Benign Colorectal Disease in the Elderly

2017 ◽  
pp. 1-21
Author(s):  
Walter E. Pofahl ◽  
Mark L. Manwaring
Keyword(s):  
The Elderly ◽  
Colorectal Disease ◽  
Benign Colorectal Disease

Surgical Management of Benign and Malignant Colorectal Disease in the Immunocompromised Patient

2017 ◽  
Author(s):  
Cindy Kin ◽  
Amy Lightner ◽  
Mark Welton
Keyword(s):  
Preoperative Evaluation ◽  
Disease Process ◽  
Underlying Disease ◽  
Colorectal Disease ◽  
Immunosuppressed Patient ◽  
Neutropenic Enterocolitis ◽  
Anal Squamous Cell Carcinoma ◽  
Benign Colorectal Disease ◽  
Immunosuppressed Patients ◽  
Inflammatory Bowel

Patients who are immunosuppressed either due to an underlying disease process or medications to treat a disease require important perioperative considerations. Preoperative evaluation mandates a higher index of suspicion for pathology given that peritoneal and systemic markers of illness may be masked. Intraoperatively, consideration should be given for diversion more frequently than in a nonimmunosuppressed patient. Postoperatively, patients should be managed in a multidisciplinary fashion. This review largely focuses on the immunosuppressive mediations used for the treatment of inflammatory bowel disease, benign colorectal disease in an immunosuppressed patient, and colorectal malignancies in immunosuppressed patients to highlight important considerations for this patient population. This review contains 4 figures, 5 tables, and 78 references. Key words: anal squamous cell carcinoma, appendicitis versus typhlitis, biologic therapy, corticosteroids, human papillomavirus, immunosuppression, neutropenic enterocolitis 

scholarly journals Patient Information on Benign Colorectal Disease: An Assessment of the Value and Effectiveness of Traditional Methods

2020 ◽  
Vol 7 (6) ◽  
pp. 1410-1416
Author(s):  
Connor Boyle ◽  
Greg Bear ◽  
Marjolein van Winsen ◽  
Gary Nicholson
Keyword(s):  
Patient Information ◽  
Information Access ◽  
Subjective Assessment ◽  
Colorectal Disease ◽  
Online Information ◽  
Flesch Reading Ease ◽  
Patient Information Leaflets ◽  
Information Leaflets ◽  
Patient Questionnaires ◽  
Benign Colorectal Disease

Health literacy is the best predictor of health status, with patient information leaflets (PILs) commonly used to improve information access. However, they can often be inconsistent. Benign colorectal disease can be challenging for patients and ensuring they are accurate and understandable is important. Available PILs in a tertiary unit were assessed. The Flesch reading ease and Flesch-Kincaid Grade level scores were used to calculate objective readability. Subjective assessment of readability, understandability, and patient opinion was assessed using a questionnaire. All PILs had objective readability scores at age 14 or older, above recommended advice. Three hundred sixty patient questionnaires were collected. The relationship between subjective readability and understandability was significant ( P < .05); the easier a patient was able to read the information the more likely they were to understand it. There was no link between objective and subjective readability—a more difficult calculated reading score didn’t correspond to the patient finding it harder to read. Patients preferring paper information were significantly older than patients who preferred online information ( P = .01). Patient information leaflets remain valued by patients, and PILs that patients find easier to read are then better understood; however, ease of reading is not related to objective readability scoring and there was no consensus that a shift to online information is merited.

Benign Colorectal Disease Trauma of the Colon and Rectum

2021 ◽  
pp. 729-742
Author(s):  
Reza Askari ◽  
Ali Salim ◽  
Matthew Martin
Keyword(s):  
Colorectal Disease ◽  
Benign Colorectal Disease ◽  
Colon And Rectum

Laparoscopic colectomy for benign colorectal disease is associated with a significant reduction in disability as compared with laparotomy

1998 ◽  
Vol 12 (12) ◽  
pp. 1397-1400 ◽  
Author(s):  
H. H. Chen ◽  
S. D. Wexner ◽  
E. G. Weiss ◽  
J. J. Nogueras ◽  
O. Alabaz ◽  
...  
Keyword(s):  
Laparoscopic Colectomy ◽  
Colorectal Disease ◽  
Benign Colorectal Disease

Prospective Comparison of Laparoscopic Left Hemicolectomy for Colon Cancer with Laparoscopic Left Hemicolectomy for Benign Colorectal Disease

2006 ◽  
Vol 30 (3) ◽  
pp. 446-452 ◽  
Author(s):  
Leopoldo Sarli ◽  
Clara Pavlidis ◽  
Francesco Giovanni Cinieri ◽  
Gabriele Regina ◽  
Giuliano Sansebastiano ◽  
...  
Keyword(s):  
Colon Cancer ◽  
Colorectal Disease ◽  
Left Hemicolectomy ◽  
Prospective Comparison ◽  
Benign Colorectal Disease

Colorectal Disease in the Elderly Patient

1994 ◽  
Vol 74 (2) ◽  
pp. 293-316 ◽  
Author(s):  
Brent T. Shoji ◽  
James M. Becker
Keyword(s):  
Elderly Patient ◽  
The Elderly ◽  
Colorectal Disease

scholarly journals Safety of transanal ileal pouch-anal anastomosis for ulcerative colitis: a retrospective observational cohort study

2021 ◽  
Vol 15 (1) ◽  
Author(s):  
Aina Lask ◽  
Matthias Biebl ◽  
Luca Dittrich ◽  
Andreas Fischer ◽  
Andreas Adler ◽  
...  
Keyword(s):  
Ulcerative Colitis ◽  
Anastomotic Leakage ◽  
Ileal Pouch ◽  
Colorectal Disease ◽  
Pouch Function ◽  
Long Term Follow Up ◽  
Benign Colorectal Disease ◽  
Short And Long Term

Abstract Background Colectomy with transanal ileal pouch-anal anastomosis (taIPAA) is a surgical technique that can be used to treat benign colorectal disease. Ulcerative colitis is the most frequent inflammatory bowel disease (IBD) and although pharmacological therapy has improved, colectomy rates reach up to 15%. The objective of this study was to determine anastomotic leakage rates and treatment after taIPAA as well as short- and long-term pouch function. Methods We conducted a retrospective analysis of a prospective database of all patients undergoing taIPAA at an academic tertiary referral center in Germany, between 01/03/2015 and 31/08/2019. Patients with indications other than ulcerative colitis or with adjuvant chemotherapy following colectomy for colorectal carcinoma were excluded for short- and long-term follow up due to diverging postoperative care yet considered for evaluation of anastomotic leakage. Results A total of 22 patients undergoing taIPAA during the study time-window were included in analysis. Median age at the time of surgery was 32 ± 12.5 (14–54) years. Two patients developed an anastomotic leakage at 11 days (early anastomotic leakage) and 9 months (late anastomotic leakage) after surgery, respectively. In both patients, pouches could be preserved with a multimodal approach. Twenty patients out of 22 met the inclusion criteria for short and long term follow-up. Data on short-term pouch function could be obtained in 14 patients and showed satisfactory pouch function with only four patients reporting intermittent incontinence at a median stool frequency of 9–10 times per day. In the long-term we observed an inflammation or “pouchitis” in 11 patients and a pouch failure in one patient. Conclusion Postoperative complication rates in patients with benign colorectal disease remain an area of concern for surgical patient safety. In this pilot study on 22 selected patients, taIPAA was associated with two patients developing anastomotic leakage. Future large-scale validation studies are required to determine the safety and feasibility of taIPAA in patients with ulcerative colitis.

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