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

 

 

Title: Patient-Reported Work Ability During the First Two Years After Rectal Cancer Diagnosis
Video Creator:  Alice M. Couwenberg, M.D. • Martijn P.W. Intven, M.D., Ph.D. • Madelijn Leoniek Gregorowitsch, M.D. • Cees Haaring, B.Sc •
Wilhelmina van Grevenstein, M.D., Ph.D. • Helena MariekeVerkooijen, M.D., Ph.D.
Description:  Patient-reported work ability deteriorates during rectal cancer treatment. Within 24 months after diagnosis, work ability returns to
pretreatment level but remains lower than that of the general population.

 

Title: Frailer Patients Undergoing Robotic Colectomies for Colon Cancer Experience Increased Complication Rates Compared With Open or Laparoscopic Approaches

Creator: Brian D. Lo, B.S. • Ira L. Leeds, M.D., M.B.A., Sc.M. • Margaret H. Sundel, M.D. Susan Gearhart, M.D. • Gabriela Nisly, B.S. • Bashar Safar, M.B.B.S.Chady Atallah, M.D. • Sandy H. Fang, M.D.

Description: Although minimally invasive surgical approaches have decreased postoperative complications, this effect may be reversed in frail patients. These findings challenge the belief that robotic surgery provides a favorable alternative to open surgery in frail patients.

 

Title: Oncological Outcomes and Hospital Costs of the Treatment in Patients With Rectal Cancer: Watchand-Wait Policy and Standard Surgical Treatment

Creator: Britt J.P. Hupkens, M.D. • Stéphanie O. Breukink, M.D., Ph.D.  • Jan H.M.B. Stoot, M.D., Ph.D. • Renee E Toebes, B.Sc.• Marit E. van der Sande, M.D.  • Jarno Melenhorst, M.D., Ph.D. • Geerard L. Beets, M.D., Ph.D. •   Carmen D. Dirksen, M.Sc., Ph.D.

Description: Overall survival was good in both subgroups and comparable to literature. The mean costs per patient differ between the watch-and-wait subgroup (€6713) and the total mesorectal excision subgroup (€17,108). No comparison between the groups could be made. Based on the results of this study, the current strategy, where patients with a clinical complete response are treated in a watch-and-wait policy, and patients with an incomplete response are treated with total mesorectal excision, is likely to be (cost)saving.

 

Title: Can We Predict Surgically Complex Diverticulitis in Elective Cases?

Creator: Yuksel Altinel, M.D. • Paul M. Cavallaro, M.D. • Rocco Ricciardi, M.D., M.P.H. • Marc S. Rubin, M.D. • Ronald Bleday, M.D. • Fraz Ahmed, M.D., M.P.H  • .Liliana Bordeianou, M.D., M.P.H.

Description: Patients undergoing elective surgery for complex diverticulitis did not have more episodes.Instead, complex diverticulitis may be a reflection of a complicated patient, suggesting that complicated patients should have a different algorithm of care at the time of their initial presentation with diverticulitis to prevent the development of complex disease.

 

Title: Minimal Open Hemorrhoidectomy Versus Transanal Hemorrhoidal Dearterialization: The Effect on Symptoms: An Open-Label Randomized Controlled Trial

Creators: Haavard D. Roervik, M.D. • André H. Campos, M.D. • Karl Styr, M.D. •  Lars Ilum, M.D. • Grant K. McKinstry, M.D. • Birgitte Brandstrup, M.D., Ph.D. •   Gunnar Olaison, M.D., Ph.D.

Description: No difference was found in symptom score 1 year postoperatively. Minimal open hemorrhoidectomy had a better effect on the

hemorrhoidal prolapse and higher patient satisfaction. More patients needed treatment for recurrence after transanal hemorrhoidal dearterialization. Minimal open hemorrhoidectomy has an immediate postoperative course similar to transanal hemorrhoidal dearterialization.

 

Title: Accidental Bowel Leakage Evaluation: A New Patient-Centered Validated Measure of Accidental Bowel Leakage Symptoms in Women

Creator: Rebecca G. Rogers, M.D. • Vivian W. Sung, M.D. • Emily S. Lukacz, M.D.  • Pamela Fairchild, M.D. • Lily A. Arya, M.D. • Matthew D. Barber, M.D., M.H.S.  •  D. Markland, M.D. • Nazema Y. Siddiqui, M.D. • Carla M. Bann, Ph.D., on behalf of the National Institute of Child Health and Human Development Pelvic Floor Disorders Network

Description: The Accidental Bowel Leakage Evaluation instrument is a reliable, patient-centered measure with good validity properties. This instrument improves on currently available measures by adding patient-important domains of predictability, awareness, control, emptying, and discomfort.

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