Colorectal Disease (Colorectal Dis)

Publisher: Association of Coloproctology of Great Britain and Ireland, Wiley

Journal description

Colorectal Disease is a new journal publishing original research in any discipline relating to colorectal pathology. The journal will further education and inter-professional development by including regular review articles, discussions of current controversies, occasional highly selected case reports, and question and answer features.Colorectal Disease is the official organ of the Association of Coloproctology of Great Britain and Ireland. The journal will report news of the Association and take a major interest in coloproctological matters across Europe as a whole.

Current impact factor: 2.35

Impact Factor Rankings

2015 Impact Factor Available summer 2016
2014 Impact Factor 2.351
2013 Impact Factor 2.017
2012 Impact Factor 2.081
2011 Impact Factor 2.927
2010 Impact Factor 2.728
2009 Impact Factor 2.41
2008 Impact Factor 2.293
2007 Impact Factor 2.059

Impact factor over time

Impact factor

Additional details

5-year impact 2.36
Cited half-life 4.10
Immediacy index 0.74
Eigenfactor 0.02
Article influence 0.73
Website Colorectal Disease website
Other titles Colorectal disease (Online)
ISSN 1463-1318
OCLC 45907159
Material type Document, Periodical, Internet resource
Document type Internet Resource, Computer File, Journal / Magazine / Newspaper

Publisher details


  • Pre-print
    • Author can archive a pre-print version
  • Post-print
    • Author cannot archive a post-print version
  • Restrictions
    • 12 months embargo
  • Conditions
    • Some journals have separate policies, please check with each journal directly
    • On author's personal website, institutional repositories, arXiv, AgEcon, PhilPapers, PubMed Central, RePEc or Social Science Research Network
    • Author's pre-print may not be updated with Publisher's Version/PDF
    • Author's pre-print must acknowledge acceptance for publication
    • Non-Commercial
    • Publisher's version/PDF cannot be used
    • Publisher source must be acknowledged with citation
    • Must link to publisher version with set statement (see policy)
    • If OnlineOpen is available, BBSRC, EPSRC, MRC, NERC and STFC authors, may self-archive after 12 months
    • If OnlineOpen is available, AHRC and ESRC authors, may self-archive after 24 months
    • Publisher last contacted on 07/08/2014
    • This policy is an exception to the default policies of 'Wiley'
  • Classification
    ​ yellow

Publications in this journal

  • [Show abstract] [Hide abstract]
    ABSTRACT: Aim: Extralevator abdominoperineal excision (ELAPE) has been advocated to optimize clearance of lower third rectal cancers with an involved or threatened circumferential resection margin. ELAPE could reduce positive margins and specimen perforation compared with standard APE. ELAPE can, however, be difficult particularly in identifying the anterior plane in the male. Usually, the dissection is performed in the prone position, which can be hazardous particularly in obese patients, where wound problems are commonly encountered. We describe an endoscopically assisted approach for ELAPE in the lithotomy position. Method: Three male patients with a rectal tumour located at the anorectal junction underwent an endoscopically assisted ELAPE in the lithotomy position after preoperative radiotherapy. Results: All the procedures were performed successfully with operation times of 180, 390 and 420 minutes. There was no instance of intra-operative perforation or other complications. One patient developed postoperative intestinal obstruction which resolved on conservative management. There were no wound complications. Histopathological examination demonstrated clear margins and intact mesorectal planes in each patient. Conclusion: We report a good outcome in three patients after endoscopically assisted ELAPE. The approach allows the patient to be operated in the lithotomy position giving excellent views of the anterior dissection. This is the first paper describing an endoscopically assisted ELAPE, including a step-by-step accounts and a video recording. This article is protected by copyright. All rights reserved.
    Colorectal Disease 10/2015; DOI:10.1111/codi.13144
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    ABSTRACT: Tubes have been used to drain perianal abscess[1], but their use in managing fistula-in-ano has never been described. Tube in tract (TIT) is a simple technique and has several advantages over a loose draining seton in the management of complex fistula-in-ano [2]. The skin around a seton may become tight making it less effective to drain thick pus. This does not happen in TIT. In TIT, the diameter of the tube can be selected as required resulting in better drainage. This article is protected by copyright. All rights reserved.
    Colorectal Disease 10/2015; DOI:10.1111/codi.13143
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    ABSTRACT: Aim: Quality of life (QOL) was assessed after palliative surgery for incurable metastatic colorectal cancer (CRC). Method: Newly diagnosed patients with incurable metastatic CRC who were offered elective palliative surgical intervention were included. The European Organization for Research and Treatment of Cancer (EORTC) QLQ-C30 and QLQ-CR29 questionnaire was used for the assessment of QOL at baseline and at 3 and 6 months after surgery. Generalized estimating equations (GEE) were used to estimate the mean change in the QOL score from baseline. Result: 24 patients formed the study group. Sixteen underwent resection of the primary tumour and eight had a proximal diversion or bypass. The Global Health (GH) score and Social Functioning (SF) score improved at 3 and 6 months after the intervention (GH +11, p=0.021; SF +15, p=0.005). Mean anxiety scores were markedly improved from the baseline of 51 to 71 (p=0.004, 3 months) and 76 (p=0.002, 6 months). Weight concerns also improved significantly when compared to baseline (3 months: +20, p=<0.001; 6 months: +13, p=0.012). Symptoms of diarrhoea (diarrhoea- 3 months: -17, p=0.007; 6 months: -16, p=0.008) and nausea (-8, p=0.032) improved. Conclusion: In patients with incurable metastatic CRC, surgery improved the QOL. This article is protected by copyright. All rights reserved.
    Colorectal Disease 10/2015; DOI:10.1111/codi.13142
  • Colorectal Disease 10/2015; 17(10). DOI:10.1111/codi.13046
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    ABSTRACT: In addition to serving as a bridge to a laparoscopic approach, hand-assisted surgery also has a role in technically difficult cases, but commercially available ports are expensive and may not be cost-effective if required for only small part of the procedure. This video vignette demonstrates the use of a home-made hand-port, fashioned from the inexpensive and widely available components of wound retractor and surgical glove. This article is protected by copyright. All rights reserved.
    Colorectal Disease 09/2015; DOI:10.1111/codi.13137
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    ABSTRACT: Aim: Dissection of the perineal body (PB) during abdominoperineal excision (APE) for low rectal cancer is often difficult due to lack of a natural plane of dissection. Understanding of the PB and its relation to the anorectum is essential to permit safe dissection during the perineal phase of the operation, to avoid damage to the anorectum and urogenital organs. This study describes the anatomy and histology of the PB relevant to APE. Method: Six human adult cadaver pelvic exenteration specimens (three males, three females) from the Leeds GIFT Research Tissue Programme were studied. Paraffin-embedded mega-blocks were produced and serially sectioned at 50 and 250 μm intervals. Sections were stained by immunohistochemistry to show collagen, elastin and smooth muscle. Results: The PB was cylindrically-shaped in males and wedge-shaped in females. Although centrally located between the anal and urogenital triangles, it was nearly completely formed by muscle fibres derived from the rectal muscularis propria. Thick bundles of smooth muscle mostly arising from the longitudinal muscle, inserted into the PB and levator ani muscle (LAM). The recto-urethralis muscle originated from the PB and separated the anterolateral PB from the urogenital organs. Conclusion: Smooth muscle fibres derived from the rectal muscularis propria extend into the PB and LAM and appear to fix the anorectum. Dissection of the PB during APE is safe only when the smooth muscle fibres that extend into the PB are divided. This article is protected by copyright. All rights reserved.
    Colorectal Disease 09/2015; DOI:10.1111/codi.13138
  • [Show abstract] [Hide abstract]
    ABSTRACT: This article documents the consensus of an expert group of surgeons from the second international trans-anal total mesorectal excision (TaTME) conference held in Paris in July 2014. It outlines three facets of the TaTME procedure, 1) the technique and its indications, 2) training & adoption, and 3) data collection & the TaTME registry. This article is protected by copyright. All rights reserved.
    Colorectal Disease 09/2015; DOI:10.1111/codi.13131
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    ABSTRACT: Aim: The aim of this study was to develop a prognostic scoring system to predict the outcome of patients with unresectable metastatic colon cancer who received primary colon tumour resection. Method: Patients with confirmed metastatic colon cancer treated at the Peking University Cancer Hospital between 2003 and 2012 were reviewed retrospectively. The correlation of clinicopathological factors with overall survival was analyzed using the Kaplan-Meier method and the log-rank test. Independent prognostic factors were identified using a Cox proportional hazards regression model, and were then combined to form a prognostic scoring system. Results: 110 eligible patients were included in the study. The median survival time was 10.4 months and the two-year overall survival (OS) rate was 21.8%. Age over 70 years, an alkaline phosphatase (ALP) level over 160 IU/L, ascites, a platelet lymphocyte ratio (PLR) above 162 and no postoperative therapy were independently associated with a shorter OS in multivariate analysis. Age, ALP, ascites and PLR were subsequently combined to form the so called AAAP scoring system. Patients were classified into high, medium and low risk groups according to the score obtained. There were significant differences in OS between each group (p<0.001). Conclusion: Age, ALP, ascites, PLR and postoperative therapy were independent prognostic factors for survival of patients with metastatic colonic cancer who underwent primary tumour resection. The AAAP scoring system may be a useful tool for surgical decision making . This article is protected by copyright. All rights reserved.
    Colorectal Disease 09/2015; DOI:10.1111/codi.13123
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    ABSTRACT: Three recent Scandinavian articles (all online by July 2015) made interesting reading given that they derive from centres in a geographical triangle of some 600 kms (1-3). Our Danish friends (1) confirmed the well known fact that parastomal herniation is common, but fortunately most patients stated that they suffered 'little or no impact' on their quality of life. This was good to see, as we colorectal surgeons do not raise stomas without good reason. This article is protected by copyright. All rights reserved.
    Colorectal Disease 09/2015; DOI:10.1111/codi.13129
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    ABSTRACT: Background and aims: Anastomotic dehiscence is one of the most feared complications in colorectal surgery leading to significant morbidity and mortality. Progressively lower anastomoses are associated with a greater leak rate. One of the key factors is the perfusion of the bowel to be joined. Presently, surgeons rely on a variety subjective measures to determine anastomotic perfusion and mechanical integrity however these have shortcomings. The aim of this paper is to appraise the literature on the use of fluorescence angiography (FA) in laparoscopic rectal surgery. Materials and methods: A Pubmed search was undertaken using terms 'fluorescence angiography' and 'rectal surgery'. The search was expanded using the related articles function. Studies were included if they used FA specifically for rectal surgery. Outcomes of interest including anastomotic leak rate, change of operative strategy and time taken for FA were recorded. Results: Eleven papers detailing the use of FA in rectal surgery are outlined demonstrating that this technique may change operative strategy and lead to a reduction in anastomotic leak rate. Conclusion: In this paper, we discuss assessment of colorectal blood supply using FA and how this technique holds great potential to detect insufficiently perfused bowel. In so doing, the operator can adjust their operative strategy to mitigate these affects with the aim of reducing the complications of anastomotic leak and stenosis. However, it is highlighted that there is a clear need for randomised controlled trials in order to determine this definitively.
    Colorectal Disease 09/2015; 17 Suppl 3:16-21. DOI:10.1111/codi.13033
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    ABSTRACT: Aim: Inadequate intestinal blood flow may contribute to anastomotic leakage accounting for substantial morbidity and mortality in colorectal surgery. Precise intraoperative assessment of microperfusion may have an impact on the surgeon0s intraoperative management and leakage rate. Method: In this single center observational study we implemented and integrated intraoperative indocyanin green (ICG) based microperfusion assessment of anastomosis with Pinpoint Perfusion Imaging in a series of consecutive rectal cancer patients who underwent laparoscopic anterior and lower anterior resection with primary anastomosis during a 5-months period. Results: We could demonstrate the feasibility and safety of intraoperative fluorescence angiography for colorectal microperfusion assessment. Technology implementation was immediately successful. No adverse effects have been documented related to fluorescent dye. Microperfusion angiography of the colon succeeded in all cases and assessment of perfusion imaging influenced surgical decision making in 28% of the patients, of which all patients showed primary healing of the anastomosis. We found a leakage rate of 6% with one leakage of a coloanal anastomosis in all patients. Conclusion: Fluorescence angiography is an accurate tool for assessing microperfusion and is most likely associated with improved outcomes with regard to anastomotic healing.
    Colorectal Disease 09/2015; 17 Suppl 3(S3):22-28. DOI:10.1111/codi.13031
  • [Show abstract] [Hide abstract]
    ABSTRACT: The PINPOINT Endoscopic Fluorescence Imaging System is a high-definition video laparoscopy system for conventional white light laparoscopic visualization and for near-infrared fluorescence imaging with indocyanine green (ICG). This manuscript describes it's technical characteristics and performance capabilities.
    Colorectal Disease 09/2015; 17 Suppl 3(S3):3-6. DOI:10.1111/codi.13039
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    ABSTRACT: While still debated, it was advised to perform a protective temporary ileostomy after a low anterior resection (LAR). This might help to decrease the leak rate and therefore offers the patient better outcomes. Anastomotic leak can occur in many situations after a LAR and the control of the risk factors helps to adapt the need of an ileostomy. Near infrared technology allows assessing the microvascularisation of the anastomosis at the time of surgery and therefore might be an important tool to avoid a stoma in given situation. This article reviews the evidences with the use of this technology.
    Colorectal Disease 09/2015; 17 Suppl 3:29-31. DOI:10.1111/codi.13029
  • Colorectal Disease 09/2015; 17 Suppl 3(S3):36. DOI:10.1111/codi.13089
  • Colorectal Disease 09/2015; 17 Suppl 3:1-2. DOI:10.1111/codi.13016
  • Colorectal Disease 09/2015; 17 Suppl 3(S3):37. DOI:10.1111/codi.13090
  • [Show abstract] [Hide abstract]
    ABSTRACT: Low rectal cancers metastase lymphatically to the pelvic side wall in addition to cephalad spread alongside the superior rectal/inferior mesenteric arterial axis. Radical surgery in the West has focused resectional intent and effort on the midline en bloc oncological package by Total Mesorectal Excision. While neoadjuvant chemo/radiotherapy (now often administered to patients with radiologically locally advanced cancer) may contribute significant therapeutic effect to the lateral pelvic side walls, many patients with earlier preoperative stage low rectal cancer are offered surgery first (and indeed solely). Furthermore, some of those pretreated may have residual in situ lateral nodal disease and so risk understaging and undertreatment. Routine extended lymphadenectomy is on the otherhand unproven with respect to survival benefit and has likely no added role in the absence of definite (rather than possible) side-wall involvement. Near-infrared fluorescence pelvic side-wall delta mapping, as illustrated here in five patients undergoing abdominoperineal resection for rectal cancer after neoadjuvant therapy, may give the technological capacity to identify tumor site-draining nodes on the pelvic side and the focus the operating surgeon on this potential target for surgical resection (whether by berry picking or nerve sparing clearance) and prompt individualized diagnostic and therapeutic selection.
    Colorectal Disease 09/2015; 17 Suppl 3(S3):32-35. DOI:10.1111/codi.13030