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Anastomotic leaks

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https://www.readbyqxmd.com/read/29044576/long-term-outcomes-after-hand-sewn-versus-circular-stapled-25-and-29%C3%A2-mm-anastomotic-technique-after-esophagogastrectomy-for-esophageal-cancer
#1
Jack W Rostas, Beunca D Graffree, Charles R Scoggins, Kelly M McMasters, Robert C G Martin
BACKGROUND: Anastomotic stricture following esophagogastrectomy (EG) can lead to significant dysphagia, necessitating interventions such as endoscopic dilatation. These post-operative complications gain importance with the increased survival rate of patients after EG. This study aimed to assess the outcomes of both circular-stapled (CS: 25 and 29 mm) and hand-sewn (HS) anastomoses after EG. METHODS: We reviewed prospectively accrued data from December 2004 to December 2014 identifying all patients undergoing EG for esophageal cancer...
October 16, 2017: Journal of Surgical Oncology
https://www.readbyqxmd.com/read/29044540/factors-affecting-hospital-length-of-stay-following-pelvic-exenteration-surgery
#2
Ying Guo, Eugene Chang, Mehtap Bozkurt, Minjeong Park, Diane Liu, Jack B Fu
BACKGROUND AND OBJECTIVES: Total pelvic exenteration are performed in patients with locally advanced or recurrent pelvic malignances. Many patients have prolong hospital length of stay (LOS), but risk factors are not clearly identified. METHODS: From 2002 through 2012, 100 consecutive patients undergoing pelvic exenteration were retrospectively reviewed. A general linear model was used to examine risk factors for prolonged hospital LOS. RESULTS: Among the 100 patients, 51 had gastrointestinal cancer, 14 had genitourinary cancer, 31 had gynecologic cancer, and 4 had sarcoma...
October 16, 2017: Journal of Surgical Oncology
https://www.readbyqxmd.com/read/29028289/early-versus-delayed-closure-of-loop-defunctioning-ileostomy-in-patients-undergoing-distal-colorectal-resections-an-integrated-systematic-review-and-meta-analysis-of-published-randomized-controlled-trials
#3
REVIEW
S Farag, S Rehman, P Sains, M K Baig, Sajid
AIMS: The objective of this study was to evaluate the surgical outcomes and feasibility of early loop defunctioning ileostomy closure, within 2 weeks of index surgery, in patients undergoing distal colorectal resections. METHODS: A systematic review of the literature on the published randomized, controlled trials reporting the feasibility and outcomes on early versus delayed closure of loop defunctioning ileostomy in patients undergoing distal colorectal resections using the principles of meta-analysis on RevMan 5...
October 13, 2017: Colorectal Disease: the Official Journal of the Association of Coloproctology of Great Britain and Ireland
https://www.readbyqxmd.com/read/29025382/biliary-complications-in-recipients-of-living-donor-liver-transplant-a-single-center-review-of-120-patients
#4
Mohamed D Sarhan, Ayman M A Osman, Mahmoud Aly Mohamed, Omar Abdelaziz, Dalia K Serour, Doaa A Mansour, Sherif Mogawer, Ayman S Helmy, Mostafa A El-Shazli, Adel A Hosny
OBJECTIVES: Biliary complications are common after living-donor liver transplant. This retrospective study reviewed our experience with biliary complications in recipients of living-donor liver transplant. MATERIALS AND METHODS: Over our 9-year study period, 120 patients underwent living-donor liver transplant. Patients were divided into 2 groups, with group A having biliary complications and group B without biliary complications. Both groups were compared, and different treatment modalities for biliary complications were evaluated...
October 12, 2017: Experimental and Clinical Transplantation
https://www.readbyqxmd.com/read/29019713/modified-endoscopic-vacuum-therapy-for-nonhealing-esophageal-anastomotic-leak-technique-description-and-review-of-literature
#5
Guy Pines, Ilan Bar, Amir Elami, Shimon Sapojnikov, Ofir Hikri, Dennis Ton, Bruce Mosenkis, Ehud Melzer
BACKGROUND: Endoscopic vacuum-assisted closure (EVAC) therapy is increasingly being used as a new promising method for repairing upper gastrointestinal defects of different etiologies with high success rates. EVAC therapy consists of placing a sponge either within the lumen or within an abscess cavity connected with a nasogastric (NG) tube to a negative pressure system, thus decreasing bacterial contamination and edema and promoting granulation tissue proliferation, thereby gradually decreasing the cavity size until complete closure...
October 11, 2017: Journal of Laparoendoscopic & Advanced Surgical Techniques. Part A
https://www.readbyqxmd.com/read/29019570/thoraco-laparoscopic-esophagectomy-thoracic-stage-in-prone-position
#6
Carlos Bernardo Cola, Flávio Duarte Sabino, Carlos Eduardo Pinto, Maria Ribeiro Morard, Pedro Portari, Tereza Guedes
OBJECTIVE: to analyze the National Cancer Institute Abdominopelvic Division (INCA / MS/HC I) initial experience with thoraco-laparoscopic esophagectomy with thoracic stage in prone position. METHODS: we studied 19 consecutive thoraco-laparoscopic esophagectomies from may 2012 to august 2014, including ten patients with squamous cells carcinoma (five of the middle third and five of the lower third) and nine cases of gastroesophageal junction adenocarcinoma (six Siewert I and three Siewert II)...
September 2017: Revista do Colégio Brasileiro de Cirurgiões
https://www.readbyqxmd.com/read/28991085/crohn-s-disease-of-the-pouch-a-true-diagnosis-or-an-oversubscribed-diagnosis-of-exclusion
#7
Amy L Lightner, Joel G Fletcher, John H Pemberton, Kellie L Mathis, Laura E Raffals, Thomas Smyrk
BACKGROUND: After IPAA, 8% of patients with ulcerative colitis are later diagnosed with Crohn's disease of the pouch, associated with an increased rate of pouch failure. No study has reported on how often the clinical diagnosis is correlated with histologic findings of Crohn's disease in the excised pouch. OBJECTIVE: The purpose of this study was to determine whether the clinical diagnosis is consistent with pathologic confirmation at pouch excision. SETTINGS: The study was conducted at a tertiary IBD referral center...
November 2017: Diseases of the Colon and Rectum
https://www.readbyqxmd.com/read/28987557/stapled-anastomosis-versus-hand-sewn-anastomosis-of-gastro-duodenojejunostomy-in-pancreaticoduodenectomy-a-systematic-review-and-meta-analysis
#8
REVIEW
Shahin Hajibandeh, Shahab Hajibandeh, Rao Muhammad Asaf Khan, Sohail Malik, Moustafa Mansour, Ambareen Kausar, Daren Subar
BACKGROUND: Controversy exists regarding the best anastomotic method for pancreaticoduodenectomy (PD). We aimed to evaluate the perioperative outcomes of PD with stapled anastomosis (SA) versus hand-sewn anastomosis (HA) of gastrojejunostomy or duodenojejunostomy. METHODS: We conducted a systematic search of electronic information sources, including MEDLINE; EMBASE; CINAHL; the Cochrane Central Register of Controlled Trials (CENTRAL); the World Health Organization International Clinical Trials Registry; ClinicalTrials...
October 5, 2017: International Journal of Surgery
https://www.readbyqxmd.com/read/28983751/surgical-management-of-gastrogastric-fistula-after-roux-en-y-gastric-bypass-10-year-experience
#9
Elias Chahine, Radwan Kassir, Mazen Dirani, Saadeddine Joumaa, Tarek Debs, Elie Chouillard
BACKGROUND: Gastrogastric fistula (GGF) occurs in 1-6% of patients who undergo Roux-en-Y gastric bypass (RYGB) for morbid obesity. The pathophysiology may be related to gastric ischemia, fistula, or ulcer. OBJECTIVES: The purposes of the study are to describe the principles of management and to review the literature of this uncommon complication. SETTING: The setting of this study is University Hospital, France. MATERIALS AND METHODS: We conducted a retrospective review of all patients' records with a diagnosis of GGF after RYGB between January 2004 and November 2014...
October 5, 2017: Obesity Surgery
https://www.readbyqxmd.com/read/28983231/prevalence-of-anastomotic-leak-and-the-impact-of-indocyanine-green-fluorescein-imaging-for-evaluating-blood-flow-in-the-gastric-conduit-following-esophageal-cancer-surgery
#10
Masaki Ohi, Yuji Toiyama, Yasuhiko Mohri, Susumu Saigusa, Takashi Ichikawa, Tadanobu Shimura, Hiromi Yasuda, Yoshiki Okita, Shigeyuki Yoshiyama, Minako Kobayashi, Toshimitsu Araki, Yasuhiro Inoue, Masato Kusunoki
BACKGROUNDS AND AIM: Anastomotic leak (AL) following esophagectomy for esophageal cancer (EC) remains an important cause of prolonged hospitalization and impaired quality of life. Recently, indocyanine green (ICG) fluorescein imaging has been used to evaluate the gastric conduit blood supply during EC surgery. Although several factors have been reported to be associated with AL, no studies have evaluated the relationships between risk factors for AL, including ICG fluorescein imaging...
2017: Esophagus: Official Journal of the Japan Esophageal Society
https://www.readbyqxmd.com/read/28975886/intra-corporeal-anastomosis-in-laparoscopic-surgery-for-benign-colorectal-disease
#11
Jacob Antonsen, Rogini Balachandran, Finn Stigsen Holm, Ismail Gögenur
INTRODUCTION: Recent studies have described the benefits of performing bowel resections for benign and malignant diseases as a total laparoscopic procedure with intra-corporeal anastomosis. We describe our preliminary experience with total laparoscopic surgery for benign lower gastrointestinal diseases. METHODS: All patients (n = 32) who had received elective bowel surgery with intra-corporeal anastomosis for benign diseases between November 2013 and August 2015 were included in this retrospective study...
October 2017: Danish Medical Journal
https://www.readbyqxmd.com/read/28975494/significant-decrease-of-mortality-due-to-anastomotic-leaks-following-esophageal-resection-management-makes-the-difference
#12
Anja Schaible, Thorsten Brenner, Ulf Hinz, Thomas Schmidt, Markus Weigand, Peter Sauer, Markus W Büchler, Alexis Ulrich
PURPOSE: Anastomotic leakage is the most frequent cause of postoperative mortality following esophageal surgery. However, no gold standard for diagnosing and managing leakage has been established. Continuous clinical judgment is extremely important; therefore, to optimize the management of leakage, we established a special group for decision-making in cases of suspected leakage in the early postoperative period. METHODS: Between January 2010 and December 2016, 234 consecutive patients underwent elective esophageal resection with a thoracoabdominal incision...
October 3, 2017: Langenbeck's Archives of Surgery
https://www.readbyqxmd.com/read/28974315/anastomotic-aortic-leak-still-a-challenging-complication-operate-or-look-out-the-window
#13
EDITORIAL
Francesco Formica, Stefano D'Alessandro, Vittorio Maria Segramora
No abstract text is available yet for this article.
September 15, 2017: Journal of Thoracic and Cardiovascular Surgery
https://www.readbyqxmd.com/read/28970733/definition-of-colorectal-anastomotic-leakage-a-consensus-survey-among-dutch-and-chinese-colorectal-surgeons
#14
Stefanus J van Rooijen, Audrey Chm Jongen, Zhou-Qiao Wu, Jia-Fu Ji, Gerrit D Slooter, Rudi Mh Roumen, Nicole D Bouvy
AIM: To determine the level of consensus on the definition of colorectal anastomotic leakage (CAL) among Dutch and Chinese colorectal surgeons. METHODS: Dutch and Chinese colorectal surgeons were asked to partake in an online questionnaire. Consensus in the online questionnaire was defined as > 80% agreement between respondents on various statements regarding a general definition of CAL, and regarding clinical and radiological diagnosis of the complication. RESULTS: Fifty-nine Dutch and 202 Chinese dedicated colorectal surgeons participated in the online survey...
September 7, 2017: World Journal of Gastroenterology: WJG
https://www.readbyqxmd.com/read/28970723/high-yield-reproducible-rat-model-recapitulating-human-barrett-s-carcinogenesis
#15
Daisuke Matsui, Ashten N Omstead, Juliann E Kosovec, Yoshihiro Komatsu, Emily J Lloyd, Hailey Raphael, Ronan J Kelly, Ali H Zaidi, Blair A Jobe
AIM: To efficiently replicate the biology and pathogenesis of human esophageal adenocarcinoma (EAC) using the modified Levrat model of end-to-side esophagojejunostomy. METHODS: End-to-side esophagojejunostomy was performed on rats to induce gastroduodenoesophageal reflux to develop EAC. Animals were randomly selected and serially euthanized at 10 (n = 6), 17 (n = 8), 24 (n = 9), 31 (n = 6), 38 (n = 6), and 40 (n = 6) wk postoperatively. The esophagi were harvested for downstream histopathology and gene expression...
September 7, 2017: World Journal of Gastroenterology: WJG
https://www.readbyqxmd.com/read/28953251/respiratory-morbidity-in-children-with-repaired-congenital-esophageal-atresia-with-or-without-tracheoesophageal-fistula
#16
REVIEW
Maria Francesca Patria, Stefano Ghislanzoni, Francesco Macchini, Mara Lelii, Alessandro Mori, Ernesto Leva, Nicola Principi, Susanna Esposito
Congenital esophageal atresia with or without tracheoesophageal fistula (CEA ± TEF) is a relatively common malformation that occurs in 1 of 2500-4500 live births. Despite the refinement of surgical techniques, a considerable proportion of children experience short- and long-term respiratory complications, which can significantly affect their health through adulthood. This review focuses on the underlying mechanisms and clinical presentation of respiratory morbidity in children with repaired CEA ± TEF. The reasons for the short-term pulmonary impairments are multifactorial and related to the surgical complications, such as anastomotic leaks, stenosis, and recurrence of fistula...
September 27, 2017: International Journal of Environmental Research and Public Health
https://www.readbyqxmd.com/read/28951446/concurrent-bariatric-operations-and-association-with-perioperative-outcomes-registry-based-cohort-study
#17
Jason B Liu, Kristen A Ban, Julia R Berian, Matthew M Hutter, Kristopher M Huffman, Yaoming Liu, David B Hoyt, Bruce L Hall, Clifford Y Ko
Objective To determine whether perioperative outcomes differ between patients undergoing concurrent compared with non-concurrent bariatric operations in the USA.Design Retrospective, propensity score matched cohort study.Setting Hospitals in the US accredited by the American College of Surgeons' metabolic and bariatric surgery accreditation and quality improvement program.Participants 513 167 patients undergoing bariatric operations between 1 January 2014 and 31 December 2016.Main outcome measures The primary outcome measure was a composite of 30 day death, morbidity, readmission, reoperation, anastomotic or staple line leak, and bleeding events...
September 26, 2017: BMJ: British Medical Journal
https://www.readbyqxmd.com/read/28951290/laparoscopic-resection-for-primary-and-recurrent-crohn-s-disease-a%C3%A2-case-series-of-over-100-consecutive-cases
#18
Sofoklis Panteleimonitis, Jamil Ahmed, Thomas Parker, Tahseen Qureshi, Amjad Parvaiz
BACKGROUND: Laparoscopic surgery for patients with Crohn's disease (CD) is considered challenging. The aim of this study is to evaluate the clinical outcomes of laparoscopic bowel resection in patients with CD. We also assessed the effectiveness of the laparoscopic approach in recurrent or emergency surgery due to CD. MATERIALS AND METHODS: All patients with CD, who underwent laparoscopic resection surgery in two units from October 2006 to February 2016, were identified through prospectively maintained databases...
September 22, 2017: International Journal of Surgery
https://www.readbyqxmd.com/read/28950364/extracorporeal-membrane-oxygenation-to-facilitate-tracheal-healing-after-oesophagogastric-catastrophe
#19
Eric I Jeng, Giovanni Piovesana, Jeremy Taylor, Tiago N Machuca
Anastomotic leak after oesophagectomy is associated with poor outcomes. We report the successful utilization of venovenous extracorporeal membrane oxygenation in conjunction with tracheal stent to treat and heal multiple tracheal-neo-oesophageal fistulae following oesophagectomy.
August 7, 2017: European Journal of Cardio-thoracic Surgery
https://www.readbyqxmd.com/read/28934741/successful-management-of-a-positive-air-leak-test-during-laparoscopic-colorectal-surgery
#20
Kazuhito Sasaki, Soichiro Ishihara, Hiroaki Nozawa, Kazushige Kawai, Keisuke Hata, Tomomichi Kiyomatsu, Toshiaki Tanaka, Takeshi Nishikawa, Kensuke Otani, Koji Yasuda, Koji Murono, Toshiaki Watanabe
BACKGROUND/AIMS: Anastomotic leakage remains the most serious complications of colorectal surgery. To prevent colorectal anastomotic leakage (CAL), an air leak test (ALT) with intraoperative colonoscopy (IOCS) is performed to detect mechanically insufficient colorectal anastomoses. The approaches to an intraoperative anastomotic air leak (IOAL) have not been fully investigated. This study aimed to clarify the safe management of an IOAL in laparoscopic colorectal surgery. METHODS: One hundred forty-eight consecutive patients who underwent laparoscopic resection with double-stapling technique (DST) anastomosis for left-sided colorectal cancer between April 2015 and June 2016 were included and retrospectively reviewed...
September 22, 2017: Digestive Surgery
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