Letter  to the Editor Regarding “The Role of Ultrasound-Guided Multipoint Fascial Plane Block in Elderly Patients Undergoing Combined Thoracoscopic-Laparoscopic Esophagectomy: A Prospective Randomized Study”
(Source: Pain and Therapy)
Source: Pain and Therapy - February 22, 2024 Category: Anesthesiology Source Type: research

Prediction of Morbidity and Mortality After Esophagectomy: A Systematic Review
CONCLUSIONS: The availability of rigorous prediction models is limited. Several models are promising but need to be further developed. Some models provide information about risk factors for the development of complications. Performance status is a potential modifiable risk factor. None are ready for clinical implementation.PMID:38383661 | DOI:10.1245/s10434-024-14997-4 (Source: Ann Oncol)
Source: Ann Oncol - February 21, 2024 Category: Cancer & Oncology Authors: M P van Nieuw Amerongen H J de Grooth G L Veerman K A Ziesemer M I van Berge Henegouwen P R Tuinman Source Type: research

Pretreatment periodontitis is predictive of a poorer prognosis after esophagectomy for esophageal cancer
ConclusionEsophageal cancer patients had a high prevalence of periodontitis. Moreover, the presence of periodontitis and severity of periodontitis are independent risk factors contributing to a poorer prognosis after esophagectomy. (Source: Esophagus)
Source: Esophagus - February 20, 2024 Category: Gastroenterology Source Type: research

Conduit Selection for Reconstruction After Esophagectomy for Esophageal Cancer
The reconstruction of the esophagus after esophagectomy presents many technical and management challenges to surgeons. An effective gastrointestinal conduit that replaces the resected esophagus must have adequate length to reach the upper thoracic space or the neck, have robust vascular perfusion, and provide sufficient function for an adequate swallowing mechanism. The stomach is currently the preferred conduit for esophageal reconstruction after esophagectomy. However, there are circumstances, where the stomach cannot be utilized as a conduit. In these cases, an alternative conduit must be considered. The current alterna...
Source: Surgical Oncology Clinics of North America - February 19, 2024 Category: Surgery Authors: Robert E. Merritt Source Type: research

Randomized controlled trial of nasogastric tube use after esophagectomy: study protocol for the kinetic trial
Dis Esophagus. 2024 Feb 16:doae010. doi: 10.1093/dote/doae010. Online ahead of print.ABSTRACTEsophagectomy is a complex and complication laden procedure. Despite centralization, variations in perioparative strategies reflect a paucity of evidence regarding optimal routines. The use of nasogastric (NG) tubes post esophagectomy is typically associated with significant discomfort for the patients. We hypothesize that immediate postoperative removal of the NG tube is non-inferior to current routines. All Nordic Upper Gastrointestinal Cancer centers were invited to participate in this open-label pragmatic randomized controlled ...
Source: Cancer Control - February 17, 2024 Category: Cancer & Oncology Authors: Jakob Hedberg Magnus Sundbom David Edholm Eirik Kjus Aahlin Eva Szabo Fredrik Lindberg Gjermund Johnsen Dag Tidemann F ørland Jan Johansson Joonas H Kauppila Lars Bo Svendsen Magnus Nilsson Mats Lindblad Pernilla Lagergren Michael Hareskov Larsen Oscar Source Type: research

ASO Visual Abstract: Impact of Tumor Size on Survival Outcome in Esophageal Squamous Cell Carcinoma After Esophagectomy Following Neoadjuvant Chemotherapy
Ann Surg Oncol. 2024 Feb 16. doi: 10.1245/s10434-024-15043-z. Online ahead of print.NO ABSTRACTPMID:38366180 | DOI:10.1245/s10434-024-15043-z (Source: Ann Oncol)
Source: Ann Oncol - February 17, 2024 Category: Cancer & Oncology Authors: Yasufumi Koterazawa Taro Oshikiri Hironobu Goto Takashi Kato Ryuichiro Sawada Hitoshi Harada Naoki Urakawa Hiroshi Hasegawa Shingo Kanaji Kimihiro Yamashita Takeru Matsuda Yoshihiro Kakeji Source Type: research

ASO Visual Abstract: Impact of Tumor Size on Survival Outcome in Esophageal Squamous Cell Carcinoma After Esophagectomy Following Neoadjuvant Chemotherapy
Ann Surg Oncol. 2024 Feb 16. doi: 10.1245/s10434-024-15043-z. Online ahead of print.NO ABSTRACTPMID:38366180 | DOI:10.1245/s10434-024-15043-z (Source: Ann Oncol)
Source: Ann Oncol - February 17, 2024 Category: Cancer & Oncology Authors: Yasufumi Koterazawa Taro Oshikiri Hironobu Goto Takashi Kato Ryuichiro Sawada Hitoshi Harada Naoki Urakawa Hiroshi Hasegawa Shingo Kanaji Kimihiro Yamashita Takeru Matsuda Yoshihiro Kakeji Source Type: research

Understanding and Applying the Comprehensive Geriatric Assessment as a Frailty Index in Patients Undergoing Esophagectomy
Ann Surg Oncol. 2024 Feb 16. doi: 10.1245/s10434-024-15057-7. Online ahead of print.NO ABSTRACTPMID:38363470 | DOI:10.1245/s10434-024-15057-7 (Source: Ann Oncol)
Source: Ann Oncol - February 16, 2024 Category: Cancer & Oncology Authors: Thomas Ritchie Sri Sivarajan Nicholas Penney Bhaskar Kumar Source Type: research

Understanding and Applying the Comprehensive Geriatric Assessment as a Frailty Index in Patients Undergoing Esophagectomy
Ann Surg Oncol. 2024 Feb 16. doi: 10.1245/s10434-024-15057-7. Online ahead of print.NO ABSTRACTPMID:38363470 | DOI:10.1245/s10434-024-15057-7 (Source: Ann Oncol)
Source: Ann Oncol - February 16, 2024 Category: Cancer & Oncology Authors: Thomas Ritchie Sri Sivarajan Nicholas Penney Bhaskar Kumar Source Type: research

Perioperative Risk Factors for Postoperative Pulmonary Complications After Minimally Invasive Esophagectomy
(Source: International Journal of General Medicine)
Source: International Journal of General Medicine - February 15, 2024 Category: General Medicine Tags: International Journal of General Medicine Source Type: research

Perioperative corticosteroids for reducing postoperative complications following esophagectomy: an updated systematic review and meta-analysis
This updated systematic review and meta-analysis aims to evaluate the efficacy and safety of perioperative corticosteroid administration versus placebo for esophageal cancer patients following scheduled esopha... (Source: BMC Surgery)
Source: BMC Surgery - February 15, 2024 Category: Surgery Authors: Wan-wan Zou, Hsiao-Pei Mok, Qi-kun Zhu, Jing Luo, Song Yang, Jian-zheng Cen and Qiang Gao Tags: Research Source Type: research

Remarkable response as a new indicator for endoscopic evaluation of local efficacy of non-surgical treatments for esophageal cancer
AbstractIn Japan, standard of care of the patients with resectable esophageal cancer is neoadjuvant chemotherapy (NAC) followed by esophagectomy. Patients unfitted for surgery or with unresectable locally advanced esophageal cancer are generally indicated with definitive chemoradiotherapy (CRT). Local disease control is undoubtful important for the management of patients with esophageal cancer, therefore endoscopic evaluation of local efficacy after non-surgical treatments must be essential. The significant shrink of primary site after NAC has been reported as a good indicator of pathological good response as well as favor...
Source: Esophagus - February 14, 2024 Category: Gastroenterology Source Type: research

The effects of smoking history on robotic transhiatal esophagectomy patient outcomes
This study was undertaken to determine how smoking or a history of smoking can affect perioperative outcomes and morbidity following robotic transhiatal esophagectomy. 75 patients were prospectively followed and divided; 44 patients actively smoking or with a history of significant smoking were classified as ‘smokers’, while the other 31 patients were classified as ‘non-smokers’. Significance was determined at ap-value of  ≤ 0.05 and data are presented as median (mean ± SD). 'Smokers' averaged 70(70 ± 7.8) years, 89% male, with 82% undergoing neoadjuvant therapy. 'Nonsmokers' averaged 68(69 ± 7...
Source: Journal of Robotic Surgery - February 14, 2024 Category: Surgery Source Type: research

Multidisciplinary treatment of advanced cervical esophageal adenocarcinoma derived from a gastric inlet patch: A case report
Oncol Lett. 2024 Jan 25;27(3):120. doi: 10.3892/ol.2024.14253. eCollection 2024 Mar.ABSTRACTA gastric inlet patch (GIP) is an ectopic gastric mucosal lesion usually arising at the cervical esophagus that may rarely cause esophageal adenocarcinoma (EAC). To the best of our knowledge, this is the first case of a GIP-derived EAC that was successfully treated using a multidisciplinary treatment approach. A 64-year-old man was referred to the Department of Gastrointestinal Surgery, Kanazawa University Hospital (Kanazawa, Japan) for surgical treatment of refractory recurrent cervical EAC derived from GIP who had previously been ...
Source: Oncology Letters - February 13, 2024 Category: Cancer & Oncology Authors: Koichi Okamoto Takahisa Yamaguchi Tetsuya Asakawa Daisuke Kaida Takashi Miyata Tomoyuki Hayashi Toshihiko Ojima Hideto Fujita Noriyuki Inaki Shinichi Kinami Itasu Ninomiya Hiroyuki Takamura Source Type: research

Successful Salvage of Partial Gastric Conduit Necrosis by Primary Anastomosis in a Post-Esophagectomy Patient
We describe a successful case wherein we salvaged a patient following a McKeown esophagectomy and gastric pull-up, who developed partial full-thickness necrosis of the gastric conduit postoperatively, along with pleural and mediastinal sepsis. We managed this situation through thoracic debridement, take-down of the anastomosis, resection of the devitalized segment of the conduit, and primary esophagogastric anastomosis. Conduit perfusion was demonstrated using ICG fluorescent angiography. This case illustrates that, once debridement and sepsis control are achieved, a primary anastomosis, if feasible, can be safely performe...
Source: Indian Journal of Surgical Oncology - February 12, 2024 Category: Cancer & Oncology Source Type: research