Midterm Outcome of Laparoscopic Sleeve Gastrectomy in Asians: a Systematic Review and Meta-analysis
ConclusionsOur meta-analysis suggests that LSG is an effective procedure for weight reduction that offers durable response for up to 5  years among Asians with obesity. The longer-term data is needed. (Source: Obesity Surgery)
Source: Obesity Surgery - December 21, 2019 Category: Surgery Source Type: research

Practicality and short-term outcomes of intracorporeal gastroduodenostomy in totally laparoscopic distal gastrectomy for gastric cancer: A single-centre retrospective study
Conclusions: TLDG with B-I or B-II anastomosis is safe and feasible for gastric cancer. B-II anastomosis may require less time than B-I anastomosis. (Source: Journal of Minimal Access Surgery)
Source: Journal of Minimal Access Surgery - December 20, 2019 Category: Surgery Authors: Mingjie Xia Xinyuan Guo Quan Wang Source Type: research

Comparative study of laparoscopic radical gastrectomy and open radical gastrectomy
Conclusion: Laparoscopic radical gastrectomy is superior to open surgery in the aspects of intra-operative blood loss, post-operative exhaust time, post-operative hospital stay and timing of drain removal. With the number of laparoscopic radical gastrectomy cases increased, the duration of surgery is shortened and the amount of intra-operative blood loss will decrease. (Source: Journal of Minimal Access Surgery)
Source: Journal of Minimal Access Surgery - December 20, 2019 Category: Surgery Authors: Jie Jiao Shaozhuang Liu Cheng Chen A. Maimaiti Qingsi He Sanyuan Hu Wenbin Yu Source Type: research

Early outcome of bariatric surgery for the treatment of type 2 diabetes mellitus in super-obese Malaysian population
Conclusion: There are significant weight loss and improvement of glycaemic control at 12 months post-laparoscopic bariatric surgery among super-obese Malaysians. (Source: Journal of Minimal Access Surgery)
Source: Journal of Minimal Access Surgery - December 20, 2019 Category: Surgery Authors: Reynu Rajan Mohammed Sam-Aan Nik Ritza Kosai Mohamad Aznan Shuhaili Tee Sze Chee Ajay Venkateswaran Kamal Mahawar Source Type: research

Fast Track Program in Conversion Bariatric Surgery, as Safe as in Primary Bariatric Surgery?
ConclusionOne-night discharge in FT managed conversion procedures is safe, compared to primary procedures. It is associated with higher readmission rates; however, the postdischarge hospital contacts and surgical complications were not statistically significant different. (Source: Obesity Surgery)
Source: Obesity Surgery - December 20, 2019 Category: Surgery Source Type: research

Cholelithiasis after bariatric surgery, incidence, and prophylaxis: randomized controlled trial
ConclusionsCholelithiasis after SG and OAGB was higher than GCP. %EWL was rapid and higher in OAGB and SG contributing to the higher rate of symptomatic cholelithiasis and could be predictive for post-bariatric cholelithiasis. A 6-month use of UDCA is an effective prophylaxis decreasing gallstone formation after bariatric surgery at short-term follow-up. (Source: Surgical Endoscopy)
Source: Surgical Endoscopy - December 19, 2019 Category: Surgery Source Type: research

Diagnoses Related to Abuse of Alcohol and Addictive Substances after Gastric Bypass and Sleeve Gastrectomy – A Nation-Wide Registry Study from Norway
After Roux-n-Y gastric bypass (RYGB) patients are at higher risk of alcohol problems. In recent years, sleeve gastrectomy (SG) has become a common procedure, but the incidence rates of alcohol abuse following SG are unexplored. (Source: Surgery for Obesity and Related Diseases)
Source: Surgery for Obesity and Related Diseases - December 19, 2019 Category: Surgery Authors: Magnus Str ømmen, Inger Johanne Bakken, Christian Klöckner, Jorunn Sandvik, Bård Kulseng, Are Holen Tags: Original articles Source Type: research

Literature Review on the Incidence of Primary Stapler Malfunction.
Conclusion. Surgeons are increasingly reliant on technological innovations. Stapling failure occurs and it is imperative to be aware of this. Given the high volume of stapler use, a high percentage of surgeons are likely to encounter this problem in their career. It is important to have an approach to the prevention and management of this potentially catastrophic complication. PMID: 31854232 [PubMed - as supplied by publisher] (Source: Surgical Innovation)
Source: Surgical Innovation - December 19, 2019 Category: Surgery Authors: Makanyengo SO, Thiruchelvam D Tags: Surg Innov Source Type: research

An Intra-abdominal Solid-cystic Desmoid That Emerged after Distal Gastrectomy.
Authors: Takinami M, Matsubayashi H, Ishiwatari H, Uesaka K, Okamura Y, Sasaki K, Ohike N, Hirabayashi K, Ono H Abstract Desmoid is a locally aggressive fibroblastic neoplasm, typically showing a heterogeneous solid mass, and its pathogenesis is multifactorial, including surgical scars. We herein report a rare case of an intra-abdominal desmoid, consisting of solid and cystic components covered with epithelial linings, that emerged after distal gastrectomy. The preoperative diagnosis was inconclusive, so laparotomy was performed. Histopathology of the solid component showed proliferating spindle cells, which were p...
Source: Internal Medicine - December 18, 2019 Category: Internal Medicine Tags: Intern Med Source Type: research

Early pregnancy after bariatric surgery: a single-institute preliminary experience.
CONCLUSION: Pregnancy in the first years after sleeve gastrectomy seems to have similar obstetric outcomes compared to pregnancies occurred later but it remains as a controversial issue. Although the results did not have statistical significance in our study, well-designed prospective series may determine the role of enteral nutrition and intravenous iron replacement in patient management. PMID: 31840970 [PubMed - as supplied by publisher] (Source: Turkish Journal of Medical Sciences)
Source: Turkish Journal of Medical Sciences - December 18, 2019 Category: General Medicine Tags: Turk J Med Sci Source Type: research

Taiwan nutritional consensus on the nutrition management for gastric cancer patients receiving gastrectomy
Publication date: Available online 16 December 2019Source: Journal of the Formosan Medical AssociationAuthor(s): Ping-I. Hsu, Seng-Kee Chuah, Jaw-Town Lin, Shen-Wen Huang, Jing-Chyuan Lo, Kun-Ming Rau, I-Shu Chen, Hui-Ya Hsu, Bor-Shyang Sheu, Wei-Kuo Chang, Deng-Chyang WuCurrently, consensus reports on the nutritional management for gastric cancer patients receiving gastric resection are lacking. The Gastroenterological Society of Taiwan therefore organized the Taiwan Gastric Cancer Nutritional Consensus Team to provide an overview of evidence and recommendations on nutritional support for gastric cancer patients undergoin...
Source: Journal of the Formosan Medical Association - December 18, 2019 Category: General Medicine Source Type: research

An examination of surgical and survival outcomes in the elderly (65-79 years of age) and the very elderly ( ≥80 years of age) who received surgery for gastric cancer.
Conclusions: Curative intent resection, gastrectomy with D1+/D2 lymph node dissection is a viable option for elders ≥80 years old with gastric carcinoma. PMID: 31841040 [PubMed - as supplied by publisher] (Source: Current Medical Research and Opinion)
Source: Current Medical Research and Opinion - December 18, 2019 Category: Research Tags: Curr Med Res Opin Source Type: research

Endoscopic Sleeve Gastroplasty Is Feasible, Safe, and Effective in a Non-academic Setting: Short-Term Outcomes from a Community Gastroenterology Practice
AbstractBackground and AimsEndoscopic sleeve gastroplasty (ESG) has demonstrated promising weight loss results with fewer adverse events and less new-onset gastroesophageal reflux disease (GERD) compared to laparoscopic sleeve gastrectomy. Publications on ESG have exclusively described the experience at large academic medical centers with little known about the implementation and outcomes of this procedure in community practice.MethodsWe conducted a retrospective study of consecutive patients who underwent ESG at a private, community-based gastroenterology practice. Total body weight loss (TBWL), procedure duration, improv...
Source: Obesity Surgery - December 18, 2019 Category: Surgery Source Type: research

Weight Regain and Diabetes Evolution After Sleeve Gastrectomy: a Cohort Study with over 5  Years of Follow-Up
AbstractBackgroundA number of meta-analyses have demonstrated the effectiveness of bariatric surgery in improving morbid obesity and its associated co-morbidities. The aim of the study was to evaluate at long term a cohort of obese patients with type 2 diabetes (T2DM) submitted to laparoscopic sleeve gastrectomy (LSG) analyzing the incidence of weight regain (WR) and the impact of the WR on T2DM evolution.MethodsSeventy-eight morbid obese patients (54 females) with T2DM, aged 49.6  ± 8.7 years, weight 121.1 ± 24.4 kg, BMI 44.1 ± 7.2 kg/m2, underw...
Source: Obesity Surgery - December 18, 2019 Category: Surgery Source Type: research

Laparoscopic Conversion of Roux-en-Y Gastric Bypass to Sleeve Gastrectomy for Postprandial Hyperinsulinemic Hypoglycemia
ConclusionsThis technique was shown to be safe and effective as a part of the surgical treatment of post- bariatric PHH. (Source: Obesity Surgery)
Source: Obesity Surgery - December 18, 2019 Category: Surgery Source Type: research

Laparoscopic Sleeve Gastrectomy Is Safe for Patients Over 60 Years of Age: A Meta-Analysis of Comparative Studies
Journal of Laparoendoscopic&Advanced Surgical Techniques, Ahead of Print. (Source: Journal of Laparoendoscopic)
Source: Journal of Laparoendoscopic - December 18, 2019 Category: Surgery Authors: Salvatore Giordano Paulina Salminen Source Type: research

Vitamin A Deficiency in Patients Undergoing Sleeve Gastrectomy and Gastric Bypass: A 2-Year, Single-Center Review
Journal of Laparoendoscopic&Advanced Surgical Techniques, Ahead of Print. (Source: Journal of Laparoendoscopic)
Source: Journal of Laparoendoscopic - December 18, 2019 Category: Surgery Authors: Anahita Jalilvand Alecia Blaszczak Bradley Needleman Willa Hsueh Sabrena Noria Source Type: research

Laparoscopic Sleeve Gastrectomy Is Safe for Patients Over 60 Years of Age: A Meta-Analysis of Comparative Studies
Journal of Laparoendoscopic&Advanced Surgical Techniques, Ahead of Print. (Source: Journal of Laparoendoscopic and Advanced Surgical Techniques)
Source: Journal of Laparoendoscopic and Advanced Surgical Techniques - December 18, 2019 Category: Surgery Authors: Salvatore Giordano Paulina Salminen Source Type: research

Vitamin A Deficiency in Patients Undergoing Sleeve Gastrectomy and Gastric Bypass: A 2-Year, Single-Center Review
Journal of Laparoendoscopic&Advanced Surgical Techniques, Ahead of Print. (Source: Journal of Laparoendoscopic and Advanced Surgical Techniques)
Source: Journal of Laparoendoscopic and Advanced Surgical Techniques - December 18, 2019 Category: Surgery Authors: Anahita Jalilvand Alecia Blaszczak Bradley Needleman Willa Hsueh Sabrena Noria Source Type: research

Water Tolerance After Laparoscopic Sleeve Gastrectomy
ConclusionLSG reduces water tolerance significantly more than other liquids (juice) in the early postoperative period. Good water tolerance is a critical parameter for early hospital discharge after LSG. Larger studies with longer follow-up are warranted to determine the long-term fate of fluid tolerance following LSG and its effect on weight loss and quality of life. (Source: Obesity Surgery)
Source: Obesity Surgery - December 17, 2019 Category: Surgery Source Type: research

Response to Letter to Editor Entitled: Improvement of Nonalcoholic fatty liver disease in ALT at ≥12 months after Roux-en-Y Gastric Bypass (RYGB) and Sleeve Gastrectomy (SG), No effect in ALT and AST at < 12 months after SG and in AST at > 12, ≤24 months after RYGB by Wang et. al
We begin by complimenting Wang et al. for their research into treatment of Non-Alcoholic Fatty Liver Disease (NAFLD) after Roux-en-Y Gastric Bypass (RYGB) and Laparoscopic Sleeve Gastrectomy (LSG) through the analysis of Alanine Aminotransferase (ALT) and Aspartate Aminotransferase (AST) values at different timepoints. This is a burgeoning field of research, as NAFLD rates continue to rise globally. Bariatric surgery has been proven in numerous studies to improve AST and ALT values after bariatric surgery (1). (Source: Surgery for Obesity and Related Diseases)
Source: Surgery for Obesity and Related Diseases - December 17, 2019 Category: Surgery Authors: D. Baldwin, A. Gangemi Tags: Letter to the Editor Source Type: research

Comment on: Laparoscopic sleeve gastrectomy induces sustained changes in gray and white matter brain volumes and resting functional connectivity in obese patients
The objective of their study was to use structural and resting-state MRI to investigate changes in brain Grey Matter (GM) / White Matter (WM) volumes and function in 30 patients with obesity pre-LSG, as well as at 1-month and 3-month after surgery. The authors were able to demonstrate sustained increases in GM/WM volumes after surgery in several regions of the brain that are associated with food-intake control. (Source: Surgery for Obesity and Related Diseases)
Source: Surgery for Obesity and Related Diseases - December 17, 2019 Category: Surgery Authors: Boris Zevin Source Type: research

Safety of concurrent sleeve gastrectomy and hiatal hernia repair: A propensity-score matched analysis of the MBSAQIP registry
Hiatal hernia repair is an essential step to reduce the incidence of gastroesophageal acid reflux disease in patients undergoing sleeve gastrectomy. The safety of addition, an hiatal hernia repair to sleeve gastrectomy, is a critical question. (Source: Surgery for Obesity and Related Diseases)
Source: Surgery for Obesity and Related Diseases - December 17, 2019 Category: Surgery Authors: Michal R. Janik, Christopher Ibikunle, Amir H. Aryaie Tags: Original articles Source Type: research

Post-Operative Complications and Readmissions Associated with Smoking Following Bariatric Surgery
We describe the risk of postoperative 30-day complications and readmission following laparoscopic sleeve gastrectomy and laparoscopic Roux-En-Y gastric bypass in smokers.MethodsThe National Surgical Quality Improvement Program database was queried to identify patients who underwent laparoscopic sleeve gastrectomy and Roux-En-Y gastric bypass from 2012 to 2017. Patient outcomes were compared based on smoking status. Primary outcomes included 30-day readmission and death or serious morbidity. Secondary outcomes included wound and respiratory complications. Multivariable logistic regression was used to determine the associati...
Source: Journal of Gastrointestinal Surgery - December 17, 2019 Category: Surgery Source Type: research

The Effect of Laparoscopic Sleeve Gastrectomy on Serum Thyroid-Stimulating Hormone Levels in Obese Patients with Overt and Subclinical Hypothyroidism: a 7-Year Retrospective Study
This study is aimed at evaluating this effect on thyroid-stimulating hormone (TSH) and thyroid hormone replacement dosages in obese population with overt and subclinical hypothyroidism (SH).MethodsA retrospective study was performed on all morbidly obese patients with previous diagnosis of overt and subclinical hypothyroidism who underwent laparoscopic sleeve gastrectomy from October 2009 to January 2017. The correlation between TSH and body mass index (BMI) and the effect of weight loss induced by bariatric surgery on TSH were investigated.ResultsThe prevalence of overt and SH in morbidly obese patients was 10.8% and 7.2%...
Source: Obesity Surgery - December 17, 2019 Category: Surgery Source Type: research

Factors Associated with Weight Loss After Metabolic Surgery in a Multiethnic Sample of 1012 Patients
ConclusionsAfrican Americans had a lower %TWL than non-Hispanic/Latino Whites at most time points; there were no other significant race/ethnicity or sex differences. BMI (greater initial BMI), age (lower) and RYGB were associated with a greater post-operative %TWL at certain post-surgery follow-up time points. A limitation of this study is that there was missing data at a number of time points due to lack of attendance at certain follow-up visits. (Source: Obesity Surgery)
Source: Obesity Surgery - December 17, 2019 Category: Surgery Source Type: research

Comment on: Laparoscopic sleeve gastrectomy induces sustained changes  in gray and white matter brain volumes and resting functional connectivity in obese patients
The objective of their study was to use structural and resting-state magnetic resonance imaging to investigate changes in brain gray/white matter volumes and function in 30 patients with obesity prelaparoscopic sleeve gastrectomy, as well as at 1 and 3 months after surgery. The authors were able to demonstrate sustained increases in gray/white matter volumes after surgery in several regions of the brain that are associated with food-intake control. (Source: Surgery for Obesity and Related Diseases)
Source: Surgery for Obesity and Related Diseases - December 17, 2019 Category: Surgery Authors: Boris Zevin Tags: Editorial comment Source Type: research

Safety of concurrent sleeve gastrectomy and hiatal hernia repair: a  propensity score–matched analysis of the MBSAQIP registry
Hiatal hernia repair is an essential step to reduce the incidence of gastroesophageal acid reflux disease in patients undergoing sleeve gastrectomy. The safety of addition, a hiatal hernia repair to sleeve gastrectomy, is a critical question. (Source: Surgery for Obesity and Related Diseases)
Source: Surgery for Obesity and Related Diseases - December 17, 2019 Category: Surgery Authors: Michal R. Janik, Christopher Ibikunle, Amir H. Aryaie Tags: Original article Source Type: research

Challenges in ERCP post-Billroth II gastrectomy: Is it the scope, tools or technique ?
Ihab I El Hajj, Mohammad Al-HaddadSaudi Journal of Gastroenterology 2019 25(6):333-334 (Source: The Saudi Journal of Gastroenterology)
Source: The Saudi Journal of Gastroenterology - December 16, 2019 Category: Gastroenterology Authors: Ihab I El Hajj Mohammad Al-Haddad Source Type: research

Endoscopic retrograde cholangiopancreatography in Billroth II gastrectomy patients: Outcomes and potential factors affecting technical failure
Conclusions: ERCP is safe, effective and feasible for Billroth II gastrectomy patients. Previous ERCP history, absence of Braun anastomosis and the use of a cap-assisted gastroscope are the predictive factors for its technical success. (Source: The Saudi Journal of Gastroenterology)
Source: The Saudi Journal of Gastroenterology - December 16, 2019 Category: Gastroenterology Authors: Jia-Su Li Duo-Wu Zou Zhen-Dong Jin Jie Chen Xin-Gang Shi Zhao-Shen Li Feng Liu Source Type: research

Cardiovascular Benefits and Lipid Profile Changes 5 Years After Bariatric Surgery: A Comparative Study Between Sleeve Gastrectomy and Roux-en-Y Gastric Bypass
AbstractIntroductionVisceral adipose tissue has been linked with cardiovascular events. Visceral adiposity index (VAI) is a routinely applicable tool for evaluation of visceral adipose dysfunction and linked to 10 year-cardiovascular risk. No previous studies have evaluated the changes over time of the VAI in patients who underwent different types of bariatric surgery.Materials and MethodsWe reviewed data of 42 patients who underwent laparoscopic sleeve gastrectomy (LSG) and 61 patients who underwent laparoscopic Roux-en-Y gastric bypass (LRYGB). VAI, lipid profile, and several anthropometric variables were measured before...
Source: Journal of Gastrointestinal Surgery - December 16, 2019 Category: Surgery Source Type: research

Taiwan nutritional consensus on the nutrition management for gastric cancer patients receiving gastrectomy.
Abstract Currently, consensus reports on the nutritional management for gastric cancer patients receiving gastric resection are lacking. The Gastroenterological Society of Taiwan therefore organized the Taiwan Gastric Cancer Nutritional Consensus Team to provide an overview of evidence and recommendations on nutritional support for gastric cancer patients undergoing gastrectomy. This consensus statement on the nutritional support for gastric cancer patients has two major sections:(1)perioperative nutritional support; and (2)long-term postoperative nutritional care. Thirty Taiwan medical experts conducted a consens...
Source: J Formos Med Assoc - December 16, 2019 Category: General Medicine Authors: Hsu PI, Chuah SK, Lin JT, Huang SW, Lo JC, Rau KM, Chen IS, Hsu HY, Sheu BS, Chang WK, Wu DC Tags: J Formos Med Assoc Source Type: research

Comment on: Laparoscopic sleeve gastrectomy induces sustained changes  in gray and white matter brain volumes and resting functional connectivity in obese patients.
Comment on: Laparoscopic sleeve gastrectomy induces sustained changes in gray and white matter brain volumes and resting functional connectivity in obese patients. Surg Obes Relat Dis. 2019 Dec 16;: Authors: Zevin B PMID: 31911100 [PubMed - as supplied by publisher] (Source: Surgery for Obesity and Related Diseases : official journal of the American Society for Bariatric Surgery)
Source: Surgery for Obesity and Related Diseases : official journal of the American Society for Bariatric Surgery - December 16, 2019 Category: Surgery Authors: Zevin B Tags: Surg Obes Relat Dis Source Type: research

Response to letter to editor entitled: Improvement of nonalcoholic fatty liver disease in ALT at ≥12 months after Roux-en-Y gastric bypass and sleeve gastrectomy, no effect in ALT and AST at < 12 months after SG and in AST at > 12 and ≤24 months after RYGB by Wang et al.
Response to letter to editor entitled: Improvement of nonalcoholic fatty liver disease in ALT at ≥12 months after Roux-en-Y gastric bypass and sleeve gastrectomy, no effect in ALT and AST at 12 and ≤24 months after RYGB by Wang et al. Surg Obes Relat Dis. 2019 Dec 16;: Authors: Baldwin D, Gangemi A PMID: 31911098 [PubMed - as supplied by publisher] (Source: Surgery for Obesity and Related Diseases : official journal of the American Society for Bariatric Surgery)
Source: Surgery for Obesity and Related Diseases : official journal of the American Society for Bariatric Surgery - December 16, 2019 Category: Surgery Authors: Baldwin D, Gangemi A Tags: Surg Obes Relat Dis Source Type: research

Laparoscopic management of gastric remnant ischemia after laparoscopic distal gastrectomy with Billroth-I anastomosis- A case report
ConclusionCareful evaluation of the clinical findings and close observation with EGD can help detect mucosal demarcation lines and ascertain the perfect timing for intervention in cases with suspected ischemia. Although gastric remnant ischemia requires emergency treatment, laparoscopic management is a feasible option when performed by an expert surgeon. (Source: International Journal of Surgery Case Reports)
Source: International Journal of Surgery Case Reports - December 14, 2019 Category: Surgery Source Type: research

Higher Risk of Lymph Node Metastasis in Young Patients with Early Gastric Cancer
This study investigates the effect of age on LNM in patients with GC.Methods: From January 1988 to December 2013, 22,808 GC patients underwent gastrectomy at the Surveillance, Epidemiology, and End Results database were included. The relationship between age and LNM was analyzed.Results: The median number of examined lymph nodes (ELNs) was 12 (interquartile range [IQR], 7-20) among the 22,808 patients with GC, and the median numbers of ELNs were 10 (IQR, 5-18), 12 (IQR, 6-19), 13 (IQR, 7-21) and 13 (IQR, 7-21) in patients with T1 to T4 disease, respectively. A total of 13,780 (60.4%) patients presented with LNM. The LNM ra...
Source: Journal of Cancer - December 14, 2019 Category: Cancer & Oncology Authors: Zu-Kai Wang, Jian-Xian Lin, Ping Li, Jian-Wei Xie, Jia-Bin Wang, Jun Lu, Qi-Yue Chen, Long-Long Cao, Mi Lin, Ru-Hong Tu, Chang-Ming Huang, Chao-Hui Zheng Tags: Research Paper Source Type: research

Difference in the short-term outcomes of laparoscopic gastrectomy for gastric carcinoma between the east and west: a retrospective study from the IMIGASTRIC trial
Conclusions: The selections and short-term surgical outcomes of LG for GC were widely different between East and West. To obtain more objective and accurate results, these differences should be considered in future international prospective studies. (Source: Journal of Cancer)
Source: Journal of Cancer - December 14, 2019 Category: Cancer & Oncology Authors: Jian-Xian Lin, Jun-Peng Lin, Jacopo Desiderio, Jian-Wei Xie, Alessandro Gemini, Jia-bin Wang, Jun Lu, Qi-Yue Chen, Long-long Cao, Mi Lin, Ruhong Tu, Chao-Hui Zheng, Ping Li, Amilcare Parisi, Chang-Ming Huang Tags: Research Paper Source Type: research

Effect of lymph nodes count in node-positive gastric cancer
Background: The retrieved lymph node (LN) count has been confirmed as a prognostic indicator in various cancers. However, the correlation between LN counts and patient prognosis in gastric cancer with node-positive is not fully studied.Methods: A total of 8475 patients undergoing gastrectomy in Surveillance, Epidemiology, and End Results Program (SEER)-registered gastric cancer were analyzed. Kaplan-Meier methods and multivariable Cox regression models were used to analyze long-term outcomes and risk factors. Moreover, nomograms including LN counts were established to predict overall survival (OS) and cancer-specific survi...
Source: Journal of Cancer - December 14, 2019 Category: Cancer & Oncology Authors: Wenjie Zhang, Guangyan Zhangyuan, Jincheng Wang, Kangpeng Jin, Yang Liu, Fei Wang, Weiwei Yu, Haitian Zhang, Guoqiang Li, Decai Yu, Huihui Chen, Qingxiang Xu, Beicheng Sun Tags: Research Paper Source Type: research

Impact of the Age-adjusted Charlson comorbidity index on the short- and long-term outcomes of patients undergoing curative gastrectomy for gastric cancer
Background: The aim of this study was to determine whether or not the short- and long-term outcomes were affected by the age-adjusted Charlson comorbidity index (ACCI) in patients who underwent curative resection for gastric cancer.Methods: The patients were retrospectively selected from among the medical records of consecutive patients who underwent curative gastrectomy with nodal dissection for gastric cancer at Yokohama City University and Kanagawa Cancer Center from January 2000 to August 2015.Results: A total of 2254 patients were eligible for inclusion in the present study. One thousand six hundred fifty-six patients had an ACCI of
Source: Journal of Cancer - December 14, 2019 Category: Cancer & Oncology Authors: Yukio Maezawa, Toru Aoyama, Kazuki Kano, Hiroshi Tamagawa, Masakatsu Numata, Kentaro Hara, Masaaki Murakawa, Takanobu Yamada, Tsutomu Sato, Takashi Ogata, Takashi Oshima, Norio Yukawa, Takaki Yoshikawa, Munetaka Masuda, Yasushi Rino Tags: Research Paper Source Type: research

Comprehensive biomarker analyses identifies HER2, EGFR, MET RNA expression and thymidylate synthase 5'UTR SNP as predictors of benefit from S-1 adjuvant chemotherapy in Japanese patients with stage II/III gastric cancer
Conclusions: The present study suggests that platinum-based or RTK targeted agents could be alternative treatment options for a substantial subgroup of Japanese GC patients currently treated with S-1. HER2, EGFR, MET, and TS 5'UTR SNP appear to be promising predictive markers for S-1 resistance warranting validation in an independent GC series. (Source: Journal of Cancer)
Source: Journal of Cancer - December 14, 2019 Category: Cancer & Oncology Authors: Takaki Yoshikawa, Toru Aoyama, Kentaro Sakamaki, Takasi Oshima, Joyce Lin, Shenli Zhang, Nur Sabrina Sapari, Richie Soong, Iain Tan, Xiu Bin Chan, Dan Bottomley, Lindsay C Hewitt, Tomio Arai, Bin Tean Teh, David Epstein, Takashi Ogata, Yoichi Kameda, Yohe Tags: Research Paper Source Type: research

Cumulative Score Based on Preoperative Fibrinogen and Pre-albumin Could Predict Long-term Survival for Patients with Resectable Gastric Cancer
Background: To investigate the prognostic significance of the cumulative score based on preoperative fibrinogen and pre-albumin (FP score) in patients with gastric cancer after radical gastrectomy.Methods: Baseline characteristics, preoperative fibrinogen and pre-albumin levels were retrospectively reviewed in patients who underwent radical gastrectomy. The optimal cut-off values for fibrinogen and pre-albumin were defined as 4.0 g/L and 230.0 mg/L, respectively. Patients with elevated fibrinogen (≥ 4.0 g/L) and decreased pre-albumin (
Source: Journal of Cancer - December 14, 2019 Category: Cancer & Oncology Authors: Zhi-jun Wu, Hui Xu, Rong Wang, Li-jia Bu, Jie Ning, Ji-qing Hao, Guo-ping Sun, Tai Ma Tags: Research Paper Source Type: research

The Effect of sevoflurane, desflurane and propofol on respiratory mechanics and integrated pulmonary index scores in laparoscopic sleeve gastrectomy. A randomized trial.
CONCLUSION: In morbidly obese patients, sevoflurane, desflurane, and propofol are similar in terms of the intraoperative respiratory mechanics, and perioperative respiratory parameters provided with IPI. PMID: 31828275 [PubMed - in process] (Source: Saudi Medical Journal)
Source: Saudi Medical Journal - December 14, 2019 Category: Middle East Health Tags: Saudi Med J Source Type: research

Comment on “Is it worth it? Determining the health benefits of sleeve gastrectomy in patents with a body mass index less than 35 kg/m2.”
It is time for us to set aside the 1991 National Institutes of Health Consensus Development Conference Panel on Gastrointestinal Surgery for Severe Obesity (1991 NIH Guidelines).1 Put them out to pasture. Give them the cold shoulder. Tune them out. (Source: Surgery for Obesity and Related Diseases)
Source: Surgery for Obesity and Related Diseases - December 14, 2019 Category: Surgery Authors: John D. Scott Source Type: research

Comment on: Revision Operation to One Anastomosis Gastric Bypass for failed Sleeve Gastrectomy: Revision of SG to OAGB
Revision of SG to OAGB1, is an important paper not because of its earthshaking conclusions, but rather because of the questions it raises in the mind of the reader. The authors have shown that in the hands of experienced surgeons converting a sleeve gastrectomy to OAGB is safe in the short term, but is that enough for us to suggest it should be considered as a revisional procedure for failed sleeves? The paper acknowledges that follow-up is too short to determine what the true incidence of long-term complications might be. (Source: Surgery for Obesity and Related Diseases)
Source: Surgery for Obesity and Related Diseases - December 14, 2019 Category: Surgery Authors: Edward L. Felix Source Type: research

Comment on: Is it worth it? Determining the health benefits of sleeve gastrectomy in patents with a body mass index less than 35 kg/m2
It is time for us to set aside the 1991 National Institutes of Health (NIH) Consensus Development Conference Panel on Gastrointestinal Surgery for Severe Obesity (1991 NIH Guidelines) [1]. Put them out to pasture. Give them the cold shoulder. Tune them out. (Source: Surgery for Obesity and Related Diseases)
Source: Surgery for Obesity and Related Diseases - December 14, 2019 Category: Surgery Authors: John D. Scott Tags: Editorial comment Source Type: research

Comment on: Revision operation to one-anastomosis gastric bypass for failed sleeve gastrectomy
Revision of sleeve gastrectomy (SG) to one-anastomosis gastric bypass (OAGB) [1] is an important paper, not because of its earthshaking conclusions, but rather because of the questions it raises in the mind of the reader. The authors have shown that in the hands of experienced surgeons converting SG to OAGB is safe in the short term, but is that enough for us to suggest it should be considered as a revisional procedure for failed sleeves? The paper acknowledges that follow-up is too short to determine what the true incidence of long-term complications might be. (Source: Surgery for Obesity and Related Diseases)
Source: Surgery for Obesity and Related Diseases - December 14, 2019 Category: Surgery Authors: Edward L. Felix Tags: Editorial comment Source Type: research

Paired Editorial: Effects of Sleeve Gastrectomy with Transit Bipartition on Glycemic Variables, Lipid Profile, Liver Enzymes and Nutritional Status in Type 2 Diabetes Mellitus Patients: a 1-Year Follow-up Study
(Source: Obesity Surgery)
Source: Obesity Surgery - December 13, 2019 Category: Surgery Source Type: research

A Comprehensive Comparison of LRYGB and LSG in Obese Patients Including the Effects on QoL, Comorbidities, Weight Loss, and Complications: a Systematic Review and Meta-Analysis
AbstractPurposeTo systematically and comprehensively evaluate the differences between laparoscopic Roux-en-Y gastric bypass (LRYGB) versus sleeve gastrectomy (LSG) in obese patients.MethodsA systematic literature search was performed in PubMed, EMBASE, Web of Science, and the Cochrane Library from inception to December 2018. The meta-analysis was performed by the RevMan 5.3 software.ResultsTwenty-three articles with 7443 patients were included. In short term (
Source: Obesity Surgery - December 13, 2019 Category: Surgery Source Type: research

Skeletal muscle loss after laparoscopic gastrectomy assessed by measuring the total psoas area
ConclusionsLaparoscopic gastrectomy leads to postoperative TPA loss, especially in patients who underwent LTG and had postoperative respiratory complications. Postoperative complications after LDG were also a risk factor for TPA loss. (Source: Surgery Today)
Source: Surgery Today - December 13, 2019 Category: Surgery Source Type: research

Safety and efficacy of post-anastomotic intraoperative endoscopy to avoid early anastomotic complications during gastrectomy for gastric cancer
This study investigated the safety and efficacy of post-anastomotic intraoperative endoscopy (PAIOE) for avoidance of early anastomotic complications during gastrectomy in gastric cancer.MethodsThis retrospective case –control study enrolled patients from atertiary care, academic medical center. Routine PAIOE was performed on 319 patients undergoing gastrectomy for gastric cancer between 2015 and 2016. As controls, without PAIOE 270 patients from 2013 to 2014 were used for comparison. Early anastomotic complications and outcomes after PAIOE were determined.ResultsAlthough there were no differences between the PAIOE a...
Source: Surgical Endoscopy - December 13, 2019 Category: Surgery Source Type: research