1,774 results match your criteria Digestive Surgery[Journal]


Heller Myotomy for Epiphrenic Diverticula Compared to Nondiverticula Esophageal Motility Disorders, A Single Institution Experience and Appraisal of Patient Characteristics, High-Resolution Manometry and Outcomes.

Dig Surg 2019 Feb 5:1-9. Epub 2019 Feb 5.

Division of General Surgery, Morsani College of Medicine, University of South Florida, Tampa, Florida,

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. Read More

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http://dx.doi.org/10.1159/000496804DOI Listing
February 2019
1 Read

Long-Term Impact of Iatrogenic Bile Duct Injury.

Dig Surg 2019 Jan 17:1-12. Epub 2019 Jan 17.

Department of Surgery, Amsterdam UMC, University of Amsterdam, Amsterdam, The Netherlands.

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. Read More

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https://www.karger.com/Article/FullText/496432
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http://dx.doi.org/10.1159/000496432DOI Listing
January 2019
4 Reads

Exocrine Pancreatic Insufficiency after Gastrectomy for Cancer Is Not Severe.

Dig Surg 2019 Jan 16:1-2. Epub 2019 Jan 16.

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http://dx.doi.org/10.1159/000496433DOI Listing
January 2019
1 Read

Management of Pancreatic Cystic Lesions.

Dig Surg 2019 Jan 11:1-9. Epub 2019 Jan 11.

Department of General and Pancreatic Surgery, The Pancreas Institute, University of Verona Hospital Trust, Verona, Italy.

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. Read More

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http://dx.doi.org/10.1159/000496509DOI Listing
January 2019
1 Read

External Validation of Different Scoring Systems for Suspected Choledocholithiasis.

Dig Surg 2019 Jan 11:1-9. Epub 2019 Jan 11.

Department of Surgery, School of Medicine and Surgery, Milano-Bicocca University, San Gerardo Hospital, Monza,

Aim Of The Study: The diagnosis of choledocholithiasis is challenging. Previously published scoring systems designed to calculate the risk of choledocholithiasis were evaluated to appraise the diagnostic performance.

Patients And Methods: Data of patients who were admitted between 2013 and 2015 with the following characteristics were retrieved: bile stone-related symptoms and signs, and indication to laparoscopic cholecystectomy. Read More

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https://www.karger.com/Article/FullText/495696
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http://dx.doi.org/10.1159/000495696DOI Listing
January 2019
3 Reads

Effect of Caffeine Intake on Postoperative Ileus: A Systematic Review and Meta-Analysis.

Dig Surg 2019 Jan 11:1-10. Epub 2019 Jan 11.

Department of Gynaecological Oncology, Metaxa Cancer Hospital, Piraeus, Greece.

Background: Postoperative ileus prolongs both hospital stay and patients' morbidity, having at the same time a great impact on health care costs. Coffee, a worldwide popular, cheap beverage might have an important effect on the motility of the postoperative bowel.

Methods: PubMed, Scopus, and Cochrane Central Register of Controlled Trials were systematically searched. Read More

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http://dx.doi.org/10.1159/000496431DOI Listing
January 2019
2 Reads

Double Gastric Hanging for Gastric Exposure in Laparoscopic Distal Pancreatectomy.

Dig Surg 2019 Jan 2:1-6. Epub 2019 Jan 2.

Background: Gastric traction is essential in laparoscopic distal pancreatic resections. We already described the single gastric hanging providing good exposure on the left pancreas and we herein introduce a modification named the double gastric hanging.

Methods: The double gastric hanging in which 2 surgical tapes encircle the body and antrum of the stomach is indicated in patients who requiring pancreatic neck resection, dissection along the celiac trunk collaterals and lymph nodes, the duodenal wall, and the gastroduodenal artery. Read More

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https://www.karger.com/Article/FullText/495515
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http://dx.doi.org/10.1159/000495515DOI Listing
January 2019
7 Reads

The Actual Prevalence of Symptoms in Pancreatic Cystic Neoplasms: A Prospective Propensity Matched Cohort Analysis.

Dig Surg 2018 Dec 12:1-8. Epub 2018 Dec 12.

Department of General and Pancreatic Surgery, The Pancreas Institute, University of Verona Hospital Trust, Verona,

Background: The prevalence of symptoms in pancreatic cystic neoplasms (PCNs) is mainly based on retrospective surgical series. The aim of this study is to describe the actual prevalence of symptoms in PCNs under surveillance.

Methods: Patients with PCNs under surveillance observed from 2015 to 2017 were submitted to magnetic resonance imaging (MRI) and a specific interview. Read More

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http://dx.doi.org/10.1159/000495039DOI Listing
December 2018
2 Reads

HBPD Table of Contents Vol. 17, No. 5, 2018.

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Dig Surg 2019 6;36(1):96-98. Epub 2018 Dec 6.

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http://dx.doi.org/10.1159/000495632DOI Listing
December 2018
10 Reads

HBPD Table of Contents Vol. 17, Nr. 4, 2018.

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Dig Surg 2019 6;36(1):93-95. Epub 2018 Dec 6.

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http://dx.doi.org/10.1159/000495631DOI Listing
December 2018
17 Reads

EDS Society News.

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Dig Surg 2019 6;36(1):91-92. Epub 2018 Dec 6.

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http://dx.doi.org/10.1159/000495588DOI Listing
December 2018
10 Reads

Risk Factors Analysis of Postoperative Pleural Effusion after Liver Resection.

Dig Surg 2018 Dec 5:1-8. Epub 2018 Dec 5.

Division of General Surgery, Department of Surgery, Taipei Medical University-Shuang Ho Hospital, New Taipei City,

Background: Pulmonary complications remain relatively high in morbidities that arise after liver surgery and are associated with increased length of hospital stay and higher cost. Identification of possible risk factors in this retrospective analysis may help reduce operative morbidity and achieve better outcomes.

Methods: In all, 363 consecutive patients underwent elective hepatectomies between July 2008 and November 2013 and these were identified and analyzed retrospectively. Read More

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http://dx.doi.org/10.1159/000494218DOI Listing
December 2018
12 Reads

Modified Intrathoracic Esophagogastrostomy with Minimally Invasive Robot-Assisted Ivor-Lewis Esophagectomy for Cancer.

Dig Surg 2018 Dec 5:1-8. Epub 2018 Dec 5.

Background: Intrathoracic esophagogastrostomy plays an important role in minimally invasive Ivor-Lewis esophagectomy for cancer. Intrathoracic anastomosis with robot-assisted Ivor-Lewis esophagectomy (RAILE) includes hand-sewn and circular stapler methods, which remain technically challenging. In this study, we modified the techniques for intrathoracic anastomosis at RAILE, in order to simplify the complex procedures. Read More

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https://www.karger.com/Article/FullText/495361
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http://dx.doi.org/10.1159/000495361DOI Listing
December 2018
16 Reads

Establishment of a Nomogram by Integrating Molecular Markers and Tumor-Node-Metastasis Staging System for Predicting the Prognosis of Hepatocellular Carcinoma.

Dig Surg 2018 Nov 27:1-7. Epub 2018 Nov 27.

Aims: This study aimed to develop a valuable nomogram by integrating molecular markers and tumor-node-metastasis (TNM) staging system for predicting the long-term outcome of patients with hepatocellular carcinoma (HCC).

Methods: The gene expression profiles of HCC patients undergoing liver resection were obtained from the Cancer Genome Atlas (TCGA) and Gene Expression Omnibus (GEO) database. One hundred and ninety-nine patients from TCGA and 94 patients from GEO were selected to be part of the training cohort and validation cohort respectively. Read More

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http://dx.doi.org/10.1159/000494219DOI Listing
November 2018
2 Reads

Risk Factors for Recurrence of Right Colonic Diverticulitis.

Dig Surg 2018 Nov 8:1-5. Epub 2018 Nov 8.

Department of Surgery, Gil Medical Center, Gachon University College of Medicine, Incheon, Republic of Korea.

Background: Right colonic diverticulitis (RCD) is more common in Asian countries than in Western countries, and the risk factors for recurrence of RCD are not fully understood. The objective of this study was to assess the risk factors for recurrence of RCD.

Methods: We analyzed 296 patients admitted for treatment of RCD in the Gachon University Gil Medical Center from December 2001 to October 2014. Read More

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https://www.karger.com/Article/FullText/494297
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http://dx.doi.org/10.1159/000494297DOI Listing
November 2018
9 Reads

Neoadjuvant Treatment for Borderline Resectable Pancreatic Ductal Adenocarcinoma.

Dig Surg 2018 Nov 8:1-7. Epub 2018 Nov 8.

Department of Surgery, TUM School of Medicine, Klinikum Rechts der Isar, Technical University Munich, Munich,

One of the main reasons for the dismal prognosis of pancreatic ductal adenocarcinoma (PDAC) is its late diagnosis. At the time of presentation, only approximately 15-20% of all patients with PDAC are considered resectable and around 30% are considered borderline resectable. A surgical approach, which is the only curative option, is limited in borderline resectable patients by local involvement of surrounding structures. Read More

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https://www.karger.com/Article/FullText/493466
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http://dx.doi.org/10.1159/000493466DOI Listing
November 2018
12 Reads

Occult Hiatal Hernia in Achalasia Patients: Its Incidence and Treatment Options.

Dig Surg 2018 Oct 10:1-8. Epub 2018 Oct 10.

Department of Gastroenterological Surgery, Osaka University Graduate School of Medicine, Osaka, Japan.

Background: Achalasia patients occasionally coexist with esophageal hiatal hernias. The purpose of this study was to clarify the incidence and clinical features of achalasia cases concomitant with hiatal hernia, and to investigate whether our surgical technique was appropriate.

Methods: Consecutive achalasia patients who underwent laparoscopic Heller myotomy with Dor fundoplication (LHD) were extracted from the prospectively compiled surgical database, and the perioperative outcomes and the presence rate of hiatal hernia were obtained. Read More

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https://www.karger.com/Article/FullText/491707
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http://dx.doi.org/10.1159/000491707DOI Listing
October 2018
4 Reads

Colonoscopy Should Be Performed After an Episode of Uncomplicated Diverticulitis.

Dig Surg 2018 Oct 10. Epub 2018 Oct 10.

Division of Digestive Surgery, University Hospitals of Geneva, Geneva, Switzerland.

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http://dx.doi.org/10.1159/000493436DOI Listing
October 2018
2 Reads
1.742 Impact Factor

Prognostic Value of Inflammatory Biomarkers in Gastric Cancer Patients and the Construction of a Predictive Model.

Dig Surg 2018 Oct 9:1-10. Epub 2018 Oct 9.

Department of Gastric Surgery, Fudan University Shanghai Cancer Center, Shanghai, China.

Background: It is known that inflammation promotes cancer development. However, a few studies have evaluated the prognostic significance of inflammatory biomarkers in gastric cancer (GC).

Methods: In this study, 2,334 patients who underwent gastrectomy for GC at Fudan University Shanghai Cancer Center between 2003 and 2007 were retrospectively analyzed, and 1,227 patients were found to be eligible. Read More

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https://www.karger.com/Article/FullText/493432
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http://dx.doi.org/10.1159/000493432DOI Listing
October 2018
4 Reads

Can Haematology Blood Tests at Time of Diagnosis Predict Response to Neoadjuvant Treatment in Locally Advanced Rectal Cancer?

Dig Surg 2018 Sep 28:1-7. Epub 2018 Sep 28.

Department Oncology, Aberdeen Royal Infirmay, Aberdeen, United Kingdom.

Background: Outcomes in locally advanced rectal cancer are improved by neoadjuvant therapy followed by surgical resection. Some patients respond completely to preoperative treatment. Therefore, predicting the pathological response to preoperative therapy is of clinical importance. Read More

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http://dx.doi.org/10.1159/000493433DOI Listing
September 2018
14 Reads

EDS Society News.

Authors:

Dig Surg 2018 27;35(6):549-550. Epub 2018 Sep 27.

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http://dx.doi.org/10.1159/000493950DOI Listing
September 2018
1 Read

Liver Resection for Hepatic Metastases from Soft Tissue Sarcoma: A Nationwide Study.

Dig Surg 2018 Sep 25:1-8. Epub 2018 Sep 25.

Department of Surgical Oncology, Radboud University Medical Center, Nijmegen, the Netherlands.

Background: This study aims to evaluate the feasibility and safety of resection of sarcoma liver metastases, and to identify possible prognostic factors for long-term survival.

Methods: All patients who underwent resection of liver metastases of sarcoma in the Netherlands from 1998 to 2014 were included. Study data was retrospectively collected from patient files. Read More

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http://dx.doi.org/10.1159/000493389DOI Listing
September 2018
2 Reads

Surgical Outcomes of Liver Resection Combined with Inferior Vena Cava Resection and Reconstruction with Artificial Vascular Graft.

Dig Surg 2018 Sep 25:1-7. Epub 2018 Sep 25.

Department of Gastroenterological Surgery, Graduate School of Medicine, Osaka University, Osaka, Japan.

Background/aim: Inferior vena cava (IVC) resection and reconstruction with concomitant liver resection sometimes represent the only chance for patients with liver tumors involving the IVC to get cured. However, surgical outcomes of liver resection with IVC resection and reconstruction using an artificial vascular graft have not been well investigated.

Methods: Out of a total of 1,179 cases, only 12 involving liver resection between 1998 and 2016 at our institution included IVC resection and reconstruction using an artificial vascular graft. Read More

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http://dx.doi.org/10.1159/000493434DOI Listing
September 2018
2 Reads

Towards an Organ-Sparing Approach for Locally Advanced Esophageal Cancer.

Dig Surg 2018 Sep 18:1-8. Epub 2018 Sep 18.

Department of Surgery, Erasmus MC, University Medical Center, Rotterdam, the Netherlands.

Background: Active surveillance after neoadjuvant therapies has emerged among several malignancies. During active surveillance, frequent assessments are performed to detect residual disease and surgery is only reserved for those patients in whom residual disease is proven or highly suspected without distant metastases. After neoadjuvant chemoradiotherapy (nCRT), nearly one-third of esophageal cancer patients achieve a pathologically complete response (pCR). Read More

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http://dx.doi.org/10.1159/000493435DOI Listing
September 2018
2 Reads

Combined Pre- and Postoperative Lymphocyte Count Accurately Predicts Outcomes of Patients with Colorectal Cancer.

Dig Surg 2018 Sep 14:1-8. Epub 2018 Sep 14.

Background: Although preoperative lymphopenia is reportedly a prognostic factor in cancer patients, the association between postoperative lymphopenia and patient prognosis has not been widely studied.

Methods: We enrolled 379 patients who underwent surgery for colorectal cancer (CRC) to analyze correlations among pre- and postoperative lymphocyte counts (LCs) and prognosis in patients with CRC.

Results: Pre- and postoperative LCs were significantly correlated (r = 0. Read More

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http://dx.doi.org/10.1159/000492340DOI Listing
September 2018
1 Read

EDS Society News.

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Dig Surg 2018 20;35(5):474. Epub 2018 Aug 20.

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http://dx.doi.org/10.1159/000492609DOI Listing
August 2018
1 Read

Improving Selection for Resection of Synchronous Para-Aortic Lymph Node Metastases in Colorectal Cancer.

Dig Surg 2018 Jul 25:1-7. Epub 2018 Jul 25.

Introduction: The clinical benefit of extended lymphadenectomy for synchronous extraregional lymph node metastasis, such as para-aortic lymph node (PALN) metastasis in colorectal cancer, remains highly controversial.

Aim: To evaluate the clinical benefit of PALN dissection in colorectal cancer patients with synchronous PALN metastasis with or without multiorgan metastases.

Methods: Thirty-six patients with pathologically positive PALN metastasis below the renal veins who underwent concurrent PALN dissection and primary colorectal cancer resection from January 1984 through September 2011 at the National Cancer Center Hospital in Tokyo, Japan, were included in this retrospective cohort study. Read More

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http://dx.doi.org/10.1159/000491100DOI Listing
July 2018
1 Read

Radical Resection of Locally Recurrent Colorectal Cancer Significantly Improves Overall Survival: A Single-Center Cohort Study.

Dig Surg 2018 Jul 20:1-9. Epub 2018 Jul 20.

Background: Despite multimodal treatment strategies, locoregional recurrence rates are still significant in colorectal carcinoma (CRC).

Methods: Clinical, pathological, perioperative, and survival data of 203 patients with recurrent CRC enlisted in a prospective database from 1990 to 2011 were analyzed.

Results: Median disease-free survival in our cohort of 203 patients was 23 months after resection of the primary tumor. Read More

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http://dx.doi.org/10.1159/000491099DOI Listing
July 2018
9 Reads

Total Dorsal Pancreatectomy, an Alternative to Total Pancreatectomy: Report of a New Case and Literature Review.

Dig Surg 2018 Jul 13:1-6. Epub 2018 Jul 13.

Background: Total dorsal pancreatectomy (TDP) is a conservative pancreatic resection that should be considered in cases of benign or low malignant tumors confined to the dorsal pancreas to preserve the viability of both digestive and biliary tracts, and to avoid the endocrine and metabolic consequences of total pancreatectomy. We report a new case of TDP and provide a literature review of this procedure.

Methods: The case reported was a 35-year-old female patient with a solid pseudopapillary tumor. Read More

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http://dx.doi.org/10.1159/000490198DOI Listing
July 2018
2 Reads

Ultralow Anterior Resection and Coloanal Anastomosis for Low-Lying Rectal Cancer: An Appraisal Based on Bowel Function.

Dig Surg 2018 Jul 10:1-9. Epub 2018 Jul 10.

Backgrounds/aims: On the basis of acceptable oncologic results, ultralow anterior resection (ULAR) and colo-anal anastomosis plus hand-sewn coloanal anastomosis have been performed for treating very low-lying rectal cancer. However, many patients experience bowel dysfunction after ULAR. Studies have provided inadequate data on bowel dysfunctions and only a few functional studies have focused on low rectal cancer. Read More

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http://dx.doi.org/10.1159/000490899DOI Listing
July 2018
9 Reads

Comparison of 2 Perioperative Management Protocols and Their Influence on Postoperative Recovery after Cytoreductive Surgery and Hyperthermic Intraperitoneal Chemotherapy: Standard Parenteral Nutrition, Selective Bowel Decontamination and Suprapubic Catheters?

Dig Surg 2018 Jul 6:1-8. Epub 2018 Jul 6.

Department of Surgery, Radboud University Medical Centre, Nijmegen, the Netherlands.

Background: Cytoreductive surgery and hyperthermic intraperitoneal chemotherapy (CRS-HIPEC) is associated with considerable postoperative morbidity, including ileus and infectious complications. Perioperative care is believed to be an important factor for the development and treatment of postoperative morbidity.

Patients And Methods: Data on case-matched patients from a retrospective database of 2 Dutch HIPEC centres was compared. Read More

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http://dx.doi.org/10.1159/000490068DOI Listing
July 2018
12 Reads

Clinical Characteristics and Surgical Treatment for Inguinal Endometriosis in Young Women of Reproductive Age.

Dig Surg 2018 Jul 5:1-7. Epub 2018 Jul 5.

Aim: To study the characteristics and surgical treatment of inguinal endometriosis (IEM), which can occur in women of reproductive age.

Methods: Patients who underwent groin surgery at the Hiroshima City Funairi Citizens Hospital between 2004 and 2017 were retrospectively examined. Patients with IEM were divided into 3 groups based on the site of occurrence as follows: at a hernia sac or hydrocele of Nuck's canal (type I), round ligament (type II), or subcutaneous area (type III). Read More

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http://dx.doi.org/10.1159/000489827DOI Listing
July 2018
7 Reads

Prognostic Indicators in Stage IV Surgically Treated Gastric Cancer Patients: A Retrospective Multi-Institutional Study.

Dig Surg 2018 Jun 26:1-9. Epub 2018 Jun 26.

Polo Scienze Gastroenterologiche ed Endocrino-Metaboliche, Università Cattolica del Sacro Cuore Fondazione Policlinico Universitario Agostino Gemelli Largo F. Vito, Rome, Italy.

Introduction: The role of gastric resection in treating metastatic gastric adenocarcinoma is controversial. In the present study, we reviewed the short- and long-term outcomes of stage IV patients undergoing surgery.

Methods: A retrospective review was conducted that assessed patients undergoing elective surgery for incurable gastric carcinoma. Read More

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http://dx.doi.org/10.1159/000488775DOI Listing
June 2018
2 Reads

Optimal Timing of Removal of Epidural and Urethral Catheters to Avoid Postoperative Urinary Retention Undergoing Abdominal Surgery.

Dig Surg 2018 Jun 26:1-5. Epub 2018 Jun 26.

Second Department of Surgery, School of Medicine, Wakayama Medical University, Wakayama, Japan.

Background/aims: Postoperative urinary retention (POUR) is one of the most frequent complications of epidural anesthesia. This study aims to clarify risk factors of POUR and to estimate the appropriate timing of urethral catheter removal.

Methods: Between September and December 2014, a retrospective cohort study was conducted on 120 patients who underwent epidural anesthesia and major abdominal surgery. Read More

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http://dx.doi.org/10.1159/000490199DOI Listing
June 2018
6 Reads

The Outcome of Complex Hepato-Pancreato-Biliary Surgery for Elderly Patients: A Propensity Score Matching Analysis.

Dig Surg 2018 Jun 26:1-8. Epub 2018 Jun 26.

Department of Gastroenterological Surgery, Okayama University Graduate School of Medicine, Dentistry, and Pharmaceutical Sciences, Okayama, Japan.

Background/aims: Postoperative mortality and morbidity rates after hepato-pancreato-biliary (HPB) surgery remain high, and the number of elderly patients requiring such surgery has been increasing. This study aimed to investigate postoperative outcomes of complex HPB surgery for elderly patients.

Methods: We retrospectively reviewed perioperative data of 721 patients who underwent complex HPB surgery between 2010 and 2015. Read More

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http://dx.doi.org/10.1159/000489826DOI Listing
June 2018
1 Read

Endoscopic and Histopathology Characteristics in Patients with Esophageal High-Grade Intraepithelial Neoplasia.

Dig Surg 2018 Jun 26:1-10. Epub 2018 Jun 26.

Department of Gastroenterology, The First Affiliated Hospital of Nanjing Medical University, Nanjing, China.

Background/aims: To correlate the endoscopic characteristics with the histopathology of specimens of esophageal high-grade intraepithelial neoplasia obtained by endoscopic submucosal dissection (ESD).

Methods: This was a retrospective study developed from January 2010 to December 2015. The study included 169 patients who underwent ESD and were diagnosed with esophageal high-grade intraepithelial neoplasia according to endoscopic forceps biopsy, Lugol staining, endoscopic ultrasonography, computed tomography, and Narrow-Band Imaging. Read More

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http://dx.doi.org/10.1159/000490112DOI Listing
June 2018
2 Reads

Impact of Laparoscopic Repair of Large Hiatus Hernia on Quality of Life: Observational Cohort Study.

Dig Surg 2018 Jun 20:1-7. Epub 2018 Jun 20.

Background: Laparoscopic surgery has proven safe and effective in the treatment of large hiatus hernia. Differences may exist between objectively assessed surgical outcomes, symptomatic scores, and patient-reported outcomes.

Methods: An observational, single-arm cohort study was conducted in patients undergoing primary laparoscopic repair with crura mesh augmentation and Toupet fundoplication for large (> 50% of intrathoracic stomach) type III-IV hiatus hernia. Read More

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http://dx.doi.org/10.1159/000490359DOI Listing
June 2018
8 Reads

Non-Invasive Detection of Anastomotic Leakage Following Esophageal and Pancreatic Surgery by Urinary Analysis.

Dig Surg 2018 Jun 15:1-8. Epub 2018 Jun 15.

Department of Gastrointestinal surgery, VU University Medical Center, Amsterdam, the Netherlands.

Background: Esophagectomy or pancreaticoduodenectomy is the standard surgical approach for patients with tumors of the esophagus or pancreatic head. Postoperative mortality is strongly correlated with the occurrence of anastomotic leakage (AL). Delay in diagnosis leads to delay in treatment, which ratifies the need for development of novel and accurate non-invasive diagnostic tests for detection of AL. Read More

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http://dx.doi.org/10.1159/000488007DOI Listing
June 2018
7 Reads

Patient's Skeletal Muscle Radiation Attenuation and Sarcopenic Obesity are Associated with Postoperative Morbidity after Neoadjuvant Chemoradiation and Resection for Rectal Cancer.

Dig Surg 2018 Jun 13:1-8. Epub 2018 Jun 13.

Department of Epidemiology, Care and Public Health Research Institute (CAPHRI), Maastricht University, Maastricht, the Netherlands.

Background/aims: To investigate the relation between skeletal muscle measurements (muscle mass, radiation attenuation, and sarcopenic obesity), postoperative morbidity, and survival after treatment of locally advanced rectal cancer.

Methods: This explorative retrospective study identified 99 consecutive patients who underwent neoadjuvant chemoradiation and surgery between January 2007 and May 2012. Skeletal muscle mass was measured as total psoas area and total abdominal muscle area (TAMA) at 3 anatomical levels using the patient's preoperative computed tomography scan. Read More

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http://dx.doi.org/10.1159/000490069DOI Listing
June 2018
2 Reads

Open Liver Resection, Laparoscopic Liver Resection, and Percutaneous Thermal Ablation for Patients with Solitary Small Hepatocellular Carcinoma (≤30 mm): Review of the Literature and Proposal for a Therapeutic Strategy.

Dig Surg 2018 11;35(4):359-371. Epub 2018 Jun 11.

Department of Surgery, Division of Hepatobiliary and General Surgery, Humanitas Research Hospital, IRCCS, Rozzano, Milano, Italy.

Background: Patients with a single hepatocellular carcinoma (HCC) ≤3 cm and preserved liver function have the highest likelihood to be cured if treated. The most adequate treatment methods are yet a matter that is debated.

Methods: We reviewed the literature about open anatomic resection (AR), laparoscopic liver resection (LLR), and percutaneous thermal ablation (PTA). Read More

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http://dx.doi.org/10.1159/000489836DOI Listing
November 2018
2 Reads

The Impact of Preoperative Enteral Nutrition Enriched with Eicosapentaenoic Acid on Postoperative Hypercytokinemia after Pancreatoduodenectomy: The Results of a Double-Blinded Randomized Controlled Trial.

Dig Surg 2018 Jun 8:1-9. Epub 2018 Jun 8.

Division of Hepato-Biliary-Pancreatic Surgery, Shizuoka Cancer Center, Nagaizumi, Japan.

Aims: To investigate whether preoperative enteral diets -enriched in eicosapentaenoic acid (EPA) supplements could reduce the incidence of hypercytokinemia after pancreatoduodenectomy (PD) in a double-blinded randomized -controlled trial.

Methods: Patients with resectable periampullary cancer were randomized into either the control group or the treatment group. Patients in the treatment group received oral supplementation (600 kcal/day) containing EPA for 7 days before surgery. Read More

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http://dx.doi.org/10.1159/000490110DOI Listing
June 2018
1 Read

Liver Resection for Colorectal Hepatic Metastases after Systemic Chemotherapy and Selective Internal Radiation Therapy with Yttrium-90 Microspheres: A Systematic Review.

Dig Surg 2018 Jun 8:1-8. Epub 2018 Jun 8.

Regional Hepato-Pancreato-Biliary Unit, Manchester Royal Infirmary, Oxford Road, Manchester, United Kingdom.

Background: Selective internal radiation therapy (SIRT) using yttrium-90 resin microspheres has been used together with systemic chemotherapy to treat patients with unresectable liver metastases. This study undertook the first systematic pooled assessment of the case profile, treatment and outcome in patients with initially inoperable colorectal hepatic metastases undergoing resection after systemic chemotherapy and SIRT.

Methods: A systematic review of the literature was performed using Medline and Embase for publications between January 1998 and August 2017. Read More

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http://dx.doi.org/10.1159/000490111DOI Listing
June 2018
11 Reads

Minimal Access and Parenchyma Sparing Liver Surgery: Converging or Diverging Concepts?

Authors:
Guido Torzilli

Dig Surg 2018 8;35(4):281-283. Epub 2018 Jun 8.

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http://dx.doi.org/10.1159/000486209DOI Listing
June 2018
2 Reads

Prospective Evaluation of Intrahepatic Microscopic Occult Tumor Foci in Patients with Numerous Colorectal Liver Metastases.

Dig Surg 2018 Jun 7:1-8. Epub 2018 Jun 7.

Division of Hepatobiliary and General Surgery, Department of Surgery, Humanitas Clinical and Research Center, Milan, Italy.

Background: Patients with numerous colorectal liver metastases (CLM) have high risk of early recurrence after liver resection (LR). The presence of intrahepatic occult microscopic metastases missed by imaging has been hypothesized, but it has never been assessed by pathology analyses.

Methods: All patients with > 10 CLM who underwent LR between September 2015 and September 2016 were considered. Read More

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http://dx.doi.org/10.1159/000489274DOI Listing
June 2018
3 Reads

Self-Expanding Metal Stents for the Treatment of Post-Surgical Esophageal Leaks: A Tertiary Referral Center Experience.

Dig Surg 2018 Jun 5:1-8. Epub 2018 Jun 5.

Department of Gastroenterology, Endoscopy Unit, Humanitas Research Hospital, Milan, Italy.

Background/aims: The study aimed to evaluate the effectiveness and safety of self-expanding metal stents (SEMS) in the management of post-surgical esophageal leaks.

Methods: Retrospective data of consecutive patients with a post-surgical esophageal leak treated by means of a metal stent between January 2008 and December 2014 at the Humanitas Research Hospital (Milan, Italy) were extracted from a prospectively maintained register of SEMS used for benign indications, such as post-surgical benign esophageal strictures and/or leaks. The primary outcome of the study was to assess the rate of successful leak closure and to identify the variables associated with its achievement. Read More

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http://dx.doi.org/10.1159/000489817DOI Listing
June 2018
6 Reads

Tumoral Venous Invasion after Distal Pancreatectomy: A Risk Factor for Recurrence.

Dig Surg 2018 May 31:1-6. Epub 2018 May 31.

Background: Few data exist on postoperative outcomes of patients with pancreatic body-tail malignancies and tumoral venous invasion (VI). This study aimed at comparing survival and recurrence rate (RR) after distal pancreatectomy for adenocarcinoma in patients with and without tumoral VI.

Methods: All consecutive distal pancreatectomies (2000-2015) were collected. Read More

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http://dx.doi.org/10.1159/000489276DOI Listing
May 2018
1 Read

Re-Operative Pancreaticoduodenectomy: Challenges and Outcomes.

Dig Surg 2018 May 23:1-7. Epub 2018 May 23.

Gastrointestinal and Hepato-Pancreato-Biliary Service, Department of Surgical Oncology, Tata Memorial Hospital, Mumbai, India.

Background: Tata Memorial Centre (TMC) is a high-volume centre for pancreatic tumour resections. We found a continually increasing referral of pancreatic tumours for re-evaluation for surgery, after an initial unsuccessful attempt at resection.

Aim: To evaluate reasons of initial in-operability, the feasibility of re-operative pancreatico-duodenectomy (R-PD) and short- and long-term outcomes after R-PD. Read More

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http://dx.doi.org/10.1159/000489275DOI Listing
May 2018
12 Reads
1.742 Impact Factor

Intraoperative Analgesic Regimen and Cholecystectomy: A Closer Look.

Dig Surg 2018 May 23. Epub 2018 May 23.

Department of Surgery, Iwate Medical University, Morioka, Japan.

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http://dx.doi.org/10.1159/000489828DOI Listing
May 2018
2 Reads

Transanal Endoscopic Microsurgery with or without Completion Total Mesorectal Excision for T2 and T3 Rectal Carcinoma.

Dig Surg 2019 23;36(1):76-82. Epub 2018 May 23.

Department of Surgery, Radboud UMC, Nijmegen, The Netherlands.

Aim: Transanal endoscopic microsurgery (TEM) is used for the resection of large rectal adenomas and well or moderately differentiated T1 carcinomas. Due to difficulty in preoperative staging, final pathology may reveal a carcinoma not suitable for TEM. Although completion total mesorectal excision is considered standard of care in T2 or more invasive carcinomas, this completion surgery is not always performed. Read More

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http://dx.doi.org/10.1159/000486555DOI Listing
May 2018
26 Reads