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J Pediatr Surg 2019 Jan 18. Epub 2019 Jan 18.

Division of Pediatric Surgery, Mayo Clinic, Rochester, MN, USA.

Introduction: Limited knowledge exists as to what impact preoperative biologic therapy has on postoperative complications in pediatric patients undergoing abdominal surgery for Crohn's disease (CD). Therefore, we sought to determine the 30-day postoperative infectious complication rate among pediatric CD patients who received biologic therapy within 12 weeks of an abdominal operation.

Methods: A retrospective chart review was performed on pediatric (<18 years of age) CD patients who underwent an abdominal operation between 1/1/2008 and 12/31/2017. Read More

J Neurosurg Spine 2019 Feb 15:1-13. Epub 2019 Feb 15.

Departments of1Neurosurgery.

OBJECTIVEThe Michigan Spine Surgery Improvement Collaborative (MSSIC) is a statewide, multicenter quality improvement initiative. Using MSSIC data, the authors sought to identify 90-day adverse events and their associated risk factors (RFs) after cervical spine surgery.METHODSA total of 8236 cervical spine surgery cases were analyzed. Read More

Wideochir Inne Tech Maloinwazyjne 2019 Jan 11;14(1):137-140. Epub 2018 Jun 11.

Department of Surgery, Hallym University College of Medicine, Hwaseong-si, South Korea.

With the increase in the frequency of robotic surgery, complications have also increased, including trocar site hernias, which rarely occur at the 8-mm port site after robotic cholecystectomy using the da Vinci Xi system. A 37-year-old woman was diagnosed with cholecystitis on abdominal sonography. She underwent robotic cholecystectomy using a bikini-line incision. Read More

Front Neurol 2019 31;10:38. Epub 2019 Jan 31.

Neurology Unit, IRCCS Foundation Ca' Granda Ospedale Maggiore Policlinico, Milan, Italy.

Mitochondrial encephalomyopathy, lactic acidosis, and stroke-like episodes (MELAS) syndrome is a maternally inherited mitochondrial disorder that is most commonly caused by the m. 3243A>G mutation in the MT-TL1 mitochondrial DNA gene, resulting in impairment of mitochondrial energy metabolism. Although childhood is the typical age of onset, a small fraction (1-6%) of individuals manifest the disease after 40 years of age and usually have a less aggressive disease course. Read More

Gan To Kagaku Ryoho 2019 Jan;46(1):139-141

Dept. of Surgery, Toyama City Hospital.

A 56-year-old man was admitted to our hospital because abdominal CT showed wall thickening of the ascending colon. Colonoscopyshowed type 4 colon cancer, diagnosed as poorlydifferentiated adenocarcinoma bybiopsy , with circumferential stenosis. Enhanced CT after admission also showed obstructive ileus and lymphadenopathy leading to a paraaortic lesion, but no other distant metastases were seen. Read More

Medicine (Baltimore) 2019 Feb;98(7):e14378

Gastroenterology and Hepatology Department, Digestive Disease Institute.

The triad of acute pancreatitis (AP) coexisting with diabetes ketoacidosis (DKA) and hypertriglyceridemia (HTG) has been reported, but no impact on mortality has been found to date. We aim to assess if patients with this triad are at a higher inpatient mortality compared to patients with acute pancreatitis only.Retrospective cohort. Read More

Chirurg 2019 Feb 13. Epub 2019 Feb 13.

Sektion Endokrine Chirurgie, Klinik für Allgemein‑, Viszeral- und Transplantationschirurgie, Universitätsklinikum Essen, Hufelandstr. 55, 45147, Essen, Deutschland.

ANZ J Surg 2019 Jan;89(1-2):133

Department of GI Surgery, Samved Multispeciality Hospital, Patan, India.

Am Surg 2018 Nov;84(11):1768-1773

Few series have reported on the impact of robotic right colectomy compared with conventional laparoscopy. Even fewer have reported on the outcomes of intracorporeal anastomoses. The aim of our study was to determine the impact of robotic surgery on short-term operative outcomes in patients undergoing right colectomy with intracorporeal anastomosis. Read More

Langenbecks Arch Surg 2019 Feb 12. Epub 2019 Feb 12.

Section of Colorectal Surgery, Department of Surgery, Westchester Medical Center, New York Medical College, Taylor Pavilion, Suite D-365, 100 Woods Road, Valhalla, NY, 10595, USA.

Background: The aim of this systematic review and meta-analysis was to evaluate the morbidity of loop ileostomy (LI) and loop colostomy (LC) creation in restorative anterior resection for rectal cancer as well as the morbidity of their reversal.

Methods: PubMed, EMBASE, MEDLINE via Ovid, and Cochrane Library were systematically searched for records published from 1980 to 2017 by three independent researchers. The primary endpoint was overall morbidity after stoma creation and reversal. Read More

Nihon Shokakibyo Gakkai Zasshi 2019 ;116(2):145-152

Department of Pathology, Kagawa Prefectural Central Hospital.

A ring-shaped ulcer was observed in the ileum of a 70-year-old male patient with capsule endoscopy of the small intestine performed for detailed investigation of black stools and iron deficiency anemia. Non-steroidal anti-inflammatory drugs (NSAIDs) use in patch form was considered as the etiology. The NSAIDs patches were discontinued, and protective therapy for small intestinal mucosa was initiated. Read More

BJS Open 2019 Feb 1;3(1):1-10. Epub 2018 Oct 1.

Department of Colorectal Surgery Cambridge University Hospitals NHS Foundation Trust Cambridge UK.

Background: Ileus is common after gastrointestinal surgery and has been identified as a research priority. Several issues have limited previous research, including a widely accepted definition and agreed outcome measure. This review is the first stage in the development of a core outcome set for the return of bowel function after gastrointestinal surgery. Read More

Kobe J Med Sci 2019 Jan 11;64(4):E157-E159. Epub 2019 Jan 11.

Department of Pediatrics, Kobe University Graduate School of Medicine, Kobe, Japan.

Fetal intestinal volvulus is a rare condition, and fetal diagnosis of this disease is still challenging, especially in primary cases not accompanied by other comorbidities, such as intestinal malformations. Herein, we report a case of fetal primary small bowel volvulus associated with acute gastric dilatation detected by ultrasonography. We speculate that the mechanism of acute gastric dilatation in our case was peristatic malfunction of the whole intestine caused by a strangulated ileus resulting from fetal intestinal volvulus. Read More

J Bras Pneumol 2018 Nov-Dec;44(6):498-504

. Centro Infantil, Instituto de Pesquisas Biomédicas, Pontifícia Universidade Católica do Rio Grande do Sul, Porto Alegre (RS) Brazil.

Objectives: To characterize the main identified mutations on cystic fibrosis transmembrane conductance regulator (CFTR) in a group of children and adolescents at a cystic fibrosis center and its association with the clinical and laboratorial characteristics.

Method: Descriptive cross-sectional study including patients with cystic fibrosis who had two alleles identified with CFTR mutation. Clinical, anthropometrical, laboratorial and pulmonary function (spirometry) data were collected from patients' records in charts and described with the results of the sample genotyping. Read More

Tech Coloproctol 2019 Jan 5;23(1):15-24. Epub 2019 Feb 5.

Department of Colorectal Surgery, Western General Hospital, Edinburgh, UK.

Background: Return of normal gastrointestinal (GI) function is a critical determinant of recovery after colorectal surgery. The aim of this meta-analysis was to evaluate whether perioperative intravenous (IV) lidocaine benefits return of gastrointestinal function after colorectal resection.

Methods: A comprehensive search of Ovid Medline, PubMed, Embase, Cochrane library, and clinicaltrials. Read More

Ned Tijdschr Geneeskd 2019 Jan 24;163. Epub 2019 Jan 24.

Erasmus MC, afd. Ziekenhuisapotheek, Rotterdam.

Background: In recent years, numerous reports have been published on body packers, i.e. people who use their own body to transport drugs. Read More

Bull Emerg Trauma 2019 Jan;7(1):72-75

Kirikkale University School of Medicine, Department of General Surgery, Kirikkale, Turkey.

Case Rep Gastrointest Med 2019 2;2019:2543808. Epub 2019 Jan 2.

Department of Internal Medicine II, Division of Gastroenterology, Rainweg 68, 07318 Saalfeld/Saale, Germany.

Fecal microbiota transplantation (FMT) is a novel strategy for the therapy of dysbiosis-associated disorders via modulation of the gut microbiota. Intestinal dysbiosis is associated not only with digestive disorders, but also with a variety of extra-digestive disorders. A worldwide increasing number of FMT can be expected in the future as well as an increase in adverse events. Read More

Surg Infect (Larchmt) 2019 Feb 4. Epub 2019 Feb 4.

Department of Surgery, University of Michigan Health System, Ann Arbor, Michigan.

Background: Current guidelines for the treatment of Clostridium difficile infections (CDIs) recommend vancomycin enemas for patients with adynamic ileus. There is significant variability in guideline recommendations for vancomycin dose and enema volume and whether a retention enema should be used. The most recent (2017) guidelines from the Infectious Diseases Society of America/Society for Healthcare Epidemiology of America recommend rectal instillation of 500 mg of vancomycin in 100 mL of physiologic saline every 6 hours as a retention enema. Read More

Biol Pharm Bull 2019 ;42(2):179-186

Department of Surgery, Division of Hepatobiliary Pancreas Surgery, Hyogo College of Medicine.

Daikenchuto (DKT) has been widely used for the treatment of postsurgical ileus in Japan. However, its effect on postsurgical adhesion formation has been obscure. In this study, the effect of DKT on postsurgical adhesion formation induced by cecum cauterization or cecum abrasion in mice was investigated. Read More

J Crit Care 2019 Jan 22;51:26-28. Epub 2019 Jan 22.

Department of Anesthesiology and Operative Intensive Care Medicine, Medical Center Cologne Merheim, University of Witten/Herdecke, Germany. Electronic address:

Mortality of patients treated on the intensive care unit suffering from cancer is high, especially when admitted with an unknown malignancy. Still, anti-tumor therapy in critically ill patients requiring mechanical ventilation is a clinical challenge. Over the last years, successful chemotherapy has been reported, even in critically ill patients with infections and organ failure. Read More

Clin Gastroenterol Hepatol 2019 Jan 30. Epub 2019 Jan 30.

General and Digestive Surgery Department. Reina Sofía University Hospital. Cordoba. Spain.

BMJ Case Rep 2019 Jan 28;12(1). Epub 2019 Jan 28.

Departments of Gastroenterology and Metabolism, Nagoya City University, Nagoya, Japan.

We describe a case of intestinal obstruction caused by a small bowel adenocarcinoma misdiagnosed as psychogenic disorder. A woman in her 40s was admitted to Nagoya City University Hospital with fatigue, anorexia, nausea and vomiting. CT, oesophagogastroduodenoscopy and colonoscopy revealed no signs of organic abnormality in her gastrointestinal tract. Read More

Gan To Kagaku Ryoho 2018 Dec;45(13):2453-2455

Dept. of Gastroenterological Surgery, Saitama Cancer Center.

Few cases of recurrent colorectal carcinomas were treated non-surgically and cured. Here, we report 3 such cases. Case No. Read More

Gan To Kagaku Ryoho 2018 Dec;45(13):2447-2449

Dept. of Surgery, Japan ease Red Cross Kobe Hospital.

A 90-year-old male underwent total gastrectomy for gastric cancer 10 months earlier. The cancer was pathologically diagnosed as Stage ⅢA. Preoperative serum CA19-9 level was as high as 1,326 U/mL, but quickly decreased after surgery. Read More

Gan To Kagaku Ryoho 2018 Dec;45(13):1934-1936

Dept. of Surgery, Shuuwa General Hospital.

We report a case of colon cancer with simultaneous liver metastases successfully treated with multidisciplinary therapy including two-stage hepatectomy. This is a case of a 72-year-old woman diagnosed with type 1 cecal cancer with 2 simulta- neous liver metastases(S4/8: 98mm, S3: 63mm). At first, laparoscopic resection of the primary site was performed to prevent colon ileus. Read More

Gan To Kagaku Ryoho 2018 Dec;45(13):1877-1879

Dept. of Surgery, Ogikubo Hospital.

The patient was a man in his 40s, who had undergone laparoscopic ileocecal resection with lymph node dissection(D3)for cecal cancer in January 2012. Histopathological examination of the resected specimens had revealed StageⅡ primary tumor with subserosal invasion and positive metastasis in 1-3 regional lymph nodes(pT2[SS]n1[+]). The pathological stage was Ⅲa(fStage Ⅲa), and the tumor showed RAS gene mutation. Read More

Gan To Kagaku Ryoho 2018 Dec;45(13):2261-2263

Dept. of Surgery, Kanmon Medical Center.

A 69-year-old man was administered an ileus tube for ileus by ascending colon cancer. The next day, he underwent right hemicolectomy with D3 lymph node dissection for perforative peritonitis due to ascending colon cancer. The pathological diagnosis was A, type 2, muc>tub1, pT3, pN0. Read More

Gan To Kagaku Ryoho 2018 Dec;45(13):2258-2260

Dept. of Gastrointestinal Tract Surgery, Fukushima Medical University.

A 69-year-old female was admitted to our hospital due to general malaise and appetite loss. On physical examination, a tumor was palpable in the upper left abdomen. A complete blood count revealed anemia. Read More

Gan To Kagaku Ryoho 2018 Dec;45(13):2117-2119

Dept. of Surgery, Shizuoka City Shimizu Hospital.

The patient was a 76-year-old man who was admitted to our hospital with a diagnosis of ileus. A gallbladder tumor was found incidentally on CT, and it was diagnosed as gallbladder cancer. Enlargement of multiple lymph nodes, including the paraaortic lymph nodes, was observed, and PET-CT further showed FDG uptake in the lymph nodes. Read More

Int J Surg Case Rep 2019 Jan 21;55:62-65. Epub 2019 Jan 21.

Caboolture Hospital, 120 McKean Street, 4510 Queenland, Australia. Electronic address:

Introduction: Severe acute pancreatitis is associated with high morbidity and mortality. This is a result of the development of pancreatic and extra-pancreatic necrosis with subsequent infection which can lead to multiorgan failure. Complications include localized ileus, abscess formation, mechanical obstruction, rupture and perforation into the gastrointestinal tract and fistula formation (Aldridge et al. Read More

Ann Surg 2019 Jan 24. Epub 2019 Jan 24.

Colorectal Center, Massachusetts General Hospital, Boston MA.

MINI: We began a quality improvement project distributing free Surgical Site Infection Prevention Kits (SSIPK) to all patients undergoing elective colectomy. Patients who received the kit, compared to propensity matched controls who did not receive the kit, had fewer postoperative surgical site infections, lower rates of postoperative ileus, shorter hospital lengths of stay, and fewer readmissions.

Introduction: Patient compliance with preoperative mechanical and antibiotic bowel preparation, skin washes, carbohydrate loading, and avoidance of fasting are key components of successful colorectal ERAS and surgical site infection (SSI)-reduction programs. Read More

J Neurosurg Spine 2019 Jan 25:1-15. Epub 2019 Jan 25.

OBJECTIVEMinimally invasive anterolateral retroperitoneal approaches for lumbar interbody arthrodesis have distinct advantages attractive to spine surgeons. Prepsoas or transpsoas trajectories can be employed with differing complication profiles because of the inherent anatomical differences encountered in each approach. The evidence comparing them remains limited because of poor quality data. Read More

Clin Nutr 2019 Jan 15. Epub 2019 Jan 15.

Department of Digestive System, Center for Chronic Intestinal Failure, St Orsola-Malpighi Hospital, University of Bologna, Via Massarenti, 9, 40138, Bologna, Italy. Electronic address:

Background & Aims: Intestinal failure (IF) is defined from a requirement or intravenous supplementation due to failing capacity to absorb nutrients and fluids. Acute IF is an acute, potentially reversible form of IF. We aimed to identify the prevalence, underlying causes and outcomes of acute IF. Read More

Surg Endosc 2019 Jan 23. Epub 2019 Jan 23.

Department of General Surgery and Surgical Specialties "Paride Stefanini", Sapienza University of Rome, Viale del Policlinico 155, 00161, Rome, Italy.

Background: The aim of this study is to evaluate the feasibility, safety, advantages and surgical outcomes of laparoscopic bilateral adrenalectomy (LBA) by an anterior transperitoneal approach.

Methods: From 1994 to 2018, 552 patients underwent laparoscopic adrenalectomy, unilateral in 531 and bilateral in 21 patients (9 females and 12 males). All patients who underwent LBA were approached via a transperitoneal anterior route and form our study population. Read More

JSLS 2019 Jan-Mar;23(1)

Department of Surgery, St. Joseph Mercy Hospital, Ann Arbor, Michigan USA.

Background And Objectives: The role for the robotic-assisted approach as a minimally invasive alternative to open colorectal surgery is in the evaluation phase. While the benefits of minimally invasive colorectal surgery when compared to the open approach have been clearly demonstrated, the adoption of laparoscopy has been limited. The purpose of this study was to evaluate clinical outcomes, hospital and payer characteristics of patients undergoing robotic-assisted, laparoscopic, and open elective sigmoidectomy for diverticular disease in the United States. Read More

Asian J Endosc Surg 2019 Jan 22. Epub 2019 Jan 22.

Department of Surgery, Division of Gastroenterological Surgery, Aichi Medical University, Nagakute, Japan.

Introduction: The primary concern with laparoscopic intraoperative peritoneal lavage (IOPL) for generalized peritonitis relates to the difficulty and uncertainty in ensuring adequate washout of contaminated fluid. Here, we describe a new method of laparoscopy-assisted IOPL.

Methods: We performed emergency surgery in 10 patients with generalized peritonitis necessitating IOPL. Read More

Vasc Specialist Int 2018 Dec 31;34(4):83-87. Epub 2018 Dec 31.

Department of Surgery, Ilsan Paik Hospital, Inje University College of Medicine, Goyang, Korea.

Purpose: Thrombosis of the portal vein, known as pylephlebitis, is a rare and fatal complication caused by intraperitoneal infections. The disease progression of superior mesenteric venous thrombosis (SMVT) is not severe. This study aimed to determine the clinical features, etiology, and prognosis of SMVT. Read More

Obstet Gynecol Sci 2019 Jan 26;62(1):56-64. Epub 2018 Nov 26.

Department of Obstetrics and Gynecology, CHA Gangnam Medical Center, CHA University School of Medicine, Seoul, Korea.

Objective: To evaluate the feasibility of robotic single-site myomectomy (RSSM).

Methods: Medical records of 355 consecutive women who underwent robotic-assisted laparoscopic myomectomy were retrospectively reviewed. Clinical characteristics were compared between multi-site and single-site systems. Read More

Inflamm Bowel Dis 2019 Jan 18. Epub 2019 Jan 18.

Division ofPediatric Surgery, Mayo Clinic, Rochester Minnesota, USA.

Background: Restorative proctocolectomy and ileal pouch anal anastomosis (IPAA) has become the procedures of choice for restoration of intestinal continuity in ulcerative colitis or familial adenomatous polyposis. This systematic review aims to assess short-term postoperative and long-term functional outcomes in pediatric patients undergoing IPAA.

Methods: A literature search was performed for all publications of pediatric IPAA in which short- and long-term outcomes were reported. Read More

Iran J Med Sci 2019 Jan;44(1):70-73

Department of General Surgery, General Hospital of Drama, Greece.

Bezoars are rare conditions of mechanical intestinal occlusion. Among the various types of bezoars, phytobezoars and trichobezoars are the most common types. Symptoms are usually indistinguishable from other more common entities; therefore, it may be difficult to reach a correct diagnosis. Read More

Surg Obes Relat Dis 2018 Nov 24. Epub 2018 Nov 24.

Department of International Business, Chien Hsin University of Science and Technology, Taoyuan, Taiwan.

Background: Single-anastomosis duodeno-jejunal bypass with sleeve gastrectomy (SADJB-SG) was developed as a simplified technique of DJB-SG, but long-term data are lacking.

Objective: To report the long-term data of SADJB-SG.

Setting: Tertiary Teaching Hospital. Read More

J Visc Surg 2019 Jan 18. Epub 2019 Jan 18.

Service de chirurgie viscérale et digestive, centre hospitalier de Beauvais, 40, avenue Léon-Blum, 60000 Beauvais, France; Unité de recherche clinique, centre hospitalier de Beauvais, 40, avenue Léon-Blum, 60000 Beauvais, France; Unité de recherche « soins des patients chirurgicaux complexes », université de Picardie Jules-Vernes, boulevard de Chateaudain, 80000 Amiens, France. Electronic address:

Case Rep Surg 2018 19;2018:8965930. Epub 2018 Dec 19.

New York Presbyterian-Queens, 56-45 Main Street, Flushing NY 11355, USA.

Primary enterolithiasis is a relatively uncommon but important cause of small bowel obstruction. We present a case of a 69-year-old male with a history of laparoscopic Roux-en-Y gastric bypass and asymptomatic duodenal diverticulum diagnosed with small bowel obstruction. CT imaging showed an obstruction distal to the jejunojejunostomy, and surgical intervention was warranted. Read More

J Korean Med Sci 2019 Jan 7;34(3):e21. Epub 2019 Jan 7.

Department of Pediatrics, Seoul National University College of Medicine, Seoul, Korea.

Background: To evaluate the efficacy and safety of fentanyl for sedation therapy in mechanically ventilated children.

Methods: This was a double-blind, randomized controlled trial of mechanically ventilated patients between 2 months and 18 years of age. Patients were randomly divided into two groups; the control group with midazolam alone, and the combination group with both fentanyl and midazolam. Read More

Mol Clin Oncol 2019 Jan 16;10(1):185-187. Epub 2018 Nov 16.

Department of Clinical Therapeutics, National and Kapodistrian University of Athens School of Medicine, Alexandra Hospital, 11528 Athens, Greece.

Synovial sarcoma is a high-grade soft tissue sarcoma, divided histologically into 3 types: Monophasic, biphasic and poorly differentiated. An extremely rare case of obstructive ileus due to monophasic synovial sarcoma in a 54-year-old male patient is reported in the present study. The patient presented to the emergency department with signs and symptoms of obstructive ileus. Read More

Nat Rev Gastroenterol Hepatol 2019 Feb;16(2):76

Nature Reviews Gastroenterology & Hepatology, .

BMC Health Serv Res 2019 Jan 14;19(1):36. Epub 2019 Jan 14.

Division of Emergency Medicine, Department of Community Medicine, Primary Care and Emergency Medicine, Geneva University Hospitals and School of Medicine, Geneva University, rue Gabrielle Perret-Gentil 2, 1205, Geneva, Switzerland.

Background: Plain abdominal radiography (PAR) is routinely performed in emergency departments (EDs). This study aimed to (1) identify the indications for PAR in EDs and compare them against international guidelines, (2) uncover predictors of non-compliance with guidelines, and (3) describe the use of additional radiological examinations in EDs.

Methods: Retrospective cohort study in the EDs of two hospitals in Geneva, Switzerland, including all adult patients who underwent PAR in the EDs. Read More

PLoS One 2019 14;14(1):e0210797. Epub 2019 Jan 14.

Department of Pediatric Surgery, Charles University in Prague, 2nd Faculty of Medicine, University Hospital Motol in Prague, Prague, Czech Republic.

Background/purpose: We analyzed the capacity of urinary Intestinal fatty acid-binding protein (I-FABP) to quantify the degree of mucosal injury in neonates with gastroschisis (GS) and to predict the speed of their clinical recovery after surgery.

Methods: In this prospective study, we collected urine during the first 48h after surgery from neonates operated between 2012 and 2015 for GS. Neonates with surgery that did not include gut mucosa served as controls for simple GS and neonates with surgery for intestinal atresia served as control for complex GS patients. Read More