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Digestive Surgery

Mei-Ling Henry, Alyshah Abdul-Sultan, Alex J Walker, Joe West, David J Humes
BACKGROUND: This study aimed to identify the burden and risk of venous thromboembolism (VTE) associated with cholecystectomy in England. METHODS: An historical cohort study of cholecystectomy patients from 2001 to 2011 was undertaken using linked primary (Clinical Practice Research Datalink) and secondary (Hospital Episode Statistics) care data. Crude rates and adjusted hazard ratios (HRs) were calculated for risk of VTE following cholecystectomy using Cox regression...
April 3, 2019: Digestive Surgery
Laurent Genser, Gilles Manceau, Diane Mege, Valérie Bridoux, Zaher Lakkis, Aurélien Venara, Thibault Voron, Thierry Bege, Igor Sielezneff, Mehdi Karoui
BACKGROUND: Emergency surgery impairs postoperative outcomes in colorectal cancer patients. No study has assessed the relationship between obesity and postoperative results in this setting. OBJECTIVE: To compare the results of emergency surgery for obstructive colon cancer (OCC) in an obese patient population with those in overweight and normal weight patient groups. METHODS: From 2000 to 2015, patients undergoing emergency surgery for OCC in French surgical centers members of the French National Surgical Association were included...
April 2, 2019: Digestive Surgery
Yutaka Miyawaki, Hiroshi Sato, Naoto Fujiwara, Hirofumi Sugita, Shinichi Sakuramoto, Kojun Okamoto, Shigeki Yamaguchi, Isamu Koyama
BACKGROUND: A gastric tube (GT) is most often selected as a reconstruction conduit in esophageal reconstruction. Although some leakage from esophagogastric anastomoses is induced by blood flow failure in reconstruction conduits, the association between the GT and the anastomotic leakage (AL) is unclear. OBJECTIVES: We retrospectively evaluated the incidence of AL according to the GT shape. METHODS: Between February 2013 and September 2017, 188 consecutive patients who underwent esophagectomy with GT reconstruction were enrolled in this cohort study...
April 2, 2019: Digestive Surgery
(no author information available yet)
No abstract text is available yet for this article.
April 1, 2019: Digestive Surgery
(no author information available yet)
No abstract text is available yet for this article.
April 1, 2019: Digestive Surgery
Amelie Galetin, Andreas D Rink, Boris Vestweber, Karl-Heinz Vestweber, Thomas Galetin
BACKGROUND: Single-incision laparoscopic surgery (SILS) is a variant of laparoscopic surgery, especially for diverticular disease (DD), but there are very little data comparing SILS to standard surgical procedures for DD, and most studies on DD surgery do not declare the disease stage. We compared SILS to open sigmoidectomy for DD in a stage-stratified matched-pair analysis to validate the significance of SILS. METHODS: All patients with SILS or conventional sigmoidectomy for diverticulitis of a single visceral surgery department were subject to a matched-pair analysis stratified by age, sex, body mass index, previous abdominal surgery, and the stage of DD...
March 28, 2019: Digestive Surgery
Anna Vittoria Mattioli, Milena Nasi, Alberto Farinetti, Roberta Gelmini
No abstract text is available yet for this article.
March 28, 2019: Digestive Surgery
Charing Ching-Ning Chong, Kit-Fai Lee, Cheuk-Man Chu, Anthony Wing-Hung Chan, Simon Chun-Ho Yu, Paul Bo-San Lai
BACKGROUND: The advantages of radiofrequency ablation (RFA) over hepatectomy as a treatment for early-stage hepatocellular carcinoma (HCC) include reduced morbidity and more rapid recovery. Although minimally invasive surgery provides similar benefits, few studies have compared the long-term oncological outcomes of these techniques. This study aimed to compare the outcomes of minimally invasive hepatectomy (MIH) and RFA. METHODS: Patients who underwent MIH or RFA for HCC between January 2005 and January 2015 were included in a propensity score matching analysis...
March 27, 2019: Digestive Surgery
Wojciech P Polkowski, Jerzy Mielko, Katarzyna Gęca, Karol Rawicz-Pruszyński, Bogumiła Ciseł, Andrzej Kurylcio, Magdalena Skórzewska
BACKGROUND: Proximal gastric resection (PGR) is rarely used in western countries because of frequent postoperative reflux and uncommon diagnosis of early gastric cancer (GC). OBJECTIVES: We hypothesized that the PGR with an anti-reflux procedure may be an attractive option even in advanced proximal GC after downstaging with the neo-adjuvant chemotherapy. METHOD: A novel technique of end-to-side esophago-gastrostomy with the posterior wall of the gastric stump and partial neo-fundoplication to prevent reflux symptoms has been introduced...
March 25, 2019: Digestive Surgery
Manabu Yamamoto, Hiroaki Saito, Chihiro Uejima, Akimitsu Tanio, Yoichiro Tada, Tomoyuki Matsunaga, Teruhisa Sakamoto, Soichiro Honjo, Keigo Ashida, Yoshiyuki Fujiwara
BACKGROUND: The incidence of colorectal cancer (CRC) among the elderly has been increasing. Therefore, determining postoperative prognosis factors in elderly CRC patients has clinical importance. This study retrospectively investigated the prognostic significance of the estimation of physiological ability and surgical stress (E-PASS) in elderly CRC patients. METHODS: This study enrolled 166 elderly patients aged 75 or more with a histopathological diagnosis of colorectal adenocarcinoma who underwent curative surgery...
March 7, 2019: Digestive Surgery
Yuki Murakami, Hiroaki Saito, Shota Shimizu, Yusuke Kono, Yuji Shishido, Kozo Miyatani, Tomoyuki Matsunaga, Yoji Fukumoto, Keigo Ashida, Yoshiyuki Fujiwara
BACKGROUND: The incidence of gastric cancer (GC) among the older adults is increasing. Therefore, determining postoperative age-associated prognostic factors is clinically important. This present study retrospectively investigated the prognostic significance of the estimation of physiologic ability and surgical stress (E-PASS) of such patients with GC. METHODS: We enrolled 136 patients aged ≥75 years with a histopathological diagnosis of gastric adenocarcinoma who underwent gastrectomy...
March 7, 2019: Digestive Surgery
Masahiro Sasahara, Mitsuro Kanda, Seiji Ito, Yoshinari Mochizuki, Hitoshi Teramoto, Kiyoshi Ishigure, Toshifumi Murai, Takahiro Asada, Akiharu Ishiyama, Hidenobu Matsushita, Chie Tanaka, Daisuke Kobayashi, Michitaka Fujiwara, Kenta Murotani, Yasuhiro Kodera
BACKGROUND/AIMS: Identification of nutritional indicators to predict short-term and long-term outcomes is necessary to provide appropriate treatment to patients with gastric cancer. METHODS: We designed an analysis of a multicenter dataset of patients with gastric cancer who underwent gastrectomy between 2010 and 2014. We enrolled 842 eligible patients who had stage II/III gastric cancer. The area under the curve (AUC) values were compared among prognostic nutritional index (PNI), calculated as 10 × albumin g/dL + 0...
March 6, 2019: Digestive Surgery
Andrew-Paul Deeb, Christopher T Aquina, John R T Monson, Neil Blumberg, Adan Z Becerra, Fergal J Fleming
BACKGROUND/AIMS: Transfusion rates in colon cancer surgery are traditionally very high. Allogeneic red blood cell (RBC) transfusions are reported to induce immunomodulation that contributes to infectious morbidity and adverse oncologic outcomes. In an effort to attenuate these effects, the study institution implemented a universal leukocyte reduction protocol. The purpose of this study was to examine the impact of leukocyte-reduced (LR) transfusions on postoperative infectious complications, recurrence-free survival, and overall survival (OS)...
March 5, 2019: Digestive Surgery
Sabrina Del Pino, Lutz Fischer, Björn Nashan, Jun Li
This single-centre study aims to evaluate the advantages and limitations of laparoscopic liver resection (LLR) of lesions in the posterior segments (segments 6 and 7) in comparison to the open procedure. Institutional database between June 2014 and October 2017 was retrieved. The perioperative data and the surgical outcomes were analysed retrospectively. Out of 366 consecutive liver resections, 35 patients who met the inclusion criteria were identified. Twenty patients underwent open liver resection, while 15 patients underwent pure LLR...
February 27, 2019: Digestive Surgery
Julie Perinel, Antoine Duclos, Cecile Payet, Yves Bouffard, Jean Christophe Lifante, Mustapha Adham
BACKGROUND: Implementation of enhanced recovery after surgery (ERAS) program after pancreatic surgery was associated with decreased length of stay (LOS). However, there were only retrospective uncontrolled before-after study, and care protocols were heterogeneous. We aimed to evaluate the impact of ERAS program on postoperative outcomes after pancreatectomy through a prospective controlled study. METHODS: A before/after study with a contemporary control group was undertaken in patients undergoing pancreatectomy...
February 22, 2019: Digestive Surgery
(no author information available yet)
No abstract text is available yet for this article.
February 18, 2019: Digestive Surgery
James D McDonald, John Jacobs, Adham Saad, Joel E Richter, Vic Velanovich
PURPOSE: The purpose of this study was to compare demographics, symptoms, prior interventions, operation, and outcomes of patients who underwent Heller myotomy for esophageal motility disorders and epiphrenic diverticulectomy with Heller myotomy. METHODS: We identified all patients who underwent Heller myotomy for esophageal motility disorders with and without esophageal diverticulectomy over an 80-month period. Primary data points included patient demographics, presenting symptoms, prior intervention, high-resolution manometry, surgery performed with rate of laparoscopic, conversion to open, and open procedures; postoperative complications, and symptom resolution...
February 5, 2019: Digestive Surgery
Anne Marthe Schreuder, Olivier R Busch, Marc G Besselink, Povilas Ignatavicius, Antanas Gulbinas, Giedrius Barauskas, Dirk J Gouma, Thomas M van Gulik
BACKGROUND: Bile duct injury (BDI) is a devastating complication following cholecystectomy. After initial management of BDI, patients stay at risk for late complications including anastomotic strictures, recurrent cholangitis, and secondary biliary cirrhosis. METHODS: We provide a comprehensive overview of current literature on the long-term outcome of BDI. Considering the availability of only limited data regarding treatment of anastomotic strictures in literature, we also retrospectively analyzed patients with anastomotic strictures following a hepaticojejunostomy (HJ) from a prospectively maintained database of 836 BDI patients...
January 17, 2019: Digestive Surgery
Matthew J DiMagno
No abstract text is available yet for this article.
January 16, 2019: Digestive Surgery
Giampaolo Perri, Giovanni Marchegiani, Isabella Frigerio, Christos G Dervenis, Kevin C Conlon, Claudio Bassi, Roberto Salvia
BACKGROUND: The prevalence of undefined pancreatic cystic neoplasms (PCNs) is high in the general population, increasing with patient age. PCNs account for different biological entities with different potential for malignant transformation. The clinician must balance his or her practice between the risk of surgical overtreatment and the error of keeping a malignant lesion under surveillance. METHODS: We review and discuss the clinical management of PCNs. Specifically, we analyze the main features of PCNs from the surgeon's point of view, as they present in the outpatient clinic...
January 11, 2019: Digestive Surgery
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