Gastrosplenic Fistula without Malignancy Management in a 16-Year-Old Boy
We report a nonmalignant case of 16-year–old male with a gastrosplenic fistula of unclear etiology. The fistulous tract was confirmed by an upper endoscopy and an upper gastrointestinal series. Subsequently, it was surgically managed with a subtotal gastrectomy with “Roux-en-Y” reconstruction and a feeding jejunostomy. [...] Georg Thieme Verlag KG Stuttgart · New YorkArticle in Thieme eJournals: Table of contents  |  Abstract  |  open access Full text (Source: European Journal of Pediatric Surgery Reports)
Source: European Journal of Pediatric Surgery Reports - December 13, 2019 Category: Surgery Authors: Malik, Aila Onwubiko, Chinwendu Chen, Mike Radulescu, Andrei Galloway, David Martin, Colin Tags: Case Report Source Type: research

Perioperative auricular acupuncture technique via intradermal needling buried for postoperative movement-evoked pain after open radical gastrectomy: study protocol for a pilot randomized controlled trial
Publication date: Available online 9 December 2019Source: European Journal of Integrative MedicineAuthor(s): Xiao-Qing Wang, Pei-Bei Duan, Man Zheng, Qian Xu, Li-Hua Yang, A-Qin WangAbstractIntroductionAuricular acupuncture has been used for pain management. A more recent technique which buries an intradermal needle into the skin may provides long lasting stimulation and enhance analgesia. The purpose of this study was to evaluate the efficacy and feasibility of perioperative auricular acupuncture technique via intradermal needling buried on postoperative movement-evoked pain reduction of patients with advanced gastric can...
Source: European Journal of Integrative Medicine - December 10, 2019 Category: Complementary Medicine Source Type: research

Development and Validation of an Easy‐to‐Implement, Practical Algorithm for the Identification of Molecular Subtypes of Gastric Cancer: Prognostic and Therapeutic Implications
AbstractBackground.Gastric cancer (GC) is a heterogeneous disease, and substantial efforts have been made to develop a molecular biology‐based classification system for GC. Analysis of the genomic signature is not always feasible, and thus, we aimed to (i) develop and validate a practical immunohistochemistry (IHC)‐ and polymerase chain reaction (PCR)‐based molecular classification of GC and (ii) to assess HER2 status according to this classification.Materials and Methods.A total of 894 consecutive patients with GC from two individual cohorts (training, n = 507; validation, n = 387) were classified using Epstein‐Ba...
Source: The Oncologist - December 10, 2019 Category: Cancer & Oncology Authors: Jiwon Koh, Keun-Wook Lee, Soo Kyung Nam, An Na Seo, Ji-Won Kim, Jin Won Kim, Do Joong Park, Hyung-Ho Kim, Woo Ho Kim, Hye Seung Lee Tags: Cancer Diagnostics and Molecular Pathology, Gastrointestinal Cancer Source Type: research

Safety and feasibility of laparoscopic spleen-preserving No. 10 lymph node dissection for locally advanced upper third gastric cancer: a prospective, multicenter clinical trial
ConclusionLSTG for AUTGC was safe and effective when performed by very experienced surgeons, this technique could be used in patients who needed splenic hilar lymph node dissection. (Source: Surgical Endoscopy)
Source: Surgical Endoscopy - December 10, 2019 Category: Surgery Source Type: research

Mini gastric bypass for the management of gastrobronchial fistula: A case report
ConclusionGiven the increasing number of such surgeries performed the recognition of acute and chronic complications, and their optimal management is of great importance. Although performing a Roux-en-Y fistulojejunostomy was recommended in the literature, conservative and endoscopic treatment should be considered before. (Source: International Journal of Surgery Case Reports)
Source: International Journal of Surgery Case Reports - December 9, 2019 Category: Surgery Source Type: research

Adolescent Gastric Banding: a 5-Year Longitudinal Study
ConclusionIn this study, fewer than 20% of adolescents with severe obesity lost>  50% of their excess weight following LAGB. Nearly 50% of patients required additional surgery. With reports of success following sleeve gastrectomy and gastric bypass, we believe that LAGB is not a preferred choice to treat adolescents with obesity. (Source: Obesity Surgery)
Source: Obesity Surgery - December 9, 2019 Category: Surgery Source Type: research

Effect of histologic differences between biopsy and final resection on treatment outcomes in early gastric cancer
ConclusionsAbout 10% of patients showed histologic discrepancy between biopsy and final resection with ER or gastrectomy. Histologic discrepancy can affect treatment outcomes, such as non-curative resection in ER or missing the opportunity for ER in gastrectomy. (Source: Surgical Endoscopy)
Source: Surgical Endoscopy - December 9, 2019 Category: Surgery Source Type: research

15-year experience of laparoscopic gastrectomy in advanced gastric cancer: analysis on short-term and long-term oncologic outcome
ConclusionsDuring our 15  years of experience, we have successfully performed 1483 cases of AGC with laparoscopy. Our results showed short-term and long-term oncologic outcomes that were comparable with other studies. LG is safe and feasible in general practice for advanced gastric cancer when performed by experienced surg eons. (Source: Surgical Endoscopy)
Source: Surgical Endoscopy - December 9, 2019 Category: Surgery Source Type: research

Linear or circular stapler? A propensity score-matched, multicenter analysis of intracorporeal esophagojejunostomy following totally laparoscopic total gastrectomy
ConclusionThe use of linear stapled reconstruction is safer than the use of circular stapled reconstruction for intracorporeal EJS in TLTG because of its lower risks of stenosis. (Source: Surgical Endoscopy)
Source: Surgical Endoscopy - December 9, 2019 Category: Surgery Source Type: research

Vitamin D Status After Gastric Bypass or Sleeve Gastrectomy over 4  Years of Follow-up
ConclusionVitamin D deficiency and insufficiency were prevalent pre-surgery and reduced significantly with routine supplementation post-surgery. (Source: Obesity Surgery)
Source: Obesity Surgery - December 9, 2019 Category: Surgery Source Type: research

Intestinal barrier function in morbid obesity: results of a prospective study on the effect of sleeve gastrectomy
International Journal of Obesity, Published online: 09 December 2019; doi:10.1038/s41366-019-0492-zIntestinal barrier function in morbid obesity: results of a prospective study on the effect of sleeve gastrectomy (Source: International Journal of Obesity)
Source: International Journal of Obesity - December 9, 2019 Category: Eating Disorders & Weight Management Authors: Jennifer Wilbrink Nienke Bernards Zlatan Mujagic Mark van Avesaat Kirsten Pijls Tim Klaassen Hans van Eijk Simon Nienhuijs Arnold Stronkhorst Ellen Wilms Freddy Troost Ad Masclee Source Type: research

Revisional Bariatric Surgery Due to Failure of the Initial Technique: 25 years of Experience in a Specialized Unit of Obesity Surgery in Spain
Publication date: Available online 7 December 2019Source: Cirugía Española (English Edition)Author(s): Isabel Mora Oliver, Norberto Cassinello Fernández, Raquel Alfonso Ballester, María D. Cuenca Ramírez, Joaquín Ortega SerranoAbstractObjectivesTo evaluate the effectiveness of conversion surgery in a bariatric surgery unit with 25 years of experience.MethodRetrospective observational study of patients with type II obesity or higher who were reoperated by means of conversion surgery due to weight regain, residual body mass index (BMI)>35 kg/m2 or 35 kg/m2 o pérdida
Source: Cirugia Espanola - December 8, 2019 Category: Surgery Source Type: research

Is There Necessity for Oversewing the Staple Line During Laparoscopic Sleeve Gastrectomy? An Updated Systematic Review and Meta-Analysis of Randomized Controlled Trials.
Conclusion: This study suggested that oversewing the staple line during LSG has a significant clinical value: it decreased the incidence of postoperative bleeding, postoperative leakage; moreover, it also significantly prolonged the operative time and but did not change hospital stay. More high-quality and large sample RCTs are expected to get more accurate results. PMID: 31805796 [PubMed - as supplied by publisher] (Source: Journal of Investigative Surgery)
Source: Journal of Investigative Surgery - December 8, 2019 Category: Surgery Tags: J Invest Surg Source Type: research

Insufficient examined lymph node count underestimates staging in pN3a patients after curative gastrectomy: a multicenter study with external validation
ConclusionpN3a patients with insufficient ELN count should be considered as pN3b cases to achieve accurate prognostic evaluation after curative gastrectomy. (Source: Journal of Cancer Research and Clinical Oncology)
Source: Journal of Cancer Research and Clinical Oncology - December 7, 2019 Category: Cancer & Oncology Source Type: research

The relationship between the number of examined lymph nodes and the efficacy of chemotherapy for gastric cancer
AbstractBackgroundThe purpose of this research was to investigate the relationship between the number of examined lymph nodes (eLNs) and the prognosis.MethodsA retrospective examination of reports and studies carried out at two institutions was conducted. According to TNM stages, the relationship between the number of eLNs and the prognosis was analyzed.ResultsThe 5-year disease-specific survival (DSS) of all enrolled patients was 66.3%. A multivariate analysis showed the type of gastrectomy, histologic type, perineural invasion, pT stage, pN stage, chemotherapy and eLNs to be independent prognostic markers. Additionally, ...
Source: Surgery Today - December 6, 2019 Category: Surgery Source Type: research

Gastric mixed adeno-neuroendocrine carcinoma with a large cell neuroendocrine component A case reports.
Authors: Sert OZ, Gulmez S, Uzun O, Bozkurt H, Gunes OH Abstract Digestive system carcinomas containing a neuroendocrine and an exocrine component are classified as mixed adenoneuroendocrine carcinomas(manec), as one of the component represents at least 30% of the whole lesion. We herein aim to contribute to literature by presenting our rare case of gastric manec. A 58-year-old male patient had a 3 cm mass placed in the antrum in his gastroscopy. The biopsy result was signet ring cell carcinoma. After that total gastrectomy with d2 lymph node dissection and roux-en-y oesophagojejunostomy was performed. The histopat...
Source: Annali Italiani di Chirurgia - December 5, 2019 Category: Surgery Tags: Ann Ital Chir Source Type: research

Correction to: Do Specialized Bariatric Multivitamins Lower Deficiencies After Sleeve Gastrectomy?
Conclusion section should read as follows. (Source: Obesity Surgery)
Source: Obesity Surgery - December 5, 2019 Category: Surgery Source Type: research

Roux-en-Y Gastric Bypass as a Treatment for Barrett ’sEsophagus after Sleeve Gastrectomy
ConclusionsRYGB is an effective therapy for patients with BE and reflux after SG. Its outcomes in the current study were BE remission in the majority of cases as well as a decrease in reflux activity. Further studies with larger cohorts are necessary to confirm these findings. (Source: Obesity Surgery)
Source: Obesity Surgery - December 5, 2019 Category: Surgery Source Type: research

Antireflux mucosectomy for managing reflux symptoms in an obese patient post laparoscopic sleeve gastrectomy.
We describe this unusual case which was treated effectively with ARMS. PMID: 31791169 [PubMed - as supplied by publisher] (Source: Scandinavian Journal of Gastroenterology)
Source: Scandinavian Journal of Gastroenterology - December 4, 2019 Category: Gastroenterology Tags: Scand J Gastroenterol Source Type: research

Endoscopic trans gastric assisted surgery for gastric tumors: case report and description of a new surgical technique
ConclusionWe need to perform more cases for future comparative studies with percutaneous endoscopic intragastric surgery [PEIGS] in terms of parameters as pain, inflammation, complications, stenosis, oncological results and cosmesis. (Source: International Journal of Surgery Case Reports)
Source: International Journal of Surgery Case Reports - December 4, 2019 Category: Surgery Source Type: research

Non surgical management for massive gastric lipomatosis
ConclusionNon operative management is appropriate when gastric lipomatosis is asymptomatic without mucosal ulceration and in asymptomatic patient, regardless of the amount of gastric lipomas. Avoiding patient the morbidity of a total gastrectomy. (Source: International Journal of Surgery Case Reports)
Source: International Journal of Surgery Case Reports - December 4, 2019 Category: Surgery Source Type: research

Adjuvant Chemoradiotherapy for Gastric Cancer: Efficacy and Cost-Effectiveness Analysis
This study aimed to assess the efficacy and cost-effectiveness of treatment for GC after D2-gastrectomy.Materials and methods: Stage IB–IIICGC patients who had received adjuvant CRT or CT, or who had just been observed after D2-gastrectomy were retrospectively selected. Therapeutic strategy after surgery, disease-free survival (DFS), overall survival (OS), adverse events and costs were recorded retrospectively. A Markov model was developed to simulate the process of GC after D2-gastrectomy. Health outcomes were measured using quality-adjusted life-years (QALYs). Incremental cost-effectiveness ratio (ICER) was regarde...
Source: Frontiers in Oncology - December 3, 2019 Category: Cancer & Oncology Source Type: research

Comparative Effects of Three Kinds of Bariatric Surgery: A Randomized Case –Control Study in Obese Patients
ConclusionThis study suggests that bariatric surgery is only a prerequisite for weight loss, and the long-term dietary control and exercise can help patients achieve optimal weight loss. (Source: Diabetes Therapy)
Source: Diabetes Therapy - December 3, 2019 Category: Endocrinology Source Type: research

Postoperative hyperglycemia affects survival after gastrectomy for cancer: A single-center analysis using propensity score matching
No data are present currently on the potential correlation between postoperative hyperglycemia and long-term outcomes after gastric surgery for cancer. The aim of this study was to investigate the effects of postoperative hyperglycemia on survival after curative gastrectomy for cancer. (Source: Surgery)
Source: Surgery - December 3, 2019 Category: Surgery Authors: Claudio Fiorillo, Giuseppe Quero, Vito Laterza, Pietro Mascagni, Fabio Longo, Roberta Menghi, Francesco Razionale, Fausto Rosa, Teresa Mezza, Ivo Boskoski, Andrea Giaccari, Sergio Alfieri Source Type: research

Clinical Outcomes of One Anastomosis Gastric Bypass Versus Sleeve Gastrectomy for Morbid Obesity
ConclusionOAGB is more effective for %EWL and dyslipidemia remission than SG. In addition, OAGB may lower the risk of postoperative leak, gastroesophageal reflux disease, revision, and mortality. Further comparisons of the clinical outcomes of OAGB versus SG for morbid obesity would benefit from more high-quality controlled studies. (Source: Obesity Surgery)
Source: Obesity Surgery - December 3, 2019 Category: Surgery Source Type: research

A comparative analysis on clinical efficacy of FOLFOX6 regimen and DCF regimen as neoadjuvant chemotherapy combined with radical gastrectomy in treating advanced gastric cancer.
CONCLUSIONS: The FOLFOX6 regimen and DCF regimen as NACT combined with radical gastrectomy have curative effects in treating locally advanced gastric cancer, preferable clinical response rate and disease control rate can be obtained, and the adverse reactions of the chemotherapy are tolerable. The patients receiving the FOLFOX6 regimen show a better tolerance, manifesting that the FOLFOX6 regimen is safer, which is worthy of clinical popularization. PMID: 31786868 [PubMed - in process] (Source: Journal of B.U.ON.)
Source: Journal of B.U.ON. - December 2, 2019 Category: Cancer & Oncology Tags: J BUON Source Type: research

Current role of lymphadenectomy in gastric cancer surgery.
Authors: Symeonidis D, Diamantis A, Tepetes K Abstract Gastric cancer is the sixth most common cancer worldwide with increased associated morbidity and mortality. Although a multimodality treatment approach is necessary, surgery is still considered as the standard of care. There is a longstanding intercontinental debate between Eastern and Western upper GI surgeons in regards to the proper type of lymphadenectomy that should accompany the resection of the primary tumor. While D2 gastrectomy was performed as the standard procedure in eastern countries, the increased morbidity and mortality attributed initially to th...
Source: Journal of B.U.ON. - December 2, 2019 Category: Cancer & Oncology Tags: J BUON Source Type: research

National Underutilization of Neoadjuvant Chemotherapy for Gastric Cancer
ConclusionsTen years after the publication of the MAGIC trial, fewer than 1/3 of patients with stage II/III gastric cancer are receiving neoadjuvant chemotherapy, which has been shown to improve disease-specific survival. Further studies are needed to understand these disparities and ensure both patients and providers are having evidence-based discussions about multimodal therapy for gastric cancer. (Source: Journal of Gastrointestinal Surgery)
Source: Journal of Gastrointestinal Surgery - December 2, 2019 Category: Surgery Source Type: research

Endoscopic Vacuum Therapy for Staple Line Leaks after Sleeve Gastrectomy
ConclusionsEVT is an effective method for the management of staple line leaks after sleeve gastrectomy. The use of the intraluminal open-pore film drainage (OFD) could be considered as an advantageous modality of EVT, regarding placement and complications. (Source: Obesity Surgery)
Source: Obesity Surgery - December 2, 2019 Category: Surgery Source Type: research

Bariatric Procedure Selection in Patients with Type 2 Diabetes: Choice between Roux-en-Y Gastric Bypass or Sleeve Gastrectomy
Guiding patients with type 2 diabetes mellitus (T2DM) toward the most appropriate bariatric and metabolic procedure is crucial for improving outcomes. In recent years, Roux-en-Y gastric bypass (RYGB) and sleeve gastrectomy (SG) have been the most commonly performed bariatric procedures worldwide. Both are safe, effective, and durable metabolic procedures. The aim of this review is to critically examine the best available evidence derived from the randomized clinical trials (RCTs) to identify which bariatric procedure is superior in an individual with T2DM to provide sustainable long-term remission. (Source: Surgery for Obe...
Source: Surgery for Obesity and Related Diseases - December 2, 2019 Category: Surgery Authors: Ali Aminian Tags: Review articles Source Type: research

Bariatric procedure selection in patients with type 2 diabetes: choice between Roux-en-Y gastric bypass or sleeve gastrectomy.
Abstract Guiding patients with type 2 diabetes (T2D) toward the most appropriate bariatric and metabolic procedure is crucial for improving outcomes. In recent years, Roux-en-Y gastric bypass (RYGB) and sleeve gastrectomy (SG) have been the most commonly performed bariatric procedures worldwide. Both are safe, effective, and durable metabolic procedures. The aim of this review was to critically examine the best available evidence derived from the randomized clinical trials (RCTs) to identify which bariatric procedure is superior in an individual with T2D to provide sustainable long-term remission. There are 4 RCTs...
Source: Surgery for Obesity and Related Diseases : official journal of the American Society for Bariatric Surgery - December 2, 2019 Category: Surgery Authors: Aminian A Tags: Surg Obes Relat Dis Source Type: research

Robot-Assisted versus Laparoscopic-Assisted Gastrectomy among Gastric Cancer Patients: A Retrospective Short-Term Analysis from a Single Institution in China.
Conclusions: RAG was safe and feasible for gastric cancer patients, with superiority in the dissection of No. 9 lymph nodes. PMID: 31781200 [PubMed] (Source: Gastroenterology Research and Practice)
Source: Gastroenterology Research and Practice - December 1, 2019 Category: Gastroenterology Tags: Gastroenterol Res Pract Source Type: research

The Effect of Metformin on Prognosis in Patients With Locally Advanced Gastric Cancer Associated With Type 2 Diabetes Mellitus
Conclusions: Metformin improves the survival of patients with gastric cancer and type 2 DM. (Source: American Journal of Clinical Oncology)
Source: American Journal of Clinical Oncology - December 1, 2019 Category: Cancer & Oncology Tags: Original Articles: Gastrointestinal Source Type: research

Patients Remain at High Risk of Gallstones Development Late (10 y) After Sleeve Gastrectomy?
Conclusions: Study with 92% of follow-up late after SG demonstrated a 43% development of gallstones: half earlier and half late after surgery. We emphasize the need for late control to detect the real appearance of gallstones after SG. (Source: Surgical Laparoscopy, Endoscopy and Percutaneous Techniques)
Source: Surgical Laparoscopy, Endoscopy and Percutaneous Techniques - December 1, 2019 Category: Surgery Tags: Original Articles Source Type: research

Long-term Outcomes of Laparoscopy-assisted Gastrectomy for T4a Advanced Gastric Cancer: A Single-center Retrospective Study
Background: Laparoscopy-assisted gastrectomy (LAG) has been proven to be feasible and oncologically safe for early gastric cancer. Despite the rapid increase in the number of LAG cases, there are few reports on the long-term outcomes of T4a (serosalinvasion) gastric cancer after LAG. The aim of the present study was to evaluate the long-term clinical outcomes in patients with stage T4a gastric cancer after laparoscopic gastrectomy. Materials and Methods: A total of 578 patients with gastric cancer were treated with LAG between February 2004 and December 2014. Among these patients, 224 patients were pathologically conf...
Source: Surgical Laparoscopy, Endoscopy and Percutaneous Techniques - December 1, 2019 Category: Surgery Tags: Original Articles Source Type: research

The Effect of Laparoscopic Sleeve Gastrectomy on Nonalcoholic Fatty Liver Disease
Obesity is associated with nonalcoholic fatty liver disease which is one of the most common causes of chronic liver disease. FibroScan is a noninvasive tool for liver stiffness measurement and controlled attenuation parameter to evaluate liver steatosis and fibrosis. We aimed to demonstrate the effect of laparoscopic sleeve gastrectomy on liver steatosis and fibrosis. Of the 120 consecutive patients screened, 72 were enrolled in this study. FibroScan M probe and XL probe were used for the evaluation of liver steatosis and fibrosis. Fifty-two patients (72.2%) were female individuals and 20 (27.8%) were male individuals; the...
Source: Surgical Laparoscopy, Endoscopy and Percutaneous Techniques - December 1, 2019 Category: Surgery Tags: Original Articles Source Type: research

Laparoscopic Billroth I Gastroduodenostomy in Robotic Distal Gastrectomy for Gastric Cancers: Fusion Surgery
Conclusion: Regarding short-term surgical outcomes, robotic-assisted laparoscopic stapling techniques for reconstruction after RDG are both feasible and safe for gastric cancers. (Source: Surgical Laparoscopy, Endoscopy and Percutaneous Techniques)
Source: Surgical Laparoscopy, Endoscopy and Percutaneous Techniques - December 1, 2019 Category: Surgery Tags: Original Articles Source Type: research

Benefits of Suture Reinforcement in Laparoscopic Sleeve Gastrectomy
Obesity is an increasing problem worldwide. Laparoscopic sleeve gastrectomy is gaining popularity. Although it has unique complications such as leakage, bleeding, and stenosis, it is a reliable procedure. A total of 1200 consecutive patients who underwent sleeve gastrectomy and omentopexy between March 2013 and December 2018 were enrolled in this retrospective study. Body mass index, age, sex, and postoperative complications were recorded in all patients. Of 1200 patients, 864 (72%) were female and 336 (28%) were male. The median age was 38 years (13 to 69 y). Preoperative median body mass index was found as 40.87&t...
Source: Surgical Laparoscopy, Endoscopy and Percutaneous Techniques - December 1, 2019 Category: Surgery Tags: Original Articles Source Type: research

Comments on “The Effect of Laparoscopic Sleeve Gastrectomy on Nonalcoholic Fatty Liver Disease”
No abstract available (Source: Surgical Laparoscopy, Endoscopy and Percutaneous Techniques)
Source: Surgical Laparoscopy, Endoscopy and Percutaneous Techniques - December 1, 2019 Category: Surgery Tags: Letters to the Editor Source Type: research

The Effect of Laparoscopic Sleeve Gastrectomy on Nonalcoholic Fatty Liver Disease
No abstract available (Source: Surgical Laparoscopy, Endoscopy and Percutaneous Techniques)
Source: Surgical Laparoscopy, Endoscopy and Percutaneous Techniques - December 1, 2019 Category: Surgery Tags: Letters to the Editor Source Type: research

Three-dimensional vs 2-dimensional laparoscopic gastrectomy for gastric cancer: A systematic review and meta-analysis
Background: Both 3-dimensional (3D) laparoscopic gastrectomy (LG) and 2-dimensional (2D) LG are commonly used for gastric cancer (GC). To investigate their safety and efficacy, we performed this meta-analysis. Methods: PubMed, The Cochrane Library, Science Direct, Embase, Scopus, and Web of Science were systematically searched to identify relevant studies. The total number of lymph node dissections (LNDs), operation time, blood loss, postoperative hospital stay, postoperative complications, and hospitalization cost were extracted as major endpoints. Results: Among 904 articles that were enrolled, 9 studies were inc...
Source: Medicine - December 1, 2019 Category: Internal Medicine Tags: Research Article: Systematic Review and Meta-Analysis Source Type: research

Gastrinoma in multiple endocrine neoplasia type 1 after total pancreatectomy: A case report
We reported a case of patient with MEN-1 related gastrinoma treated by TP. Patient concerns: A 46-year-old female was admitted to our hospital due to abdominal distension and diarrhea for 2 years. The patient underwent pituitary tumor resection and kidney stone lithotripsy 10 years ago. Diagnoses: Abdominal computed tomography showed single lesion in the duodenum and multiple lesions throughout the pancreas. The patient's gastrin level was significantly increased (1080 pg/ml). These findings in combination with the pituitary tumor history suggested the presence of gastrinoma associated with MEN-1 syndrome. Intervent...
Source: Medicine - December 1, 2019 Category: Internal Medicine Tags: Research Article: Clinical Case Report Source Type: research

Four reconstruction methods after laparoscopic distal gastrectomy: A systematic review and network meta-analysis
Conclusions: URY anastomosis tended to be a more favorable reconstruction method after LDG due to its operative simplicity and reduced long-term complications. (Source: Medicine)
Source: Medicine - December 1, 2019 Category: Internal Medicine Tags: Research Article: Systematic Review and Meta-Analysis Source Type: research

Cancers, Vol. 11, Pages 1914: The Role of the Lymph Node Ratio in Advanced Gastric Cancer After Neoadjuvant Chemotherapy
Kurylcio Polkowski The ratio of positive lymph nodes (LNs) to the total LN harvest is called the LN ratio (LNR). It is an independent prognostic factor in gastric cancer (GC). The aim of the current study was to evaluate the impact of neoadjuvant chemotherapy (NAC) on the LNR (ypLNR) in patients with advanced GC. We retrospectively analysed the data of patients with advanced GC, who underwent gastrectomy with N1 and N2 (D2) lymphadenectomy between August 2011 and January 2019 in the Department of Surgical Oncology at the Medical University of Lublin. The exclusion criteria were a lack of preoperative NAC administr...
Source: Cancers - December 1, 2019 Category: Cancer & Oncology Authors: Rawicz-Pruszy ński Cise ł Mlak Mielko Sk órzewska Kwietniewska Piku ła G ęca S ędłak Kurylcio Polkowski Tags: Article Source Type: research

Technical issues stemming from endoscopic-ultrasound-guided gallbladder drainage: A single center experience.
CONCLUSION: Although the clinical outcomes of EUS-GBD were relatively favorable, several technical issues related specifically to EUS-GBD were observed. Technical countermeasures would improve the outcomes. PMID: 31854311 [PubMed - in process] (Source: The Turkish Journal of Gastroenterology)
Source: The Turkish Journal of Gastroenterology - December 1, 2019 Category: Gastroenterology Authors: Kanno Y, Kozakai F, Koshita S, Ogawa T, Kusunose H, Masu K, Sakai T, Murabayashİ T, Ito K Tags: Turk J Gastroenterol Source Type: research

Preoperative Plasma Fibrinogen and Serum Albumin Score Is an Independent Prognostic Factor for Resectable Stage II-III Gastric Cancer.
Conclusions: The prognosis of patients with high fibrinogen and low albumin levels is poor. The Fib-Alb score was shown to be an independent prognostic factor for postoperative recurrence in gastric cancer patients who underwent radical gastrectomy. PMID: 31781312 [PubMed - in process] (Source: Disease Markers)
Source: Disease Markers - November 30, 2019 Category: Laboratory Medicine Tags: Dis Markers Source Type: research

Laparoscopic Sleeve Gastrectomy on Severe Obesity after Intracranial Germinoma Treatment: A Case Report.
Abstract Hypothalamic obesity is a clinical syndrome characterized by severe and refractory obesity that is caused by hypothalamic function impairment. Recently, bariatric surgery has been attempted for patients with hypothalamic obesity after craniopharyngioma, but experiences have not yet been accumulated in other hypothalamic disorders. Here, we report the case of a 39-year-old male patient with panhypopituitarism who received laparoscopic sleeve gastrectomy (LSG) after intracranial germinoma treatment. The patient was diagnosed with intracranial germinoma at age 15 and achieved complete remission after radioth...
Source: The Tohoku Journal of Experimental Medicine - November 30, 2019 Category: Research Authors: Nezu M, Kudo M, Ono Y, Tezuka Y, Morimoto R, Sawada S, Imoto H, Naitoh T, Katagiri H, Ito S, Satoh F Tags: Tohoku J Exp Med Source Type: research

Clinicopathologic features of remnant gastric cancer after curative distal gastrectomy according to previous reconstruction method: a retrospective cohort study
Survival rate of patients treated for gastric cancer has increased due to early detection and improvements of surgical technique and chemotherapy. Increase in survival rate has led to an increase in the risk f... (Source: World Journal of Surgical Oncology)
Source: World Journal of Surgical Oncology - November 30, 2019 Category: Cancer & Oncology Authors: Yong-Eun Park and Sang-Woon Kim Tags: Research Source Type: research

Treatment experience of delayed massive gastrointestinal bleeding caused by intra-abdominal arteriointestinal fistula in gastric cancer patients after radical gastrectomy
Gastric cancer (GC) remains one of the leading causes of cancer-related death. Arteriointestinal fistula is a very rare but lethal postoperative complication in GC patients after gastrectomy. However, very few... (Source: World Journal of Surgical Oncology)
Source: World Journal of Surgical Oncology - November 30, 2019 Category: Cancer & Oncology Authors: Liang Chen, Xuezhi Ming, Rongmin Gu, Xu Wen, Gang Li, Bin Zhou, Wei Wei and Huanqiu Chen Tags: Research Source Type: research

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
We read with great interest the amelioration of Nonalcoholic Fatty Liver Disease (NAFLD) undergoing Roux-en-Y Gastric Bypass (RYGB) or Sleeve Gastrectomy (SG). Recently, there was a meta-analysis by Baldwin et al (1) suggesting that RYGB and SG had a reduction in ALT compared with baseline level (mean difference(MD): -12.3, 95% confidence interval (CI): -16.0, -8.6; MD: -16.5, 95%CI: -25.7, -7.2, respectively). The reduction in AST undergoing RYGB or SG was also obtained compared with baseline level (MD: -3.6, 95% CI: -5.9, -1.3; MD: -8.1, 95%CI: -14.9, -1.4, respectively). (Source: Surgery for Obesity and Related Diseases)
Source: Surgery for Obesity and Related Diseases - November 29, 2019 Category: Surgery Authors: Yong Wang, Jing Chen, Yi Chen, Xiao-Ting Wu Tags: Letter to the Editor Source Type: research