5,427 results match your criteria Journal of Gastrointestinal Surgery[Journal]


Trends in Utilization and Relative Complication Rates of Bariatric Procedures.

J Gastrointest Surg 2019 Apr 22. Epub 2019 Apr 22.

Department of Surgery, University of North Carolina-Chapel Hill, 4035 Burnett-Womack, Campus Box 7081, Chapel Hill, NC, 27599-7081, USA.

Background: Laparoscopic sleeve gastrectomy and laparoscopic adjustable gastric banding have been popular alternatives to laparoscopic Roux-en-Y gastric bypass due to their technical ease and lower complication rates. Comprehensive longitudinal data are necessary to guide selection of the appropriate bariatric procedures for individual patients.

Methods: We used the Truven Heath Analytics MarketScan® database between 2000 and 2015 to identify patients undergoing bariatric surgery. Read More

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http://dx.doi.org/10.1007/s11605-018-3951-2DOI Listing

Clinicopathological Features and Prognosis of Small Gastric Gastrointestinal Stromal Tumors (GISTs).

J Gastrointest Surg 2019 Apr 22. Epub 2019 Apr 22.

Department of General Surgery, Zhongshan Hospital, Fudan University, 180 Fenglin Road, Xuhui District, Shanghai, 200032, China.

Background: The aim of the present study was to evaluate the safety of endoscopic surgery, the clinicopathological features, and prognoses of small gastric gastrointestinal stromal tumors (GISTs).

Methods: Small gastric GIST patients (diameter: 0.10-2. Read More

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http://dx.doi.org/10.1007/s11605-018-04070-3DOI Listing

Minimally Invasive Liver Resection for Early-Stage Hepatocellular Carcinoma: Inconsistent Outcomes from Matched or Weighted Cohorts.

J Gastrointest Surg 2019 Apr 22. Epub 2019 Apr 22.

Department of Surgery, Division of Surgical Oncology, The Ohio State University Wexner Medical Center and James Cancer Hospital and Solove Research Institute, Columbus, OH, USA.

Background: The aim of the current study was to re-evaluate the role of minimally invasive liver resection (MILR) among patients with early-stage (stage I or II) hepatocellular carcinoma (HCC) undergoing partial hepatectomy.

Methods: A retrospective analysis of the National Cancer Database (NCDB) was conducted to identify patients with early-stage HCC who underwent partial hepatectomy in the USA from 2010 to 2013. Overall survival (OS) was compared in three cohorts: crude; stabilized inverse probability of treatment propensity score weighting (IPTW); and propensity score matching (PSM). Read More

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http://dx.doi.org/10.1007/s11605-019-04221-0DOI Listing

The Evaluation of the Eighth Edition of the AJCC/UICC Staging System for Intrahepatic Cholangiocarcinoma: a Proposal of a Modified New Staging System.

J Gastrointest Surg 2019 Apr 22. Epub 2019 Apr 22.

Division of Hepato-Biliary-Pancreatic Surgery, Shizuoka Cancer Center, 1007, Shimo-Nagakubo, Sunto-Nagaizumi, Shizuoka, 4118777, Japan.

Background: The objective was to clarify the prognostic impact of the 8th edition of American Joint Committee on Cancer (AJCC)/International Union Against Cancer (UICC) of intrahepatic cholangiocarcinoma (ICC).

Methods: A total of 103 ICC patients who underwent hepatectomy between 2002 and 2016 were enrolled. The survival impact of AJCC/UICC 8th edition was examined. Read More

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http://dx.doi.org/10.1007/s11605-019-04185-1DOI Listing

Three-Dimensional Visualization Technology Used in Pancreatic Surgery: a Valuable Tool for Surgical Trainees.

J Gastrointest Surg 2019 Apr 22. Epub 2019 Apr 22.

Department of General Surgery, Peking Union Medical College Hospital (PUMCH), Chinese Academy of Medical Sciences & Peking Union Medical College (CAMS & PUMC), Beijing, 100730, China.

Purpose: Three-dimensional (3D) visualization technology has been increasingly applied in patient-specific surgeries, but its value in residency training has not been determined. This study aimed to explore the value of 3D visualized pancreatic model in tumor evaluation and surgery planning for surgical trainees.

Methods: Eighty-eight surgical residents were randomized into two groups (computed tomography (CT) group and 3D group). Read More

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http://dx.doi.org/10.1007/s11605-019-04214-zDOI Listing

Oncological Outcomes of Patients with Locally Advanced Rectal Cancer and Lateral Pelvic Lymph Node Involvement.

J Gastrointest Surg 2019 Apr 22. Epub 2019 Apr 22.

Department of Colorectal Surgery, Digestive Disease and Surgery Institute, Cleveland Clinic, 9500 Euclid Ave., Cleveland, OH, 44195, USA.

Introduction: The optimal management of patients with radiologically positive lateral pelvic lymph nodes in locally advanced rectal cancer remains unclear. We compared local recurrence rates and oncological outcomes of patients with locally advanced cancer with and without lateral pelvic lymph nodes.

Methods: Patients who underwent curative surgery for stage III rectal adenocarcinoma between 2009 and 2014 and had a preoperative MRI at our institution as well as preoperative neoadjuvant treatment were included. Read More

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http://dx.doi.org/10.1007/s11605-019-04224-xDOI Listing

Resident Operative Experience in Hepatopancreatobiliary Surgery: Exposing the Divide.

J Gastrointest Surg 2019 Apr 22. Epub 2019 Apr 22.

Cincinnati Research on Education in Surgical Training (CREST), Department of Surgery, University of Cincinnati, 231 Albert Sabin Way, ML 0558, Cincinnati, OH, 45267-0558, USA.

Background: The Accreditation Council for Graduate Medical Education (ACGME) requires an experience in hepatopancreatobiliary (HPB) surgery as part of general surgery residency training. The composition of this experience, however, is unclear. We set out to evaluate current trends in the HPB experience of US general surgery residents. Read More

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http://dx.doi.org/10.1007/s11605-019-04226-9DOI Listing

Long-Term Outcomes Following Laparoscopic Repair of Large Hiatus Hernias Performed by Trainees Versus Consultant Surgeons.

J Gastrointest Surg 2019 Apr 22. Epub 2019 Apr 22.

Discipline of Surgery Flinders University, Flinders Medical Centre, Bedford Park, South Australia, 5042, Australia.

Background: The laparoscopic approach is the preferred method for repair of large hiatus hernias but can be technically challenging. Training surgeons need experience as the primary operator to gain competency in this operation. However, learning the procedure should not compromise the functional long-term outcome for patients. Read More

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http://link.springer.com/10.1007/s11605-019-04218-9
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http://dx.doi.org/10.1007/s11605-019-04218-9DOI Listing
April 2019
1 Read

A Randomized, Placebo-Controlled, Double-Blind Study that Evaluates Efficacy of Intravenous Ibuprofen and Acetaminophen for Postoperative Pain Treatment Following Laparoscopic Cholecystectomy Surgery.

J Gastrointest Surg 2019 Apr 22. Epub 2019 Apr 22.

Department of General Surgery, Istanbul Medipol University, Bagcilar, 34000, Istanbul, Turkey.

Background: Ibuprofen is a NSAID that has anti-inflammatory, antipyretic, and analgesic effects. The oral form of the drug has been used safely for a long time and is one of the most preferred NSAIDs. It has been shown that ibuprofen is effective in the treatment of postoperative pain; however, there have not been sufficient studies on ibuprofen. Read More

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http://dx.doi.org/10.1007/s11605-019-04220-1DOI Listing

Effective and Safe Living Donor Hepatectomy Under Intermittent Inflow Occlusion and Outflow Pressure Control.

J Gastrointest Surg 2019 Apr 22. Epub 2019 Apr 22.

Department of Surgery and Science, Graduate School of Medical Sciences, Kyushu University, Fukuoka, 812-8582, Japan.

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http://dx.doi.org/10.1007/s11605-019-04196-yDOI Listing

Endorectal Advancement Flaps for Perianal Fistulae in Crohn's Disease: Careful Patient Selection Leads to Optimal Outcomes.

J Gastrointest Surg 2019 Apr 12. Epub 2019 Apr 12.

UC San Diego Health System, San Diego, CA, USA.

Background: Anorectal fistulae resultant from Crohn's disease (CD) is a clinical challenge. The advent of immune therapy (IT) has altered the way in which fistulae have responded to treatment. Endorectal advancement flap (ERAF) is a surgical procedure that is used to treat complex fistulae. Read More

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http://dx.doi.org/10.1007/s11605-019-04205-0DOI Listing
April 2019
2 Reads

Perioperative Fluid Administration in Pancreatic Surgery: a Comparison of Three Regimens.

J Gastrointest Surg 2019 Apr 3. Epub 2019 Apr 3.

Unit of Anesthesia and Intensive Care B; Department of Surgery, Dentistry, Paediatrics and Gynaecology, University of Verona, AOUI-University Hospital Integrated Trust of Verona, Piazzale L.A. Scuro 10, 37134, Verona, Italy.

Background: Optimization of perioperative fluid management is a controversial issue. Weight-adjusted, fixed fluid strategies do not take into account patient hemodynamic status, so that individualized strategies guided by relevant variables may be preferable. We studied this issue in patients undergoing pancreatic surgery within our institution. Read More

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http://dx.doi.org/10.1007/s11605-019-04166-4DOI Listing
April 2019
1 Read

Clinicopathological Features, Recurrence Patterns, and Prognosis of Pancreatic Adenocarcinoma with Normal Serum CA19-9. A Consecutive Series of 154 Cases from a Single Institute.

J Gastrointest Surg 2019 Apr 3. Epub 2019 Apr 3.

Department of Pancreatic and Gastric surgery, National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, 100021, China.

Background: Serum levels of CA19-9 correlate with recurrence and survival in patients with pancreatic adenocarcinoma; however, little is known about the features and prognosis of pancreatic adenocarcinoma with normal CA19-9 levels.

Method: Patients with pancreatic adenocarcinoma (n = 806) were split into two groups with normal (≤ 37 U/mL) and elevated (> 37 U/mL) CA19-9. The clinicopathological features, survival, and recurrence patterns were compared between two groups. Read More

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http://dx.doi.org/10.1007/s11605-019-04209-wDOI Listing
April 2019
9 Reads

Justifying Total Costs of Extended Venothromboembolism Prophylaxis After Colorectal Cancer Surgery.

J Gastrointest Surg 2019 Apr 3. Epub 2019 Apr 3.

Department of Surgery, Johns Hopkins University School of Medicine, Baltimore, MD, USA.

Background: Current guidelines recommend extended venothromboembolism (VTE) prophylaxis for most patients following colorectal cancer surgery, but provider uptake has been limited. The purpose of this study was to identify thresholds for when such extended prophylaxis (ePpx) may be value-appropriate.

Methods: All colorectal cancer postoperative discharges were identified within a private payer administrative database (MarketScan® 2010-2014, IBM Truven Health Analytics). Read More

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http://dx.doi.org/10.1007/s11605-019-04206-zDOI Listing
April 2019
3 Reads

Natural Course of Acute Cholecystitis in Patients Treated With Percutaneous Transhepatic Gallbladder Drainage Without Elective Cholecystectomy.

J Gastrointest Surg 2019 Apr 3. Epub 2019 Apr 3.

Division of Trauma and Emergency Surgery, General Surgery, Chang Gung Memorial Hospital, No. 5, Fuxing St., Guishan Dist., Taoyuan, 333, Republic of China.

Background: Percutaneous transhepatic gallbladder drainage (PTGBD) is an alternative treatment for acute cholecystitis (AC). We aimed to understand the natural course of AC in patients treated with PTGBD but without later definitive treatments, such as laparoscopic cholecystectomy.

Methods: This was a retrospective study of the period from June 2010 to December 2016, during which time 2371 patients were diagnosed with AC and 625 received PTGBD treatment. Read More

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http://dx.doi.org/10.1007/s11605-019-04213-0DOI Listing
April 2019
1 Read

Arterial, but Not Venous, Reconstruction Increases 30-Day Morbidity and Mortality in Pancreaticoduodenectomy.

J Gastrointest Surg 2019 Apr 3. Epub 2019 Apr 3.

Department of Surgery, George Washington University Medical Center, Washington, DC, USA.

Background: Vascular reconstruction during pancreaticoduodenectomy is increasingly utilized to improve pancreatic cancer resectability. However, few multi-institutional studies have evaluated the morbidity and mortality of arterial and venous reconstruction during this procedure.

Methods: A retrospective analysis was performed utilizing the targeted pancreas module of the American College of Surgeons National Surgical Quality Improvement Program (NSQIP) for pancreaticoduodenectomy from 2014 to 2015. Read More

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http://dx.doi.org/10.1007/s11605-019-04211-2DOI Listing

Clinical Outcomes of Minimally Invasive Enucleation of Leiomyoma of the Esophagus and Esophagogastric Junction.

J Gastrointest Surg 2019 Apr 2. Epub 2019 Apr 2.

Department of Biomedical Sciences for Health, Division of General Surgery, IRCCS Policlinico San Donato, University of Milan, Milan, Italy.

Objective: Minimally invasive enucleation is the treatment of choice in symptomatic patients with esophageal leiomyoma. Comprehensive long-term follow-up data are lacking. Aim of this study was to review the clinical outcomes of three procedures for enucleation of leiomyoma of the esophagus and esophagogastric junction. Read More

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http://dx.doi.org/10.1007/s11605-019-04210-3DOI Listing
April 2019
4 Reads

Advanced Gastrointestinal Surgery Fellowship Graduates Are Desirable to Current US General Surgery Practices: Results of a SSAT Sponsored Survey.

J Gastrointest Surg 2019 Apr 2. Epub 2019 Apr 2.

Department of Surgery, Methodist Richardson Medical Center, 2805 E. President George Bush Hwy, Richardson, TX, 75082, USA.

Background: Fellowship training after surgery residency has become commonplace. The concept of an advanced gastrointestinal (AGI) surgical fellowship has been implemented through the SSAT and Fellowship Council (FC). Newer and more competitive requirements are being proposed through a taskforce inclusive of many surgical societies. Read More

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http://link.springer.com/10.1007/s11605-019-04208-x
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http://dx.doi.org/10.1007/s11605-019-04208-xDOI Listing
April 2019
3 Reads

Pancreatic Nerve Sheath Tumors: a Single Institutional Series and Systematic Review of the Literature.

J Gastrointest Surg 2019 Apr 2. Epub 2019 Apr 2.

Departments of Surgery, Johns Hopkins Hospital, Baltimore, MD, USA.

Introduction: Improvement in imaging has resulted in frequent diagnosis of benign and premalignant pancreatic tumors. Pancreatic nerve sheath (PNS) tumors are one of the rarest pancreatic tumors. Literature on PNS is limited and their biology is poorly understood. Read More

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http://dx.doi.org/10.1007/s11605-019-04201-4DOI Listing
April 2019
1 Read

Predictive Factors of Postoperative Delirium in Patients After Pancreaticoduodenectomy.

J Gastrointest Surg 2019 Apr 2. Epub 2019 Apr 2.

Department of Surgery, Toyonaka Municipal Hospital, 4-14-1 Shibahara, Toyonaka, Osaka, 560-8565, Japan.

Background: Postoperative delirium is a common serious complication after various types of surgery. However, the incidence and predictive factors associated with delirium after pancreaticoduodenectomy (PD) have not been investigated. Thus, this study aimed to investigate the incidence and predictive factors of postoperative delirium in patients who underwent PD. Read More

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http://dx.doi.org/10.1007/s11605-019-04212-1DOI Listing
April 2019
6 Reads

Evaluating the ACS NSQIP Risk Calculator in Primary Pancreatic Neuroendocrine Tumor: Results from the US Neuroendocrine Tumor Study Group.

J Gastrointest Surg 2019 Apr 2. Epub 2019 Apr 2.

Division of Surgical Oncology, The Ohio State University Wexner Medical Center and James Comprehensive Cancer Center, Columbus, OH, USA.

Background: In a changing health care environment where patient outcomes will be more closely scrutinized, the ability to predict surgical complications is becoming increasingly important. The American College of Surgeons National Surgical Quality Improvement Program (ACS NSQIP) online risk calculator is a popular tool to predict surgical risk. This paper aims to assess the applicability of the ACS NSQIP calculator to patients undergoing surgery for pancreatic neuroendocrine tumors (PNETs). Read More

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http://dx.doi.org/10.1007/s11605-019-04120-4DOI Listing
April 2019
1 Read

Evaluation of the ACS NSQIP Surgical Risk Calculator in Elderly Patients Undergoing Hepatectomy for Hepatocellular Carcinoma.

J Gastrointest Surg 2019 Apr 1. Epub 2019 Apr 1.

Department of Surgery, The Urban Meyer III and Shelley Meyer Chair for Cancer Research, The Ohio State University Wexner Medical Center, 395 W. 12th Ave., Suite 670, Columbus, OH, USA.

Background: The American College of Surgeons National Surgical Quality Improvement Program (ACS NSQIP) surgical risk calculator (SRC) aims to help predict patient-specific risk for morbidity and mortality. The performance of the SRC among an elderly population undergoing curative-intent hepatectomy for hepatocellular carcinoma (HCC) remains unknown.

Methods: Patients > 70 years of age who underwent hepatectomy for HCC between 1998 and 2017 were identified using a multi-institutional international database. Read More

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http://dx.doi.org/10.1007/s11605-019-04174-4DOI Listing

Robot-Assisted Oesophagectomy: Recommendations Towards a Standardised Ivor Lewis Procedure.

J Gastrointest Surg 2019 Apr 1. Epub 2019 Apr 1.

Department for General, Visceral-, Thoracic-, Transplantation-, and Pediatric Surgery, Kurt Semm Center for Minimal Invasive and Robotic Surgery, University Hospital Schleswig Holstein, Campus Kiel, Arnold Heller Str. 3, 24105, Kiel, Germany.

A considerable number of reports have been published on the feasibility, techniques, and early postoperative results of robotic-assisted oesophageal surgery. However, these are mostly smaller case series, suggesting that the robot-assisted Ivor Lewis procedure is still in the implementation phase and far from being standardised. Oesophageal surgeons from seven robotic university centres in Germany, experienced in both minimally invasive and robot-assisted minimally invasive surgery, took part in a workshop on robot-assisted surgery. Read More

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http://dx.doi.org/10.1007/s11605-019-04207-yDOI Listing
April 2019
1 Read

Morpheus and the Underworld-Interventions to Reduce the Risks of Opioid Use After Surgery: ORADEs, Dependence, Cancer Progression, and Anastomotic Leakage.

J Gastrointest Surg 2019 Apr 1. Epub 2019 Apr 1.

Department of Upper Gastrointestinal Surgery, Liverpool Hospital, Suite 6, Level 2, 171 Bigge St, Liverpool, Sydney, NSW, 2170, Australia.

Background: Perioperative pain management is a key element of enhanced recovery after surgery (ERAS) programs. A multimodal approach to analgesia as part of a coordinated ERAS includes the reduction of opioid use. This review aims to discuss opioid-related adverse events, strategies to reduce opioid use after surgery, and the relevance to the present "opioid crisis" in North America. Read More

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http://link.springer.com/10.1007/s11605-019-04167-3
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http://dx.doi.org/10.1007/s11605-019-04167-3DOI Listing
April 2019
6 Reads

Short-Term Clinical Outcomes After Laparoscopic and Robotic Gastrectomy for Gastric Cancer: a Propensity Score Matching Analysis.

J Gastrointest Surg 2019 Apr 1. Epub 2019 Apr 1.

Department of General Surgery, The Affiliated Hospital of Qingdao University, 16# Jiangsu Road, Qingdao, 266000, Shandong Province, People's Republic of China.

Background: The different advantages of laparoscopic gastrectomy (LG) and robotic gastrectomy (RG), two new minimally invasive surgical techniques for gastric cancer, remain controversial.

Purpose: To compare the short-term clinical outcomes of LG and RG.

Methods: A retrospective, single-center comparative study of 1044 patients (LG = 750, RG = 294) was conducted. Read More

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http://dx.doi.org/10.1007/s11605-019-04158-4DOI Listing
April 2019
1 Read

Lymph Node Noncompliance Affects the Long-Term Prognosis of Patients with Gastric Cancer after Laparoscopic Total Gastrectomy.

J Gastrointest Surg 2019 Apr 1. Epub 2019 Apr 1.

Department of Gastric Surgery, Fujian Medical University Union Hospital, Fuzhou, Fujian Province, China.

Background: Our study investigated the effect of lymph node (LN) noncompliance on the long-term prognosis of patients after laparoscopic total gastrectomy (LTG) and explored the risk factors of LN noncompliance.

Methods: The clinicopathological data of gastric cancer (GC) patients who underwent LTG with D2 lymphadenectomy from June 2007 to December 2013 were prospectively collected and retrospectively analyzed. The effects of LN noncompliance on the long-term prognosis of patients with GC after LTG were explored. Read More

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http://dx.doi.org/10.1007/s11605-019-04199-9DOI Listing

Incidence and Clinical Outcomes of Gonadal Artery Injury during Colorectal Surgery in Male Patients.

J Gastrointest Surg 2019 Apr 1. Epub 2019 Apr 1.

Division of Colorectal Surgery, Department of Surgery, Kaohsiung Veteran General Hospital, 386 Ta-Chung 1st RD, Kaohsiung, Taiwan, 81346, Republic of China.

Background: Gonadal artery is susceptible to accidental injury due to their anatomical proximity to the colon and rectum. There are few literature reviews focusing on this injury during colorectal surgery. We conduct a retrospective study to evaluate the incidence and the clinical significance of these injuries in terms of testicular size and testicular enhancement on the contrast CT scan. Read More

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http://dx.doi.org/10.1007/s11605-019-04197-xDOI Listing
April 2019
1 Read

Neo-adjuvant Chemotherapy-Induced Neutropenia Is Associated with Histological Responses and Outcomes after the Resection of Colorectal Liver Metastases.

J Gastrointest Surg 2019 Apr 1. Epub 2019 Apr 1.

Department of Hepatobiliary Surgery, National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, 100021, China.

Background: Neutropenia, the major adverse event in chemotherapy, is associated with favourable clinical outcome in several solid tumours. We aimed to investigate the predictive value of neo-adjuvant chemotherapy (NAC)-induced neutropenia for the pathological response and prognosis in colorectal liver metastases (CRLM) patients.

Methods: A retrospective review was performed in 141 CRLM patients receiving NAC followed by liver resection. Read More

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http://dx.doi.org/10.1007/s11605-019-04202-3DOI Listing
April 2019
2 Reads

Can Proximal Gastrectomy with Double-Tract Reconstruction Replace Total Gastrectomy? A Propensity Score Matching Analysis.

J Gastrointest Surg 2019 Apr 1. Epub 2019 Apr 1.

Department of Surgery and Research Institute for Convergence of Biomedical Science and Technology, Pusan National University Yangsan Hospital, Yangsan, Gyeongsangnam-do, 50612, Republic of Korea.

Background: This retrospective cohort study compared proximal gastrectomy (PG) with double-tract reconstruction (DTR) versus total gastrectomy (TG) with Roux-en-Y reconstruction in terms of clinical outcomes.

Methods: All consecutive patients with upper early gastric cancer (EGC) who underwent PG-DTR or TG in 2008-2016 were selected. TG patients who matched PG-DTR patients in age, sex, body mass index, clinical stage, and ASA score were selected by propensity score matching. Read More

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http://dx.doi.org/10.1007/s11605-019-04195-zDOI Listing
April 2019
2 Reads

Three-Dimensional Fixation: Pathological Protocol Following Pancreaticoduodenectomy with Portal Vein Resection for Pancreatic Cancer.

J Gastrointest Surg 2019 Apr 1. Epub 2019 Apr 1.

Department of Hepato-Biliary-Pancreatic Surgery, Cancer Institute Hospital, Japanese Foundation for Cancer Research, 3-8-31 Ariake, Koto-ku, Tokyo, 135-8550, Japan.

Background: Although existing histopathologic protocols for pancreatic cancer have been standardized, the relevance between prognosis and resection margin clearance is still controversial. Reconstruction of specimens as in situ to appropriately assess the margin is desirable in these protocols.

Methods: The three-dimensional fixation protocol defined specimen handling of pancreaticoduodenectomy (PD) with portal vein (PV) resection. Read More

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http://dx.doi.org/10.1007/s11605-019-04203-2DOI Listing
April 2019
1 Read

Perioperative Complications and Outcomes after Intestinal Autotransplantation for Neoplasms Involving the Superior Mesenteric Artery.

J Gastrointest Surg 2019 Apr 1. Epub 2019 Apr 1.

State Key Laboratory of Cancer Biology & National Clinical Research Center for Digestive Diseases, Xijing Hospital, The Fourth Military Medical University, 127 Changle West Rd, Xi'an, Shannxi, 710032, People's Republic of China.

Background: Intestinal autotransplantation (IATx) is a novel surgical technique for neoplasms arising from the pancreas, duodenum, mesentery, or retroperitoneum with involvement of the superior mesenteric artery (SMA). The value of this aggressive procedure remains to be defined. We describe its surgical indications, postoperative complications, and clinical outcomes after IATx. Read More

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http://dx.doi.org/10.1007/s11605-019-04204-1DOI Listing
April 2019
1 Read

Systemic Immune-Inflammation Index (SII) Predicts Poor Survival in Pancreatic Cancer Patients Undergoing Resection.

J Gastrointest Surg 2019 Mar 28. Epub 2019 Mar 28.

Department of Surgery, Comprehensive Cancer Center (CCC), Medical University Vienna and Pancreatic Cancer Unit, Spitalgasse 23, 1090, Vienna, Austria.

Background: The systemic immune-inflammation index based on peripheral neutrophil, lymphocyte, and platelet counts has shown a prognostic impact in several malignancies. The aim of this study was to determine the prognostic role of systemic immune-inflammation index in patients with pancreatic ductal adenocarcinoma undergoing resection.

Methods: Consecutive patients who underwent surgical resection at the department of surgery at the Medical University of Vienna between 1995 and 2014 were included into this study. Read More

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http://link.springer.com/10.1007/s11605-019-04187-z
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http://dx.doi.org/10.1007/s11605-019-04187-zDOI Listing
March 2019
3 Reads

Investigating the Survival Benefit of Combining Radiotherapy for Surgery Treated Locally Advanced Esophageal Squamous Cell Carcinoma Patients Aged 65 and Older.

J Gastrointest Surg 2019 Mar 20. Epub 2019 Mar 20.

Department of Radiation Oncology, Second Affiliated Hospital, Xi'an Jiaotong University, No.157, Xi Wu Road, Xi'an, 710004, Shaanxi, China.

Purpose: To evaluate the survival benefit of combining radiotherapy with surgery in locally advanced esophageal squamous cell carcinoma (ESCC) patients aged over 65.

Methods: Using the SEER database, we selected patients age ≥ 65 years that were diagnosed as locally advanced ESCC during 2004-2013. Cancer-specific survival (CSS) was examined using the Kaplan-Meier analysis and compared by the log-rank test. Read More

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http://dx.doi.org/10.1007/s11605-019-04200-5DOI Listing
March 2019
3 Reads

Early Systemic Inflammatory Response Syndrome Duration Predicts Infected Pancreatic Necrosis.

J Gastrointest Surg 2019 Mar 19. Epub 2019 Mar 19.

Department of Emergency, Hunan Provincial People's Hospital (The First Affiliated Hospital of Hunan Normal University), 61 Jiefang Road, Changsha, 410005, Hunan, People's Republic of China.

Background And Purpose: Systemic inflammatory response syndrome (SIRS) was considered to play an important role in the progress of acute pancreatitis, but its specific relation with infected pancreatic necrosis remains largely unclear. We aimed to investigate the correlation between SIRS duration and infected pancreatic necrosis, and its application in prediction of infected pancreatic necrosis.

Methods: A prospective observational cohort study of 2130 patients with acute pancreatitis from 2012 to 2017. Read More

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http://dx.doi.org/10.1007/s11605-019-04149-5DOI Listing
March 2019
2.798 Impact Factor

Survival after Resection of Multiple Tumor Foci of Intrahepatic Cholangiocarcinoma.

J Gastrointest Surg 2019 Mar 18. Epub 2019 Mar 18.

Department of Surgery, Erasmus MC University Medical Center, 's Gravendijkwal 230, PO Box 2040, 3000 CA, Rotterdam, Netherlands.

Background: Multiple tumor foci of intrahepatic cholangiocarcinoma (ICC) are often considered a contra-indication for resection. We sought to define long-term outcomes after resection of ICC in patients with multiple foci.

Methods: Patients who underwent resection for ICC between 1990 and 2017 were identified from 12 major HPB centers. Read More

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http://dx.doi.org/10.1007/s11605-019-04184-2DOI Listing
March 2019
1 Read

Immunosuppressed Patients with Crohn's Disease Are at Increased Risk of Postoperative Complications: Results from the ACS-NSQIP Database.

J Gastrointest Surg 2019 Mar 18. Epub 2019 Mar 18.

Division of Colon and Rectal Surgery, Sir Mortimer B. Davis Jewish General Hospital, Montreal, Quebec, Canada.

Background: The impact of immunosuppressants on postoperative complications following colon resections for Crohn's disease remains controversial. This study aimed to compare postoperative outcomes between immunosuppressed and immunocompetent patients with Crohn's disease undergoing elective colon resection.

Methods: Analysis of 30-day outcomes using a cohort from the American College of Surgeons National Surgical Quality Improvement Program colectomy-specific database was performed. Read More

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http://dx.doi.org/10.1007/s11605-019-04186-0DOI Listing
March 2019
1 Read

Short- and Long-Term Outcomes After Live-Donor Transplantation with Hyper-Reduced Liver Grafts in Low-Weight Pediatric Recipients.

J Gastrointest Surg 2019 Mar 18. Epub 2019 Mar 18.

Department of General Surgery, Division of HPB Surgery and Liver Transplant Unit, Hospital Italiano de Buenos Aires, Buenos Aires, Argentina.

Objective: To evaluate short- and long-term outcomes after live-donor liver transplantation (LT) with hyper-reduced grafts in low-weight pediatric recipients. LT is an established curative therapy for children with end-stage chronic liver disease or acute liver failure. A major problem in pediatric LT has been the lack of size-matched donor organs. Read More

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http://dx.doi.org/10.1007/s11605-019-04188-yDOI Listing
March 2019
2 Reads

Clinical and Survival Outcomes Using Percutaneous Cholecystostomy Tube Alone or Subsequent Interval Cholecystectomy to Treat Acute Cholecystitis.

J Gastrointest Surg 2019 Mar 18. Epub 2019 Mar 18.

Department of General Surgery, St. Vincent's University Hospital, Dublin 4, Ireland.

Background: Percutaneous cholecystostomy (PCT) is a safe method of gallbladder drainage in the setting of severe or complicated acute cholecystitis (AC), particularly in patients who are high-risk surgical candidates. Small case series suggest that PCT aids resolution of acute cholecystitis in up to 90% of patients. However, reluctance is observed in utilising PCT more frequently, due to concerns that we are committing comorbid patients to an interval surgical procedure for which they may not be suitable. Read More

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http://dx.doi.org/10.1007/s11605-019-04194-0DOI Listing
March 2019
3 Reads

Prognostic Impact of Lymph Node Excision in T1 and T2 Gallbladder Cancer: a Population-Based and Propensity Score-Matched SEER Analysis.

J Gastrointest Surg 2019 Mar 18. Epub 2019 Mar 18.

Department of General, Visceral, Endocrine and Transplant Surgery, Kantonsspital St. Gallen, Rorschacherstrasse 95, CH-9007, St. Gallen, Switzerland.

Purpose: The aim of this study was to assess the effect of lymphadenectomy on survival in T1/T2 gallbladder cancer (GBC).

Methods: In this retrospective cohort study, patients undergoing surgery for T1/T2 GBC from 2004 to 2014 were identified in the Surveillance, Epidemiology, and End Results database. The effect of lymph node excision (LNE) on survival was assessed using Cox regression and propensity score methods. Read More

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http://dx.doi.org/10.1007/s11605-019-04175-3DOI Listing
March 2019
2 Reads

Advances in Endoscopic Techniques for Resection of Duodenal Neuroendocrine Tumours.

J Gastrointest Surg 2019 Mar 18. Epub 2019 Mar 18.

Department of Gastroenterology, Neuroendocrine Tumour Unit, ENETS Centre of Excellence, Kings College Hospital, London, SE5 9RS, England.

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http://dx.doi.org/10.1007/s11605-019-04190-4DOI Listing

Response to: "Liver Resection and Role of Extended Cytology and Histology".

J Gastrointest Surg 2019 Mar 18. Epub 2019 Mar 18.

Division of Hepatobiliary and General Surgery, Department of Surgery, Humanitas Clinical and Research Center - IRCCS, Humanitas University, Rozzano, Milan, Italy.

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http://dx.doi.org/10.1007/s11605-019-04192-2DOI Listing

Response to: Effective and Safe Living Donor Hepatectomy Under Intermittent Inflow Occlusion and Outflow Pressure Control.

J Gastrointest Surg 2019 Mar 18. Epub 2019 Mar 18.

Department of Surgery, Liver Transplantation Unit, Gastrointestinal Surgery Center, College of Medicine, Mansoura University, Mansoura, Egypt.

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http://link.springer.com/10.1007/s11605-019-04191-3
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http://dx.doi.org/10.1007/s11605-019-04191-3DOI Listing
March 2019
3 Reads

The Effect of Pancreaticojejunostomy Technique on Fistula Formation Following Pancreaticoduodenectomy in the Soft Pancreas.

J Gastrointest Surg 2019 Mar 18. Epub 2019 Mar 18.

Department of Surgery, George Washington University Medical Center, Washington, DC, USA.

Introduction: A soft pancreas has been associated with an increased risk of post-operative pancreatic fistula formation. Few studies have evaluated the effect of anastomotic technique (duct to mucosa vs invagination) on fistula formation. This study aims to compare the effect of anastomotic technique on fistula formation among patients with a soft pancreas in a large multiinstitutional database. Read More

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http://dx.doi.org/10.1007/s11605-019-04164-6DOI Listing

Boix-Ochoa (Partial Fundoplication) Treats Reflux, Even in Neurologically Impaired Patients. Can it Take the Title of "Gold Standard" from Total Fundoplication?

J Gastrointest Surg 2019 Mar 18. Epub 2019 Mar 18.

Department of Pediatric Surgery, Başkent University Faculty of Medicine, Gazipaşamahallesi Barajcaddesi No: 7, Seyhan, 01250, Adana, Turkey.

Background: In 4-5% of cases of gastroesophageal reflux disease (GERD), surgical treatment is required. The aim of the study was to evaluate the success of Boix-Ochoa antireflux surgery, which is considered more physiologic with a higher failure rate (need for reoperation) than Nissen fundoplication, which is believed to be the gold standard operation.

Method: In the 13 years from 2005 to 2018, the medical records of all children who underwent Boix-Ochoa in a single institution by pediatric surgeons were reviewed retrospectively. Read More

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http://dx.doi.org/10.1007/s11605-019-04179-zDOI Listing
March 2019
2 Reads

Robotic Single-Site Plus One Port: Pancreas Enucleation.

J Gastrointest Surg 2019 Mar 18. Epub 2019 Mar 18.

Division of Hepatobiliary and Pancreatic Surgery, Department of Surgery, Yonsei University College of Medicine, 50-1 Yonsei Ro, Seodaemun gu, Seoul, 03722, South Korea.

Purpose: Laparoscopic approaches to enucleation of the pancreas have been frequently described. Here we present a case of robotic single-site plus one port pancreas enucleation. To our knowledge, this enucleation surgical technique is the first to be reported in the medical literature. Read More

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http://dx.doi.org/10.1007/s11605-019-04183-3DOI Listing
March 2019
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Identifying Factors Predicting Response to Endoscopic Management of Chronic Pancreatitis Secondary to Pancreas Divisum.

J Gastrointest Surg 2019 Mar 18. Epub 2019 Mar 18.

Department of Surgery, University of Louisville, Louisville, KY, USA.

Introduction: Appropriately selecting patients with chronic pancreatitis associated with pancreas divisum (PD) for endoscopic retrograde cholangiopancreatography (ERCP)-based therapy versus surgery remains difficult. The objective of this study was to identify factors that predict success or failure of ERCP for treatment of chronic pancreatitis in PD.

Methods: Patients undergoing ERCP for a diagnosis of PD and pancreatitis between 2008 and 2016 were identified and grouped according to whether they required one or two ERCPs or three or more ERCPs. Read More

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http://dx.doi.org/10.1007/s11605-019-04122-2DOI Listing
March 2019
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Does Treatment of the Hiatus Influence the Outcomes of Magnetic Sphincter Augmentation for Chronic GERD?

J Gastrointest Surg 2019 Mar 15. Epub 2019 Mar 15.

Division of Thoracic Surgery, Swedish Medical Center and Cancer Institute, 1101 Madison Street, Suite 900, Seattle, WA, 98104, USA.

Background: Hiatal dissection, restoration of esophageal intra-abdominal length, and crural closure are key components of successful antireflux surgery. The necessity of addressing these components prior to magnetic sphincter augmentation (MSA) has been questioned. We aimed to compare outcomes of MSA between groups with differing hiatal dissection and closure. Read More

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http://dx.doi.org/10.1007/s11605-019-04180-6DOI Listing
March 2019
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Clinical Characteristics of Intussusception with Surgical Reduction: a Single-Center Experience with 568 Cases.

J Gastrointest Surg 2019 Mar 11. Epub 2019 Mar 11.

The First Affiliated Hospital of Wenzhou Medical University, Baixiang South, Wenzhou, Zhejiang, 325000, China.

Background: Intussusception is among the most common acute abdominal emergencies in infancy, but only some cases need surgical reduction. This study assessed the clinical characteristics of patients undergoing surgical reduction of intussusception.

Methods: This retrospective study reviewed 568 pediatric patients who failed air-enema reduction and underwent surgical reduction for intussusception in our department between 2008 and 2017. Read More

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http://dx.doi.org/10.1007/s11605-019-04178-0DOI Listing