Small Bowel Obstruction due to Migrated Intragastric Balloon: A Case Report and Literature Review.

Introduction: With the rising rate of obesity world-wide, there are increasing weight loss options including operative and non-operative techniques. Endoscopic intragastric balloons (IGB) have gained popularity since its inception three decades ago and is viewed as a less invasive alternative to bariatric surgery. However, complications, though rare and probably under-reported, can be associated with significant morbidity and mortality.

Flexible robotic transanal resection of rectal polyps - A case series.

Background: Flexible systems in robotic transanal surgery (RTA) are a proposed solution to the challenges of transanal minimally invasive surgery (TAMIS). RTA was performed with the Medrobotics Flex Robotics System to determine its safety and feasibility.

Methods: Medrobotics Flex Robotics System was used for transanal resection of benign rectal polyps by a single surgeon in a tertiary centre, and cases retrospectively reviewed.

Multiple caecal granular cell tumours-a case report.

Granular cell tumours (GCTs) are generally benign neoplasms, which are believed to be of neural origin. They are uncommon in the gastrointestinal tract. They are rarely found in the colon and even more rarely found to be multiple.

The effect of socioeconomic deprivation on presentation stage and long-term outcomes in patients undergoing colorectal cancer resection in Western Sydney.

Background: While socioeconomic deprivation has been shown to affect survival in colorectal cancer, other factors such as global region of birth and ethnicity also exert an effect. We wished to ascertain the influence of socioeconomic deprivation on stage of presentation and cancer survival in an ethnically diverse Australian population.

Methods: Cases from a database of resections in Western Sydney (n = 1596) were stratified into cohorts of socioeconomic quintiles.

The impact of variations in care and complications within a colorectal Enhanced Recovery After Surgery program on length of stay.

Purpose: Enhanced Recovery After Surgery (ERAS) has become standard of care in colorectal surgery. However, there is not a universally accepted colorectal ERAS protocol and significant variations in care exist between institutions. The aim of this study was to examine the impact of variations in ERAS interventions and complications on length of stay (LOS).

Clinicopathological factors associated with positive circumferential margins in rectal cancers.

Background: Positive circumferential resections are associated with local disease recurrence and reduced survival in rectal cancer. We studied a cohort of consecutive rectal cancer resections to assess for clinicopathological differences and survival in patients with positive and negative circumferential margins.

Methods: Rectal cancers were identified from a retrospective histopathology database of colorectal resections performed at five western Sydney hospitals from 2010 to 2016.

Management of per rectal bleeding is resource intensive.

Background: Haematochezia or per rectal (PR) bleeding is the most common presentation of lower gastrointestinal bleeding. This study analyses the hospital resources used in the management of patients with PR bleeding.

Methods: A retrospective analysis was performed on patients who presented with PR bleeding from June 2012 to December 2013 to a single tertiary centre in Sydney, Australia.