International journal of colorectal disease
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Int J Colorectal Dis · Jul 2019
Randomized Controlled TrialRandomized controlled trial to evaluate laparoscopic versus open surgery in transverse and descending colon cancer patients.
The safety and efficacy of laparoscopic surgery for transverse and descending colon cancer remain controversial. This study aimed to evaluate the short- and long-term outcomes of this procedure. ⋯ The short- and long-term outcomes of laparoscopic surgery for transverse and descending colon cancer are almost equal to those of open surgery. Laparoscopic resection is a better choice than open surgery for managing this cancer with regard to the short- and mid-term QOL.
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Int J Colorectal Dis · Jul 2019
Case ReportsManagement of cecal diverticulitis diagnosed by computed tomography scan.
Cecal diverticulitis is a rare entity causing right iliac fossa pain. Its symptoms may mimic acute appendicitis. Therefore, the majority of these patients undergo unnecessary surgery for suspected diagnosis of appendicitis. ⋯ Computed tomography is of great value for the diagnosis of cecal diverticulitis and its differentiation from acute appendicitis. Conservative treatment is sufficient in uncomplicated cases, while surgery is reserved for those with associated large abscess or free perforation.
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Int J Colorectal Dis · Jun 2019
Meta AnalysisAntibiotic therapy for acute uncomplicated appendicitis: a systematic review and meta-analysis.
Appendectomy has been the gold standard for every form of appendicitis. In recent years, though, it has repeatedly been claimed that for acute uncomplicated appendicitis, antibiotic therapy can be an equivalent treatment. The aim of this meta-analysis was to determine if antibiotic therapy is a safe and effective alternative to appendectomy for acute uncomplicated appendicitis. ⋯ This meta-analysis shows that appendectomy is more effective than antibiotic therapy for definitive cure of acute uncomplicated appendicitis. However, since the incidence of complications does not differ between the two treatments, antibiotic therapy might be a reasonable alternative for selected patients.
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Int J Colorectal Dis · Apr 2019
D3 lymph node dissection reduces recurrence after primary resection for elderly patients with colon cancer.
The favorable oncological impact of D3 lymph node dissection after colon cancer surgery has been described previously. However, D3 lymph node dissection is potentially more invasive than conventional D2 lymph node dissection. The oncological merit of D3 lymph node dissection in elderly patients with colon cancer remains unclear. This study aimed to clarify the oncological outcome after D3 lymph node dissection in patients with colon cancer aged > 75 years. ⋯ D3 lymph node dissection provides better recurrence-free survival than D2 lymph node dissection after primary resection for elderly patients with pathological stage II and stage III colon cancer.
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Int J Colorectal Dis · Apr 2019
ReviewEndoscopic detection and resection of dysplasia in inflammatory bowel disease-techniques with videos.
Patients with ulcerative colitis and Crohn's colitis have an increased risk of developing dysplasia and colorectal cancer as compared to the general population; surveillance colonoscopy is recommended in this patient population. ⋯ In this review, we discuss the various techniques for endoscopic resection of dysplasia in patients with inflammatory bowel disease. Further research is required to determine the optimal approach to diagnosis and management of dysplasia in patients with inflammatory bowel disease.