Copyright ©The Author(s) 2024. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Gastroenterol. Jan 21, 2024; 30(3): 199-203
Published online Jan 21, 2024. doi: 10.3748/wjg.v30.i3.199
Toward less invasive coloproctology: The future is out there
Sameh Hany Emile, Jonathan Ragheb
Sameh Hany Emile, Department of Colorectal Surgery, Cleveland Clinic Florida, Weston, FL 33331, United States
Jonathan Ragheb, Department of Gastroenterology and Hepatology, Cleveland Clinic Florida, Weston, FL 33331, United States
Author contributions: Emile SH contributed to the conception and writing of the manuscript; Ragheb J contributed to the critical revision of the manuscript; all authors have read and approved the final manuscript.
Conflict-of-interest statement: Sameh Emile and Jonathan Ragheb have no conflicts of interests to disclose.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Sameh Hany Emile, FACS, MBChB, MD, MS, Associate Professor, Doctor, Research Scientist, Department of Colorectal Surgery, Cleveland Clinic Florida, No. 2950 Cleveland Clinic Blvd, Weston, FL 33331, United States. sameh200@hotmail.com
Received: November 28, 2023
Peer-review started: November 28, 2023
First decision: December 8, 2023
Revised: December 12, 2023
Accepted: January 5, 2024
Article in press: January 5, 2024
Published online: January 21, 2024
Core Tip

Core Tip: One of the most important innovative breakthroughs in modern medicine is the advent of minimally and less invasive treatments. Coloproctology has undergone a remarkable paradigm shift as the treatment of benign and malignant colorectal conditions has gradually transitioned towards less invasive approaches. An important paradigm shift was the trend to avoid the need for radical resection of rectal cancer altogether in patients who showed complete response to neoadjuvant treatment. Another example is the trend toward non-operative management of inflammatory bowel disease and benign anorectal disorders.