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General surgery cancer colon gastric

Nikhil Suresh Ghadyalpatil, Chopra Supriya, Patil Prachi, Dsouza Ashwin, Saklani Avanish
GI cancer is not one cancer but is a term for the group of cancers that affect the digestive system including gastric cancer (GC), colorectal cancer (CRC), hepatocellular carcinoma (HCC), esophageal cancer (EC), and pancreatic cancer (PC). Overall, the GI cancers are responsible for more cancers and more deaths from cancer than any other organ. 5 year survival of these cancers remains low compared to western world. Unlike the rest of the world where organ based specialities hepatobiliary, pancreatic, colorectal and esophagogastric exist, these cancers are managed in India by either a gastrointestinal surgeons, surgical oncologist, or a general surgeon with varying outcomes...
July 2016: South Asian Journal of Cancer
Mohamed Hamdy Ellakany
AIM: A double-blinded randomized controlled study to compare discharge time and patient satisfaction between two groups of patients submitted to open surgeries for abdominal malignancies using segmental thoracic spinal or general anesthesia. BACKGROUND: Open surgeries for abdominal malignancy are usually done under general anesthesia, but many patients with major medical problems sometimes can't tolerate such anesthesia. Regional anesthesia namely segmental thoracic spinal anesthesia may be beneficial in such patients...
May 2014: Anesthesia, Essays and Researches
Kazuyoshi Inoue, Hiroyuki Kawanishi, Hitoshi Nakamura, Yuichi Yatsu, Sawako Takebe, Akihiro Nagai, Rikiya Matsuda, Akihito Hirasaki
We encountered three cases of perioperative anaphylaxis identified by using skin-prick tests. [Case 1] A 43-year-old woman was scheduled to undergo elective laparoscopic subtotal gastrectomy under general anesthesia for gastric tumor. However, the procedure was cancelled because of anaphylaxis that was noted at the beginning of the surgery. We performed a skin-prick test and observed a positive reaction with ro- curonium. [Case 2] A 79-year-old man underwent laparoscopic colon resection under general anesthesia for colon cancer...
November 2014: Masui. the Japanese Journal of Anesthesiology
Nicola Carlomagno, Fabrizio Schonauer, Vincenzo Tammaro, Annalena Di Martino, Carmen Criscitiello, Michele L Santangelo
INTRODUCTION: Complete abdominal wall infiltration with neoplastic gastrocutaneous fistula is an unexpected and out of the ordinary presentation of locally advanced gastric cancer. It is very rare to encounter case reports presenting diffuse abdominal wall invasion, but a complete parietal destruction is an exceptional event. CASE PRESENTATION: Here we describe the case of an 81-year-old Caucasian woman presenting a carcinoma perforating her anterior gastric wall and infiltrating all layers of her abdominal wall...
2015: Journal of Medical Case Reports
Nan Li, Ying-di Liu, Yun-sheng Yang, En-qiang Linghu, Guo-jun Chai, Guo-hui Sun, Yong-ping Mao, Hua Jiang, Juan Wang, Jing Yang, Hao Liang
OBJECTIVE: To understand the incidence, causes, clinical manifestations and treatment of ectopic varices (EV) in gastrointestinal (GI) tract. METHODS: GI endoscopic examinations were carried out in 99 783 patients from January 2004 to October 2012 in General Hospital of PLA. Sixty-four cases of ectopic varices in GI tract were discovered. The clinical manifestations of EV patients and treatment were analyzed retrospectively. The literatures of EV were reviewed. RESULTS: The prevalence of EV in GI was 0...
November 2013: Zhonghua Nei Ke za Zhi [Chinese Journal of Internal Medicine]
Alessandro Bittoni, Luca Faloppi, Riccardo Giampieri, Stefano Cascinu
Several factors concur in determining outcome for locally advanced gastric cancer patients. Shockingly, geographic origin of the patient seems to play a major role. In Eastern countries, the high level of surgery that can be expected grants a high percentage of success in a strategy that employs surgery as immediate treatment followed by adjuvant chemotherapy, mainly based on oral fluoropyrimidines (S-1 or Capecitabine), with satisfactory results. In Western countries, the expertise of the surgeon maintains its role as predictor of high likelihood of cure...
2012: Recent Results in Cancer Research
(no author information available yet)
OBJECTIVE: To conduct an evidence-based analysis of the effectiveness and cost-effectiveness of bariatric surgery. BACKGROUND: Obesity is defined as a body mass index (BMI) of at last 30 kg/m(2).() Morbid obesity is defined as a BMI of at least 40 kg/m(2) or at least 35 kg/m(2) with comorbid conditions. Comorbid conditions associated with obesity include diabetes, hypertension, dyslipidemias, obstructive sleep apnea, weight-related arthropathies, and stress urinary incontinence...
2005: Ontario Health Technology Assessment Series
Bożena Kędra, Monika Chomczyk, Marcin Złotkowski, Wanda Stokowska, Agnieszka Borsuk, Mieczysław Bicz, Małgorzata Pietruska, Grażyna Tokajuk, Radosław Charkiewicz, Piotr Czajka, Lech Chyczewski, Lech Zimnoch, Bogusław Kędra
The incidence of malignant gastrointestinal cancers in Poland has been constantly growing, which has led to an intensification of the search for new markers of the early clinical stage of this disease. The oral cavity,as the first part of the gastrointestinal tract, has a very important role. The oral cavity presents symptoms of both typically stomatological and systemic diseases. Oral cancers, benign or malignant, may originate and grow in any of the tissues of the mouth, and within this small area they may be of varied clinical, histological and biological features...
2012: Folia Histochemica et Cytobiologica
Yoshitaka Kii, Masazumi Mizuma, Nobuyuki Kawate
PURPOSE: We report two cases of perioperative rehabilitation for abdominal cancer patients aged 75 years and older with severe chronic obstructive pulmonary disease (COPD). CASE DESCRIPTION: Case 1 was a 75-year-old man with COPD and 52-year history of smoking 30 cigarettes per day. The patient was diagnosed with gastric cancer and scheduled for laparoscopic total gastrectomy. Preoperative forced expiratory volume in 1 second (FEV1) was 0.64 L. He could walk with intermittent rest...
2012: Disability and Rehabilitation
Gaius Longcroft-Wheaton, Pradeep Bhandari
Endoscopic methods to recognise and treat early gastrointestinal malignancies have increased in recent years. This has resulted in more lesions being diagnosed at an early stage and a shift away from invasive surgery towards endoscopic resection. However, it is necessary for the endoscopist to understand the key principles behind advanced endoscopic diagnosis and the new therapeutic options available. This chapter will review the advances in endoscopic techniques and methods which are changing the way we diagnose and treat these cancers...
2011: Recent Results in Cancer Research
Jian-Chun Yu, Jun-Na Ge, Yun Tang, Jian-Xiong Wu, Gang Xiao, Bo Yu, Cheng-Ze Yu, Yan Wang, Bin Liang, Wei-Ming Kang, Hua Yang, Chao-Xu Zheng, Wen-Yue Wang, Zhi-Qiang Ma
OBJECTIVES: To determine the prevalence of cancer-related anemia and iron deficiency anemia (IDA) in patients with gastric and colorectal cancer in North of China. METHODS: A cross-sectional study of 262 inpatients diagnosed with gastric or colorectal cancer admitted to eight general hospitals in Beijing from August 2009 to December 2009 was performed. The blood samples were took on the day after admission and the seventh day after operation for the tests of hemoglobin, serum iron and ferritin...
January 1, 2011: Zhonghua Wai Ke za Zhi [Chinese Journal of Surgery]
Richard A Kozarek
This is the Fourth Annual Meeting of the Society for Gastrointestinal Intervention, a multi-disciplinary group of practitioners committed to a minimally invasive approach to both the diagnosis and treatment of digestive disorders. The key concepts are minimally invasive and multi-disciplinary which can be construed as practicing in parallel with occasional lines of procedural and clinical interaction or inter-disciplinary in which patients are acutely cared for by a team, with treatments tailored to the patient and not the discipline that touches the patient first...
September 2010: Gut and Liver
Syed Sameer Mohiuddin, John J Gonzalez, Jeffrey Glass, Guillermo Portillo, Morris E Franklin
BACKGROUND: Natural orifice transluminal endoscopic surgery (NOTES) is the anticipated progression of minimally invasive surgery. As it approaches, surgeons will need to develop the fundamental skills and spatial orientation needed to perform safely in this new field. The Natural Orifice Surgery Consortium for Assessment and Research has established several fundamental challenges to the safe introduction of NOTES. Our institutional experience with laparoscopic-assisted endoluminal surgery is reviewed to display the techniques and efficacy of procedures that address many of these challenges and may provide a safe transition for the general surgeon to NOTES or as an alternative to pure NOTES...
December 2009: Surgical Laparoscopy, Endoscopy & Percutaneous Techniques
Noboru Hanaoka, Katsuhiko Higuchi, Satoshi Tanabe, Tohru Sasaki, Kenji Ishido, Takako Ae, Wasaburo Koizumi, Katsunori Saigenji
A 52-year-old man had bloody stools during chemotherapy for gastric cancer. A colonoscopy revealed necrotizing ulcer-like changes. A biopsy confirmed the presence of amoebic trophozoites. Subsequently, peritonitis with intestinal perforation developed, and emergency peritoneal lavage and colostomy were performed. After surgery, endotoxin adsorption therapy was performed and metronidazole was given. Symptoms of peritonitis and colonitis resolved. However, the patient's general condition worsened with the progression of gastric cancer...
July 21, 2009: World Journal of Gastroenterology: WJG
V Tomulescu, O Stănciulea, I Bălescu, S Vasile, St Tudor, C Gheorghe, C Vasilescu, I Popescu
BACKGROUND: Robotic surgery was developed in response to the limitations and drawbacks of laparoscopic surgery. Since 1997 when the first robotic procedure was performed various papers pointed the advantages of robotic-assisted laparoscopic surgery, this technique is now a reality and it will probably become the surgery of the future. The aim of this paper is to present our preliminary experience with the three-arms "da Vinci S surgical system", to assess the feasibility of this technique in various abdominal and thoracic procedures and to point out the advantages of the robotic approach for each type of procedure...
March 2009: Chirurgia
T Bo, P Zhihong, Y Peiwu, Q Feng, W Ziqiang, S Yan, Z Yongliang, L Huaxin
BACKGROUND: The aim of this study was to assess the complications associated with the laparoscopic treatment of gastric cancer and to discuss their management. METHODS: From March 2004 to June 2007, 302 patients affected by gastric adenocarcinoma underwent laparoscopy-assisted gastrectomy. Of the 302 gastric malignancy cases, distal gastrectomy was performed in 161 cases, proximal gastrectomy in 62 cases, and total gastrectomy in 79 cases. In all cases, D1 or D2 lymph node dissection was performed according to the recommended procedures of the Japanese Gastric Cancer Association...
August 2009: Surgical Endoscopy
Annamaria Minicozzi, Giuseppe Borzellino, Emmanuel Nguefouet Momo, Christian Segattini, Federica Pitoni, Francesca Steccanella, Giovanni De Manzoni
BACKGROUND: In order to treat the peritoneal carcinomatosis from abdominal neoplasms has been recently proposed complete peritonectomy associated with IntraPeritoneal Hyperthermic Chemotherapy (IHPC). AIM OF THE STUDY: Estimate of postoperative morbidity and mortality and short-term outcome. METHODS: Twenty-four patients with peritoneal carcinomatosis or positive cytology at peritoneal washing were treated in our Department from January 2005 to October 2007...
July 2008: Annali Italiani di Chirurgia
Carla Ida Ripamonti, Alexandra M Easson, Hans Gerdes
Malignant bowel obstruction (MBO) is a common and distressing outcome particularly in patients with bowel or gynaecological cancer. Radiological imaging, particularly with CT, is critical in determining the cause of obstruction and possible therapeutic interventions. Although surgery should be the primary treatment for selected patients with MBO, it should not be undertaken routinely in patients known to have poor prognostic criteria for surgical intervention such as intra-abdominal carcinomatosis, poor performance status and massive ascites...
May 2008: European Journal of Cancer
N Siddiqi, R Stockdale, A M Britton, J Holmes
BACKGROUND: Delirium is a common mental disorder with serious adverse outcomes in hospitalised patients. It is associated with increases in mortality, physical morbidity, length of hospital stay, institutionalisation and costs to healthcare providers. A range of risk factors has been implicated in its aetiology, including aspects of the routine care and environment in hospitals. Prevention of delirium is clearly desirable from patients' and carers' perspectives, and to reduce hospital costs...
2007: Cochrane Database of Systematic Reviews
Lidia Andriescu, Emilia Patraşcanu, R Dănilă, B Bădic, C Rădulescu
The consequence of demographic aging is an increase of surgical pathology of the elderly, concerning both number and complexity of the cases. To asses the nature of geriatric surgical pathology and the effect of co-morbidities on surgical outcome, a retrospective study was carried out on a series of 401 patients aged over 75, treated in the IIIrd Surgical Unit in the period 2002-2003. 132 patients were admitted as acute cases and 94 of them were operated: 62 required immediate surgery and 32 required delayed operations...
April 2005: Revista Medico-chirurgicală̆ a Societă̆ţ̜ii de Medici ş̧i Naturaliş̧ti Din Iaş̧i
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