Review
Medicine, General & Internal
Wu Zhong, Chuanyuan Liu, Chuanfa Fang, Lei Zhang, Xianping He, Weiquan Zhu, Xueyun Guan
Summary: This meta-analysis evaluated the efficacy and safety of laparoscopic surgery (LS) versus open surgery (OS) for colonoscopic perforation. The results showed that LS group had shorter hospital stay and postoperative fasting time, lower postoperative complication morbidity, and faster recovery. Therefore, LS is a safe and efficacious technique for colonoscopic perforation.
Article
Gastroenterology & Hepatology
Dan Bi Cho, Won Lee, Jae Myung Cha, Jee Hyun Kim, Jinsu Kim, Sang Bum Kang, Chang Soo Eun
Summary: This study evaluated colonoscopists' second victim experience and perception discordance between colonoscopists and patients regarding colonoscopic perforation. Survey results showed that colonoscopists were more satisfied with intervention strategies that included sufficient explanation, empathy, courteous listening, and monetary compensation. Significant patient-colonoscopist discordance was found in areas such as judgment of medical error, health professionals' apology, monetary compensation, and criminal penalties for colonoscopists in the context of colonoscopic perforation.
DIGESTIVE DISEASES AND SCIENCES
(2022)
Article
Surgery
Jae Seok Lee, Jeong Yeon Kim, Byung Mo Kang, Sang Nam Yoon, Jun Ho Park, Bo Young Oh, Jong Wan Kim
Summary: The study compared perioperative outcomes of LS and OS for repairing colonoscopic perforation, finding that LS had shorter postoperative hospital stay and time to resuming soft diet compared to OS. However, there was no significant difference in complication rates and classification between the two groups. ASA score >= 3 and treatment plan changes were identified as independent predictors of complications.
Article
Medicine, General & Internal
Shingo Ono, Hiroto Furuhashi, Shunsuke Kisaki, Hideka Horiuchi, Hiroaki Matsui, Akira Dobashi, Hiroya Ojiri, Kazuki Sumiyama
Summary: This study investigated the prognostic factors associated with percutaneous endoscopic gastrostomy (PEG). It found that sarcopenia is negatively correlated with the prognosis after PEG. Among the 127 patients studied, approximately half (56%) had sarcopenia, and the study showed that patients with sarcopenia had shorter median survival time after PEG compared to those without. Therefore, sarcopenia is a predictive indicator of poor prognosis after PEG.
JOURNAL OF CLINICAL MEDICINE
(2023)
Article
Oncology
Eiichi Nakao, Hidetaka Kawamura, Michitaka Honda, Yoshinao Takano, Shunji Kinuta, Takahiro Kamiga, Shigeru Yamazaki, Atsushi Muto, Satoru Shiraso, Naoyuki Yamashita, Toshiyasu Iwao, Koji Kono, Shinichi Konno
Summary: Perforation caused by colorectal cancer (CRC) is not necessarily a poor prognostic factor for patients with metastatic CRC. Patients with perforation who undergo primary tumor resection or colostomy and prompt initiation of systemic chemotherapy might have a similar survival time to that of patients with non-perforated colon.
INTERNATIONAL JOURNAL OF CLINICAL ONCOLOGY
(2023)
Article
Dermatology
Xiaoyun Liu, Xia Wu, Wenjun Fan
Summary: This study evaluated the effectiveness and safety of endoscopic submucosa dissection (ESD) compared with endoscopic mucosal resection (EMR) in treating early-stage stomach cancer. The meta-analysis results showed that there was no significant difference between EMR and ESD in terms of postoperative hemorrhage, but EMR had a lower rate of postoperative perforation.
INTERNATIONAL WOUND JOURNAL
(2023)
Article
Medicine, Research & Experimental
Zhengcai Lou, Zihan Lou, Tian Lv, Zhengnong Chen
Summary: This study aimed to compare the outcomes of endoscopic modified myringoplasty (EMM) and endoscopic typical myringoplasty (ETM). The results showed that patients who underwent EMM had less postoperative pain, shorter operative times, faster healing, and a lower incidence of complications.
Review
Medicine, General & Internal
Yu Kamitani, Kouichi Nonaka, Yoshitsugu Misumi, Hajime Isomoto
Summary: Recent improvements in endoscopists' skills and technological advances have made endoscopic submucosal dissection (ESD) a standard treatment in general hospitals. To enhance safety and efficiency, therapeutic procedures and training methods are continuously developed. This article reviews these methods and describes the ESD training system in a Japanese university hospital.
JOURNAL OF CLINICAL MEDICINE
(2023)
Article
Gastroenterology & Hepatology
Konstantinos Kouladouros, Georg Kahler, Sebastian Belle
Summary: Through a retrospective study, we found that endoscopic closure with the use of clips is a safe and effective treatment for colonic wall injuries during resections, leading to reduced necessity of surgery, morbidity, and hospital stay.
DISEASES OF THE COLON & RECTUM
(2022)
Article
Gastroenterology & Hepatology
Daisuke Hihara, Hiroyuki Takamaru, Masau Sekiguchi, Masayoshi Yamada, Taku Sakamoto, Takahisa Matsuda, Yutaka Saito
Summary: A study on 483 rectal lesions resected using ESD revealed that factors such as cumulative procedure time, lesion location, resection size, invasion depth, and circumferential range are associated with prolonged ESD procedure time. These findings are important for guiding and improving rectal ESD procedures.
GASTROINTESTINAL ENDOSCOPY
(2023)
Article
Surgery
Stanislaus Reimer, Florian Seyfried, Sven Flemming, Markus Brand, Alexander Weich, Anna Widder, Lars Plassmeier, Peter Kraus, Anna Doering, Ilona Hering, Mohammed K. Hankir, Alexander Meining, Christoph-Thomas Germer, Johan F. Lock, Kaja Groneberg
Summary: This study evaluated the clinical impact of quality improvements in endoscopic vacuum therapy (EVT) management on upper gastrointestinal (UGI) tract leakage patients. The results showed that the quality improvements in EVT management led to decreased composite score MTL30, increased efficacy, reduced need for additional procedures and reoperations, shortened duration of leakage therapy and length-of-stay, decreased morbidity, and improved nutrition status at discharge.
SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES
(2022)
Article
Gastroenterology & Hepatology
Katsumasa Kobayashi, Naoyoshi Nagata, Yohei Furumoto, Atsushi Yamauchi, Atsuo Yamada, Jun Omori, Takashi Ikeya, Taiki Aoyama, Naoyuki Tominaga, Yoshinori Sato, Takaaki Kishino, Naoki Ishii, Tsunaki Sawada, Masaki Murata, Akinari Takao, Kazuhiro Mizukami, Ken Kinjo, Shunji Fujimori, Takahiro Uotani, Minoru Fujita, Hiroki Sato, Sho Suzuki, Toshiaki Narasaka, Junnosuke Hayasaka, Mitsuru Kaise, Tomohiro Funabiki, Yuzuru Kinjo, Akira Mizuki, Shu Kiyotoki, Tatsuya Mikami, Ryosuke Gushima, Hiroyuki Fujii, Yuta Fuyuno, Naohiko Gunji, Yosuke Toya, Kazuyuki Narimatsu, Noriaki Manabe, Koji Nagaike, Tetsu Kinjo, Yorinobu Sumida, Sadahiro Funakoshi, Kana Kawagishi, Tamotsu Matsuhashi, Yuga Komaki, Kuniko Miki, Kazuhiro Watanabe, Naoki Kitano, Shu Kato, Shun Sakai, Eri Oshina, Tomohiro Mochida, Yukito Okura, Mana Matsuoka, Takahito Nozaka, Ayako Sato, Masato Yauchi, Taichi Matsumoto, Toru Asano
Summary: A multicenter long-term cohort study has shown that endoscopic band ligation (EBL) is an effective and safe treatment for colonic diverticular hemorrhage (CDH), with lower rebleeding rates, reduced need for interventional radiology, and shorter length of hospital stay.
Article
Pediatrics
Khaled M. El-Asmar, Mostafa M. Elghandour, Ayman M. Allam
Summary: The study reviewed the management of 24 patients with iatrogenic esophageal perforation, showing that preserving the native esophagus is possible after caustic esophageal stricture, but a conservative approach should be attempted cautiously to avoid endangering patient's life.
JOURNAL OF PEDIATRIC SURGERY
(2021)
Article
Medicine, Research & Experimental
Zhenhua Ma, Wujie Chen, Ye Yang, Zhenjie Xu, Haitao Jiang, Yang Zhang, Dongdong Lu
Summary: Large bowel perforation is an acute abdominal emergency that requires rapid and accurate diagnosis for proper treatment. Computed tomography is useful for diagnosis, and endoscopic closure has become a feasible option for management.
JOURNAL OF INTERNATIONAL MEDICAL RESEARCH
(2021)
Article
Surgery
Jieun Lee, Yoo Jin Lee, Jong Won Seo, Eun Soo Kim, Sung Kook Kim, Min Kyu Jung, Jun Heo, Hyun Seok Lee, Joon Seop Lee, Byung Ik Jang, Kyeong Ok Kim, Kwang Bum Cho, Eun Young Kim, Dae Jin Kim, Yun Jin Chung
Summary: This prospective study aimed to assess the incidence of colonoscopy-related perforation and analyze clinical factors associated with poor outcomes. The incidence rate of colonoscopy-related perforation was 0.66/1000, with higher rates in therapeutic colonoscopy. Factors such as diagnostic colonoscopy, abdominal rebound tenderness, sigmoid colon location, delayed recognition, and abdominal tenderness were associated with poor clinical outcomes.
SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES
(2023)
Review
Surgery
Eleonora Guaitoli, Gaetano Gallo, Eleonora Cardone, Luigi Conti, Simone Famularo, Giampaolo Formisano, Federica Galli, Giuseppe Giuliani, Antonio Martino, Alessandro Pasculli, Romeo Patini, Domenico Soriero, Vincenzo Pappalardo, Gianmaria Pattacini, Marco Sparavigna, Roberto Meniconi, Andrea Mazzari, Fabio Barra, Elena Orsenigo, Davide Pertile
Summary: Acute appendicitis is a common cause of abdominal pain requiring surgical intervention. Diagnosis can be challenging, requiring a combination of clinical signs, laboratory tests, and imaging. Various scoring systems and comprehensive indicators can be used for diagnostic purposes.
JOURNAL OF INVESTIGATIVE SURGERY
(2021)
Article
Gastroenterology & Hepatology
Gaetano Gallo, Alessandro Sturiale, Veronica De Simone, Gian Luca Di Tanna, Iacopo Giani, Ugo Grossi
Summary: Proctology has been heavily impacted during the COVID-19 pandemic. A survey was conducted with surgeons in the field, revealing that factors such as gender, availability of personal protective equipment, and involvement in COVID-19 care influenced the likelihood of ongoing surgical practice. Different regions also showed varying levels of impact on proctological practice.
COLORECTAL DISEASE
(2021)
Article
Surgery
Francesco Litta, Salvatore Bracchitta, Gabriele Naldini, Massimiliano Mistrangelo, Nicola Tricomi, Marco La Torre, Donato Francesco Altomare, Marta Mozzon, Alessandro Testa, Daniele Zigiotto, Giuseppe Sica, Roberta Tutino, Giorgio Lisi, Fabio Marino, Gaetano Luglio, Roberto Vergari, Giovanni Terrosu, Francesco Cantarella, Nicola Foti, Antonio Giuliani, Rossana Moroni, Carlo Ratto
Summary: Surgical treatment of anal fistulas in Italy has shifted towards the adoption of sphincter-sparing techniques over the past 15 years, with decreasing use of sphincter-cutting approaches. The overall healing rates for simple and complex fistulas were 81.1% and 69.0% respectively, with significant differences observed between different surgical techniques. Technology-assisted procedures showed a trend towards increased adoption for both simple and complex fistula cases.
Article
Surgery
Gaetano Gallo, Ugo Grossi, Alessandro Sturiale, Gian Luca Di Tanna, Arcangelo Picciariello, Sergio Pillon, Domenico Mascagni, Donato Francesco Altomare, Gabriele Naldini, Roberto Perinotti
Summary: This study aimed to reach a consensus among experts in the proctologic field regarding the possible applications of telemedicine, revealing the boundaries and limitations of telemedicine in Italy. Key findings include the recommendation of at least 3 to 5 years of practice in proctology before starting teleconsultations, and the identification of specific conditions where teleconsultation is deemed appropriate, such as pilonidal disease. Further standardization of infrastructures, logistics, and legality in telemedicine remains to be elucidated.
Editorial Material
Surgery
Francesco Guerra, Giuseppe Giuliani, Andrea Coratti
Review
Gastroenterology & Hepatology
M. Milone, L. Basso, M. Manigrasso, R. Pietroletti, A. Bondurri, M. La Torre, G. Milito, M. Pozzo, D. Segre, R. Perinotti, G. Gallo
Summary: A consensus statement on pilonidal disease was developed by a panel of surgeons identified by the Italian Society of Colorectal Surgery, aiming to recommend the best therapeutic options based on current scientific evidence. The process included a three-step modified-Delphi method and a detailed systematic review of literature, with each panelist contributing to the final recommendations. The agreement/disagreement level was assessed using a Likert scale, and the recommendations were reviewed by the Clinical Practice Guidelines Committee.
TECHNIQUES IN COLOPROCTOLOGY
(2021)
Article
Oncology
Francesco Guerra, Ubaldo Marra, Giuseppe Giuliani, Andrea Coratti
ANNALS OF SURGICAL ONCOLOGY
(2022)
Article
Oncology
Francesco Guerra, Giuseppe Giuliani, Michele Di Marino, Andrea Coratti
ANNALS OF SURGICAL ONCOLOGY
(2022)
Letter
Gastroenterology & Hepatology
Alfredo Genovese, Giuseppe Giuliani, Giampaolo Formisano, Lucia Salvischiani, Angela Tribuzi, Andrea Coratti
COLORECTAL DISEASE
(2022)
Correction
Gastroenterology & Hepatology
Giuseppe Giuliani, Francesco Guerra, Diego Coletta, Antonio Giuliani, Lucia Salvischiani, Angela Tribuzi, Giuseppe Caravaglios, Alfredo Genovese, Andrea Coratti
INTERNATIONAL JOURNAL OF COLORECTAL DISEASE
(2022)
Review
Gastroenterology & Hepatology
Giuseppe Giuliani, Francesco Guerra, Diego Coletta, Antonio Giuliani, Lucia Salvischiani, Angela Tribuzi, Giuseppe Caravaglios, Alfredo Genovese, Andrea Coratti
Summary: Based on the analysis of 4177 patients, it was found that robotic surgery offers significant advantages over laparoscopic surgery in the treatment of diverticular disease, with a lower conversion rate and shorter hospital stay.
INTERNATIONAL JOURNAL OF COLORECTAL DISEASE
(2022)
Letter
Gastroenterology & Hepatology
Giuseppe Giuliani, Gianluca Saccucci, Francesco Guerra, Lucia Salvischiani, Michele Di Marino, Andrea Coratti
COLORECTAL DISEASE
(2022)
Review
Gastroenterology & Hepatology
Francesco Guerra, Diego Coletta, Gary B. Deutsch, Giuseppe Giuliani, Alberto Patriti, Trevan D. Fischer, Andrea Coratti
Summary: This study analyzed the outcomes of surgical resection in patients with pancreatic metastases from melanoma. The results showed that curative surgical resection can improve the survival rate in carefully selected patients, although incomplete resection and concomitant extrapancreatic metastasis significantly affect survival.
Article
Surgery
Giuseppe Giuliani, Diego Coletta, Francesco Guerra, Sofia Esposito, Alessandro Esposito, Matteo De Pastena, Daniela Rega, Paolo Delrio, Carlotta La Raja, Antonino Spinelli, Simonetta Massaron, Paola De Nardi, Emanuele Federico Kauffmann, Ugo Boggi, Simona Deidda, Luigi Zorcolo, Alessandra Marano, Felice Borghi, Micaela Piccoli, Norma Depalma, Stefano D'Ugo, Marcello Spampinato, Federico Cozzani, Paolo Del Rio, Rosa Marcellinaro, Massimo Carlini, Raffaele De Rosa, Stefano Scabini, Fabio Maiello, Roberto Polastri, Giulia Turri, Corrado Pedrazzani, Monica Zese, Dario Parini, Andrea Coratti, M. I. S. C. O. V. I. D. A. G. I. C. T. Collaborative Grp MIS COVID AGICT Collaborative Grp
Summary: This study aimed to evaluate the trend of minimally invasive surgery (MIS) during the COVID-19 pandemic period in Italy using data from the COVID-AGICT study. The results showed that the proportion of MIS surgeries during the pandemic remained similar to the pre-pandemic period, and postoperative outcomes were comparable.
JOURNAL OF LAPAROENDOSCOPIC & ADVANCED SURGICAL TECHNIQUES
(2023)
Article
Surgery
Francesco Guerra, Angela Tribuzi, Giuseppe Giuliani, Michele Di Marino, Andrea Coratti
Summary: In recent years, robotic surgery has been widely used in the treatment of esophageal cancer. This study reports a fully robotic technique of side-to-side stapled anastomosis, which showed high technical success and minimal incidence of anastomosis-related morbidity.
WORLD JOURNAL OF SURGERY
(2023)
