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  1. Article: Correction: Insulated tip/needle-knife endoscopic stricturotomy is safe and effective for treatment of non-traversable anorectal strictures.

    Herman, Koby / Kiran, Ravi P / Shen, Bo

    Endoscopy international open

    2024  Volume 12, Issue 2, Page(s) 3

    Abstract: This corrects the article DOI: 10.1055/a-2230-7372.]. ...

    Abstract [This corrects the article DOI: 10.1055/a-2230-7372.].
    Language English
    Publishing date 2024-02-23
    Publishing country Germany
    Document type Published Erratum
    ZDB-ID 2761052-4
    ISSN 2196-9736 ; 2364-3722
    ISSN (online) 2196-9736
    ISSN 2364-3722
    DOI 10.1055/a-2272-9459
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article: Insulated tip/needle-knife endoscopic stricturotomy is safe and effective for treatment of non-traversable anorectal strictures.

    Herman, Koby / Kiran, Ravi P / Shen, Bo

    Endoscopy international open

    2024  Volume 12, Issue 2, Page(s) E231–E236

    Abstract: Background and study ... ...

    Abstract Background and study aims
    Language English
    Publishing date 2024-02-15
    Publishing country Germany
    Document type Journal Article
    ZDB-ID 2761052-4
    ISSN 2196-9736 ; 2364-3722
    ISSN (online) 2196-9736
    ISSN 2364-3722
    DOI 10.1055/a-2230-7372
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: Conversion of Failed J-Pouch to Kock Pouch: Indications, Contraindications, and Outcomes.

    Ahmed Ali, Usama / Kiran, Ravi P

    Diseases of the colon and rectum

    2024  Volume 67, Issue S1, Page(s) S46–S51

    Abstract: Background: The IPAA has been successful in restoring intestinal continuity and preserving continence in the majority of patients requiring a proctocolectomy. However, a subset of individuals experience significant complications that might result in ... ...

    Abstract Background: The IPAA has been successful in restoring intestinal continuity and preserving continence in the majority of patients requiring a proctocolectomy. However, a subset of individuals experience significant complications that might result in pouch failure. The conversion of the J-pouch to a continent ileostomy pouch represents a significant surgical procedure. In this article, we discuss the indications and contraindications, present the technical principles applied for the conversion, and describe the outcomes of such conversion in the literature.
    Objective: The main objective during the conversion of the J-pouch to a continent ileostomy is the creation of a sufficiently sized reservoir with a high-quality valve mechanism while preserving as much small bowel as possible.
    Conclusions: The conversion of the J-pouch to a continent ileostomy represents a significant surgical procedure. When performed in centers of expertise, it can be a good option for patients who otherwise will require an end ileostomy. Indications for conversion include most cases of J-pouch failure, with a few important exceptions. See video from symposium .
    MeSH term(s) Humans ; Colonic Pouches/adverse effects ; Proctocolectomy, Restorative/methods ; Proctocolectomy, Restorative/adverse effects ; Ileostomy/methods ; Reoperation/methods ; Contraindications, Procedure ; Treatment Outcome ; Postoperative Complications ; Treatment Failure
    Language English
    Publishing date 2024-01-25
    Publishing country United States
    Document type Journal Article ; Video-Audio Media ; Review
    ZDB-ID 212581-x
    ISSN 1530-0358 ; 0012-3706
    ISSN (online) 1530-0358
    ISSN 0012-3706
    DOI 10.1097/DCR.0000000000003182
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    In stock of ZB MED Cologne/Königswinter

    Uk I Zs.237: Show issues Location:
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  4. Article: Insulated tip/needle-knife endoscopic stricturotomy is safe and effective for treatment of non-traversable anorectal strictures

    Herman, Koby / Kiran, Ravi P. / Shen, Bo

    Endoscopy International Open

    2024  Volume 12, Issue 02, Page(s) E231–E236

    Abstract: Background and study aims: The treatment of anorectal strictures is particularly challenging and historically focused on surgical resection and/or diversion. There are a number of endoscopic options, but repeat interventions are common. The ... ...

    Abstract Background and study aims: The treatment of anorectal strictures is particularly challenging and historically focused on surgical resection and/or diversion. There are a number of endoscopic options, but repeat interventions are common. The use of the needle knife stricturotomy technique as an alternative to surgery in the treatment of a variety of strictures has been described, but its use for the treatment of severe anorectal and anopouch strictures has not been studied.
    Patients and methods: Our Inflammatory Bowel Disease department’s records were queried to identify patients with endoscopic non-traversable anorectal/anopouch strictures. Consecutive patients that underwent insulated tip/needle-knife endoscopic stricturotomy treatment were included. Primary outcome was immediate traversability of the treated stricture by the endoscope. Other outcomes included need for reintervention, 30-day post-procedure events, and follow-up period events.
    Results: All strictures were immediately successfully traversed following endoscopic stricturotomy treatment. The mean time to endoscopic reintervention was 5.3 months, with the majority of these patients undergoing repeat stricturotomy. Over a mean follow-up period of 12.8 months, two patients (8%) required surgical intervention (resection with coloanal anastomosis with a colostomy and complete proctectomy) for refractory stricture disease following initial endoscopic stricturotomy. Seven patients (29%) in our study have not required any further reintervention throughout the study period. There were no 30-day post-procedure adverse events and no adverse post-procedure events.
    Conclusions: Endoscopic stricturotomy is safe and effective in treating severe anorectal/anopouch strictures.
    Keywords Endoscopy Lower GI Tract ; Inflammatory bowel disease ; Endoscopy Small Bowel
    Language English
    Publishing date 2024-02-01
    Publisher Georg Thieme Verlag KG
    Publishing place Stuttgart ; New York
    Document type Article
    ZDB-ID 2761052-4
    ISSN 2196-9736 ; 2364-3722 ; 2196-9736
    ISSN (online) 2196-9736
    ISSN 2364-3722 ; 2196-9736
    DOI 10.1055/a-2230-7372
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  5. Article: Correction: Insulated tip/needle-knife endoscopic stricturotomy is safe and effective for treatment of non-traversable anorectal strictures

    Herman, Koby / Kiran, Ravi P. / Shen, Bo

    Endoscopy International Open

    2024  Volume 12, Issue 02, Page(s) 3–3

    Language English
    Publishing date 2024-02-01
    Publisher Georg Thieme Verlag KG
    Publishing place Stuttgart ; New York
    Document type Article
    ZDB-ID 2761052-4
    ISSN 2196-9736 ; 2364-3722 ; 2196-9736
    ISSN (online) 2196-9736
    ISSN 2364-3722 ; 2196-9736
    DOI 10.1055/a-2272-9459
    Database Thieme publisher's database

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  6. Article: Endoscopic therapy of stoma closure site strictures in ileal pouches is safe and effective.

    Jabi, Osama / Lan, Nan / Pokala, Akshay / Kiran, Ravi P / Shen, Bo

    Gastroenterology report

    2024  Volume 12, Page(s) goae038

    Abstract: Background: Strictures are a common complication after ileal pouch surgery with the most common locations being at the anastomosis, pouch inlet, and stoma closure site. No previous literature has described endoscopic therapy of stoma site stricture. ... ...

    Abstract Background: Strictures are a common complication after ileal pouch surgery with the most common locations being at the anastomosis, pouch inlet, and stoma closure site. No previous literature has described endoscopic therapy of stoma site stricture. This study aimed to assess the safety and efficacy of endoscopic therapy in the treatment of stoma closure site strictures.
    Method: Patients diagnosed with stoma closure site strictures following ileal pouch surgery who underwent endoscopic treatment at the Center for Colorectal Diseases, Inflammatory Bowel Disease (IBD), and Ileal Pouch between 2018 and 2022 were analysed. Primary outcomes (technical success and surgery-free survival) were compared between endoscopic balloon dilation (EBD) and stricturotomy and/or strictureplasty.
    Results: A total of 30 consecutive eligible patients were analysed. Most patients were female (66.7%) and most patients were diagnosed with IBD (93.3%). Twenty patients (66.7%) had end-to-end anastomosis. A total of 52 procedures were performed, with EBD in 16 (30.8%) and stricturotomy and/or strictureplasty in 36 (69.2%). The mean stricture length was 1.7 ± 1.0 cm. Immediate technical success was achieved in 47 of 52 interventions (90.4%). During a mean follow-up of 12.7 ± 9.9 months, none of the patients underwent surgical intervention for the stricture. Fourteen (46.7%) required endoscopic re-intervention for their strictures with an interval between index and re-interventional pouchoscopy of 8.8 ± 6.3 months. Post-procedural complications were reported in 2 (6.7%) with bleeding and none with perforation. Upon follow-up, 20 (66.7%) patients reported improvement in their symptoms.
    Conclusion: EBD and endoscopic stricturotomy and/or strictureplasty are safe and effective in treating stoma closure site strictures in patients with ileal pouches, providing symptomatic relief in most patients as well as avoiding surgery.
    Language English
    Publishing date 2024-05-16
    Publishing country England
    Document type Journal Article
    ZDB-ID 2710871-5
    ISSN 2052-0034
    ISSN 2052-0034
    DOI 10.1093/gastro/goae038
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  7. Article: Surgery for Crohn's disease: upfront or last resort?

    Ahmed Ali, U / Kiran, Ravi P

    Gastroenterology report

    2022  Volume 10, Page(s) goac063

    Abstract: Crohn's disease (CD) can involve the entire gastrointestinal tract from the mouth to the anus and can lead to a constellation of symptoms. With the advancement of effective medical treatments for CD, a tendency has emerged to consider surgical treatment ... ...

    Abstract Crohn's disease (CD) can involve the entire gastrointestinal tract from the mouth to the anus and can lead to a constellation of symptoms. With the advancement of effective medical treatments for CD, a tendency has emerged to consider surgical treatment as a last resort. This potentially has the disadvantage of delaying surgery and if it fails might leave patients sicker, less well nourished, and with more severe complications. As with most non-malignant diseases, the choice of surgery vs medical treatment is a patient's personal preference under the guidance of the treating physician, except in extreme situations where surgery might be the only option. In this article, we will discuss the available evidence regarding the optimal timing of surgery in CD, focusing on whether early surgery can bring benefits in terms of disease control, symptom relief, and quality of life.
    Language English
    Publishing date 2022-11-09
    Publishing country England
    Document type Journal Article ; Review
    ZDB-ID 2710871-5
    ISSN 2052-0034
    ISSN 2052-0034
    DOI 10.1093/gastro/goac063
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  8. Article ; Online: Ileoanal Pouch Syndrome? Or a New Normal?

    Church, James / Shen, Bo / Kiran, Ravi P

    Diseases of the colon and rectum

    2021  Volume 64, Issue 12, Page(s) e735

    MeSH term(s) Colonic Pouches/adverse effects ; Humans ; Proctocolectomy, Restorative/adverse effects ; Syndrome
    Language English
    Publishing date 2021-09-14
    Publishing country United States
    Document type Letter ; Comment
    ZDB-ID 212581-x
    ISSN 1530-0358 ; 0012-3706
    ISSN (online) 1530-0358
    ISSN 0012-3706
    DOI 10.1097/DCR.0000000000002277
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    In stock of ZB MED Cologne/Königswinter

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  9. Article ; Online: Erratum to "Management of the positive pathologic circumferential resection margin in rectal cancer: A national cancer database (NCDB) study" [Eur J Surg Oncol 47 (2) (February 2021) 296-303].

    Reif de Paula, Thais / Augestad, Knut Magne / Kiran, Ravi P / Keller, Deborah S

    European journal of surgical oncology : the journal of the European Society of Surgical Oncology and the British Association of Surgical Oncology

    2023  Volume 49, Issue 10, Page(s) 106949

    Language English
    Publishing date 2023-08-22
    Publishing country England
    Document type Published Erratum
    ZDB-ID 632519-1
    ISSN 1532-2157 ; 0748-7983
    ISSN (online) 1532-2157
    ISSN 0748-7983
    DOI 10.1016/j.ejso.2023.06.001
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    Zs.A 1149: Show issues Location:
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    Zs.MO 549: Show issues

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  10. Article ; Online: Commentary on Young et al.

    Kiran, Ravi P

    Colorectal disease : the official journal of the Association of Coloproctology of Great Britain and Ireland

    2014  Volume 16, Issue 1, Page(s) 25–27

    MeSH term(s) Colorectal Neoplasms/therapy ; Continuity of Patient Care/standards ; Female ; Humans ; Male ; Process Assessment (Health Care)/methods ; Quality Indicators, Health Care
    Language English
    Publishing date 2014-01
    Publishing country England
    Document type Comment ; Journal Article
    ZDB-ID 1440017-0
    ISSN 1463-1318 ; 1462-8910
    ISSN (online) 1463-1318
    ISSN 1462-8910
    DOI 10.1111/codi.12400
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    Zs.A 5799: Show issues Location:
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