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Monthly Issue Summary: SEPTEMBER 2020

Video Author: Susan Galandiuk, MD
Published on: 08.18.2020
Associated with: September 2020, Volume 63, Issue 9;

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

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Creator: HyungJoo Baik, M.D., M.S. • Ki Beom Bae, M.D., Ph.D.
Duration: 4:55
Video Vignettes are peer-reviewed monthly features in DC&R that contain a brief video as the major component.
Creator: Susan Galandiuk, MD
Duration: 10:26
Summary of the issue from Editor-in-Chief Susan Galandiuk, MD.
Creator: Asya Ofshteyn, M.D., M.P.H. • Boxiang Jiang, M.D. • Katherine Bingmer, M.D. • John M. Nakayama, M.D. • Carlos Gallego, M.D. • Matthew Giglia, M.D. • Sharon L. Stein, M.D. • Emily Steinhagen, M.D.
Duration: 2:00
Total abdominal colectomy with prophylactic hysterectomy at 30 years of age was the most cost-effective surgical choice in women with Lynch syndrome and colon cancer. The addition of bilateral salpingo-oophorectomy offered the highest event-free survival and lowest mortality. However, the additional morbidity of premature menopause of prophylactic salpingo-oophorectomy for younger women outweighed the benefit of ovarian cancer prevention.
Creator: Nicholas P. McKenna, M.D. • Katherine A. Bews, B.A. • Omair A. Shariq, M.B.B.S. • Elizabeth B. Habermann, Ph.D. • Kevin T. Behm, M.D. • Scott R. Kelley, M.D. • David W. Larson, M.D.
Duration: 1:44
Discharge on the same day or next day after surgery was not associated with increased risk compared with discharge on postoperative day 3 to 5, and it did not result in a high rate of early readmissions. Increased use of expedited discharge pathways would reduce hospital costs and resource use.
Creator: Maurizio Degiuli, M.D. • Rossella Reddavid, M.D. • Fulvio Ricceri, Ph.D. • Francesca Di Candido, M.D. • Monica Ortenzi, M.D. • Ugo Elmore, M.D. • Claudio Belluco, M.D., Ph.D. • Riccardo Rosati, M.D. • Marco Guerrieri, M.D. • Antonino Spinelli, M.D.,
Duration: 1:56
Segmental resection is a safe and effective treatment option for cancer of the splenic flexure.
Creator: Peng-ju Chen, M.D. • Tian-le Li, M.D. • Ting-ting Sun, M.M.S. • Van C. Willis, Ph.D. • M. Christopher Roebuck, Ph.D. • Dena M. Bravata, M.D., M.S. • Xin-zhi Liu, M.D. • Yull Edwin Arriaga, M.D. • Irene Dankwa-Mullan, M.D., M.P.H. • Ai-wen Wu, M.D.
Duration: 1:58
Watson for Oncology produced therapeutic options highly concordant with human decisions at a top-tier cancer center in China. Treatment patterns suggest that Watson for Oncology may be able to guide clinicians to minimize overtreatment of patients with high-risk stage II colon cancer with chemotherapy. Survival analyses suggest the need for further investigation to specifically assess the association between surveillance, single-agent and multiagent chemotherapy, and survival outcomes in this population.
Creator: Carmelina Cappello, M.D. • Tamzin Cuming, F.R.C.S. • Julie Bowring, MBChB. • Adam N. Rosenthal, Ph.D. • Noreen Chindawi, B.Sc. • Mayura Nathan, MBBS, F.R.C.P.
Duration: 1:59
High-grade squamous intraepithelial lesions after anal squamous cell carcinoma are more common after excision only than after chemoradiation. Local recurrence is low in this high-resolution anoscopy surveillance group in which high-grade squamous intraepithelial disease was ablated. Excision of small perianal cancers appears safe; however, a subset of patients is at excess risk.
Creator: Marc A. Gorvet, D.O. • Shankar R. Raman, M.D.
Duration: 3:57
Video Vignettes are peer-reviewed monthly features in DC&R that contain a brief video as the major component.
Creator: Susan Galandiuk, MD
Duration: 8:59
Summary of the issue from Editor-in-Chief Susan Galandiuk, MD.
Creator: Femke van Zanten, M.D. • Emma M. van der Schans, M.D. • Esther C.J. Consten, M.D., Ph.D. • Paul M. Verheijen, M.D., Ph.D. • Egbert Lenters, M.D. • Ivo A.M.J. Broeders, M.D., Ph.D. • Steven E. Schraffordt Koops, M.D., Ph.D.
Duration: 2:00
Ninety percent of patients were recurrence free 48 months after robot-assisted sacrocolporectopexy. Symptoms of vaginal bulge, quality of life, constipation, and fecal incontinence improved significantly. However, a subgroup of patients showed persistent bowel complaints that underlie the complexity of multicompartment prolapse.
Creator: Gabrielle H. van Ramshorst, M.D., Ph.D. • Jane M. Young, M.B.B.S., M.P.H., Ph.D. • Michael J. Solomon, M.Sc., D.Med.Sc., D.Med.
Duration: 2:07
Vertical rectus abdominis myocutaneous flaps in pelvic exenteration surgery have a high incidence of morbidity that has significant impact on hospital stay and a temporary impact on quality of life. Flap reconstruction should be used selectively in pelvic exenteration surgery.
Creator: Naomi M. Sell, M.D., M.H.S. • Numa P. Perez, M.D. • Caitlin E. Stafford, B.S. • David Chang, M.B.A., Ph.D. • Liliana G. Bordeianou, M.D. • Todd D. Francone, M.D. • Hiroko Kunitake, M.D. • Rocco Ricciardi, M.D., M.P.H.
Duration: 2:00
Females have a higher incidence of diverticular disease mortality. Their deaths are more commonly secondary to nonsurgical infections, obstruction, or pelvic fistulae. Female patients represent a particularly vulnerable population that may benefit from more intensive diverticulitis evaluation.
Creator: Ahmad Alsughayer, M.B.B.S. • Fabian Grass, M.D. • Nicholas P. McKenna, M.D. • Molly Petersen, B.S.• Kellie L. Mathis, M.D.1 • Amy L. Lightner, M.D.
Duration: 1:59
Patients have rectal cancer with IBD and without IBD have similar long-term and disease-free survival, despite lower rates of neoadjuvant treatment and higher margin positivity in patients with IBD.
Creator: Susanne Haas, Ph.D. • Pia Møller Faaborg, Ph.D. • Christina Brock, Ph.D. • , Klaus Krogh, D.Ms. • Mikkel Gram, Ph.D. • Lilli Lundby, Ph.D. • Asbjørn Mohr Drewes, D.Ms. • Søren Laurberg, D.Ms. • Peter Christensen, D.Ms.
Duration: 1:38
Chemoradiation therapy for distal rectal cancer causes abnormal cortical processing of both anal and rectal sensory input. Such central changes may play a role in symptomatic patients, especially when refractory to local treatments.
Creator: van der Wilt AA, Breukink SO, sturkenboom R, et al.
Duration: 2:00
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.
Creator: Lu PW, Fields AC, Andriotti T, et al.
Duration: 1:58
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.
Creator: O'Brien SJ, Chen RC, Stephen VT, et al.
Duration: 1:55
Preoperative opioid prescription was a significant risk factor for adverse outcomes in patients with Crohn’s disease undergoing elective ileocolic resection.
Creator: Gernandez LM, Figueiredo NL, Habr-Gama A, et al.
Duration: 1:52
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.
Creator: Sho S, Yothers G, Colangelo LH, et al.
Duration: 3:09
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.
Creator: Tae David Kim MD, Connor Kriz, Joaquin Estrada MD, Jan P Kamiński MD, MBA
Duration: 4:23
Video Vignettes are peer-reviewed monthly features in DC&R that contain a brief video as the major component.