Search results for "COLORECTAL SURGERY"

showing 10 items of 57 documents

Safety and efficacy of non-steroidal anti-inflammatory drugs to reduce ileus after colorectal surgery

2019

Ileus is common after elective colorectal surgery, and is associated with increased adverse events and prolonged hospital stay. The aim was to assess the role of non-steroidal anti-inflammatory drugs (NSAIDs) for reducing ileus after surgery.A prospective multicentre cohort study was delivered by an international, student- and trainee-led collaborative group. Adult patients undergoing elective colorectal resection between January and April 2018 were included. The primary outcome was time to gastrointestinal recovery, measured using a composite measure of bowel function and tolerance to oral intake. The impact of NSAIDs was explored using Cox regression analyses, including the results of a c…

Malerenal failureTime Factorsmedicine.medical_treatmentAdult; Aged; Anti-Inflammatory Agents Non-Steroidal; Elective Surgical Procedures; Female; Humans; Ileus; Kaplan-Meier Estimate; Male; Middle Aged; Patient Safety; Postoperative Care; Postoperative Complications; Proportional Hazards Models; Prospective Studies; Recovery of Function; Time Factors; Treatment Outcome; Colectomy; ProctectomyAnti-Inflammatory Agentscolorectal surgery; ileus; non-steroidal anti-inflammatory drugs; NSAIDSKaplan-Meier Estimate030230 surgeryTumours of the digestive tract Radboud Institute for Health Sciences [Radboudumc 14]0302 clinical medicinePostoperative ComplicationsProspective StudiesProspective cohort studyColectomyColorectalColectomyRISKProctectomyHazard ratioAnti-Inflammatory Agents Non-SteroidalAcute kidney injuryMiddle AgedColorectal surgeryNSAIDTreatment OutcomeElective Surgical Procedures030220 oncology & carcinogenesisFemalePatient SafetyNon-SteroidalCohort studyAdultcolorectal Surgery ileus non-steroidal anti-inflammatory drugsmedicine.medical_specialtyIleusNon‐steroidal anti‐inflammatory drugs. NSAIDs. Postoperative ileus. Colorectal surgery.ACUTE KIDNEY INJURYanti-inflammatory agents03 medical and health sciencesIleusInternal medicinemedicineHumansAdverse effectAgedProportional Hazards Modelsnon-steroidal anti-inflammatory drugs - ileus - colorectal surgeryPostoperative Carebusiness.industryRecovery of Functionmedicine.diseaseSettore MED/18 - Chirurgia Generalecolorectal cancer.Surgerycolorectal surgerybusiness
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Risk Factors for Anastomotic Leak After Colon Resection for Cancer

2015

To determine pre-/intraoperative risk factors for anastomotic leak after colon resection for cancer and to create a practical instrument for predicting anastomotic leak risk.Anastomotic leak is still the most dreaded complication in colorectal surgery. Many risk factors have been identified to date, but multicentric prospective studies on anastomotic leak after colon resection are lacking.Fifty-two hospitals participated in this prospective, observational study. Data of 3193 patients, operated for colon cancer with primary anastomosis without stoma, were included in a prospective online database (September 2011-September 2012). Forty-two pre-/intraoperative variables, related to patient, tu…

Malemedicine.medical_specialtyLeakAnastomotic LeakAnastomosisPredictive Value of TestsRisk FactorsmedicineHumansProspective StudiesProspective cohort studyColectomyAgedAged 80 and overbusiness.industryIncidenceCancerMiddle AgedNomogrammedicine.diseaseColorectal surgerySurgeryNomogramsSpainPredictive value of testsColonic NeoplasmsMultivariate AnalysisFemaleSurgerybusinessComplicationAnnals of Surgery
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Impact of perioperative transfusions and sepsis on long-term oncologic outcomes after curative colon cancer resection. A retrospective analysis of a …

2020

Objective: Intra-abdominal septic complications (IASC) affect short-term outcomes after surgery for colon cancer. Blood transfusions have been associated with worse short-term results.The role of IASC and blood transfusions on long-term oncologic results is still debated. This study aims to assess the impact of these two variables on survival after curative colon cancer resection. Patients and methods: Retrospective analysis of a prospectively maintained database of patients who underwent curative surgery for colon cancer at a university hospital, between 1993 and 2010. Cox regression was used to identify the role of IASC and transfusions (alone and combined) on local recurrence (LR), disea…

Malemedicine.medical_specialtyTime FactorsDatabases FactualSurvivalSepsiColorectal cancer030230 surgerycomputer.software_genre03 medical and health sciencesPostoperative Complications0302 clinical medicineSeptic complicationSepsisLocal recurrencemedicineHumansAnastomotic leakPerioperative PeriodAgedRetrospective StudiesAged 80 and overHepatologyDatabaseProportional hazards modelbusiness.industryMortality rateBlood transfusionHazard ratioGastroenterologyPerioperativeMiddle Agedmedicine.diseaseColorectal surgeryColon cancerSurvival RateBowel obstructionTreatment OutcomeAnastomotic leak Blood transfusion Colon cancer Complicaciones sépticas Complicación Complication Cáncer de colon Fuga anastomótica Local recurrence Recurrencia local Sepsis Septic complications Supervivencia Survival Transfusión de sangre030220 oncology & carcinogenesisColonic NeoplasmsFemaleComplicationbusinessComplicationcomputerSeptic complicationsGastroenterología y Hepatología
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Consensus statement of the Italian society of colorectal surgery (SICCR): management and treatment of hemorrhoidal disease

2020

AbstractHemorrhoidal disease (HD) is the most common proctological disease in the Western countries. However, its real prevalence is underestimated due to the frequent self-medication.The aim of this consensus statement is to provide evidence-based data to allow an individualized and appropriate management and treatment of HD. The strategy used to search for evidence was based on application of electronic sources such as MEDLINE, PubMed, Cochrane Review Library, CINAHL, and EMBASE.These guidelines are inclusive and not prescriptive.The recommendations were defined and graded based on the current levels of evidence and in accordance with the criteria adopted by American College of Chest Phys…

medicine.medical_specialtyConsensuspost-operative complicationsStatement (logic)surgical treatmentIatrogenic Diseasehemorrhoidal diseaseMEDLINEconservative treatmentReviewDiseaseCINAHLHemorrhoidal diseasePostoperative complicationsHemorrhoidsPregnancymedicineHumanshemorrhoidal disease; hemorrhoids; surgical treatment; office-based procedures; post-operative complications; special conditions; conservative treatmentLigationDigestive System Surgical ProceduresAgedbusiness.industryoffice-based proceduresGastroenterologyEvidence-based medicinespecial conditionsmedicine.diseaseColorectal surgeryItalyhemorrhoidsFamily medicineFemaleSurgerybusinessColorectal SurgeryTechniques in Coloproctology
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Indocyanine Green-Enhanced Colorectal Surgery—between Being Superfluous and Being a Game-Changer

2020

Nowadays, surgical innovations incorporate new technological conquests and must be validated by evidence-based medicine. The use of augmented reality-assisted indocyanine green (ICG) fluorescence has generated a myriad of intraoperative applications such as demonstration of key anatomical landmarks, sentinel lymph nodes, and real-time assessment of local blood flow. This paper presents a systematic review of the clinical evidence regarding the applications of ICG near-infrared (NIR) fluorescence in colorectal surgery. After we removed duplicate publications and screened for eligibility, a total of 36 articles were evaluated: 23 on perfusion assessment, 10 on lymph node mapping, and 3 on int…

medicine.medical_specialtyindocyanine greenlymph node mappinganastomotic leaksClinical BiochemistrySentinel lymph nodeReview03 medical and health scienceschemistry.chemical_compound0302 clinical medicinenear-infrared (NIR) fluorescencemedicineNir fluorescenceLymph nodelcsh:R5-920Lymph node mappingbusiness.industryColorectal anastomosisColorectal surgeryDissectionmedicine.anatomical_structurechemistry030220 oncology & carcinogenesiscolorectal surgery030211 gastroenterology & hepatologyRadiologylcsh:Medicine (General)businessIndocyanine greenDiagnostics
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Familial risk-colorectal cancer: ESMO Clinical Practice Guidelines.

2013

J. Balmana1, F. Balaguer2, A. Cervantes3 & D. Arnold4, on behalf of the ESMO Guidelines Working Group* Department of Medical Oncology, Hospital Vall d’Hebron, Vall d’Hebron Institute of Oncology (VHIO), Universitat Autonoma de Barcelona, Barcelona; Department of Gastroenterology, Hospital Clinic, CIBERehd, IDIBAPS, University of Barcelona, Barcelona; Department of Hematology and Medical Oncology, INCLIVA, University of Valencia, Valencia, Spain; Department of Medical Oncology, Tumor Biology Clinic, Albert Ludwigs University, Freiburg, Germany;

Riskmedicine.medical_specialtyColorectal cancerChemopreventionDNA Mismatch RepairDNA GlycosylasesNeoplastic Syndromes Hereditaryhealth services administrationMedicineHumansGenetic Predisposition to DiseaseGenetic TestingMultiple PolypsSigmoidoscopyEarly Detection of CancerAgedTumor biologybusiness.industryBrain NeoplasmsGeneral surgeryHematologyColonoscopyFamilial riskMiddle Agedmedicine.diseaseColorectal Neoplasms Hereditary NonpolyposishumanitiesClinical PracticeEuropeOncologyAdenomatous Polyposis Colipopulation characteristicsFemaleMicrosatellite InstabilitybusinessColorectal NeoplasmsColorectal Surgerygeographic locationsAnnals of oncology : official journal of the European Society for Medical Oncology
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Should CT scan be performed when CRP is elevated after colorectal surgery? Results from the inflammatory markers after colorectal surgery study.

2017

Summary Introduction Serum concentration of C-reactive protein (CRP) that exceeds a pre-defined threshold between the 3rd and 5th postoperative day is a reliable marker of infectious complications after colorectal surgery. However, the optimal strategy to follow when a high CRP is found has not been defined. The aim of this study was to analyze the usefulness of computed tomography (CT) scan in this situation in a prospective cohort of patients following colorectal surgery. Methods Between November 2011 and April 2015, patients at two surgical centers who had undergone elective colorectal resection with anastomosis and who had a CRP > 12.5 mg/dL on the 4th postoperative day (POD) were prosp…

Malemedicine.medical_specialtyComputed tomography[SDV.MHEP.CHI]Life Sciences [q-bio]/Human health and pathology/SurgeryAnastomosisSensitivity and Specificity03 medical and health sciences0302 clinical medicineIntra-abdominal infectionPredictive Value of TestsmedicineAnastomotic leakHumansSurgical Wound InfectionProspective Studies[ SDV.MHEP.CHI ] Life Sciences [q-bio]/Human health and pathology/SurgeryProspective cohort studyAgedmedicine.diagnostic_testbiologybusiness.industryC-reactive proteinPostoperative complicationGeneral MedicineColorectal surgery3. Good healthSurgeryC-Reactive Protein030220 oncology & carcinogenesisPredictive value of testsbiology.protein030211 gastroenterology & hepatologyFemaleRadiologyFranceAbdominal computerized tomographyComplicationbusinessColorectal NeoplasmsTomography X-Ray ComputedColorectal SurgerySurgical site infectionBiomarkersCTJournal of visceral surgery
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Supplemental Perioperative Oxygen and the Risk of Surgical Wound Infection<SUBTITLE>A Randomized Controlled Trial</SUBTITLE>

2005

ContextSupplemental perioperative oxygen has been variously reported to halve or double the risk of surgical wound infection.ObjectiveTo test the hypothesis that supplemental oxygen reduces infection risk in patients following colorectal surgery.Design, Setting, and PatientsA double-blind, randomized controlled trial of 300 patients aged 18 to 80 years who underwent elective colorectal surgery in 14 Spanish hospitals from March 1, 2003, to October 31, 2004. Wound infections were diagnosed by blinded investigators using Centers for Disease Control and Prevention criteria. Baseline patient characteristics, anesthetic treatment, and potential confounding factors were recorded.InterventionsPati…

medicine.medical_specialtybusiness.industrymedicine.medical_treatmentSurgical woundGeneral MedicinePerioperativeColorectal surgerySurgerylaw.inventionRandomized controlled triallawRelative riskFraction of inspired oxygenmedicineRisk factorbusinessColectomyJAMA
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Colour Doppler-guided haemorrhoidal artery ligation: an adjunct in identification of haemorrhoidal vessels.

2012

Not available (case report)

HemorrhoidectomyMalemedicine.medical_specialtyHemorrhoidsEndosonographyMedicineHumansMinimally Invasive Surgical ProceduresUltrasonography Doppler ColorLigationbusiness.industrySuture TechniquesGastroenterologyRectumColorectal surgeryAdjunctArtery ligationSettore MED/18 - Chirurgia GeneraleTreatment OutcomeColour dopplerSurgeryRadiologyColour doppler-guided haemorrhoidal artery ligation. Haemorrhoidal artery ligation. haemorrhoidectomy. Transanal haemorrhoidal dearterializationbusinessAbdominal surgeryFollow-Up StudiesTechniques in coloproctology
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Relationship of curative surgery on natural killer cell activity in colorectal cancer.

1996

Aim of this study has been to evaluate natural killer (NK) activity in patients with colorectal tumors before and after curative surgery.Forty colorectal cancer patients without distant metastases were stratified according to American Joint Committee on Cancer/International Union Against Cancer staging system into three categories: Stage I (n = 12), Stage II (n = 15), and Stage III (n = 13). All of them underwent curative resection, and there were no major postoperative complications. Venous blood samples were obtained preoperatively, at surgical wound closure, and on the 1st, 7th, and 21st postoperative days. Mononuclear cells were isolated over Ficoll-Hypaque (Lymphoprep, Nycomed Pharma A…

Malemedicine.medical_specialtyColorectal cancerGastroenterologyNatural killer cellSurgical oncologyInternal medicineCarcinomaMedicineHumansPostoperative PeriodStage (cooking)Cancer stagingAgedNeoplasm Stagingbusiness.industryGastroenterologyCancerGeneral MedicineMiddle Agedmedicine.diseaseCytotoxicity Tests ImmunologicColorectal surgerySurgeryKiller Cells Naturalmedicine.anatomical_structureCase-Control StudiesFemalebusinessColorectal NeoplasmsDiseases of the colon and rectum
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