Comment on: Outcomes of re-operative surgery in severely obese patients after sleeve gastrectomy: A single institution experience
This article by Frieder JS, et al. is an important another high quality contribution to the literature from their institution and fills in some of the missing data regarding long-term outcomes of the sleeve gastrectomy (SG) [1]. There is a dearth of long-term data on the SG, but it is clear that a percentage of these patients will be converted to other operations for weight regain or complications [2]. As the SG is the most performed operation in the United States, with 154,976 performed in 2018, this lack of long-term data is especially striking [3]. (Source: Surgery for Obesity and Related Diseases)
Source: Surgery for Obesity and Related Diseases - May 23, 2020 Category: Surgery Authors: Benjamin Clapp Source Type: research

Comment on: The Role of Preoperative Upper Endoscopy in Adolescents Undergoing Laparoscopic Vertical Sleeve Gastrectomy.
Primum non nocere. This oft-quoted tenet reminds us that above all, we as physicians must do no harm. All treatments must take into account the patient, the disease, and the expected outcome. Surgery offers the best (or the only) benefit for some diseases, but since all surgery includes harm, we must responsively evaluate the risk-benefit ratio. (Source: Surgery for Obesity and Related Diseases)
Source: Surgery for Obesity and Related Diseases - May 23, 2020 Category: Surgery Authors: Jeffrey L. Zitsman Source Type: research

Reporting National Outcomes After Esophagectomy and Gastrectomy According to the Esophageal Complications Consensus Group (ECCG)
Conclusions: Reporting complications according to the ECCG platform is feasible in the Netherlands and facilitates international benchmarking. (Source: Annals of Surgery)
Source: Annals of Surgery - May 22, 2020 Category: Surgery Tags: ORIGINAL ARTICLES Source Type: research

The Unconventional Role for Gastric Volume in the Response to Bariatric Surgery for Both Weight Loss and Glucose Lowering
Conclusions: The data suggest a minimum threshold volume of the residual stomach that is necessary to induce sustained weight loss. Although all gastric volume interventions increased the GLP-1 response, none of the interventions, except VSG, significantly improved glucose tolerance. In conclusion, if weight loss is the primary goal of surgical intervention, significant volume reduction is required, and this most likely requires excising gastric tissue. (Source: Annals of Surgery)
Source: Annals of Surgery - May 22, 2020 Category: Surgery Tags: ORIGINAL ARTICLES Source Type: research

Disparities in Access to Bariatric Surgery in Texas 2013-2017.
Conclusions: There are disparities to access for bariatric surgery in Texas. Blacks have the greatest access followed by whites. Hispanics have the lowest procedure rate per population. PMID: 32425480 [PubMed - in process] (Source: JSLS : Journal of the Society of Laparoendoscopic Surgeons)
Source: JSLS : Journal of the Society of Laparoendoscopic Surgeons - May 21, 2020 Category: Surgery Tags: JSLS Source Type: research

Analysis of the learning process for laparoscopic sleeve gastrectomy: CUSUM-curve of 110 consecutive patients with 1-year follow-up
Publication date: Available online 20 May 2020Source: Journal of Visceral SurgeryAuthor(s): G. Fantola, M. Agus, M. Runfola, F. Rebecchi, C. Podda, R. Moroni (Source: Journal of Visceral Surgery)
Source: Journal of Visceral Surgery - May 21, 2020 Category: Surgery Source Type: research

Preoperative risk factors for postoperative intra-abdominal infectious complication after gastrectomy for gastric cancer using a Japanese web-based nationwide database
ConclusionUsing nationwide clinical practice data, we created a preoperative risk model for postgastrectomy PIIC for gastric cancer. (Source: Gastric Cancer)
Source: Gastric Cancer - May 21, 2020 Category: Gastroenterology Source Type: research

Alteration in faecal bile acids, gut microbial composition and diversity after laparoscopic sleeve gastrectomy.
CONCLUSION: LSG is associated with a reduction in faecal bile acids and greater abundance of specific bacterial taxa and α-diversity that may contribute to the metabolic changes. PMID: 32432347 [PubMed - as supplied by publisher] (Source: The British Journal of Surgery)
Source: The British Journal of Surgery - May 20, 2020 Category: Surgery Authors: Ikeda T, Aida M, Yoshida Y, Matsumoto S, Tanaka M, Nakayama J, Nagao Y, Nakata R, Oki E, Akahoshi T, Okano S, Nomura M, Hashizume M, Maehara Y Tags: Br J Surg Source Type: research

Gastrectomy with or without omentectomy for cT3-4 gastric cancer: a multicentre cohort study.
CONCLUSION: Overall survival and disease recurrence were comparable in patients with cT3-4 gastric cancer who underwent GPO or GRO. PMID: 32430907 [PubMed - as supplied by publisher] (Source: The British Journal of Surgery)
Source: The British Journal of Surgery - May 20, 2020 Category: Surgery Authors: Ri M, Nunobe S, Honda M, Akimoto E, Kinoshita T, Hori S, Aizawa M, Yabusaki H, Isobe Y, Kawakubo H, Abe T Tags: Br J Surg Source Type: research

Levothyroxine dose adjustment in hypothyroid patients following gastric sleeve surgery.
CONCLUSION: Despite a decrease in daily levothyroxine dose correlating with weight loss at 12 months, the absence of correlation with weight-adjusted dose suggests the involvement of confounding factors such as poor drug absorption or altered thyroid function. Further studies are required to elucidate the absorption of levothyroxine. PMID: 32445637 [PubMed - as supplied by publisher] (Source: Annales d'Endocrinologie)
Source: Annales d'Endocrinologie - May 20, 2020 Category: Endocrinology Authors: Gilly O, Richou M, Taillard V, Brauwere DP, Donici I, Guedj AM Tags: Ann Endocrinol (Paris) Source Type: research

GSE145284 The omentum of obese girls harbors small adipocytes and browning transcrips
Contributors : Elena Tarabra ; Jessica Nouws ; Alla Vash-Margita ; Geoffrey S Nadzam ; Rachel Goldberg ; Michelle VanName ; Bridget Pierpont ; James R Knight ; Gerald I Shulman ; Sonia CaprioSeries Type : Expression profiling by high throughput sequencingOrganism : Homo sapiensSevere obesity (SO) affects about 6% of youth in US, augmenting the risks for cardiovascular disease and Type 2 diabetes. Herein, we obtained paired omental (omVAT) and abdominal subcutaneous (SAT) adipose tissue biopsies from obese girls with SO, undergoing sleeve gastrectomy (SG), to test whether differences in cellular and transcriptomic profiles ...
Source: GEO: Gene Expression Omnibus - May 19, 2020 Category: Genetics & Stem Cells Tags: Expression profiling by high throughput sequencing Homo sapiens Source Type: research

Is Prophylactic Total Gastrectomy Always Indicated in CDH1 Germline Mutant Carriers?
I read with particular interest the recent results reported by DiBrito et  al.1 Prophylactic surgery in asymptomatic individuals carrying pathogenic germline mutations in the CDH1 gene is attracting ever increasing interest. (Source: Journal of Surgical Research)
Source: Journal of Surgical Research - May 19, 2020 Category: Surgery Authors: Giovanni Corso Tags: Letter to the editor Source Type: research

From the Knife to the Endoscope —a History of Bariatric Surgery
AbstractPurpose of ReviewCurrent bariatric surgical practice has developed from early procedures, some of which are no longer routinely performed. This review highlights how surgical practice in this area has developed over time.Recent FindingsThis review outlines early procedures including jejuno-colic and jejuno-ileal bypass, initial experience with gastric bypass, vertical banded gastroplasty and biliopancreatic diversion with or without duodenal switch. The role laparoscopy has played in the widespread utilization of surgery for treatment of obesity will be described, as will the development of procedures which form th...
Source: Current Obesity Reports - May 19, 2020 Category: Eating Disorders & Weight Management Source Type: research

Efficacy of conversion surgery on stage IV gastric cancer and its prognosis analysis.
Authors: Zhao Z, Fan Y, Sun Y, Xu F, Shen S Abstract BACKGROUND: To explore the clinical efficacy and safety of conversion surgery in the treatment of stage IV gastric cancer, and to analyze the influencing factors for the prognosis of patients. METHODS: The clinical data of 84 patients with stage IV gastric cancer treated in our hospital from September 2014 to March 2016 were collected. All patients were treated with S-1 + oxaliplatin or S-1 + docetaxel chemotherapy, among which 42 patients had surgical indications after chemotherapy and received gastrectomy (R0 resection or R1 resection) (conversion surgery g...
Source: Panminerva Medica - May 17, 2020 Category: General Medicine Tags: Panminerva Med Source Type: research

Reconstruction Methods and Complications of Esophagogastrostomy and Jejunal Interposition in Proximal Gastrectomy for Gastric Cancer: A Meta-Analysis.
Authors: Du N, Wu P, Wang P, Du Y, Li K, Wang Z, Xu H, Zhu Z Abstract Background: Proximal gastrectomy is used for the treatment of primary gastric cancer by open or laparoscopic surgery in the upper third of the stomach. Esophagogastrostomy (EG) or jejunal interposition (JI) is widely used in various reconstruction methods after proximal gastrectomy. We conducted a meta-analysis of EG and JI for treatment of gastric cancer. Materials and Methods: A search of PubMed, Embase, MEDLINE, J-STAGE, and Cochrane Library identified retrospective series on EG and JI. Weight mean differences (WMDs), odds ratios (ORs), an...
Source: Gastroenterology Research and Practice - May 17, 2020 Category: Gastroenterology Tags: Gastroenterol Res Pract Source Type: research

Optimal extent of lymph node dissection for remnant advanced gastric carcinoma after distal gastrectomy: a retrospective analysis of more than 3000 patients from the nationwide registry of the Japanese Gastric Cancer Association
ConclusionsThe therapeutic strategy for RGC remains the same, regardless of the histology of the primary disease during the initial surgery. Total gastrectomy and dissection of the perigastric LNs (Nos. 1 –4), suprapancreatic LNs (Nos. 7–9 and 11), and LNs at the splenic hilum (No. 10) are justified. (Source: Gastric Cancer)
Source: Gastric Cancer - May 17, 2020 Category: Gastroenterology Source Type: research

Oncologic and surgical outcomes for gastric cancer patients undergoing gastrectomy differ by race in the United States
Publication date: Available online 16 May 2020Source: European Journal of Surgical OncologyAuthor(s): May C. Tee, Noah Pirozzi, Rushin D. Brahmbhatt, Shankar Raman, Jan Franko (Source: European Journal of Surgical Oncology (EJSO))
Source: European Journal of Surgical Oncology (EJSO) - May 16, 2020 Category: Surgery Source Type: research

Should we still use prophylactic drain in gastrectomy for cancer? A systematic review and meta-analysis
Publication date: Available online 15 May 2020Source: European Journal of Surgical OncologyAuthor(s): Jacopo Weindelmayer, Valentina Mengardo, Alessandro Veltri, Lorena Torroni, Enhao Zhao, Giuseppe Verlato, Giovanni de Manzoni (Source: European Journal of Surgical Oncology (EJSO))
Source: European Journal of Surgical Oncology (EJSO) - May 16, 2020 Category: Surgery Source Type: research

Chronological changes in quality of life and body composition after gastrectomy for locally advanced gastric cancer.
Conclusion: Persistent deterioration of BC and QoL is a serious concern following total gastrectomy. Long-term management of BC is required after gastrectomy and efforts should be made to improve the QoL in patients as soon as possible, postoperatively. PMID: 32411631 [PubMed] (Source: Annals of Surgical Treatment and Research)
Source: Annals of Surgical Treatment and Research - May 16, 2020 Category: Surgery Tags: Ann Surg Treat Res Source Type: research

Dominant gut Prevotella copri in gastrectomised non-obese diabetic Goto –Kakizaki rats improves glucose homeostasis through enhanced FXR signalling
ConclusionsOur data underline the impact of intestinalP. copri on improved glucose homeostasis through enhanced bile acid metabolism and farnesoid X receptor (FXR) signalling, which may represent a promising opportunity for novel type 2 diabetes therapeutics. (Source: Diabetologia)
Source: Diabetologia - May 15, 2020 Category: Endocrinology Source Type: research

The telomere length of gastric mucosal samples and peripheral blood lymphocytes in patients who have undergone Billroth II distal gastrectomy.
Conclusions: The telomere length was shortened as the time of postoperative period increased in the patient group. The telomeres were also shorter in chronic inflammation, neutrophil activity, intestinal metaplasia, and glandular atrophy, in all of the study groups. Telomere length abnormalities in gastric stump carcinogenesis process may be a guide for early diagnosis and treatment. PMID: 32399105 [PubMed] (Source: Archives of Medical Science)
Source: Archives of Medical Science - May 15, 2020 Category: General Medicine Tags: Arch Med Sci Source Type: research

Increased CD44 Expression and MEK Activity Predict Worse Prognosis in Gastric Adenocarcinoma Patients Undergoing Gastrectomy
AbstractPurposeWe have shown that activation of the receptor tyrosine kinase (RTK)-RAS pathway in gastric adenocarcinoma (GA) promotes acquisition of cancer stem-like cell (CSC) phenotypes including metastasis and chemotherapy resistance. Here, we evaluated the prognostic value of the CSC marker CD44 and the RTK-RAS activation marker phosphorylated MEK (p-MEK) in patients with resectable GA.MethodsCD44 and p-MEK were measured in tumors from GA patients who underwent curative-intent gastrectomy at Fujian Medical University Union Hospital (FMUUH,n = 134) and Memorial Sloan Kettering Cancer Center (MSKCC,n&thins...
Source: Journal of Gastrointestinal Surgery - May 14, 2020 Category: Surgery Source Type: research

Gastroscopic surveillance with targeted biopsies compared with random biopsies in CDH1 mutation carriers
Conclusion In our cohort of CDH1 mutation carriers, SRCC lesions were identified by an extensive endoscopic surveillance protocol in 69 % of SRCC-positive patients who underwent a gastric resection. The low number of SRCC detected through random sampling demands a critical reappraisal of random biopsy sampling in the IGCLC guideline. [...] © Georg Thieme Verlag KG Stuttgart · New YorkArticle in Thieme eJournals: Table of contents  |  Abstract  |  Full text (Source: Endoscopy)
Source: Endoscopy - May 14, 2020 Category: Gastroenterology Authors: van Dieren, Jolanda M. Kodach, Liudmila L. den Hartog, Peggy van der Kolk, Lizet E. Sikorska, Karolina van Velthuysen, Marie-Louise F. van Sandick, Johanna W. Koemans, Willem J. Snaebjornsson, Petur Cats, Annemieke Tags: Original article Source Type: research

Tumor deposit serves as a prognostic marker in gastric cancer: A propensity score ‐matched analysis comparing survival outcomes
Kaplan ‐Meier curves for TD negative and positive gastric patients before and after propensity score matching. AbstractBackgroundGastric cancer (GC) treatment is determined by accurate tumor staging. The value of tumor deposit (TD) in prognostic prediction staging system is not yet determined.MethodsWe retrospectively analyzed clinical information on GC patients who underwent gastrectomy at the Department of General Surgery of the Chinese PLA General Hospital from July 2014 to June 2016. Propensity score matching (PSM) was performed to reduce the possibility of selection bias according to the presence of TD.ResultsOf the...
Source: Cancer Medicine - May 14, 2020 Category: Cancer & Oncology Authors: Liang Wenquan, Liu Yuhua, Cui Jianxin, Xi Hongqing, Zhang Kecheng, Li Jiyang, Gao Yunhe, Liu Yi, Zhang Wang, Li Shaoqing, Lu Yixun, Qiao Shen, Xue Wanguo, Qiao Zhi, Chen Lin Tags: ORIGINAL RESEARCH Source Type: research

Bariatric peri-operative outcomes are affected by annual procedure-specific surgeon volume
AbstractBackgroundThere is limited data examining specific annual surgeon procedural volumes associated with improvement of postoperative outcomes following Roux-en-Y gastric bypass (RYGB) and sleeve gastrectomy (SG).ObjectivesEffect of surgeon volume on procedural outcomes.MethodsUsing the SPARCS Administrative database, patients undergoing laparoscopic RYGB or SG between 2010 –2014 were analyzed. Multivariable generalized linear mixed regression models were first used to analyze the influences of 3 yearly mean volumes (combined, RYGB and SG mean volumes) on each of three surgical outcomes: 30-day readmission, ...
Source: Surgical Endoscopy - May 12, 2020 Category: Surgery Source Type: research

Near-infrared fluorescent clip guided gastrectomy: Report of 2 cases (Case reports)
Publication date: Available online 11 May 2020Source: Annals of Medicine and SurgeryAuthor(s): Satoshi Narihiro, Masashi Yoshida, Hironori Ohdaira, Hideyuki Takeuchi, Teppei Kamada, Rui Marukuchi, Norihiko Suzuki, Sojun Hoshimoto, Takayuki Sato, Yutaka Suzuki (Source: Annals of Medicine and Surgery)
Source: Annals of Medicine and Surgery - May 12, 2020 Category: General Medicine Source Type: research

Intracorporeal esophagojejunostomy using a linear stapler in laparoscopic total gastrectomy: comparison with circular stapling technique
Laparoscopic total gastrectomy for gastric cancer is feasible but less commonly performed compared to laparoscopic distal gastrectomy due to technical difficulties such as reconstruction. There is no standard ... (Source: BMC Surgery)
Source: BMC Surgery - May 12, 2020 Category: Surgery Authors: Sejin Lee, Harim Lee, Jeong Ho Song, Seohee Choi, Minah Cho, Taeil Son, Hyoung-Il Kim and Woo Jin Hyung Tags: Research article Source Type: research

The Role of Preoperative Upper Endoscopy in Adolescents Undergoing Laparoscopic Vertical Sleeve Gastrectomy.
Vertical sleeve gastrectomy (VSG) has been associated with gastroesophageal reflux (GER) symptoms and, in adults, with a development of Barrett ’s esophagus (BE). Adults with Barrett’s esophagus identified at baseline prior to bariatric operation are generally advised against VSG operations. The role of preoperative esophagogastroduodenoscopy (EGD) in adolescents preparing for bariatric surgery is not clearly defined. The goal of this s tudy was to report the frequency of abnormalities identified on EGD performed at baseline in adolescents undergoing VSG for severe obesity. (Source: Surgery for Obesity and Related Diseases)
Source: Surgery for Obesity and Related Diseases - May 12, 2020 Category: Surgery Authors: Sarah Ogle, Sarkis C. Derderian, Robert Kramer, Rachel Anthony, Thomas Inge Tags: Original articles Source Type: research

The Retropancreatic Fusion Fascia Oriented Splenic Hilar Lymphadenectomy Versus Laparoscopic Approach In D2 Total Gastrectomy.
This study aimed to develop the retropancreatic fusion fascia-oriented ex vivo approach for splenic hilar lymphadenectomy (RP-SL) to avoid difficulty in using the total laparoscopic approach (TL-SL). MATERIAL AND METHODS The data for patients with PAGC who underwent D2 total gastrectomy were retrieved from our clinical database and electronic medical records (December 2016 to December 2018), with a 1:1 match ratio for balance of the 2 groups. RESULTS In sum, 84 matched patients were included in the study. There were 2360 retrieved lymph nodes (LNs), with an average of 28.10. Sixteen patients were confirmed with positive sp...
Source: Medical Science Monitor - May 11, 2020 Category: Research Tags: Med Sci Monit Source Type: research

Subtotal gastrectomy for gastric tube cancer using intraoperative indocyanine green fluorescence method
Publication date: Available online 11 May 2020Source: International Journal of Surgery Case ReportsAuthor(s): Ippei Yamana, Takuo Murakami, Shintaro Ryu, Jun Ichikawa, Yuki Shin, Nobuhiko Koreeda, Hiroto Sannomiya, Keisuke Sato, Tatsuya Okamoto, Yasuo Sakamoto, Yasushi Yoshida, Jun Yanagisawa, Tomoaki Noritomi, Suguru Hasegawa (Source: International Journal of Surgery Case Reports)
Source: International Journal of Surgery Case Reports - May 11, 2020 Category: Surgery Source Type: research

First Experience with the Use of “Micro Hand S” Surgical Robot in Sleeve Gastrectomy
Journal of Laparoendoscopic&Advanced Surgical Techniques, Ahead of Print. (Source: Journal of Laparoendoscopic)
Source: Journal of Laparoendoscopic - May 11, 2020 Category: Surgery Authors: Rao Li Shaihong Zhu Liyong Zhu Source Type: research

Comment on: Predictive value of preoperative DeMeester score on conversion to Roux en-Y gastric bypass for gastroesophageal reflux disease after sleeve gastrectomy
Bariatric surgery is a proven, efficacious, and durable treatment for obesity and weight-related diseases. In addition to other metabolic effects, surgery can have both a positive and negative clinical impact on GERD. The spectrum of surgical procedures currently offered have varying degrees of improvement or worsening of pre-existing symptoms or development of new symptoms. Of the most commonly performed bariatric procedures, Roux en-Y gastric bypass has been shown to be highly effective in treatment of GERD1, likely through a combination of weight loss and subsequent decrease of intra-abdominal pressure, as well as separ...
Source: Surgery for Obesity and Related Diseases - May 11, 2020 Category: Surgery Authors: Matthew Kroh Source Type: research

Sleeve gastrectomy with concomitant hiatal hernia repair in obese patients: long term results on gastroesophageal reflux disease
Tertiary-care referral hospital. (Source: Surgery for Obesity and Related Diseases)
Source: Surgery for Obesity and Related Diseases - May 11, 2020 Category: Surgery Authors: Luigi Angrisani, Antonella Santonicola, Vincenzo Borrelli, Paola Iovino Tags: Original articles Source Type: research

Correlation of preoperative neutrophil-to-lymphocyte ratio and platelet-to-lymphocyte ratio with metabolic parameters in patients undergoing sleeve gastrectomy
Obesity and its related diseases, Type 2 Diabetes (T2D) and overall the Metabolic Syndrome (MetS) often shows a low-grade of chronic inflammation due to loss of balance between pro- and anti-inflammatory signals. Neutrophil-to-lymphocyte ratio (NLR) and platelet-to-lymphocyte ratio (PLR) are considered cost-effective markers for the detection of this subclinical inflammation. (Source: Surgery for Obesity and Related Diseases)
Source: Surgery for Obesity and Related Diseases - May 11, 2020 Category: Surgery Authors: Lorea Zubiaga, Jaime Ruiz-Tovar Tags: Original articles Source Type: research

Comment on: Short-medium term results of Single Anastomosis Duodeno-Ileal bypass compared to One Anastomosis Gastric bypass for weight recidivism after Laparoscopic Sleeve Gastrectomy
In the current manuscript(1), the authors reported the results of the Single Anastomosis Duodeno-Ileal bypass (SADI) and One Anastomosis Gastric Bypass (OAGB) for a cohort of 84 patients who presented with weight loss failure following Laparoscopic Sleeve Gastrectomy (LSG). We especially commend the authors for the interesting topic of their manuscript, as the revisional bariatric surgery after LSG is becoming more common due to the rapid increase in the number of patients undergoing this procedure as treatment for morbid obesity. (Source: Surgery for Obesity and Related Diseases)
Source: Surgery for Obesity and Related Diseases - May 11, 2020 Category: Surgery Authors: Marius Nedelcu, Anamaria Nedelcu, Patrick Noel Source Type: research

First Experience with the Use of “Micro Hand S” Surgical Robot in Sleeve Gastrectomy
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 - May 11, 2020 Category: Surgery Authors: Rao Li Shaihong Zhu Liyong Zhu Source Type: research

Combined partial posterior fundoplication with laparoscopic sleeve gastrectomy for morbid obese patients with symptomatic GERD. Video case report
Publication date: Available online 8 May 2020Source: International Journal of Surgery Case ReportsAuthor(s): Ozan Şen, Ahmet Gökhan Türkçapar (Source: International Journal of Surgery Case Reports)
Source: International Journal of Surgery Case Reports - May 10, 2020 Category: Surgery Source Type: research

Gastrectomy with D2 Lymphadenectomy for Carcinoma of the Stomach in a Stand-alone Cancer Centre in Rural India
ConclusionsAn R0 resection with D2 lymphadenectomy for gastric cancer carries acceptable morbidity and mortality in Indian patients with survival rates comparable with the western studies. Lymph node ratio more than 0.2 and female gender and advanced stage were associated with poorer oncological outcomes. (Source: Indian Journal of Surgical Oncology)
Source: Indian Journal of Surgical Oncology - May 10, 2020 Category: Cancer & Oncology Source Type: research

Anastomotic recurrence after laparoscopic distal gastrectomy with delta-shaped anastomosis  : report of a case.
Anastomotic recurrence after laparoscopic distal gastrectomy with delta-shaped anastomosis : report of a case. J Med Invest. 2020;67(1.2):211-213 Authors: Ishikawa D, Yoshikawa K, Higashijima J, Nishi M, Kashihara H, Takasu C, Shimada M Abstract Delta-shaped anastomosis is nowadays an increasingly performed reconstruction method in laparoscopic distal gastrectomy for early gastric cancer. To date, anastomotic recurrence at the delta-shaped anastomotic site has not been reported. Surgery for this disease is more complicated than anastomotic recurrence at the site of conventional Billroth-I anastomos...
Source: Journal of Medical Investigation - May 9, 2020 Category: General Medicine Tags: J Med Invest Source Type: research

The impact of negative lymph nodes in the survival outcomes of pN+ patients following radical gastrectomy: the inverse lymph node ratio as a better score to study negative lymph nodes
AbstractThe impact of negative lymph nodes (LNs) on survival of pN+ patients has been recognized. The weight of negative LNs in an inverse lymph node ratio (nR) should be related to its prognostic impact. Five hundred and two consecutive gastric cancer patients, who underwent radical gastrectomy, were included. Patients were split into groups according to the number of harvested nodes and a cross-tabulation with pTNM stages was performed to test differences in the tumor burden. pN+ patients (n = 296) were split into groups of negative LNs harvested. We tested an alternative formula for computing a lymph node ...
Source: Updates in Surgery - May 9, 2020 Category: Surgery Source Type: research

Intraluminal indocyanine green for intraoperative staple line leak testing in bariatric surgery
ConclusionsIntraluminal indocyanine green is an alternative for intraoperative detection of staple line integrity during bariatric surgical procedures with comparable specificity to intraoperative gastroscopy. (Source: Surgical Endoscopy)
Source: Surgical Endoscopy - May 8, 2020 Category: Surgery Source Type: research

Fluorescent-Image Guidance in Robotic Subtotal Gastrectomy
AbstractRobotic surgery technology has significant advantages, but its limitations include lack of tactile feedback. Fluorescent-imaging technology, part of the da Vinci robotic surgery system, helps to overcome this lack of feedback and improve safety. This video demonstrates the utility of fluorescent-image guidance in robotic subtotal gastrectomy. First, peritumoral injection of indocyanine green helps localize the primary lesion. Second, it enables visualization of sentinel lymphatic flow to guide the extent of lymph node dissection. Third, intravenous injection of indocyanine green confirms adequate tissue perfusion o...
Source: Annals of Surgical Oncology - May 7, 2020 Category: Cancer & Oncology Source Type: research

The Causes of Gastroesophageal Reflux after Laparoscopic Sleeve Gastrectomy: Quantitative Assessment of the Structure and Function of the Esophagogastric Junction by Magnetic Resonance Imaging and High-Resolution Manometry
AbstractBackgroundThe incidence of de novo gastroesophageal reflux disease (GERD) after LSG is substantial. However, an objective correlation with the structural gastric and EGJ changes has not been demonstrated yet. We aimed to prospectively evaluate the effects of laparoscopic sleeve gastrectomy (LSG) on the structure and function of the esophagogastric junction (EGJ) and stomach.MethodsInvestigations were performed before and after>  50% reduction in excess body weight (6–12 months after LSG). Subjects with GERD at baseline were excluded. Magnetic Resonance Imaging (MRI), high-resolution manometry (...
Source: Obesity Surgery - May 6, 2020 Category: Surgery Source Type: research

Surveillance Endoscopy Guidelines for Postgastrectomy Patients Based on Risk of Developing Remnant Gastric Cancer
ConclusionsThorough endoscopic examination should be conducted for up to 5  years postgastrectomy. Routine annual endoscopic follow-up should be performed for up to 20 years after the primary operation for gastric cancer, to allow for early detection of RGC. (Source: Annals of Surgical Oncology)
Source: Annals of Surgical Oncology - May 5, 2020 Category: Cancer & Oncology Source Type: research

Impact of Extracapsular Extension of Lymph Node in Adenocarcinoma of the Stomach
ConclusionsThe adverse prognostic impact of ECE was validated. Sub-serosal tumor deposits without recognizable lymph node tissue are recommended for inclusion in the ECE definition. A nomogram involving ECE could provide better individual prediction of survival for patients with lymph node-positive gastric cancer. (Source: Annals of Surgical Oncology)
Source: Annals of Surgical Oncology - May 5, 2020 Category: Cancer & Oncology Source Type: research

Gastrisk adenokarsinom og proksimal ventrikkelpolypose – en sjelden form for arvelig magesekkreft.
Gastrisk adenokarsinom og proksimal ventrikkelpolypose – en sjelden form for arvelig magesekkreft. Tidsskr Nor Laegeforen. 2020 May 05;140(7): Authors: Mala T, Førland DT, Vetti HH, Skagemo CU, Johannessen HO, Johnson E Abstract Hereditary ventricular polyposis in the form of gastric adenocarcinoma and proximal polyposis of the stomach (GAPPS) is a rare condition characterised by a typical distribution of polyps in the stomach and risk of gastric cancer at a young age. Prophylactic gastrectomy may be indicated. The condition is not thought to be associated with increased risk of colon can...
Source: Tidsskrift for den Norske Laegeforening - May 5, 2020 Category: General Medicine Authors: Mala T, Førland DT, Vetti HH, Skagemo CU, Johannessen HO, Johnson E Tags: Tidsskr Nor Laegeforen Source Type: research

Sleeve Gastrectomy: Surgical Technique, Outcomes, and Complications.
In conclusion, SG is an effective procedure for weight loss with a low risk for the patient to develop malnutrition. In terms of post-operative care, regular check-ups are vital to ensure a positive outcome as well as for the early detection of possible issues. Reflux and weight regain are common issues with SG in a long-term follow-up; thus, patients should be selected carefully for this procedure. PMID: 32359172 [PubMed - as supplied by publisher] (Source: Surgical Technology International)
Source: Surgical Technology International - May 4, 2020 Category: Surgery Tags: Surg Technol Int Source Type: research

Impact of a 12-Week Randomized Exercise Training Program on Lipid Profile in Severely Obese Patients Following Bariatric Surgery
ConclusionOur results showed a beneficial effect of a 12-week supervised exercise-training program in bariatric surgery patients showing similar weight loss on HDL-cholesterol levels without additional effect on LDL-cholesterol levels. (Source: Obesity Surgery)
Source: Obesity Surgery - May 4, 2020 Category: Surgery Source Type: research

Sleeve gastrectomy and Roux-en-Y gastric bypass in the treatment of type 2 diabetes mellitus. Two-year results from a Swedish multicenter randomized controlled trial.
Obesity is a world-wide epidemic and it is a risk factor for type 2 diabetes mellitus (T2D). Few randomized controlled studies have compared the two most common surgical procedures, Roux-en-Y gastric bypass (RYGB) and sleeve gastrectomy (SG) in the treatment of obese subjects with T2D. (Source: Surgery for Obesity and Related Diseases)
Source: Surgery for Obesity and Related Diseases - May 4, 2020 Category: Surgery Authors: Ville Wallenius, Aiham Alaraj, Niclas Bj örnfot, Bengt Orrenius, Anders Kylebäck, Per Björklund, Malin Werling, Anders Thorell, Lars Fändriks, Almantas Maleckas Tags: Original articles Source Type: research

Gastroesophageal reflux disease complicating laparoscopic sleeve gastrectomy: Current knowledge and surgical therapies
Laparoscopic sleeve gastrectomy (LSG) is currently the most commonly performed bariatric procedure worldwide. However, the incidence of gastroesophageal reflux disease (GERD) following LSG is high. (Source: Surgery for Obesity and Related Diseases)
Source: Surgery for Obesity and Related Diseases - May 4, 2020 Category: Surgery Authors: Bo-qiang Peng, Gui-xiang Zhang, Gang Chen, Zhong Cheng, Jian-kun Hu, Xiao Du Tags: Review articles Source Type: research