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  1. Article ; Online: Gut microbes as biomarkers of ICI response - sharpening the focus.

    Bhutiani, Neal / Wargo, Jennifer A

    Nature reviews. Clinical oncology

    2022  Volume 19, Issue 8, Page(s) 495–496

    MeSH term(s) Biomarkers ; Gastrointestinal Microbiome ; Humans
    Chemical Substances Biomarkers
    Language English
    Publishing date 2022-04-22
    Publishing country England
    Document type Journal Article ; Research Support, Non-U.S. Gov't ; Comment
    ZDB-ID 2491410-1
    ISSN 1759-4782 ; 1759-4774
    ISSN (online) 1759-4782
    ISSN 1759-4774
    DOI 10.1038/s41571-022-00634-0
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: ASO Author Reflections: The Broad Impact of the Margin Consensus Guidelines for Breast-Conserving Surgery in DCIS.

    Bhutiani, Neal / Ajkay, Nicolas

    Annals of surgical oncology

    2021  Volume 28, Issue 12, Page(s) 7439–7440

    MeSH term(s) Breast Neoplasms/surgery ; Carcinoma, Ductal, Breast/surgery ; Carcinoma, Intraductal, Noninfiltrating/surgery ; Female ; Humans ; Margins of Excision ; Mastectomy, Segmental
    Language English
    Publishing date 2021-05-26
    Publishing country United States
    Document type Journal Article ; Comment
    ZDB-ID 1200469-8
    ISSN 1534-4681 ; 1068-9265
    ISSN (online) 1534-4681
    ISSN 1068-9265
    DOI 10.1245/s10434-021-10170-3
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: A practical framework for the targeted use of total neoadjuvant therapy for rectal cancer.

    Bhutiani, Neal / Peacock, Oliver / Chang, George J

    Cancer

    2022  Volume 128, Issue 11, Page(s) 2064–2072

    Abstract: Total neoadjuvant therapy (TNT) for rectal cancer is the preoperative delivery of radiation or chemoradiotherapy as well as systemic chemotherapy for the purpose of improving treatment completion rates and decreasing toxicity, maximizing the primary ... ...

    Abstract Total neoadjuvant therapy (TNT) for rectal cancer is the preoperative delivery of radiation or chemoradiotherapy as well as systemic chemotherapy for the purpose of improving treatment completion rates and decreasing toxicity, maximizing the primary tumor response, and improving survival for patients with rectal cancer. This review summarizes the data surrounding TNT, including several recent randomized controlled trials. Moreover, it reviews the literature regarding high-quality surgery and the role of radiation and chemotherapy in the treatment of rectal cancer in the modern era. Finally, it presents an evidence-based protocol for the selective use of TNT in the treatment of patients with rectal cancer.
    MeSH term(s) Antineoplastic Combined Chemotherapy Protocols ; Chemoradiotherapy/methods ; Humans ; Neoadjuvant Therapy/methods ; Neoplasm Staging ; Rectal Neoplasms/pathology
    Language English
    Publishing date 2022-04-04
    Publishing country United States
    Document type Journal Article ; Review ; Research Support, N.I.H., Extramural
    ZDB-ID 1429-1
    ISSN 1097-0142 ; 0008-543X ; 1934-662X
    ISSN (online) 1097-0142
    ISSN 0008-543X ; 1934-662X
    DOI 10.1002/cncr.34149
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: Targeting the gut and tumor microbiota in cancer.

    Park, Elizabeth M / Chelvanambi, Manoj / Bhutiani, Neal / Kroemer, Guido / Zitvogel, Laurence / Wargo, Jennifer A

    Nature medicine

    2022  Volume 28, Issue 4, Page(s) 690–703

    Abstract: Microorganisms within the gut and other niches may contribute to carcinogenesis, as well as shaping cancer immunosurveillance and response to immunotherapy. Our understanding of the complex relationship between different host-intrinsic microorganisms, as ...

    Abstract Microorganisms within the gut and other niches may contribute to carcinogenesis, as well as shaping cancer immunosurveillance and response to immunotherapy. Our understanding of the complex relationship between different host-intrinsic microorganisms, as well as the multifaceted mechanisms by which they influence health and disease, has grown tremendously-hastening development of novel therapeutic strategies that target the microbiota to improve treatment outcomes in cancer. Accordingly, the evaluation of a patient's microbial composition and function and its subsequent targeted modulation represent key elements of future multidisciplinary and precision-medicine approaches. In this Review, we outline the current state of research toward harnessing the microbiome to better prevent and treat cancer.
    MeSH term(s) Gastrointestinal Microbiome/physiology ; Humans ; Immunotherapy ; Microbiota ; Neoplasms/pathology ; Neoplasms/therapy ; Precision Medicine
    Language English
    Publishing date 2022-04-19
    Publishing country United States
    Document type Journal Article ; Review ; Research Support, Non-U.S. Gov't ; Research Support, U.S. Gov't, Non-P.H.S.
    ZDB-ID 1220066-9
    ISSN 1546-170X ; 1078-8956
    ISSN (online) 1546-170X
    ISSN 1078-8956
    DOI 10.1038/s41591-022-01779-2
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article ; Online: Early experience with focused telemedicine implementation in an academic colorectal surgery practice.

    Wise, Amy K / Bhutiani, Neal / Werthmann, Neil / Kavalukas, Sandra L / Galandiuk, Susan / Farmer, Russell W

    Surgery

    2022  Volume 172, Issue 1, Page(s) 83–88

    Abstract: Background: The need to continue providing care to patients during the corona virus disease 2019 pandemic facilitated telemedicine's rapid adoption, including in surgical clinic settings. Our purpose was to evaluate integration of telemedicine into an ... ...

    Abstract Background: The need to continue providing care to patients during the corona virus disease 2019 pandemic facilitated telemedicine's rapid adoption, including in surgical clinic settings. Our purpose was to evaluate integration of telemedicine into an academic colorectal surgery practice and assess physician experiences providing telemedicine care.
    Methods: Patients seen in colorectal surgery clinic by telemedicine and in person from March 31, 2020 to August 31, 2020 were evaluated. Demographic and clinical outcomes were assessed for patients. Physician responses to a survey were collected.
    Results: Two hundred and thirty-one telemedicine visits were performed by 4 physicians, comprising 20% of visits during the study period. Patients were 47.6% male and 90.9% Caucasian. In addition, 85.7% were established patients and 21.2% were postoperative visits. Diagnoses evaluated by telemedicine included benign and malignant anorectal and colorectal disease as well as inflammatory bowel disease. All providers reported being able to provide adequate care via telemedicine and were planning to continue providing telemedicine. Patients seen via telemedicine were more likely to be Caucasian and less likely to be African American (P < .001) and more likely to be established patients than those seen in person (P < .001).
    Conclusion: During the COVID-19 pandemic, telemedicine was most successfully used to facilitate care for established patients, particularly the long-term care of colorectal cancer and inflammatory bowel disease. We identified significant differences in ethnicity between patients seen via telemedicine and those seen in person. Telemedicine represents an exciting advancement in patient care, although ongoing study is required regarding providing access to this technology to all colorectal surgery patients, particularly minority populations.
    MeSH term(s) COVID-19 ; Colorectal Surgery ; Female ; Humans ; Inflammatory Bowel Diseases/surgery ; Male ; Pandemics ; Telemedicine
    Language English
    Publishing date 2022-03-02
    Publishing country United States
    Document type Journal Article
    ZDB-ID 202467-6
    ISSN 1532-7361 ; 0039-6060
    ISSN (online) 1532-7361
    ISSN 0039-6060
    DOI 10.1016/j.surg.2022.01.033
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article ; Online: Treatment Variation and Long-Term Outcomes of Low-Grade Appendiceal Neoplasms.

    White, Michael G / Bhutiani, Neal / Helmink, Beth A / Taggart, Melissa / Foo, Wai Chin / Mansfield, Paul F / Fournier, Keith F / Scally, Christopher P

    Annals of surgical oncology

    2023  Volume 30, Issue 13, Page(s) 8138–8143

    Abstract: Background: Heterogenous nomenclature describing appendiceal neoplasms has added to uncertainty around their appropriate treatment. Although a recent consensus has established the term low-grade appendiceal neoplasm (LAMN), we hypothesize that ... ...

    Abstract Background: Heterogenous nomenclature describing appendiceal neoplasms has added to uncertainty around their appropriate treatment. Although a recent consensus has established the term low-grade appendiceal neoplasm (LAMN), we hypothesize that significant variation remains in the treatment of LAMNs.
    Methods: We retrospectively reviewed our prospectively maintained appendiceal registry, identifying patients with LAMNs from 2009 to 2019. We assessed variability in treatment, including whether patients underwent colectomy, spread of disease at presentation, and long-term outcomes.
    Results: Of 136 patients with LAMNs, 88 (35%) presented with localized disease and 48 (35%) with disseminated peritoneal disease. Median follow-up was 2.9 years (IQR 1.9-4.4), and 120 (88%) patients underwent pre-referral surgery. Among 26 pre-referral colectomy patients, 23 (88%) were performed for perceived oncologic need/nodal evaluation; no nodal metastases were identified. In patients with resected LAMNs without radiographic evidence of disseminated disease, 41 (47%) underwent second look diagnostic laparoscopy (DL) to evaluate for occult metastases. No peritoneal metastases were identified. Patients with disseminated disease were treated with cytoreductive surgery/heated intraperitoneal chemotherapy (CRS/HIPEC). For patients undergoing CRS/HIPEC, 5-year recurrence-free survival was 94% (95% CI 81-98%). For patients with localized disease, 5-year RFS was 98% (95% CI 85-99%).
    Conclusions: Significant variation exists in treatment patterns for LAMNs, particularly prior to referral to a high-volume center. Patients frequently underwent colectomy without apparent oncologic benefit. In the current era of high-quality cross sectional imaging, routine use of DL has low yield and is not recommended. Recurrence in this population is rare, and low-intensity surveillance can be offered. Overall prognosis is excellent, even with peritoneal disease.
    MeSH term(s) Humans ; Appendiceal Neoplasms/pathology ; Retrospective Studies ; Peritoneal Neoplasms/therapy ; Hyperthermia, Induced/adverse effects ; Prognosis ; Combined Modality Therapy ; Cytoreduction Surgical Procedures ; Survival Rate ; Antineoplastic Combined Chemotherapy Protocols
    Language English
    Publishing date 2023-09-13
    Publishing country United States
    Document type Journal Article
    ZDB-ID 1200469-8
    ISSN 1534-4681 ; 1068-9265
    ISSN (online) 1534-4681
    ISSN 1068-9265
    DOI 10.1245/s10434-023-13501-8
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  7. Article ; Online: Decreasing Environmental Operating Room Chemotherapy Levels Following Heated Intraperitoneal Chemotherapy (HIPEC) Through Implementation of Standard Protocols.

    Bhutiani, Neal / White, Michael G / Kim, Bradford J / Scally, Christopher P / Helmink, Beth A / Mansfield, Paul F / Fournier, Keith F / Royal, Richard E

    Annals of surgical oncology

    2023  Volume 30, Issue 12, Page(s) 6981–6982

    MeSH term(s) Humans ; Operating Rooms ; Hyperthermic Intraperitoneal Chemotherapy ; Combined Modality Therapy ; Antineoplastic Combined Chemotherapy Protocols/therapeutic use ; Hyperthermia, Induced/methods ; Cytoreduction Surgical Procedures
    Language English
    Publishing date 2023-08-25
    Publishing country United States
    Document type Letter
    ZDB-ID 1200469-8
    ISSN 1534-4681 ; 1068-9265
    ISSN (online) 1534-4681
    ISSN 1068-9265
    DOI 10.1245/s10434-023-13409-3
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  8. Article ; Online: Utility of Circulating Tumor DNA in Appendiceal Tumors.

    Bhutiani, Neal / Helmink, Beth A / Zeineddine, Mohammad / Uppal, Abhineet / Shen, John Paul / Spickard, Erik / White, Michael G

    Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract

    2023  Volume 27, Issue 12, Page(s) 3071–3073

    MeSH term(s) Humans ; Appendiceal Neoplasms/genetics ; Appendiceal Neoplasms/drug therapy ; Circulating Tumor DNA/genetics ; Circulating Tumor DNA/therapeutic use ; Combined Modality Therapy ; Antineoplastic Combined Chemotherapy Protocols ; Cytoreduction Surgical Procedures ; Hyperthermia, Induced ; Retrospective Studies ; Survival Rate
    Chemical Substances Circulating Tumor DNA
    Language English
    Publishing date 2023-09-14
    Publishing country United States
    Document type Journal Article
    ZDB-ID 2012365-6
    ISSN 1873-4626 ; 1934-3213 ; 1091-255X
    ISSN (online) 1873-4626 ; 1934-3213
    ISSN 1091-255X
    DOI 10.1007/s11605-023-05825-3
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  9. Article ; Online: Feeding During Resuscitation After Burn Injury.

    Masch, Jessica L / Bhutiani, Neal / Bozeman, Matthew C

    Nutrition in clinical practice : official publication of the American Society for Parenteral and Enteral Nutrition

    2019  Volume 34, Issue 5, Page(s) 666–671

    Abstract: Burn injury results in a sustained hypermetabolic state with resulting increased caloric and protein requirements to support the stress and immune responses; augmented protein, fat, and carbohydrate catabolism; oxidative stress; and exudative losses. ... ...

    Abstract Burn injury results in a sustained hypermetabolic state with resulting increased caloric and protein requirements to support the stress and immune responses; augmented protein, fat, and carbohydrate catabolism; oxidative stress; and exudative losses. Along with surgical debridement, nutrition and resuscitation are the foundations of patient management after severe burn injury. Recent literature has demonstrated a clear benefit to early enteral nutrition initiation during the resuscitation period. This review aims to examine recent literature discussing both physiologic impact of burn injury and approaches to feeding during resuscitation after burn injury; including methods of determining nutrition requirements, routes, timing, and monitoring response and the associated benefits and consequences thereof.
    MeSH term(s) Burns/physiopathology ; Burns/therapy ; Enteral Nutrition/methods ; Humans ; Nutrition Assessment ; Nutritional Requirements ; Resuscitation
    Language English
    Publishing date 2019-08-22
    Publishing country United States
    Document type Journal Article ; Review
    ZDB-ID 645074-x
    ISSN 1941-2452 ; 0884-5336
    ISSN (online) 1941-2452
    ISSN 0884-5336
    DOI 10.1002/ncp.10400
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  10. Article: Feeding During Resuscitation After Burn Injury

    Masch, Jessica L. / Bhutiani, Neal / Bozeman, Matthew C.

    Nutrition in clinical practice. 2019 Oct., v. 34, no. 5

    2019  

    Abstract: Burn injury results in a sustained hypermetabolic state with resulting increased caloric and protein requirements to support the stress and immune responses; augmented protein, fat, and carbohydrate catabolism; oxidative stress; and exudative losses. ... ...

    Abstract Burn injury results in a sustained hypermetabolic state with resulting increased caloric and protein requirements to support the stress and immune responses; augmented protein, fat, and carbohydrate catabolism; oxidative stress; and exudative losses. Along with surgical debridement, nutrition and resuscitation are the foundations of patient management after severe burn injury. Recent literature has demonstrated a clear benefit to early enteral nutrition initiation during the resuscitation period. This review aims to examine recent literature discussing both physiologic impact of burn injury and approaches to feeding during resuscitation after burn injury; including methods of determining nutrition requirements, routes, timing, and monitoring response and the associated benefits and consequences thereof.
    Keywords burns (injuries) ; carbohydrates ; catabolism ; debridement ; enteral feeding ; oxidative stress ; patients
    Language English
    Dates of publication 2019-10
    Size p. 666-671.
    Publishing place John Wiley & Sons, Ltd
    Document type Article
    Note REVIEW
    ZDB-ID 645074-x
    ISSN 1941-2452 ; 0884-5336
    ISSN (online) 1941-2452
    ISSN 0884-5336
    DOI 10.1002/ncp.10400
    Database NAL-Catalogue (AGRICOLA)

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