keyword
https://read.qxmd.com/read/38134380/surgical-outcomes-of-laparoscopic-assisted-distal-gastrectomy-versus-totally-laparoscopic-distal-gastrectomy-billroth-i-for-gastric-cancer
#21
JOURNAL ARTICLE
Ahmed Motamiez, Doaa Maximous, Ahmed A S Salem, Badawy M Ahmed, Seong-Ho Kong, Do Joong Park, Hyuk-Joon Lee, Han-Kwang Yang
OBJECTIVE: The present study aimed to compare intraoperative and postoperative outcomes of laparoscopic-assisted distal gastrectomy versus totally laparoscopic distal gastrectomy (TLDG) Billroth I (BI) for gastric cancer and to assess the impact of the initial introduction phase of TLDG BI anastomosis. PATIENTS AND METHODS: The study analyzed the prospectively collected data of patients who underwent laparoscopic distal gastrectomy BI from 2014 to 2021 at Seoul National University Hospital...
December 20, 2023: Surgical Laparoscopy, Endoscopy & Percutaneous Techniques
https://read.qxmd.com/read/38129520/development-and-evaluation-of-artificial-organ-models-for-ercp-training-in-patients-with-surgically-altered-anatomies
#22
JOURNAL ARTICLE
Kai Koch, Benedikt Duckworth-Mothes, Ulrich Schweizer, Karl-Ernst Grund, Tom G Moreels, Alfred Königsrainer, Dörte Wichmann
Endoscopy training models (ETM) using artificial organs are practical, hygienic and comfortable for trainees. However, few models exist for training endoscopic retrograde cholangiopancreatography (ERCP) in patients with surgically altered anatomy. This training is necessary as the number of bariatric surgeries performed worldwide increases. ETM with human-like anatomy were developed to represent the postoperative anatomy after Billroth II (BII) reconstruction for a standard duodenoscope and the situs of a long-limbed Roux-en-Y (RY) for device-assisted enteroscopy (DAE)...
December 21, 2023: Scientific Reports
https://read.qxmd.com/read/38093885/retracted-clinical-efficacy-of-laparoscopic-billroth-ii-subtotal-gastrectomy-plus-lienal-polypeptide-injection-for-gastric-cancer
#23
Evidence-Based Complementary And Alternative Medicine
[This retracts the article DOI: 10.1155/2022/5162225.].
2023: Evidence-based Complementary and Alternative Medicine: ECAM
https://read.qxmd.com/read/38045869/successful-treatment-of-postprandial-hyperinsulinemic-hypoglycemia-after-billroth-ii-gastrojejunostomy-using-octreotide
#24
Masashi Hasebe, Megumi Aizawa-Abe, Kimitaka Shibue, Akihiro Hamasaki
Postprandial hyperinsulinemic hypoglycemia, although rare, is a well-documented complication that can manifest after upper gastrointestinal surgery. Despite its potential for severe morbidity, the underlying pathogenesis and optimal treatment strategies for this condition remain insufficiently understood. This report presents a compelling case of postprandial hypoglycemia following Billroth-II gastrojejunostomy, characterized by a marked increase in postprandial insulin levels, accompanied by the exaggerated response of incretin hormones...
November 2023: JCEM Case Rep
https://read.qxmd.com/read/38023665/advanced-technical-tips-and-recent-insights-in-ercp-using-balloon-assisted-endoscopy
#25
REVIEW
Masaaki Shimatani, Toshiyuki Mitsuyama, Takeshi Yamashina, Masahiro Takeo, Shunsuke Horitani, Natsuko Saito, Hironao Matsumoto, Masahiro Orino, Masataka Kano, Takafumi Yuba, Takuya Takayama, Tatsuya Nakagawa, Shoji Takayama
Pancreatobiliary endoscopic interventions using balloon-assisted endoscopes have been widely acknowledged as the first-line therapy for pancreatobiliary diseases in postoperative patients with reconstructed gastrointestinal anatomy (excluding the Billroth I procedure). However, there are many technical difficulties, and the procedural completion rates vary in a wide range among institutions, indicating the procedural technique is yet to be standardized. This article aims to provide technical tips of procedures and insights into the advanced aspects, including the management of extremely difficult cases and troubleshooting of endoscopic retrograde cholangiopancreatography using balloon endoscopy, along with a review of recent advancements in this field...
April 2024: DEN Open
https://read.qxmd.com/read/37990273/short-and-long-term-outcomes-of-roux-en-y-and-billroth-ii-with-braun-reconstruction-in-total-laparoscopic-distal-gastrectomy-a-retrospective-analysis
#26
JOURNAL ARTICLE
Yan-Xin Chen, Qiao-Zhen Huang, Peng-Cheng Wang, Yue-Jia Zhu, Li-Quan Chen, Chu-Ying Wu, Jin-Tian Wang, Jun-Xing Chen, Kai Ye
BACKGROUND: The controversy surrounding Roux-en-Y (R-Y) and Billroth II with Braun (BII + B) reconstruction as an anti-bile reflux procedure after distal gastrectomy has persisted. Recent studies have demonstrated their efficacy, but the long-term outcomes and postoperative quality of life (QoL) among patients have yet to be evaluated. Therefore, we compared the short-term and long-term outcomes of the two procedures as well as QoL. METHODS: The clinical data of 151 patients who underwent total laparoscopic distal gastrectomy (TLDG) at the Gastrointestinal Surgery Department of the Second Hospital of Fujian Medical University from January 2016 to December 2019 were retrospectively analyzed...
November 22, 2023: World Journal of Surgical Oncology
https://read.qxmd.com/read/37980179/surgical-techniques-to-prevent-delayed-gastric-emptying-after-pancreaticoduodenectomy
#27
REVIEW
Peng Duan, Lu Sun, Kai Kou, Xin-Rui Li, Ping Zhang
BACKGROUND: Delayed gastric emptying (DGE) is one of the most common complications after pancreaticoduodenectomy (PD). DGE represents impaired gastric motility without significant mechanical obstruction and is associated with an increased length of hospital stay, increased healthcare costs, and a high readmission rate. We reviewed published studies on various technical modifications to reduce the incidence of DGE. DATA SOURCES: Studies were identified by searching PubMed for relevant articles published up to December 2022...
November 7, 2023: Hepatobiliary & Pancreatic Diseases International: HBPD INT
https://read.qxmd.com/read/37954083/gastric-adenocarcinoma-in-situs-inversus-totalis-a-case-study-and-literature-review
#28
JOURNAL ARTICLE
Bo Sun, Ping Xu, Pengfei Kong, Yantian Fang, Hong Fu
BACKGROUND: Situs inversus totalis (SIT) is an uncommon disorder characterized by mirror-image anatomy, which can present unique challenges and potential vascular anomalies in surgical interventions, particularly in gastric cancer patients. AIMS: We aim to delineate a rare case of gastric adenocarcinoma in a SIT patient and conduct a thorough review of the existing literature concerning surgical strategies, vascular anomalies, and outcomes observed across varied geographic locales and technological approaches...
2023: Frontiers in Oncology
https://read.qxmd.com/read/37932223/long-term-functional-and-patient-reported-outcomes-between-intra-corporeal-delta-shaped-gastroduodenostomy-and-gastrojejunostomy-after-laparoscopic-distal-gastrectomy
#29
JOURNAL ARTICLE
Sin Hye Park, Hong Man Yoon, Keun Won Ryu, Young-Woo Kim, Mira Han, Bang Wool Eom
PURPOSE: This study aimed to compare the long-term functional and patient-reported outcomes between intra-corporeal delta-shaped gastroduodenostomy and gastrojejunostomy after laparoscopic distal gastrectomy for gastric cancer. MATERIALS AND METHODS: We retrospectively reviewed clinicopathological data from 616 patients who had undergone laparoscopic distal gastrectomy for stage I gastric cancer between January 2015 and September 2020. Among them, 232 patients who had undergone delta-shaped anastomosis and another 232 who had undergone Billroth II anastomosis were matched using propensity scores...
October 2023: Journal of Gastric Cancer
https://read.qxmd.com/read/37922237/surgical-techniques-and-related-perioperative-outcomes-after-robot-assisted-minimally-invasive-gastrectomy-ramig-results-from-the-prospective-multicenter-international-ugira-gastric-registry
#30
JOURNAL ARTICLE
Cas de Jongh, Fabio Cianchi, Takahiro Kinoshita, Feike Kingma, Micaela Piccoli, Attila Dubecz, Ewout Kouwenhoven, Marc van Det, Tom Mala, Andrea Coratti, Paolo Ubiali, Paul Turner, Pursnani Kish, Felice Borghi, Arul Immanuel, Magnus Nilsson, Ioannis Rouvelas, Jens Peter Hӧlzen, Philippe Rouanet, Olivier Saint-Marc, David Dussart, Alberto Patriti, Francesca Bazzocchi, Boudewijn van Etten, Jan Willem Haveman, Marco DePrizio, Flávio Sabino, Massimo Viola, Felix Berlth, Peter Philip Grimminger, Franco Roviello, Richard van Hillegersberg, Jelle Ruurda
OBJECTIVE: To gain insight in global practice of RAMIG and evaluated perioperative outcomes using an international registry. BACKGROUND: The techniques and perioperative outcomes of robot-assisted minimally invasive gastrectomy (RAMIG) for gastric cancer vary substantially in literature. METHODS: Prospectively registered RAMIG-cases for gastric cancer (≥10 per center) were extracted from 25 centers in Europe, Asia and South-America...
November 3, 2023: Annals of Surgery
https://read.qxmd.com/read/37901733/laparoscopy-assisted-gastrectomy-for-advanced-gastric-cancer-patients-with-situs-inversus-totalis-two-case-reports-and-review-of-literature
#31
Hong-Bo Liu, Xiao-Peng Cai, Zhao Lu, Bin Xiong, Chun-Wei Peng
BACKGROUND: Situs inversus totalis (SIT) is a rare condition in which the positions of abdominal and thoracic organs present a "mirror image" of the normal ones in the median sagittal plane. Although minimally invasive surgery has evolved to achieve laparoscopic gastrectomy for gastric cancer (GC) patients with SIT, it is difficult to perform lymphadenectomy (LND) in such a transposed anatomical condition. Herein, we report the cases of two patients with SIT who successfully underwent laparoscopy-assisted gastrectomy (LAG) with D2 LND...
September 27, 2023: World Journal of Gastrointestinal Surgery
https://read.qxmd.com/read/37881390/small-bowel-obstruction-by-a-phytobezoar-in-a-patient-with-previous-antrectomy-and-billroth-ii-reconstruction
#32
Alberto Abreu da Silva, Jéssica Ricardo, Andreia Ferreira, Diogo Sousa, José Augusto Martins
A phytobezoar is a conglomerate of improperly digested fruit and vegetable debris, and its development is associated, amongst other factors, with previous gastric surgery. Most phytobezoars remain asymptomatic and are incidentally found during imaging or interventional procedures. However, in some patients, they can cause small bowel obstruction, which can subsequently lead to severe complications. Although the clinical findings are similar to other causes of intestinal obstruction, there are some particular diagnostic and treatment features more specific to phytobezoars...
September 2023: Curēus
https://read.qxmd.com/read/37866308/gastric-remnant-cancer-and-long-term-survival-in-central-norway-2001-to-2016-a-population-based-study
#33
JOURNAL ARTICLE
Ann Amelia Savage Ubøe, Christina Våge, Patricia Mjønes, Erling A Bringeland, Reidar Fossmark
INTRODUCTION: Gastric remnant cancer (GRC) has been defined as a distinct clinical entity and is reported to account for 1-8% of all gastric cancers. We aimed to characterize GRC patients and assess survival in a Western population. METHODS: Retrospective population-based cohort study including 1217 patients diagnosed with gastric adenocarcinoma in Central Norway 2001-2016. GRCs (n = 78) defined as adenocarcinomas arising in the residual stomach after distal gastrectomy were compared to non-GRC (n = 1139) and to proximal non-GRC (n = 595)...
December 2023: Surgical Oncology
https://read.qxmd.com/read/37816582/asymptomatic-giant-gastric-carcinosarcoma
#34
JOURNAL ARTICLE
Hitesh Sarda, Anshuman Pandey, Abhishek Gatuam, Hareesh Shanthappa Nellikoppad
Carcinosarcoma is an aggressive malignant neoplasm separate from adenocarcinoma with need for a radical early treatment for good response and survival. Less than 75 cases have been reported worldwide. Here, we report a case of an asymptomatic carcinosarcoma of stomach in a lady in her 70's presenting incidentally who underwent distal gastrectomy with Billroth II reconstruction for a large epigastric mass along with a review of literature. Although carcinosarcoma in the stomach is a rare entity, it should be considered as a differential diagnosis in a rapidly growing gastric growth...
October 10, 2023: BMJ Case Reports
https://read.qxmd.com/read/37802104/novel-technique-using-metal-clip-and-dental-floss-facilitates-difficult-biliary-cannulation-in-billroth-ii-gastrectomy
#35
JOURNAL ARTICLE
Zhichu Qin, Jianlong He, Zhihe Deng, Yan Qin, Junlian He, Fenhua Ye, Lihao Wu
No abstract text is available yet for this article.
December 2023: Endoscopy
https://read.qxmd.com/read/37783106/desmoid-tumor-occurrence-following-gastric-cancer-surgery-a-report-of-two-cases
#36
Masumi Takamoto, Noriyuki Nishiwaki, Yoshihiro Mikuriya, Tomokazu Kakishita, Koji Ohta, Shinji Hato
INTRODUCTION AND IMPORTANCE: While rare, desmoid tumors can develop after abdominal surgery and are difficult to differentiate from recurrent tumors following cancer resection. In this report, we describe two cases of desmoid tumors that occurred following gastric cancer procedures and were successfully treated with surgical resection. CASE PRESENTATION: In Case 1, a 77-year-old woman underwent open distal gastrectomy for gastric cancer followed by Roux-en-Y reconstruction...
October 2023: International Journal of Surgery Case Reports
https://read.qxmd.com/read/37768396/dynamics-of-perioperative-pancreatic-exocrine-function-in-patients-undergoing-reconstruction-after-gastrectomy-for-gastric-cancer
#37
JOURNAL ARTICLE
Takashi Nakayama, Katsutoshi Shoda, Kensuke Shiraishi, Shinji Furuya, Naohiro Hosomura, Hidenori Akaike, Yoshihiko Kawaguchi, Hidetake Amemiya, Hiromichi Kawaida, Daisuke Ichikawa
BACKGROUND: Each method of reconstruction after gastrectomy results in a change in the digestive and absorptive status. However, there are few reports on the changes in pancreatic exocrine function after gastrectomy. We conducted this study to investigate the dynamics of pancreatic exocrine function after gastrectomy according to the method of reconstruction performed. METHODS: The subjects of this study were 45 patients who underwent pancreatic exocrine function tests preoperatively and postoperatively, from among all patients who underwent gastrectomy for gastric cancer at our hospital between September, 2020 and March, 2022...
September 28, 2023: Surgery Today
https://read.qxmd.com/read/37767310/side-viewing-duodenoscope-versus-forward-viewing-gastroscope-for-endoscopic-retrograde-cholangiopancreatography-in-billroth-ii-gastrectomy-patients
#38
JOURNAL ARTICLE
Inês Marques de Sá, Carlos Borges Chaves, João Correia de Sousa, João Fernandes, Tarcísio Araújo, Jorge Canena, Luís Lopes
INTRODUCTION: Endoscopic retrograde cholangiopancreatography (ERCP) in patients with Billroth II gastrectomy is still a challenging procedure. The optimal approach, namely the type of endoscope and sphincter management, has yet to be defined. AIM: To compare the efficacy and safety of forward-viewing gastroscope and the side-viewing duodenoscope in ERCP of patients with Billroth II gastrectomy. METHODS: We conducted a retrospective, single-center cohort study of consecutive patients with Billroth II gastrectomy submitted to ERCP in an expert center for ERCP between 2005 and 2021...
August 2023: GE Portuguese Journal of Gastroenterology
https://read.qxmd.com/read/37755373/reappraisal-of-optimal-reconstruction-after-distal-gastrectomy-a-study-based-on-klass-07-database
#39
JOURNAL ARTICLE
Shin-Hoo Park, Hoon Hur, Jong-Hyun Park, Chang-Min Lee, Young-Gil Son, Mi Ran Jung, Han Hong Lee, Sun-Hwi Hwang, Moon-Soo Lee, Sang Hyuk Seo, In Ho Jeong, Myoung Won Son, Chang Hyun Kim, Moon-Won Yoo, Sung Jin Oh, Seong Ho Hwang, Sung Il Choi, Hyuk Soon Choi, Bo-Ra Keum, Kyung Sook Yang, Sungsoo Park
BACKGROUNDS: This study aimed to compare the incidence of bile reflux, quality of life (QoL), and nutritional status among Billroth II (BII), Billroth II with Braun anastomosis (BII-B), and Roux-en-Y (RY) reconstruction after laparoscopic distal gastrectomy (LDG). MATERIAL AND METHODS: We reviewed the prospective data of 397 patients from a multicentre database who underwent LDG for gastric cancer between 2018 and 2020 at 20 tertiary teaching hospitals in Korea...
September 25, 2023: International Journal of Surgery
https://read.qxmd.com/read/37755370/the-benefits-of-r-anastomotic-technique-for-billroth-%C3%A2-reconstruction-with-braun-anastomosis-during-totally-laparoscopic-distal-gastrectomy-a-propensity-score-matching-analysis
#40
JOURNAL ARTICLE
Jiajie Zhou, Qi Zhang, Wei Wang, Longhe Sun, Ruiqi Li, Shuai Zhao, Daorong Wang
BACKGROUND: Currently, there is no consensus on the most appropriate anastomotic site, anastomotic line, and direction for Billroth-II reconstruction with Braun anastomosis (B-II-B anastomosis) during totally laparoscopic distal gastrectomy (TLDG). Herein, we presented a novel anastomotic technique called R anastomosis for B-II-B anastomosis and compared it with the conventional B-II-B anastomosis technique to assess its feasibility, safety, and effectiveness. METHODS: Between March 2019 and September 2022 in our center, R anastomosis was performed on 123 patients undergoing TLDG for distal gastric cancer...
September 25, 2023: International Journal of Surgery
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