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Digestive Surgery

Matthew J DiMagno
No abstract text is available yet for this article.
January 16, 2019: Digestive Surgery
Giampaolo Perri, Giovanni Marchegiani, Isabella Frigerio, Christos G Dervenis, Kevin C Conlon, Claudio Bassi, Roberto Salvia
BACKGROUND: The prevalence of undefined pancreatic cystic neoplasms (PCNs) is high in the general population, increasing with patient age. PCNs account for different biological entities with different potential for malignant transformation. The clinician must balance his or her practice between the risk of surgical overtreatment and the error of keeping a malignant lesion under surveillance. METHODS: We review and discuss the clinical management of PCNs. Specifically, we analyze the main features of PCNs from the surgeon's point of view, as they present in the outpatient clinic...
January 11, 2019: Digestive Surgery
Nicolò Tamini, Davide Paolo Bernasconi, Luca Gianotti
AIM OF THE STUDY: The diagnosis of choledocholithiasis is challenging. Previously published scoring systems designed to calculate the risk of choledocholithiasis were evaluated to appraise the diagnostic performance. PATIENTS AND METHODS: Data of patients who were admitted between 2013 and 2015 with the following characteristics were retrieved: bile stone-related symptoms and signs, and indication to laparoscopic cholecystectomy. To validate and appraise the performance of the 6 scoring systems, the acknowledged domains of each metrics were applied to the present cohort...
January 11, 2019: Digestive Surgery
Ioannis D Gkegkes, Evelyn Eleni Minis, Christos Iavazzo
BACKGROUND: Postoperative ileus prolongs both hospital stay and patients' morbidity, having at the same time a great impact on health care costs. Coffee, a worldwide popular, cheap beverage might have an important effect on the motility of the postoperative bowel. METHODS: PubMed, Scopus, and Cochrane Central Register of Controlled Trials were systematically searched. RESULTS: Four studies met the inclusion criteria of our meta-analysis. A total of 341 patients were included...
January 11, 2019: Digestive Surgery
Safi Dokmak, Béatrice Aussilhou, Yacine BenSafta, Fadhel Samir Ftériche, Olivier Soubrane, Alain Sauvanet
BACKGROUND: Gastric traction is essential in laparoscopic distal pancreatic resections. We already described the single gastric hanging providing good exposure on the left pancreas and we herein introduce a modification named the double gastric hanging. METHODS: The double gastric hanging in which 2 surgical tapes encircle the body and antrum of the stomach is indicated in patients who requiring pancreatic neck resection, dissection along the celiac trunk collaterals and lymph nodes, the duodenal wall, and the gastroduodenal artery...
January 2, 2019: Digestive Surgery
Giovanni Marchegiani, Stefano Andrianello, Chiara Miatello, Tommaso Pollini, Erica Secchettin, Giorgia Tedesco, Mirko D'Onofrio, Giuseppe Malleo, Claudio Bassi, Roberto Salvia
BACKGROUND: The prevalence of symptoms in pancreatic cystic neoplasms (PCNs) is mainly based on retrospective surgical series. The aim of this study is to describe the actual prevalence of symptoms in PCNs under surveillance. METHODS: Patients with PCNs under surveillance observed from 2015 to 2017 were submitted to magnetic resonance imaging (MRI) and a specific interview. An identical survey was carried out on a control population matched for age, sex, and comorbidities in which any pancreatic disease was excluded by MRI...
December 12, 2018: Digestive Surgery
Kuei-Yen Tsai, Hsin-An Chen, Wan-Yu Wang, Ming-Te Huang
BACKGROUND: Pulmonary complications remain relatively high in morbidities that arise after liver surgery and are associated with increased length of hospital stay and higher cost. Identification of possible risk factors in this retrospective analysis may help reduce operative morbidity and achieve better outcomes. METHODS: In all, 363 consecutive patients underwent elective hepatectomies between July 2008 and November 2013 and these were identified and analyzed retrospectively...
December 5, 2018: Digestive Surgery
Wen-Ping Wang, Long-Qi Chen, Han-Lu Zhang, Yu-Shang Yang, Song-Lin He, Yong Yuan, Yun Wang
BACKGROUND: Intrathoracic esophagogastrostomy plays an important role in minimally invasive Ivor-Lewis esophagectomy for cancer. Intrathoracic anastomosis with robot-assisted Ivor-Lewis esophagectomy (RAILE) includes hand-sewn and circular stapler methods, which remain technically challenging. In this study, we modified the techniques for intrathoracic anastomosis at RAILE, in order to simplify the complex procedures. METHODS: "Side-insertion" technique was used for anvil placement and purse string suture for intrathoracic anastomosis at RAILE...
December 5, 2018: Digestive Surgery
Xi-Tai Huang, Liu-Hua Chen, Chen-Song Huang, Jian-Hui Li, Jian-Peng Cai, Wei Chen, Xiao-Yu Yin
AIMS: This study aimed to develop a valuable nomogram by integrating molecular markers and tumor-node-metastasis (TNM) staging system for predicting the long-term outcome of patients with hepatocellular carcinoma (HCC). METHODS: The gene expression profiles of HCC patients undergoing liver resection were obtained from the Cancer Genome Atlas (TCGA) and Gene Expression Omnibus (GEO) database. One hundred and ninety-nine patients from TCGA and 94 patients from GEO were selected to be part of the training cohort and validation cohort respectively...
November 27, 2018: Digestive Surgery
Yeong-Chan Kim, Jun-Won Chung, Jeong-Heum Baek, Won-Suk Lee, Doojin Kim, Yeon-Ho Park, Jun-Young Yang, Woon-Kee Lee
BACKGROUND: Right colonic diverticulitis (RCD) is more common in Asian countries than in Western countries, and the risk factors for recurrence of RCD are not fully understood. The objective of this study was to assess the risk factors for recurrence of RCD. METHODS: We analyzed 296 patients admitted for treatment of RCD in the Gachon University Gil Medical Center from December 2001 to October 2014. Gender, age, BMI, obesity, hypertension, diabetes mellitus, alcohol consumption, smoking, Hinchey classification, and hospital stay were investigated as risk factors for recurrence...
November 8, 2018: Digestive Surgery
Benedikt Kaufmann, Daniel Hartmann, Jan G D'Haese, Pavel Stupakov, Dejan Radenkovic, Beat Gloor, Helmut Friess
One of the main reasons for the dismal prognosis of pancreatic ductal adenocarcinoma (PDAC) is its late diagnosis. At the time of presentation, only approximately 15-20% of all patients with PDAC are considered resectable and around 30% are considered borderline resectable. A surgical approach, which is the only curative option, is limited in borderline resectable patients by local involvement of surrounding structures. In borderline resectable pancreatic cancer (BRPC), neoadjuvant treatment regimens have been introduced with the rationale to downstage and downsize the tumor in order to enable resection and eliminate -microscopic distant metastases...
November 8, 2018: Digestive Surgery
(no author information available yet)
No abstract text is available yet for this article.
2019: Digestive Surgery
(no author information available yet)
No abstract text is available yet for this article.
2019: Digestive Surgery
(no author information available yet)
No abstract text is available yet for this article.
2019: Digestive Surgery
Masashi Utsumi, Yuzo Umeda, Takahito Yagi, Takeshi Nagasaka, Susumu Shinoura, Ryuich Yoshida, Daisuke Nobuoka, Takashi Kuise, Tomokazu Fuji, Kosei Takagi, Akinobu Takaki, Toshiyoshi Fujiwara
BACKGROUND: Invasive fungal infection (IFI) is associated with high mortality after living donor liver transplant (LDLT). The aim of this study was to identify the risk factors for post-LDLT IFI for early diagnosis and improvement of antifungal treatment outcome. METHODS: Risk analysis data were available for all 153 patients who underwent LDLT between January 2005 and April 2012. RESULTS: During the follow-up period (1,553 ± 73 days, range 20-2,946 days), 15 patients (9...
2019: Digestive Surgery
Yuki Ushimaru, Kiyokazu Nakajima, Tsuyoshi Takahashi, Makoto Yamasaki, Masaki Mori, Yuichiro Doki
BACKGROUND: Achalasia patients occasionally coexist with esophageal hiatal hernias. The purpose of this study was to clarify the incidence and clinical features of achalasia cases concomitant with hiatal hernia, and to investigate whether our surgical technique was appropriate. METHODS: Consecutive achalasia patients who underwent laparoscopic Heller myotomy with Dor fundoplication (LHD) were extracted from the prospectively compiled surgical database, and the perioperative outcomes and the presence rate of hiatal hernia were obtained...
October 10, 2018: Digestive Surgery
Jeremy Meyer, Nicolas C Buchs, Frédéric Ris
No abstract text is available yet for this article.
October 10, 2018: Digestive Surgery
Mingzhe Ma, Jun Wang, YiRen Hu, Mingzhe Weng, Xiaowen Liu, YaNong Wang
BACKGROUND: It is known that inflammation promotes cancer development. However, a few studies have evaluated the prognostic significance of inflammatory biomarkers in gastric cancer (GC). METHODS: In this study, 2,334 patients who underwent gastrectomy for GC at Fudan University Shanghai Cancer Center between 2003 and 2007 were retrospectively analyzed, and 1,227 patients were found to be eligible. The preoperative serum neutrophil-to-lymphocyte ratio (NLR), platelet-to-lymphocyte ratio, lymphocyte-to-monocyte ratio (LMR), and albumin/globulin ratio (AGR) levels were analyzed...
October 9, 2018: Digestive Surgery
Artem Dyatlov, Mahir Gachabayov, Roberto Bergamaschi
No abstract text is available yet for this article.
October 2, 2018: Digestive Surgery
George Ramsay, Duncan T Ritchie, Craig MacKay, Craig Parnaby, Graeme Murray, Leslie Samuel
BACKGROUND: Outcomes in locally advanced rectal cancer are improved by neoadjuvant therapy followed by surgical resection. Some patients respond completely to preoperative treatment. Therefore, predicting the pathological response to preoperative therapy is of clinical importance. Accurate prediction would allow for tailored approaches to neoadjuvant therapy. METHODS: All patients undergoing resection of rectal adenocarcinoma after neoadjuvant therapy between 2006 and 2015 were included in this cohort study...
September 28, 2018: Digestive Surgery
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