Audience
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16 August 2021
Consensus Statements and Guidelines
The goal of this European Society of ColoProctology project was to establish a multidisciplinary, international guideline for haemorrhoidal disease (HD) and to provide guidance on the most effective (surgical) treatment for patients with HD.
16 August 2021
Presentations, Videos & Papers
PIlonidal sinus Treatment: STudying the OPtions (PITSTOP)
An observational cohort with nested mixed methods and qualitative design to investigate surgical options for the treatment of pilonidal sinus disease.
16 August 2021
PIlonidal sinus Treatment: STudying the OPtions (PITSTOP)
An observational cohort with nested mixed methods and qualitative design to investigate surgical options for the treatment of pilonidal sinus disease.
16 August 2021
Consensus Statements and Guidelines
Pilonidal sinus disease is an inflammatory skin condition that usually occurs in the midline of the natal cleft (although there have been few reported cases involving other parts of the body, such as on the scalp, axilla, groin, and between the fingers).
The term 'pilonidal' originates from the Latin words 'pilo' (hair) and 'nidus' (nest), implying a nest of hair.
Pilonidal sinus may be asymptomatic, or present as an acute abscess (with or without cellulitis) or a chronic cyst and/or sinus with persistent drainage and/or extensive subcutaneous tracts.
11 August 2021
Colorectal Goes Viral
Presentations, Videos & Papers
Colorectal Goes Viral is an innovative educational series of webcasts that will connect and inspire the global colorectal community. ACPGBI have partnered with international colorectal leaders to discuss their vision for the future of our specialty in post-COVID times. We are very grateful to Johnson and Johnson for funding the series.
11 August 2021
In June 2020, Clinical guidance on triaging patients with lower GI symptoms was published. This guidance supported the use of Colon Capsule Endoscopy (CCE) in patients with NG12 specified symptoms and a Faecal Immunochemical test (FIT) result of between 10-100ug/gm. Following release of this guidance, the National Cancer Team allocated funding to Cancer Alliances to establish pilot CCE clinics, where CCE would be offered to those patients on a two week wait lower GI pathway with a FIT result between 10-100ug/gm or a FIT result <10ug/gm referred due to concerning symptoms.
11 August 2021
Rectal prolapse is a profoundly disabling condition, occurring mainly in elderly and parous women. There is no accepted standard surgical treatment, with previous studies limited in methodological quality and size. PROSPER aimed to address these deficiencies by comparing the relative merits of different procedures.
11 August 2021
Presentations, Videos & Papers
Over the past 18 years neuromodulation therapies have gained support as treatments for faecal incontinence (FI); sacral nerve stimulation (SNS) is the most established of these. A systematic review was performed of current evidence regarding the clinical effectiveness of neuromodulation treatments for FI.
11 August 2021
Presentations, Videos & Papers
Faecal incontinence (FI) and constipation are both socially‐embarrassing and physically‐disabling conditions that impair quality of life. For both, surgery may be required in a minority of people when more conservative measures fail. However, the invasiveness and irreversible nature of direct surgery on bowel and sphincter muscles, poor long‐term outcomes and well‐established compIications makes such procedures unappealing for these benign conditions. A less‐invasive surgical option to treat faecal incontinence and constipation is direct, low‐voltage stimulation of the sacral nerve roots, termed sacral nerve stimulation (SNS). SNS has become the first line surgical treatment for FI in people failing conservative therapies. Its value in the treatment of constipation is less clear.
10 August 2021
Consensus Statements and Guidelines
Presentations, Videos & Papers
C. H. Knowles, U. Grossi, M. Chapman, J. Mason, on behalf of the NIHR CapaCiTY working group, Pelvic floor Society