The August 2020 issue of the journal Diseases of the Colon and Rectum is coming out soon! Be among the first to take a peek at the editor’s top picks

Title: The American Society of Colon and Rectal Surgeons Clinical Practice Guidelines for the Surgical Management of Crohn’s Disease

Authors: Lightner AL, Vogel JD, Carmichael JC, et al.

Description: Updated guideline by the  American Society of Colon and Rectal Surgeons Clinical Practice Guidelines Committee.

Diseases of the Colon & Rectum: August 2020 – Volume 63 – Issue 8 – p 1028-1052

doi: 10.1097/DCR.0000000000001716

 

Title: Salvage surgery with organ preservation for patients with local regrowth after watch and wait: is it still possible?

Authors: Gernandez LM, Figueiredo NL, Habr-Gama A, et al.

Description: Although patients with baseline cT2 rectal cancer had similar pathologic stage at the time of recurrence, these patients were more likely to continue an organ preservation pathway after local regrowth through transanal local excision when compared with cT3 to cT4. Despite differences in the use of radical salvage resection, there were no differences in oncologic outcomes.    

Link to publication: https://journals.lww.com/dcrjournal/Fulltext/2020/08000/Salvage_Surgery_With_Organ_Preservation_for.8.aspx

Diseases of the Colon & Rectum: August 2020 – Volume 63 – Issue 8 – p 1053-1062

doi: 10.1097/DCR.0000000000001707

 

Title: Assessing the quality of rectal cancer pathology reports in national surgical adjuvant breat and bowel project protocol R-04/NRG oncology

Authors:: Sho S, Yothers G, Colangelo  LH, et al.

Description:  Wide variations in the quality of pathology reporting are observed for rectal cancer The National Accreditation Program for Rectal Cancer mandates that programs meet strict quality standards for surgical pathology reporting. Further improvement is needed in this key aspect of oncology care for patients with rectal cancer.    

Diseases of the Colon & Rectum: August 2020 – Volume 63 – Issue 8 – p 1063-1070

doi: 10.1097/DCR.0000000000001578

Title: Preoperative opioid prescription is associated with major complications in patients with Crohn’s disease undergoing elective ileocolic resection

Authors: O’Brien SJ, Chen RC, Stephen VT, et al.

Description:    Preoperative opioid prescription was a significant risk factor for adverse outcomes in patients with Crohn’s disease undergoing elective ileocolic resection.    

Diseases of the Colon & Rectum: August 2020 – Volume 63 – Issue 8 – p 1090-1101

doi: 10.1097/DCR.0000000000001571

 

Title: Opioid prescriptions after hemorrhoidectomy

Authors: Lu PW, Fields AC, Andriotti T, et al.
Description:    There is wide variability in the length of prescription opioid use after hemorrhoidectomy. Approximately one third of patients require a second prescription in the immediate postoperative period. The optimal duration appears to be between a 5- and 10-day supply. Clinicians may be able to more efficiently discharge patients with adequate analgesia while minimizing the potential for excess supply. 

Diseases of the Colon & Rectum: August 2020 – Volume 63 – Issue 8 – p 1118-1126

doi: 10.1097/DCR.0000000000001570

 

Title: The artificial bowel sphincter in the treatment of fecal incontinence, long-term complications

Authors: van der Wilt AA, Breukink SO, sturkenboom R, et al.

Description:  Patients with severe end-stage fecal incontinence can benefit from artificial bowel sphincter, but this requires a large number of reoperations, and at least 20% of patients will eventually have a colostomy. Therefore, careful patient selection and the involvement of patients in decision making regarding the potential benefits and limitations of this technique are paramount. 

Diseases of the Colon & Rectum: August 2020 – Volume 63 – Issue 8 – p 1134-1141

doi: 10.1097/DCR.0000000000001683

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