excision and possible alternatives","authors":"Camélia Labiad , Hadrien Alric , Maximilien Barret , Antoine Cazelles , Gabriel Rahmi , Mehdi Karoui , Gilles Manceau","doi":"10.1016/j.jviscsurg.2024.02.003","DOIUrl":"10.1016/j.jviscsurg.2024.02.003","url":null,"abstract":"<div><p>The treatment of superficial rectal cancers (local excision, or proctectomy with total mesorectal excision (TME) remains controversial. Endoscopy and endorectal ultrasonography are essential for the precise initial definition of these small cancers. During endoscopy, the depth of the lesion can be estimated using virtual chromoendoscopy with magnification, thereby aiding the assessment of the possibilities of local excision. Current international recommendations indicate completion proctectomy after wide local excision for cases where the pathologic examination reveals poorly-differentiated lesions, lymphovascular invasion, grade 2 or 3 tumor budding, and incomplete resection. But debate persists regarding whether the depth of submucosal invasion can accurately predict the risk of lymph node spread. Recent data from the literature suggest that the depth of submucosal invasion should no longer, by itself, be an indication for additional oncological surgery. Adjuvant radio-chemotherapy could be an alternative to completion proctectomy in patients with pT1 rectal cancer and unfavorable histopathological criteria. A Dutch randomized controlled trial is underway to validate this strategy.</p></div>","PeriodicalId":49271,"journal":{"name":"Journal of Visceral Surgery","volume":"161 3","pages":"Pages 173-181"},"PeriodicalIF":2.1,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1878788624000195/pdfft?md5=894c6b5a4a1ce93b812695028ea5eda9&pid=1-s2.0-S1878788624000195-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140050732","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}
Nadia Fathallah, Amine Alam, Anne L. Rentien, Giorgio La Greca, Joshua Co, Elise Pommaret, Amélie Barré, Stéphane Kegne, Hélène Beaussier, Lucas Spindler, Vincent de Parades
{"title":"Hemorrhoidal disease: Epidemiological study and analysis of predictive factors for surgical management","authors":"Nadia Fathallah, Amine Alam, Anne L. Rentien, Giorgio La Greca, Joshua Co, Elise Pommaret, Amélie Barré, Stéphane Kegne, Hélène Beaussier, Lucas Spindler, Vincent de Parades","doi":"10.1016/j.jviscsurg.2024.03.005","DOIUrl":"10.1016/j.jviscsurg.2024.03.005","url":null,"abstract":"<div><h3>Introduction</h3><p>There are very few French studies on hemorrhoidal disease and its management.</p></div><div><h3>Patients and methods</h3><p>Prospective single-center study from July to December 2021 including 472 patients.</p></div><div><h3>Results</h3><p>Bleeding, prolapse and pain were the main reasons for consultation. Treatment modalities were medical (44%),<!--> <!-->±<!--> <!-->instrumental (72%), and surgical (17%). After treatment, the bleeding score and prolapse score decreased significantly (<em>P</em> <!-->=<!--> <!-->0.002 and <em>P</em> <!-->≤<!--> <!-->0.0001, respectively), but improvement was more marked in the surgery group with a better rate of “very good satisfaction” (73% vs. 54%, <em>P</em> <!-->=<!--> <!-->0.003). Factors associated with likelihood of surgical treatment were: age<!--> <!-->><!--> <!-->44<!--> <!-->years, hypertrophic perianal skin tags, high scores (Bristol<!--> <!-->><!--> <!-->5, bleeding<!--> <!-->><!--> <!-->5, prolapse<!--> <!-->><!--> <!-->2), severe impact on quality of life, smoking and reading during bowel movements. We have developed an online application, which aims to assess the risk of requiring hemorrhoidal surgery.</p></div><div><h3>Conclusion</h3><p>Less than 20% of patients who present with hemorrhoidal disease require surgical treatment, but it is associated with better effectiveness despite more complex postoperative consequences that sometimes motivate patient refusal. We have highlighted factors associated with surgical management, which can guide the practitioner in their therapeutic choices.</p></div>","PeriodicalId":49271,"journal":{"name":"Journal of Visceral Surgery","volume":"161 3","pages":"Pages 161-166"},"PeriodicalIF":2.1,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1878788624000304/pdfft?md5=cf214765814f96ac41f8e80435239c54&pid=1-s2.0-S1878788624000304-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140579907","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}
{"title":"The challenge of sodium-glucose cotransporter type 2 (SGLT2) inhibitors in the treatment of type 2 diabetes: Does their efficacy outweigh infectious risks?","authors":"Anne-Cécile Ezanno , Pierre-Louis Conan , Cyril Garcia","doi":"10.1016/j.jviscsurg.2024.01.001","DOIUrl":"10.1016/j.jviscsurg.2024.01.001","url":null,"abstract":"","PeriodicalId":49271,"journal":{"name":"Journal of Visceral Surgery","volume":"161 3","pages":"Pages 159-160"},"PeriodicalIF":2.1,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139698696","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}
{"title":"Cecal volvulus in complete common mesentery","authors":"Ghita Taki , Victoire Roblot , Karine Pautrat","doi":"10.1016/j.jviscsurg.2024.02.006","DOIUrl":"10.1016/j.jviscsurg.2024.02.006","url":null,"abstract":"<div><p>Common mesentery is an abnormal rotation of the primary umbilical loop characterized by inverted positioning of the mesenteric vessels; the mesenteric vein is displaced to the left of the artery. The inversion can be complete or incomplete. If it is incomplete, the mesenteric root is very short, with an empty right iliac fossa and the caecum in high median or subhepatic position. If it is complete, the entire small intestine is on the right, the entire large intestine is on the left; there is no third duodenum, and the second duodenum is anastomosed in the jejunum to the right of the superior mesenteric vessels. Cecal volvulus is a rarely encountered cause of acute intestinal occlusion and should be considered as a surgical emergency. There exist two main types of volvulus: by twisting of the large intestine around its axis, which remains in place; or by tilt and to rotation of the colon, which changes position.</p></div>","PeriodicalId":49271,"journal":{"name":"Journal of Visceral Surgery","volume":"161 3","pages":"Pages 226-227"},"PeriodicalIF":2.1,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140060894","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}
Doris Da Silva , Jean-Christophe Vaillant , Sebastien Gaujoux
{"title":"Mesenteric and portal venous resections during pancreatoduodenectomy","authors":"Doris Da Silva , Jean-Christophe Vaillant , Sebastien Gaujoux","doi":"10.1016/j.jviscsurg.2024.04.003","DOIUrl":"10.1016/j.jviscsurg.2024.04.003","url":null,"abstract":"","PeriodicalId":49271,"journal":{"name":"Journal of Visceral Surgery","volume":"161 3","pages":"Pages 200-205"},"PeriodicalIF":2.1,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1878788624000547/pdfft?md5=4a1c3366b283a38f54403718d9eb944b&pid=1-s2.0-S1878788624000547-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140759007","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}
{"title":"Symptomatic ileal duplication","authors":"Edouard Roussel, Lola Duhamel, Jean-Jacques Tuech","doi":"10.1016/j.jviscsurg.2024.02.004","DOIUrl":"10.1016/j.jviscsurg.2024.02.004","url":null,"abstract":"<div><p>A pathology well known by pediatric surgeons, ileal duplication is in rare instances a cause of acute surgical abdomen in adults; that said, its atypical presentation often leads it to be mistaken for other etiologies. Even though it is benign in children, the risk of malignant transformation in adults should be taken into account in surgical procedures.</p></div>","PeriodicalId":49271,"journal":{"name":"Journal of Visceral Surgery","volume":"161 3","pages":"Pages 224-225"},"PeriodicalIF":2.1,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139991635","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}
{"title":"Acute cholecystitis with double gall bladder diaphragm","authors":"Fatma Ezzahra Najib, Moez Sahnoun, Adnen Chouchen","doi":"10.1016/j.jviscsurg.2024.04.002","DOIUrl":"10.1016/j.jviscsurg.2024.04.002","url":null,"abstract":"<div><p>Gall bladder diaphragm is a rare congenital malformation of the gall bladder, entailing its segmentation in several chambers. Functioning as a non-return valve, it interferes with drainage, leading to gallstone formation and cholecystitis. We are reporting a rare case of acute cholecystitis with a double vesicular diaphragm.</p></div>","PeriodicalId":49271,"journal":{"name":"Journal of Visceral Surgery","volume":"161 3","pages":"Pages 228-229"},"PeriodicalIF":2.1,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140770217","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}