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Definition of the R...
Definition of the Rectum An International, Expert-based Delphi Consensus
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- D'Souza, Nigel (author)
- Croydon Univ Hosp, London, England;Royal Marsden NHS Fdn Trust, London, England;Imperial Coll, London, England
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- Babberich, Michael P. M. de Neree Tot (author)
- Univ Amsterdam, Med Ctr, Amsterdam, Netherlands
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- d'Hoore, Andre (author)
- Univ Clin Leuven, Leuven, Belgium
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- Tiret, Emmanuel (author)
- Hosp St Antoine, Paris, France
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- Xynos, Evaghelos (author)
- Interclin Hosp Heraklion, Iraklion, Greece
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- Beets-Tan, Regina G. H. (author)
- Karolinska Institutet
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- Nagtegaal, Iris D. (author)
- Radboud Med Ctr, Nijmegen, Netherlands
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- Blomqvist, Lennart (author)
- Karolinska Institutet
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- Holm, Torbjorn (author)
- Karolinska Univ Hosp, Stockholm, Sweden
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- Glimelius, Bengt (author)
- Uppsala universitet,Experimentell och klinisk onkologi
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- Lacy, Antonio (author)
- Hosp Clin Barcelona, Barcelona, Spain
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- Cervantes, Andres (author)
- Univ Valencia, CIBERONC, Biomed Res Inst INCLIVA, Valencia, Spain
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- Glynne-Jones, Robert (author)
- Mt Vernon Hosp, London, England
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- West, Nicholas P. (author)
- Univ Leeds, Leeds, W Yorkshire, England
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- Perez, Rodrigo O. (author)
- Univ Sao Paulo, Sch Med, Sao Paulo, SP, Brazil
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- Quadros, Claudio (author)
- Aristides Maltez Hosp, Salvador, BA, Brazil
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- Lee, Kil Yeon (author)
- Kyung Hee Univ, Med Ctr, Seoul, South Korea
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- Madiba, Thandinkosi E. (author)
- Univ KwaZulu Natal, Durban, South Africa
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- Wexner, Steven D. (author)
- Cleveland Clin Florida, Weston, FL USA
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- Garcia-Aguilar, Julio (author)
- Mem Sloan Kettering Canc Ctr, 1275 York Ave, New York, NY 10021 USA
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- Sahani, Dushyant (author)
- Massachusetts Gen Hosp, Boston, MA 02114 USA
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- Moran, Brendan (author)
- Basingstoke Hosp, Basingstoke, Hants, England
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- Tekkis, Paris (author)
- Royal Marsden NHS Fdn Trust, London, England;Imperial Coll, London, England
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- Rutten, Harm J. (author)
- Catherina Ziekenhuis, Eindhoven, Netherlands;Maastricht Univ, GROW Sch Dev Biol & Oncol, Maastricht, Netherlands
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- Tanis, Pieter J. (author)
- Univ Amsterdam, Med Ctr, Amsterdam, Netherlands
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- Wiggers, Theo (author)
- Univ Med Ctr Groningen, Groningen, Netherlands
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- Brown, Gina (author)
- Royal Marsden NHS Fdn Trust, London, England;Imperial Coll, London, England
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(creator_code:org_t)
- LIPPINCOTT WILLIAMS & WILKINS, 2019
- 2019
- English.
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In: Annals of Surgery. - : LIPPINCOTT WILLIAMS & WILKINS. - 0003-4932 .- 1528-1140. ; 270:6, s. 955-959
- Related links:
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https://urn.kb.se/re...
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https://doi.org/10.1...
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http://kipublication...
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Abstract
Subject headings
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- Background: The wide global variation in the definition of the rectum has led to significant inconsistencies in trial recruitment, clinical management, and outcomes. Surgical technique and use of preoperative treatment for a cancer of the rectum and sigmoid colon are radically different and dependent on the local definitions employed by the clinical team. A consensus definition of the rectum is needed to standardise treatment. Methods: The consensus was conducted using the Delphi technique with multidisciplinary colorectal experts from October, 2017 to April, 2018. Results: Eleven different definitions for the rectum were used by participants in the consensus. Magnetic resonance imaging (MRI) was the most frequent modality used to define the rectum (67%), and the preferred modality for 72% of participants. The most agreed consensus landmark (56%) was "the sigmoid take-off,'' an anatomic, image-based definition of the junction of the mesorectum and mesocolon. In the second round, 81% of participants agreed that the sigmoid take-off as seen on computed tomography or MRI achieved consensus, and that it could be implemented in their institution. Also, 87% were satisfied with the sigmoid take-off as the consensus landmark. Conclusion: An international consensus definition for the rectumis the point of the sigmoid take-off as visualized on imaging. The sigmoid take-off can be identified as the mesocolon elongates as the ventral and horizontal course of the sigmoid on axial and sagittal views respectively on cross-sectional imaging. Routine application of this landmark during multidisciplinary team discussion for all patients will enable greater consistency in tumour localisation.
Subject headings
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Kirurgi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Surgery (hsv//eng)
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Radiologi och bildbehandling (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Radiology, Nuclear Medicine and Medical Imaging (hsv//eng)
Keyword
- anatomy
- MRI
- rectum
- sigmoid
Publication and Content Type
- ref (subject category)
- art (subject category)
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- By the author/editor
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D'Souza, Nigel
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Babberich, Micha ...
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d'Hoore, Andre
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Tiret, Emmanuel
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Xynos, Evaghelos
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Beets-Tan, Regin ...
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show more...
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Nagtegaal, Iris ...
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Blomqvist, Lenna ...
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Holm, Torbjorn
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Glimelius, Bengt
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Lacy, Antonio
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Cervantes, Andre ...
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Glynne-Jones, Ro ...
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West, Nicholas P ...
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Perez, Rodrigo O ...
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Quadros, Claudio
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Lee, Kil Yeon
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Madiba, Thandink ...
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Wexner, Steven D ...
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Garcia-Aguilar, ...
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Sahani, Dushyant
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Moran, Brendan
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Tekkis, Paris
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Rutten, Harm J.
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Tanis, Pieter J.
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Wiggers, Theo
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Brown, Gina
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show less...
- About the subject
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- MEDICAL AND HEALTH SCIENCES
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MEDICAL AND HEAL ...
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and Clinical Medicin ...
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and Surgery
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- MEDICAL AND HEALTH SCIENCES
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MEDICAL AND HEAL ...
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and Clinical Medicin ...
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and Radiology Nuclea ...
- Articles in the publication
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Annals of Surger ...
- By the university
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Uppsala University
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Karolinska Institutet