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erative nutritional scores are promising host-related prognostic factors for overall survival and postoperative complications in stage II and III colorectal cancer patients. See Video Abstract at http//links.lww.com/DCR/B587.

Preoperative nutritional scores are promising host-related prognostic factors for overall survival and postoperative complications in stage II and III colorectal cancer patients. See Video Abstract at http//links.lww.com/DCR/B587.

Positive circumferential resection margin is a predictor of local recurrence and worse survival in rectal cancer. National programs aimed to improve rectal cancer outcomes were first created in 2011, and continue to evolve. The impact on circumferential resection margin during this timeframe has not been fully evaluated in the United States.

Determine the incidence and predictors of positive circumferential resection margin after rectal cancer resection, across patient, provider, and tumor characteristics.

Retrospective cohort study.

National Cancer Database, 2011-2016.

Adults who underwent proctectomy for pathologic stage I-III rectal adenocarcinoma.

Rate and predictors of positive circumferential resection margin, defined as resection margin ≤1 mm.

Of 52,620 cases, circumferential resection margin status was reported in 90% (n=47,331) and positive in 18.4% (n=8,719). Unadjusted analysis showed positive circumferential resection margin patients were more often male, had public insurance and shoently high rate with predictors of positive circumferential resection margin identified calls for further education, targeted quality improvement assessments, and publicized auditing to improve rectal cancer care in the United States. See Video Abstract at http//links.lww.com/DCR/B584.

Despite creation of national initiatives, positive circumferential resection margin rate remains an alarming 18.4%. The persistently high rate with predictors of positive circumferential resection margin identified calls for further education, targeted quality improvement assessments, and publicized auditing to improve rectal cancer care in the United States. See Video Abstract at http//links.lww.com/DCR/B584.

Elective stoma closure is a common, standardized procedure in digestive surgery.

To evaluate the feasibility of day-case surgery for elective stoma closure.

A prospective, single-center, non-randomized study of consecutive patients undergoing day-case elective stoma closure.

A French tertiary hospital between January 2016 and June 2018.

Elective stoma closure performed by local incision with an American Society of Anesthesiologists score of I, II or stabilized III.

The primary endpoint was the day case surgery success rate in the overall population (all patients having undergone elective stoma closure) and in the per protocol population (patients not fulfilling any of the preoperative or perioperative exclusion criteria). The secondary endpoints (in the per protocol population) were the overall morbidity rate (according to the Clavien-Dindo classification), the major morbidity rate (Clavien score ≥ 3), and day case surgery quality criteria (unplanned consultation, unplanned hospitalization, and unks.lww.com/DCR/B583.

In selected patients, day case surgery for elective stoma closure is feasible and has acceptable complication and readmission rates. Day-case elective stoma closure can therefore be legitimately offered to selected patients. See Video Abstract at http//links.lww.com/DCR/B583.

Anal squamous cell carcinoma has rarely reported in ulcerative colitis.

Understand the prognosis of anal squamous cell carcinoma in the setting of ulcerative colitis.

Retrospective review.

Referral center.

Adult patients with both ulcerative colitis (556.9/K51.9) and anal squamous cell carcinoma (154.3/C44.520) between January 1, 2000 to August 1, 2019.

Treatment and survival of anal squamous cell carcinoma.

Seventeen adult patients with ulcerative colitis and anal dysplasia and/or anal squamous cell carcinoma were included out of 13,499 ulcerative colitis patients treated; 6 had a diagnosis of anal squamous cell carcinoma, 8 had high grade squamous intraepithelial lesions, and 3 had low grade squamous intraepithelial lesions. There were 4 males (23%) and median age of 55 years (range, 32-69) years. At diagnosis, 6 had an ileal pouch anal anastomosis of which 5 had active pouchitis, 1 had an ileorectal anastomosis with active proctitis, 1 had a Hartman's stump with disuse proctitis, 5 had pancolis extremely rare. In the setting of IPAA, diversion may be necessary to prevent radiation intolerance. Careful examination of the perianal region should be performed at the time of surveillance endoscopy. See Video Abstract at http//links.lww.com/DCR/B582.

Although smaller circular staplers are easier to insert and less likely to involve the vagina and levator ani muscles when performing double stapling technique anastomosis, surgeons often consider that larger circular staplers would be safer in reducing the risk of postoperative anastomotic strictures.

This study aimed to investigate the safety of using 25-mm circular staplers compared with 28/29-mm staplers in the double stapling technique anastomosis regarding the development of anastomotic strictures and other complications.

This is a retrospective observational study.

This study was conducted at a single comprehensive cancer center.

Consecutive patients undergoing curative colorectal resection with double stapling technique anastomosis for stage I to III sigmoid colon and rectal cancer between 2013 and 2016 were included.

The incidence of anastomotic complications (strictures, leakage, and bleeding) was compared between the 25- and 28/29-mm circular staplers. Predictors for anastomotic strictus. Consulte Video Resumen en http//links.lww.com/DCR/B576. (Traducción-Dr. Fidel Ruiz-Healy).

Postoperative intra-abdominal septic complications in patients with Crohn's disease undergoing intestinal resection and anastomosis are frequent and difficult to manage.

This study sought to explore the value of preoperative CT enterography to predict intra-abdominal septic complications.

This was a retrospective and prospective observational study.

This study was conducted in a tertiary referral hospital.

Patients with Crohn's disease undergoing primary intestinal resection were enrolled in our study.

The CT enterography severity index was calculated and its ability to predict intra-abdominal septic complications evaluated by multivariate analyses. BLU-945 datasheet A prospective study was then performed to assess the reliability of this CT enterography index.

The incidence of postoperative intra-abdominal septic complications in patients undergoing a 1-stage procedure was significantly higher than those undergoing a 2-stage procedure (3/103 vs 24/241; 2.9% vs 10.0%; p = 0.026). A multivariate analysis identified 5 CT enterography parameters, including mesenteric fibrofatty proliferation, intra-abdominal abscess or phlegmon, intestinal fistula, peritoneal effusion, and intestinal dilatation with stricture to be independent predictors of intra-abdominal septic complications (p < 0.