The main novelties in 2019 are about colorectal surgery and oncologic surgery. Acute diverticulitis and mechanical bowel obstruction are frequently diagnosed in primary care medicine. In 2019, EAES (European Association for Endoscopic Surgery) and SAGES (Society of American Gastrointestinal and Endoscopic Surgeons) published their recommendations for the management of diverticulitis. Recent data, along with our current practice favor ambulatory treatment without antibiotics for mild diverticulitis. For mechanical bowel obstruction, multicentric studies have demonstrated the increasing role of imaging in predicting the need for surgery and reducing operative delays. The role of minimally invasive techniques in this clinical condition is also emphasized. In addition, the latest published results about neoadjuvant treatment of colon and rectal cancer are reviewed.
Download full-text PDF |
Source |
|---|
Publication Analysis
Top Keywords
Similar Publications
Single versus double stapled anastomosis in natural orifice specimen extraction (NOSE) laparoscopic anterior resection.
ANZ J Surg
January 2025
Department of Colorectal Surgery, Liverpool Hospital, Sydney, New South Wales, Australia.
Background: Laparoscopic anterior resection (LAR) with Natural Orifice Specimen Extraction (NOSE) has shown benefits such as reduced pain, fewer wound complications, and improved cosmesis. In colorectal anastomosis during NOSE, double staple anastomosis (DSA) and triple stapled technique (TSA) are common. However, a novel single stapled anastomosis (SSA) technique, utilising two laparoscopically placed purse strings and only four 5 mm ports, has emerged.
View Article and Find Full Text PDFA2-165 metabolizes host- and media-derived chemicals and induces transcriptional changes in colonic epithelium in GuMI human gut microphysiological system.
Microbiome Res Rep
May 2024
Department of Biological Engineering, Massachusetts Institute of Technology, Cambridge, MA 02139, USA.
Recently, a GuMI gut microphysiological system has been established to coculture oxygen-intolerant () A2-165 with organoids-derived primary human colonic epithelium. This study aims to test if this GuMI system applies to different donors with different healthy states and uses metabolomics to reveal the role of gut microbes in modulating host- and diet-derived molecules in the gut lumen. Organoids-derived colonic monolayers were generated from an uninflamed region of diverticulitis, ulcerative colitis, and Crohn's disease patients and then integrated into the GuMI system to coculture with A2-165 for 2 to 4 days.
View Article and Find Full Text PDFAcute complicated jejunum diverticulitis: a case report with a short literature review.
Front Med (Lausanne)
May 2024
Internal Medicine Department, Iuliu Hatieganu University of Medicine and Pharmacy, Cluj-Napoca, Romania.
Article Synopsis
- Jejunal diverticulosis is a rare and often asymptomatic condition that can lead to severe issues like intestinal perforation and hemorrhage.
- A 78-year-old patient with multiple health issues presented with acute abdominal pain, and imaging revealed serious intestinal complications, leading to exploratory surgery.
- The case highlights that diagnosing complicated jejunal diverticulosis can be challenging, and surgical intervention is important to prevent serious complications.
The role of procalcitonin as a risk stratification tool of severity, prognosis, and need for surgery in patients with acute left-sided colonic diverticulitis.
Surgery
July 2024
School of Medicine and Surgery, Università Cattolica del Sacro Cuore, Rome, Italy; Department of Emergency and Trauma Surgery, Fondazione Policlinico Universitario A. Gemelli, IRCCS, Rome, Italy.
Article Synopsis
- * Higher levels of procalcitonin (>0.5 ng/mL) were found to be independent risk factors for complications, surgery, and even mortality in these patients.
- * The research suggests that measuring procalcitonin levels in the emergency department could be a valuable tool for risk stratification in managing this condition.
Endoscopic Management of Colonic Obstruction.
Gastrointest Endosc Clin N Am
January 2024
Department of Internal Medicine, Gastroenterology and Hepatology Section, Baylor College of Medicine, Gastroenterology Section at Baylor St Luke's Medical Center, 7200 Cambridge Street. Suite 8A, Houston, TX 77030, USA. Electronic address:
Large bowel obstruction is a serious event that occurs in approximately 25% of all intestinal obstructions. It is attributed to either benign, malignant, functional (pseudo-obstruction), or mechanical conditions. Benign etiologies of colonic obstructions include colon volvulus, anastomotic strictures, radiation injury, ischemia, inflammatory processes such as Crohn's disease, diverticulitis, bezoars, and intussusception.
View Article and Find Full Text PDFWant AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!