20 February 2018Nutritional deficiencies after bariatric surgery ¿can they be predicted pre-op?
In this lecture, Tair Ben Porat explains how to identify nutritional deficiencies both before and after surgery in obese patients who are undergoing a Laparoscopic sleeve gastrectomy and how identify the baseline predictive factors for the development of these deficiencies after the procedure.
15 February 2018Weight regain after laparoscopic sleeve gastrectomy
Dr. Antonio Torres, from Hospital Clínico San Carlos in Madrid, gave a speech on the surgical options when weight is regained or weight loss is not good enough after a laparoscopic sleeve gastrectomy, focusing on the single anastomosis duodeno-ileal bypass (SADI) in his experience.
13 February 2018Anastomotic Leak Patient Stratification
In this lecture, George Gkoutos explains the possibility of generating phenotypic profiles for each colorectal surgery patient and employs a variety of artificial intelligence approaches to assess our ability to predict anastomotic leakage.
8 February 20185 things you should know about parastomal hernias
Parastomal hernias are a fairly common complication in patients with definitive stoma, being observed in 30-50% of them. Risk factors, current classification, and different surgical techniques are discussed, as well as prevention factors.
6 February 20185 things you should know about anal fissures
An anal fissure is a longitudinal tear or defect in the skin of the anal canal distal to the dentate line. Primary fissures are typically benign and are likely to be related to local trauma such as hard stools, prolonged diarrhoea, vaginal delivery, repetitive injury or penetration. Secondary fissures are found in patients with previous anal surgical procedures, inflammatory bowel disease, granulomatous diseases, infections or malignancy.
1 February 2018Cost-effectiveness and Quality of Life of Laparoscopic Ileocecal Resection Versus Infliximab of Active Terminal Ileitis in Crohn’s Disease: a Randomized Controlled Trial
Dr. Willem Bemelman, from the Academic Medical Center in Amsterdam (the Netherlands) reviews the first randomized clinical trial comparing infliximab therapy and laparoscopic ileocecal resection for localized Crohn’s disease.
30 January 20185 things you should know about fistulas and perianal and perirectal abscesses
Perianal and perirectal abscesses are common anorectal problems. The infection originates most often in an obstructed anal crypt gland, with the resultant pus collecting in the subcutaneous tissue, intersphincteric plane, or beyond (ischiorectal space or supralevator space) where various types of anorectal abscesses form. A fistula is defined as an abnormal communication between two epithelium lined surfaces: the rectum or anal canal and the skin. An anorectal fistula is the chronic manifestation of an anorectal abscess. In this presentation we review this very prevalent pathology.
25 January 2018Can surgeons reduce anastomotic failure in right colectomy?
During the European Society of Coloproctology (ESCP) meeting held in September in Berlin, Dr. Matteo Frasson gave the introduction to the 2015 and 2016 ESCP snapshots studies datasets (a short-period prospective audit carried out by ESCP). He presented the results of the first and second studies, which focused on the technical features of right hemicolectomy anastomotic leak and the closure of intestinal stoma.
23 January 20187 or 11 weeks after neoadjuvant radiochemotherapy? GRECCAR-6 trial
During the European Society of Coloproctology (ESCP) meeting held in September in Berlin, Dr. Lefevre addressed the topic of the optimal waiting period between the end of the neoadjuvant treatment for rectal cancer and the surgery. Based on the data in the paper on the GRECCAR-6 trial published in 2016, the author gives an excellent background on the subject and expounds the findings of the trial in an attempt to cast light on the topic.
18 January 2018Hypoglycemia after bariatric surgery recognition and management
In this lecture, Andrea Pucci explains the mechanisms by which hypoglycemia occurs as a complication of bariatric surgery, its consequences and how to recognize it and implement various therapeutic options.