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Article
Open AccessTiming of readmissions for complications following emergency colectomy: follow-up beyond post-operative day 30 matters
Emergency colectomies are associated with a higher risk of complications compared to elective ones. A critical assessment of complications occurring beyond post-operative day 30 (POD30) is lacking. This study ...
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Article
Extended versus limited mesenteric excision for operative Crohn’s disease: 30-Day outcomes from the ACS-NSQIP database
Recent studies have suggested that extended mesenteric excision (ME) may reduce surgical reintervention in Crohn’s Disease (CD), but there remains clinical concerns regarding potential peri-operative morbidity...
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Article
Is the Hartmann’s procedure for diverticulitis obsolete? National trends in colectomy for diverticulitis in the emergency setting from 1993 to 2018
Historically, Hartmann’s procedure (HP) has been the operation of choice for diverticulitis in the emergency setting. However, recent evidence has demonstrated the safety of primary anastomosis (PA) with or wi...
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Article
Open AccessBowel stimulation before loop ileostomy closure to reduce postoperative ileus: a multicenter, single-blinded, randomized controlled trial
The objective of this study was to evaluate the impact of preoperative bowel stimulation on the development of postoperative ileus (POI) after loop ileostomy closure.
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Article
The SAGES MASTERS program presents: the top 10 seminal articles for laparoscopic left and sigmoid colectomy pathway for uncomplicated disease
As one of the 8 Society of American Gastrointestinal and Endoscopic Surgeons (SAGES) Masters Program clinical pathways, the Colorectal Pathway aims to deliver educational content for the general surgeon organi...
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Article
Emergency colectomies in the NOAC era: a nationwide analysis demonstrating increased complications
The use of Non-vitamin K antagonist oral anticoagulants (NOAC) has increased substantially since their introduction in 2010. The lack of readily available reversal agents poses a challenge in perioperative man...
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Article
Patient and surgeon preferences for early ileostomy closure following restorative proctectomy for rectal cancer: why aren’t we doing it?
Early ileostomy closure (EIC), \(\le\) ≤ 2 weeks from creat...
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Article
The impact of delaying colonoscopies during the COVID-19 pandemic on colorectal cancer detection and prevention
The COVID-19 pandemic resulted in a partial to total shutdown of endoscopy in many healthcare centers. This study aims to quantify the impact of the reduction in colonoscopies on colorectal cancer (CRC) detect...
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Article
Oral Antibiotic Bowel Preparation Prior to Urgent Colectomy Reduces Odds of Organ Space Surgical Site Infections: a NSQIP Propensity-Score Matched Study
Preoperative administration of oral antibiotic bowel preparation (OABP) alone has been shown to reduce infectious outcomes in patients undergoing elective colectomy. However, it remains unclear if these benefi...
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Article
Impact of the Covid-19 pandemic on rates of emergency department utilization and hospital admission due to general surgery conditions
Recent literature reports a decrease in healthcare-seeking behaviours by adults during the Covid-19 pandemic. Given that emergency general surgery (GS) conditions are often associated with high morbidity and m...
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Article
Early discharge after colorectal cancer resection: trends and impact on patient outcomes
Implementation of early discharge in colorectal surgery has been effective in improving patient satisfaction and reducing healthcare costs. Readmission rates following early discharge among colorectal cancer p...
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Article
Open AccessSegmental resection of splenic flexure colon cancers provides an adequate lymph node harvest and is a safe operative approach – an analysis of the ACS-NSQIP database
Fewer than 10% of colon cancers are found at the splenic flexure. A standard surgical approach to these cancers has not been defined. The goal of this study was to compare lymph node harvest and post-operative...
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Chapter
The Current State of Surgical Outcome Measurement
Health services research is an important driver of value-based care, with increasing focus on providing high-quality, cost-effective care aimed to improve patients’ satisfaction and quality of life. Surgical o...
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Chapter
Gastrointestinal Stromal Tumors, Neuroendocrine Tumors, and Lymphoma
This chapter discusses the three most common nonadenomatous neoplasms of the colon and rectum: gastrointestinal stromal tumors (GISTs), neuroendocrine tumors (NETs), and lymphoma. The presentation, diagnosis, ...
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Article
Diverting loop ileostomy versus total abdominal colectomy for clostridioides difficile colitis: outcomes beyond the index admission
Diverting loop ileostomy (DLI) and colonic lavage has emerged as a valid alternative to total abdominal colectomy (TAC) for the surgical management of Clostridioides difficile colitis (CDC). However, little da...
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Article
Development and Validation of a Clinical Risk Score for Intensive Care Resource Utilization After Colon Cancer Surgery: a Practical Guide to the Selection of Patients During COVID-19
The purpose of this study was to develop and validate a prediction model and clinical risk score for Intensive Care Resource Utilization after colon cancer surgery.
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Chapter
Quantitative and Qualitative Analysis of Fecal Incontinence
Fecal incontinence (FI) is an anorectal disorder characterized by the impaired ability to control the release of gas and stool, and for this, there exists a variety of quantifying and qualifying scoring tools....
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Article
Are right-sided colectomies for neoplastic disease at increased risk of primary postoperative ileus compared to left-sided colectomies? A coarsened exact matched analysis
The objective of this study was to determine whether right-sided colectomies (RC) were associated with a higher incidence of primary postoperative ileus (pPOI) compared to left-sided colectomies (LC).
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Article
Trends in Colectomies for Colorectal Neoplasms in Ulcerative Colitis: a National Inpatient Sample Database Analysis over Two Decades
Rates of colectomy for ulcerative colitis have been decreasing, particularly since the advent of biologics, but the subsequent impact of reduced colectomy rates on the development of neoplasms in chronically t...
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Article
Can we better predict readmission for dehydration following creation of a diverting loop ileostomy: development and validation of a prediction model and web-based risk calculator
Dehydration is the most common morbidity following creation of a diverting loop ileostomy (DLI). We aimed to develop and validate a prediction model and web-based risk calculator for readmission for dehydratio...
