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Journal of Gastrointestinal Surgery: Official Journal of the Society for Surgery of the Alimentary Tract

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https://www.readbyqxmd.com/read/30225796/patient-co-morbidity-and-functional-status-influence-the-occurrence-of-hospital-acquired-conditions-more-strongly-than-hospital-factors
#1
Zhobin Moghadamyeghaneh, Michael J Stamos, Lygia Stewart
BACKGROUND: Never events (NE) and hospital-acquired conditions (HAC) are used by Medicare/Medicaid Services to define hospital performance measures that dictate payments/penalties. Pre-op patient comorbidity may significantly influence HAC development. METHODS: We studied 8,118,615 patients from the NIS database (2002-2012) who underwent upper/lower gastrointestinal and/or hepatopancreatobiliary procedures. Multivariate analysis, using logistic regression, was used to identify HAC and NE risk factors...
September 17, 2018: Journal of Gastrointestinal Surgery: Official Journal of the Society for Surgery of the Alimentary Tract
https://www.readbyqxmd.com/read/30225795/ct-scan-findings-can-predict-the-safety-of-delayed-appendectomy-for-acute-appendicitis
#2
Byeong Geon Jeon, Hyuk Jung Kim, Seung Chul Heo
BACKGROUND: The relationship between duration of in-hospital waiting time and outcomes from appendectomy in patients with suspected appendicitis remains equivocal. The aim of this study was to investigate the influence of in-hospital waiting time on perforation rates and clinical outcomes in patients with suspected appendicitis who underwent appendectomy. METHODS: A retrospective review of 5956 patients who underwent appendectomy at a single institution from January 2008 to December 2016 was performed...
September 17, 2018: Journal of Gastrointestinal Surgery: Official Journal of the Society for Surgery of the Alimentary Tract
https://www.readbyqxmd.com/read/30225794/major-complications-independently-increase-long-term-mortality-after-pancreatoduodenectomy-for-cancer
#3
M Sandini, K J Ruscic, C R Ferrone, M Qadan, M Eikermann, A L Warshaw, K D Lillemoe, Carlos Fernández-Del Castillo
BACKGROUND: Postoperative major morbidity has been associated with worse survival gastrointestinal tumors. This association remains controversial in pancreatic cancer (PC). We analyzed whether major complications after surgical resection affect long-term survival. METHODS: Records of all PC patients resected from 2007 to 2015 were reviewed. Major morbidity was defined as any grade-3 or higher 30-day complications, per the Clavien-Dindo Classification. Patients who died within 90 days after surgery were excluded from survival analysis...
September 17, 2018: Journal of Gastrointestinal Surgery: Official Journal of the Society for Surgery of the Alimentary Tract
https://www.readbyqxmd.com/read/30225793/prognostic-value-of-the-number-of-lymph-nodes-examined-in-patients-with-node-negative-gastric-cancer
#4
Ze-Long Yang, Ming-Hua Zhu, Quan Shi, Fu-Min Lu, Chun-Xi Wang
BACKGROUND: Our aim was to evaluate the prognostic value of the number of lymph nodes examined (eLNs) in patients with node-negative gastric cancer (GC) and further to adjust the American Joint Committee on Cancer (AJCC) 8th staging system based on the number of eLNs. METHODS: Node-negative GC patients diagnosed during 1988-2015 from the Surveillance, Epidemiology, and End Results (SEER) database were included. On the basis of a primary cohort of 4159 node-negative GC patients, we built the adjusted AJCC 8th staging system, which was then internally validated by a bootstrap method, and externally validated with an independent cohort of 5565 node-negative GC patients...
September 17, 2018: Journal of Gastrointestinal Surgery: Official Journal of the Society for Surgery of the Alimentary Tract
https://www.readbyqxmd.com/read/30225792/cholecystectomy-vs-cholecystostomy-for-the-management-of-acute-cholecystitis-in-elderly-patients
#5
Francisco Schlottmann, Charles Gaber, Paula D Strassle, Marco G Patti, Anthony G Charles
BACKGROUND: Data comparing outcomes following cholecystectomy and cholecystostomy tube placement (CTP) in elderly patients are lacking. We aimed to compare the post-procedural outcomes between cholecystectomy and CTP in elderly patients with acute cholecystitis. METHODS: We performed a retrospective, population-based analysis using the National Inpatient Sample for the period 2000-2014. Patients ≥ 65 years old admitted with a primary diagnosis of acute cholecystitis and who underwent either cholecystectomy or CTP during their hospitalization were included...
September 17, 2018: Journal of Gastrointestinal Surgery: Official Journal of the Society for Surgery of the Alimentary Tract
https://www.readbyqxmd.com/read/30218342/hepatocellular-carcinoma-in-transplantable-child-pugh-a-cirrhotics-should-cost-affect-resection-vs-transplantation
#6
Theodoros Michelakos, Dimitrios Xourafas, Motaz Qadan, Rafael Pieretti-Vanmarcke, Lei Cai, Madhukar S Patel, Joel T Adler, Fermin Fontan, Usama Basit, Parsia A Vagefi, Nahel Elias, Kenneth K Tanabe, David Berger, Heidi Yeh, James F Markmann, David C Chang, Cristina R Ferrone
BACKGROUND: There is no consensus regarding the optimal surgical treatment for transplantable hepatocellular carcinoma (HCC) patients with well-compensated cirrhosis. Our aim was to compare outcomes between Child-Pugh A (CPA) cirrhotics who underwent liver resection or transplantation for HCC. METHODS: Clinicopathologic data were retrospectively collected for all surgically treated HCC patients between 7/1992 and 12/2015. Disease-free survival (DFS) and overall survival (OS) were calculated from the time of operation or diagnosis (intention-to-treat analysis including patients removed from the transplant list)...
September 14, 2018: Journal of Gastrointestinal Surgery: Official Journal of the Society for Surgery of the Alimentary Tract
https://www.readbyqxmd.com/read/30215203/ssat-state-of-the-art-conference-advances-in-the-management-of-rectal-cancer
#7
Evie Carchman, Daniel I Chu, Gregory D Kennedy, Melanie Morris, Marc Dakermandji, John R T Monson, Laura Melina Fernandez, Rodrigo Oliva Perez, Alessandro Fichera, Marco E Allaix, David Liska
No abstract text is available yet for this article.
September 13, 2018: Journal of Gastrointestinal Surgery: Official Journal of the Society for Surgery of the Alimentary Tract
https://www.readbyqxmd.com/read/30215202/circulating-leptin-and-branched-chain-amino-acids-correlation-with-intraductal-papillary-mucinous-neoplasm-dysplastic-grade
#8
Michele T Yip-Schneider, Rachel Simpson, Rosalie A Carr, Huangbing Wu, Hao Fan, Ziyue Liu, Murray Korc, Jianjun Zhang, C Max Schmidt
BACKGROUND: The most common type of mucinous pancreatic cyst that may progress to pancreatic cancer is intraductal papillary mucinous neoplasm (IPMN). Low-risk IPMN with low-/moderate-grade dysplasia may be safely watched, whereas high-risk IPMN with high-grade dysplasia or invasive components should undergo resection. However, there is currently no reliable means of making this distinction. We hypothesize that blood concentrations of insulin resistance biomarkers may aid in the differentiation of low- and high-risk IPMN...
September 13, 2018: Journal of Gastrointestinal Surgery: Official Journal of the Society for Surgery of the Alimentary Tract
https://www.readbyqxmd.com/read/30215201/financial-impact-of-anastomotic-leakage-in-colorectal-surgery
#9
Davide La Regina, Matteo Di Giuseppe, Massimo Lucchelli, Andrea Saporito, Luigi Boni, Christopher Efthymiou, Stefano Cafarotti, Michele Marengo, Francesco Mongelli
BACKGROUND: Anastomotic leakage after colorectal surgery is a complication that requires additional treatments strongly affecting the economic outcomes. We evaluated the use of resources and the economic burden associated with anastomotic leaks following colorectal surgery. METHODS: Between January 2015 and December 2016, we retrospectively evaluated patients who underwent colorectal surgery with primary anastomosis. We compared the medical resource utilization and the DRG-based reimbursement of cases with uncomplicated surgery and cases complicated by anastomotic leakage...
September 13, 2018: Journal of Gastrointestinal Surgery: Official Journal of the Society for Surgery of the Alimentary Tract
https://www.readbyqxmd.com/read/30215200/surgical-trends-in-the-management-of-duodenal-injury
#10
Alberto Aiolfi, Kazuhide Matsushima, Gloria Chang, James Bardes, Aaron Strumwasser, Lydia Lam, Kenji Inaba, Demetrios Demetriades
BACKGROUND: Surgical management of traumatic duodenal injury remains challenging. While various surgical techniques have been described in the attempt to reduce complications and mortality, recent data suggests that surgical approach using less invasive procedures might be associated with improved patient outcomes. The purpose of this study was to determine the recent trend of surgical procedures performed for patients with duodenal injury and their outcome. METHODS: A retrospective analysis of the National Trauma Data Bank (NTDB) from 2002 to 2014 was performed...
September 13, 2018: Journal of Gastrointestinal Surgery: Official Journal of the Society for Surgery of the Alimentary Tract
https://www.readbyqxmd.com/read/30215199/endoscopic-gastrojejunal-revisions-following-gastric-bypass-lessons-learned-in-more-than-100-consecutive-patients
#11
Catherine Tsai, Rudolf Steffen, Ulf Kessler, Hans Merki, Joerg Zehetner
BACKGROUND: Weight regain and dumping after Roux-en-Y gastric bypass (RYGB) are long-term challenges thought to be due to dilation of the gastrojejunal anastomosis. The aim of this study was to analyze the feasibility, safety, and outcomes of endoscopic gastrojejunal revisions (EGRs) after its introduction in a tertiary bariatric surgery center. METHODS: From January 2016 to March 2018, we reviewed the electronic records of all patients undergoing EGR with the OverStitch suturing device...
September 13, 2018: Journal of Gastrointestinal Surgery: Official Journal of the Society for Surgery of the Alimentary Tract
https://www.readbyqxmd.com/read/30215198/dysplasia-in-gallbladder-what-should-we-do
#12
Rehan Rais, Iván González, Deyali Chatterjee
INTRODUCTION: On occasional cholecystectomies, pathologists encounter incidental dysplasia in the gallbladder mucosa in the sections submitted per protocol for histologic examination. If dysplasia is identified, additional sections are taken and/or the gallbladder is entirely submitted to rule out underlying adenocarcinoma. The aim of our study was to assess the incidence of subsequent identification of invasive adenocarcinoma on additional sections, after an incidentally detected dysplasia was noted on a routine cholecystectomy section...
September 13, 2018: Journal of Gastrointestinal Surgery: Official Journal of the Society for Surgery of the Alimentary Tract
https://www.readbyqxmd.com/read/30215197/outcomes-of-radiation-associated-esophageal-squamous-cell-carcinoma-the-mskcc-experience
#13
Tamar B Nobel, Arianna Barbetta, Meier Hsu, Kay See Tan, Tiffany Pinchinat, Francisco Schlottmann, Manjit S Bains, Geoffrey Y Ku, Abraham J Wu, Marco G Patti, David R Jones, Daniela Molena
OBJECTIVE: Esophageal squamous cell carcinoma (ESCC-R) is a rarely encountered sequela of chest radiation. Treatment is limited by toxicity with reirradiation and complex surgical dissection in a previously radiated field. The clinical presentation, prognosis, and treatment selection of ESCC-R remain undefined. METHODS: A retrospective review of patients with esophageal squamous cell carcinoma at a single institution between 2000 and 2017 was performed to identify patients with previous radiation therapy (≥ 5 years delay)...
September 13, 2018: Journal of Gastrointestinal Surgery: Official Journal of the Society for Surgery of the Alimentary Tract
https://www.readbyqxmd.com/read/30215196/characteristics-of-early-recurrence-after-curative-liver-resection-for-solitary-hepatocellular-carcinoma
#14
Sung-Mi Jung, Jong Man Kim, Gyu-Seong Choi, Choon Hyuck David Kwon, Nam-Joon Yi, Kwang-Woong Lee, Kyung Suk Suh, Jae-Won Joh
BACKGROUND: Early recurrence after liver resection of hepatocellular carcinoma (HCC) has a great effect on the survival of patients. The aims of this study were to identify risk factors for early recurrence and to clarify whether early recurrence is related to patient survival rate. METHODS: We identified a total of 1010 patients with HCC recurrence after hepatic resection between 2009 and 2014 in Samsung Medical Center and Seoul National University Hospital. Inclusion criteria were preoperative solitary tumor Child-Pugh class A and curative hepatectomy...
September 13, 2018: Journal of Gastrointestinal Surgery: Official Journal of the Society for Surgery of the Alimentary Tract
https://www.readbyqxmd.com/read/30206765/concomitant-ppar%C3%AE-and-fxr-activation-as-a-putative-mechanism-of-nash-improvement-after-gastric-bypass-surgery-a-geo-datasets-analysis
#15
Guilherme S Mazzini, Jad Khoraki, Mikhail Dozmorov, Matthew G Browning, Dayanjan Wijesinghe, Luke Wolfe, Richard R Gurski, Guilherme M Campos
BACKGROUND: Compared to non-surgical weight loss (Diet), weight loss after Roux-en-Y gastric bypass (RYGB) results in greater rates of non-alcoholic steatohepatitis (NASH) resolution. Changes in bile acid physiology and farnesoid X receptor (FXR) signaling are suspected mediators of postoperative NASH improvement. Recent experimental evidence suggests that upregulation of hepatic peroxisome proliferator-activated receptor α (PPARα) activity might also impact NASH improvement. As FXR partly regulates PPARα, we compared resolution of NASH and changes in hepatic PPARα and FXR gene expression following Diet and RYGB...
September 11, 2018: Journal of Gastrointestinal Surgery: Official Journal of the Society for Surgery of the Alimentary Tract
https://www.readbyqxmd.com/read/30203231/determinants-of-rectal-cancer-patients-decisions-on-where-to-receive-surgery-a-qualitative-analysis
#16
Mary E Charlton, Ariana F Shahnazi, Irena Gribovskaja-Rupp, Lisa Hunter, Michele A Mengeling, Elizabeth A Chrischilles, Charles F Lynch, Marcia M Ward
BACKGROUND: Current literature suggests surgeons who perform large volumes of rectal cancer resections achieve superior outcomes, but only about half of rectal cancer resections are performed by high-volume surgeons in comprehensive hospitals. Little is known about the considerations of patients with rectal cancer when deciding where to receive surgery. METHODS: A purposive sample of stage II/III rectal adenocarcinoma survivors diagnosed 2013-2015 were identified through the Iowa Cancer Registry and interviewed by telephone about factors influencing decisions on where to receive rectal cancer surgery...
September 10, 2018: Journal of Gastrointestinal Surgery: Official Journal of the Society for Surgery of the Alimentary Tract
https://www.readbyqxmd.com/read/30203230/surgical-outcomes-for-perihilar-cholangiocarcinoma-with-vascular-invasion
#17
Ryota Higuchi, Takehisa Yazawa, Shuichiro Uemura, Wataru Izumo, Takehiro Ota, Kosuke Kiyohara, Toru Furukawa, Hiroto Egawa, Masakazu Yamamoto
PURPOSE: To investigate short- and long-term surgical outcomes for patients with perihilar cholangiocarcinoma and vascular invasion. METHODS: Data from 249 patients who underwent perihilar cholangiocarcinoma surgery between 2000 and 2016 were retrospectively analyzed. Patient evaluations included short-term surgical outcomes following vascular resection and long-term outcomes in cases with histopathological vascular invasion. RESULTS: Mortality was 3...
September 10, 2018: Journal of Gastrointestinal Surgery: Official Journal of the Society for Surgery of the Alimentary Tract
https://www.readbyqxmd.com/read/30187336/prognostic-implication-of-negative-lymph-node-count-in-ypn-rectal-cancer-after-neoadjuvant-chemoradiotherapy-and-construction-of-a-prediction-nomogram
#18
Yanwu Sun, Yiyi Zhang, Zhekun Huang, Pan Chi
PURPOSE: This study aimed to investigate the prognostic significance of negative lymph nodes (NLNs) for ypN+ rectal cancer after neoadjuvant chemoradiotherapy (nCRT) and radical surgery and to construct a nomogram predicting disease-free survival (DFS). METHOD: One hundred fifty-eight eligible patients were included. X-tile analysis was performed to determine cutoff values of NLNs. Clinicopathological and survival outcomes were compared. A Cox regression analysis was performed to identify prognostic factors of DFS...
September 5, 2018: Journal of Gastrointestinal Surgery: Official Journal of the Society for Surgery of the Alimentary Tract
https://www.readbyqxmd.com/read/30187335/the-safety-and-feasibility-of-single-port-laparoscopic-gastrectomy-for-advanced-gastric-cancer
#19
Takeshi Omori, Yoshiyuki Fujiwara, Kazuyoshi Yamamoto, Yoshitomo Yanagimoto, Keijirou Sugimura, Toru Masuzawa, Kentarou Kishi, Hidenori Takahashi, Masayoshi Yasui, Hiroshi Miyata, Masayuki Ohue, Masahiko Yano, Masato Sakon
BACKGROUND: Single-port laparoscopic surgery maximizes the advantages of laparoscopic surgery by reducing damage of the abdominal wall. However, no comparative studies have addressed its application to gastrectomy for advanced gastric cancer (AGC). We therefore aimed to demonstrate the safety and feasibility of single-port laparoscopic gastrectomy (SLG) for the treatment of AGC by comparing it with conventional multi-port laparoscopic gastrectomy (MLG). METHODS: We searched the prospective gastric cancer database of our institute for patients with AGC who underwent SLG or MLG between October 2007 and December 2013...
September 5, 2018: Journal of Gastrointestinal Surgery: Official Journal of the Society for Surgery of the Alimentary Tract
https://www.readbyqxmd.com/read/30187334/influence-of-conversion-and-anastomotic-leakage-on-survival-in-rectal-cancer-surgery-retrospective-cross-sectional-study
#20
Edgar J B Furnée, Tjeerd S Aukema, Steven J Oosterling, Wernard A A Borstlap, Willem A Bemelman, Pieter J Tanis
BACKGROUND: Conversion and anastomotic leakage in colorectal cancer surgery have been suggested to have a negative impact on long-term oncologic outcomes. The aim of this study in a large Dutch national cohort was to analyze the influence of conversion and anastomotic leakage on long-term oncologic outcome in rectal cancer surgery. METHODS: Patients were selected from a retrospective cross-sectional snapshot study. Patients with a benign lesion, distant metastasis, or unknown tumor or metastasis status were excluded...
September 5, 2018: Journal of Gastrointestinal Surgery: Official Journal of the Society for Surgery of the Alimentary Tract
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