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Monthly Issue Summary: JUNE 2021


Published on: 05.05.2021

Summary of the issue from Editor-in-Chief Susan Galandiuk, MD.

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Duration: 10:11
Summary of the issue from Editor-in-Chief Susan Galandiuk, MD.
Creator: Andrea Caudo, M.D. • Silvia Neri, M.D. • Alberto Testolina, R.N. • Elisa Bortolato, R.N. • Giacomo Furlanetto, R.N. • Emilio Morpurgo, M.D.
Duration: 4:47
Video Vignettes are peer-reviewed monthly features in DC&R that contain a brief video as the major component.
Creator: Yesenia Rojas-Khalil, MD
Duration: 13:02
Creator: Paul M. Cavallaro, M.D. • Caitlin Stafford, B.S. • Christy E. Cauley, M.D. David L. Berger, M.D., M.P.H. • Liliana Bordeianou, M.D., M.P.H. • Hiroko Kunitake, M.D., M.P.H. Todd Francone, M.D., M.P.H. • Rocco Ricciardi, M.D., M.P.H.
Duration: 2:00
In microsatellite unstable cancers, lymphovascular invasion, perineural invasion, and high-grade histology are not associated with worse overall survival, even when deferring adjuvant chemotherapy. These data support National Comprehensive Cancer Network recommendations to forego chemotherapy in stage II cancers with microsatellite instability and these features. In contrast, some high-risk features were associated with worse survival despite microsatellite unstable biology, and therapies to improve survival need to be explored.
Creator: Aditi Bhatt, M.S., M.Ch. • Nazim Benzerdjeb, M.D., Ph.D. Guillaume Passot, M.D., Ph.D. • Praveen Kammar, M.S., M.Ch. Sanket Mehta, D.N.B. • Nathalie Laplace, M.D. Eddy Cotte, M.D., Ph.D. • Olivier Glehen, M.D., Ph.D.
Duration: 2:00
Surgical peritoneal cancer index of >20 should not be the sole factor to exclude patients from surgery, especially in responders to systemic therapies. The pathologic peritoneal cancer index, pathologic response to systemic chemotherapy, and disease distribution in the peritoneal cavity should be meticulously documented. Correlation with survival will define their future prognostic value. The primary anastomotic site is a common site for peritoneal disease and should be carefully evaluated in all patients.
Creator: Mohammad Adileh, M.D. • Jonathan B. Yuval, M.D. • Shan Huang, M.D. Alexander N. Shoushtari, M.D. • Felipe Quezada-Diaz, M.D. Emmanouil P. Pappou, M.D., Ph.D. • Martin R. Weiser, M.D. Julio Garcia-Aguilar, M.D., Ph.D. • J. Joshua Smith, M.D., Ph.D.
Duration: 1:54
Immune checkpoint inhibition therapy by itself does not appear to improve survival in patients who undergo resection or excision of anorectal melanoma. Combinations of immune checkpoint inhibition with other therapeutic modalities warrant further investigation.
Creator: Emmeline Nugent, M.B. B.Ch., B.A.O. • Anna Spivak, D.O. • Brooke H. Gurland, M.D. Sherief Shawki, M.D. • Tracy L. Hull, M.D. • Massarat Zutshi, M.D.
Duration: 1:41
The greater the length of prolapsed rectum, the greater the risk of recurrence. The length of prolapse should be considered when planning the most appropriate surgical repair to modify the recurrence risk.
Creator: Susan Galandiuk, MD
Duration: 9:14
Summary of the issue from Editor-in-Chief Susan Galandiuk, MD.
Creator: Alisan Fathalizadeh, Ipek Sapci, I. Emre Gorgun
Duration: 4:58
Video Vignettes are peer-reviewed monthly features in DC&R that contain a brief video as the major component.
Creator: Yesenia Rojas-Khalil, MD
Duration: 11:24
Creator: Bin Gu, M.D. • Jun Fang, M.D. • Yanhong Lian, M.D. • Xinyan Zhou, M.D.
Kangjie Xie, M.D. • Yejing Zhu, M.D. • Junbo Yuan, M.D. • Huifang Jiang, M.D.
Duration: 1:45
Deep neuromuscular block resulted in better pain relief and lower opioid consumption and use of rescue analgesics after laparoscopic colorectal surgery. Deep neuromuscular block was associated with less postoperative nausea and vomiting and facilitated the use of lower intra-abdominal pressure in laparoscopic surgery.
Creator: Cosimo Alex Leo, M.D. • Gregory P. Thomas, M.D., F.R.C.S.
Jonathan D. Hodgkinson, M.B.B.S., M.R.C.S. • Marjolein Leeuwenburgh, M.D., Ph.D. Ellie Bradshaw, R.G.N., M.Sc., B.Sc. • Janindra Warusavitarne, Ph.D., F.R.C.S. Jamie Murphy, Ph.D., F.R.
Duration: 1:50
Both anal insert and percutaneous tibial nerve stimulation improved the symptoms of fecal incontinence after 3 months of treatment. The insert device appeared to be more effective than percutaneous tibial nerve stimulation. Larger studies are needed to investigate this further.
Creator: Sameh Hany Emile, M.D., M.Sc., Ph.D. • Hossam Elfeki, M.D., M.Sc., Ph.D. Mohamed El-Said, M.D., M.Sc., Ph.D. • Wael Khafagy, M.D., M.Sc., Ph.D. Mostafa Shalaby, M.D., M.Sc., Ph.D.
Duration: 1:41
Inclusion of predictors of poor outcome into the modified classification helped differentiate simple and complex fistulas within each stage and between the different stages, which can help in assessment and decision making for anal fistula.
Creator: Ziwei Zeng, M.D. • Zhihang Liu, M.D. • Liang Huang, M.D., Ph.D.
Huashan Liu, M.D. • Haiqing Jie, M.D. • Shuangling Luo, M.D., Ph.D.
Xingwei Zhang, M.D. • Liang Kang, M.D., Ph.D.
Duration: 2:00
Short-term and histopathologic outcomes are similar compared between a transanal group and matched laparoscopic group. Transanal total mesorectal excision also provided good oncologic outcomes.
Creator: Michiko Yasuhara, M.D. • Naohito Beppu, M.D., Ph.D. • Motoi Uchino, M.D., Ph.D.
Hiroki Ikeuchi, M.D., Ph.D. • Ikuo Matsuda, M.D., Ph.D. • Seiichi Hirota, M.D., Ph.D.
Masataka Ikeda, M.D., Ph.D. • Naohiro Tomita, M.D., Ph.D
Duration: 1:53
Significantly poorer oncologic outcomes were confirmed in Crohn’s disease–associated patients with large tumors. Thus, it is important to perform careful surveillance of anal lesions in patients with Crohn’s disease while taking these facts into consideration.
Creator: Arun Rojanasakul, M.D., Ph.D.H. • Nitikun Booning, M.D.
Liu Huimin, M.B.B.S., M.Med., F.R.C.S.E. • Krit Pongpirul, M.D., Ph.D.
Chucheep Sahakitrungruang, M.D., M.Sc.
Duration: 1:59
Fistula tract formation was found in most cases of acute anorectal abscesses. Definitive surgery using this strategy provides promising results.
Creator: Hyunmi Park, Guglielmo Niccolo Piozzi, Tae Hoon Lee, Ji Seon Kim, Hong Bae Choi, Seon Hahn Kim
Duration: 3:56
Video Vignettes are peer-reviewed monthly features in DC&R that contain a brief video as the major component.
Creator: Susan Galandiuk, MD
Duration: 11:32
Summary of the issue from Editor-in-Chief Susan Galandiuk, MD.
Creator: Yukiharu Hiyoshi, M.D., Ph.D. • Akira Yamasaki, M.D., Ph.D. • Hideaki Miyamoto, M.D., Ph.D. • Takuya Tajiri M.D. • Ryuma Tokunaga, M.D., Ph.D. • Kazuto Harada, M.D., Ph.D. • Kojiro Eto, M.D., Ph.D. • Yohei Nagai, M.D., Ph.D. • Masaaki Iwatsuki, M.
Duration: 4:50
Video Vignettes are peer-reviewed monthly features in DC&R that contain a brief video as the major component.
Creator: Susan Galandiuk, MD
Duration: 9:22
Summary of the issue from Editor-in-Chief Susan Galandiuk, MD.