Supra‐omental vs Infra‐omental approach to antegrade transverse colon release during Splenic Flexure Mobilisation ‐ a video vignette

2021 ◽  
Author(s):  
Roberto Peltrini ◽  
Maria Michela Di Nuzzo ◽  
Michele De Capua ◽  
Michele D’Ambra ◽  
Umberto Bracale ◽  
...  
2016 ◽  
Vol 68 (1) ◽  
pp. 71-75 ◽  
Author(s):  
Junji Okuda ◽  
Masashi Yamamoto ◽  
Keitaro Tanaka ◽  
Shinsuke Masubuchi ◽  
Kazuhisa Uchiyama

2014 ◽  
Author(s):  
Kevin R. Kasten ◽  
Peter W. Marcello ◽  
Todd D. Francone

Colonic volvulus accounts for 3 to 5% of bowel obstructions in the United States. Current data reveal sigmoid volvulus as the most common colonic volvulus, followed by volvulus of the cecum, transverse colon, and splenic fixture. Despite a low incidence in the United States, diagnosis, management, and patient outcome depend on an appropriate index of suspicion and adherence to the proposed algorithm highlighting the approach to the patient with colonic volvulus. This review outlines the definition, pathogenesis, and epidemiology of colonic volvulus, as well as its clinical evaluation and treatment. Tables review the demographics of colonic volvulus in the United States, the differential diagnosis of and risk factors for colonic volvulus, important radiographic findings in colonic volvulus, and nonoperative management of sigmoid volvulus. Figures show the types of ileosigmoid knot; plain radiographs of cecal,  sigmoid, transverse, and splenic flexure volvulus; contrast enema of cecal, transverse, splenic flexure, and sigmoid volvulus; cross-sectional abdominal imaging of cecal, sigmoid, and transverse colon volvulus and ileosigmoid knot; endoscopic evaluation in sigmoid volvulus; use of an esophageal overtube for placement of a rectal tube; necrotic cecum and transverse colon volvulus in the operating suite; and sigmoid volvulus in an elderly gentleman. This review contains 14 figures, 5 tables, and 158 references.


2018 ◽  
Author(s):  
Igor Monsellato ◽  
Maria Caterina Canepa ◽  
Vittorio d’Adamo ◽  
Giuseppe Spinoglio ◽  
Fabio Priora ◽  
...  

2017 ◽  
Vol 19 (2) ◽  
pp. 209-210
Author(s):  
G. Dapri ◽  
L. Cardinali ◽  
A. Cadenas Fabres ◽  
G.-B. Cadière

BMC Cancer ◽  
2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Shirley H. F. Lee ◽  
Hanif Abdul Rahman ◽  
Nadiah Abidin ◽  
Sok King Ong ◽  
Elvynna Leong ◽  
...  

Abstract Background Colorectal cancer (CRC) is a major cause of cancer-related mortality worldwide. It is the second leading cause of cancer death in men and women in Brunei Darussalam in 2017, posing a major burden on society. Methods This retrospective cohort study (n = 1035 patients diagnosed with CRC in Brunei Darussalam from 1st January 2002 until 31st December 2017) aims to compare the overall survival rates of CRC patients (2002–2017), to compare survival rates between two study periods (2002–2009 and 2010–2017) and to identify prognostic factors of CRC. Kaplan-Meier estimator and log-rank tests were performed to analyse the overall survival rates of CRC patients. Multiple Cox regression was performed to determine the prognostic factors of CRC with adjusted hazard ratios (Adj. HRs) reported. Results The 1-, 3- and 5-year survival rates of CRC patients are 78.6, 62.5, and 56.0% respectively from 2002 to 2017. The 1-, 3-, and 5-year survival rates of CRC patients for 2002–2009 are 82.2, 69.6, and 64.7%; 77.0, 59.1, and 51.3% for 2010–2017 respectively. A significant difference in CRC patients’ survival rate was observed between the two study periods, age groups, ethnic groups, cancer stages, and sites of cancer (p < 0.05). The Adjusted Hazard Ratios (Adj. HRs) were significantly higher in the 2010–17 period (Adj. HR = 1.78, p < 0.001), older age group ( ≥ 60 years) (Adj. HR = 1.93, p = 0.005), distant cancer (Adj. HR = 4.69, p < 0.010), tumor at transverse colon and splenic flexure of colon (Adj. HR = 2.44, p = 0.009), and lower in the Chinese(Adj. HR = 0.63, p = 0.003). Conclusion This study highlights the lower survival rates of CRC patients in 2010–2017, Malays, older patients, distant cancer, and tumors located at the latter half of the proximal colon (transverse colon), and predominantly LCRC (splenic flexure, descending colon, sigmoid colon, overlapping lesion colon and colon (NOS), as well as the rectosigmoid junction and rectum (NOS)). Age, ethnicity, cancer stage, and tumor location are significant prognostic factors for CRC. These findings underscore the importance of public health policies and programmes to enhance awareness on CRC from screening to developing strategies for early detection and management, to reduce CRC-associated mortality.


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