Delayed colo-anal anastomosis is an alternative to prophylactic diverting stoma after total mesorectal excision for middle and low rectal carcinomas.
Jarry J, Faucheron J.L., Moreno W, Bellera C.A., Evrard S.
Eur J Surg Oncol. 2010 Dec 24. [Epub ahead of print]
PMID: 21186091 [PubMed - as supplied by publisher]

RESULTS: One hundred consecutive patients with rectal tumours at a median distance of 5 cm from the anal verge underwent delayed colo-anal anastomosis after total mesorectal excision... with only 3 anastomotic leakages [YS: 3%]…
CONCLUSION: The trans-anal pull-through procedure after TME, followed by delayed colo-anal anastomosis seems to be a safe and efficient sphincter-preserving procedure to treat patients with middle or low rectal cancer while avoiding a prophylactic, diverting stoma.

 

Magnamosis II: Magnetic Compression Anastomosis for Minimally Invasive Gastrojejunostomy and Jejunojejunostomy.
Pichakron K.O., Jelin E.B., Hirose S, Curran P.F., Jamshidi R, Stephenson J.T., Fechter R, Strange M, Harrison M.R.
J Am Coll Surg. 2011 Jan;212(1):42-9.
PMID: 21184956 [PubMed - in process]

CONCLUSIONS: Minimally invasive placement of a custom magnetic device in the stomach and jejunum allows intraluminal self-alignment and subsequent compression anastomosis over 3 to 10 days. The magnamosis is immediately patent and develops strength equal to or greater than that of hand-sewn or stapled anastomoses. Magnamosis is effective in the pig model, and may be a safe, effective, and minimally invasive alternative to current anastomotic strategies in humans.


Laparoscopic restorative proctocolectomy with ileal pouch-anal anastomosis for ulcerative colitis and the impact of anti-tumor necrosis factor on postoperative outcomes.
Coquet-Reinier B, Berdah S.V.
Surg Endosc. 2010 Dec 24. [Epub ahead of print] No abstract available.
PMID: 21184111 [PubMed - as supplied by publisher]


Smart Self-Assembling MagnetS for ENdoscopy (SAMSEN) for transoral endoscopic creation of immediate gastrojejunostomy (with video).
Ryou M, Cantillon-Murphy P, Azagury D, Shaikh S.N., Ha G, Greenwalt I, Ryan M.B., Lang J.H., Thompson C.C.
Gastrointest Endosc. 2010 Dec 21. [Epub ahead of print]
PMID: 21183179 [PubMed - as supplied by publisher]

CONCLUSIONS: Endoscopic creation of immediate gastrojejunostomy by using SAMSEN is technically feasible.


Rectum-Sparing Surgery May be Appropriate for Biallelic MutYH-Associated Polyposis.
Nascimbeni R, Pucciarelli S, Di Lorenzo D, Urso E, Casella C, Agostini M, Nitti D, Salerni B.
Dis Colon Rectum. 2010 Dec;53(12):1670-5.
PMID: 21178863 [PubMed - in process]

CONCLUSION: : Total colectomy with ileorectal anastomosis may be appropriate for patients with MutYH-associated polyposis, provided that they have no rectal cancer or severe rectal polyposis at presentation and that they undergo yearly endoscopic surveillance thereafter.


Permanent stoma after low anterior resection for rectal cancer.
Junginger T, Gönner U, Trinh T.T., Lollert A, Oberholzer K, Berres M.
Dis Colon Rectum. 2010 Dec;53(12):1632-9.
PMID: 21178857 [PubMed - in process]

CONCLUSIONS: : The possibility of a permanent stoma should be considered when planning surgery for treating rectal cancer. It might be preferable in older patients, in poor condition and with more advanced rectal cancers, to consider an abdominoperineal resection or Hartmann procedure instead of a low anterior resection.


[A case-control study of extracorporeal versus intracorporeal anastomosis in patients subjected to right laparoscopic hemicolectomy.]
Arredondo Chaves J, Idoate C.P., Fons J.B., Oliver M.B., Rodríguez N.P., Delgado A.B., Lizoain J.L.
Cir Esp. 2010 Dec 19. [Epub ahead of print] Spanish.
PMID: 21176829 [PubMed - as supplied by publisher] Free Article

CONCLUSION: Intracorporeal versus extracorporeal anastomosis in right laparoscopic hemicolectomy can obtain a higher number of resected lymph nodes and an earlier oral tolerance and intestinal transit.


[Value of protective stoma in intersphincteric resection for ultra-low rectal cancer.]
Zuo Z.G., Song H.Y., Xu C, Li J, Ni S.C., Zhou Z.H., Chen S.Q.
Zhonghua Wai Ke Za Zhi. 2010 Oct;48(19):1479-1483. Chinese.
PMID: 21176655 [PubMed - as supplied by publisher]

CONCLUSION: Protective stoma can avoid anastomotic leakage following intersphincteric resection for ultra-low rectal cancer, and alleviate the suffering of anal incontinence in the early postoperative period, and is conducive to the restoration of anal function.


Quality of life, health related quality of life and health status in patients having restorative proctocolectomy with ileal pouch-anal anastomosis for ulcerative colitis: a systematic review.
Heikens JT, de Vries J, van Laarhoven CJ.
Colorectal Dis. 2010 Dec 22. doi: 10.1111/j.1463-1318.2010.02538.x. [Epub ahead of print]
PMID: 21176062 [PubMed - as supplied by publisher]

Conclusion  Health Realted Quality of Life and Health Status improved in 12 months time after restorative proctocolectomy and were indistinguishable from the normal healthy population.


Mucosectomy With Handsewn Anastomosis Reduces the Risk of Adenoma Formation in the Anorectal Segment After Restorative Proctocolectomy for Familial Adenomatous Polyposis.
von Roon AC, Will OC, Man RF, Neale KF, Phillips RK, Nicholls RJ, Clark SK, Tekkis PP.
Ann Surg. 2010 Dec 20. [Epub ahead of print]
PMID: 21173697 [PubMed - as supplied by publisher]

CONCLUSIONS: Adenoma formation in the anorectal mucosa after restorative proctocolectomy for familial adenomatous polyposis is common but carcinoma is rare. The risk is lower after mucosectomy with handsewn anastomosis than after stapled ileoanal anastomosis. Regular endoscopic surveillance after either technique is mandatory.


Trends in Diverticulitis Management in the United States From 2002 to 2007.
Masoomi H, Buchberg B.S., Magno C, Mills S.D., Stamos M.J.
Arch Surg. 2010 Dec 20. [Epub ahead of print]
PMID: 21173283 [PubMed - as supplied by publisher]

CONCLUSION: Diverticulitis continues to be a source of significant morbidity in the United States. However, our data show a trend toward increased use of laparoscopic techniques for elective operations and primary anastomosis for urgent operations.

 

Updated December 28th, 2010
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