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JOURNAL ARTICLE
Ali Alipouriani, Tracy Hull, Jeremy Lipman, Stefan D Holubar, Emre Gorgun, David Liska, Michael Valente, Scott R Steele
BACKGROUND: Ileal pouch-anal anastomosis (IPAA) is considered the preferred restorative surgical procedure for patients with ulcerative colitis and familial adenomatous polyposis requiring proctocolectomy. Unfortunately, postoperative leaks remain a complication with potentially significant ramifications. This study aimed to provide a comprehensive description of the evaluation, management, and outcomes of leaks after primary IPAA procedures. METHODS: Between 1995 and 2022, a total of 4058 primary IPAA procedures were performed at Cleveland Clinic...
March 16, 2024: Journal of Gastrointestinal Surgery
#22
JOURNAL ARTICLE
H Liang, K Q Wu, Q W Fan, W Zheng, H Zhang, J W Bai, J M Li, J Q Chen, C Zhang
Objectives: To investigate the application value of laparoscopic double stapler firings and double stapling technique combined with rectal eversion and total extra-abdominal resection (LDER) in the anal preservation treatment of low rectal cancer. Methods: Inclusion criteria: (1) age was 18-70; (2) the distance of the lower tumor edge from the anal verge was 4-5 cm; (3) primary tumor with a diameter ≤3 cm; (4) preoperative staging of T1~2N1~2M0; (5) "difficult pelvis", defined as ischial tuberosity diameter<10 cm or body mass index>25 kg/m2 ; (6) patients with strong intention for sphincter preservation; (7) no preoperative treatment (e...
March 25, 2024: Zhonghua Wei Chang Wai Ke za Zhi, Chinese Journal of Gastrointestinal Surgery
#23
JOURNAL ARTICLE
H C Yang, J X He, Y Yang, Z Han, B Zhang, S Zhou, T Wu, Q Qiao, X L He, N Wang
Objective: To compare the short-term efficacy of Kamikawa anastomosis and double-tract reconstruction (DTR) after proximal gastrectomy. Methods: This was a propensity score matched, retrospective, cohort study. Inclusion criteria comprised age 20-70 years, diagnosis of gastric cancer by pathological examination of preoperative endoscopic biopsies, tumor diameter ≤4 cm, and location in the upper 1/3 of the stomach (including the gastroesophageal junction), and TNM stage IA, IB, or IIA. The study cohort comprised 73 patients who had undergone laparoscopic proximal gastric cancer radical surgery in the Department of Gastroenterology, Tangdu Hospital, Air Force Medical University between June 2020 and February 2023, 19 of whom were in the Kamikawa group and 54 in the DTR group...
March 25, 2024: Zhonghua Wei Chang Wai Ke za Zhi, Chinese Journal of Gastrointestinal Surgery
#24
MULTICENTER STUDY
Marco Milone, Paolo Pietro Bianchi, Fabio Cianchi, Andrea Coratti, Anna D'Amore, Giovanni De Manzoni, Carlo Alberto De Pasqual, Giampaolo Formisano, Elio Jovine, Luca Morelli, Mariafortuna Offi, Andrea Peri, Andrea Pietrabissa, Fabio Staderini, Angela Tribuzi, Simone Giacopuzzi
BACKGROUND: The aim of the present study is to compare outcomes of the robotic hand-sewn, linear- and circular-stapled techniques performed to create an intrathoracic esophagogastric anastomosis in patients who underwent Ivor-Lewis esophagectomy. METHODS: Patients who underwent a planned Ivor-Lewis esophagectomy were retrospectively analysed from prospectively maintained databases. Only patients who underwent a robotic thoracic approach with the creation of an intrathoracic esophagogastric anastomosis were included in the study...
March 22, 2024: Langenbeck's Archives of Surgery
#25
JOURNAL ARTICLE
Héctor Losada, Norberto Portillo, Andrés Troncoso, Renato Becker, Rocio Vera
BACKGROUND: Duodenal adenocarcinoma is a small percentage of gastrointestinal neoplasms, around 0.5%, and its treatment is based on resection of the tumor, classically by pancreaticoduodenectomy. In recent years, however, segmental resections of duodenal lesions, that do not involve the second portion or the periampullary region, have gained relevance with good surgical and oncological outcomes as well as the benefit of avoiding surgeries that can result in high morbidity and mortality...
2024: Brazilian Archives of Digestive Surgery: ABCD
#26
Lucas Keller-Biehl, Diana Otoya, Adam Khader, William Timmerman, Leopoldo Fernandez, Michael Amendola
A 54-year-old African-American male presented to the colorectal surgery clinic with the chief complaint of a painful anal swelling that had been ongoing for several weeks. An adequate rectal examination was not possible due to severe pain. Therefore, he was taken to the operating room for an exam under anesthesia where a presacral mass was identified. A transgluteal core needle biopsy was performed which was consistent with gastrointestinal stromal tumor. Computed tomography imaging identified a 16 cm ×10 cm ×9 cmrectal gastrointestinal stromal tumor...
2024: SAGE Open Medical Case Reports
#27
Kammoun Neirouz, Trabelsi Mohamed Mehdi, Khalfallah Mehdi, Guelbi Mohamed, Oueslati Annouar, Nouira Ramzi
Gastrointestinal mesenchymal tumors (GIST) are the most prevalent sarcoma tumors affecting the digestive tract. GIST originates from Cajal cells located within the digestive tract's wall. These cells play a crucial role in regulating digestive peristaltism as they are considered pacemaker cells. These tumors are especially located in the stomach (60%) but can also be seen in the small bowel (30%), in which jejunal stromal tumors are estimated to reach (40%). In this case report, we describe a jejunal GIST, which was initially discovered due to active bleeding, serving as the primary symptom, along with an underlying small loop intussusception...
2024: SAGE Open Medical Case Reports
#28
JOURNAL ARTICLE
Laura Lovisa Køtlum Petersen, Martin Dennis Dursun, Gunvor Madsen, Dang Quang Svend Le, Sören Möller, Niels Qvist, Mark Bremholm Ellebæk
PURPOSE: Rectal anastomoses have a persisting high incidence of anastomotic leakage. This study aimed to assess whether the use of a poly-ϵ-caprolactone (PCL) scaffold as reinforcement of a circular stapled rectal anastomosis could increase tensile strength and improve healing compared to a control in a piglet model. METHOD: Twenty weaned female piglets received a stapled rectal anastomosis and were randomised to either reinforcement with PCL scaffold (intervention) or no reinforcement (control)...
March 15, 2024: BMC Gastroenterology
#29
JOURNAL ARTICLE
Nikolaos Voloudakis, Ioannis Koutelidakis, Emmanouil Christoforidis, Stefanos Atmatzidis, Georgia Kotoreni, Basilios Papaziogas, Dimitrios Schizas, Christos Zavos, Apostolos Papalois, Grigorios Chatzimavroudis
BACKGROUND: Anastomotic leak remains a dreaded complication in colorectal surgery. Identifying optimal techniques that minimize its incidence is an active area of investigation. The aim of this experimental study was to evaluate the effect of commonly used hemostatic products on the integrity of colonic anastomoses. METHODS: Male Wistar rats were randomized into 4 groups. In the control group (A), the anastomosis was performed using the standard hand-sewn technique in the ascending colon...
2024: Annals of Gastroenterology: Quarterly Publication of the Hellenic Society of Gastroenterology
#30
JOURNAL ARTICLE
Victor Lopez-Lopez, Christoph Kuemmerli, Javier Maupoey, Rafael López-Andujar, Laura Lladó, Kristel Mils, Philip Müller, Andres Valdivieso, Marina Garcés-Albir, Luis Sabater, Andrea Benedetti Cacciaguerra, Marco Vivarelli, Luis Díez Valladares, Sergio Annese Pérez, Benito Flores, Roberto Brusadin, Asunción López Conesa, Sagrario Martinez Cortijo, Sandra Paterna, Alejando Serrablo, Ferdinand Heinz Walther Toop, Karl Oldhafer, Santiago Sánchez-Cabús, Antonio González Gil, Jose Antonio González Masía, Carmelo Loinaz, Jose Luis Lucena, Patricia Pastor, Cristina Garcia-Zamora, Alicia Calero, Juan Valiente, Antonio Minguillon, Fernando Rotellar, Cándido Alcazar, Javier Aguilo, Jose Cutillas, Jose A Ruiperez-Valiente, Pablo Ramírez, Henrik Petrowsky, Jose Manuel Ramia, Ricardo Robles-Campos
BACKGROUND: Iatrogenic bile duct injury (BDI) during cholecystectomy is associated with a complex and heterogeneous management owing to the burden of morbidity until their definitive treatment. This study aimed to define the textbook outcomes (TOs) after BDI with the purpose to indicate the ideal treatment and to improve it management. METHODS: We collected data from patients with an BDI between 1990 and 2022 from 27 hospitals. TO was defined as a successful conservative treatment of the iatrogenic BDI or only minor complications after BDI or patients in whom the first repair resolves the iatrogenic BDI without complications or with minor complications...
February 21, 2024: Journal of Gastrointestinal Surgery
#31
JOURNAL ARTICLE
Megumi Kitagawa, Yuko Uesugi
BACKGROUND & AIMS: Patients who had undergone gastrectomy often feel tired during meals as it takes longer for them to consume their meals, as compared to the length preoperatively. We aimed to clarify the factors affecting the duration required for food intake in this population. METHODS: Participants enrolled in the study were patients who underwent total gastrectomy (TG) or distal gastrectomy (DG) within the past 5 years. We provided them with questionnaire using the mailing method...
April 2024: Clinical Nutrition ESPEN
#32
JOURNAL ARTICLE
Jan-Henrik Rieck, Hagen Heidinger, Erik Schlöricke, Nina Schmidt, Steffen Krause
BACKGROUND: This clinical trial explores the Sigstad score for late dumping syndrome in postoperative patients who have undergone sleeve gastrectomy (SG) or One Anastomosis Gastric Bypass (OAGB). The aims of this study are to investigate the correlations with late dumping syndrome, to evaluate the reliability and validity of the Sigstad score and to discuss a modified scoring system. METHODS: The study was conducted at the Obesity Center of the Westküstenklinikum Heide and included 271 patients...
March 12, 2024: Langenbeck's Archives of Surgery
#33
Fufa Miresa, Badhaasaa Beyene, Munewor Abdulhadi, Abdulaziz Mohamud, Anteneh Belachew
INTRODUCTION AND IMPORTANCE: Despite being the longest and containing a greater proportion of the gastrointestinal tract's mucosal surface area, the small bowel is where <2 % to 5 % of gastrointestinal cancers can occur. Peutz-Jeghers syndrome is the rarest risk factor for the development of small intestinal cancers. Here we report a case of perforated poorly differentiated adenocarcinoma of the jejunum for which Peutz-Jeghers syndrome is identified. CASE PRESENTATION: A 25-year-old male patient presented to the emergency department with generalized peritonitis caused by a perforated jejunal mass...
March 11, 2024: International Journal of Surgery Case Reports
#34
JOURNAL ARTICLE
Jean Félix Piñerúa-Gonsálvez, Rosanna Del Carmen Zambrano-Infantino, Carmen Del Pozo, Sara Miranda Riaño, Ricardo Ruano, Luis Fernández-Salazar
A 69-year-old male, three years post-endovascular exclusion for an abdominal aortic aneurysm, presented with asthenia and fever. An abdominal CT scan showed no gastrointestinal tract communications, abscess, or contrast extravasation. Tc-99m-HMPAO-labeled leukocytes scintigraphy with SPECT/CT revealed increased uptake on the posterior surface of the aortic graft, along with air bubbles in its right iliac limb. Upper gastrointestinal endoscopy was performed, revealing a duodenal ulcer in the transition between the second and third portions...
March 12, 2024: Revista Española de Enfermedades Digestivas
#35
REVIEW
Valentin Butnari, Ahmer Mansuri, Subham Prasad Jaiswal, Mohamed Wael Ahmed, Moataz Ewedah, Dixon Osilli, Francesco Di Nubila, Robert Leonides Buhain, Sayed Haschmat Sarwary, Sandeep Kaul
Obturator hernia (OH), a rare and potentially life-threatening condition, presents diagnostic and therapeutic challenges. This review article comprehensively delves into the clinical features, diagnosis, and management of OH, with a particular emphasis on the pivotal role of computed tomography (CT) in timely and accurate diagnosis. Delays, particularly in contrast-enhanced CT, dramatically increase mortality due to potential bowel strangulation. To illustrate the challenges and complexities surrounding OH, we present a video vignette of a 74-year-old female patient who presented with symptoms suggestive of bowel obstruction (BO) secondary to a strangulated left-sided OH...
2024: Journal of Clinical Imaging Science
#36
JOURNAL ARTICLE
Zakriya Almohamad, Reham Fahmy, Amany Farag, Ahmed Abdellatif, Wael Mossallem, Abdelnaser A Abdallah, Marwa Abass
INTRODUCTION: Anastomotic leakage is a severe complication associated with gastrointestinal surgery. The process of intestinal wound healing is crucial for the successful outcome of digestive tract surgical repair procedures. This research aimed to determine the impact of silver nanoparticles sheet (Acticoat) on the anastomotic healing of the cecum in rabbits. METHODS: A total of 48 New Zealand male rabbits in good health were used for cecum transection and anastomosis...
2024: Frontiers in Veterinary Science
#37
Tsung-Jung Tsai, Yu Shih Liu
BACKGROUND: Rectal prolapse arises from benign etiology. When symptoms of internal intussusception mirror those of rectal prolapse, a misdiagnosis is possible, especially under limited clinical presentation. It is crucial to recognize and differentiate rectal prolapse from internal intussusception because the two diagnoses have different prognoses. Here, we describe a case of adult sigmoid intussusception presenting as rectal prolapse. CASE SUMMARY: A 64-year-old woman with no known medical history visited a gastrointestinal outpatient department due to hard bloody stool defecation for 1 wk followed by constipation for 3 d...
February 26, 2024: World Journal of Clinical Cases
#38
Shih-Hung Liu, Jung-Cheng Kang, Je-Ming Hu, Chao-Yang Chen, Kuan-Hsun Lin, Ta-Wei Pu
BACKGROUND: Benign rectal strictures can be categorized as primary (disease-related) and secondary (surgical anastomosis-related). Secondary strictures arise from surgical complications, whereas primary strictures have diverse etiologies, including various inflammatory conditions. Benign strictures are usually managed by surgery and endoscopy. We present an unusual etiology of benign rectal stricture caused by the repeated insertion of foreign objects into the rectum for sexual purposes, resulting in rectal injury and subsequent chronic inflammation...
February 16, 2024: World Journal of Gastrointestinal Endoscopy
#39
JOURNAL ARTICLE
Chao-Yang Wang, Xiao-Long Li, Xiao-Long Ma, Xiong-Fei Yang, Yong-Yong Liu, Yong-Jiang Yu
BACKGROUND: The neutrophil-to-lymphocyte ratio (NLR), a composite inflammatory biomarker, is associated with the prognosis in patients with colorectal tumors. However, whether the NLR can be used as a predictor of symptomatic postoperative anastomotic leakage (AL) in elderly patients with colon cancer is unclear. AIM: To assess the role of the NLR in predicting the occurrence of symptomatic AL after surgery in elderly patients with colon cancer. METHODS: Data from elderly colon cancer patients who underwent elective radical colectomy with anastomosis at three centers between 2018 and 2022 were retrospectively analyzed...
February 27, 2024: World Journal of Gastrointestinal Surgery
#40
JOURNAL ARTICLE
Min Young Park, Yong Sik Yoon, Jae Ha Park, Jong Lyul Lee, Chang Sik Yu
BACKGROUND: Behcet's disease (BD), a chronic vasculitic disorder affecting multiple organs, is characterized by recurrent oral and genital ulcers, arthritis, vasculitis, and intestinal ulcers. Although intestinal involvement of BD is common in East Asia, the efficacy and long-term outcomes of surgical treatment of intestinal BD still remain to be established. AIM: To evaluate the postoperative clinical course of intestinal BD and determine factors associated with its recurrence...
February 27, 2024: World Journal of Gastrointestinal Surgery
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