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Perioperative assessment of colorectal anastomoses with flexible endoscopy.
Updates Surg
December 2024
Division of Colorectal Surgery, Department of Surgery, Jacobi Medical Center, New York City Health and Hospitals, New York, NY, USA.
Flexible sigmoidoscopy has emerged as a vital tool for the purpose of assessing colorectal anastomoses: a procedure that can play a crucial role in reducing postoperative complications. The present technical note aims at describing a comprehensive strategy for the perioperative evaluation of colorectal anastomoses integrity. An endoscopic grading system is utilized to categorize findings, ensuring consistency and external validity.
View Article and Find Full Text PDFThe role of combining interim and final analysis by using endoscopic and radiologic methods in total neoadjuvant treatment.
Am J Surg
November 2024
Department of Colorectal Surgery, Digestive Disease and Surgery Institute, Cleveland Clinic, Cleveland, OH, USA. Electronic address:
Article Synopsis
- The study compares the effectiveness of flexible sigmoidoscopy (FS), magnetic resonance imaging (MRI), and their combinations for assessing complete response (CR) in rectal cancer after total neoadjuvant treatment (TNT).
- During the evaluation of 208 patients, FS alone showed the highest sensitivity for detecting CR and achieved moderate concordance with the results.
- The findings suggest that while final FS and MRI offer the best concordance for CR, interim MRI may not provide significant additional benefit and could be excluded from assessments.
Protective effects of long term antiplatelet and anticoagulant therapy in hospitalized patients with inflammatory bowel disease.
World J Gastrointest Pharmacol Ther
November 2024
Department of Gastroenterology, St. Luke's University Health Network, Bethlehem, PA 18015, United States.
Background: Inflammatory bowel disease (IBD), with its rising prevalence rates is associated with an increased risk of cardiovascular and thromboembolic events. Antiplatelets and/or anticoagulants agents are often prescribed but the literature on the impact of long-term anticoagulation and/or antiplatelet use among patients hospitalized with IBD is scarce. The aim of this study is to assess the outcomes of patients hospitalized with IBD on antiplatelet and/or anticoagulant agents.
View Article and Find Full Text PDFArticle Synopsis
- Rectal bleeding can signal both benign and serious conditions like colorectal cancer (CRC) and inflammatory bowel disease (IBD), making it crucial to assess its cause promptly.
- The study reviewed 344 patients with isolated rectal bleeding and positive fecal immunochemical tests (FIT), finding 25.9% had significant bowel pathologies, including cancer and IBD, primarily located distal to the splenic flexure.
- Flexible sigmoidoscopy (FS) is shown to be an effective initial diagnostic tool, allowing for better patient management by downgrading those without cancer to routine follow-ups, thus optimizing healthcare resources.
Histological scores are poor predictors of short term outcomes in acute severe ulcerative colitis: An observational study.
Dig Liver Dis
January 2025
Department of Gastroenterology, Postgraduate Institute of Medical Education and Research, Chandigarh, India. Electronic address:
Article Synopsis
- * Out of 82 patients, a significant number did not respond to steroid treatment, but the baseline histological scores did not show a strong association with the need for second-line therapy or colectomy.
- * The conclusion suggests that these histological scores are not reliable predictors for treatment needs in ASUC, prompting a call for further research on their long-term impact.
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