International Watch & Wait Database emphasises importance of endoscopic surveillance

The first report outcomes form the International Watch & Wait Database (IWWD) has report that local regrowth occurs mostly in the first two years and in the bowel wall, “emphasising the importance of endoscopic surveillance to ensure the option of deferred curative surgery.” The paper, ‘Long-term outcomes of clinical complete responders after neoadjuvant treatment for rectal cancer in the International Watch & Wait Database (IWWD): an international multicentre registry study’, published in The Lancet, was written on behalf of the WWD Consortium.

Surgeon specialty may increase the risk of anastomotic leak after right-sided colorectal resections

A new analysis of a large, international audit undertaken by the European Society of Coloproctology (ESCP) in 2015, which examined the role of technical factors on the healing of the join in the bowel following operations on the right side of the colon, found that neither the choice of type of stapler (cutting or non-cutting), nor over-sewing of the staple line affected the rate of leakage. However, having the surgery performed by a general surgeon vs colorectal surgeon was associated with an increased risk of leak (12.1% versus 7.3%).

Bacteroides fragilis likely cause of bowel cancer

Researchers at the University of Otago, Christchurch, New Zealand, have identified a toxic bacteria they believe may cause bowel cancer and could lead to a life-saving vaccine or early detection test for the too-often deadly disease. The study investigators found a toxic form of a bacteria called Bacteroides fragilis in the gut of almost 80 per cent of people with a pre-cancerous lesion – a precursor to the disease.

Intravenous acetaminophen has limited benefit for colectomy patients

Intravenous (IV) acetaminophen is no more effective than oral acetaminophen for patients undergoing colorectal procedures, according to researchers from Mount Sinai. In a first-of-its-kind study, the findings suggest that eliminating use of IV acetaminophen, which is much more expensive than its oral counterpart, may result in very significant cost savings for hospitals with no impact on the patient experience or outcomes.

Looking forward to Birmingham 2018: Information technology and colorectal practice - an interview with Professor Angus Watson

In a series of interviews, we will be previewing this year’s ACPGBI annual meeting in Birmingham, 9-11 July. We talked to Professor Angus Watson (Consultant General and Colorectal Surgeon at Raigmore hospital, Inverness and Director of Research, Development & innovation for NHS Highland) who will be organising a session on the influence of information technology on colorectal practice and how it can be harnessed to improve research, as well as outcomes for patients.

Looking forward to Birmingham 2018: Pelvic Floor sessions - an interview with Mr Andrew Williams

Continuing our series of interviews previewing this year’s ACPGBI annual meeting, 9-11 July, we talked to Mr Andrew Williams (Consultant Colorectal Pelvic Floor Surgeon at Guy’s and St Thomas’ NHS Foundation Trust, London, UK) who highlighted some of the key topics under discussion during the Pelvic Floor sessions in Birmingham.