A5080211658- Colorectal Cancer Surgical Treatments
- Gastric Cancer Management and Outcomes
- Colorectal and Anal Carcinomas
- Colorectal Cancer Screening and Detection
- Stoma care and complications
- Diverticular Disease and Complications
- Gallbladder and Bile Duct Disorders
- Esophageal and GI Pathology
- Appendicitis Diagnosis and Management
- Sarcoma Diagnosis and Treatment
- Pancreatic and Hepatic Oncology Research
- Pancreatitis Pathology and Treatment
- Testicular diseases and treatments
- Anorectal Disease Treatments and Outcomes
- Cardiac, Anesthesia and Surgical Outcomes
- Multiple Myeloma Research and Treatments
- Cholangiocarcinoma and Gallbladder Cancer Studies
- Intestinal and Peritoneal Adhesions
- Esophageal Cancer Research and Treatment
- Bone health and treatments
- AI and Multimedia in Education
- Kidney Stones and Urolithiasis Treatments
- Intraperitoneal and Appendiceal Malignancies
- Total Knee Arthroplasty Outcomes
- Nutrition and Health in Aging
Amsterdam University Medical Centers
2019-2024
Vrije Universiteit Amsterdam
2024
University of Amsterdam
2019-2023
St. Antonius Ziekenhuis
2023
Noordwest Ziekenhuisgroep
2022
Amsterdam UMC Location University of Amsterdam
2018
Harvard University
2016-2017
Massachusetts General Hospital
2016-2017
Main Recommendations The following recommendations should only be applied after a thorough diagnostic evaluation including contrast-enhanced computed tomography (CT) scan. 1 ESGE recommends colonic stenting to reserved for patients with clinical symptoms and radiological signs of malignant large-bowel obstruction, without perforation. does not recommend prophylactic stent placement. Strong recommendation, low quality evidence. 2 as bridge surgery discussed, within shared decision-making...
<h3>Importance</h3> Bridge to elective surgery using self-expandable metal stent (SEMS) placement is a debated alternative emergency resection for patients with left-sided obstructive colon cancer because of oncologic concerns. A decompressing stoma (DS) might be valid alternative, but relevant studies are scarce. <h3>Objective</h3> To compare DS SEMS as bridge nonlocally advanced propensity score matching. <h3>Design, Setting, and Participants</h3> This national, population-based cohort...
Although self-expandable metal stent (SEMS) placement as bridge to surgery (BTS) in patients with left-sided obstructing colonic cancer has shown promising short-term results, it is used infrequently owing uncertainty about its oncological safety. This population study compared long-term outcomes between emergency resection and SEMS BTS.Through a national collaborative research project, outcome data were collected for all who underwent 2009 2016 75 Dutch hospitals. Patients identified from...
Previous analysis of Dutch practice in treatment left-sided obstructive colon cancer (LSOCC) until 2012 showed that emergency resection (ER) was preferred, with high mortality patients aged ≥70 years. Consequently, and European guidelines 2014 recommended a bridge to surgery (BTS) either self-expandable metal stent (SEMS) or decompressing stoma (DS) high-risk patients. The implementation effects these have not yet been evaluated. Therefore, our aim perform an in-depth update national...
Objective: The purpose of this population-based study was to compare decompressing stoma (DS) as bridge surgery (BTS) with emergency resection (ER) for left-sided obstructive colon cancer (LSOCC) using propensity-score matching. Summary Background Data: Recently, an increased use DS BTS LSOCC has been observed in the Netherlands. Unfortunately, good quality comparative analyses ER are scarce. Methods: Patients diagnosed nonlocally advanced between 2009 and 2016 75 Dutch hospitals, who...
Abstract Background The optimal timing of resection after decompression left-sided obstructive colon cancer is unknown. Revised expert-based guideline recommendations have shifted from an interval 5 – 10 days to approximately 2 weeks following self-expandable metal stent (SEMS) placement, and decompressing stoma are lacking. We aimed evaluate the recommended bridging intervals SEMS explore stoma. Methods This nationwide study included patients registered between 2009 2016 in prospective,...
Background Recent studies have suggested that the quantity and quality of adipose tissue muscle, assessed on non-contrast computed tomography (CT), may serve as imaging biomarkers survival in patients with without neoplasms. Purpose To assess body composition measures could predictors therapy response extremity soft sarcomas treated radiation surgery. Material Methods The study was IRB-approved. Sixty had a history sarcoma underwent FDG-PET/CT prior to surgical resection. Cross-sectional...
Abstract Background Controversy exists on emergency setting as a risk factor for peritoneal metastases (PM) in colon cancer patients. Data patients with obstruction are scarce. The aim of this study was to determine the incidence synchronous and metachronous PM, factors development prognostic implications within large nationwide cohort left-sided obstructive (LSOCC). Methods Patients LSOCC treated between 2009 2016 were selected from Dutch ColoRectal Audit. Additional treatment long-term...
Colorectal cancer causes the majority of large bowel obstructions and surgical resection remains gold standard for curative treatment. There is evidence that a deviating stoma as bridge to surgery can reduce postoperative mortality rate; however, optimal type unclear. The aim this study was compare outcomes between ileostomy colostomy in left-sided obstructive colon cancer.This national, retrospective population-based cohort with 75 contributing hospitals. Patients radiological 2009 2016,...
Background: With increasing use of decompressing stoma as bridge to surgery for left-sided obstructive colon cancer, timing restoration bowel continuity (ROBC) is a subject debate. There lack data on immediate ROBC during elective resection alternative 3-stage procedure. This study analysed if tumour safe and any benefit patients who underwent cancer. Methods: In Dutch nationwide collaborative research project, 3153 cancer in 75 hospitals (2009-2016) were identified. Extensive disease...
Acute resection for left-sided obstructive colon carcinoma is thought to be associated with a higher mortality risk than bridge-to-surgery approach using decompressing stoma or self-expandable metal stent, but prediction models are lacking.This study aimed determine the influence of treatment strategy on within 90 days from first intervention in patients presenting carcinoma.This was national multicenter cohort that used data prospective audit.The performed 75 Dutch hospitals.Patients were...
The role of laparoscopy for emergency resection left-sided obstructive colon cancer remains unclear, especially regarding impact on survival.