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Diseases of the Colon and Rectum Journal June 2020 Video Abstracts and Editor Picks

Top newsworthy articles in June 2020 issue of Diseases of the Colon and Rectum.

 

Read a viewpoint from Italian colorectal surgeons on what the United States and other countries can expect based on the Italian sxperience with SARS-COV-2. Authors: Pellino, Gianluca Ph.D., F.R.C.S.1,2; Spinelli, Antonino M.D., Ph.D.3,4

1 Department of Advanced Medical and Surgical Sciences, Università degli Studi della Campania “Luigi Vanvitelli,” Naples, Italy

2 Colorectal Unit, Vall d’Hebron University Hospital, Barcelona, Spain

3 Humanitas Clinical and Research Center—IRCCS, Rozzano, Milan, Italy

4 Department of Biomedical Sciences, Humanitas University, Pieve Emanuele, Milan, Italy

Diseases of the Colon & Rectum: June 2020 – Volume 63 – Issue 6 – p 720-722https://journals.lww.com/dcrjournal/Fulltext/2020/06000/How_Coronavirus_Disease_2019_Outbreak_Is_Impacting.3.aspx

 

Title: The American Society of Colon and Rectal Surgeons Clinical Practice Guidelines for the Treatment of Left-Sided Colonic Diverticulitis. Authors: Hall, Jason M.D., M.P.H.; Hardiman, Karin M.D., Ph.D.; Lee, Sang M.D.; Lightner, Amy M.D.; Stocchi, Luca M.D.; Paquette, Ian M. M.D.; Steele, Scott R. M.D., M.B.A.; Feingold, Daniel L. M.D.; Prepared on behalf of the Clinical Practice Guidelines Committee of the American Society of Colon and Rectal Surgeons.  Developed by a panel of the ASCRS Clinical Practice Guidelines Committee, the new recommendations are now posted on the DC&R website. 

Title: Salvage Abdominoperineal Resection for Anal Squamous Cell Carcinoma: Use, Risk Factors, and Outcomes in a Canadian Population


Authors: Patel, Sunil V. M.Sc., M.D.1,2; Ko, Gary M.D.1; Raphael, Michael J. M.D.2,3; Booth, Christopher M. M.D.2–4; Brogly, Susan B. M.Sc., Ph.D.1; Kalyvas, Maria M.D.5; Li, Wenbin M.Sc.4; Hanna, Timothy Ph.D., M.D.2,4,5

1 Department of Surgery, Queen’s University, Kingston, Ontario, Canada

2 Division of Cancer Care and Epidemiology, Queen’s University, Kingston, Ontario, Canada

3 Department of Oncology, Queen’s University, Kingston, Ontario, Canada

4 ICES, Queen’s University, Kingston, Ontario, Canada

5 Division of Radiation Oncology, Queen’s University, Kingston, Ontario, Canada

Description: In this large, contemporary cohort of patients with squamous cell carcinoma of the anus, the proportion of patients undergoing salvage surgery was considerably lower than previous reports. Younger age was associated with salvage surgery, and there was a suggestion of lower risk of salvage surgery with completion of chemoradiation. Patients requiring salvage surgery had poor 5-year overall survival. Diseases of the Colon & Rectum. 63(6):748-757, June 2020. https://journals.lww.com/dcrjournal/Fulltext/2020/06000/Salvage_Abdominoperineal_Resection_for_Anal.7.aspx

Title: Survival Benefit for Metformin Through Better Tumor Response by Neoadjuvant Concurrent Chemoradiotherapy in Rectal Cancer


Kim, Jung Min M.D.1; Park, Jung Won M.D.1; Lee, Jin Ha M.D.1; Park, Ye Hyun M.D.1; Park, Soo Jung M.D., Ph.D.1; Cheon, Jae Hee M.D., Ph.D.1; Kim, Won Ho M.D., Ph.D.1; Kim, Tae Il M.D., Ph.D.1,2,3

1 Department of Internal Medicine and Institute of Gastroenterology, Yonsei University College of Medicine, Seoul, Republic of Korea

2 Yonsei Cancer Prevention Center, Seoul, Republic of Korea

3 Brain Korea 21 PLUS Project for Medical Science, Yonsei University College of Medicine, Seoul, Republic of Korea

Description:  Metformin use was associated with better tumor responses and cancer-specific survival, as well as a lower risk of cancer recurrence, in patients with diabetes mellitus who had lymph node downstaging after neoadjuvant concurrent chemoradiotherapy in rectal cancer. Diseases of the Colon & Rectum. 63(6):758-768, June 2020.  https://journals.lww.com/dcrjournal/Fulltext/2020/06000/Survival_Benefit_for_Metformin_Through_Better.8.aspx

 

Title: Long-term Oncological Outcomes Following Anastomotic Leak in Rectal Cancer Surgery


Authors: 

ORIGINAL CONTRIBUTIONS: COLORECTAL CANCER

Long-term Oncological Outcomes Following Anastomotic Leak in Rectal Cancer Surgery

Crippa, Jacopo M.D.1; Duchalais, Emilie M.D.1; Machairas, Nikolaos M.D.1; Merchea, Amit M.D.2; Kelley, Scott R. M.D.1; Larson, David W. M.D., M.B.A.1

1 Division of Colon & Rectal Surgery, Mayo Clinic, Rochester, Minnesota

2 Division of Colon & Rectal Surgery, Mayo Clinic, Jacksonville, Florida

Description:  The occurrence of anastomotic leak after restorative resection for rectal cancer did not impact long-term oncological outcomes in our cohort of patients. Diseases of the Colon & Rectum. 63(6):769-777, June 2020. https://journals.lww.com/dcrjournal/Fulltext/2020/06000/Long_term_Oncological_Outcomes_Following.9.aspx 

 
Title: Outcomes of Minimally Invasive Versus Open Proctectomy for Rectal Cancer: A Propensity-Matched Analysis of Bi-National Colorectal Cancer Audit Data 

Authors: Bedrikovetski, Sergei B.H.Sc.(Hons.)1; Dudi-Venkata, Nagendra N. M.B.B.S. GDipSurgicalEd.1,2; Kroon, Hidde M. M.D., Ph.D.2; Moore, James W. M.D., F.R.A.C.S.2; Hunter, Ronald A. M.B.B.S., F.R.A.C.S.2; Sammour, Tarik M.B.Ch.B., F.R.A.C.S., Ph.D.1,2

1 Faculty of Health and Medical Science, School of Medicine, University of Adelaide, Adelaide, South Australia, Australia

2 Colorectal Unit, Department of Surgery, Royal Adelaide Hospital, Adelaide, South Australia, Australia

Description:  In this patient population, minimally invasive proctectomy demonstrated similar margin rates in comparison with open proctectomy, with a reduced length of stay but a higher overall complication rate.  Diseases of the Colon & Rectum. 63(6):778-787, June 2020. https://journals.lww.com/dcrjournal/Fulltext/2020/06000/Outcomes_of_Minimally_Invasive_Versus_Open.10.aspx

Title: Endoscopic Step Up: A Colon-Sparing Alternative to Colectomy to Improve Outcomes and Reduce Costs for Patients With Advanced Neoplastic Polyps


Authors: Cohan, Jessica N. M.D., M.A.S.1; Donahue, Colleen M.D.2; Pantel, Haddon J. M.D.2; Ricciardi, Rocco M.D.3; Kleiman, David A. M.D., M.Sc.4; Read, Thomas E. M.D.5; Marcello, Peter W. M.D.4

1 Department of Surgery, University of Utah, Salt Lake City, Utah

2 Division of General Surgery, Lahey Hospital and Medical Center, Burlington, Massachusetts

3 Department of Surgery, Massachusetts General Hospital, Boston, Massachusetts

4 Division of Colon and Rectal Surgery, Lahey Hospital and Medical Center, Burlington, Massachusetts

5 Department of Surgery, University of Florida, Gainesville, Florida

Description:  An endoscopic step-up approach to colon polyps is associated with less morbidity, decreased healthcare costs, and colon preservation in 95% of patients. Additional studies are needed to evaluate long-term quality of life and polyp recurrence in this group. Diseases of the Colon & Rectum. 63(6):842-849, June 2020. https://journals.lww.com/dcrjournal/Fulltext/2020/06000/Endoscopic_Step_Up__A_Colon_Sparing_Alternative_to.18.aspx 

 

Title: Peer Support as an Ideal Solution for Racial/Ethnic Disparities in Colorectal Cancer Screening: Eveidence from a Systematic Review and Meta-analysis. Hu, Jieman Ph.D.1,2; Wu, Yuanyu M.D.1; Ji, Fujian M.D.1; Fang, Xuedong M.D.1,2,3; Chen, Fangfang M.D.1,3,4

1 Department of Gastrointestinal Colorectal and Anal Surgery, China-Japan Union Hospital of Jilin University, Changchun, China

2 School of Nursing, Jilin University, Changchun, China

3 State Key Laboratory of Inorganic Synthesis and Preparative Chemistry, College of Chemistry, Jilin University, Changchun, China

Description: Peer support can significantly improve the awareness about and the intention for receiving colorectal cancer screening in ethnic minorities and is an ideal choice for promoting the screening among ethnic minorities, particularly in a diverse community. Peer support intervention is recommended to promote the implementation of screening in Asian Americans. Peer counseling is worth promoting; however, church-based peer counseling programs require enhanced management to maintain their fidelity.

 

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