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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/30022443/association-between-juxtapapillary-duodenal-diverticula-and-risk-of-choledocholithiasis-a-systematic-review-and-meta-analysis
#1
Karn Wijarnpreecha, Panadeekarn Panjawatanan, Wuttiporn Manatsathit, Wisit Cheungpasitporn, Surakit Pungpapong, Frank J Lukens, Patompong Ungprasert
BACKGROUND/OBJECTIVES: Studies have suggested that the presence of juxtapapillary duodenal diverticula (JDD) could be a predisposing factor for choledocholithiasis. This systematic review and meta-analysis was conducted with the aims to summarize all available evidence to better characterize the risk. METHODS: A literature search was performed using MEDLINE and EMBASE database from inception to January 2018. Cross-sectional studies that reported odd ratios (OR) comparing the risk of choledocholithiasis among individuals with JDD versus individuals without JDD were included...
July 18, 2018: Journal of Gastrointestinal Surgery: Official Journal of the Society for Surgery of the Alimentary Tract
https://www.readbyqxmd.com/read/30022442/an-interview-with-dr-john-l-cameron-the-hall-of-famer-of-pancreatic-cancer
#2
Roberto J Rivero-Soto, JoAnn Coleman, Vanita Ahuja
The Society of Surgical Alimentary Tract (SSAT) Resident Education Committee aim is to facilitate resident participation in the annual meeting and foster the education of the next generation of gastrointestinal. The SSAT "Residents Corner" was developed as a video-blog highlighting areas of interest for surgical trainees looking to focus on a career in gastrointestinal surgery. The topics covered are to make surgical education more accessible, one way is to highlight leaders in the field who discuss their journey...
July 18, 2018: Journal of Gastrointestinal Surgery: Official Journal of the Society for Surgery of the Alimentary Tract
https://www.readbyqxmd.com/read/30022441/platelet-albumin-score-as-a-sensitive-measure-for-surgical-risk-prediction-and-survival-outcomes-of-patients-with-hepatocellular-carcinoma
#3
Junichi Shindoh, Yusuke Kawamura, Yuta Kobayashi, Yoshitaka Kiya, Toshitaka Sugawara, Norio Akuta, Masahiro Kobayashi, Yoshiyuki Suzuki, Kenji Ikeda, Masaji Hashimoto
BACKGROUND: Given that patients with hepatocellular carcinoma (HCC) usually suffer from dual diseases (i.e., HCC and underlying liver disease), a complete survival estimation model is difficult to establish because both the oncological stage and the underlying liver function affect the survival outcome. METHODS: A new surgical risk model for estimating the survival of patients undergoing resection for HCC was created using a cohort treated between 1995 and 2013 (training set, n = 889), and its efficacy was then validated using a cohort treated between 2014 and 2017 (validation set, n = 310)...
July 18, 2018: Journal of Gastrointestinal Surgery: Official Journal of the Society for Surgery of the Alimentary Tract
https://www.readbyqxmd.com/read/29992520/indocyanine-green-tissue-angiography-can-reduce-extended-bowel-resections-in-acute-mesenteric-ischemia
#4
Ioannis Karampinis, Michael Keese, Jens Jakob, Vytautas Stasiunaitis, Andreas Gerken, Ulrike Attenberger, Stefan Post, Peter Kienle, Kai Nowak
PURPOSE: Surgical exploration and bowel resection are frequently required for treating non-occlusive mesenteric ischemia. Intraoperative evaluation of intestinal perfusion is subjective and challenging. In this feasibility study, ICG fluorescence angiography was performed in order to evaluate intestinal perfusion in patients with acute mesenteric ischemia. METHODS: This is a retrospective analysis of 52 patients who were operated for acute mesenteric ischemia using ICG fluorescence angiography...
July 10, 2018: Journal of Gastrointestinal Surgery: Official Journal of the Society for Surgery of the Alimentary Tract
https://www.readbyqxmd.com/read/29992519/postoperative-infectious-complications-impact-long-term-survival-in-patients-who-underwent-hepatectomies-for-colorectal-liver-metastases-a-propensity-score-matching-analysis
#5
Riccardo Memeo, Vito de Blasi, Rene Adam, Diane Goéré, Alexis Laurent, Nicola de'Angelis, Tullio Piardi, Emilie Lermite, Astrid Herrero, Francis Navarro, Antonio Sa Cunha, Patrick Pessaux
OBJECTIVE: Postoperative complications strongly impact the postoperative course and long-term outcome of patients who underwent liver resection for colorectal liver metastases (CRLM). Among them, infectious complications play a relevant role. The aim of this study was to evaluate if infectious complications still impact overall and disease-free survival after liver resection for CRLM once patients were matched with a propensity score matching analysis based on Fong's criteria. METHODS: A total of 2281 hepatectomies were analyzed from a multicentric retrospective cohort of hepatectomies...
July 10, 2018: Journal of Gastrointestinal Surgery: Official Journal of the Society for Surgery of the Alimentary Tract
https://www.readbyqxmd.com/read/29987739/predictive-value-of-preoperative-sarcopenia-in-patients-with-gastric-cancer-a-meta-analysis-and-systematic-review
#6
Zhengdao Yang, Xin Zhou, Bin Ma, Yanan Xing, Xue Jiang, Zhenning Wang
PURPOSE: The impact of preoperative sarcopenia on postoperative complications and overall survival has been recently debated. Our meta-analysis aims to ascertain whether preoperative sarcopenia increases the risk of poor outcomes and to attempt to provide new ideas for the prognosis of outcomes for patients with gastric cancer. METHODS: We searched for all relevant articles on PubMed, the EMBASE database, and Web of Science (up to September 1, 2017). Data synthesis and statistical analysis were carried out using RevMan 5...
July 9, 2018: Journal of Gastrointestinal Surgery: Official Journal of the Society for Surgery of the Alimentary Tract
https://www.readbyqxmd.com/read/29987738/alvimopan-regardless-of-ileus-risk-significantly-impacts-ileus-length-of-stay-and-readmission-after-intestinal-surgery
#7
Ahmed M Al-Mazrou, Onur Baser, Ravi P Kiran
BACKGROUND: Previous analyses evaluating alvimopan included patients at varying risk for ileus after intestinal resection, which may have precluded its widespread adoption. We assess the early and delayed effects of alvimopan in patients stratified by risk for ileus after intestinal and colon resection. METHODS: From the Premier Perspective database, patients with elective small and large bowel resections from 2012 to 2014 were identified. Multivariable analysis identified 14 perioperative risk factors for postoperative ileus...
July 9, 2018: Journal of Gastrointestinal Surgery: Official Journal of the Society for Surgery of the Alimentary Tract
https://www.readbyqxmd.com/read/29987737/slipped-liver-segment-mimicking-an-esophageal-stromal-tumor
#8
Ignacio Fuente, Demetrio Cavadas, Calderon Francisco, Ines Oria, Axel Beskow, Fernando Wright
No abstract text is available yet for this article.
July 9, 2018: Journal of Gastrointestinal Surgery: Official Journal of the Society for Surgery of the Alimentary Tract
https://www.readbyqxmd.com/read/29980979/practical-contribution-of-virtual-hepatectomy-for-colorectal-liver-metastases-a-propensity-matched-analysis-of-clinical-outcome
#9
Takeshi Takamoto, Keiji Sano, Takuya Hashimoto, Akihiko Ichida, Kei Shimada, Yoshikazu Maruyama, Masatoshi Makuuchi
BACKGROUND: Recent improvements in imaging technologies have enabled surgeons to perform precise planning using virtual hepatectomy (VH). However, the practical and clinical benefits of VH remain unclear. This study sought to assess how three-dimensional analysis using a VH contributed to preoperative planning and postoperative outcome in patients undergoing liver surgery for the treatment of colorectal liver metastases (CRLM). METHODS: From 2007 to 2017, a total of 473 CRLM patients who received curative hepatectomy were retrospectively assessed...
July 6, 2018: Journal of Gastrointestinal Surgery: Official Journal of the Society for Surgery of the Alimentary Tract
https://www.readbyqxmd.com/read/29980978/effect-of-delay-to-operation-on-outcomes-in-patients-with-acute-appendicitis-a-systematic-review-and-meta-analysis
#10
Jian Li, Run Xu, Deng-Min Hu, Yao Zhang, Tu-Ping Gong, Xue-Lian Wu
BACKGROUND: Many studies have investigated the association between time interval and incidence of complicated appendicitis and post-operative surgical site infection (SSI), but the results are controversial. METHODS: A systematic search of the electronic databases identified studies that investigated the association of appendectomy delay with complicated appendicitis and SSI among patients with acute appendicitis. Qualitative and quantitative meta-analysis of the results was conducted...
July 6, 2018: Journal of Gastrointestinal Surgery: Official Journal of the Society for Surgery of the Alimentary Tract
https://www.readbyqxmd.com/read/29980977/the-impact-of-extent-of-liver-resection-among-patients-with-neuroendocrine-liver-metastasis-an-international-multi-institutional-study
#11
Jonathan G Sham, Aslam Ejaz, Michele M Gage, Fabio Bagante, Bradley N Reames, Shishir Maithel, George A Poultsides, Todd W Bauer, Ryan C Fields, Matthew J Weiss, Hugo Pinto Marques, Luca Aldrighetti, Timothy M Pawlik, Jin He
BACKGROUND: Liver resection in patients with neuroendocrine liver metastasis (NELM) provides a survival benefit, yet the optimal extent of resection remains unknown. We sought to examine outcomes of patients undergoing non-anatomic (NAR) versus anatomic liver resection (AR) for NELM using a large international cohort of patients. METHODS: Two hundred and fifty-eight patients who underwent curative intent liver resection from January 1990 to December 2016 were identified from eight institutions...
July 6, 2018: Journal of Gastrointestinal Surgery: Official Journal of the Society for Surgery of the Alimentary Tract
https://www.readbyqxmd.com/read/29980976/risk-factors-for-post-ercp-pancreatitis-in-high-risk-patients-receiving-post-procedure-rectal-indomethacin
#12
Xiaoyu Kang, Liyue Zheng, Wei Zeng, Shengye Yang, Hao Sun, Rongchun Zhang, Xiangping Wang, Biaoluo Wang, Qin Tao, Shaowei Yao, Jie Chen, Yanglin Pan, Xuegang Guo
BACKGROUND: Post-ERCP pancreatitis (PEP) is the most common adverse event of ERCP. Rectal indomethacin has been widely administered to decrease the incidence of PEP in high-risk patients. However, it cannot completely prevent the occurrence of PEP. The purpose of the study was to evaluate the risk factors for PEP in high-risk patients receiving post-ERCP indomethacin. METHODS: From June 2012 to July 2015, patients undergoing ERCP and at high risk for PEP in three tertiary hospitals in China were enrolled...
July 6, 2018: Journal of Gastrointestinal Surgery: Official Journal of the Society for Surgery of the Alimentary Tract
https://www.readbyqxmd.com/read/29980975/preoperative-biliary-drainage-is-associated-with-increased-complications-after-liver-resection-for-proximal-cholangiocarcinoma
#13
Rajesh Ramanathan, Jeffrey Borrebach, Samer Tohme, Allan Tsung
BACKGROUND: Preoperative biliary drainage (PBD) prior to liver resection for hilar and intrahepatic cholangiocarcinoma (CCA) is common. While PBD for those with distal obstructions has been studied extensively and is associated with increased infectious complications, the impact of PBD among patients undergoing hepatectomy for non-disseminated proximal CCA has yet to be clearly elucidated. METHODS: Patients undergoing liver resection between 2014 and 2016 for non-disseminated hilar and intrahepatic CCA were analyzed using the American College of Surgeons National Surgical Quality Improvement Program (ACS-NSQIP) database...
July 6, 2018: Journal of Gastrointestinal Surgery: Official Journal of the Society for Surgery of the Alimentary Tract
https://www.readbyqxmd.com/read/29980974/late-pancreatic-anastomosis-stricture-following-pancreaticoduodenectomy-a-systematic-review
#14
Alban Zarzavadjian Le Bian, Manuela Cesaretti, Nicolas Tabchouri, Philippe Wind, David Fuks
BACKGROUND: With an increasing postoperative survival and prolonged follow-up, late complications following pancreaticoduodenectomy (PD) have yet to be thoroughly described and analyzed. Among those, pancreatic anastomosis stricture may lead to severe consequences. METHODS: A systematic review focusing on pancreaticojejunostomy anastomosis (PJA) stricture. RESULTS: PJA stricture incidence reached 1.4-11.4% with a median time interval of 34 months after PD...
July 6, 2018: Journal of Gastrointestinal Surgery: Official Journal of the Society for Surgery of the Alimentary Tract
https://www.readbyqxmd.com/read/29980973/effects-of-calcitonin-gene-related-peptide-on-colonic-motility-and-defecation-in-conscious-dogs
#15
Tomoyuki Ono, Munenori Nagao, Hirofumi Imoto, Kazuhiro Watanabe, Naoki Tanaka, Fuyuhiko Motoi, Takeshi Naitoh, Michiaki Unno
BACKGROUND: Although intra-arterial infusion of calcitonin gene-related peptide (CGRP) reportedly stimulates giant migrating contractions (GMCs) of the small intestine in conscious dogs, the effect of intravenous CGRP administration on colonic motility remains unclear. In the present study, we investigated the effects of intravenous CGRP on colonic motility and defecation and determined the underlying mechanism of action in conscious dogs. METHODS: Sixteen Beagle dogs weighing 11-13 kg were included...
July 6, 2018: Journal of Gastrointestinal Surgery: Official Journal of the Society for Surgery of the Alimentary Tract
https://www.readbyqxmd.com/read/29980972/the-presence-of-an-advanced-gastrointestinal-gi-minimally-invasive-surgery-mis-fellowship-program-does-not-impact-short-term-patient-outcomes-following-fundoplication-or-esophagomyotomy
#16
Donald K Groves, Maria S Altieri, Brianne Sullivan, Jie Yang, Mark A Talamini, Aurora D Pryor
INTRODUCTION: The current surgical landscape reflects a continual trend towards sub-specialization, evidenced by an increasing number of US surgeons who pursue fellowship training after residency. Despite this growing trend, however, the effect of advanced gastrointestinal (GI)/minimally invasive surgery (MIS) fellowship programs on patient outcomes following foregut/esophageal operations remains unclear. This study looks at two representative foregut surgeries (laparoscopic fundoplication and esophagomyotomy) performed in New York State (NYS), comparing hospitals which do and do not possess a GI/MIS fellowship program, to examine the effect of such a program on perioperative outcomes...
July 6, 2018: Journal of Gastrointestinal Surgery: Official Journal of the Society for Surgery of the Alimentary Tract
https://www.readbyqxmd.com/read/29980971/postoperative-pneumonia-is-associated-with-long-term-oncologic-outcomes-of-definitive-chemoradiotherapy-followed-by-salvage-esophagectomy-for-esophageal-cancer
#17
Masashi Takeuchi, Hirofumi Kawakubo, Shuhei Mayanagi, Kayo Yoshida, Kazumasa Fukuda, Rieko Nakamura, Koichi Suda, Norihito Wada, Hiroya Takeuchi, Yuko Kitagawa
BACKGROUND OR PURPOSE: As we previously indicated, postoperative pneumonia has a negative impact on the overall survival after planned esophagectomy. However, the impact of postoperative pneumonia after salvage esophagectomy on long-term oncologic outcomes still remains unclear. This study aimed to indicate the association between postoperative pneumonia and long-term outcomes of definitive chemoradiotherapy followed by salvage esophagectomy. Furthermore, we determined a prediction model for overall survival (OS) and disease-free survival (DFS) using a survival classification and regression tree (CART)...
July 6, 2018: Journal of Gastrointestinal Surgery: Official Journal of the Society for Surgery of the Alimentary Tract
https://www.readbyqxmd.com/read/29967969/a-prospective-randomized-phase-iii-study-to-evaluate-the-efficacy-and-safety-of-fibrin-sealant-grifols-as-an-adjunct-to-hemostasis-as-compared-to-cellulose-sheets-in-hepatic-surgery-resections
#18
Miloš Bjelović, Jaume Ayguasanosa, Robin D Kim, Miroslav Stojanović, András Vereczkei, Srdjan Nikolić, Emily Winslow, Sukru Emre, Gary Xiao, Jordi Navarro-Puerto, Kecia Courtney, Gladis Barrera
BACKGROUND: Local hemostatic agents have a role in limiting bleeding complications associated with liver resection. METHODS: In this randomized, phase III study, we compared the efficacy and safety of Fibrin Sealant Grifols (FS Grifols) with oxidized cellulose sheets (Surgicel®) as adjuncts to hemostasis during hepatic resections. The primary efficacy endpoint was the proportion of patients achieving hemostasis at target bleeding sites (TBS) within 4 min (T4 ) of treatment application...
July 2, 2018: Journal of Gastrointestinal Surgery: Official Journal of the Society for Surgery of the Alimentary Tract
https://www.readbyqxmd.com/read/29967968/effect-of-inclusion-of-oral-antibiotics-with-mechanical-bowel-preparation-on-the-risk-of-clostridium-difficile-infection-after-colectomy
#19
Ahmed M Al-Mazrou, Laura Z Hyde, Kunal Suradkar, Ravi P Kiran
BACKGROUND/PURPOSE: While the use of oral antibiotic (OA) for bowel preparation is gaining popularity, it is unknown whether it increases the risk of Clostridium difficile infection (CDI). This study aimed to evaluate the impact of OA on the development of CDI after colectomy. METHODS: Patients who underwent colectomy from the ACS-NSQIP data (2015 and 2016) were included. Patients who received OA as bowel preparation were compared to those who did not with respect to demographics, comorbidities, primary diagnosis, procedure type and approach, and 30-day postoperative complications...
July 2, 2018: Journal of Gastrointestinal Surgery: Official Journal of the Society for Surgery of the Alimentary Tract
https://www.readbyqxmd.com/read/29959643/anterior-approach-to-major-resection-for-colorectal-liver-metastasis
#20
Wong Hoi She, Albert C Y Chan, Ka Wing Ma, Wing Chiu Dai, Kenneth S H Chok, Tan To Cheung, Chung Mau Lo
PURPOSE: The aim of this study was to examine the merits of the anterior approach, if any, in colorectal liver metastasis (CRLM) resection. METHODS: Data of patients who underwent partial hepatectomy for CRLM were reviewed. Patients treated by the anterior approach were compared with patients treated by the conventional approach. RESULTS: Ninety-eight patients had right hepatectomy, extended right hepatectomy, or right trisectionectomy. Among them, 71 patients underwent the conventional approach (CA group) and 27 underwent the anterior approach (AA group)...
June 29, 2018: Journal of Gastrointestinal Surgery: Official Journal of the Society for Surgery of the Alimentary Tract
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