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Gastrectomy complications

Ting Li, Xiang-Ling Meng
OBJECTIVE: Short-term complications and long-term prognoses of three kinds of digestive tract reconstructions after radical gastrectomy for distal gastric cancer were compared. MATERIALS AND METHODS: Patients who underwent radical gastrectomy for distal gastric cancer were divided into three groups according to the type of digestive tract reconstruction: Billroth I, Billroth II, and Roux-en-Y anastomosis. Clinicopathological characteristics, intraoperative conditions, short-term complications, and long-term prognoses were compared among the three groups...
August 14, 2018: Journal of Laparoendoscopic & Advanced Surgical Techniques. Part A
Kazunari Misawa, Takaki Yoshikawa, Seiji Ito, Haruhiko Cho, Yuichi Ito, Takashi Ogata
BACKGROUND: Duodenal stump fistula (DSF) after gastrectomy is of low frequency but a critical complication in gastric cancer surgery. Manual oversewing for reinforcement of the duodenal stump is not applicable when free longitudinal margin is short and has technical difficulties in laparoscopic surgery. This trial evaluated the safety and feasibility of using a linear stapler with bioabsorbable polyglycolic acid (PGA) sheet for duodenal stump closure and reinforcement in gastric cancer surgery...
August 13, 2018: World Journal of Surgery
Joshua P Landreneau, Andrew T Strong, John H Rodriguez, Essa M Aleassa, Ali Aminian, Stacy Brethauer, Philip R Schauer, Matthew D Kroh
INTRODUCTION: A subset of patients undergoing laparoscopic sleeve gastrectomy (SG) require eventual conversion to Roux-en-Y gastric bypass (RYGB) due to complications from SG or to enhance weight loss. The aim of this study is to characterize the indications for conversion and perioperative outcomes in a large cohort of these patients at a single institution. METHODS: Patients who underwent revisional surgery to convert SG to RYGB at our institution from January 2008 through January 2017 were retrospectively reviewed...
August 9, 2018: Obesity Surgery
Saad Althuwaini, Fahad Bamehriz, Omar Alobaid, Mazin Barry, Ali Somily, Abdullah Aldohayan
BACKGROUND: Post-laparoscopic sleeve gastrectomy (LSG) leak leads to serious complications, and death may occur. The microbial pattern should be established in order to plan empirical antimicrobial therapy. The intra-abdominal leaks post-LSG were cultured and reviewed. METHODS: Microbial cultures collected from all post-sleeve leakage cases managed at the King Khalid University Hospital (KKUH) from May 2011 until April 2016 were reviewed. RESULTS: A total of 31 patients with positive leak post-LSG were included...
August 8, 2018: Obesity Surgery
Ho Seok Seo, Yoon Ju Jung, Ji Hyun Kim, Cho Hyun Park, Han Hong Lee
BACKGROUND: This study presents the initial feasibility of three-port right-side approach-duet totally laparoscopic distal gastrectomy (R-duet TLDG) with uncut Roux-en-Y (R-Y) reconstruction for the treatment of lower- or middle-third gastric cancer. METHODS: A total of 30 patients who underwent R-duet TLDG with uncut R-Y reconstruction for gastric cancer were enrolled. All patients were treated at the Catholic Medical Center. Reconstructions were performed intracorporeally without special instruments...
August 8, 2018: Journal of Laparoendoscopic & Advanced Surgical Techniques. Part A
Jun Kinoshita, Sachio Fushida, Masahide Kaji, Katsunobu Oyama, Daisuke Fujimoto, Yasuo Hirono, Tomoya Tsukada, Takashi Fujimura, Shigekazu Ohyama, Kazuhisa Yabushita, Naotaka Kadoya, Koji Nishijima, Tetsuo Ohta
BACKGROUND: Acetaminophen is used in multimodal therapy for postoperative pain management. However, the additional effects of acetaminophen in combination with thoracic epidural analgesia (TEA) are not well understood. This prospective, multicenter randomized study was conducted to evaluate the efficacy of routine intravenous (i.v.) acetaminophen in combination with TEA for the management of postoperative pain in gastric cancer surgery. METHODS: A total of 120 patients who underwent distal gastrectomy were randomly assigned in a 1:1 ratio to receive i...
August 7, 2018: Gastric Cancer
Zhe Wang, Jung-Hoon Park, Kun Yung Kim, Joonmyeong Choi, Hongtao Hu, Nader Bekheet, Sung Hwan Yoon, Ho-Young Song
Malignant small bowel obstruction is a common and distressing complication in advanced cancer patients. Recently, stent placement was reported to be a safe and effective alternative treatment. However, there are only a few case reports associated with stent placement in malignant jejunal obstruction. Furthermore, most patients had a history of gastrectomy before stent placement, which shortens the catheterization pathway. In our case series, we present five cases of malignant proximal jejunal obstruction in a non-surgically altered stomach in the management of fluoroscopy-guided self-expandable metallic stent placement and discuss the interventional management and clinical outcomes...
August 7, 2018: Cardiovascular and Interventional Radiology
Hisaaki Yoshinaka, Kazuaki Tanabe, Ryuichi Hotta, Yoshihiro Saeki, Hideki Ohdan
INTRODUCTION: There are few reported cases of cavernous transformation of the portal vein (CTPV). CTPV is usually found by accident because most patients are asymptomatic at presentation. This paper reports a case of early gastric cancer with CTPV that required gastrectomy and revascularization. PRESENTATION OF CASE: A 71-year-old man diagnosed with early gastric cancer, which was classified as clinical Stage IA (T1b, N0, M0) according to the TNM classification criteria for gastric cancer, was admitted to our hospital...
July 26, 2018: International Journal of Surgery Case Reports
Rebecca O'Brien, Eric Johnson, Sebastien Haneuse, Karen J Coleman, Patrick J O'Connor, David P Fisher, Stephen Sidney, Andy Bogart, Mary Kay Theis, Jane Anau, Emily B Schroeder, David Arterburn
Background: Bariatric surgery improves glycemic control in patients with type 2 diabetes mellitus (T2DM), but less is known about microvascular outcomes. Objective: To investigate the relationship between bariatric surgery and incident microvascular complications of T2DM. Design: Retrospective matched cohort study from 2005 to 2011 with follow-up through September 2015. Setting: 4 integrated health systems in the United States...
August 7, 2018: Annals of Internal Medicine
Lionel Rebibo, Abdennaceur Dhahri, Rachid Chati, Cyril Cosse, Emmanuel Huet, Jean-Marc Regimbeau
OBJECTIVES: Evaluate the effectiveness of the use of fibrin sealant (FS) for preventing the development of staple line complications (SLCs) after sleeve gastrectomy (SG). BACKGROUND: There is no consensus on the best means of preventing SLCs after SG. METHODS: This was a prospective, intention-to-treat, randomized, 2 center study of a group of 586 patients undergoing primary SG ( identifier: NCT01613664) between March 2014 and June 2017...
August 3, 2018: Annals of Surgery
Robert Caiazzo, Gregory Baud, Guillaume Clément, Xavier Lenne, Fanelly Torres, Guelareh Dezfoulian, Gilles Lebuffe, Eric Kipnis, Benoit Dervaux, Francois Pattou
BACKGROUND AND AIMS: The potential benefit of the centralization of Bariatric surgery (BS) remains debated. The aim of this study was to evaluate the impact on 90-day mortality of an innovative organization aiming at centralizing the care of severe postoperative complications of BS. STUDY DESIGN: The centralization of care for postoperative complication after BS was implemented by French Authorities in 2013 in the Nord-Pas-de-Calais Region, France. This unique formalized network (OSEAN), coordinated by 1 tertiary referral center, enrolled all regional institutions performing bariatric surgery...
August 3, 2018: Annals of Surgery
Farah Husain, In Ho Jeong, Donn Spight, Bruce Wolfe, Samer G Mattar
Purpose: Vertical sleeve gastrectomy (SG) and Roux-en-Y gastric bypass (RYGB) are currently the most common bariatric procedures. Although the safety of these operations has markedly improved, there continues to be a certain rate of complications. Such adverse events can have a significant deleterious effect on the outcome of these procedures and represent a costly burden on patients and society at large. A better understanding of these complications and their predictive factors may help ameliorate and optimize outcomes...
August 2018: Annals of Surgical Treatment and Research
Q Hong, X J Cai, Y Wang, Y L Liang, X X Fan
Objective: To evaluate the safety and flexibility of uncut Roux-en-Y esophagojejunostomy in totally laparoscopic total gastrectomy (TLTG). Methods: Between July 2016 to November 2016, 15 patients received totally laparoscopic total gastrectomy plus uncut Roux-en-Y esophagojejunostomy in the Sir Run Run Shaw hospital. Clinical data of those patients, including operative indexes, post-operative indexes and fellow-up data, were analyzed respectively. Results: A total of 15 patients were enrolled in this study, ten were corpus carcinoma and five were esophagogastric junction carcinoma...
July 24, 2018: Zhonghua Yi Xue za Zhi [Chinese medical journal]
Omar A Khan, Emma Rose McGlone, William Maynard, James Hopkins, Simon Dexter, Ian Finlay, David Hewin, Peter Sedman, Peter Walton, Shaw Somers, Marcus Reddy, Peter Small, Marco Adamo, Richard Welbourn
BACKGROUND: For patients in whom laparoscopic adjustable gastric band has failed, conversion to Roux-en-Y gastric bypass and laparoscopic sleeve gastrectomy are both options for further surgical treatment. There are limited data comparing these 2 procedures. The National Bariatric Surgery Registry is a comprehensive United Kingdom-wide database of bariatric procedures, in which preoperative demographic characteristics and clinical outcomes are prospectively recorded. OBJECTIVES: To compare perioperative complication rate and short-term outcomes of patients undergoing single-stage conversion of gastric band to Roux-en-Y gastric bypass or laparoscopic sleeve gastrectomy...
June 30, 2018: Surgery for Obesity and related Diseases: Official Journal of the American Society for Bariatric Surgery
Hitomi Takechi, Nobuaki Fujikuni, Yuki Takemoto, Kazuaki Tanabe, Hironobu Amano, Toshio Noriyuki, Masahiro Nakahara
INTRODUCTION: Laparoscopic and endoscopic cooperative surgery (LECS) is a minimally invasive hybrid procedure that facilitates the precise dissection of gastrointestinal malignancies. We report the use of LECS as palliative treatment for a patient with advanced gastric cancer at a high risk due to comorbidities. PRESENTATION OF CASE: A 68-year-old woman with general malaise was admitted to the hospital and received multiple transfusions for anemia. Endoscopy examination detected an ulcerative lesion in the stomach...
July 21, 2018: International Journal of Surgery Case Reports
Ying-Xu Li, Deng-Hua Fang, Tian-Xi Liu
This study aimed to introduce this surgical technique laparoscopic sleeve gastrectomy combined with single-anastomosis duodenal-jejunal bypass (LDJB-LSG), and to confirm this new surgical technique was safe in the treatment of type 2 diabetes mellitus (T2DM) of patients with body mass index (BMI) higher than 27.5 kg/m but lower than 32.5 kg/m.A total of 34 T2DM patients with (BMI) higher than 27.5 kg/m but lower than 32.5 kg/m were admitted to our department between January 2014 and October 2016, of whom 25 received laparoscopic gastric bypass surgery (LRYGB) and 9 received LDJB-LSG...
August 2018: Medicine (Baltimore)
Yusi Gong, Faith Selzer, Bhushan Deshpande, Elena Losina
OBJECTIVE: To evaluate trends in the utilization, clinical characteristics, and inpatient outcomes among persons with knee osteoarthritis undergoing bariatric surgery. METHOD: We used the National Inpatient Sample to examine trends of bariatric surgeries performed on adults with clinically documented knee osteoarthritis between 2005-2014. We abstracted hospital setting, procedure, demographic and clinical characteristics, and inpatient surgical outcomes from each discharge...
July 31, 2018: Osteoarthritis and Cartilage
Ramen Goel, Madhu Goel, Amrit Manik Nasta, Sharmila Vyas, Shefali Dharia, Shireen Hamrapurkar
INTRODUCTION: Bariatric surgery leads to significant weight loss but the results vary. Application of dietary principles like portion-controlled eating leads to greater weight loss and fewer complications. AIMS: To evaluate the improvement in weight loss outcomes by incorporating portion-controlled eating behavior in postbariatric patients. METHODS: All patients who underwent bariatric surgery from January 2012 to December 2013 were included in the study...
August 3, 2018: Obesity Surgery
Hedi Benosman, Gabriel Rahmi, Guillaume Perrod, Mathieu Bruzzi, Elia Samaha, Ariane Vienne, Charles André Cuenod, Jean Marc Chevallier, Richard Douard, Christophe Cellier
BACKGROUND AND STUDY AIMS: Post-laparoscopic sleeve gastrectomy (LSG) fistula is a major complication, responsible for high morbidity. Endoscopic treatment represents an alternative to surgical management, with variable approaches and success rates. In this study, we aimed to evaluate the efficacy of endoscopic treatment in a tertiary care center. PATIENTS AND METHODS: Between March 2010 and March 2015, all patients referred to our center for endoscopic treatment of fistula related to laparoscopic sleeve gastrectomy were included...
August 3, 2018: Obesity Surgery
Dimitrios Pantelis, Philipp Lingohr, Robert Hueneburg, Isabel Spier, Tim Vilz, Jan F Lau, Jacob Nattermann, Stefan Aretz, Christian P Strassburg, Jörg C Kalff
INTRODUCTION: Prophylactic total gastrectomy is the treatment of choice in patients with germline mutation in the CDH1 gene and therefore high risk for hereditary diffuse gastric cancer (HDGC). Minimally invasive techniques have been established in recent years for treatment of gastric cancer. METHODS: We report findings with 12 patients with proven CDH1 mutation who underwent multidisciplinary treatment between 2013 and 3/2018 in our centre for hereditary tumour diseases, followed by prophylactic total gastrectomy in our department...
August 1, 2018: Zentralblatt Für Chirurgie
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