keyword
https://read.qxmd.com/read/38532581/-malnutrition-in-advanced-gastrointestinal-cancer-patients-and-nutritional-support-therapy
#21
JOURNAL ARTICLE
G H Wu
The advancement of comprehensive treatment has allowed an increasing number of patients with gastrointestinal tumor to achieve long-term survival. In current clinical practice, there is a growing population of patients with advanced gastrointestinal tumor. Due to various factors, such as tumor burden, treatments including chemotherapy and radiation therapy, as well as underlying diseases, patients with advanced gastrointestinal tumor often experience malnutrition, which negatively impacts their clinical outcomes...
March 25, 2024: Zhonghua Wei Chang Wai Ke za Zhi, Chinese Journal of Gastrointestinal Surgery
https://read.qxmd.com/read/38532580/-chinese-expert-consensus-on-clinical-application-of-percutaneous-endoscopic-gastrostomy-jejunostomy-2024-edition
#22
JOURNAL ARTICLE
(no author information available yet)
Percutaneous endoscopic gastrostomy / jejunostomy (PEG/J) is a relatively safe and effective minimally invasive surgical approach to establish long-term enteral nutrition (EN) channels. Due to the good compliance and the reduced incidence of reflux and aspiration pneumonia, PEG/J is the preferred way for long-term EN and has been widely used in clinical applications. However, few technical guidelines or expert consensus guiding the clinical practice of PEG/J have been published. The formation of "Chinese expert consensus on clinical application of percutaneous endoscopic gastrostomy / jejunostomy (2024 edition)" is led by the Committee of Parenteral and Enteral Nutrition, Chinese Research Hospital Association...
March 25, 2024: Zhonghua Wei Chang Wai Ke za Zhi, Chinese Journal of Gastrointestinal Surgery
https://read.qxmd.com/read/38532292/surgery-adherence-and-survival-outcomes-in-patients-with-locally-advanced-iia-iva-cancer-of-the-lower-esophagus-a-seer-database-based-study
#23
JOURNAL ARTICLE
Jingsong Liu, Hu Chen, Chuannan Wu
BACKGROUND: Esophageal cancer is a prevalent malignant tumor of the upper gastrointestinal tract. The aim of this study was to examine the impact of surgical adherence on the prognosis of patients with locally advanced lower esophageal cancer and to analyze the factors that affect surgical adherence. METHODS: Patients diagnosed with locally advanced (IIA-IVA) lower esophageal cancer between 2004 and 2015 were screened from the Surveillance, Epidemiology, and End Results (SEER) database...
March 26, 2024: American Surgeon
https://read.qxmd.com/read/38530772/prucalopride-and-bowel-function-post-gastrointestinal-surgery-systematic-review-and-meta-analysis-of-randomized-controlled-trials
#24
REVIEW
Gaurav Talwar, Sahil Sharma, Tyler McKechnie, Shuling Yang, Jigish Khamar, Dennis Hong, Aristithes Doumouras, Cagla Eskicioglu
BACKGROUND: Prolonged postoperative ileus (PPOI) contributes to morbidity and prolonged hospitalization. Prucalopride, a selective 5-hydroxytryptamine receptor agonist, may enhance bowel motility. This review assesses whether the perioperative use of prucalopride compared to placebo is associated with accelerated return of bowel function post gastrointestinal (GI) surgery. METHODS: OVID, CENTRAL, and EMBASE were searched as of January 2024 to identify randomized controlled trials (RCTs) comparing prucalopride and placebo for prevention of PPOI in adult patients undergoing GI surgery...
March 26, 2024: American Surgeon
https://read.qxmd.com/read/38530771/clinical-practice-guidelines-for-prevention-and-treatment-of-postoperative-gastrointestinal-disorder-with-integrated-traditional-chinese-and-western-medicine-2023
#25
JOURNAL ARTICLE
Jianjun Xue, Ziqing Xu, Qiang Wang, Huaijing Hou, Lili Wei, Jie Zhang, Xiaohong Zhao, Liping Chen, Fanfan Ding, Li Ma, Yongqiang Zhao, Yingbin Wang, Daqing Ma, Tianjun Wang, Renyu Liu, Tong J Gan, Nicky Robinson, Yurasek Frank, Fan Su, Yongliang Chi, Dianhui Yang, Shujuan Liu, Suyang Cui, Yousong Wei, Zhiqiang Chen, You Qin, Lixing Cao, Guiping Chen, Kuanyong Shu, Zhongqing Xiao, Hui Zhang, Jianbo Yu, Zhiqian Hu, Huakun Cheng, Wuhua Ma, Guokai Liu, Xiuli Wang, Xinghua Cao, Ju Gao, Gaoyin Kong, Qing Tao, Baohua Wang, Junlu Wang, Hong Li, Cuixia Lyu, Zhiming Zhang, Tianzuo Li, Kehu Yang
Postoperative gastrointestinal disorder (POGD) was a common complication after surgery under anesthesia. Strategies in combination with Traditional Chinese Medicine and Western medicine showed some distinct effects but standardized clinical practice guidelines were not available. Thus, a multidisciplinary expert team from various professional bodies including the Perioperative and Anesthesia Professional Committees of the Chinese Association of Integrative Medicine (CAIM), jointly with Gansu Province Clinical Research Center of Integrative Anesthesiology/Anesthesia and Pain Medical Center of Gansu Provincial Hospital of Traditional Chinese Medicine and WHO Collaborating Center for Guideline Implementation and Knowledge Translation/Chinese Grading of Recommendations, Assessment, Development, and Evaluation (GRADE) Center/Gansu Provincial Center for Medical Guideline Industry Technology/Evidence-based Medicine Center of Lanzhou University, was established to develop evidence-based guidelines...
March 26, 2024: Journal of Evidence-based Medicine
https://read.qxmd.com/read/38528197/calcium-polystyrene-sulfonate-induced-rectal-ulcer-causing-e-coli-native-valve-infective-endocarditis
#26
JOURNAL ARTICLE
Shinnosuke Fukushima, Hideharu Hagiya, Hiroyuki Honda, Tomoharu Ishida, Ryohei Shoji, Kou Hasegawa, Fumio Otsuka
Escherichia coli-associated native-valve infective endocarditis is a rare disease that affects elderly patients with underlying risk factors such as diabetes mellitus, malignancy, and renal failure. Long-term use of calcium polystyrene sulfonate is a potential risk factor for gastrointestinal mucosal damage or even colorectal ulcers. Herein, we describe a fatal case of a 66-year-old Japanese man with diabetes mellitus and renal failure who was prescribed calcium polystyrene sulfonate (CPS) for 11 years and developed a CPS-induced rectal ulcer, leading to E...
March 25, 2024: Clinical Journal of Gastroenterology
https://read.qxmd.com/read/38526803/transarterial-embolization-with-bleomycin-lipiodol-emulsion-a-successful-minimal-invasive-approach-for-giant-liver-hemangioma
#27
JOURNAL ARTICLE
Juferdy Kurniawan, Maria Teressa, Refael Alfa Budiman, Sahat Basana Romanti Ezer Matondang
Hemangiomas are most common benign liver tumor. Most patients have an excellent prognosis because of the small size and benign nature of tumor. On some occasions, giant liver hemangioma may cause symptoms and significant challenges due to its complication. We report a case of giant liver hemangioma treated with minimal invasive approach by transarterial embolization (TAE). Following three TAE sessions over a specific timeframe, the patient was successfully managed, addressing that TAE may be a useful alternative to hepatic surgery in such cases...
March 25, 2024: Clinical Journal of Gastroenterology
https://read.qxmd.com/read/38526522/pharmacologic-prevention-and-therapy-of-postoperative-paralytic-ileus-after-gastrointestinal-cancer-surgery-systematic-review-and-meta-analysis
#28
JOURNAL ARTICLE
Martin Reichert, Franziska Willis, Stefan Post, Martin Schneider, Tim Vilz, Maria Willis, Andreas Hecker
BACKGROUND: Postoperative paralytic ileus (POI) is a significant concern following gastrointestinal tumor surgery. Effective preventive and therapeutic strategies are crucial but remain elusive. Current evidence from randomized-controlled trials on pharmacological interventions for prevention or treatment of POI are systematically reviewed to guide clinical practice and future research. MATERIALS AND METHODS: Literature was systematically searched for prospective randomized-controlled trials testing pharmacological interventions for prevention or treatment of POI after gastrointestinal tumor surgery...
March 25, 2024: International Journal of Surgery
https://read.qxmd.com/read/38526500/the-role-of-geriatric-nutritional-risk-index-as-a-predictor-for-postoperative-outcomes-in-gastrointestinal-emergencies
#29
JOURNAL ARTICLE
Yasuhiro Takano, Yasunobu Kobayashi, Tomohiro Kudo, Sumika Takahashi, Hironori Kanno, Nobuyoshi Hanyu
BACKGROUND: The geriatric nutritional risk index (GNRI) is a simple nutritional and inflammatory marker for older adults. The aim of the present study was to investigate the usefulness of the GNRI in older adults who underwent emergency gastrointestinal surgery. METHODS: This study included 206 older adults who had undergone emergency gastrointestinal surgery. We retrospectively investigated the relationship between the GNRI and postoperative complications. Univariate and multivariate analyses were performed to evaluate risk factors for postoperative complications...
January 2024: World Journal of Surgery
https://read.qxmd.com/read/38525849/using-artificial-intelligence-to-predict-choledocholithiasis-can-machine-learning-models-abate-the-use-of-mrcp-in-patients-with-biliary-dysfunction
#30
JOURNAL ARTICLE
Joshua Blum, Sam Hunn, Jules Smith, Fa Yu Chan, Richard Turner
BACKGROUND: Prompt diagnosis of choledocholithiasis is crucial for reducing disease severity, preventing complications and minimizing length of stay. Magnetic resonance cholangiopancreatography (MRCP) is commonly used to evaluate patients with suspected choledocholithiasis but is expensive and may delay definitive intervention. To optimize patient care and resource utilization, we have developed five machine learning models that predict a patients' risk of choledocholithiasis based on clinical presentation and pre-MRCP investigation results...
March 25, 2024: ANZ Journal of Surgery
https://read.qxmd.com/read/38525823/primary-ntrk-rearranged-spindle-cell-neoplasm-of-the-gastrointestinal-tract-a-clinicopathological-and-molecular-analysis-of-8-cases
#31
JOURNAL ARTICLE
Xiaojiao Gao, Song Xu, Peipei Zhu, I Weng Lao, Lin Yu, Jian Wang
NTRK-rearranged spindle cell neoplasm occurs predominantly in the superficial or deep soft tissues of extremities or trunk. Occurrence in the visceral organs is extremely rare. Herein, we describe 8 cases of NTRK-rearranged spindle cell neoplasm that arose primarily in the gastrointestinal tract. Patients included 5 males and 3 females with age at presentation ranging from 6 to 63 years (median: 29.5 years). Tumors occurred in the colon (n=3), small intestine (n=2), rectum (n=2), and stomach (n=1). Tumor size ranged from 3...
March 25, 2024: American Journal of Surgical Pathology
https://read.qxmd.com/read/38525292/cmnet-deep-learning-model-for-colon-polyp-segmentation-based-on-dual-branch-structure
#32
JOURNAL ARTICLE
Xuguang Cao, Kefeng Fan, Cun Xu, Huilin Ma, Kaijie Jiao
PURPOSE: Colon cancer is one of the top three diseases in gastrointestinal cancers, and colon polyps are an important trigger of colon cancer. Early diagnosis and removal of colon polyps can avoid the incidence of colon cancer. Currently, colon polyp removal surgery is mainly based on artificial-intelligence (AI) colonoscopy, supplemented by deep-learning technology to help doctors remove colon polyps. With the development of deep learning, the use of advanced AI technology to assist in medical diagnosis has become mainstream and can maximize the doctor's diagnostic time and help doctors to better formulate medical plans...
March 2024: Journal of Medical Imaging
https://read.qxmd.com/read/38524507/safety-and-efficacy-comparison-of-remimazolam-and-propofol-for-intravenous-anesthesia-during-gastroenteroscopic-surgery-of-older-patients-a-meta-analysis
#33
JOURNAL ARTICLE
Fang-Zhuo Li, Cheng Zhao, Yi-Xun Tang, Ji-Tong Liu
BACKGROUND: Remimazolam is characterized by rapid action and inactive metabolites. It is used as the general anesthetic for many clinical surgeries. In this study, we performed a meta-analysis to evaluate whether remimazolam is superior to propofol for gastroenteroscopy in older patients. AIM: To compare the adverse events and efficacy of remimazolam and propofol during gastroenteroscopy in older adults. METHODS: The PubMed, Web of Science, the Cochrane Library databases were queried for the relevant key words "remimazolam," "and propofol," "and gastrointestinal endoscopy or gastroscopy...
March 6, 2024: World Journal of Clinical Cases
https://read.qxmd.com/read/38523891/pregnancy-and-inflammatory-bowel-disease-a-special-combination
#34
REVIEW
Viviana Parra Izquierdo, Carolina Pavez Ovalle, Valeria Costa, Ana María Leguízamo, Juan Sebastián Frías Ordoñez, Albis Hani
Inflammatory bowel disease (IBD) comprises a spectrum of chronic immune-mediated diseases that affect the gastrointestinal tract. Onset typically occurs in early adulthood. The incidence of this disease has increased worldwide. Its prevalence has increased in Colombia and occurs predominantly in women. Considering that this disease is not curable, the main objective of management is to achieve remission. Many women are affected by IBD during different stages of their lives, including their reproductive life, pregnancy, and menopause...
October 2023: Middle East Journal of Digestive Diseases
https://read.qxmd.com/read/38523824/management-of-an-undetectable-diverticular-bleed-a-case-report-and-literature-review
#35
Zubir S Rentiya, Lokeshwar Raaju Addi Palle, Sanni Emmanuel, Heeya Shah, Abiodun Adegbite, Carlo Kristian Chu Carredo, Ronald Mauricio Blanco Montecino, Ummul Z Asfeen, Akbar Hussain, Ogbonnaya Akuma, Aadil Mahmood Khan, Anasonye Emmanuel Kelechi
Diverticular bleeding is the most common cause of lower gastrointestinal bleeding and accounts for 20.8%-41.6% of cases in the Western world. Management involves initial resuscitation followed by diagnostic assessment. Colonoscopy is the investigation of choice as it localizes the bleed and has the potential to effectively deliver therapeutic interventions. Other diagnostic modalities include flexible sigmoidoscopy, a tagged red blood cell scan, or angiography. In cases where the bleeding source cannot be identified, intraoperative enteroscopy has emerged as a valuable tool for investigating obscure gastroenterology bleeds in specific patients...
March 2024: Clinical Case Reports
https://read.qxmd.com/read/38523037/evaluating-the-use-of-adjuvant-and-neoadjuvant-terminology-in-bariatric-surgery-a-scoping-review
#36
REVIEW
Theo Sher, Michelle McGee, Christopher DuCoin, Joseph Sujka, Salvatore Docimo
BACKGROUND: Weight regain and inadequate weight loss are common after bariatric surgery. Literature is emerging regarding the use of pharmacotherapy with bariatric surgery as a potential solution to these adverse effects. Pharmacotherapy may be used before (neoadjuvant) or after (adjuvant) bariatric surgery, although this terminology has not been standardized. As a rapidly growing area of research, there is opportunity to standardize terminology for future ease of research, data synthesis, and communication...
March 15, 2024: Journal of Gastrointestinal Surgery
https://read.qxmd.com/read/38523036/surgical-site-infections-at-prior-stoma-site-after-colostomy-closure-a-multi-institutional-analysis
#37
JOURNAL ARTICLE
Maxwell D Mirande, Nicholas P McKenna, Jack W Sample, Katherine A Bews, Justin T Brady, Dorin T Colibaseanu, Scott R Kelley
No abstract text is available yet for this article.
March 5, 2024: Journal of Gastrointestinal Surgery
https://read.qxmd.com/read/38523035/ketamine-intolerance-in-patients-on-enhanced-recovery-after-surgery-protocols-undergoing-colorectal-operations
#38
JOURNAL ARTICLE
Sarah B Stringfield, Anthony C Waddimba, Keirsyn M Criss, Brooke Burgess, Luke J Dosselman, Alessandro Fichera, Katerina O Wells, James Fleshman
BACKGROUND: Ketamine is used in enhanced recovery after surgery (ERAS) protocols because of its beneficial antihyperalgesic and antitolerance effects. However, adverse effects such as hallucinations, sedation, and diplopia could limit ketamine's utility. The main objective of this study was to identify rates of ketamine side effects in postoperative patients after colorectal surgery and, secondarily, to compare short-term outcomes between patients receiving ketamine analgesia and controls...
February 28, 2024: Journal of Gastrointestinal Surgery
https://read.qxmd.com/read/38522948/prognostic-factors-of-chronic-postsurgical-pain-following-gastrointestinal-surgery-a-systematic-review-protocol
#39
REVIEW
Josephine Stryhn, Amalie Rosendahl, Carsten B Juhl, Thordis Thomsen, Birgitte Brandstrup, Ann M Møller
BACKGROUND: Chronic postsurgical pain (CPSP) presents a considerable healthcare challenge, impacting patients, and healthcare providers, particularly in the context of gastrointestinal surgery. The notable incidence of CPSP in this specific surgical domain emphasizes the need to identify patients with a high risk of developing this condition. Despite various studies exploring this topic, a comprehensive systematic review focusing on prognostic factors of CPSP following gastrointestinal surgery is currently lacking...
March 24, 2024: Acta Anaesthesiologica Scandinavica
https://read.qxmd.com/read/38522910/a-case-of-superficial-primary-malignant-melanoma-of-the-esophagus-detected-and-treated-at-stage-0
#40
JOURNAL ARTICLE
Yuzo Toyama, Ryuji Nagahama, Yu Kodama, Izumi Kaieda, Shingiro Sakai, Gen Maeda, Hidemitsu Nisizawa, Shingo Asahara, Yuji Mizokami
The patient was a 79-year-old male. At three years and eight months after his initial presentation, upper gastrointestinal endoscopy revealed a black-flattened elevated lesion in the middle third of the esophagus, which was diagnosed as malignant melanoma on biopsy. No lymph node or distant metastasis was found. A diagnosis of cT1bN0M0 Stage I was thus made. We performed a robot-assisted, minimally invasive esophagectomy and D2 dissection. The postoperative diagnosis was pT1a (MM), N0, M0, vascular invasion+, stage 0...
March 25, 2024: Internal Medicine
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