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

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

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Benign Colorectal Disease

The Mont Reid Surgical Handbook ◽

10.1016/b978-1-4160-4895-4.50036-6 ◽

2008 ◽

pp. 307-322

Author(s):

Konstantin Umanskiy

Keyword(s):

Colorectal Disease ◽

Benign Colorectal Disease

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

Journal of Patient Experience ◽

10.1177/2374373520957769 ◽

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.

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