A5093469005- Colorectal Cancer Surgical Treatments
- Gastric Cancer Management and Outcomes
- Anorectal Disease Treatments and Outcomes
- Colorectal and Anal Carcinomas
- Stoma care and complications
- Inflammatory Bowel Disease
- Gastrointestinal Tumor Research and Treatment
- Colorectal Cancer Screening and Detection
- Pelvic floor disorders treatments
- Esophageal and GI Pathology
- Diverticular Disease and Complications
- Gastrointestinal disorders and treatments
- Metastasis and carcinoma case studies
- Dysphagia Assessment and Management
- Connective tissue disorders research
- Congenital gastrointestinal and neural anomalies
- Wound Healing and Treatments
- Autoimmune and Inflammatory Disorders
- Sleep and Wakefulness Research
- Eosinophilic Esophagitis
- Hernia repair and management
- Sleep and related disorders
- Abdominal Surgery and Complications
- Parkinson's Disease Mechanisms and Treatments
- Abdominal vascular conditions and treatments
Cleveland Clinic
2023-2025
Kermanshah University of Medical Sciences
2024
American Society of Colon and Rectal Surgeons
2024
Crohn's and Colitis Foundation
2024
Abstract Purpose Recurrence of rectal prolapse following the Altemeier procedure is reported with rates up to 40%. The optimal surgical management recurrences has limited data available. Ventral mesh rectopexy (VMR) a favored for primary prolapse, but its role in managing after unclear. VMR recurrent involves implanting on colon, which thinner wall, more active peristalsis, no mesorectum, less peritoneum available covering mesh, and potential diverticula. These factors can affect...
Abstract Background Ileocolic resection and anastomosis is the most common intestinal operation for Crohn's disease (CD). However, choice of remains a topic debate. The SUPRME CD randomized trial demonstrated decreased rates surgical recurrence after Kono-S (KSA). We aimed to compare long-term recurrence-free survival between KSA stapled side-to-side (SSTS) in retrospective cohort. hypothesized that was associated with lower risk postoperative requiring intervention than SSTS. Methods...
Objective: To evaluate the safety and feasibility of single-port endorobotic submucosal dissection (ERSD) using Da Vinci SP platform for management rectal neoplasms. Summary Background Data: Endoscopic (ESD) offers a potential organ-sparing treatment advanced colorectal neoplasms but demands high technical skill steep learning curve. Advances in semiflexible robotic platforms, such as SP, promise to simplify this procedure, potentially offering improved outcomes patients with benign Methods:...
Nintedanib is a novel antifibrotic agent used in the treatment of interstitial lung diseases. It has been associated with delayed wound healing and dehiscence case reports after major surgeries when perioperatively. This report presents an unprecedented non-healing ulcer following endorobotic submucosal dissection recurrent, adenomatous rectal polyp, likely due to nintedanib use. In this article, key components were described aim highlight noteworthy differential diagnosis suspecting...
Abstract Purpose of Review This review evaluates the current literature on robotic surgery for rectal cancer and discusses ongoing controversies related to outcomes, training, adoption, cost-effectiveness. Recent Findings Robotic is associated with some benefits in short-term outcomes such as lower conversions compared laparoscopy but also substantially higher costs. Data long-term oncologic are still limited. Studies inconsistent regarding margin positivity other metrics. There significant...
<title>Abstract</title> <bold>Introduction </bold>Patients with multiple sclerosis and Parkinson's disease may experience pelvic floor dysfunction constipation which can affect ileoanal pouch emptying. This lead to complications such as pouchitis, dysfunction, failure. We hypothesized that patients neurological diseases have a higher rate of failure than healthy controls. <bold>Methods</bold> Data were sourced from the institutional database. Patients or disease, diagnosed before after...
<title>Abstract</title> Backgorund: Incomplete mesorectal excision during rectal cancer surgery often leads to positive circumferential margins, with uncertain prognostic impacts. This study examines whether negative margins can mitigate the poorer prognosis typically associated incomplete TME in surgery, thus potentially challenging prevailing emphasis on complete excision. Methods A retrospective analysis was conducted patients who underwent proctectomy for adenocarcinoma at a single...
Ileal-pouch anal anastomosis (IPAA) is a widely preferred surgical intervention in patients with medically refractory ulcerative colitis, familial adenomatous polyposis, and indeterminate colitis. Concerns have been raised regarding the impact of connective tissue disorders on outcomes IPAA owing to potential alterations collagen metabolism. To date, there lack studies assessing feasibility, long-term viability, pouch function disorders. We hypothesized that presence disorder was associated...
Abstract The nonoperative management of rectal cancer, known as watch and wait (W&W), has gained increasing acceptance in recent years. This approach is based on using complete clinical response (cCR) a marker for pathological (pCR) following neoadjuvant chemoradiation (nCRT). Advances nCRT regimens have resulted higher tumor regression rates, making W&W viable option selected patients. study presents the historical evolution efficacy strategy offers modern recommendations findings....
Adverse sleep and wake patterns are associated with physical health complaints, including metabolic disorders. The aim of this study was to evaluate the relationship between delayed phase syndrome (DSPS) napping during day (MetS). This conducted on 10 065 participants aged 35-65 years using baseline data from Ravansar Non-Communicable Disease (RaNCD) cohort study. Delayed evaluated through a clinical interview rule out possibility that complaints were result psychiatric Logistic linear...
Abstract Background Anastomotic leakage is a dreaded complication after ileal pouch-anal anastomosis (IPAA) that occurs in 5-10% of cases. Endoluminal vacuum (EndoVac) therapy has emerged as minimally invasive option promotes healing by applying negative pressure to the associated abscess cavity through anastomotic defect but typically applied only early IPAA leaks. We hypothesized EndoVac for compared with late leaks would be higher pouch survival rate. Methods retrospectively reviewed...