keyword
https://read.qxmd.com/read/38532859/uniportal-video-assisted-thoracoscopic-surgery-in-the-prone-position-for-esophageal-bronchogenic-cyst
#1
Yeon Soo Kim
Esophageal bronchogenic cysts are very rare. A bronchogenic cyst is a congenital malformation resulting from abnormal sprouting of primitive bronchi because of a foregut bronchopulmonary malformation. An 18-year-old patient with a cystic tumor in the left posterior mediastinum was identified. The mediastinal tumor was removed by uniportal video-assisted thoracoscopic surgery. The operation was performed in the prone position through a single 4-cm incision on the lateral scapular line in the left ninth intercostal space...
March 2024: Journal of Surgical Case Reports
https://read.qxmd.com/read/38520291/modified-graham-patch-repair-of-small-bowel-anastomotic-leak
#2
JOURNAL ARTICLE
Ashley Alden, Robert D Bennett
The modified Graham patch repair is a well-established technique for management of perforating foregut injuries, often learned by surgeons during general surgery training. There is, however, little to no data regarding the utilization of this technique for perforation of the distal midgut or in the re-operative field. We present two cases of midgut anastomotic complications successfully managed with modified graham patch repair at our institution. The first case is a 79-year-old female who underwent an emergent right hemicolectomy at an outside institution for management of an iatrogenic perforation during endoscopic polypectomy...
March 23, 2024: American Surgeon
https://read.qxmd.com/read/38497555/robotics-vs-laparoscopy-in-foregut-surgery-systematic-review-and-meta-analysis-analyzing-hiatal-hernia-repair-and-heller-myotomy
#3
JOURNAL ARTICLE
Sabrina Awshah, Rahul Mhaskar, Abdul-Rahman Fadi Diab, Meagan Read, Emily Coughlin, Samer Ganam, Adham R Saad, Joseph Sujka, Christopher DuCoin
BACKGROUND: Laparoscopic surgery remains the mainstay of treating foregut pathologies. Several studies have shown improved outcomes with the robotic approach. A systematic review and meta-analysis comparing outcomes of robotic and laparoscopic hiatal hernia repairs (HHR) and Heller myotomy (HM) repairs is needed. STUDY DESIGN: PubMed, Embase and Scopus databases were searched for studies published between January 2010 and November 2022. The risk of bias was assessed using the Cochrane ROBINS-I tool...
March 15, 2024: Journal of the American College of Surgeons
https://read.qxmd.com/read/38413302/median-arcuate-ligament-release-at-the-time-of-pancreaticoduodenectomy-or-total-pancreatectomy
#4
JOURNAL ARTICLE
Erin P Ward, Stephanie Vincent-Sheldon, Parag Tolat, Naveen Kulkarni, Mohammed Aldakkak, Rachel Budithi, Callisia N Clarke, Susan Tsai, Douglas B Evans, Kathleen K Christians
BACKGROUND: Celiac artery compression can complicate the performance of pancreaticoduodenectomy or total pancreatectomy due to the need for ligation of the gastroduodenal artery. Median arcuate ligament release restores normal arterial flow to the liver, spleen, and stomach and may avoid complications related to poor perfusion of the foregut. METHODS: All patients who underwent median arcuate ligament release for celiac artery compression at the time of pancreatectomy between 2009 and 2023 were reviewed...
February 26, 2024: Surgery
https://read.qxmd.com/read/38407920/a-multidisciplinary-minimally-invasive-approach-is-necessary-for-the-contemporary-management-of-esophageal-diverticula
#5
JOURNAL ARTICLE
Ryan C Broderick, Graham J Spurzem, Estella Y Huang, Bryan J Sandler, Garth R Jacobsen, Robert A Weisman, Mark W Onaitis, Philip A Weissbrod, Santiago Horgan
Background: Esophageal diverticula were traditionally treated with open surgery, which is associated with significant morbidity and mortality rates. Management has shifted to minimally invasive approaches with several advantages. We examine outcomes in patients with esophageal diverticula treated with minimally invasive techniques by a multidisciplinary surgical team at a single center. Materials and Methods: A retrospective review of a prospectively maintained database was performed for patients who underwent minimally invasive surgery for esophageal diverticula at our institution from June 2010 to December 2022...
February 26, 2024: Journal of Laparoendoscopic & Advanced Surgical Techniques. Part A
https://read.qxmd.com/read/38383688/validity-and-reliability-evidence-support-task-specific-metrics-for-laparoscopic-fundoplication
#6
JOURNAL ARTICLE
Alexis Desir, Carolina Marques, Emile Farah, Shruti R Hegde, Carla Holcomb, Daniel J Scott, Ganesh Sankaranarayanan
BACKGROUND: Laparoscopic hiatal hernia repair (LHHR) is a complex operation requiring advanced surgical training. Surgical simulation offers a potential solution for learning complex operations without the need for high surgical volume. Our goal is to develop a virtual reality (VR) simulator for LHHR; however, data supporting task-specific metrics for this procedure are lacking. The purpose of this study was to develop and assess validity and reliability evidence of task-specific metrics for the fundoplication phase of LHHR...
February 21, 2024: Surgical Endoscopy
https://read.qxmd.com/read/38378661/ectopic-colloid-goiter-in-mediastinum-with-normal-thyroid-gland
#7
JOURNAL ARTICLE
Jagannath Kolwalkar, Dattaprasad Samant, Shirish Borkar, M Sunil Chandra Vidyasagar, Jagadeesh N Vaggar
Ectopic thyroid tissue is a rare developmental abnormality involving aberrant embryogenesis of the thyroid gland during passage from the primitive foregut to the pretracheal position. The most frequent position is the base of the tongue (lingual thyroid); however, it has been described in other sites, such as the submandibular region, trachea, mediastinum, and subdiaphragmatic regions.Here, we report a case of an adenomatous goiter that developed in mediastinal thyroid tissue without any connection to the pretracheal thyroid gland...
February 20, 2024: Journal of Cardiothoracic Surgery
https://read.qxmd.com/read/38353077/fundoplication-at-the-time-of-paraesophageal-hernia-repair-may-not-reduce-postoperative-reflux
#8
JOURNAL ARTICLE
Shankar Logarajah, Jash Karumuri, David Ahle, Houssam Osman, D Rohan Jeyarajah
Hiatal hernias are observed in approximately 15% to 20% of the population in Western society. Most patients are diagnosed with a sliding-type hiatal hernia, of which gastroesophageal reflux is the predominant driving symptom. Surgical repair of these types of hernias often involves a wrap procedure during the index operation as standard of care. For type 2, 3, and 4 hernias, also known as paraesophageal hernias (PEHs), the symptom complexes vary and often involve symptoms other than reflux, including dysphagia, anemia, shortness of breath, and chest pain...
January 2024: Journal of Gastrointestinal Surgery
https://read.qxmd.com/read/38337855/mixed-heterotopic-gastrointestinal-respiratory-oral-cysts-in-newborns-from-prenatal-diagnosis-to-histopathological-and-therapeutic-management-a-case-report-and-literature-review
#9
Valentin Nicolae Varlas, Ioanina Parlatescu, Dragos Epistatu, Oana Neagu, Roxana Georgiana Varlas, Laura Bălănescu
Fetal lingual tumors are very rare, and their early prenatal diagnosis is important for defining the subsequent therapeutic strategy. In this study, we aimed to describe a case of a congenital septate lingual cyst and perform an extensive literature review on two main databases (PubMed, Web of Science), analyzing the clinical manifestations, the imaging appearance, the differential diagnosis, and particularities regarding the treatment of these tumors. The electronic search revealed 17 articles with 18 cases of mixed heterotopic gastrointestinal/respiratory oral epithelial cysts that met the eligibility criteria and were included in this review...
February 4, 2024: Diagnostics
https://read.qxmd.com/read/38333278/thoracoabdominal-duplication-accompanied-by-intestinal-malrotation-a-case-report-and-literature-review-of-a-rare-congenital-anomaly-in-an-infant
#10
Qusai Mashlah, Omar Al Laham, Hajar Odah Bashi, Rahaf Sharaf Aldeen, Sami Alashi, Mohammd Abdulkader
INTRODUCTION AND IMPORTANCE: Thoracoabdominal duplication and intestinal malrotation are extremely rare congenital alimentary tract anomalies that can manifest in any segment of the gastrointestinal tract. Still, tubular duplications are an even rarer subset of alimentary tract duplications. Misdiagnosis could occur and this will yield devastating ramifications. Therefore, consideration in the clinical settings is warranted to aid in conducting timely therapeutic interventions. CASE PRESENTATION: In this article, we illustrate the overwhelmingly rare occurrence of thoracoabdominal duplication coexistent with intestinal malrotation in a 7-month-old male whose primary complaint was chronic dyspnoea since birth that progressed to involve cough and fever...
February 2024: Annals of Medicine and Surgery
https://read.qxmd.com/read/38314131/toward-less-invasive-coloproctology-the-future-is-out-there
#11
EDITORIAL
Sameh Hany Emile, Jonathan Ragheb
Medical care has undergone remarkable improvements over the past few decades. One of the most important innovative breakthroughs in modern medicine is the advent of minimally and less invasive treatments. The trend towards employing less invasive treatment has been vividly shown in the field of gastroenterology, particularly coloproctology. Parallel to foregut interventions, colorectal surgery has shifted towards a minimally invasive approach. Coloproctology, including both medical and surgical management of colorectal diseases, has undergone a remarkable paradigm shift...
January 21, 2024: World Journal of Gastroenterology: WJG
https://read.qxmd.com/read/38299616/identification-of-achalasia-within-absent-contractility-phenotypes-on-high-resolution-manometry-prevalence-predictive-factors-and-treatment-outcome
#12
JOURNAL ARTICLE
Parth Patel, Benjamin D Rogers, Arvind Rengarajan, Benjamin Elsbernd, Elizabeth R O'Brien, C Prakash Gyawali
OBJECTIVE: Absent contractility on high-resolution manometry (HRM) defines severe hypomotility but needs distinction from achalasia. We retrospectively identified achalasia within absent contractility using HRM provocative maneuvers, barium esophagography, and functional lumen imaging probe (FLIP). DESIGN: Adult patients with absent contractility on HRM during the 4-year study period were eligible for inclusion. Inadequate studies, achalasia after therapy, or prior foregut surgery were exclusions...
February 1, 2024: American Journal of Gastroenterology
https://read.qxmd.com/read/38287216/fifteen-year-symptomatic-outcome-of-patients-with-nonactionable-motor-findings-on-high-resolution-manometry
#13
JOURNAL ARTICLE
Rahul Peravali, Benjamin D Rogers, C Prakash Gyawali
BACKGROUND: High-resolution manometry (HRM) is performed for evaluation of esophageal symptoms, but patient outcome is unclear when no actionable motor disorder is identified. We evaluated long-term symptomatic outcome of patients with nonactionable HRM findings. METHODS: Patients who underwent (HRM) studies in 2006-2008 were tracked. Patients with achalasia spectrum disorders, foregut surgery before or after HRM, and incomplete symptom documentation were excluded...
January 29, 2024: Neurogastroenterology and Motility: the Official Journal of the European Gastrointestinal Motility Society
https://read.qxmd.com/read/38282339/the-use-of-brief-mindfulness-interventions-in-the-context-of-perioperative-care
#14
REVIEW
Elizabeth Palmer Kelly, Julia McGee, Maryanna Klatt, Grateful Beckers, Timothy M Pawlik
The purpose of this review was to synthesize and categorize the literature on the use of brief mindfulness interventions for both patients and physicians across the spectrum of perioperative care. Web-based discovery services and discipline-specific databases were queried. Brief mindfulness interventions were defined as sessions lasting 30 min or less on any single occasion, with a total practice accumulation not exceeding 100 min per week, and a duration of up to 4 weeks. Study screening and data extraction were facilitated through the Covidence software platform...
January 28, 2024: American Surgeon
https://read.qxmd.com/read/38241141/discussion-of-time-kills-impact-of-socioeconomic-deprivation-on-timely-access-to-guideline-concordant-treatment-in-foregut-cancer
#15
JOURNAL ARTICLE
(no author information available yet)
No abstract text is available yet for this article.
January 19, 2024: Journal of the American College of Surgeons
https://read.qxmd.com/read/38205919/time-kills-impact-of-socioeconomic-deprivation-on-timely-access-to-guideline-concordant-treatment-in-foregut-cancer
#16
JOURNAL ARTICLE
Annabelle L Fonseca, Rida Ahmad, Krisha Amin, Manish Tripathi, Vijay Vobbilisetty, Joshua S Richman, Larry Hearld, Smita Bhatia, Martin J Heslin
BACKGROUND: Receipt of guideline-concordant treatment (GCT) is associated with improved prognosis in foregut cancers. Studies show that patients living in areas of high neighborhood deprivation have worse healthcare outcomes, however its effect on GCT in foregut cancers has not been evaluated. We studied the impact of the Area Deprivation Index (ADI) as a barrier to GCT. STUDY DESIGN: A single-institution retrospective review of 498 foregut cancer patients (gastric, pancreatic, and hepatobiliary adenocarcinoma) from 2018-2022 was performed...
January 11, 2024: Journal of the American College of Surgeons
https://read.qxmd.com/read/38151678/effect-of-gender-discordance-on-surgical-outcomes-in-predominantly-female-patient-surgeries-in-nys
#17
JOURNAL ARTICLE
Caroline Smolkin, Xiaoyue Zhang, Ila Sethi, Adrian Torres, Jie Yang, Konstantinos Spaniolas, Aurora D Pryor
BACKGROUND: Preliminary evidence demonstrates female surgeons have improved post-operative outcomes compared to male colleagues despite underrepresentation in surgery. This study explores the effect of patient-surgeon gender discordance on outcomes in three specialties with high female patient populations: bariatric, foregut, colorectal. METHODS: This is a retrospective study using the New York State (NYS) SPARCS database and first study evaluating outcomes based on surgeon/patient concordance in NYS...
December 27, 2023: Surgical Endoscopy
https://read.qxmd.com/read/38145373/robotic-vagus-sparing-total-gastrectomy-for-cdh1-gene-mutation-treatment
#18
JOURNAL ARTICLE
Daniel L Chan, Michael L Talbot
Hereditary diffuse gastric cancer (HDGC) caused by the CDH1 gene mutation is an inherited cancer syndrome that increases the risk of diffuse gastric cancer and is nearly impossible to detect by screening gastroscopy. The recommended preventative treatment is a total gastrectomy. Robotic surgery facilitates the use of minimally invasive surgical (MIS) techniques for anastomoses and posterior vagus preservation to potentially reduce adverse functional outcomes. An asymptomatic 24 year old male with the CDH1 gene mutation proven by genetic testing and a family history of a brother having a total gastrectomy for HDGC was treated with this technique...
December 8, 2023: Journal of Visualized Experiments: JoVE
https://read.qxmd.com/read/38130365/celiac-artery-occlusion-from-median-arcuate-ligament-compression-complicating-a-hemorrhagic-duodenal-ulcer-repair
#19
Anthony N Rizzo, Marc Seligson, William O'Brien, David Laczynski, Anthony Rizzo
We present a case of a hemorrhagic duodenal ulcer complicated by occlusion of the celiac artery (CA) by acute median arcuate ligament (MAL) compression. Angiography revealed retrograde flow through the gastroduodenal artery (GDA) to the hepatic artery, with occlusion at the CA origin. This unique presentation required coordinated release of the MAL to reestablish antegrade CA flow before pyloroplasty and GDA ligation. The presence of preexisting MAL compression of the CA should be considered during the repair of bleeding duodenal ulcers through embolization or ligation of the GDA, because impaired CA perfusion could result in foregut ischemia...
February 2024: Journal of Vascular Surgery Cases and Innovative Techniques
https://read.qxmd.com/read/38067274/quality-of-life-and-independent-factors-associated-with-poor-digestive-function-after-ivor-lewis-esophagectomy
#20
JOURNAL ARTICLE
Valerian Dirr, Diana Vetter, Thomas Sartoretti, Marcel André Schneider, Francesca Da Canal, Christian A Gutschow
Transthoracic esophagectomy results in a radical change in foregut anatomy with multiple consequences for digestive physiology. The aim of this study was to identify factors associated with poor functional outcomes by assessing multiple dimensions of digestive performance and health-related quality of life (HRQL). Patients with cancer-free survival after Ivor Lewis esophagectomy were included. Four functional syndromes (dysphagia, gastroesophageal reflux disease (GERD), delayed gastric conduit emptying (DGCE), and dumping syndrome (DS)) and HRQL were assessed using specifically designed questionnaires...
November 24, 2023: Cancers
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