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Total gastrectomy

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https://www.readbyqxmd.com/read/28903552/impact-of-body-mass-index-on-the-quality-of-life-after-total-gastrectomy-for-gastric-cancer
#1
Ki Bum Park, Ji Yeon Park, Seung Soo Lee, Oh Kyoung Kwon, Ho Young Chung, Wansik Yu
Purpose: We evaluated the impact of postoperative body mass index (BMI) shifts on the quality of life (QoL) following total gastrectomy in patients with gastric cancer. Methods and Methods: QoL data collected from the European Organization for Research and Treatment of Cancer (EORTC) QLQ-C30 and QLQ-STO22 questionnaires were obtained from 417 patients preoperatively and 1 year after surgery. Patients were divided into two groups based on changes in BMI: group 1 comprised patients whose BMI range category dropped, and group 2 included patients who maintained or rose to a higher category compared to their preoperative BMI category...
September 13, 2017: Cancer Research and Treatment: Official Journal of Korean Cancer Association
https://www.readbyqxmd.com/read/28902037/esophagojejunostomy-with-linear-staplers-in-laparoscopic-total-gastrectomy-experience-with-168-cases-in-5-consecutive-years
#2
Susumu Miura, Seiichiro Kanaya, Hisahiro Hosogi, Hironori Kawada, Shin Akagawa, Norihiro Shimoike, Shintaro Okumura, Toshihiro Okada, Takeshi Ito, Akira Arimoto
PURPOSE: We evaluate surgical outcomes of intracorporeal esophagojejunostomy in laparoscopic total gastrectomy using 2 linear stapler methods. MATERIALS AND METHODS: The functional end-to-end anastomosis (FEEA) method was chosen as a first choice. The overlap method was chosen in cases with esophageal invasion. We retrospectively analyzed the early and late surgical outcomes of consecutive 168 laparoscopic total gastrectomy cases from April 2011 to December 2016...
September 8, 2017: Surgical Laparoscopy, Endoscopy & Percutaneous Techniques
https://www.readbyqxmd.com/read/28900994/-analysis-of-gastric-gastrointestinal-stromal-tumors-in-shandong-province-a-midterm-report-of-multicenter-gissg1201-study
#3
Qingsheng Hou, Wenqiang Luo, Leping Li, Yong Dai, Lixin Jiang, Ailiang Wang, Xianqun Chu, Yuming Li, Daogui Yang, Chunlei Lu, Linguo Yao, Gang Cui, Huizhong Lin, Gang Chen, Qing Cui, Huanhu Zhang, Zengjun Lun, Lijian Xia, Yingfeng Su, Guoxin Han, Xizeng Hui, Zhixin Wei, Zuocheng Sun, Hongliang Guo, Yanbing Zhou
OBJECTIVE: To summarize the treatment status of gastric gastrointestinal stromal tumor (GIST) in Shandong province,by analyzing the clinicopathological features and prognostic factors. METHODS: Clinicopathological and follow-up data of 1 165 patients with gastric GIST between January 2000 and December 2013 from 23 tertiary referral hospitals in Shandong Province were collected to establish a database. The risk stratification of all cases was performed according to the National Institutes of Health(NIH) criteria proposed in 2008...
September 25, 2017: Zhonghua Wei Chang Wai Ke za Zhi, Chinese Journal of Gastrointestinal Surgery
https://www.readbyqxmd.com/read/28900850/assessment-of-atrial-fibrillation-and-ventricular-arrhythmia-risk-after-bariatric-surgery-by-p-wave-qt-interval-dispersion
#4
Mustafa Yılmaz, Cihan Altın, Abdullah Tekin, Tansel Erol, İlker Arer, Tarık Zafer Nursal, Nurkan Törer, Varlık Erol, Haldun Müderrisoğlu
BACKGROUND: The association of obesity with atrial fibrillation (AF) and with ventricular arrhythmias is well documented. OBJECTIVE: The aim of this study was to investigate whether weight reduction by a laparoscopic sleeve gastrectomy has any effect on P wave dispersion (PWD), a predictor of AF, and corrected QT interval dispersion (CQTD), a marker of ventricular arrhythmias, in obese individuals. METHODS: In a prospective study, a total of 114 patients (79 females, 35 males) who underwent laparoscopic sleeve gastrectomy were examined...
September 13, 2017: Obesity Surgery
https://www.readbyqxmd.com/read/28900841/right-side-approach-duet-totally-laparoscopic-distal-gastrectomy-r-duet-tldg-using-a-three-port-to-treat-gastric-cancer
#5
Ho Seok Seo, Kyo Young Song, Yoon Ju Jung, Ji Hyun Kim, Cho Hyun Park, Han Hong Lee
BACKGROUND: Gastric cancer is commonly treated via minimally invasive surgery. The present study explored the feasibility of right-side approach-duet (R-duet) totally laparoscopic distal gastrectomy using a three-port compared with a four- or five-port. METHODS: A total of 251 patients who underwent curative totally laparoscopic distal gastrectomy for gastric cancer (72 R-duet, 74 four-port, and 105 five-port) at the Catholic Medical Center were enrolled. All operations were performed using conventional laparoscopic instruments...
September 12, 2017: Journal of Gastrointestinal Surgery: Official Journal of the Society for Surgery of the Alimentary Tract
https://www.readbyqxmd.com/read/28900096/comparison-of-quality-of-life-between-billroth-%C3%B0-and-roux-en-y-anastomosis-after-distal-gastrectomy-for-gastric-cancer-a-randomized-controlled-trial
#6
Kun Yang, Wei-Han Zhang, Kai Liu, Xin-Zu Chen, Zong-Guang Zhou, Jian-Kun Hu
Studies comparing Billroth-I (B-I) with Roux-en-Y (R-Y) anastomosis are still lacking and inconsistent. The aim of this trial was to compare the quality of life (QoL) of B-I with R-Y reconstruction after curative distal gastrectomy for gastric cancer. A total of 140 patients were randomly assigned to the B-I group (N = 70) and R-Y group (N = 70) with the comparable baseline characteristics. The overall postoperative morbidity rates were 18.6% and 25.7% in the B-I group and R-Y group without significant difference...
September 12, 2017: Scientific Reports
https://www.readbyqxmd.com/read/28895419/role-of-obesity-and-abdominal-shape-morphometric-features-to-predict-postoperative-complications-and-quality-of-lymph-node-dissection-of-gastrectomy-for-gastric-cancer
#7
M HasbahcecI, E MehdI, F U Malya, E Kunduz, N MemmI, S YIgman, A Akcakaya
Obesity and abdominal shape morphometric features have been thought to be independent risk factors for surgical outcomes after gastrectomy.A total of 113 patients undergoing surgery for primary gastric adenocarcinoma from June 2011 to January 2015 were retrospectively included. Body mass index, visceral fatty area, anterior-posterior abdominal and transverse diameters and depth ratio at levels of the umbilicus, the gastroesophageal junction and the root of the celiac artery were measured or calculated. Patients were grouped according to body mass index (<25...
September 12, 2017: Neoplasma
https://www.readbyqxmd.com/read/28894580/safety-of-total-gastrectomy-without-nasogastric-and-nutritional-intubation
#8
Hong-Wei Zhang, Li Sun, Xue-Wen Yang, Fan Feng, Guo-Cai Li
The aim of the present study was to evaluate the safety of gastrectomy without nasogastric and nutritional intubations. Between January 2010 and August 2015, 74 patients with gastric cancer received total gastric resection and esophagogastric anastomosis without nasogastric and nutritional intubations at the First Department of Digestive Surgery of the XiJing Hospital of Digestive Diseases (Xi'an, China), of whom 42 were also received earlier oral feeding within 48 h. The data were retrospectively analyzed...
September 2017: Molecular and Clinical Oncology
https://www.readbyqxmd.com/read/28894291/neural-predictors-of-12-month-weight-loss-outcomes-following-bariatric-surgery
#9
L M Holsen, P Davidson, H Cerit, T Hye, P Moondra, F Haimovici, S Sogg, S Shikora, J M Goldstein, A E Evins, L E Stoeckel
BACKGROUND/OBJECTIVES: Despite the effectiveness of bariatric surgery, there is still substantial variability in long-term weight outcomes and few factors with predictive power to explain this variability. Neuroimaging may provide a novel biomarker with utility beyond other commonly used variables in bariatric surgery trials to improve prediction of long-term weight-loss outcomes. The purpose of this study was to evaluate the effects of sleeve gastrectomy (SG) on reward and cognitive control circuitry postsurgery and determine the extent to which baseline brain activity predicts weight loss at 12-month postsurgery...
August 14, 2017: International Journal of Obesity: Journal of the International Association for the Study of Obesity
https://www.readbyqxmd.com/read/28892131/use-of-endoscopy-to-determine-the-resection-margin-during-laparoscopic-gastrectomy-for-cancer
#10
S Kawakatsu, M Ohashi, N Hiki, S Nunobe, M Nagino, T Sano
BACKGROUND: It can be difficult to determine the transection line during totally laparoscopic surgery for early gastric cancer owing to lack of tactile feedback. This retrospective cohort study aimed to assess the role of intraoperative endoscopy in determining the resection margin in totally laparoscopic gastrectomy. METHODS: Consecutive patients with histologically confirmed gastric cancer who underwent laparoscopic gastrectomy between March 2012 and July 2015 were eligible...
September 11, 2017: British Journal of Surgery
https://www.readbyqxmd.com/read/28881736/comparisons-of-short-term-and-survival-outcomes-of-laparoscopy-assisted-versus-open-total-gastrectomy-for-gastric-cancer-patients
#11
Xin-Zu Chen, Shao-Yong Wang, Yin-Su Wang, Zi-Han Jiang, Wei-Han Zhang, Kai Liu, Kun Yang, Xiao-Long Chen, Lin-Yong Zhao, Meng Qiu, Hong-Feng Gou, Zong-Guang Zhou, Jian-Kun Hu
OBJECTIVES: The safety and surgical oncology of laparoscopy-assisted total gastrectomy (LATG) remain inconclusive and challenging. This study aimed to compare the short-term and long-term outcomes between LATG and open total gastrectomy (OTG) procedures. RESULTS: In the all-included analyses, there were 69 patients in the LATG group and 268 in the OTG group. LATG was as safe as OTG without increasing postoperative morbidity and mortality. Stage imbalance might introduce differences in the numbers of harvested lymph nodes in LATG (34...
August 8, 2017: Oncotarget
https://www.readbyqxmd.com/read/28881504/low-dose-radiation-therapy-for-massive-chylous-leakage-after-subtotal-gastrectomy
#12
Sang-Won Kim, Jung Hoon Kim
Massive chylous leakage is a rare postoperative complication that can prolong hospital stay and cause secondary morbidities. Conservative management strategies are the treatment of choice; however, radiation therapy (RT) can be used as an alternative for cases that are refractory to conservative treatment. Herein, we report a 69-year-old female patient who suffered from massive chylous leakage after subtotal gastrectomy. Due to persistent massive chylous leakage, she was scheduled to undergo low-dose RT. Radiation was delivered with a daily dose of 1 Gy, using an anterior-posterior and posterior-anterior beam arrangement...
September 15, 2017: Radiation Oncology Journal
https://www.readbyqxmd.com/read/28881342/clinical-significance-of-area-of-psoas-major-muscle-on-computed-tomography-after-gastrectomy-in-gastric-cancer-patients
#13
Yoshihisa Yaguchi, Yoshimasa Kumata, Masahiro Horikawa, Takashi Kiyokawa, Hisae Iinuma, Tsuyoshi Inaba, Ryoji Fukushima
BACKGROUND: The measurement of a single abdominal image on computed tomography (CT) can provide an estimate of the total body skeletal muscle. We evaluate the change of the area of the psoas major muscle (PMMA) in a CT which was performed routinely after gastrectomy in gastric cancer. METHODS: A total of 119 gastric cancer patients who underwent gastrectomy were enrolled for the study. A CT image at the top of the iliac crest level was obtained at the following times: 3 postoperative months (POM), 6 POM, 1 postoperative year (POY), 2 POY, 3 POY, and 5 POY...
September 8, 2017: Annals of Nutrition & Metabolism
https://www.readbyqxmd.com/read/28881333/long-term-survival-of-a-patient-with-advanced-gastric-cancer-with-paraaortic-lymph-node-metastasis-who-attained-pathological-complete-response-after-s-1-cddp-chemotherapy-a-case-report
#14
Yuta Ushida, Kiyoshi Hiramatsu, Satomi Saeki, Takeshi Amemiya, Hidenari Goto, Toshiyuki Arai
INTRODUCTION: Gastric cancer with paraaortic lymph node (PAN) metastasis have unfavorable prognosis. There are no evidence-based preoperative chemotherapy regimens available. CASE PRESENTATION: A 62-year-old female was diagnosed with advanced gastric cancer and PAN metastasis. We attempted S-1/CDDP chemotherapy in six coursed and total gastrectomy as well as systematic dissection of regional lymph nodes and PAN. Histologically, no cancerous cells were detected in specimens...
August 18, 2017: International Journal of Surgery Case Reports
https://www.readbyqxmd.com/read/28876422/gastric-cancer-with-lesion-extending-to-spleen-and-perforation-into-free-peritoneum
#15
Roberto Gonçalves, Roberto Saad, Carlos Alberto Malheiros, Paulo Kassab, Nathália Lins Pontes Vieira
Perforated gastric carcinoma is a rare condition that is hard to diagnose preoperatively. It is associated with advanced cancer stages and has a high mortality, particularly in cases presenting preoperative shock. Few studies have investigated the presentation and adequate management of these carcinomas. In addition, there are no reports in the literature on perforations extending to the spleen, as described in this case, making the management of these lesions challenging. Our article reports a case of gastric tumor perforation extending to the spleen, which presented as a perforated acute abdomen...
June 2017: Revista da Associação Médica Brasileira
https://www.readbyqxmd.com/read/28875011/evaluation-of-e-cadherin-expression-in-gastric-cancer-and-its-correlation-with-clinicopathologic-parameters
#16
Zhila Torabizadeh, Anahita Nosrati, Seyedeh Neda Sajadi Saravi, Jamshid Yazdani Charati, Ghasem Janbabai
Background: Gastric cancer is one of the most common cancers in the world. There are many genomic and molecular factors that cause gastric cancer to occur. Also, many markers that associate with tumor invasiveness have been known. E-cadherin is a calcium- mediated cell adhesion molecule. In some studies, abnormal expression of E-cadherin has been seen in gastric carcinoma. However, in the studies done there has been some conflicting information about abnormal expression of this marker in a variety of gastric carcinoma and also about the expression of this marker and its correlation with various clinicopathologic factors of tumor...
April 1, 2017: International Journal of Hematology-oncology and Stem Cell Research
https://www.readbyqxmd.com/read/28858128/percutaneous-transhepatic-papilla-balloon-dilatation-combined-with-a-percutaneous-transcystic-approach-for-removing-concurrent-gallbladder-stone-and-common-bile-duct-stone-in-a-patient-with-billroth-ii-gastrectomy-and-acute-cholecystitis-a-case-report
#17
Dong Li, Yu-Liang Li, Wu-Jie Wang, Bin Liu, Hai-Yang Chang, Wei Wang, Yong-Zheng Wang, Zheng Li
BACKGROUND: A 61-year-old man presented with upper abdominal pain and jaundice. Abdominal computed tomography imaging revealed stones in the gallbladder and the common bile duct, with a thickening of the gallbladder wall and an obvious increase in the volume of the gallbladder. Initial treatment using endoscopic retrograde cholangiopancreatography failed due to the presence of surgically altered gastrointestinal anatomy. Stones in the gallbladder and common bile duct were subsequently removed concurrently via percutaneous transhepatic papilla balloon dilatation combined with a percutaneous transcystic approach...
September 2017: Medicine (Baltimore)
https://www.readbyqxmd.com/read/28856007/a-pilot-study-of-lymph-node-mapping-with-indocyanine-green-in-robotic-gastrectomy-for-gastric-cancer
#18
Yuan-Tzu Lan, Kuo-Hung Huang, Ping-Hsien Chen, Chien-An Liu, Su-Shun Lo, Chew-Wun Wu, Yi-Ming Shyr, Wen-Liang Fang
OBJECTIVES: Robotic gastrectomy has become increasingly popular in the treatment of gastric cancer, especially in Asian countries. The use of indocyanine green fluorescence has been reported in lymphatic mapping for gastric cancer in laparoscopic gastrectomy; however, there have been few reports regarding the use of indocyanine green in robotic gastrectomy. METHODS: From January 2011 to March 2016, a total of 79 patients underwent robotic gastrectomy for gastric cancer...
2017: SAGE Open Medicine
https://www.readbyqxmd.com/read/28853595/staple-line-oversewing-during-laparoscopic-sleeve-gastrectomy
#19
REVIEW
H Wang, J Lu, J Feng, Z Wang
Introduction This meta-analysis was performed to assess the possible benefits of staple line oversewing during laparoscopic sleeve gastrectomy. Methods A comprehensive search up to February 2017 was conducted on PubMed, the Web of Science™ and Embase™. All eligible studies were included, and the outcomes of staple line bleeding and leak, overall complications and operative time were pooled. Results A total of 7 randomised controlled trials involving 845 patients (428 cases and 417 controls) were analysed...
September 2017: Annals of the Royal College of Surgeons of England
https://www.readbyqxmd.com/read/28853036/successful-conversion-surgery-for-gastric-cancer-with-multiple-liver-metastases-treated-after-s-1-plus-cisplatin-combination-chemotherapy-a-case-report
#20
Masashi Tsunematsu, Naoto Takahashi, Keishiro Murakami, Takeyuki Misawa, Tadashi Akiba, Katsuhiko Yanaga
BACKGROUND: Gastric cancer with multiple liver metastases have poor prognosis. Recently, stage IV gastric cancer patients who respond well to systemic chemotherapy can be treated by gastrectomy. We herein report a case of advanced gastric cancer with liver metastases who was successfully downstaged by systemic chemotherapy and underwent conversion surgery. CASE PRESENTATION: A 60-year-old male patient was diagnosed with gastric cancer with multiple liver metastases [cT3N3M1, stage IV]...
August 29, 2017: Surgical Case Reports
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