Laparoscopic Versus Open Gastrectomy for Cancer: A Western Center Cohort Study
Laparoscopic gastrectomy (LG) for cancer has been introduced in institutions worldwide in an effort to minimize surgical trauma, while aiming to provide comparable oncological outcomes to conventional open gastrectomy (OG). The aim of this study was to present our results during the period of implementation of the laparoscopic technique. (Source: Journal of Surgical Research)
Source: Journal of Surgical Research - October 31, 2019 Category: Surgery Authors: Andrianos Tsekrekos, Fredrik Klevebro, Masaru Hayami, Satoshi Kamiya, Mats Lindblad, Magnus Nilsson, Lars Lundell, Ioannis Rouvelas Source Type: research

An Investigation of Racial Disparities in Weight Loss Outcomes: Roux-en-Y Gastric Bypass Versus Sleeve Gastrectomy
ConclusionDespite pre-surgical BMI typically being higher among African American patients, this was not found in the current study. Pre-surgical BMI may not explain the racial disparities in weight loss post-bariatric surgery that are found between African American and Caucasian patients. Future studies should consider psychosocial, environmental, and cultural influences on racial disparities. (Source: Journal of Racial and Ethnic Health Disparities)
Source: Journal of Racial and Ethnic Health Disparities - October 30, 2019 Category: International Medicine & Public Health Source Type: research

The Effect of Laparoscopic Sleeve Gastrectomy on Obesity and Obesity-related Disease  : the Results of 10 Initial Cases.
Conclusion : LSG is a promising option for the treatment of morbid obesity and obesity-related diseases. J. Med. Invest. 66 : 289-292, August, 2019. PMID: 31656291 [PubMed - in process] (Source: Journal of Medical Investigation)
Source: Journal of Medical Investigation - October 29, 2019 Category: General Medicine Tags: J Med Invest Source Type: research

Serum C-reactive protein level on first postoperative day can predict occurrence of postoperative pancreatic fistula after laparoscopic gastrectomy.
Authors: Yamada S, Yagi S, Sato K, Shin'e M, Sakamoto A, Utsunomiya D, Okikawa S, Aibara N, Watanabe M, Obatake M, Ono R, Fujii M, Otani H, Kawasaki H Abstract Purpose : Postoperative pancreatic fistula (POPF) is a serious complication after gastrectomy for gastric cancer. The purpose of this study is to identify the risk factor of POPF and evaluate C-reactive protein on postoperative day 1 (POD1) as the predictor for POPF after laparoscopic gastrectomy (LG). Methods : Between May 2013 and September 2016, 226 patients who underwent LG for gastric cancer were investigated. Patients were divided into 2 groups...
Source: Journal of Medical Investigation - October 29, 2019 Category: General Medicine Tags: J Med Invest Source Type: research

Utility of virtual three-dimensional image analysis for laparoscopic gastrectomy conducted by trainee surgeons.
Conclusions Preoperative 3D imaging might contribute to successful and safe LG by trainee surgeons. J. Med. Invest. 66 : 280-284, August, 2019. PMID: 31656289 [PubMed - in process] (Source: Journal of Medical Investigation)
Source: Journal of Medical Investigation - October 29, 2019 Category: General Medicine Tags: J Med Invest Source Type: research

Functional Outcomes of Billroth I Gastroduodenostomy Using Linear Staplers in Totally Laparoscopic Distal Gastrectomy
Conclusion: TLDG with LS-BI may be a good alternative to LADG with CS-BI because of its comparable nutritional outcomes, but with a higher occurrence of remnant gastritis. (Source: In Vivo)
Source: In Vivo - October 29, 2019 Category: Research Authors: KATSURAHARA, K., KOSUGA, T., KUBOTA, T., SHIOZAKI, A., OKAMOTO, K., SHODA, K., KONISHI, H., FUJIWARA, H., KUDOU, M., ARITA, T., MORIMURA, R., MURAYAMA, Y., KURIU, Y., IKOMA, H., NAKANISHI, M., KOMATSU, S., OTSUJI, E. Tags: Clinical Studies Source Type: research

Learning Curves of Laparoscopic Roux-en-Y Gastric Bypass and Sleeve Gastrectomy in Bariatric Surgery: a Systematic Review and Introduction of a Standardization
ConclusionsDefinitions of learning curves for bariatric surgery are heterogeneous. Introduction of the three skill phases competency, proficiency, and mastery is proposed to provide a standardized definition using multiple outcome variables to enable better comparison in the future. These levels are reached after 30 –70, 70–150, and up to 500 RYGB, and after 30–50, 60–100, and 100–200 LSG. Training curricula, previous laparoscopic experience, and high procedure volume are hallmarks for successful outcomes during the learning curve. (Source: Obesity Surgery)
Source: Obesity Surgery - October 29, 2019 Category: Surgery Source Type: research

[Twenty-five years of duodenal switch. How to switch to the duodenal switch].
CONCLUSIONS: the DS is the most aggressive bariatric technique but with the best long-term weight loss. Operative complications and long-term follow-up guidelines are described. PMID: 31657604 [PubMed - as supplied by publisher] (Source: Nutricion Hospitalaria)
Source: Nutricion Hospitalaria - October 28, 2019 Category: Nutrition Authors: Baltasar A, Bou R, Pérez N, Serra C, Bengochea M Tags: Nutr Hosp Source Type: research

Remission of Type 2 Diabetes and Sleeve Gastrectomy in Morbid Obesity: a Comparative Systematic Review and Meta-analysis
ConclusionThis review demonstrates important remission of T2DM following SG. Nevertheless, as remission was significantly more often observed following RYGB surgery, the latter procedure remains the gold standard for reaching T2DM remission in patients with concurrent obesity. (Source: Obesity Surgery)
Source: Obesity Surgery - October 27, 2019 Category: Surgery Source Type: research

Endoscopic ultrasound-guided gastrojejunostomy-assisted ERCP in a Billroth II gastrectomy patient
Endoscopy DOI: 10.1055/a-1022-4453 © Georg Thieme Verlag KG Stuttgart · New YorkArticle in Thieme eJournals: Table of contents  |  Full text (Source: Endoscopy)
Source: Endoscopy - October 25, 2019 Category: Gastroenterology Authors: Mart ínez-Moreno, Belén Casellas, Juan Antonio Aparicio Tormo, Jos é Ramón Tags: E-Videos Source Type: research

Trends in Drain Utilization in Bariatric Surgery: an Analysis of the MBSAQIP Database 2015 –2017
ConclusionsDrains are still commonly used in bariatric patients. Over the study period, there was a decrease in the use of drains in both bypass and sleeve patients. Patients with a drain were more likely to have had a provocative test and a swallow study and have a higher rate of complications and mortality. (Source: Obesity Surgery)
Source: Obesity Surgery - October 25, 2019 Category: Surgery Source Type: research

Z-505, an Oral Ghrelin Receptor Agonist, Attenuates Anorexia After Total Gastrectomy in Rats
In this study, we investigated the effects of Z-505, a ghrelin receptor agonist, on anorexia after total gastrectomy (TG) in a rat model. (Source: Journal of Surgical Research)
Source: Journal of Surgical Research - October 25, 2019 Category: Surgery Authors: Yoshihiro Shiomi, Makoto Yoshimura, Yuko Hori, Yuta Ohira, Kenji Nagahama, Tomoko Ozaki, Mineo Takei, Takao Tanaka, Tomohide Uno Source Type: research

Pharmacokinetics of capecitabine and four metabolites in a heterogeneous population of cancer patients: a comprehensive analysis
AbstractCapecitabine is an oral pro ‐drug of the anti‐cancer drug 5‐fluorouracil (5‐FU). The primary aim of this study was to develop a pharmacokinetic model for capecitabine and its metabolites, 5’‐deoxy‐5‐fluorocytidine (dFCR), 5’‐deoxy‐5‐fluorouridine (dFUR), 5‐FU and fluoro‐β‐alanine (FBAL), using da ta from a heterogeneous population of cancer patients (n=237) who participated in seven clinical studies. A four‐transit model adequately described capecitabine absorption. Capecitabine, dFCR and FBAL pharmacokinetics were well described by two‐compartment models and dFUR and ...
Source: CPT: Pharmacometrics and Systems Pharmacology - October 25, 2019 Category: Drugs & Pharmacology Authors: Bart A.W. Jacobs, Maarten J. Deenen, Markus Joerger, Hilde Rosing, Niels de Vries, Didier Meulendijks, Annemieke Cats, Jos H. Beijnen, Jan H.M. Schellens, Alwin D.R. Huitema Tags: ARTICLE Source Type: research

[Laparoscopic versus open gastrectomy for advanced gastric cancer : Operative and postoperative results].
Abstract BACKGROUND: Minimally invasive gastrectomy is increasingly becoming established worldwide as an alternative to open gastrectomy (OG); however, the majority of available articles in the literature refer to Asian populations and early stages of gastric cancer. This makes an international comparison difficult due to a discrepancy in patient populations and tumor biology as well as Asian and western treatment approaches. Little is known, therefore, whether laparoscopic gastrectomy (LG) can be performed in advanced cancer, in particular with respect to laparoscopic D2 lymphadenectomy, with sufficient...
Source: Der Chirurg - October 25, 2019 Category: Surgery Authors: Raakow J, Denecke C, Chopra S, Fritz J, Hofmann T, Andreou A, Thuss-Patience P, Pratschke J, Biebl M Tags: Chirurg Source Type: research

Pharmacokinetics of capecitabine and four metabolites in a heterogeneous population of cancer patients: a comprehensive analysis
AbstractCapecitabine is an oral pro ‐drug of the anti‐cancer drug 5‐fluorouracil (5‐FU). The primary aim of this study was to develop a pharmacokinetic model for capecitabine and its metabolites, 5’‐deoxy‐5‐fluorocytidine (dFCR), 5’‐deoxy‐5‐fluorouridine (dFUR), 5‐FU and fluoro‐β‐alanine (FBAL), using da ta from a heterogeneous population of cancer patients (n=237) who participated in seven clinical studies. A four‐transit model adequately described capecitabine absorption. Capecitabine, dFCR and FBAL pharmacokinetics were well described by two‐compartment models and dFUR and ...
Source: CPT: Pharmacometrics and Systems Pharmacology - October 25, 2019 Category: Drugs & Pharmacology Authors: Bart A.W. Jacobs, Maarten J. Deenen, Markus Joerger, Hilde Rosing, Niels de Vries, Didier Meulendijks, Annemieke Cats, Jos H. Beijnen, Jan H.M. Schellens, Alwin D.R. Huitema Tags: ARTICLE Source Type: research

Correction to: Management of duodenal stump fistula after gastrectomy for malignant disease: a systematic review of the literature
Following publication of the original article [1], the authors have notified us that due to administrative reasons they would like to modify the first affiliation from: (Source: BMC Surgery)
Source: BMC Surgery - October 24, 2019 Category: Surgery Authors: Maurizio Zizzo, Lara Ugoletti, Lorenzo Manzini, Carolina Castro Ruiz, Gabriela Elisa Nita, Magda Zanelli, Loredana De Marco, Giulia Besutti, Rocco Scalzone, Romano Sassatelli, Valerio Annessi, Antonio Manenti and Claudio Pedrazzoli Tags: Correction Source Type: research

Role of Preoperative Dexamethasone Nebulization in Reducing Bougie Complications Encountered After Sleeve Gastrectomy: a Prospective Double-Blind Control Interventional Study
AbstractIntroductionThe usage of bougie devices in guiding the extent of sleeve gastrectomies has been associated with several laryngeal and pharyngeal complications. Despite these being distressing for patients, they draw little attention in current literature.ObjectivesTo study the role of preoperative nebulized dexamethasone in relieving the symptoms related to bougie insertion during laparoscopic sleeve gastrectomy postoperatively.Materials and MethodsA prospective interventional study that included 80 patients. The patients were assigned to two groups, 40 patients in each group: the dexamethasone group (D) which recei...
Source: Obesity Surgery - October 24, 2019 Category: Surgery Source Type: research

Genetic Obesity and Bariatric Surgery Outcome in 1014 Patients with Morbid Obesity
AbstractBackgroundMutations in the leptin-melanocortin pathway genes are known to cause monogenic obesity. The prevalence of these gene mutations and their effect on weight loss response after bariatric surgery are still largely unknown.ObjectiveTo determine the prevalence of genetic obesity in a large bariatric cohort and evaluate their response to bariatric surgery.MethodsMutation analysis of 52 obesity-associated genes. Patient inclusion criteria were a BMI>  50 kg/m2, an indication for revisional surgery or an early onset of obesity (
Source: Obesity Surgery - October 24, 2019 Category: Surgery Source Type: research

A Single-Center Comparison of Extended and Restricted THROMBOPROPHYLAXIS with LMWH after Metabolic Surgery
This study aims to compare extended to restricted thromboprophylaxis with low molecular weight heparin (LMWH) for patients undergoing metabolic surgery.MethodsIn this single center retrospective cohort study, data was collected from patients undergoing a primary Roux-en-Y gastric bypass (RYGB) or sleeve gastrectomy (SG) between 2014 and 2018. Patients operated in 2014 –2017 received thromboprophylaxis for two weeks. In 2018, patients only received thromboprophylaxis during hospital admission. Patients already using anticoagulants were analyzed as a separate subgroup. The primary outcome measure was the rate of clinic...
Source: Obesity Surgery - October 23, 2019 Category: Surgery Source Type: research

Barrets Oesophagus and Sleeve Gastrectomy
(Source: Obesity Surgery)
Source: Obesity Surgery - October 23, 2019 Category: Surgery Source Type: research

Retroperitoneal leiomyosarcoma mimicking gastric cancer recurrence: A case report
CONCLUSIONEarly diagnosis and concerted therapeutic efforts are important for managing misdiagnosed metastatic gastric cancer. (Source: International Journal of Surgery Case Reports)
Source: International Journal of Surgery Case Reports - October 22, 2019 Category: Surgery Source Type: research

Preoperative liking and wanting for sweet beverages as predictors of body weight loss after Roux-en-Y gastric bypass and sleeve gastrectomy
International Journal of Obesity, Published online: 22 October 2019; doi:10.1038/s41366-019-0474-1Preoperative liking and wanting for sweet beverages as predictors of body weight loss after Roux-en-Y gastric bypass and sleeve gastrectomy (Source: International Journal of Obesity)
Source: International Journal of Obesity - October 22, 2019 Category: Eating Disorders & Weight Management Authors: Claudio E. Perez-Leighton Jeon D. Hamm Ari Shechter Shoran Tamura Blandine Laferr ère Xavier Pi-Sunyer Jeanine Albu Danielle Greenberg Harry R. Kissileff Source Type: research

Negative Impact of Endoscopic Submucosal Dissection on Short-Term Surgical Outcomes of Subsequent Laparoscopic Distal Gastrectomy for Gastric Cancer.
CONCLUSIONS: ESD after laparoscopic distal gastrectomy is largely safe in terms of short-term surgical outcomes, but a short interval between the two procedures and a large ESD scar can make subsequent operation difficult. PMID: 31641951 [PubMed - as supplied by publisher] (Source: Ann Oncol)
Source: Ann Oncol - October 22, 2019 Category: Cancer & Oncology Authors: Lee H, Lee HH, Song KY, Park CH, Lee J Tags: Ann Surg Oncol Source Type: research

Insufficient lymph node assessment in gastric adenocarcinoma.
This study aimed to investigate the sufficient (≥ 16) lymph node assessment in 449 patients with gastric adenocarcinoma and literature review. METHODS: Four hundred and forty-nine patients with pathologically confirmed locoregional invasive gastric adenocarcinoma from 2004 to 2013 were included. A standard surgical resection was performed for all the patients with (n = 16) or without (n = 433) neoadjuvant treatment. RESULTS: In this study, 301 men and 148 women with a median age of 58 (range 21-88) years were included. The median total numbers of examined lymph nodes were 9 (rang...
Source: J Egypt Natl Canc In... - October 22, 2019 Category: Cancer & Oncology Authors: Khanjani N, Mirzaei S, Nasrolahi H, Hamedi SH, Mosalaei A, Omidvari S, Ahmadloo N, Ansari M, Sobhani F, Mohammadianpanah M Tags: J Egypt Natl Canc Inst Source Type: research

Low overall mortality during 10 years of bariatric surgery: nationwide study on 63,469 procedures from the Scandinavian Obesity Registry.
CONCLUSIONS: The low 90-day and 1-year mortality, .06% and .19%, respectively, demonstrates that bariatric surgery in Sweden is safe. The use of antidepressants and 2 serious postoperative complications were the most significant risk factors for early deaths, while increased age and preoperative abdominal circumference also contributed at 1 year. PMID: 31753796 [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 - October 21, 2019 Category: Surgery Authors: Sundbom M, Näslund E, Vidarsson B, Thorell A, Ottoson J Tags: Surg Obes Relat Dis Source Type: research

Magnetic Sphincter Augmentation After Gastric Surgery.
Conclusions: MSA is a safe, simple, and standardized antireflux procedure. It is also feasible in patients with refractory GERD following gastric/bariatric surgery. Further prospective and comparative studies are needed to validate the preliminary clinical experience in this subset of patients. PMID: 31624454 [PubMed - in process] (Source: JSLS : Journal of the Society of Laparoendoscopic Surgeons)
Source: JSLS : Journal of the Society of Laparoendoscopic Surgeons - October 19, 2019 Category: Surgery Tags: JSLS Source Type: research

Specificity of Procedure volume and its Association With Postoperative Mortality in Digestive Cancer Surgery: A Nationwide Study of 225,752 Patients
Objectives: We aimed to examine whether the improved outcome of a digestive cancer procedure in high-volume hospitals is specific or correlates with that of other digestive cancer procedures, and determine if the discriminant cut-off of hospital volume may influence postoperative mortality (POM) regardless of the procedure. Background: Performing complex surgeries in tertiary centers is associated with improved outcome. However, the association between POM and hospital volume of nonspecific procedures is unknown. Methods: Patients who underwent colectomy, proctectomy, esophagectomy, gastrectomy, pancreatectomy, and...
Source: Annals of Surgery - October 19, 2019 Category: Surgery Tags: ESA PAPERS Source Type: research

Defining Global Benchmarks in Bariatric Surgery: A Retrospective Multicenter Analysis of Minimally Invasive Roux-en-Y Gastric Bypass and Sleeve Gastrectomy
Conclusion: Benchmark cutoffs targeting perioperative outcomes in BS offer a new tool in surgical quality-metrics and may be implemented in quality-improvement cycle. ClinicalTrials.gov Identifier NCT03440138 (Source: Annals of Surgery)
Source: Annals of Surgery - October 19, 2019 Category: Surgery Tags: ESA PAPERS Source Type: research

A National Cohort Study Evaluating the Association Between Short-term Outcomes and Long-term Survival After Esophageal and Gastric Cancer Surgery
Conclusion: This study showed that the short-term outcome indicator textbook outcome is associated with long-term overall survival and therefore may accentuate the importance of using these indicators in clinical audits. (Source: Annals of Surgery)
Source: Annals of Surgery - October 19, 2019 Category: Surgery Tags: ESA PAPERS Source Type: research

Signet ring cell carcinoma and poorly differentiated adenocarcinoma in a gastric hyperplastic polyp with lymphatic invasion: A case report
ConclusionEven small polyps may become poorly differentiated adenocarcinoma with invasion, so close follow-up or endoscopic resection are recommended as well as eradication of Helico Pylori infection when appropriate. (Source: International Journal of Surgery Case Reports)
Source: International Journal of Surgery Case Reports - October 19, 2019 Category: Surgery Source Type: research

Laparoscopic Sleeve Gastrectomy After Endoscopic Sleeve Gastroplasty: Does Only Restriction Counts?
(Source: Obesity Surgery)
Source: Obesity Surgery - October 19, 2019 Category: Surgery Source Type: research

Surgical Mouse Models of Vertical Sleeve Gastrectomy and Roux-en Y Gastric Bypass: a Review
AbstractReviewed here are multiple mouse models of vertical sleeve gastrectomy (VSG) and Roux-en Y gastric bypass (RYGB) that have emerged over the past decade. These models use diverse approaches to both operative and perioperative procedures. Scrutinizing the benefits and pitfalls of each surgical model and what to expect in terms of post-operative outcomes will enhance our assessment of studies using mouse models, as well as advance our understanding of their translational potential. Two mouse models of bariatric surgery, VSG-lembert and RYGB-small pouch, demonstrate low mortality and most closely recapitulate the human...
Source: Obesity Surgery - October 19, 2019 Category: Surgery Source Type: research

Relationship Between Bariatric Surgery and Gastroesophageal Reflux Disease: a Systematic Review and Meta-analysis
AbstractThe purpose of this study was to investigate the relationship between bariatric surgery (laparoscopic sleeve gastrectomy [LSG] and laparoscopic Roux-en-Y gastric bypass [LRYGB]) and gastroesophageal reflux disease (GERD). The number of obese patients with newly onset, worsened, or improved GERD after bariatric surgery in each article were extracted. In the pooled analysis, LSG was associated with a higher risk of GERD than LRYGB (odds ratio [OR] = 5.10, 95% confidence interval [CI] 3.60 –7.23,p
Source: Obesity Surgery - October 19, 2019 Category: Surgery Source Type: research

Weight loss and quality of life after bariatric surgery: a 2-year longitudinal study.
CONCLUSIONS: This study highlights the importance of optimizing patients' monitoring, notably around 15 to 18 months after bariatric surgery. This period can be identified as a first "critical" period during which weight regain (especially for men) and diminished self-perceived quality of life (especially for women) appear. PMID: 31753793 [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 - October 19, 2019 Category: Surgery Authors: Le Foll D, Lechaux D, Rascle O, Cabagno G Tags: Surg Obes Relat Dis Source Type: research

The effect of fibrin glue in preventing staple-line leak after sleeve gastrectomy. An experimental study in rats.
CONCLUSION: Reinforcement of the staple-line with fibrin glue has no effect on the burst pressure after sleeve gastrectomy. More studies are needed to evaluate the precautions against leak after sleeve gastrectomy. PMID: 31618401 [PubMed - in process] (Source: Acta Cirurgica Brasileira)
Source: Acta Cirurgica Brasileira - October 18, 2019 Category: Surgery Authors: Ozdenkaya Y, Olmuscelik O, Basim P, Saka B, Arslan NC Tags: Acta Cir Bras Source Type: research

Bridging interventions before bariatric surgery in patients with BMI  ≥ 50 kg/m 2 : a systematic review and meta-analysis
AbstractBackgroundBariatric surgery on patients with body mass index (BMI)  ≥ 50 kg/m2, historically known as superobesity, is technically challenging and carries a higher risk of complications. Bridging interventions have been introduced for weight loss before bariatric surgery in this population. This systematic review and meta-analysis aims to assess the efficacy and safety of bridging interventions before bariatric surgery in patients with BMI  ≥ 50 kg/m2.MethodsMEDLINE, EMBASE, Web of Science, and Scopus were searched from database inception to September 2018. Studies were e...
Source: Surgical Endoscopy - October 17, 2019 Category: Surgery Source Type: research

Lipoprotein(a) Change After Sleeve Gastrectomy Is Affected by the Presence of Metabolic Syndrome
ConclusionsDespite a global improvement of conventional CVD risk factors, only individuals without MetS showed a decrease of Lp(a) levels after VSG. Further studies should explore not only the pathophysiological mechanisms underlying the absence of decrease of Lp(a) levels in MetS patients, but also its impact on the metabolic beneficial changes usually observed after VSG. (Source: Obesity Surgery)
Source: Obesity Surgery - October 17, 2019 Category: Surgery Source Type: research

Comparative Analysis of the Single Anastomosis Duodenal-Ileal Bypass with Sleeve Gastrectomy (SADI-S) to Established Bariatric Procedures: An Assessment of Two-Year Postoperative Data Illustrating Weight Loss, Diabetes Mellitus, and Nutritional Status in a Single US Center
The sleeve gastrectomy (SG), Roux-en-Y gastric bypass (RYGB), and single anastomosis duodenal-ileal bypass with SG (SADI-S) are recognized bariatric procedures. A comparison has never been made between these three procedures and especially in different body mass index (BMI) categories. (Source: Surgery for Obesity and Related Diseases)
Source: Surgery for Obesity and Related Diseases - October 17, 2019 Category: Surgery Authors: Paul Enochs, Jaime Bull, Amit Surve, Daniel Cottam, Scott Bovard, Jon Bruce, Michael Tyner, David Pilati, Samuel Cottam Tags: Original articles Source Type: research

[Extensive intraoperative peritoneal lavage as additive treatment for D2 gastrectomy].
CJ PMID: 31624851 [PubMed - as supplied by publisher] (Source: Der Chirurg)
Source: Der Chirurg - October 17, 2019 Category: Surgery Authors: Schröder W, Bruns CJ Tags: Chirurg Source Type: research

[67-year-old female before extended gastrectomy for antral cancer : Preparation for the medical specialist examination: part 36].
PMID: 31624880 [PubMed - as supplied by publisher] (Source: Der Anaesthesist)
Source: Der Anaesthesist - October 17, 2019 Category: Anesthesiology Authors: Nowak-Machen M Tags: Anaesthesist Source Type: research

Comparative analysis of the single-anastomosis duodenal-ileal bypass with sleeve gastrectomy (SADI-S) to established bariatric procedures: an assessment of 2-year postoperative data illustrating weight loss, type 2 diabetes, and nutritional status in a single US center
The sleeve gastrectomy (SG), Roux-en-Y gastric bypass (RYGB), and single-anastomosis duodenal-ileal bypass with SG (SADI-S) are recognized bariatric procedures. A comparison has never been made between these 3 procedures and especially in different body mass index (BMI) categories. (Source: Surgery for Obesity and Related Diseases)
Source: Surgery for Obesity and Related Diseases - October 17, 2019 Category: Surgery Authors: Paul Enochs, Jaime Bull, Amit Surve, Daniel Cottam, Scott Bovard, Jon Bruce, Michael Tyner, David Pilati, Samuel Cottam Tags: Original article Source Type: research

Short-Term Surgical Outcomes of Laparoscopic Proximal Gastrectomy With Double-Tract Reconstruction Versus Laparoscopic Total Gastrectomy for Adenocarcinoma of Esophagogastric Junction: A Matched-Cohort Study
Laparoscopic proximal gastrectomy (LPG) with double-tract reconstruction (DTR) is performed as a function-preserving surgery for patients with adenocarcinoma of esophagogastric junction. However, whether LPG with DTR has postoperative advantages over laparoscopic total gastrectomy (LTG) is debatable. To evaluate benefits of LPG with DTR, we compared short-term surgical outcomes between LPG with DTR and LTG for adenocarcinoma of esophagogastric junction (AEG). (Source: Journal of Surgical Research)
Source: Journal of Surgical Research - October 17, 2019 Category: Surgery Authors: Linjun Wang, Yiwen Xia, Tianlu Jiang, Fengyuan Li, Weizhi Wang, Diancai Zhang, Hao Xu, Li Yang, Zekuan Xu Tags: Gastrointestinal Source Type: research

[Pulmonary embolism and inferior vena cava agenesis: An unusual association].
CONCLUSIONS: In young patients without risk factors developing a deep venous thrombosis, an inferior vena cava anomaly should be considered. Although no therapeutic consensus has been currently established, inferior vena cava agenesis seems to be associated with a high prevalence of thrombophilic disorders. Screening could be useful, particularly in patients with a thrombotic family history. PMID: 31611029 [PubMed - as supplied by publisher] (Source: Revue des Maladies Respiratoires)
Source: Revue des Maladies Respiratoires - October 16, 2019 Category: Respiratory Medicine Tags: Rev Mal Respir Source Type: research

Oxaliplatin plus Capecitabine in the Perioperative Treatment of Locally Advanced Gastric Adenocarcinoma in Combination with D2 Gastrectomy: NEO‐CLASSIC Study
Conclusion.These findings suggest that combination therapy with capecitabine and oxaliplatin as perioperative chemotherapy, followed by D2 gastrectomy, is effective and safe in late‐stage, locally advanced gastric cancer. Although enrollment exceeded the 47 patients required to identify an increase in the ORR by 15% (from 40% to 55%), results did not meet the primary endpoint. (Source: The Oncologist)
Source: The Oncologist - October 16, 2019 Category: Cancer & Oncology Authors: Yiyi Yu, Yong Fang, Zhenbin Shen, Yan Wang, Min Yan, Hui Cao, Yingbin Liu, Xuefei Wang, Yuehong Cui, Fenglin Liu, Weidong Chen, Wei Li, Qian Li, Huiqin Jiang, Yihong Sun, Tianshu Liu Tags: Chinese Edition, Clinical Trial Results, Gastrointestinal Cancer Source Type: research

Esophageal High-Resolution Manometry Can Unravel the Mechanisms by Which Different Bariatric Techniques Produce Different Reflux Exposures
AbstractIntroductionBariatric surgery is increasingly performed. Since there are numerous surgical techniques, the effects of these on the esophageal function are still poorly understood. We aimed at assessing the effect of different techniques on esophagogastric junction (EGJ), esophageal peristalsis and reflux exposure using high-resolution manometry (HRM), and impedance-pH monitoring (MII-pH).MethodsAll obese patients underwent symptomatic questionnaires, endoscopy, HRM, and MII-pH before and 1  year after surgery. Esophageal function and EGJ were classified according to Chicago Classification V. 3.0. Intragastric ...
Source: Journal of Gastrointestinal Surgery - October 16, 2019 Category: Surgery Source Type: research

Robotic-assisted gastrectomy compared with open resection: a comparative study of clinical outcomes and cost-effectiveness analysis
The objective of the study is to compare the main operative and clinical outcomes and to assess the incremental cost-effectiveness ratios (ICERs) of the two techniques. This is a prospective cost-effectiveness and clinical study when comparing the robotic gastrectomy (RG) technique with open gastrectomy (OG) in gastric cancer. Outcome parameters included surgical and post-operative costs, quality-adjusted life years (QALY) and incremental cost per QALY gained or the incremental cost-effectiveness ratio (ICER). The incremental utility was 0.038 QALYs and the estimated ICER for patients was dominated by robotic approach. The...
Source: Journal of Robotic Surgery - October 16, 2019 Category: Surgery Source Type: research

Enormous gastrointestinal stromal tumor arising from the stomach causing weight loss and anemia in an elderly female: Case report
ConclusionGISTs most commonly affect the stomach, most tumors are treated by primary surgical excision with normal safety margins, advanced disease may need imatinib before surgery which helps in decreasing the size of the tumor and makes surgery easier. (Source: International Journal of Surgery Case Reports)
Source: International Journal of Surgery Case Reports - October 15, 2019 Category: Surgery Source Type: research

Preoperative anticoagulation in patients undergoing bariatric surgery is associated with worse outcomes
AbstractIntroductionManagement of patients on chronic anticoagulation (AC) in bariatric surgery may present a challenge, as there is a delicate balance between risks of bleeding and thrombotic events, such as deep vein thrombosis (DVT) and pulmonary embolism (PE). The purpose of this study was to evaluate and compare rates of bleeding, thrombotic events, and outcomes of patients on preoperative AC during bariatric surgery.MethodsThe MBSAQIP data sets for 2015 and 2016 was used to identify all patients undergoing adjustable gastric banding (AGB), sleeve gastrectomy (SG), and Roux-en-Y gastric bypass (RYGB). Clinical outcome...
Source: Surgical Endoscopy - October 15, 2019 Category: Surgery Source Type: research

Comparison of Laparoscopic Roux-en-Y Gastric Bypass and Laparoscopic Sleeve Gastrectomy on Weight Loss, Weight Regain, and Remission of Comorbidities: A 5 Years of Follow-up Study
ConclusionComparing the 5-year success rate of these two techniques, LRYGB seems to be superior to LSG, with lower weight regain and higher weight loss. The short- and long-term effects of two procedures on remission of comorbidities were comparable. (Source: Obesity Surgery)
Source: Obesity Surgery - October 15, 2019 Category: Surgery Source Type: research

Perioperative chemotherapy for locally advanced gastric cancer in Japan: current and future perspectives
AbstractThe standard treatment for locally advanced gastric cancer differs across the world. In western countries, perioperative chemotherapy or postoperative adjuvant chemoradiotherapy are the preferred treatment options, whereas in Asia, D2 gastrectomy followed by postoperative adjuvant chemotherapy is standard. In Japan, adjuvant chemotherapy with S-1 is the standard treatment for pStage II gastric cancer, whereas adjuvant chemotherapy with a doublet regimen is preferred for pStage III gastric cancer. The efficacy of preoperative neoadjuvant chemotherapy using S-1 plus cisplatin, has been investigated in selected patien...
Source: Surgery Today - October 14, 2019 Category: Surgery Source Type: research