GI Surgery – Colorectal
RCT | Pelvic floor rehabilitation after rectal cancer surgery.
26 Sep, 2022 | 12:04h | UTC
Patient Preference RCT | Short-term anti-TNF therapy with surgical closure vs. anti-TNF therapy alone in the treatment of perianal fistulas in Crohn’s disease.
21 Sep, 2022 | 13:09h | UTCShort-term anti-TNF therapy with surgical closure versus anti-TNF therapy in the treatment of perianal fistulas in Crohn’s disease (PISA-II): a patient preference randomised trial – The Lancet Gastroenterology & Hepatology (link to abstract – $ for full-text)
Podcast: Elise Meima-van Praag on surgical closure for Crohn’s disease perianal fistulas
Commentary: Anti-TNF, surgical closure induces long-term healing in Crohn’s fistulas – Healio (free registration required)
Commentary on Twitter
In our latest issue – Short-term anti-TNF therapy with surgical closure versus anti-TNF therapy in the treatment of perianal fistulas in Crohn's disease (PISA-II): a patient preference randomised trialhttps://t.co/TY8EaZNDig @CRSugergyAUMC #gitwitter #SoMe4Surgery #ibd pic.twitter.com/Y7SY3mTNE9
— The Lancet Gastroenterology & Hepatology (@LancetGastroHep) June 20, 2022
Preliminary results of a RCT | Once-only colonoscopy vs. two rounds of fecal immunochemical testing 2 years apart for colorectal cancer screening.
20 Sep, 2022 | 13:29h | UTCOnce-only colonoscopy or two rounds of faecal immunochemical testing 2 years apart for colorectal cancer screening (SCREESCO): preliminary report of a randomised controlled trial – The Lancet Gastroenterology & Hepatology (link to abstract – $ for full-text)
Commentary: Two Rounds of FIT vs Single Colonoscopy as a One-time CRC Screening – Medscape (free registration required)
M-A of randomized trials | Transanal tube vs. defunctioning stoma after low anterior resection for rectal cancer.
19 Sep, 2022 | 12:37h | UTC
The risk of subsequent surgery following bowel resection for Crohn’s disease in a national cohort of 19,207 patients.
19 Sep, 2022 | 12:33h | UTCThe risk of subsequent surgery following bowel resection for Crohn’s disease in a national cohort of 19,207 patients – Colorectal Disease (link to abstract – $ for full-text)
Commentary: Investigators Assess Risk of Further Surgery for Crohn’s Disease Patients – HCPLive
RCT | Short-term outcomes of laparoscopy-assisted vs. open surgery for patients with low rectal cancer.
16 Sep, 2022 | 12:58h | UTC
Commentary on Twitter
The LASRE trial established the short-term oncologic safety of using laparoscopic surgery for low rectal cancer. The rate of complete total mesorectal excision was practically identical with laparoscopic surgery (85.3%) vs open surgery (85.8%). https://t.co/Ova2HnfO6p #Research
— JAMA Oncology (@JAMAOnc) September 15, 2022
RCT | Robotic vs. laparoscopic surgery for middle and low rectal cancer.
15 Sep, 2022 | 13:09h | UTCRobotic versus laparoscopic surgery for middle and low rectal cancer (REAL): short-term outcomes of a multicentre randomised controlled trial – The Lancet Gastroenterology & Hepatology (link to abstract – $ for full-text)
Commentaries:
Robotic Surgery Tops Laparoscopic Surgery for Middle and Low Rectal Cancer — Randomized trial shows fewer positive circumferential resection margins with robotic technique – MedPage Today (free registration required)
Commentaries on Twitter
RCT: Robot versus laparoscopic surgery for middle and low rectal cancer – 11 hospitals, 1171 patients
🤖 vs lap:
CRM+ 4% vs 7%
Complications 16% vs 23%
APR 17% vs 23%
Conversion 2% vs 4%https://t.co/3mU9m7sDVB#colorectalcancer #colorectalsurgery— Ville Sallinen (@villesallinen) September 8, 2022
New research online – Feng et al – Robotic versus laparoscopic surgery for middle and low rectal cancer (REAL): short-term outcomes of a multicentre randomised controlled trialhttps://t.co/B60DV5e4iJ#GITwitter @OncoAlert #rectalcancer #crcsm #SoMe4Surgery pic.twitter.com/9NoXXyCGwM
— The Lancet Gastroenterology & Hepatology (@LancetGastroHep) September 8, 2022
RCT | Extended duration thromboprophylaxis (continued for 56 days postoperatively) is not beneficial after surgical resection of colorectal cancer.
14 Sep, 2022 | 13:22h | UTC
Guideline | Fecal immunochemical testing in patients with signs or symptoms of suspected colorectal cancer.
31 Aug, 2022 | 11:52h | UTCCommentary: Guidelines update: use of FIT in colorectal cancer referrals – PULSE
RCT | Colorectal Endoscopic Stenting Trial (CReST) for obstructing left-sided colorectal cancer.
30 Aug, 2022 | 11:58h | UTC
Cohort Study | Failure to rescue after reoperation for major complications of elective and emergency colorectal surgery.
26 Aug, 2022 | 13:15h | UTC
Commentary on Twitter
Failure-to-Rescue after Colorectal Surgery
☢️ Reoperation 2x after emergency surgery
💀 Failure-to-rescue 3x after emergency surgery
4 complications in ~75% of cases
👉 anastomotic leak, fascial rupture, bleeding, bowel obstructionhttps://t.co/XvRX4UVtwY #SoMe4Surgery pic.twitter.com/RJSirOI0F2— Ville Sallinen (@villesallinen) August 2, 2022
Under a Creative Commons Attribution (CC BY 4.0) license
Single-arm Phase 2 study | Neoadjuvant chemotherapy, excision, and observation for early rectal cancer.
23 Aug, 2022 | 12:53h | UTC
Commentary from the author on Twitter (thread – click for more)
Pleased to share our @CDNCancerTrials NEO Trial results: 79% of patients with cT1-3bN0 #rectalcancer had organ sparing therapy with 3 mo of FOLFOX/CAPOX and transanal surgery. @drcarl_vancouvr @JCO_ASCO @OncoAlert https://t.co/gfcywHk7Y0
— Hagen Kennecke (@HKennecke) August 18, 2022
Network M-A | Comparison of doses and injection sites of botulinum toxin for chronic anal fissure.
17 Aug, 2022 | 13:48h | UTC
Editorial | Doctors’ reluctance to discuss anal sex is letting down young women.
16 Aug, 2022 | 13:47h | UTCNews Release: Doctors’ reluctance to discuss anal sex is letting down young women – BMJ Newsroom
Editorial: Young women and anal sex – The BMJ
RCT | Hughes abdominal closure vs. standard mass closure to reduce incisional hernias following surgery for colorectal cancer.
9 Aug, 2022 | 12:56h | UTC
Mucinous rectal cancers: clinical features and prognosis in a population-based cohort.
4 Aug, 2022 | 13:17h | UTCMucinous rectal cancers: clinical features and prognosis in a population-based cohort – BJS Open
Commentary on Twitter
Colleagues from 🇸🇪 present data on 263 mucinous #rectalcancer
-53% stage III/28% stage IV
-5 yr OS 55%
-pCR achieved in 13%, downstaging also commonly achieved with neoadj CRT.Interesting read!https://t.co/mKCz4vjWHm#Some4surgery #Colorectalsurgery pic.twitter.com/Yc1yHAwyvN
— BJS Open (@BjsOpen) May 4, 2022
M-A | The efficacy of topical sucralfate in improving pain and wound healing after hemorrhoidectomy procedure.
28 Jul, 2022 | 13:02h | UTC
Randomized crossover trial | AI reduces miss rate of precancerous polyps in colorectal cancer screening.
14 Jul, 2022 | 12:29h | UTCNews Release: AI reduces miss rate of precancerous polyps in colorectal cancer screening – Mayo Clinic
Original Study: Impact of Artificial Intelligence on Miss Rate of Colorectal Neoplasia – Gastroenterology
M-A | The effect of fiber supplementation on chronic constipation in adults.
13 Jul, 2022 | 11:30h | UTC
UEG and EAES rapid guideline on transanal total mesorectal excision for rectal cancer.
1 Jul, 2022 | 11:33h | UTC
Systematic Review: Antibiotics for uncomplicated diverticulitis.
27 Jun, 2022 | 11:56h | UTCAntibiotics for uncomplicated diverticulitis – Cochrane Library
Summary: Antibiotics for uncomplicated diverticulitis – Cochrane Library
Related:
Efficacy and Safety of Non-Antibiotic Outpatient Treatment in Mild Acute Diverticulitis (DINAMO-study): A Multicentre, Randomised, Open-Label, Non-Inferiority Trial – Annals of Surgery (link to abstract – $ for full-text)
Elective surgical management of diverticulitis – Current Problems in Surgery
Management of Colonic Diverticulitis – Agency for Healthcare Research and Quality
Commentary on Twitter
The benefits of antibiotics in diverticulitis are uncertain with respect to complications, emergency✂️, recurrence, elective colonic resections&long‐term complications. This may be because diverticulitis is❌an infectious disorder, but an inflammatory onehttps://t.co/0HmAllw5Af
— John Damianos, M.D. (@john_damianosMD) June 26, 2022
Systematic Review: Locally recurrent rectal cancer according to a standardized MRI classification system.
27 Jun, 2022 | 11:07h | UTC
M-A: Relationship between serum lipid level and colorectal cancer.
27 Jun, 2022 | 11:01h | UTC
RCT: Modified ligation procedure for prolapsed hemorrhoids vs. stapled hemorrhoidectomy for the management of symptomatic hemorrhoids.
22 Jun, 2022 | 10:59h | UTC
Commentary on Twitter
#haemorrhoid #RCT comparing #stapled vs modified ligation
n = 133
modified ligation showed lower pain, incontinence, and recurrence at 6 months.
See article for explanation of technique#some4surgery@SEIQuirurgica @asgbi @SocSARS @ASiTofficial https://t.co/THRpO1YM6n pic.twitter.com/ux9DGMxBti— BJS Open (@BjsOpen) May 20, 2022
RCT: In people with HIV, treating precancerous anal lesions cuts risk of anal cancer by more than half.
21 Jun, 2022 | 11:11h | UTCOriginal Study: Treatment of Anal High-Grade Squamous Intraepithelial Lesions to Prevent Anal Cancer – New England Journal of Medicine (link to abstract – $ for full-text)
Commentary on Twitter
Randomized trial showed that treating anal high-grade squamous intraepithelial lesions (HSILs) led to a 57% reduction in progression to anal cancer as compared with active surveillance. https://t.co/iulcskP61C pic.twitter.com/Q6Oqty3hgW
— NEJM (@NEJM) June 15, 2022