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World Journal of Gastrointestinal Surgery

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https://read.qxmd.com/read/30705737/management-of-primary-retroperitoneal-synovial-sarcoma-a-case-report-and-review-of-literature
#1
Aikaterini Mastoraki, Dimitrios Schizas, Ioannis S Papanikolaou, George Bagias, Nikolaos Machairas, George Agrogiannis, Theodore Liakakos, Nikolaos Arkadopoulos
BACKGROUND: Synovial sarcoma (SS) is a rare type of soft tissue sarcoma that is usually developed from areas where synovial tissue exists, especially at the extremities. Nevertheless, several cases of retroperitoneal SS (RSS) have been described. We herein report a case of RSS presented in our institution. CASE SUMMARY: A 69-year-old female patient was admitted with a large, palpable, firm mass in the right abdominal space SS. Computerized tomography scan depicted a concentric, sharply marinated retro-peritoneal lesion which was displacing the right kidney and the lower edge of the liver...
January 27, 2019: World Journal of Gastrointestinal Surgery
https://read.qxmd.com/read/30705736/comparison-of-clinical-and-histopathological-features-of-patients-who-underwent-incidental-or-emergency-appendectomy
#2
Sami Akbulut, Cemalettin Koc, Huseyin Kocaaslan, Fatih Gonultas, Emine Samdanci, Saim Yologlu, Sezai Yilmaz
BACKGROUND: Incidental appendectomy can be defined as the removal of a clinically normal appendix during another surgical procedure unrelated to appendicitis or other appendicular diseases. AIM: To compare the demographic, biochemical, and histopathological features of the patients who underwent incidental and standard appendectomy. METHODS: The demographic, biochemical, and histopathological data of 72 patients (Incidental App group) who underwent incidental appendectomy during living donor hepatectomy at our Liver Transplant Center between June 2009 and December 2016 were compared with data of 288 patients (Acute App group) who underwent appendectomy for presumed acute appendicitis...
January 27, 2019: World Journal of Gastrointestinal Surgery
https://read.qxmd.com/read/30705735/intraoperative-cell-salvage-with-autologous-transfusion-in-liver-transplantation
#3
REVIEW
Marcelo A Pinto, Marcio F Chedid, Leo Sekine, Andre P Schmidt, Rodrigo P Capra, Carolina Prediger, João E Prediger, Tomaz Jm Grezzana-Filho, Cleber Rp Kruel
Liver transplant (LT) is the primary treatment for patients with end-stage liver disease. About 25000 LTs are performed annually in the world. The potential for intraoperative bleeding is quite variable. However, massive bleeding is common and requires blood transfusion. Allogeneic blood transfusion has an immunosuppressive effect and an impact on recipient survival, in addition to the risk of transmission of viral infections and transfusion errors, among others. Techniques to prevent excessive bleeding or to use autologous blood have been proposed to minimize the negative effects of allogeneic blood transfusion...
January 27, 2019: World Journal of Gastrointestinal Surgery
https://read.qxmd.com/read/30705734/up-to-date-intraoperative-computer-assisted-solutions-for-liver-surgery
#4
REVIEW
Apollon Zygomalas, Ioannis Kehagias
Computer assisted surgical planning allowed for a better selection of patients, evaluation of operative strategy, appropriate volumetric measurements, identification of anatomical risks, definition of tumour resection margins and choice of surgical approach in liver oncologic resections and living donor liver transplantations. Although preoperative computer surgical analysis has been widely used in daily clinical practice, intraoperative computer assisted solutions for risk analysis and navigation in liver surgery are not widely available or still under clinical evaluation...
January 27, 2019: World Journal of Gastrointestinal Surgery
https://read.qxmd.com/read/30622679/pancreaticoduodenectomy-complicated-by-budd-chiari-syndrome-a-case-report-and-review-of-literature
#5
Damien Dousse, Eric Bloom, Bertrand Suc
BACKGROUND: Pancreaticoduodenectomy (PD)-induced morbidity, consisting mainly of the pancreatic fistula and its hemorrhagic and infectious consequences, is well described in the literature, in terms of its definition, risk factors, preventive measures, and standardized management of complications. However, some life-threatening complications remain atypical and undescribed. CASE SUMMARY: We report here the case of a 69-year-old patient with Budd-Chiari syndrome that occurred after arterial embolization of postpancreatectomy hemorrhage...
December 27, 2018: World Journal of Gastrointestinal Surgery
https://read.qxmd.com/read/30622678/molecular-therapeutic-strategies-targeting-pancreatic-cancer-induced-cachexia
#6
REVIEW
Anastasiya Yakovenko, Miles Cameron, Jose Gilberto Trevino
Pancreatic cancer (PC) induced cachexia is a complex metabolic syndrome associated with significantly increased morbidity and mortality and reduced quality of life. The pathophysiology of cachexia is complex and poorly understood. Many molecular signaling pathways are involved in PC and cachexia. Though our understanding of cancer cachexia is growing, therapeutic options remain limited. Thus, further discovery and investigation of the molecular signaling pathways involved in the pathophysiology of cachexia can be applied to development of targeted therapies...
December 27, 2018: World Journal of Gastrointestinal Surgery
https://read.qxmd.com/read/30510634/coexistence-of-duodenum-derived-aggressive-fibromatosis-and-paraduodenal-hydatid-cyst-a-case-report-and-review-of-literature
#7
Sami Akbulut, Mehmet Yilmaz, Saadet Alan, Mehmet Kolu, Nese Karadag
Intra-abdominal aggressive fibromatosis is a locally aggressive tumor mostly originating from the mesentery or retroperitoneal space, infiltrating adjacent tissues, and very rarely metastasizing to distant organs. There are only two case reports in the English language literature where intra-abdominal aggressive fibromatosis originated from the intestinal wall. In this study, we aimed to report a case of aggressive fibromatosis originating from the muscularis propria layer of the duodenum and invading pancreas...
November 27, 2018: World Journal of Gastrointestinal Surgery
https://read.qxmd.com/read/30510633/male-gender-and-increased-body-mass-index-independently-predicts-clinically-relevant-morbidity-after-spleen-preserving-distal-pancreatectomy
#8
Traian Dumitrascu, Mihai Eftimie, Andra Aiordachioae, Cezar Stroescu, Simona Dima, Mihnea Ionescu, Irinel Popescu
AIM: To identify risk factors for clinically relevant complications after spleen-preserving distal pancreatectomy (SPDP). No previous studies explored potential predictors of morbidity after SPDP. METHODS: The data of 41 patients who underwent a SPDP in a single surgical center between 2000 and 2015 were retrospectively reviewed from a prospectively maintained electronic database established in our Department of Surgery. The database included demographic, clinical, bioumoral, pathological, intraoperative and postoperative parameters...
November 27, 2018: World Journal of Gastrointestinal Surgery
https://read.qxmd.com/read/30397425/current-role-of-palliative-interventions-in-advanced-pancreatic-cancer
#9
REVIEW
Chelsey C Ciambella, Rachel E Beard, Thomas J Miner
Pancreatic adenocarcinoma is the third leading cause of cancer death in the United States. Unfortunately, at diagnosis, most patients are not candidates for curative resection. Surgical palliation, a procedure performed with the intention of relieving symptoms or improving quality of life, comes to the forefront of management. This article reviews the palliative management of unresectable pancreatic cancer, including obstructive jaundice, duodenal obstruction and pain control with celiac plexus block. Although surgical bypasses for both biliary and duodenal obstructions usually achieve good technical success, they result in considerable perioperative morbidity and mortality, even when performed laparoscopically...
October 27, 2018: World Journal of Gastrointestinal Surgery
https://read.qxmd.com/read/30283607/inverted-meckel-s-diverticulum-two-case-reports-and-a-review-of-the-literature
#10
Eui Hyuk Chong, Dae Jung Kim, Sewha Kim, Gwangil Kim, Woo Ram Kim
Gastrointestinal surgeons seldom encounter inverted Meckel's diverticulum in their clinical practice. We describe two cases of inverted Meckel's diverticulum. If the patient has a disease-related complication such as intussusception, as with our first case, it can be easily detected. However, if the patient has subacute or chronic symptoms, as with our second case, the diagnosis might be delayed. Regardless of the disease-related complication, intussusception of inverted Meckel's diverticulum can be easily managed with laparoscopic single-port surgery...
September 27, 2018: World Journal of Gastrointestinal Surgery
https://read.qxmd.com/read/30283606/systematic-review-of-cystic-duct-closure-techniques-in-relation-to-prevention-of-bile-duct-leakage-after-laparoscopic-cholecystectomy
#11
Aafke H van Dijk, Stijn van Roessel, Philip R de Reuver, Djamila Boerma, Marja A Boermeester, Sandra C Donkervoort
AIM: To study the effect of different techniques of cystic duct closure on bile leakage after laparoscopic cholecystectomy (LC) for biliary disease. METHODS: A systematic search of MEDLINE, Cochrane and EMBASE was performed. Rate of cystic duct leakage (CDL) was the primary outcome. Risk of bias was evaluated. Odds ratios were analyzed for comparison of techniques and pooled event rates for non-comparative analyses. Pooled event rates were compared for each of included techniques...
September 27, 2018: World Journal of Gastrointestinal Surgery
https://read.qxmd.com/read/30190782/approach-to-pseudomyxoma-peritonei
#12
REVIEW
Syed Ali Rizvi, Wajahat Syed, Ravi Shergill
Pseudomyxoma peritonei (PMP) is a mucinous tumour of the appendix that spreads into the peritoneal cavity in the form of gelatinous deposits. The incidence of PMP is believed to be approximately 1-3 out of a million per year. Nonetheless, due to its indolent nature, it is usually discovered at an advanced stage and severely impacts quality of life. Curative treatment for PMP is complete cytoreductive surgery (CRS) with hyperthermic intraperitoneal chemotherapy (HIPEC). An extensive literature review was conducted searching EMBASE, MEDLINE, PubMed, and Google Scholar databases for PMP in aims to delineate a clinical approach to diagnosis and treatment...
August 27, 2018: World Journal of Gastrointestinal Surgery
https://read.qxmd.com/read/29707105/adherence-to-surveillance-endoscopy-following-hospitalization-for-index-esophageal-variceal-hemorrhage
#13
Brendan T Everett, Steven D Lidofsky
AIM: To investigate patient adherence to surveillance endoscopy after index esophageal variceal hemorrhage and the extent to which adherence influences outcomes. METHODS: We reviewed the records of patients with cirrhosis admitted to the medical intensive care unit between 2000 and 2014 for first time esophageal variceal hemorrhage treated with endoscopic variceal ligation who were subsequently discharged and scheduled for surveillance endoscopy at our medical center...
April 27, 2018: World Journal of Gastrointestinal Surgery
https://read.qxmd.com/read/29588809/evolution-of-transanal-total-mesorectal-excision-for-rectal-cancer-from-top-to-bottom
#14
REVIEW
Sameh Hany Emile, F Borja de Lacy, Deborah Susan Keller, Beatriz Martin-Perez, Sadir Alrawi, Antonio M Lacy, Manish Chand
The gold standard for curative treatment of locally advanced rectal cancer involves radical resection with a total mesorectal excision (TME). TME is the most effective treatment strategy to reduce local recurrence and improve survival outcomes regardless of the surgical platform used. However, there are associated morbidities, functional consequences, and quality of life (QoL) issues associated with TME; these risks must be considered during the modern-day multidisciplinary treatment for rectal cancer. This has led to the development of new surgical techniques to improve patient, oncologic, and QoL outcomes...
March 27, 2018: World Journal of Gastrointestinal Surgery
https://read.qxmd.com/read/29492187/perioperative-liver-and-spleen-elastography-in-patients-without-chronic-liver-disease
#15
Sam Eriksson, Hanna Borsiin, Carl-Fredrik Öberg, Hannes Brange, Zoran Mijovic, Christian Sturesson
AIM: To investigate changes in hepatic and splenic stiffness in patients without chronic liver disease during liver resection for hepatic tumors. METHODS: Patients scheduled for liver resection for hepatic tumors were considered for enrollment. Tissue stiffness measurements on liver and spleen were conducted before and two days after liver resection using point shear-wave elastography. Histological analysis of the resected liver specimen was conducted in all patients and patients with marked liver fibrosis were excluded from further study analysis...
February 27, 2018: World Journal of Gastrointestinal Surgery
https://read.qxmd.com/read/29492186/transcutaneous-electroacupuncture-alleviates-postoperative-ileus-after-gastrectomy-a-randomized-clinical-trial
#16
Kai-Bo Chen, Yi-Qiao Lu, Jian-De Chen, Di-Ke Shi, Zhi-Hui Huang, Yi-Xiong Zheng, Xiao-Li Jin, Zhe-Fang Wang, Wei-Dong Zhang, Yi Huang, Zhi-Wei Wu, Guo-Ping Zhang, Hang Zhang, Ying-Hao Jiang, Li Chen
AIM: To investigate the efficacy and safety of transcutaneous electroacupuncture (TEA) to alleviate postoperative ileus (POI) after gastrectomy. METHODS: From April 2014 to February 2017, 63 gastric cancer patients were recruited from the Second Affiliated Hospital of Zhejiang University School of Medicine, Hangzhou, China. After gastrectomy, the patients were randomly allocated to the TEA ( n = 33) or control ( n = 30) group. The patients in the TEA group received 1 h TEA on Neiguan (ST36) and Zusanli (PC6) twice daily in the morning and afternoon until they passed flatus...
February 27, 2018: World Journal of Gastrointestinal Surgery
https://read.qxmd.com/read/29492185/dolichocolon-revisited-an-inborn-anatomic-variant-with-redundancies-causing-constipation-and-volvulus
#17
REVIEW
Dennis Raahave
The objective of this review is to examine whether a redundant colon gives rise to symptoms like constipation and volvulus. In 1820, Monterossi made drawings of colons with displacements and elongation of the colon found during autopsy. In 1912, Kienböeck first visualized a redundant colon using bismuth, and Lardennois and Auborg named the anatomic variant dolichocolon in 1914. The criteria were later: A sigmoid loop rising over the line between the iliac crests, a transverse colon below the same line and extra loops at the flexures...
February 27, 2018: World Journal of Gastrointestinal Surgery
https://read.qxmd.com/read/29391928/associating-liver-partition-and-portal-vein-ligation-for-staged-hepatectomy-for-extensive-alveolar-echinococcosis-first-case-report-in-the-literature
#18
Sami Akbulut, Egemen Cicek, Mehmet Kolu, Tevfik Tolga Sahin, Sezai Yilmaz
Alveolar echinococcosis (AE) is a zoonotic disease that is caused by Echinococcus multilocularis that affects liver and a variety of organs and tissues. It differs from other echinococcal disease because it shows tumor like behavior in the affected organ and tissues. The treatment of choice is concomitant medical therapy and resection with negative margins. Nevertheless, resection with the intent of negative margins (R0) may lead to serious complications such as liver failure. In the present case report, we used Associating Liver Partition and Portal Vein Ligation for Staged Hepatectomy (ALPPS) procedure, which was defined in 2012 by Schnitzbauer et al, in a 28-year-old male patient to avoid complications of major liver resection in order to treat alveolar echinococcosis...
January 27, 2018: World Journal of Gastrointestinal Surgery
https://read.qxmd.com/read/29359035/ectopic-gastrointestinal-variceal-bleeding-with-portal-hypertension
#19
Keita Minowa, Shuhei Komatsu, Kenichiro Takashina, Sachie Tanaka, Tatsuya Kumano, Kenichiro Imura, Katsumi Shimomura, Jun Ikeda, Fumihiro Taniguchi, Yasuo Ueshima, Tecchuu Lee, Eito Ikeda, Eigo Otsuji, Yasuhiro Shioaki
Massive gastrointestinal bleeding from gastrointestinal varices is one of the most serious complications in patients with portal hypertension. However, if no bleeding point can be detected by endoscopy in the predilection sites of gastrointestinal varices, such as the esophagus and stomach, ectopic gastrointestinal variceal bleeding should be considered as a differential diagnosis. Herein, we report a case of ectopic ileal variceal bleeding in a 57-year-old woman, which was successfully diagnosed by multi-detector row CT (MDCT) and angiography and treated by segmental ileum resection...
December 27, 2017: World Journal of Gastrointestinal Surgery
https://read.qxmd.com/read/29359034/surgically-treated-diaphragmatic-perforation-after-radiofrequency-ablation-for-hepatocellular-carcinoma
#20
Sachiko Nagasu, Koji Okuda, Ryoko Kuromatsu, Yoriko Nomura, Takuji Torimura, Yoshito Akagi
We review 6 cases of diaphragmatic perforation, with and without herniation, treated in our institution. All patients with diaphragmatic perforation underwent radiofrequency ablation (RFA) treatments for hepatocellular carcinoma (HCC) performed at Kurume University Hospital and Tobata Kyoritsu Hospital. We investigated the clinical profiles of the 6 patients between January 2003 and December 2013. We further describe the clinical presentation, diagnosis, and treatment of diaphragmatic perforation. The change in the volume of liver and the change in the Child-Pugh score from just after the RFA to the onset of perforation was evaluated using a paired t -test...
December 27, 2017: World Journal of Gastrointestinal Surgery
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