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Death After Colectomy: It's Later Than We Think [Original Article]Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusion The 30-day mortality significantly underreports the true risk of death after CRS. The 90-day mortality rate should be included as a standard outcome measure after CRS because it serves as a better estimation of risk for counseling patients. (Source: Archives of Surgery)
Source: Archives of Surgery - November 16, 2009 Category: Surgery Authors: Visser, B. C., Keegan, H., Martin, M., Wren, S. M. Tags: Oncology, Colon Cancer, Surgery, Surgical Interventions, Colorectal Surgery, Prognosis/ Outcomes Original Article Source Type: journals

Splenic Salvage After Intraoperative Splenic Injury During Colectomy [Original Article]Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions Splenic injury is an infrequent but morbid complication. Splenic salvage is frequently unsuccessful; our data suggest that surgeons should not be reluctant to perform splenectomy when initial repair attempts fail. (Source: Archives of Surgery)
Source: Archives of Surgery - November 16, 2009 Category: Surgery Authors: Holubar, S. D., Wang, J. K., Wolff, B. G., Nagorney, D. M., Dozois, E. J., Cima, R. R., O'Byrne, M. M., Qin, R., Larson, D. W. Tags: Original Article Source Type: journals

Opportunity cost in the evaluation of surgical innovations: a case study of laparoscopic versus open colectomyEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions Although frequently overlooked, opportunity cost is a potentially very important element in assessing the true costs of surgical innovation. Content Type Journal ArticleDOI 10.1007/s00464-009-0728-4Authors Abhishek Chatterjee, Dartmouth Hitchcock Medical Center Department of Surgery Lebanon NH USALilian Chen, Dartmouth Medical School Lebanon NH USAElie A. Goldenberg, Dartmouth Clinic at Concord Hospital Department of Surgery Lebanon NH USAHarold T. Bae, Dartmouth Institute of Health Policy and Clinical Practice Lebanon NH USASamuel R. G. Finlayson, Dartmouth Hitchcock Medical Center Departm...
Source: Surgical Endoscopy - November 13, 2009 Category: Surgery Tags: Surgical Endoscopy Source Type: journals

Influence of colectomy on hydrogen excretion in breathEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions Partial colectomy does not influence the capacity for H2 excretion after oral unabsorbable carbohydrate administration. Content Type Journal ArticleCategory Original ArticleDOI 10.1007/s00384-009-0832-xAuthors Francesc Casellas, Hospital Universitari Vall d’Hebron, Centro de Investigación Biomédica en Red de Enfermedades Hepáticas y Digestivas (Ciberehd) Digestive System Research Unit Pso. Vall d’Hebron 119 Barcelona 08035 SpainA. Torrejón, Hospital Universitari Vall d’Hebron, Centro de Investigación Biomédica en Red de Enfermedades Hepáticas y Digestivas (Ciberehd) Digestive Sy...
Source: International Journal of Colorectal Disease - November 9, 2009 Category: Gastroenterology Tags: International Journal of Colorectal Disease Source Type: journals

A feared complication during laparoscopic left colectomy: the torsion of the colonic stump at staplingEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Content Type Journal ArticleCategory Letter to the EditorDOI 10.1007/s00384-009-0835-7Authors Renato Costi, Hôpital Victor Dupouy Service de Chirurgie Viscérale, Digestive et Urologique Argenteuil FranceXavier Pouliquen, Hôpital Victor Dupouy Service de Chirurgie Viscérale, Digestive et Urologique Argenteuil FranceChristine Manceau, Hôpital Victor Dupouy Service de Chirurgie Viscérale, Digestive et Urologique Argenteuil FranceBernard Vacher, Hôpital Victor Dupouy Service de Chirurgie Viscérale, Digestive et Urologique Argenteuil FranceVincenzo Violi, Università di Parma Istituto di Clinica Chirurgica Generale ...
Source: International Journal of Colorectal Disease - November 3, 2009 Category: Gastroenterology Tags: International Journal of Colorectal Disease Source Type: journals

Effects of hospital and surgeon volumes on operating times, postoperative complications, and length of stay following laparoscopic colectomyEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions Our analysis of data related to laparoscopic colectomy revealed that surgeons’ experience was associated with faster surgery, but not necessarily with reduced operative morbidity. Content Type Journal ArticleCategory Original ArticleDOI 10.1007/s00595-008-4052-8Authors Hideo Yasunaga, University of Tokyo Department of Health Management and Policy, Graduate School of Medicine 7-3-1 Hongo, Bunkyo-ku Tokyo 113-8655 JapanYutaka Matsuyama, University of Tokyo Department of Biostatistics, School of Public Health 7-3-1 Hongo, Bunkyo-ku Tokyo 113-8655 JapanKazuhiko Ohe, University of Tokyo Depart...
Source: Surgery Today - November 2, 2009 Category: Surgery Tags: Surgery Today Source Type: journals

Adenosquamous carcinoma of the sigmoid colon treated by the less invasive procedures of endoscopy and laparoscopy: Report of a caseEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
We report a case of adenosquamous carcinoma of the sigmoid colon treated by less invasive approaches consisting of an endoscopic mucosal resection and a subsequent laparoscopic colectomy. Content Type Journal ArticleCategory Case ReportDOI 10.1007/s00595-009-3961-5Authors Koji Okabayashi, Keio University School of Medicine Department of Surgery 35 Shinanomachi, Shinjuku-ku Tokyo 160-8582 JapanHirotoshi Hasegawa, Keio University School of Medicine Department of Surgery 35 Shinanomachi, Shinjuku-ku Tokyo 160-8582 JapanYoshiyuki Ishii, Keio University School of Medicine Department of Surgery 35 Shinanomachi, Shinjuku-ku...
Source: Surgery Today - November 2, 2009 Category: Surgery Tags: Surgery Today Source Type: journals

Specialty Skills in Coloproctology Stage 1Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This new course had been developed in collaboration with the ACGBI. The course sessions focus on the evaluation and treatment of benign anorectal diseases, pilondal disease and stoma surgery, as well as operative procedures on the abdominal colon including right and left colectomy and Hartmann's procedures. Emphasis will be placed on small group teaching and will be predominantly skills based with utilisation of both animal models and cadaveric dissection. (Source: NLH - Gastroenterology & Liver Diseases - Events)
Source: NLH - Gastroenterology & Liver Diseases - Events - November 2, 2009 Category: Gastroenterology Source Type: events

New Studies Demonstrate Benefits of Minimally Invasive Hysterectomy and Colectomy When Compared To Open Surgery(Oct 30, 2009)Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Cincinnati, OH (October 26, 2009)– Ethicon Endo-Surgery today announced results from two newly published studies that demonstrate a minimally invasive approach in three common procedures resulted in a reduced rate of complications and lower overall cost of care, including a difference of more than $15,000 on average for minimally invasive colectomies, when compared to open surgery. One study compared two types of minimally invasive hysterectomy procedures to open abdominal hysterectomy1 (Source: Johnson and Johnson)
Source: Johnson and Johnson - October 30, 2009 Category: Pharmaceuticals Source Type: organizations

Laparoscopic anterior resection for rectosigmoid cancer: Patient outcomes after implementation of a clinical pathwayEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
A clinical pathway designed for a single type of laparoscopic colorectal surgery for cancer might be helpful in decreasing complication rates and total hospital costs. It has been reported to be effective in reducing costs and shortening length of hospital stays in many situations such as laparoscopic cholecystectomy, colon resection, total colectomy, and gastrointestinal bleeding, as well as when caring for patients in the intensive care unit. A clinical pathway, including surgical details and perioperative management, for patients undergoing laparoscopic anterior resection for rectosigmoid cancer was designed and impleme...
Source: Asian Journal of Endoscopic Surgery - October 28, 2009 Category: Surgery Authors: T.W. Hsu, F.F. Chiang, H.M. Wang Source Type: journals

New Studies Demonstrate Benefits Of Minimally Invasive Hysterectomy And Colectomy When Compared To Open SurgeryEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Ethicon Endo-Surgery announced results from two newly published studies that demonstrate a minimally invasive approach in three common procedures resulted in a reduced rate of complications and lower overall cost of care, including a difference of more than $15,000 on average for minimally invasive colectomies, when compared to open surgery. (Source: Health News from Medical News Today)
Source: Health News from Medical News Today - October 27, 2009 Category: Consumer Health News Tags: Women's Health / Gynecology Source Type: news

[Hand assistance is an alternative to conversion to laparotomy during laparoscopic sigmoidectomy.]Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
CONCLUSIONS: If there is difficulty in exposure or dissection during a laparoscopically assisted sigmoid colectomy, the hand assisted approach is an alternative before the laparotomy. PMID: 19875109 [PubMed - as supplied by publisher] (Source: Cirugia eEspanola)
Source: Cirugia eEspanola - October 27, 2009 Category: Surgery Authors: Murillo Zolezzi A, Murakami Morishige PD, Toledo Valdovinos SA, Maydon González H, Belmonte Montes C Tags: Cir Esp Source Type: journals

Cost-effectiveness of infliximab for the treatment of acute exacerbations of ulcerative colitisEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusion Infliximab induction regimen appears to be a cost-effective treatment option for UC patients hospitalised with an acute exacerbation. Content Type Journal ArticleCategory Original PaperDOI 10.1007/s10198-009-0199-5Authors Yogesh Suresh Punekar, Schering-Plough Ltd Welwyn Garden City AL7 1TW UKNeil Hawkins, Oxford Outcomes Oxford UK Journal The European Journal of Health EconomicsOnline ISSN 1618-7601Print ISSN 1618-7598 (Source: The European Journal of Health Economics)
Source: The European Journal of Health Economics - October 21, 2009 Category: Health Management Tags: The European Journal of Health Economics Source Type: journals

Randomized clinical trial of the effect of glucocorticoids on peritoneal inflammation and postoperative recovery after colectomyEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Recent data have suggested a relationship between postoperative fatigue and the peritoneal cytokine response after surgery. The aim of this study was to test the hypothesis that preoperative administration of glucocorticoids before surgery would decrease fatigue and enhance recovery, by reducing the peritoneal production of cytokines.In a double-blind randomized controlled study, patients undergoing elective, open colonic resection were administered 8 mg dexamethasone or normal saline. Patients were treated within an enhanced recovery after surgery programme. Primary outcomes were cytokine levels in peritoneal drain fluid ...
Source: British Journal of Surgery - October 20, 2009 Category: Surgery Authors: K. Zargar-Shoshtari, T. Sammour, A. Kahokehr, A. B. Connolly, A. G. Hill Tags: Randomized Clinical Trials Source Type: journals

Randomized clinical trial of the effect of glucocorticoids on peritoneal inflammation and postoperative recovery after colectomy.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
CONCLUSION:: Preoperative administration of dexamethasone resulted in a significant reduction in early postoperative fatigue, associated with an attenuated early peritoneal cytokine response. Peritoneal production of cytokines may therefore be important in postoperative recovery. Registration number: ACTRN12607000066482 (http://www.anzctr.org.au/). Copyright (c) 2009 British Journal of Surgery Society Ltd. Published by John Wiley & Sons, Ltd. PMID: 19847865 [PubMed - as supplied by publisher] (Source: The British Journal of Surgery)
Source: The British Journal of Surgery - October 20, 2009 Category: Surgery Authors: Zargar-Shoshtari K, Sammour T, Kahokehr A, Connolly AB, Hill AG Tags: Br J Surg Source Type: journals

Early Readmission After Colectomy Linked to Higher Mortality in Cancer PatientsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
The mortality rate is more than doubled in cancer patients who require readmission within a month of colectomy than for those who do not require early readmission (16% vs 7%). Medscape Medical News (Source: Medscape Today Headlines)
Source: Medscape Today Headlines - October 19, 2009 Category: Consumer Health News Tags: General Surgery Source Type: news

Successful treatment of nonocclusive mesenteric ischemia that developed during the peritransplant period following ABO-incompatible kidney transplantationEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
We describe a 54-year-old man who developed NOMI during the peritransplant period following ABO-incompatible living-donor kidney transplantation, but who was successfully treated with his renal graft function unimpaired. Abdominal pain appeared on the sixth postoperative day (POD), and emergency surgery was performed on POD 8. Discontinuous segmental necrosis extended throughout the small intestine, and the necrotic segments were entirely removed. He thereafter had ischemia of the ascending colon, which was treated with colectomy, and prostaglandin E1 delivered through the related artery prevented advanced n...
Source: Clinical and Experimental Nephrology - October 16, 2009 Category: Urology & Nephrology Tags: Clinical and Experimental Nephrology Source Type: journals

Readmission Mortality Rates Are Surprisingly Higher Than Expected In Elderly Patients After ColectomyEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Readmission to a hospital after standard surgical treatment for colon cancer is far more common than suspected for elderly patients according to researchers who presented their findings at the 2009 Clinical Congress of the American College of Surgeons. (Source: Health News from Medical News Today)
Source: Health News from Medical News Today - October 16, 2009 Category: Consumer Health News Tags: Colorectal Cancer Source Type: news

Modelling dysplasia detection in ulcerative colitis: clinical implications of surveillance intensityEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions: Random biopsy surveillance is sufficiently sensitive to detect large dysplastic fields with significant colorectal cancer risk. Enhanced endoscopy can detect much smaller dysplastic fields, but these have unknown (perhaps much lower) colorectal cancer risk. Small dysplastic fields should not be assumed to indicate a high colorectal cancer risk that warrants colectomy. Prospective studies are needed to define the colorectal cancer risk and optimal management of small dysplastic lesions. (Source: Gut)
Source: Gut - October 15, 2009 Category: Gastroenterology Authors: Awais, D, Siegel, C A, Higgins, P D R Tags: Ulcerative colitis, Colon cancer Colorectal cancer Source Type: journals

Infliximab Linked to Lower Colectomy Rates in Moderate to Severe Active Ulcerative ColitisEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
In randomized controlled trials, patients treated with infliximab for moderately to severely active ulcerative colitis were less likely to undergo colectomy through 54 weeks vs those receiving placebo. Medscape Medical News (Source: Medscape Medical News Headlines)
Source: Medscape Medical News Headlines - October 14, 2009 Category: Consumer Health News Tags: Gastroenterology Source Type: news

Peripheral T-cell lymphoma developing at ileocolonic anastomosis site after colectomy for adenocarcinoma.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
A 69-year-old man underwent right hemicolectomy for colon cancer in the transverse colon in 2005. Two years after surgery, he was admitted with abdominal pain. Colonoscopy revealed a submucosal tumor of approximately 4cm in size at the ileocolonic anastomosis site. In the biopsied samples from the anastomosis site, there was diffuse proliferation of large lymphoid cells, which were immunohistochemically positive for CD3 and CD4, but negative for CD8 and CD20. Clonality analysis of T-cell receptor-beta gene rearrangement revealed a single band, indicating monoclonal proliferation of the T- lymphocytes. Epstein-Barr viru...
Source: Pathology, Research and Practice - October 13, 2009 Category: Pathology Authors: Ikeda JI, Yamauchi A, Hoshida Y, Okamura S, Hashimoto K, Aozasa K, Morii E Tags: Pathol Res Pract Source Type: journals

Hybrid Hand-Assisted Colectomy for Transverse Colon Cancer: A Useful Technique for Non-Expert Laparoscopic SurgeonsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions We conclude that hybrid-HALC for transverse colon cancer is a feasible, convenient, and less-invasive technique, and that it is a useful alternative, especially for non-expert laparoscopic surgeons. Content Type Journal ArticleDOI 10.1007/s00268-009-0244-7Authors Yuji Takakura, Graduate School of Biomedical Science, Hiroshima University Department of Endoscopic Surgery and Surgical Science 1-2-3 Kasumi, Minami-ku Hiroshima 734-8551 JapanMasazumi Okajima, Graduate School of Biomedical Science, Hiroshima University Department of Endoscopic Surgery and Surgical Science 1-2-3 Kasumi, Minami-ku ...
Source: World Journal of Surgery - October 13, 2009 Category: Surgery Tags: World Journal of Surgery Source Type: journals

Neonatal Peritoneal Candidiasis Successfully Treated with Anidulafungin Add-On Therapy (November).Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
CONCLUSIONS: Peritoneal candidiasis is a common complication of bowel perforation in neonates. Anidulafungin's pharmacokinetic and antifungal properties make it a viable therapeutic option in the treatment of this disease in critically ill infants and children. PMID: 19826094 [PubMed - as supplied by publisher] (Source: The Annals of Pharmacotherapy)
Source: The Annals of Pharmacotherapy - October 12, 2009 Category: Drugs & Pharmacology Authors: Varisco BM, Benner KW, Prabhakaran P Tags: Ann Pharmacother Source Type: journals

Familial adenomatous polyposisEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
(FAP) is characterized by the development of hundreds to thousands of adenomas in the rectum and colon during the second decade of life. FAP has an incidence at birth of about 1/8,300, manifests equally in both sexes, and accounts for less than 1% colorectal cancer (CRC) cases. In the European Union, prevalence has been estimated at 1/11,300-37,600. Most patients are asymptomatic for years until the adenomas are large and numerous, and cause rectal bleeding or even anemia, or cancer develops. Generally, cancers start to develop a decade after the appearance of the polyps. Nonspecific symptoms may include constipation or d...
Source: Orphanet Journal of Rare Diseases - October 11, 2009 Category: Internal Medicine Authors: Elizabeth HalfDani BercovichPaul Rozen Source Type: journals

Comparison of colectomy rate after treatment of ulcerative colitis with placebo or infliximabEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Source: Gastroenterology Area: News An article in Gastroenterology from the investigators of the ACT-1 and ACT-2 multicentre trials, report long-term data on colectomy and hospitalisations among patients with moderate-to-severe ulcerative colitis (UC) randomised to infliximab or placebo. In these studies, 728 patients received placebo or infliximab (5 or 10 mg/kg) at weeks 0, 2, and 6, then every 8 weeks through week 46 (ACT-1) or 22 (ACT-2). Colectomy, hospitalisation, and surgery/procedure data through 54 weeks after the first infusion were obtained from ACT-1, ACT-2, and associated data sources. In the pre-s...
Source: NeLM - News - October 7, 2009 Category: Drugs & Pharmacology Source Type: organizations

Robotic-assisted single-incision right colectomy: early experienceEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
We describe our early experience with three robotic single-incision right hemicolectomies.Three robotic single-incision right hemicolectomies were performed using the daVinci-S robotic system, utilizing a single 4 cm incision through or around the umbilicus. The procedure was performed using three robotic arms, a 12 mm camera and two 8 mm robotic ports. A medial to lateral approach was used and an extracorporeal resection and anastomosis was performed after undocking the robot.There were no intraoperative or postoperative complications. Average operative time was 152 min. The first case was converted to non-robotic single-...
Source: The International Journal of Medical Robotics and Computer Assisted Surgery - October 4, 2009 Category: Surgery Authors: Matthew B. Ostrowitz, Dennis Eschete, Harry Zemon, George DeNoto Source Type: journals

Ulcerative Colitis Treatment Reduces Need for Surgery by Almost HalfEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
ROCHESTER, Minn., Oct. 1 /PRNewswire-USNewswire/ -- A new study led by Mayo Clinic researchers has found that ulcerative colitis patients had a 41 percent reduction in colectomy after a year when treated with infliximab, according to a study... (Source: Drugs.com - Clinical Trials)
Source: Drugs.com - Clinical Trials - October 3, 2009 Category: Pharmaceuticals Source Type: clinical trials

Need For Surgery Almost Halved By Ulcerative Colitis TreatmentEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
A new study led by Mayo Clinic researchers has found that ulcerative colitis patients had a 41 percent reduction in colectomy after a year when treated with infliximab, according to a study published in the October 2009 issue of Gastroenterology. (Source: Health News from Medical News Today)
Source: Health News from Medical News Today - October 3, 2009 Category: Consumer Health News Tags: Irritable-Bowel Syndrome Source Type: news

Drug May Help Colitis Patients Avoid SurgeryEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Infliximab linked to fewer colectomies in study patients (Source: Forbes.com Health News)
Source: Forbes.com Health News - October 2, 2009 Category: Consumer Health News Source Type: news

Drug May Help Colitis Patients Avoid SurgeryEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Infliximab linked to fewer colectomies in study patients Source: HealthDay Related MedlinePlus Topics: Medicines, Ulcerative Colitis (Source: MedlinePlus Health News)
Source: MedlinePlus Health News - October 2, 2009 Category: Consumer Health News Source Type: consumer

Ulcerative Colitis Treatment Reduces Need for SurgeryEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
A new study led by Mayo Clinic researchers has found that ulcerative colitis patients had a 41 percent reduction in colectomy after a year when treated with infliximab, according to a study published in the October 2009 issue of Gastroenterology. (Source: Disabled World)
Source: Disabled World - October 1, 2009 Category: Disability Tags: Digestive System Source Type: info

Ulcerative Colitis Treatment Reduces Need For Surgery By Almost HalfEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
A new study led by Mayo Clinic researchers has found that ulcerative colitis patients had a 41 percent reduction in colectomy after a year when treated with infliximab, according to a study published in the October 2009 issue of Gastroenterology. Ulcerative colitis, an inflammatory bowel disease (IBD) that causes chronic inflammation of the colon, is characterized by abdominal pain and diarrhea. (Source: Health News from Medical News Today)
Source: Health News from Medical News Today - October 1, 2009 Category: Consumer Health News Tags: GastroIntestinal / Gastroenterology Source Type: news

Drug Tied to Lower Colectomy Rate in Ulcerative ColitisEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
In patients with moderate-to-severe ulcerative colitis, treatment with infliximab is associated with a significantly lower likelihood of undergoing colectomy within one year, according to a study published in the October Gastroenterology. (Source: Modern Medicine)
Source: Modern Medicine - October 1, 2009 Category: Journals (General) Source Type: info

Preoperative infliximab treatment in patients with ulcerative and indeterminate colitis does not increase rate of conversion to emergent and multistep abdominal surgeryEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusion Infliximab does not appear to increase rates of emergent surgery or multistep procedures in patients undergoing treatment for ulcerative or indeterminative colitis at our institution. Content Type Journal ArticleCategory Original ArticleDOI 10.1007/s00384-009-0800-5Authors Liliana Bordeianou, Harvard Medical School MGH Crohn’s & Colitis Center Boston MA USAHiroko Kunitake, Harvard Medical School MGH Crohn’s & Colitis Center Boston MA USAPaul Shellito, Harvard Medical School MGH Crohn’s & Colitis Center Boston MA USARichard Hodin, Harvard Medical School MGH Crohn’s & Colitis Center Bo...
Source: International Journal of Colorectal Disease - October 1, 2009 Category: Gastroenterology Tags: International Journal of Colorectal Disease Source Type: journals

Image overlay navigation by markerless surface registration in gastrointestinal, hepatobiliary and pancreatic surgeryEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions Our non-invasive markerless registration using physiological markers on the body surface reduced logistical efforts. The image overlay technique is a useful tool when highlighting hidden structures, giving more information. Content Type Journal ArticleCategory TopicsDOI 10.1007/s00534-009-0199-yAuthors Maki Sugimoto, Teikyo University Chiba Medical Center Department of Surgery 3426-3 Anesaki, Ichihara Chiba 299-0111 JapanHideki Yasuda, Teikyo University Chiba Medical Center Department of Surgery 3426-3 Anesaki, Ichihara Chiba 299-0111 JapanKeiji Koda, Teikyo University Chiba Medical Center ...
Source: Journal of Hepato-Biliary-Pancreatic Surgery - October 1, 2009 Category: Surgery Tags: Journal of Hepato-Biliary-Pancreatic Surgery Source Type: journals

Ulcerative Colitis Treatment Reduces Need For Surgery By Almost Half, Study SuggestsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
A new study has found that ulcerative colitis patients had a 41 percent reduction in colectomy after a year when treated with infliximab. (Source: ScienceDaily Headlines)
Source: ScienceDaily Headlines - October 1, 2009 Category: Science Source Type: news

Infliximab Lowers Risk of Colectomy in Ulcerative Colitis (CME/CE)Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Treatment of moderate-to-severe ulcerative colitis with infliximab appears to reduce the need for colectomy, according to an analysis of data from two double-blind studies. (Source: MedPage Today Gastroenterology)
Source: MedPage Today Gastroenterology - October 1, 2009 Category: Gastroenterology Source Type: news

Infliximab reduces need for surgery in ulcerative colititsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
A newly released study led by Mayo Clinic scientists has observed that ulcerative colitis patients had a 41 percent reduction in colectomy after a year when treated with infliximab, as per a research studyreported in the October 2009 issue of Gastroenterology. Typically ulcerative colitis, an inflammatory bowel disease (ibd) that causes chronic inflammation of the colon, is characterized by abdominal pain and diarrhea. Like Crohn's disease, another common IBD, ulcerative colitis can be debilitating and often lead to colectomy or surgical removal of the colon........ (Source: Medicineworld.org: New Article Alert)
Source: Medicineworld.org: New Article Alert - October 1, 2009 Category: Consumer Health News Source Type: info

Ulcerative colitis treatment reduces need for surgery by almost halfEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
(Mayo Clinic) A new study led by Mayo Clinic researchers has found that ulcerative colitis patients had a 41 percent reduction in colectomy after a year when treated with infliximab, according to a study published in the October 2009 issue of Gastroenterology. (Source: EurekAlert! - Medicine and Health)
Source: EurekAlert! - Medicine and Health - October 1, 2009 Category: Global & Universal Source Type: news

Is laparoscopic colon surgery appropriate in patients who have had previous abdominal surgery?Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
The objective of this study was to determine the feasibility of a laparoscopic colectomy in patients who have previously undergone abdominal surgery. We performed a retrospective, single-institution review of laparoscopic colorectal procedures for benign or malignant pathology between October 2002 and September 2008. Our analysis included 55 patients who previously had laparoscopic, open, or a combination of procedures and subsequently underwent laparoscopic colorectal surgery. We observed a 14.5 per cent conversion rate (n = 8). Of the patients who had previous open procedures (n = 48 [87.3%]), the conversion rate was 16....
Source: The American Surgeon - October 1, 2009 Category: Surgery Authors: Barleben A, Gandhi D, Nguyen XM, Che F, Nguyen NT, Mills S, Stamos MJ Tags: Am Surg Source Type: journals

Diverticulitis in California from 1995 to 2006: increased rates of treatment for younger patients.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Colonic diverticular disease is responsible for over 300,000 admissions and expenditures exceeding $2.7 billion/year. There is recent evidence that rates of treatment for diverticulitis have increased in the United States over the last decade. We hypothesize that these national trends of increasing rates of hospitalizations for diverticulitis would be found in an analysis of a single-state discharge database. Data from the Office of Statewide Health Planning and Development were used to analyze treatment for diverticulitis in California from 1995 to 2006. For each hospitalization, surgical care was determined based on ...
Source: The American Surgeon - October 1, 2009 Category: Surgery Authors: Etzioni DA, Cannom RR, Ault GT, Beart RW, Kaiser AM Tags: Am Surg Source Type: journals

Adenocarcinoma in ileal pouch after proctocolectomy for familial adenomatous polyposis: report of a case.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
We report a case of adenocarcinoma in ileal pouch after proctocolectomy with ileal pouch-anal anastomosis. A 56-yr-old woman was diagnosed as having familial adenomatous polyposis. Total colectomy with ileorectal anastomosis was performed. Six years later, she underwent completion-proctectomy with ileal J pouch-anal anastomosis including anorectal mucosectomy for rectal cancer. After 7 yr, she presented with anal spotting. Endoscopic biopsies revealed adenocarcinoma at the ileal pouch. Resection of the ileal pouch and permanent ileostomy were performed. The risk of cancer in an ileal pouch and its prevention with regular s...
Source: J Korean Med Sci - September 30, 2009 Category: Journals (General) Authors: Lee SH, Ahn BK, Chang HK, Baek SU Tags: J Korean Med Sci Source Type: journals

Laparoscopic colorectal surgery: summary of the current evidence.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
CONCLUSIONS: Laparoscopic colorectal surgery proved to be safe, cost-effective and with improved short-term outcomes. However, further studies are needed to assess the role of laparoscopic rectal cancer surgery and the value of enhanced recovery protocols in patients undergoing laparoscopic colorectal resections. PMID: 19833012 [PubMed - in process] (Source: Annals of the Royal College of Surgeons of England)
Source: Annals of the Royal College of Surgeons of England - September 30, 2009 Category: Surgery Authors: Aly EH Tags: Ann R Coll Surg Engl Source Type: journals

Prophylactic colectomy for hyperplastic polyposisEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusion This case highlights the complexity in the management of HP and that even in the absence of confirmed invasive disease, patients may elect to undergo prophylactic colonic resection. Content Type Journal ArticleCategory Case ReportDOI 10.1007/s11845-009-0422-5Authors D. Doran, St. Vincent’s University Hospital Department of Colorectal Surgery Elm Park Dublin 4 IrelandJ. P. Burke, St. Vincent’s University Hospital Department of Colorectal Surgery Elm Park Dublin 4 IrelandA. M. Hanly, St. Vincent’s University Hospital Department of Colorectal Surgery Elm Park Dublin 4 IrelandD. C. Winter,...
Source: Irish Journal of Medical Science - September 29, 2009 Category: Journals (General) Tags: Irish Journal of Medical Science Source Type: journals

Comparison of outcomes after hand-sewn versus stapled ileal pouch-anal anastomosis in 3,109 patientsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Background: The aim of this study was to compare outcomes after primary hand-sewn versus stapled ileal pouch-anal anastomosis (IPAA).Methods: Patients undergoing a primary IPAA (1983–2007) were identified from a prospective pelvic pouch database. Differences between group A (hand-sewn) and group B (stapled) for pre-operative and peri-operative factors, complications, functional outcomes, and quality of life (QOL) were investigated.Results: Of 3,382 patients with a primary IPAA, 3,109 were included. Median follow-up was 7.1 years (0.1–24). Mean age was 37.9 ± 13.2 years. Overall, 1,741 patients (56%) were male. Group A...
Source: Surgery - September 28, 2009 Category: Surgery Authors: Hasan T. Kirat, Feza H. Remzi, Ravi P. Kiran, Victor W. Fazio Tags: Central Surgical Association Source Type: journals

Evolution of Surgical Treatment of Amebiasis-Associated Colon PerforationEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions Perforation is the most frequent surgical complication of invasive amebiasis of the colon, occurring principally in masculine gender and in the fourth decade of life. Resection and stoma creation is the procedure of choice that can resolve the septic focus from the first surgical procedure, depending on the general status of the patient. However, morbidity and mortality are high, and there is a tendency for these to be lower on comparing initial cases with those with recently conducted surgical procedures. Content Type Journal ArticleCategory Original ArticleDOI 10.1007/s11605-009-1036-yAu...
Source: Journal of Gastrointestinal Surgery - September 24, 2009 Category: Surgery Tags: Journal of Gastrointestinal Surgery Source Type: journals

The effect of a total colectomy on the motor inhibition of the upper gut induced by intraileal stimuli in conscious dogsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusion The intraileal stimuli-induced motor inhibition decreased after a total colectomy after the administration of glucose, but not after the administration of either oleate or capsaicin. Content Type Journal ArticleCategory Original ArticleDOI 10.1007/s00595-009-3953-5Authors Munenori Nagao, Tohoku University Graduate School of Medicine Division of Biological Regulation and Oncology, Department of Surgery 1-1 Seiryo-machi, Aoba-ku Sendai 980-8574 JapanChikashi Shibata, Tohoku University Graduate School of Medicine Division of Biological Regulation and Oncology, Department of Surgery 1-1 Seiryo-m...
Source: Surgery Today - September 23, 2009 Category: Surgery Tags: Surgery Today Source Type: journals

Single-incision laparoscopically assisted colectomy using standard laparoscopic instrumentationEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions Single-incision laparoscopic surgery for colectomy is feasible. It can be performed without specialized instrumentation and at no extra cost. Further evaluation is required. Content Type Journal ArticleDOI 10.1007/s00464-009-0683-0Authors Nicholas A. Rieger, The Queen Elizabeth Hospital and the University of Adelaide 11 Woodville Road Woodville South Australia 5011 AustraliaFrancis F. Lam, The Queen Elizabeth Hospital and the University of Adelaide 11 Woodville Road Woodville South Australia 5011 Australia Journal Surgical EndoscopyOnline ISSN 1432-2218Print ISSN 0930-2794 (Source: Surgical Endoscopy)
Source: Surgical Endoscopy - September 17, 2009 Category: Surgery Tags: Surgical Endoscopy Source Type: journals

Ileal pouch for everyone, even when we are not sure of the diagnosis before or at colectomy?Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
No abstract. (Source: Inflammatory Bowel Diseases)
Source: Inflammatory Bowel Diseases - September 15, 2009 Category: Gastroenterology Authors: Bo Shen, Run-Zhou Ni Source Type: journals

Comparison of the clinical and economic outcomes between open and minimally invasive appendectomy and colectomy: evidence from a large commercial payer databaseEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions Minimally invasive appendectomy and colectomy were associated with lower infection rates, fewer complications, shorter hospital stays, and lower expenditures than open surgery. Content Type Journal ArticleDOI 10.1007/s00464-009-0675-0Authors Terrence M. Fullum, Howard University College of Medicine Washington DC USAJoseph A. Ladapo, Beth Israel Deaconess Medical Center and Harvard Medical School Boston MA USABijan J. Borah, i3 Innovus Eden Prairie MN USACandace L. Gunnarsson, S2 Statistical Solutions, Inc 3276 East Sharon Road Cincinnati OH 45241 USA Journal Surgical EndoscopyOnline ...
Source: Surgical Endoscopy - September 15, 2009 Category: Surgery Tags: Surgical Endoscopy Source Type: journals