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Related Concept Videos

Inflammatory Bowel Disease V: Surgical Management01:21

Inflammatory Bowel Disease V: Surgical Management

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Surgical interventions for inflammatory bowel disease (IBD), which includes ulcerative colitis and Crohn's disease, are essential in managing symptoms and addressing complications. The selection of surgical procedures is contingent upon the specific conditions and complications that stem from these illnesses.
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Assessment of the Rectum and Anus01:25

Assessment of the Rectum and Anus

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Evaluating the rectum and anus plays a crucial role in conducting a thorough physical examination of the gastrointestinal system. Although it may be uncomfortable and often embarrassing for the patient, it holds immense diagnostic value, particularly in detecting gastrointestinal diseases and abnormalities. This guide will explain how to perform this assessment using inspection and palpation methods.
Rectal Inspection
Begin by inspecting the perianal and anal areas for color, texture, rashes,...
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Endoscopic Procedures II: Colonoscopy01:25

Endoscopic Procedures II: Colonoscopy

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The colon, or large intestine, is the final segment of the digestive system. Its primary functions include absorbing water and vitamins produced by gut bacteria and transforming waste from liquid to solid to form stool. In adults, the large intestine is approximately 5 feet long and consists of four main sections:
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Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy01:26

Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy

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Sigmoidoscopy and laparoscopy are distinct medical procedures that enable physicians to internally inspect different parts of the GI tract. Although they serve different purposes, each is essential for diagnosing and, in some cases, treating various medical conditions.
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
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Inflammatory Bowel Disease I: Ulcerative Colitis01:27

Inflammatory Bowel Disease I: Ulcerative Colitis

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Introduction
Inflammatory bowel disease, or IBD, encompasses a group of disorders characterized by chronic inflammation or ulceration of the gastrointestinal tract.
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Inflammatory Bowel Disease II: Crohn's Disease01:30

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Inflammatory bowel disease, commonly known as IBD, refers to a collection of disorders that lead to persistent inflammation of the gastrointestinal tract. The two types of IBD are ulcerative colitis, which impacts the colon, and Crohn's disease, which can involve any part of the gastrointestinal segment.
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Does Bowel Function Change After Colectomy for Colon Malignancy?

Phillip J Gray1, Jenaya L Goldwag1, Mark A Eid1

  • 1Dartmouth-Hitchcock Medical Center, Lebanon New Hampshire; Geisel School of Medicine, Hanover, New Hampshire.

The Journal of Surgical Research
|October 11, 2020
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Summary
This summary is machine-generated.

Bowel movement frequency significantly increased after colon cancer surgery, impacting patient-reported outcomes. Men and those with pre-existing bowel issues are more likely to experience worsened frequency post-colectomy.

Keywords:
ColectomyColon cancerSurgical outcomes

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Area of Science:

  • Gastroenterology
  • Surgical Oncology
  • Patient-Reported Outcomes

Background:

  • Colon cancer surgery impacts bowel function, but data is conflicting, complicating patient counseling.
  • Understanding postoperative bowel function changes is crucial for managing patient expectations.

Purpose of the Study:

  • To evaluate changes in patient-reported bowel function after colectomy for colon cancer.
  • To identify factors associated with symptomatic bowel function post-surgery.

Main Methods:

  • Retrospective analysis of a prospectively collected database (July 2015-June 2019).
  • Included patients underwent colectomy for colon adenocarcinoma and completed the Colorectal Functional Outcome (COREFO) questionnaire preoperatively and postoperatively.
  • Paired t-tests and multivariable analysis were used to compare scores and identify associated factors.

Main Results:

  • 117 patients were analyzed; mean age 64 ± 13 years.
  • Bowel movement frequency significantly increased post-colectomy (mean score 9.72 to 14.2, P=0.003).
  • Male patients and those with preoperative symptomatic frequency were more likely to report symptomatic postoperative frequency.

Conclusions:

  • Patient-reported bowel movement frequency worsens after colectomy for colon cancer.
  • Overall bowel function remains unchanged, but specific factors predict worsening frequency.
  • Findings support personalized, evidence-based preoperative counseling for colon cancer patients.