GI Surgery – Colorectal
Review | New endoscopic tools in inflammatory bowel disease.
18 Oct, 2022 | 12:40h | UTCNew endoscopic tools in inflammatory bowel disease – UEG Journal
Cohort Study | Incidence and survival in synchronous and metachronous liver metastases from colorectal cancer.
17 Oct, 2022 | 12:14h | UTC
15-year benefits of sigmoidoscopy screening on colorectal cancer incidence and mortality: a pooled analysis of randomized trials.
13 Oct, 2022 | 13:48h | UTC15-Year Benefits of Sigmoidoscopy Screening on Colorectal Cancer Incidence and Mortality: A Pooled Analysis of Randomized Trials – Annals of Internal Medicine (link to abstract – $ for full-text)
News Release: One sigmoidoscopy significantly reduces long-term CRC incidence in both men and women – American College of Physicians
Related:
RCT | Effect of colonoscopy screening on risks of colorectal cancer and related death.
ACP Guideline: Screening for Colorectal Cancer in Asymptomatic Average-Risk Adults
Current and future colorectal cancer screening strategies – Nature Reviews Gastroenterology & Hepatology (if the link is paywalled, try this one in PMC)
USPSTF Statement: Start colorectal cancer screening at 45 years for most patients.
ACG Clinical Guidelines: Start colorectal cancer screening at 45
Commentary on Twitter
A pooled analysis evaluating 15-yr effect of sigmoidoscopies found that receiving 1 #sigmoidoscopy significantly reduces long-term incidence of CRC in men and women: https://t.co/QXj5VRMHeo pic.twitter.com/s82sOJmBzr
— Annals of Int Med (@AnnalsofIM) October 11, 2022
RCT | Effect of colonoscopy screening on risks of colorectal cancer and related death.
11 Oct, 2022 | 13:42h | UTCEffect of Colonoscopy Screening on Risks of Colorectal Cancer and Related Death – New England Journal of Medicine (link to abstract – $ for full-text)
Commentaries:
In gold-standard trial, invitation to colonoscopy reduced cancer incidence but not death – STAT
New study examines the effectiveness of colonoscopies – CNN
Podcast | Polyps, polypectomy & surveillance.
4 Oct, 2022 | 14:32h | UTCPolyps, polypectomy & surveillance with Dr. Jennifer Maranki – The Curbsiders
Cohort Study | Adenoma detection rate after a positive FIT is linked to the risk of interval postcolonoscopy colorectal cancer.
4 Oct, 2022 | 14:31h | UTCAdenoma Detection Rate and Risk for Interval Postcolonoscopy Colorectal Cancer in Fecal Immunochemical Test–Based Screening: A Population-Based Cohort Study – Annals of Internal Medicine (link to abstract – $ for full-text)
Commentaries:
Adenoma Detection Rate Tied to CRC Risk After Positive FIT – HealthDay
Commentary on Twitter
New from @ErasmusMC: endoscopists performing colonoscopy in FIT-based screening programs should aim for higher ADRs compared w/ programs that use colonoscopy as primary screening intervention: https://t.co/Fob1gxXF1i pic.twitter.com/y6qoAkOrT9
— Annals of Int Med (@AnnalsofIM) September 30, 2022
RCT | Prucalopride did not improve time to gut function recovery following elective colorectal surgery.
4 Oct, 2022 | 14:29h | UTC
Commentary on Twitter
https://twitter.com/BJSAcademy/status/1574687035805339649
Cohort Study | A clinical calculator for rectal cancer can estimate recurrence after neoadjuvant therapy with or without surgery.
30 Sep, 2022 | 12:34h | UTCInvited Commentary: A Clinical Calculator in the Era of Nonoperative Management for Rectal Cancer—How Should We Intensify or Deescalate Surveillance? – JAMA Network Open
Perspective | Same-day discharge after minimally invasive colectomy.
29 Sep, 2022 | 13:27h | UTCSame-Day Discharge After Minimally Invasive Colectomy – JAMA Surgery (free for a limited period)
RCT | Incisional hernia following colorectal cancer surgery according to suture technique.
27 Sep, 2022 | 13:18h | UTC
RCT | Postoperative packing of perianal abscess cavities increases pain and does not reduce fistula and recurrence rates.
27 Sep, 2022 | 13:17h | UTC
RCT | Cold snare vs. forceps polypectomy on the rates of complete resection of small polyps.
27 Sep, 2022 | 13:06h | UTC
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
https://twitter.com/JAMAOnc/status/1570532915393744896
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