Segmental versus extended resection for sporadic colorectal cancer in young patients.

Background And Objectives: Guidelines on the management of colon cancer state that extensive colectomy should be "considered" for patients of young age (<50). This study aimed to compare the risk of metachronous cancer, overall recurrence and mortality between segmental and extended colon resections in patients under the age of 50 with sporadic CRC.

Methods: We performed a retrospective review of patients age <50 undergoing surgery for CRC from 1991 to 2009.

Obesity increases risk for pouch-related complications following restorative proctocolectomy with ileal pouch-anal anastomosis (IPAA).

Purpose: Restorative proctocolectomy with ileal pouch-anal anastomosis (IPAA) is the preferred surgical treatment for patients with ulcerative colitis and familial adenomatous polyposis. As obesity is becoming more epidemic in surgical patients, the aim of this study was to investigate if obesity increases complication rates following IPAA.

Methods: This study was conducted as a retrospective review of patients undergoing IPAA between January 1990 and April 2011.