Review
Surgery
Shintaro Kanaka, Akihisa Matsuda, Takeshi Yamada, Ryo Ohta, Hiromichi Sonoda, Seiichi Shinji, Goro Takahashi, Takuma Iwai, Kohki Takeda, Koji Ueda, Sho Kuriyama, Toshimitsu Miyasaka, Hiroshi Yoshida
Summary: This systematic review and meta-analysis compares the postoperative short-term outcomes between preoperative colonic stenting (BTS) and emergency resection (ER) for right-sided malignant large bowel obstruction (MLBO). The analysis indicates that BTS results in a reduction in postoperative complications and mortality rates compared to ER for right-sided MLBO.
SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES
(2022)
Article
Gastroenterology & Hepatology
Noura S. Alhassan, Sulaiman A. AlShammari, Razan N. AlRabah, Amirah M. AlZahrani, Maha-Hamadien Abdulla, Thamer A. Bin Traiki, Ahmad M. Zubaidi, Omar A. Al-Obeed, Khayal A. Alkhayal
Summary: This study aimed to investigate the 5-year oncological outcomes of using self-expanding metallic stents (SEMS) as a bridge to surgery in patients with left-sided colonic cancer obstruction. The results showed comparable 5-year survival and disease-free survival rates between SEMS as a bridge to surgery and upfront emergency surgery, with no significant difference.
BMC GASTROENTEROLOGY
(2023)
Article
Surgery
Yuepeng Cao, Qing Chen, Zhizhan Ni, Feng Wu, Chenshen Huang, Jinzhe Zhou, Songze Zhang, Bujun Ge, Qi Huang
Summary: Studies have shown that the use of self-expanding metal stents as a bridge to elective surgery is associated with higher rates of perineural invasion, recurrence, and worse overall survival compared to emergency surgery in patients with acute malignant left-sided colonic obstruction.
Article
Surgery
Marta Hidalgo-Pujol, Sebastiano Biondo, Javier Die Trill, Vincenzo Vigorita, Marta Paniagua Garcia-Senorans, Isabel Pascual Miguelanez, Fernando Prieto-La Noire, Ander Timoteo, Lidia Cornejo, Jose Igancio Martin Parra, Maria Fidalgo Garcia, Alejandro Solis-Pena, Arturo Cirera de Tudela, Araceli Rodriguez Gonzalez, Luis Sanchez-Guillen, Carlos Bustamante Recuenco, Carla Perez-Alonso, Elena Hurtado Caballero, Marta Pascual, Javier Garcia Septiem, Laura Mora Lopez, Jorge Cervera-Aldama, Hecttor Gudalajara, Eloy Espin, Esther Kreisler
Summary: This study aimed to investigate the outcomes of self-expanding metallic stent as a bridge to surgery compared with emergency colonic resection in patients with left-sided colonic cancer obstruction. The results showed that there were no significant differences in perioperative and mid-term oncological outcomes between the two treatment methods.
Article
Oncology
Zhizhan Ni, Yuepeng Cao, Liming Liu, Chenshen Huang, Huahao Xie, Jinzhe Zhou, Bujun Ge, Qi Huang
Summary: This multicenter study investigated the effect of self-expanding metal stents (SEMS) as a bridge to surgery in colorectal cancer patients. The results showed that SEMS placement did not lead to an increase in circulating tumor cells (CTCs) and other factors may be responsible for the poorer oncologic outcomes observed after SEMS placement.
WORLD JOURNAL OF SURGICAL ONCOLOGY
(2023)
Article
Gastroenterology & Hepatology
Mitsuru Okuno, Keisuke Iwata, Tsuyoshi Mukai, Yuhei Iwasa, Shinya Uemura, Kensaku Yoshida, Akinori Maruta, Takuji Iwashita, Ichiro Yasuda, Masahito Shimizu
Summary: The study found that both unilateral and bilateral IS placement had high technical and clinical success rates in primary stent placement for UMHBO. However, bilateral IS placement showed a longer time to recurrent bile duct obstruction, indicating that it may be a good option for initial UMHBO drainage.
JOURNAL OF HEPATO-BILIARY-PANCREATIC SCIENCES
(2023)
Article
Surgery
Takashi Tamura, Takenaka Mamoru, Taichi Terai, Takeshi Ogura, Masaji Tani, Toshio Shimokawa, Yuji Kitahata, Ippei Matsumoto, Akira Mitoro, Mitsuhiro Asakuma, Osamu Inatomi, Shunsuke Omoto, Masayuki Sho, Saori Ueno, Hiromitsu Maehira, Masayuki Kitano
Summary: This study compared the efficacy and safety of gastrojejunostomy (GJJ) and endoscopic duodenal stent placement (EDSP) in patients with gastric outlet obstruction (GOO) due to unresectable pancreatic cancers (URPC). The results showed that patients who underwent GJJ had longer overall survival (OS) and lower frequency of adverse events compared to those who underwent EDSP. Subgroup analyses demonstrated that GJJ provided longer OS for patients with good performance status, biliary obstruction, duodenal obstruction near the papilla, and those receiving chemotherapy.
SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES
(2023)
Article
Surgery
Tianyu Lin, Abdul Saad Bissessur, Pengfei Liao, Tunan Yu, Dingwei Chen
Summary: Endoscopic stent placement has been widely used for left-sided colonic or rectal cancer, but its use prior to colectomy for malignant right-sided colonic obstruction is controversial. This case report demonstrates the successful use of a colonic and coronary stent-first strategy in a patient with high cardiovascular risk, achieving good outcomes.
FRONTIERS IN SURGERY
(2022)
Article
Gastroenterology & Hepatology
Patrick T. Dolan, Jonathan S. Abelson, Matthew Symer, Molly Nowels, Art Sedrakyan, Heather L. Yeo
Summary: This study suggests that colonic stenting as a bridge to surgery can reduce the rate of stoma creation and lead to better discharge outcomes for patients, compared to immediate resection. There were no significant differences in 90-day readmission, reoperation, or procedural complications between the two groups.
JOURNAL OF GASTROINTESTINAL SURGERY
(2021)
Review
Oncology
Margherita Binetti, Augusto Lauro, Valeria Tonini
Summary: The use of stent as bridge to surgery in obstructive left-sided colorectal cancer management is a debated topic. Short-term outcomes are positive, but long-term outcomes and risks are still uncertain.
WORLD JOURNAL OF CLINICAL ONCOLOGY
(2022)
Article
Surgery
Tammy Lim, Hui Yu Tham, Clyve Yu Leon Yaow, Ian Jse-Wei Tan, Dedrick Kok Hong Chan, Ridzuan Farouk, Kuok Chung Lee, Bettina Lieske, Ker-Kan Tan, Choon Seng Chong
Summary: In patients with malignant left-sided colon obstruction, undergoing definitive surgery within 2 weeks of colonic stenting may lead to better oncological outcomes without compromising postoperative outcomes. Further prospective studies are needed to compare outcomes between emergency surgery and different bridging intervals.
SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES
(2021)
Article
Surgery
Wei-Gen Zeng, Meng-Jia Liu, Zhi-Xiang Zhou, Jun-Jie Hu, Zhen-Jun Wang
Summary: The study compared the outcomes of colonic stenting as a bridge to surgery (SBTS) and urgent colectomy for patients with malignant right-sided obstruction. The results showed that SBTS had better short-term outcomes and equivalent long-term oncologic results compared to urgent colectomy in treating malignant right-sided obstruction.
ANZ JOURNAL OF SURGERY
(2021)
Article
Gastroenterology & Hepatology
Roy L. J. van Wanrooij, Giuseppe Vanella, Michiel Bronswijk, Peter de Gooyer, Wim Laleman, Hannah van Malenstein, Francesco Vito Mandarino, Giuseppe Dell'Anna, Paul Fockens, Paolo G. Arcidiacono, Schalk W. van der Merwe, Rogier P. Voermans
Summary: EUS-GE has higher clinical success and lower stent dysfunction compared to duodenal stenting in patients with malignant GOO, suggesting that EUS-GE may be preferred.
Article
Surgery
Akihisa Matsuda, Takeshi Yamada, Goro Takahashi, Tetsutaka Toyoda, Satoshi Matsumoto, Seiichi Shinji, Ryo Ohta, Hiromichi Sonoda, Yasuyuki Yokoyama, Kumiko Sekiguchi, Hiroshi Yoshida
Summary: The study revealed that 18-mm and 22-mm diameter stents have statistically equivalent short- and long-term outcomes when used as a bridge to surgery in patients with malignant large bowel obstruction. There were no significant differences in clinical success rate and survival between the two groups.
Article
Gastroenterology & Hepatology
Mitsuru Okuno, Keisuke Iwata, Takuji Iwashita, Tsuyoshi Mukai, Kota Shimojo, Yosuke Ohashi, Yuhei Iwasa, Akihiko Senju, Shota Iwata, Ryuichi Tezuka, Hironao Ichikawa, Naoki Mita, Shinya Uemura, Kensaku Yoshida, Akinori Maruta, Eiichi Tomita, Ichiro Yasuda, Masahito Shimizu
Summary: Bilateral IS placement is an effective option for biliary drainage in UMHBO, with shorter procedure time and good stent patency.
GASTROINTESTINAL ENDOSCOPY
(2023)
Article
Gastroenterology & Hepatology
Hester M. Timmerhuis, Sven A. van Dijk, Robbert J. Hollemans, Christina J. Sperna S. Weiland, Devica Umans, Lotte H. Boxhoorn, Nora Hallensleben, Rogier van der Sluijs, Lieke Brouwer, Peter van Duijvendijk, Liesbeth Kager, Sjoerd Kuiken, Jan-Werner Poley, Rogier de Ridder, Tessa E. H. Romkens, Rutger P. Quispel, Matthijs Schwartz, Adriaan C. I. T. L. G. Tan, Niels P. Venneman, Frank Vleggaar, Roy L. J. van Wanrooij, Ben J. Witteman, Erwin van Geenen, I. Quintus Molenaar, Marco E. Bruno, Jeanin G. van Hooft, Marc P. Besselink, Rogier L. Voermans, Thomas C. Bollen, Robert C. Verdonk, Hjalmar van Santvoort
Summary: Necrotizing pancreatitis can lead to a disrupted or disconnected pancreatic duct with long-lasting negative impact on clinical outcomes. Lack of detailed data on this condition hinders the development of better diagnostic and treatment strategies.
AMERICAN JOURNAL OF GASTROENTEROLOGY
(2023)
Article
Gastroenterology & Hepatology
Laura M. Fernandez, Guilherme P. Sao Julio, Andrew G. Renehan, Geerard L. Beets, Ana L. Papoila, Bruna B. Vailati, Renu R. Bahadoer, Elma Meershoek-Klein Kranenbarg, Annet G. H. Roodvoets, Nuno L. Figueiredo, Cornelis J. H. Van de Velde, Angelita Habr-Gama, Rodrigo O. Perez
Summary: This study retrospectively reviewed data from an international watch and wait database and found that local regrowth is a risk factor for distant metastases in patients with rectal cancer. Patients remain at higher risk for distant metastases for 5 years after the development of local regrowth.
DISEASES OF THE COLON & RECTUM
(2023)
Article
Oncology
Jeroen C. Hol, Thijs A. Burghgraef, Marieke L. W. Rutgers, Rogier M. P. H. Crolla, Nanette A. W. van Geloven, Jeroen W. A. Leijtens, Fatih Polat, Apollo Pronk, Anke B. Smits, Jurriaan B. Tuynman, Emiel G. G. Verdaasdonk, Esther C. J. Consten, Roel Hompes, Colin Sietses
Summary: This study compared the impact of non-restorative low anterior resection (NRLAR), restorative low anterior resection (RLAR), and abdominoperineal resection (APR) on rectal cancer, and found that NRLAR had worse 3-year overall survival (OS), disease-free survival (DFS), and local recurrence (LR) rate.
Article
Oncology
Bobby Zamaray, J. V. Veld, T. A. Burghgraef, R. Brohet, H. L. van Westreenen, J. E. van Hooft, P. D. Siersema, P. J. Tanis, E. C. J. Consten
Summary: This retrospective multicentre cohort study aimed to identify risk factors for a permanent stoma (PS) in patients with left-sided obstructive colon cancer (LSOCC) and develop pre- and postoperative prediction models. The results showed that 37% of LSOCC patients had a PS, and 53% of those with a stoma directly after resection had a PS due to non-reversal. Both baseline characteristics and treatment strategies determine the risk of a PS in LSOCC patients. The developed predictive models will help physicians understand the role of individual variables in the risk of a PS and inform patients about the probability of a PS.
Review
Emergency Medicine
Jelle Friso Spierings, Thomas Marcus Paulus Nijdam, Lizz van der Heijden, Henk Jan Schuijt, Marike Cornelia Kokke, Detlef van der Velde, Diederik Pieter Johan Smeeing
Summary: This study compared the safety and functional outcomes of a removable orthosis and a cast in the nonoperative management of stable type B ankle fractures. The results showed that the removable orthosis group had fewer complications and no significant differences in functional outcomes compared to the cast group at 6 and 12 weeks. However, at 26 weeks or longer, the removable orthosis group had significantly better functional outcomes.
EUROPEAN JOURNAL OF TRAUMA AND EMERGENCY SURGERY
(2023)
Article
Oncology
Robert T. T. van Kooten, Cor J. J. Ravensbergen, Sophie C. D. van Bueseck, Willem Grootjans, Koen C. M. J. Peeters, Fabian A. A. Holman, Jan W. T. Heemskerk, Michel W. J. M. Wouters, Ana Navas Canete, Rob A. E. M. Tollenaar
Summary: This study found that decreased muscle measurements (PMI and SMI) on preoperative CT scans were associated with increased risk of anastomotic leakage. These results suggest that preoperative CT-based muscle measurements can be used as prognostic factors for risk stratification of anastomotic leakage.
JOURNAL OF SURGICAL ONCOLOGY
(2023)
Article
Critical Care Medicine
H. J. Schuijt, D. P. J. Smeeing, W. R. Verberne, R. H. H. Groenwold, J. J. M. van Delden, L. P. H. Leenen, D. van der Velde
Summary: Geriatric patients, especially frail ones, may benefit from de-escalation of care in a palliative setting instead of curative treatment. Strategies for improved shared decision-making, including appointing legal representatives and having goals of care conversations, can help provide better person-centred care for older patients. Additionally, physicians should tailor the decision-making process to the needs of the patient and their family.
INJURY-INTERNATIONAL JOURNAL OF THE CARE OF THE INJURED
(2023)
Review
Orthopedics
Henk Jan Schuijt, Brian. P. McCormick, Alexander. R. Webb, Luc M. Fortier, Arvind von Keudell, Michael J. Weaver
Summary: This study evaluated the quality of evidence in geriatric traumatology, investigated the inclusion of patients with cognitive impairment, and examined methods used to determine cognitive impairment. A total of 2711 publications were screened, and 723 articles were included. The focus was mainly on retrospective studies, with small sample sizes and a lack of prospective studies and clinical trials. There is selective exclusion of cognitively impaired patients in clinical studies, and no consensus on cognitive impairment diagnosis. This review highlights the need for addressing these issues in future research.
JOURNAL OF ORTHOPAEDIC TRAUMA
(2023)
Article
Surgery
Jasper Paul Sijberden, Antonino Spinelli, Alessandro Ferrero, Manish Chand, Steven Wexner, Marc G. Besselink, Ibrahim Dagher, Giuseppe Zimmitti, Burak Gorgec, Antonio de Lacy, Mayank Roy, Pieter Tanis, Carlo Tonti, Mohammed Abu Hilal
Summary: This study aimed to assess the attitudes of surgeons involved in the treatment of synchronous colorectal liver metastases (sCRLM). The study found that there were differences in clinical practices and viewpoints on the management of sCRLM among surgeons from different specialties and continents. However, there was consensus on a growing role for minimally invasive surgery (MIS) and a need for evidence-based input.
SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES
(2023)
Article
Surgery
Petra A. Custers, Marit E. van der Sande, Brechtje A. Grotenhuis, Femke P. Peters, Sander M. J. van Kuijk, Geerard L. Beets, Stephanie O. Breukink
Summary: A watch-and-wait approach for patients with rectal cancer after neoadjuvant chemoradiotherapy or radiotherapy is associated with better quality of life and functional outcome. Prospective evaluation was conducted to assess the quality of life and functional outcome of these patients, including bowel, urinary, and sexual function. The results showed that patients who were observed by a watch-and-wait approach had good quality of life, with some experiencing bowel and sexual dysfunction.
Article
Gastroenterology & Hepatology
Nik Dekkers, Elham Zonoobi, Hao Dang, Mats I. I. Warmerdam, Stijn Crobach, Alexandra M. J. Langers, Jolein van der Kraan, Denise E. E. Hilling, Koen C. M. J. Peeters, Fabian A. A. Holman, Alexander L. L. Vahrmeijer, Cornelis F. M. Sier, James C. H. Hardwick, Jurjen J. J. Boonstra
Summary: This study aimed to select the most suitable imaging target for specific detection of high-grade dysplasia (HGD) and T1 colorectal cancer (T1CRC) from a panel of biomarkers. The results showed that CEA had the highest sensitivity and specificity in detecting HGD and T1 cancer foci in colorectal polyps.
UNITED EUROPEAN GASTROENTEROLOGY JOURNAL
(2023)
Article
Gastroenterology & Hepatology
Najim El Khababi, Regina G. H. Beets-Tan, Renaud J. Tissier, Max Lahaye, Monique Maas, Luis Curvo-Semedo, Raphaela C. Dresen, Stephanie L. Nougaret, Geerard Beets, Doenja M. J. Lambregts, Rectal MRI Study Grp
Summary: The study aimed to investigate the value of rectal cancer T-staging on MRI in relation to fibrotic transformation of the tumour bed. The results showed that ymrT-staging has moderate accuracy, with higher accuracy in patients with predominant fibrosis. Therefore, radiologists should focus on detecting residual disease and identifying potential candidates for organ preservation.
COLORECTAL DISEASE
(2023)
Article
Surgery
Stefi Nordkamp, Jan M. van Rees, Kim van den Berg, David M. Mens, Davy M. J. Creemers, Heike M. U. Peulen, Geert-Jan Creemers, Grard A. P. Nieuwenhuijzen, Jip L. Tolenaar, Johanne G. Bloemen, Joost Rothbarth, Harm J. T. Rutten, Cornelis Verhoef, Jacobus W. A. Burger
BRITISH JOURNAL OF SURGERY
(2023)
Article
Surgery
Stefi Nordkamp, Floor Piqeur, Kim van den Berg, Jip L. Tolenaar, Irene E. G. van Hellemond, Geert-Jan Creemers, Mark Roef, Gesina van Lijnschoten, Jeltsje S. Cnossen, Grard A. P. Nieuwenhuijzen, Johanne G. Bloemen, Lien Coolen, Joost Nederend, Heike M. U. Peulen, Harm J. T. Rutten, Jacobus W. A. Burger
Summary: This study aimed to evaluate the oncological outcomes of patients with locally recurrent rectal cancer with a pCR, and compare them with patients without a pCR. Patients with a pCR had superior oncological outcomes. A watch-and-wait approach may be considered in highly selected patients to improve quality of life without compromising oncological outcomes.
BRITISH JOURNAL OF SURGERY
(2023)
