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Achieving a high cure rate in complex anal fistulas: understanding the conceptual role of the Garg cardinal principles

Garg P, Clemente N, Khaw JCW

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Preventive efficacy of hydrocortisone enema for radiation proctitis in rectal cancer patients undergoing short-course radiotherapy: a phase II randomized placebo-controlled clinical trial

Mohammadianpanah M, Tazang M, Nguyen NP, Ahmadloo N, Omidvari S, Mosalaei A, Ansari M, Nasrollahi H, Kadkhodaei B, Khanjani N, Hosseini SV

Purpose: This study aimed to investigate the efficacy of hydrocortisone enema in preventing radiation proctitis in patients with rectal cancer undergoing short-course radiotherapy (SCRT). Methods: This phase II randomized controlled trial...
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Proctitis distal to colorectal anastomosis: a retrospective cohort study of an underreported complication after sigmoidectomy

Khan A, Nikberg M, Smedh K, Chabok A

Purpose: Proctitis distal to colorectal anastomosis is rare and infrequently reported. We evaluated the incidence, symptoms, treatment, and potential risk factors associated with this condition. Methods: We conducted a retrospective population-based...
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A unique surgical approach to the management of life-threatening, obscure lower gastrointestinal bleeding

Chen N, Daly T, Strugnell N, Hodgson R, Bird D

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Early detection of anastomotic leakage in colon cancer surgery: the role of early warning score and C-reactive protein

Son GM

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Early warning model to detect anastomotic leakage following colon surgery: a clinical observational study

Rajabaleyan P, Jootun R, Möller S, Deding U, Ellebæk MB, al-Najami I, Lindsey I

Purpose: We aimed to develop a predictive tool for anastomotic leakage (AL) following colon cancer surgery by combining a clinical early warning score (EWS) with the C-reactive protein (CRP) level. Methods:...
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Impact of an Enhanced Recovery After Surgery (ERAS) program on the management of complications after laparoscopic or robotic colectomy for cancer

Weets V, Meillat H, Saadoun JE, Dazza M, de Chaisemartin C, Lelong B

Purpose: Enhanced Recovery After Surgery (ERAS) reduces postoperative complications (POCs) after colorectal surgery; however, its impact on the management of POCs remains unclear. This study compared the diagnosis and management...
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The impact of short-course total neoadjuvant therapy, long-course chemoradiotherapy, and upfront surgery on the technical difficulty of total mesorectal excision: an observational study with an intraoperative perspective

Chong CXZ, Koh FH, Tan HL, Sivarajah SS, Ng JL, Ho LML, Aw DKL, Koo WH, Han S, Koo SL, Yip CSP, Wang FQ, Foo FJ, Tan WJ

Purpose: Total neoadjuvant therapy (TNT) is becoming the standard of care for locally advanced rectal cancer. However, surgery is deferred for months after completion, which may lead to fibrosis and...
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Colorectal screening following appendectomy in adult patients: a systematic review

Esposito F, Prete MD, Magri M, Dufour F, Cortes A

Purpose: Although the association between appendicitis and colorectal cancer in older patients has received attention, postoperative colorectal screening through endoscopy is not currently recommended. This study conducted a systematic review...
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Tips and tricks for transluminal specimen extraction and extra-abdominal sigmoid colon resection

Balaban V, Mutyk M, Abumuslimov K, Klochkov M, Mishchenko I, Tsarkov P

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The management of complex fistula in ano by transanal opening of the intersphincteric space (TROPIS): short-term results

Mishra S, Thakur DS, Somashekar U, Verma A, Sharma D

Purpose: Many methods have been used to treat complex fistulas, but no single technique has been considered standard. Damage to the sphincter may sometimes be unavoidable, and incontinence may be...
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Ileostomy volvulus as an underreported problem causing small bowel obstruction in patients living with ostomy: a case report and literature review

Seo J, Seth I, Dooreemeah D, Lee CHA

Purpose: Ileostomy volvulus is a rare cause of small bowel obstruction. We present an unusual case of ileostomy volvulus without the presence of adhesions. Additionally, a systematic literature review was...
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Benefits and risks of diverting stoma creation during rectal cancer surgery

Kawai M, Sakamoto K, Honjo K, Okazawa Y, Takahashi R, Kawano S, Munakata S, Sugimoto K, Ishiyama S, Takahashi M, Kojima Y, Tomiki Y

Purpose: A consensus has been reached regarding diverting stoma (DS) construction in rectal cancer surgery to avoid reoperation related to anastomotic leakage. However, the incidence of stoma-related complications (SRCs) remains...
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Anal canal coronal-sagittal ratio: a novel parameter for diagnosing pelvic floor injury in 2-dimensional transanal ultrasound

Jeong HY, Hyun K, Lee JK

Purpose: Pelvic floor injury diagnosis using 3-dimensional (3D) pelvic floor ultrasound or magnetic resonance imaging is unfeasible in many clinics. We assessed the efficacy of a novel diagnostic parameter, the...
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Garg scoring system to predict long-term healing in cryptoglandular anal fistulas: a prospective validation study

Dawka S, Yagnik VD, Kaur B, Menon GR, Garg P

Purpose: Complex anal fistulas can recur after clinical healing, even after a long interval which leads to significant anxiety. Also, ascertaining the efficacy of any new treatment procedure becomes difficult...
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What can patients expect in the long term from radiofrequency thermocoagulation of hemorrhoids on bleeding, prolapse, quality of life, and recurrence: “no pain, no gain” or “no pain but a gain”?

Didelot JM, Raux B, Didelot R, Rudler F, Mulliez A, Buisson A, Abergel A, Blanc P

Purpose: The purpose of this study was to assess the long-term efficacy of hemorrhoidal radiofrequency thermocoagulation (RFT) on bleeding, prolapse, quality of life (QoL), and recurrence. Methods: This retrospective, single-center study,...
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