Jessica Stjärngrim, Linnea Widman, Peter T Schmidt, Anders Ekbom, Anna Forsberg
OBJECTIVES: Long-standing inflammatory bowel disease (IBD) colitis is an indication for endoscopic surveillance. Postcolonoscopy colorectal cancer (PCCRC), cancer detected after a negative colonoscopy, is a quality indicator for colonoscopy. In analogy with PCCRC, we aimed to assess postendoscopy CRC (PECRC) in individuals with IBD who had undergone colectomy. METHODS: This register study included Swedish adults with an IBD diagnosis who had undergone colectomy and later were examined by either colonoscopy or sigmoidoscopy during 2001-2012...
March 1, 2023: European Journal of Gastroenterology & Hepatology
Jun-Young Seo, Jin Hee Noh, Ji Yong Ahn, Sang Yong Cho, Seung-Pyo Oh, Boram Cha, Hee Kyong Na, Jeong Hoon Lee, Kee Wook Jung, Do Hoon Kim, Kee Don Choi, Ho June Song, Gin Hyug Lee, Hwoon-Yong Jung
BACKGROUND: Marginal ulcer bleeding (MUB) is a complication that can occur following several types of surgery. However, few studies exist on it. Therefore, this study aimed to compare the clinical outcomes of MUB with those of peptic ulcer bleeding (PUB). METHODS: Between January 2013 and December 2017, 5,076 patients underwent emergent esophagogastroduodenoscopy for suspected upper gastrointestinal bleeding. We retrospectively reviewed and analyzed the medical records of MUB and PUB patients and developed a propensity score matching (PSM) method to adjust for between-group differences in baseline characteristics with 1:2 ratios...
January 27, 2023: Surgical Endoscopy
Shannon Chang, Simon Hong, David Hudesman, Feza Remzi, Katherine Sun, Wenqing Cao, H Tarik Kani, Jordan Axelrad, Suparna A Sarkar
BACKGROUND: The prognostic significance of histology in ileal pouch-anal anastomosis (IPAA) remains unclear. The aim of this study was to evaluate if histologic variables are predictive of IPAA clinical outcomes and healthcare utilization. METHODS: This was a retrospective cohort study of patients with IPAA undergoing surveillance pouchoscopy at a tertiary care institution. Pouch body biopsies were reviewed by gastrointestinal pathologists, who were blinded to clinical outcomes, for histologic features of acute or chronic inflammation...
January 25, 2023: Inflammatory Bowel Diseases
Song Li, Zhongyuan Wang, Feng Zhu, Tenghui Zhang, Waresi Abudourexiti, Chao Ding, Jianfeng Gong
No abstract text is available yet for this article.
January 23, 2023: Journal of Gastrointestinal Surgery
Lavorini Eugenia, Alemanno Giovanni, Mari Andrea, Raspollini Maria Rosaria, Vittori Gianni, Bacchiani Mara, Maltinti Gherardo, Lavacchi Daniele, Antonuzzo Lorenzo, Minervini Andrea, Prosperi Paolo
Appendiceal neoplasms account for less than 1% of intestinal cancers and their clinical manifestation is typically, nonspecific and ambiguous. Appendiceal tumor infiltrating the urinary tract is extremely rare and few cases are mentioned in literature. A 72-year-old woman presented gross hematuria and right colic pain. No prior urologic disease was reported. Cystoscopic examination showed a large lesion on the right side of posterior bladder wall, with multiple ulcerated areas and microscopical examination of the specimen revealed a mucinous adenocarcinoma infiltrating urinary bladder...
January 24, 2023: Anti-cancer Drugs
Zheng-Hao Cai, Qun Zhang, Zhan-Wei Fu, Abraham Fingerhut, Jing-Wen Tan, Lu Zang, Feng Dong, Shu-Chun Li, Shi-Lin Wang, Jun-Jun Ma
BACKGROUND: Multiple linear stapler firings during double stapling technique (DST) after laparoscopic low anterior resection (LAR) are associated with an increased risk of anastomotic leakage (AL). However, it is difficult to predict preoperatively the need for multiple linear stapler cartridges during DST anastomosis. AIM: To develop a deep learning model to predict multiple firings during DST anastomosis based on pelvic magnetic resonance imaging (MRI). METHODS: We collected 9476 MR images from 328 mid-low rectal cancer patients undergoing LAR with DST anastomosis, which were randomly divided into a training set ( n = 260) and testing set ( n = 68)...
January 21, 2023: World Journal of Gastroenterology: WJG
Walter A Ramsey, Carlos T Huerta, Shreya M Ingle, Gareth P Gilna, Rebecca A Saberi, Christopher F O'Neil, Antoine J Ribieras, Joshua P Parreco, Eduardo A Perez, Juan E Sola, Chad M Thorson
BACKGROUND: Untreated pediatric choledochal cyst (CC) is associated with complications including cholangitis, pancreatitis, and risk of malignancy. Therefore, CC is typically treated by surgical excision with biliary reconstruction. Both open and laparoscopic (lap) surgical approaches are regularly used, but outcomes have not been compared on a national level. METHODS: The Nationwide Readmissions Database was used to identify pediatric patients (age 0-21 years, excluding newborns) with choledochal cyst from 2016 to 2018 based on ICD-10 codes...
December 22, 2022: Journal of Pediatric Surgery
Konstantinos G Apostolou, Ioannis I Lazaridis, Prodromos Kanavidis, Margarita Triantafyllou, Anastasia Gkiala, Andreas Alexandrou, Dimitrios Ntourakis, Tarik Delko, Dimitrios Schizas
PURPOSE: The aim of this study was to investigate the actual incidence of symptomatic Petersen's hernias (PH) as well as identify risk factors for their occurrence. METHODS: Search was performed in Medline (via PubMed), Web of Science, and Cochrane library, using the keywords "Petersen Or Petersen's AND hernia" and "Internal hernia." Only studies of symptomatic PH were eligible. Fifty-three studies matched our criteria and were included. Risk of bias for each study was independently assessed using the checklist modification by Hoy et al...
January 20, 2023: Langenbeck's Archives of Surgery
Luke Philip Edward Peacock, Anang Pangeni, Ashish Shrestha, Veera J Allu
Large bowel obstruction (LBO) after colorectal surgery draws wide differentials. To our knowledge, LBO due to blind colonic limb mucocele of a side-to-end colorectal anastomosis has not yet been described. We report a man in his late 50s presenting with pain, abdominal distension and constipation. He had extensive surgical history; notably, a side-to-end colorectal anastomosis was fashioned following Hartmann-type colostomy reversal. CT and MRI suggested a mucus-filled short blind colonic segment compressing the anastomotic site and causing LBO...
January 19, 2023: BMJ Case Reports
Emad Elmusa, Muhammad Waleed Raza, Ameer Hamza, Hassan Tahir Khokhar, Mujtaba Butt
Renal cell carcinoma (RCC) most commonly metastasizes to the lungs, and it is uncommon for RCC to metastasize to the small bowel. Small bowel metastasis commonly presents with gastrointestinal (GI) bleeding. In rare cases, a metastatic small bowel mass can serve as a lead point for intussusception. In this report, we present the case of a male patient whose chief complaint was melena. The patient denied any abdominal pain or nausea. Investigation with push enteroscopy revealed a jejunal mass, and further evaluation with CT showed small bowel intussusception...
December 2022: Curēus
K Cao, Z J Wang, J G Han
Obstructive colorectal cancer is a common malignant bowel obstruction. Colostomy or colostomy following tumor resection may be the first choice for emergency surgery. The intestinal and systemic conditions of patients undergoing emergency surgery are often poor, and patients need to undergo multiple operations, which increase the surgical risk and economic burden and reduce the quality of life of patients. Poor intraoperative visualization may also affect the radical operation of emergency surgery. Transanal decompression tube (TDT) can rapidly decompress and drain the obstructed bowel, effectively relieve obstruction symptoms, and improve the success rate of primary radical resection...
January 25, 2023: Zhonghua Wei Chang Wai Ke za Zhi, Chinese Journal of Gastrointestinal Surgery
H Huang, M D Zang, Y Zhang, J Chen
The advantages of lymph node dissection through total laparoscopic total gastrectomy (TLTG) seem to be more and more accepted by the academic community. However, reconstruction of digestive tract is challenging and remains a focus of debate and research. Which way is better for esophagojejunostomy, circular stapler or linear stapler,remains to be answered. The authors believe that, under the conditions of existing anastomosis instruments, using of linear stapler for esophagojejunal side-to-side anastomosis may be the most common choice, but it must be used with strict indications, because there are still many problems to be solved...
January 25, 2023: Zhonghua Wei Chang Wai Ke za Zhi, Chinese Journal of Gastrointestinal Surgery
Yohannis Derbew Molla, Mequanint Tiruneh Tassew, Temesgen Agegnehu Abebe, Amare Getachew Gete
BACKGROUND: Large bowel obstruction is a common surgical condition encountered in the surgical emergency department. Large bowel obstruction due to primary enterolithiasis is an extremely uncommon condition. Enterolithiasis i.e. formation of gastrointestinal concretions is an uncommon medical condition that develops in the setting of intestinal stasis due to various pathologies and can present in different clinical pictures to challenge a clinician. CLINICAL PRESENTATION: a 60-year-old male farmer who had sigmoid resection and anastomosis six years back, currently presented with a complaint of recurrent abdominal cramps, progressive abdominal distension, vomiting, and constipation of 08 days duration...
January 11, 2023: International Journal of Surgery Case Reports
Hailiang Fan, Dong Wang, Pingan Ding, Xinyu Yuan, Qun Zhao, Zhidong Zhang, Xuefeng Zhao, Bibo Tan, Yu Liu, Yong Li, Zetian Chen
BACKGROUND: The development process of gastrointestinal anastomosis is from complex to simple, from two layers to one layer, from extramucosal anastomosis to seromuscular anastomosis. With the rapid development of anastomosis instruments, the anastomosis process becomes more and more convenient. However, relevant studies have shown that related complications such as anastomotic leakage still occur. This study sought to investigate the feasibility and safety of seromuscular layer sutures in the reinforcement of esophagojejunostomy after open radical total gastrectomy...
December 2022: Journal of Gastrointestinal Oncology
Alexander Chase Schoelkopf, Samuel D Stewart, Sue A Casale, Katy J Fryer
BACKGROUND: Gastrointestinal foreign bodies are a common indication for abdominal exploratory surgery. OBJECTIVES: The objective of this study was to evaluate the relationship of pre-operative abdominal discomfort and duration of clinical signs with surgical resolution of canine small intestinal foreign body obstructions (SIFBO). METHODS: We performed a retrospective study of 181 canine abdominal exploratory surgeries for confirmed SIFBO at two referral hospitals...
January 12, 2023: Veterinary Medicine and Science
Jun Ma, Zhen-Ping Zha, Chao-Ping Zhou, Xiang Miao, Shu-Qiang Duan, Ya-Ming Zhang
BACKGROUND: Common diseases after radical gastrectomy include cholecystitis and pancreatitis, but the sudden onset of acute appendicitis in a short period following radical gastrectomy is very rare, and its clinical symptoms are easily misdiagnosed as duodenal stump leakage. CASE SUMMARY: This is a case report of a 77-year-old woman with lower right abdominal pain 14 d after radical resection of gastric cancer. Her pain was not relieved by conservative treatment, and her inflammatory markers were elevated...
December 27, 2022: World Journal of Gastrointestinal Surgery
Yusuke Okuda, Takaya Shimura, Konomu Uno, Tomonori Yamada, Takayuki Nukui, Takashi Mizushima, Yuya Takenaka, Keisuke Itoh, Yuki Inagaki, Takanori Ozeki, Kazuhiro Nagao, Masahide Ebi, Erika Uchida, Satoshi Nomura, Yu Nojiri, Shozo Togawa, Naomi Sugimura, Shigeki Fukusada, Hiroyasu Iwasaki, Takahito Katano, Hiromi Kataoka
BACKGROUND: Self-expanding metallic stent (SEMS) and trans-anal colorectal tube (TCT) are alternative treatments to conventional emergency surgery for non-right-sided obstructive colon cancer (NROCC). However, the one with better short- and long-term outcomes remains controversial. Thus, this multicenter case-control study aimed to analyze and compare SEMS and TCT for NROCC. METHODS: Patients with stage II/III NROCC who underwent surgery between January 2010 and December 2019 at either of the eight selected Japanese affiliate hospitals were, retrospectively, reviewed...
January 11, 2023: Journal of Gastroenterology
Kun Wang, Shan-Shan Dong, Wei Zhang, Yuan-Yuan Ni, Fang Xie, Jun-Chao Wang, Xing-Hui Wang, Yue-Wei Li
BACKGROUND: Pancreaticoduodenectomy is the first choice surgical intervention for the radical treatment of pancreatic tumors. However, an anastomotic fistula is a common complication after pancreaticoduodenectomy with a high mortality rate. With the development of minimally invasive surgery, open pancreaticoduodenectomy (OPD), laparoscopic pancreaticoduodenectomy (LPD), and robotic pancreaticoduodenectomy (RPD) are gaining interest. But the impact of these surgical methods on the risk of anastomosis has not been confirmed...
January 10, 2023: Surgical Endoscopy
Arash Miroliaee, Najmeh Aletaha, Nasser Ebrahimi Daryani, Foroogh Alborzi Avanaki
Coronavirus disease 2019 (COVID-19) had caused pandemia with a high rate of mortality and morbidity. Lung involvement is the main cause of mortality, but central nervous system and cardiac disease, and thromboemboli may participate in increasing mortality. A wide spectrum of organs involvement and complication has been reported as data gathering during the pandemia has progressed. We report a 69-year-old man who was admitted to Imam Khomeini hospital in Tehran and complained of severe abdominal pain and fever...
April 2022: Middle East Journal of Digestive Diseases
Kevin Kyung Ho Choi, Mark Bonnichsen, Ken Liu, Saniya Massey, Dominic Staudenmann, Payal Saxena, Arthur John Kaffes
Background and study aims  The increase in hepaticojejunostomies has led to an increase in benign strictures of the anastomosis. Double balloon enteroscopy-assisted ERCP (DBE-ERCP) and percutaneous transhepatic biliary drainage (PTBD) are treatment options; however, there is lack of long-term outcomes, with no consensus on management. We performed a retrospective study assessing the outcomes of patients referred for endoscopic management of hepaticojejunostomy anastomotic strictures (HJAS). Patients and methods  All consecutive patients at a tertiary institution underwent endoscopic intervention for suspected HJAS between 2009 and 2021 were enrolled...
January 2023: Endoscopy International Open
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