Barriers to Offering Organ Preservation for Rectal Cancer in a Predominantly Hispanic Safety Net Hospital.

Background: Total neoadjuvant therapy (TNT) for locally advanced rectal cancer (LARC) has shown promise in achieving pathologic complete response (pCR) and enabling organ preservation through watch-and-wait (WW) strategies. However, implementation of WW protocols in diverse patient populations and safety-net hospitals faces unique challenges. The objective of this study is to evaluate TNT outcomes and identify barriers to WW implementation in a predominantly Hispanic safety-net hospital in South Texas.

Current Quality of Videos on Colorectal Cancer Screening for General Public.

Background: One-third of American adults encompassed by current colorectal cancer screening guidelines fail to obtain recommended screening evaluations. Educational videos are a valuable medium through which to educate and encourage recommended health behaviors in patients.

Methods: A cross-sectional study reviewing the quality of patient education videos addressing colorectal cancer screening.

Primary pancreatic cancer of the jejunum: a case report and brief review of literature.

The variable clinical presentation of heterotopic pancreatic (HP) tissue and its malignant transformation makes the diagnosis very challenging. These lesions are very rare, usually not suspected upon initial presentation and for the most part, are diagnosed incidentally on review of pathology following surgical resection. In this study, we are reporting an adenocarcinoma arising from jejunal heterotopic pancreatic tissue in a 59-year-old female and a brief review of previously reported cases.

Critical Evaluation of the Efficiency of Colorectal Fellowship Websites: Cross-sectional Study.

Background: Websites are an important source of information for fellowship applicants, as they can influence ongoing interest and potential program selection.

Objective: This study aims to evaluate the current state of colorectal fellowship websites.

Methods: This cross-sectional study evaluates the quantity and quality of information available on websites of colorectal fellowship programs verified by the Accreditation Council for Graduate Medical Education in 2019.

Colon Trauma: Evidence-Based Practices.

Colon injury is not uncommon and occurs in about a half of patients with penetrating hollow viscus injuries. Despite major advances in the operative management of penetrating colon wounds, there remains discussion regarding the appropriate treatment of destructive colon injuries, with a significant amount of scientific evidence supporting segmental resection with primary anastomosis in most patients without comorbidities or large transfusion requirement. Although literature is sparse concerning the management of blunt colon injuries, some studies have shown operative decision based on an algorithm originally defined for penetrating wounds should be considered in blunt colon injuries.

Psychosocial Support of the Inflammatory Bowel Disease Patient.

Inflammatory bowel disease (IBD) is a chronic, debilitating disease whose effects spread far beyond the gut. IBD does not generally result in excess mortality; health care providers should thus focus their efforts on improving health-related quality of life and minimizing associated morbidity. A bidirectional relationship exists between IBD and psychiatric conditions; chronic inflammation can produce neuromodulatory effects with resultant mood disorders, and the course of IBD is worse in patients with anxiety and depression.

Recurrent metachronous metastatic multifocal renal cell carcinoma to the pancreas.

Renal cell carcinoma (RCC) metastatic to the pancreas may present synchronously or years after the initial diagnosis. In the absence of more widespread disease, surgical extirpation is recommended and is often associated with long-term survival. Most patients present with isolated metastases, with the vast majority of the literature pertaining to this select group.