5,335 results match your criteria Journal of Gastrointestinal Surgery[Journal]


Comparison of the Extent Classification and the New Complexity Classification of Hepatectomy for Prediction of Surgical Outcomes: a Retrospective Cohort Study.

J Gastrointest Surg 2019 Feb 15. Epub 2019 Feb 15.

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: In predicting the risk for posthepatectomy complications, hepatectomy is traditionally classified into minor or major resection based on the number of resected segments. Recently, a new hepatectomy complexity classification was proposed. This study aimed to compare the value of the traditional and that of the new classification in perioperative outcomes prediction. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1007/s11605-018-4020-6DOI Listing
February 2019

Feasibility and Safety of Spleno-Aortic Bypass in Patients with Atheromatous Celiac Trunk Stenosis in Pancreaticoduodenectomy.

J Gastrointest Surg 2019 Feb 13. Epub 2019 Feb 13.

Department of General, Digestive and Hepatobiliary Surgery, Robert Debré University Hospital, University of Champagne-Ardenne, Ave Général Koenig, 51100, Reims, France.

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1007/s11605-019-04142-yDOI Listing
February 2019
1 Read

Gastric Plexiform Fibromyxoma.

J Gastrointest Surg 2019 Feb 13. Epub 2019 Feb 13.

Division of Surgical Oncology, Department of Surgery, Moores Cancer Center, University of California, San Diego, 3855 Health Sciences Drive, Mail Code 0987, La Jolla, CA, 92093-0987, USA.

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1007/s11605-019-04132-0DOI Listing
February 2019

Comparable Data Between Double Endoscopic Intraluminal Operation and Conventional Endoscopic Submucosal Dissection for Esophageal Cancer.

J Gastrointest Surg 2019 Feb 13. Epub 2019 Feb 13.

Department of General Surgical Science, Gunma University Graduate School of Medicine, 3-39-22, Showa-machi, Maebashi, Gunma, 371-8511, Japan.

Background: Endoscopic submucosal dissection (ESD) of superficial esophageal cancer has been used increasingly as an alternative to surgery because it is minimally invasive and has a high rate of en bloc resection. We previously reported that the double endoscopic intraluminal operation (DEILO) is a useful technique for ESD of early esophageal cancers. In the current study, we showed comparable short-term data between DEILO and conventional ESD groups to demonstrate the further advanced use of DEILO. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1007/s11605-019-04137-9DOI Listing
February 2019

Gastric Hemorrhage Caused by Heterotopic Pancreas.

J Gastrointest Surg 2019 Feb 13. Epub 2019 Feb 13.

Division of General Surgery, VA Ann Arbor Health System, Ann Arbor, MI, USA.

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1007/s11605-019-04144-wDOI Listing
February 2019

Laparoscopic Parenchymal-Sparing Hepatectomy: the New Maximally Minimal Invasive Surgery of the Liver-a Systematic Review and Meta-Analysis.

J Gastrointest Surg 2019 Feb 12. Epub 2019 Feb 12.

Department of Surgery - Transplant Surgery, Rush University Medical Center, 1653 W. Congress Pkwy, Jelke Building 7th floor, Chicago, IL, 60612, USA.

Background: Parenchymal-sparing hepatectomies (PSH) are liver resections with preservation of as much liver parenchyma as possible. PSH can be performed laparoscopically (LPSH), but access to the posterosuperior segments is difficult and they are challenging when there are multiple bilobar lesions; the procedure may require repositioning and may be long and cumbersome. The objective of this systematic review is to analyze the feasibility and limitations of laparoscopic PSH in the literature. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1007/s11605-019-04128-wDOI Listing
February 2019

Patient-Derived Xenografts Can Be Reliably Generated from Patient Clinical Biopsy Specimens.

J Gastrointest Surg 2019 Feb 12. Epub 2019 Feb 12.

Section of Hepatobiliary and Pancreatic Surgery, Division of Subspecialty General Surgery, Department of Surgery, Mayo Clinic, 200 First St. Southwest, Rochester, MN, 55905, USA.

Background: Patient-derived xenografts (PDX) are clinically relevant human cancer models that can be used to guide individualized medicine. We aimed to generate PDX models from clinically obtained biopsy specimens (surgical or image-guided) hypothesizing that low volume biopsy specimens could provide sufficient viable tissue to successfully engraft PDX models from patients with unresectable or metastatic disease.

Materials And Methods: We maintain a prospective high volume gastrointestinal malignancy PDX program. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1007/s11605-019-04109-zDOI Listing
February 2019

Evaluation of the New American Joint Committee on Cancer Staging Manual 8th Edition for Perihilar Cholangiocarcinoma.

J Gastrointest Surg 2019 Feb 12. Epub 2019 Feb 12.

Department of Radiology and Nuclear Medicine, Erasmus MC University Medical Center Rotterdam, Rotterdam, the Netherlands.

Background: The aim was to compare the prognostic accuracy of cross-sectional imaging of the 7th and 8th editions of the American Joint Committee on Cancer(AJCC) staging system for perihilar cholangiocarcinoma(PHC).

Methods: All patients with PHC between 2002 and 2014 were included. Imaging at the time of presentation was reassessed and clinical tumor-node-metastasis (cTNM) stage was determined according to the 7th and 8th editions of the AJCC staging system. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1007/s11605-019-04127-xDOI Listing
February 2019

Venous Thromboembolism in Necrotizing Pancreatitis: an Underappreciated Risk.

J Gastrointest Surg 2019 Feb 7. Epub 2019 Feb 7.

Department of Surgery, Indiana University School of Medicine, 545 Barnhill Drive EH 519, Indianapolis, IN, 46202, USA.

Background: Necrotizing pancreatitis (NP) is a severe systemic inflammatory process. We have observed a high incidence of venous thromboembolism (VTE) in NP patients. However, remarkably few data exist to document the true incidence of VTE-including splanchnic vein thrombosis (SVT), extremity deep venous thrombosis (eDVT), and pulmonary embolism (PE)-in NP. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1007/s11605-019-04124-0DOI Listing
February 2019
1 Read

Spontaneous Gastric Decompression of Walled-Off Pancreatic Necrosis.

J Gastrointest Surg 2019 Feb 7. Epub 2019 Feb 7.

Harvard Medical School, Boston, MA, USA.

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1007/s11605-019-04121-3DOI Listing
February 2019
1 Read

Comprehensive Characterization of a Porcine Model of The "Small-for-Flow" Syndrome.

J Gastrointest Surg 2019 Feb 7. Epub 2019 Feb 7.

Transplant and Hepatobiliopancreatic Surgery Unit, Department of General and Digestive Surgery, Hospital General Universitario Gregorio Marañón - IiSGM, Madrid, Spain.

Introduction: The term "Small-for-Flow" reflects the pathogenetic relevance of hepatic hemodynamics for the "Small-For-Size" syndrome and posthepatectomy liver failure. We aimed to characterize a large-animal model for studying the "Small-for-Flow" syndrome.

Methods: We performed subtotal (90%) hepatectomies in 10 female MiniPigs using a simplified transection technique with a tourniquet. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1007/s11605-019-04130-2DOI Listing
February 2019
1 Read

First Experience with Banded Anti-reflux Mucosectomy (ARMS) for GERD: Feasibility, Safety, and Technique (with Video).

J Gastrointest Surg 2019 Feb 7. Epub 2019 Feb 7.

Department of Surgery, NorthShore University HealthSystem, Evanston, IL, USA.

Background: Anti-reflux mucosectomy (ARMS) is a relatively new endoscopic procedure for gastroesophageal reflux disease (GERD). A hemi-circumferential endoscopic mucosal resection (EMR) is performed around the gastroesophageal junction (GEJ), which then contracts and tightens during healing. The aim of this study was to assess the feasibility and safety of the procedure. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1007/s11605-019-04115-1DOI Listing
February 2019
2 Reads

The Role of Adjuvant Chemotherapy in ypT0N0 Rectal Adenocarcinoma.

J Gastrointest Surg 2019 Feb 6. Epub 2019 Feb 6.

Division of Colon and Rectal Surgery, Mayo Clinic, 200 First Street SW, Rochester, MN, 55905, USA.

Background: In patients who develop a complete pathologic response (ypT0N0) following neoadjuvant chemoradiation, the benefits of postoperative chemotherapy remain uncertain. This study aims to determine whether treatment with adjuvant chemotherapy in ypT0N0 patients affects short- and long-term outcomes.

Methods: From January 2000 to December 2015, 992 patients at our institution underwent surgery for rectal adenocarcinoma following treatment with neoadjuvant chemoradiation. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1007/s11605-019-04129-9DOI Listing
February 2019

Early Infectious Complications After Total Pancreatectomy with Islet Autotransplantation: a Single Center Experience.

J Gastrointest Surg 2019 Feb 4. Epub 2019 Feb 4.

Department of Surgery, University of Chicago Medical Center, Transplantation Institute, 5841 S. Maryland Ave. MC5027, Room J-517, Chicago, IL, 60637, USA.

Introduction: We assessed whether positive microbiological cultures from the islet preparation had any effect on the risk of infectious complications (IC) after total pancreatectomy with islet autotransplantation (TPIAT) in our center.

Methods: We analyzed preservation fluid and final islet product surveillance cultures with reference to clinical data of patients undergoing TPIAT. All patients received routine prophylactic broad-spectrum antibiotics. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1007/s11605-019-04118-yDOI Listing
February 2019
1 Read

Inferior Outcomes Associated with the Coexistence of Hepatocellular Carcinoma Recurrence and Hepatic Virus Reinfection After Living Donor Liver Transplantation.

J Gastrointest Surg 2019 Feb 4. Epub 2019 Feb 4.

Department of General Surgery & Department of Organs Transplantation Institute, Chang Gung Memorial Hospital at Linkou, Chang Gung University College of Medicine, 5 Fu-Hsing Street, Kwei-Shan District, Taoyuan City, 33305, Taiwan.

Background: Chronic viral hepatitis remains a major etiology of liver cirrhosis and hepatocellular carcinoma. Liver transplantation has been considered an effective treatment for this condition. This study aims to analyze living donor liver transplantation for patients with hepatocellular carcinoma and its relationship with hepatitis virus status. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1007/s11605-019-04116-0DOI Listing
February 2019
2 Reads

Variation in the Thoroughness of Pathologic Assessment and Response Rates of Locally Advanced Rectal Cancers After Chemoradiation.

J Gastrointest Surg 2019 Feb 4. Epub 2019 Feb 4.

Department of Surgery, Memorial Sloan Kettering Cancer Center, 1275 York Avenue, New York, NY, 10065, USA.

Background: Pathologic complete response (pCR) is associated with better prognosis and guides management for patients with advanced rectal cancer. Response rates vary between series for unclear reasons. We examine whether the thoroughness of pathologic assessment explains differences in pCR rates. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1007/s11605-019-04119-xDOI Listing
February 2019

Impact of Liver Cirrhosis on Perioperative Outcomes Among Elderly Patients Undergoing Hepatectomy: the Effect of Minimally Invasive Surgery.

J Gastrointest Surg 2019 Feb 4. Epub 2019 Feb 4.

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

Background: The impact of cirrhosis on perioperative outcomes for elderly patients undergoing hepatectomy remains not well defined. We sought to determine the influence of underlying cirrhosis and minimally invasive surgery (MIS) on postoperative outcomes among elderly patients who underwent a hepatectomy.

Methods: Patients who underwent hepatectomy between 2013 and 2015 were identified using the Center for Medicare Services (CMS) 100% Limited Data Set (LDS) Standard Analytic Files (SAFs). Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1007/s11605-019-04117-zDOI Listing
February 2019

Laparoscopic Versus Open Major Hepatectomy: Analysis of Clinical Outcomes and Cost Effectiveness in a High-Volume Center.

J Gastrointest Surg 2019 Feb 4. Epub 2019 Feb 4.

Hepatobiliary Surgery, IRCCS San Raffaele Hospital, Via Olgettina 60, 20132, Milan, Italy.

Background: Considering the increasing evidence on the feasibility of laparoscopic major hepatectomies (LMH), their clinical outcomes and associated costs were herein evaluated compared to open (OMH).

Methods: Major contributors of perioperative expenses were considered. With respect to the occurrence of conversion, a primary intention-to-treat analysis including conversions in the LMH group (ITT-A) was performed. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1007/s11605-019-04112-4DOI Listing
February 2019

Effect of Preoperative Administration of Oral Arginine and Glutamine in Patients with Enterocutaneous Fistula Submitted to Definitive Surgery: a Prospective Randomized Trial.

J Gastrointest Surg 2019 Feb 1. Epub 2019 Feb 1.

Department of General and Gastrointestinal Surgery, UMAE Hospital de Especialidades - Centro Médico Nacional Siglo XXI (Instituto Mexicano del Seguro Social, IMSS), Mexico City, Mexico.

Background: The use of glutamine and arginine has shown several advantages in postoperative outcomes in patients after gastrointestinal surgery. We determined the effects of its use in patients with enterocutaneous fistula after operative treatment.

Patients And Methods: Forty patients with enterocutaneous fistula were randomly assigned to one of two groups. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1007/s11605-018-04099-4DOI Listing
February 2019

The Short- and Long-Term Feasibility of Laparoscopic Surgery in Colon Cancer Patients with Bulky Tumors.

J Gastrointest Surg 2019 Jan 31. Epub 2019 Jan 31.

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

Background: Compared to open surgery for colon cancer, randomized controlled trials have shown that laparoscopic approaches have equivalent short- and long-term outcomes. However, the feasibility of laparoscopy for removal of bulky tumors has not been evaluated. The aim of our study was to determine the short- and long-term feasibility of laparoscopic surgery for bulky (> 8 cm) colon cancer. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1007/s11605-019-04114-2DOI Listing
January 2019

Role of Adjuvant Chemotherapy in Resected T2N0 Gall Bladder Cancer.

J Gastrointest Surg 2019 Jan 31. Epub 2019 Jan 31.

Gastrointestinal Oncology services, Department of Medical Oncology, Tata Memorial Hospital, Dr. E. Borges Marg, Parel, Mumbai, 400012, India.

Background: Management of operable gall bladder cancer (GBC) is closely related to its tumor (T) and nodal (N) status. The magnitude of benefit with adjuvant chemotherapy in completely resected, node negative T2 cancers is not completely defined.

Materials And Methods: Retrospective analysis of patients diagnosed with pathological T2N0 (stage II, 7th edition AJCC) GBCs from January 2011 to June 2016 was evaluated for adverse risk factors, adjuvant treatment received, recurrence-free survival (RFS), and overall survival (OS). Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1007/s11605-019-04104-4DOI Listing
January 2019
1 Read
2.798 Impact Factor

Neuroendocrine Tumors in Meckel's Diverticulum: Recommendation for Lymphadenectomy Regardless of Tumor Size Based on the NCDB Experience.

J Gastrointest Surg 2019 Jan 31. Epub 2019 Jan 31.

Division of Surgical Oncology, Harold C. Simmons Cancer Center, Department of Surgery, University of Texas Southwestern Medical Center, 5323 Harry Hines Blvd, Dallas, TX, 75390-8548, USA.

Background: Meckel's diverticulum (MD) is an anomaly of the small intestine from which malignancy may arise. Among MD neoplasms, neuroendocrine tumors (NETs) are considered the most common. However, their metastatic potential and optimal surgical therapy remain ill-defined. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1007/s11605-018-04096-7DOI Listing
January 2019
1 Read

Natural History and Treatment Trends in Pancreatic Cancer Subtypes.

J Gastrointest Surg 2019 Jan 31. Epub 2019 Jan 31.

Department of Surgery, University of Wisconsin, 600 Highland Avenue, H4/710 Clinical Science Center, Madison, WI, 53792-3284, USA.

Background: While pancreatic ductal adenocarcinoma is the most common form of pancreatic cancer, many other histologic forms of pancreatic cancer are also recognized. These histologic variants portray unique characteristics in terms of patient demographics, tumor behavior, survival, and responsiveness to treatments.

Materials And Methods: Patients who underwent surgical resection of the pancreas for non-metastatic, invasive pancreatic cancer between 2004 and 2014 were selected from the National Cancer Data Base and categorized by histologic variant according to WHO classification guidelines. Read More

View Article

Download full-text PDF

Source
http://link.springer.com/10.1007/s11605-019-04113-3
Publisher Site
http://dx.doi.org/10.1007/s11605-019-04113-3DOI Listing
January 2019
4 Reads

Surgeon-Level Variation in Utilization of Local Staging and Neoadjuvant Therapy for Stage II-III Rectal Adenocarcinoma.

J Gastrointest Surg 2019 Jan 31. Epub 2019 Jan 31.

Surgical Services Clinical Program, Intermountain Healthcare, Salt Lake City, UT, USA.

Introduction: Neoadjuvant therapy (NT) is the standard of care for clinical stage II-III rectal adenocarcinoma, but utilization remains suboptimal. We aimed to determine the underlying reasons for omission of local staging and NT.

Methods: We conducted a retrospective study of patients with clinical stage II-III or undocumented clinical stage/pathologic stage II-III rectal adenocarcinoma who were treated in 2010-2016 in one of nine Intermountain Healthcare hospitals. Read More

View Article

Download full-text PDF

Source
http://link.springer.com/10.1007/s11605-019-04107-1
Publisher Site
http://dx.doi.org/10.1007/s11605-019-04107-1DOI Listing
January 2019
3 Reads

High Rates of Readmission in Necrotizing Pancreatitis: Natural History or Opportunity for Improvement?

J Gastrointest Surg 2019 Jan 31. Epub 2019 Jan 31.

Department of Surgery, Indiana University School of Medicine, 545 Barnhill Dr., EH 519, Indianapolis, IN, 46202, USA.

Background: Necrotizing pancreatitis (NP) is a complex and heterogeneous disease with a protracted disease course. Hospital readmission is extremely common; however, few data exist regarding the cause of readmission in NP.

Methods: A retrospective review of NP patients treated between 2005 and 2017 identified patients readmitted both locally and to our hospital. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1007/s11605-018-04097-6DOI Listing
January 2019

Enhanced Recovery Protocol for Laparoscopic Sleeve Gastrectomy: Are Narcotics Necessary?

J Gastrointest Surg 2019 Jan 28. Epub 2019 Jan 28.

Department of Surgery, University of Cincinnati College of Medicine, 231 Albert Sabin Way, ML 0558, Cincinnati, OH, 45267, USA.

Background: Enhanced recovery after surgery (ERAS) protocols have improved patient experience and outcomes in a variety of fields, including bariatric surgery. Given the increasing opioid epidemic in the USA, we sought to determine the impact of our own ERAS protocol on narcotic usage following laparoscopic sleeve gastrectomy.

Methods: Retrospective chart review was performed on patients undergoing primary laparoscopic sleeve gastrectomy for 6 months before and after implementation of an ERAS protocol. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1007/s11605-018-04091-yDOI Listing
January 2019

Laparoscopic Extended Anatomical Resection of Segment 7 by the Caudate Lobe First Approach: a Video Case Report.

J Gastrointest Surg 2019 Jan 25. Epub 2019 Jan 25.

Department of Surgery, Tokyo Metropolitan Cancer and Infectious Diseases Center Komagome Hospital, 3-18-22 Honkomagome, Bunkyo-ku, Tokyo, 113-8677, Japan.

Background: Laparoscopic hepatectomy for segment (S) 7 is classified as one of the most difficult procedures to perform. Here, we report a standardized method with the caudate lobe first approach which may benefit such difficult procedures.

Methods: A 76-year-old woman was diagnosed with multiple liver metastases after sigmoid colon cancer resection. Read More

View Article

Download full-text PDF

Source
http://link.springer.com/10.1007/s11605-018-4051-z
Publisher Site
http://dx.doi.org/10.1007/s11605-018-4051-zDOI Listing
January 2019
11 Reads

Utility of Image Guidance in the Localization of Disappearing Colorectal Liver Metastases.

J Gastrointest Surg 2019 Jan 24. Epub 2019 Jan 24.

Department of Surgery, Memorial Sloan Kettering Cancer Center, 1275 York Avenue, New York, NY, 10065, USA.

Background: Colorectal liver metastases that demonstrate a complete radiographic response during chemotherapy are increasingly common with advances in chemotherapy regimens and are described as disappearing liver metastases (DLMs). However, these DLMs often continue to harbor residual viable tumor. If these tumors are found in the operating room with ultrasound (US), they should be treated. Read More

View Article

Download full-text PDF

Source
http://link.springer.com/10.1007/s11605-019-04106-2
Publisher Site
http://dx.doi.org/10.1007/s11605-019-04106-2DOI Listing
January 2019
1 Read

Absorbable Polyglactin vs. Non-Cross-linked Porcine Biological Mesh for the Surgical Treatment of Infected Incisional Hernia.

J Gastrointest Surg 2019 Jan 22. Epub 2019 Jan 22.

Department of General, Digestive and Endocrine Surgery, Robert-Debré University Hospital, University of Reims Champagne-Ardenne, Reims, France.

Background: The use of absorbable meshes during contaminated or infected incisional hernia (IH) repair is associated with high morbidity and recurrence rates. Biological meshes might be more appropriate but have been described in highly heterogeneous series. This study aimed at comparing the efficacy of absorbable vs. Read More

View Article

Download full-text PDF

Source
http://link.springer.com/10.1007/s11605-018-04095-8
Publisher Site
http://dx.doi.org/10.1007/s11605-018-04095-8DOI Listing
January 2019
8 Reads

Clamp-Crush Technique Versus Harmonic Scalpel for Hepatic Parenchymal Transection in Living Donor Hepatectomy: a Randomized Controlled Trial.

J Gastrointest Surg 2019 Jan 22. Epub 2019 Jan 22.

Liver Transplantation Unit, Gastrointestinal Surgery Center, Department of Surgery, College of Medicine, Mansoura University, Gastrointestinal Surgery Center, Gehan Street, Mansoura, 35516, Egypt.

Background: Hepatic parenchymal transection is the most invasive step in donor operation. During this step, blood loss and unintended injuries to the intrahepatic structures and hepatic remnant may occur. There is no evidence to prove the ideal techniques for hepatic parenchymal transection. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1007/s11605-019-04103-5DOI Listing
January 2019
1 Read

Reduced Opioid Prescription Practices and Duration of Stay after TAP Block for Laparoscopic Appendectomy.

J Gastrointest Surg 2019 Jan 22. Epub 2019 Jan 22.

Department of Trauma, Critical Care, and General Surgery, Mayo Clinic, 200 First Street SW, Rochester, MN, 55901, USA.

Background: We evaluated whether TAP blocks performed at the time of appendectomy resulted in reduced total oral morphine equivalent (OME) prescribed and fewer 30-day opioid prescription (OP) refills.

Study Design: Single institution review of historical data (2010-2016) was performed. Adults (≥ 18 years) that underwent appendectomy for appendicitis with uniform disease severity (AAST EGS grades I, II) were included. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1007/s11605-018-04100-0DOI Listing
January 2019
2 Reads

The Prognosis Value of Lymphatic Vessel Invasion in pN0 Gastric Cancer Patients with Insufficient Examined Lymph Nodes.

J Gastrointest Surg 2019 Jan 22. Epub 2019 Jan 22.

Department of Surgical Oncology, First Affiliated Hospital of China Medical University, Shenyang, 110001, Liaoning, China.

Objectives: To investigate the prognosis value of lymphatic vessel invasion (LVI) in pN0 gastric cancer patients with insufficient examined lymph nodes (ELNs).

Methods: Clinicopathologic and prognostic data of pN0 gastric cancer patients with insufficient ELNs who underwent radical surgery in our institution were retrospectively studied.

Results: Firstly, we confirmed that less than 16 but not less than 30 ELNs were insufficient ELNs in the present study. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1007/s11605-018-04101-zDOI Listing
January 2019
2 Reads

Symptomatic Pancreatic Lipoma.

J Gastrointest Surg 2019 Jan 22. Epub 2019 Jan 22.

Department of Surgery, University of Tennessee Health Science Center, 910 Madison Ave., Suite 300, Memphis, TN, 38163, USA.

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1007/s11605-019-04105-3DOI Listing
January 2019
1 Read

Elective Laparoscopic Sigmoid Colectomy for Diverticulitis-an Updated Look at Recurrence After Surgery.

J Gastrointest Surg 2019 Jan 22. Epub 2019 Jan 22.

Department of Surgery, Albany Medical Center, 50 New Scotland Avenue, MC-193, Albany, NY, 12208, USA.

Background: Surgical management of diverticulitis is evolving and the decision to offer elective sigmoidectomy for diverticulitis has become more individualized. However, preoperative variables that may predict recurrent diverticulitis after resection and guide surgical decision-making were not well studied.

Methods: This was a retrospective chart review with a prospective questionnaire follow-up of patients. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1007/s11605-018-04083-yDOI Listing
January 2019
2 Reads

Is Resection of Primary Midgut Neuroendocrine Tumors in Patients with Unresectable Metastatic Liver Disease Justified? A Systematic Review and Meta-Analysis.

J Gastrointest Surg 2019 Jan 22. Epub 2019 Jan 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.

Introduction: Patients with midgut neuroendocrine tumors (MNETs) frequently present with metastatic disease at the time of diagnosis. Although combined resection of the primary MNET and liver metastases (NELM) is usually recommended for appropriate surgical candidates, primary tumor resection (PTR) in the setting of extensive, inoperable metastatic disease remains controversial.

Methods: A systematic review was performed according to PRISMA guidelines utilizing Medline (PubMed), Embase, and Cochrane library-Cochrane Central Register of Controlled Trials (CENTRAL) databases until September 30, 2018. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1007/s11605-018-04094-9DOI Listing
January 2019
4 Reads
2.798 Impact Factor

The Role of Continuing Perioperative Chemotherapy Post Surgery in Patients with Esophageal or Gastroesophageal Junction Adenocarcinoma: a Multicenter Cohort Study.

J Gastrointest Surg 2019 Jan 22. Epub 2019 Jan 22.

Department of Medical Oncology, The Christie NHS Foundation Trust, 550 Wilmslow Road, Manchester, M20 4BX, UK.

Purpose: The aim of this cohort study was to assess the benefit that patients with lower esophageal or gastroesophageal junction (E/GEJ) adenocarcinoma receive by continuing perioperative chemotherapy post-surgery.

Methods: Three hundred twelve patients underwent radical tumor surgical resection after preoperative chemotherapy. Chemotherapy was mainly ECX (epirubicin, cisplatin, capecitabine). Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1007/s11605-018-04087-8DOI Listing
January 2019
1 Read

Restrictive Versus Liberal Fluid Regimens in Patients Undergoing Pancreaticoduodenectomy: a Systematic Review and Meta-Analysis.

J Gastrointest Surg 2019 Jan 22. Epub 2019 Jan 22.

Department of Anaesthesia and Pain Medicine, Middlemore Hospital, 100 Hospital Road, Otahuhu, Auckland, 2025, New Zealand.

Background: Pancreaticoduodenectomy is associated with significant morbidity and mortality which may be influenced by perioperative fluid management. It remains unclear whether liberal and restrictive fluid regimens impact mortality and morbidity in patients undergoing pancreaticoduodenectomy.

Methods: Medline, EMBASE, Cochrane Library and clinicaltrials. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1007/s11605-018-04089-6DOI Listing
January 2019
1 Read

Postoperative Portomesenteric Venous Thrombosis After Colorectal Cancer Surgery.

J Gastrointest Surg 2019 Jan 22. Epub 2019 Jan 22.

Department of Surgery, Seoul National University Bundang Hospital, Seongnam, South Korea.

Background: Portomesenteric venous thrombosis (PMVT) can occur after colorectal surgery. Most previous studies included patients with various diseases, especially inflammatory bowel disease. The prevalence and clinical significance of PMVT developing after surgery for colorectal cancer (CRC) remain unclear. Read More

View Article

Download full-text PDF

Source
http://link.springer.com/10.1007/s11605-018-04085-w
Publisher Site
http://dx.doi.org/10.1007/s11605-018-04085-wDOI Listing
January 2019
4 Reads

Randomized Trial of Pylorus-Preserving vs. Pylorus-Resecting Pancreatoduodenectomy: Long-Term Morbidity and Quality of Life.

J Gastrointest Surg 2019 Jan 22. Epub 2019 Jan 22.

Department of General, Visceral and Transplantation Surgery, University of Heidelberg, Im Neuenheimer Feld 110, 69120, Heidelberg, Germany.

Background: The randomized controlled PROPP trial (DKRS00004191) showed that pylorus-resecting pancreatoduodenectomy (PR) is not superior to the pylorus-preserving procedure (PP) in terms of perioperative outcome, specifically in reduction of delayed gastric emptying. Non-superiority of PR was also confirmed in a recent meta-analysis of randomized controlled trials. However, long-term data on morbidity and quality of life after PP compared to PR are sparse. Read More

View Article

Download full-text PDF

Source
http://link.springer.com/10.1007/s11605-018-04102-y
Publisher Site
http://dx.doi.org/10.1007/s11605-018-04102-yDOI Listing
January 2019
4 Reads

Do All Abdominal Neuroendocrine Tumors Require Extended Postoperative VTE Prophylaxis? A NSQIP Analysis.

J Gastrointest Surg 2019 Jan 22. Epub 2019 Jan 22.

Department of Surgery, Division of General Surgery and Surgical Oncology, Endocrine Research Program, The University of Chicago Medicine and Biological Sciences Division, 5841 S. Maryland Ave, Chicago, IL, 60637, USA.

Background: Venous thromboembolism (VTE) occurs at high incidence in abdominal cancer surgery; therefore, a 4-week postoperative VTE prophylaxis is advocated. However, most patients with neuroendocrine tumors (NETs) have more favorable prognoses. This study aimed to determine the incidence of VTE in patients with abdominal NETs, compare these rates to other abdominal malignancies, and identify VTE risk factors. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1007/s11605-018-04075-yDOI Listing
January 2019
1 Read

Prevalence and Predictors of Unnecessary Endoscopic Retrograde Cholangiopancreatography in the Two-Stage Endoscopic Stone Extraction Followed by Laparoscopic Cholecystectomy.

J Gastrointest Surg 2019 Jan 22. Epub 2019 Jan 22.

Department of Biostatistics, Clinical Trial Center, Soonchunhyang University Bucheon Hospital, Bucheon, South Korea.

Backgrounds: A two-stage procedure involving endoscopic retrograde cholangiopancreatography (ERCP), followed by cholecystectomy, is one of the primary treatments of concomitant gallstones and choledocholithiasis. However, negative findings on ERCP and migrating gallstones after cholecystectomy are major concerns. This study aimed to identify the prevalence of unnecessary ERCP and to develop and validate a predictive nomogram using preoperative factors in patients who underwent a two-stage procedure. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1007/s11605-018-04090-zDOI Listing
January 2019
2 Reads

Nomograms in Hepatectomy Patients with Hepatitis B Virus-Related Hepatocellular Carcinoma.

J Gastrointest Surg 2019 Jan 22. Epub 2019 Jan 22.

Division of Gastroenterology, Department of Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Republic of Korea.

Background: Several conventional staging systems use tumor count as a variable for tumor classification; however, most conventional staging systems for hepatocellular carcinoma (HCC) are not specifically constructed for surgically treated patients. The aim of this study was to create a prognostic nomogram based on patient' clinical and pathological features for predicting individual patient survival after liver resection as a primary therapy for solitary hepatitis B virus (HBV)-related HCC.

Methods: This study included patients who underwent curative liver resection for preoperative treatment-naïve HBV-related HCC between April 2007 and September 2014. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1007/s11605-018-04074-zDOI Listing
January 2019
5 Reads
2.798 Impact Factor

Lymphocyte to Monocyte Ratio Predicts Resectability and Early Recurrence of Bismuth-Corlette Type IV Hilar Cholangiocarcinoma.

J Gastrointest Surg 2019 Jan 22. Epub 2019 Jan 22.

Department of Biliary Surgery, West China Hospital of Sichuan University, Chengdu, 614100, Sichuan Province, China.

Background: The objective of our research was to investigate the value of the lymphocyte to monocyte ratio (LMR) and its dynamic changes (LMRc) in predicting tumor resectability and early recurrence of radiologically resectable type IV hilar cholangiocarcinoma (HC).

Methods: A total of 411 patients with radiologically resectable type IV HC were included. Data on their clinicopathologic characteristics, perioperative features, and survival outcomes were analyzed. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1007/s11605-018-04086-9DOI Listing
January 2019
2 Reads

Long-Term Endocrine and Exocrine Insufficiency After Pancreatectomy.

J Gastrointest Surg 2019 Jan 22. Epub 2019 Jan 22.

Department of Surgery, Barnes-Jewish Hospital and the Alvin J. Siteman Cancer Center, Washington University School of Medicine, 660 South Euclid Avenue, Campus Box 8109, St. Louis, MO, 63110-8109, USA.

Purpose: To identify peri-operative risk factors and time to onset of pancreatic endocrine/exocrine insufficiency.

Methods: We retrospectively analyzed a single institutional series of patients who underwent pancreaticoduodenectomy (PD) or distal pancreatectomy (DP) between 2000 and 2015. Endocrine/exocrine insufficiencies were defined as need for new pharmacologic intervention. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1007/s11605-018-04084-xDOI Listing
January 2019
5 Reads

Endoluminal Vacuum Therapy: How I Do It.

J Gastrointest Surg 2019 Jan 22. Epub 2019 Jan 22.

Center for Advanced Surgery, Baylor Scott and White Health, 3417 Gaston Avenue, Suite 1000 East, Dallas, TX, 75246, USA.

Perforations and leaks of the gastrointestinal tract are difficult to manage and are associated with high morbidity and mortality. Recently, endoscopic approaches have been applied with varying degrees of success. Most recently, the use of endoluminal vacuum therapy has been used with high success rates in decreasing both morbidity and mortality. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1007/s11605-018-04082-zDOI Listing
January 2019
1 Read

Timing and Outcomes of Abdominal Surgery in Neutropenic Patients.

J Gastrointest Surg 2019 Jan 18. Epub 2019 Jan 18.

Department of Surgery, Brigham and Women's Hospital, 75 Francis Street, CA-034, Boston, MA, 02115, USA.

Background: Surgery in neutropenic patients is challenging due to both atypical manifestations of common conditions and higher perioperative risk. We sought to describe the outcomes of neutropenic patients undergoing abdominal surgery and to identify factors contributing to morbidity and mortality.

Methods: A retrospective chart review was performed for all patients neutropenic in the 24-hours prior to an abdominal operation at our institution between 1998 and 2017. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1007/s11605-018-04081-0DOI Listing
January 2019
6 Reads

Predictive Value of Chromogranin A and a Pre-Operative Risk Score to Predict Recurrence After Resection of Pancreatic Neuroendocrine Tumors.

J Gastrointest Surg 2019 Jan 18. Epub 2019 Jan 18.

Department of Surgery, University of Wisconsin School of Medicine and Public Health, 600 Highland Avenue, BX7375 Clinical Science Center, Madison, WI, 53792-3284, USA.

Intro: Chromogranin A (CgA) may be prognostic for patients with neuroendocrine tumors; however, the clinical utility of this test is unclear.

Methods: Patients undergoing resection for pancreatic neuroendocrine tumors (pNET) were selected from the eight institutions of the US Neuroendocrine Tumor Study Group database. Cox regression was used to identify pre-operative variables that predicted recurrence-free survival (RFS), and those with p < 0. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1007/s11605-018-04080-1DOI Listing
January 2019
2 Reads

Perioperative Mortality Does Not Explain Racial Disparities in Gastrointestinal Cancer.

J Gastrointest Surg 2019 Jan 16. Epub 2019 Jan 16.

Department of Surgery, Montefiore Medical Center/Albert Einstein College of Medicine, Bronx, NY, USA.

Background: Racial minorities with gastrointestinal cancer suffer disproportionately poor overall and disease-specific survival. We used a nationally representative sample to examine the relationship between race/ethnicity and mortality and determine whether these disparities were observed in the perioperative period.

Materials And Methods: The Nationwide Inpatient Sample (NIS) was used to examine patients undergoing surgery for cancers of the esophagus, stomach, pancreas, colon and rectum ("GI cancer") between 2008 and 2012. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1007/s11605-018-4064-7DOI Listing
January 2019
1 Read

The Role of Multiagent Chemoradiation in the Management and Prognosis of Anal Squamous Cell Carcinoma.

J Gastrointest Surg 2019 Jan 14. Epub 2019 Jan 14.

Department of Surgery, University of Iowa Hospitals & Clinics, 200 Hawkins Drive, 1516 JCP, Iowa City, IA, 52242, USA.

Introduction: The standard treatment for anal squamous cell carcinoma (ASCC) is multiagent chemotherapy with radiation (CRT). This is based on several randomized trials demonstrating lower recurrence and colostomy-free survival rates with multiagent CRT; however, these studies could not confirm an overall survival (OS) benefit. We hypothesized that the lack of improved OS was due to limited sample sizes and follow-up, and that multiagent CRT is associated with higher OS. Read More

View Article

Download full-text PDF

Source
http://link.springer.com/10.1007/s11605-018-04068-x
Publisher Site
http://dx.doi.org/10.1007/s11605-018-04068-xDOI Listing
January 2019
3 Reads
2.798 Impact Factor

Single-Port Inflatable Mediastinoscopy Combined With Laparoscopic-Assisted Small Incision Surgery for Radical Esophagectomy Is an Effective and Safe Treatment for Esophageal Cancer.

J Gastrointest Surg 2019 Jan 11. Epub 2019 Jan 11.

Department of Cardiothoracic Surgery, The Fifth Affiliated Hospital of Sun Yat-sen University, 52 East Meihua Road, Xiangzhou District, Zhuhai, 519000, Guangdong, China.

Background: We previously developed a novel non-trans thoracic esophagectomy, the single-port inflatable mediastinoscopy combined with laparoscopy for the radical esophagectomy of esophageal cancer. The purpose of this study was to report its therapeutic efficacy and safety.

Methods: From May 2016 to August 2017, we have completed 80 cases of radical resection of esophageal carcinoma using this novel surgical technique. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1007/s11605-018-04069-wDOI Listing
January 2019
2 Reads