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

Sleeve gastrectomy and Roux-en-Y gastric bypass in the treatment of type 2 diabetes. 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 (T2D). Few randomized controlled studies have compared the 2 most common surgical procedures, Roux-en-Y gastric bypass (RYGB) and sleeve gastrectomy (SG) in the treatment of obese patients 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 article Source Type: research

Gastric duplication cyst lined by pseudostratified columnar ciliated epithelium masquerading as a pancreatic mucinous cystic neoplasm: a case report and literature review.
Abstract Gastric duplication cyst (GDC) with a pseudostratified columnar ciliated epithelial (PCCE) is a congenital rare cystic neoplasm, which is often difficult to distinguish from other entities by imaging techniques, and as a consequence it may be wrongly overtreated. We herein report a case of a 52-year-old female incidentally found to have an abdominal mass by ultrasonography and computed tomography. Additionally, endoscopic ultrasonography and fluid analysis were consistent with a pancreatic mucinous cystic neoplasm with a markedly elevated fluid amylase, carcinoembryonic antigen, and carbohydrate antigen 1...
Source: International Journal of Clinical and Experimental Pathology - May 3, 2020 Category: Pathology Authors: Zhan C, Zhou B Tags: Int J Clin Exp Pathol Source Type: research

Outcomes of re-operative surgery in severely obese patients after sleeve gastrectomy: A single institution experience
Despite its popularity, sleeve gastrectomy (SG) is not devoid of postoperative complications and weight regain. Some of these cases warrant conversion to Roux-en-Y gastric bypass (RYGB) or proximal gastrectomy with Roux-en-Y esophagojejunostomy (PGRYEJ). Complications after conversion are scarcely reported in the literature. (Source: Surgery for Obesity and Related Diseases)
Source: Surgery for Obesity and Related Diseases - May 3, 2020 Category: Surgery Authors: Joel S. Frieder, Rene Aleman, Camila Ortiz Gomez, Francisco Ferri, Luis Felipe Okida, David Romero Funes, Emanuele Lo Menzo, Samuel Szomstein, Raul J. Rosenthal Tags: Original articles Source Type: research

Outcomes of reoperative surgery in severely obese patients after sleeve gastrectomy: a single-institution experience
Despite its popularity, sleeve gastrectomy (SG) is not devoid of postoperative complications and weight regain. Some of these cases warrant conversion to Roux-en-Y gastric bypass or proximal gastrectomy with Roux-en-Y esophagojejunostomy. Complications after conversion are scarcely reported in the literature. (Source: Surgery for Obesity and Related Diseases)
Source: Surgery for Obesity and Related Diseases - May 3, 2020 Category: Surgery Authors: Joel S. Frieder, Rene Aleman, Camila Ortiz Gomez, Francisco Ferri, Luis Felipe Okida, David Romero Funes, Emanuele Lo Menzo, Samuel Szomstein, Raul J. Rosenthal Tags: Original article Source Type: research

Obesity Might Persistently Increase Adrenal Gland Volume: a Preliminary Study
ConclusionsObesity leads to increased AGV, and in some cases, this effect seems to be irreversible. The clinical implication of obesity-induced adrenal morphological changes needs to be studied further. (Source: Obesity Surgery)
Source: Obesity Surgery - May 2, 2020 Category: Surgery Source Type: research

Effect of Helicobacter pylori eradication after subtotal gastrectomy on the survival rate of patients with gastric cancer: follow-up for up to 15  years
AbstractObjectiveHelicobacter pylori (HP) is known to play an important role in the development of gastric cancer (GC). The aim of this study was to analyze the effect of HP eradication on the survival rate and cancer recurrence in patients who underwent subtotal gastrectomy for GC.DesignTotally 1,031 patients diagnosed with gastric adenocarcinoma who received surgical treatment at the Seoul National University Bundang Hospital from 2003 to 2017 and positive for HP infection were analyzed. The overall and GC-related survival according to HP eradication were compared; risk factors for GC-specific death and cancer recurrence...
Source: Gastric Cancer - May 2, 2020 Category: Gastroenterology Source Type: research

GERD outcome after bariatric surgery: A protocol for systematic review and meta analysis
Conclusion: GERD may improve in obese patients who underwent laparoscopic sleeve gastrectomy (LSG); however, the most favorable effect is likely to be found after Roux-en-Y gastric bypass surgery. Prospero registration number: CRD42018090074. (Source: Medicine)
Source: Medicine - May 1, 2020 Category: Internal Medicine Tags: Research Article: Study Protocol Systematic Review Source Type: research

Comparison between total intravenous anesthesia and balanced anesthesia on postoperative opioid consumption in patients who underwent laparoscopic-assisted distal gastrectomy
Remifentanil is the most frequently prescribed opioid for total intravenous anesthesia (TIVA) or balanced anesthesia (BA), due to its favorable pharmacological properties. However, several studies have reported opioid-induced hyperalgesia and/or acute tolerance after intraoperatively using remifentanil. In addition, it is imperative to control postoperative pain with lower doses of opioid anesthetic agents. Therefore, we compared the amount of opioid consumption between TIVA with propofol-remifentanil and BA with desflurane-remifentanil, to control postoperative pain in patients who underwent laparoscopic-assisted distal g...
Source: Medicine - May 1, 2020 Category: Internal Medicine Tags: Research Article: Observational Study Source Type: research

The start of gastrectomy at different time-of-day influences postoperative outcomes
This study included 117 patients between 2008 and 2012 who underwent a radical gastrectomy. These patients were grouped into the morning (before 13:00) and afternoon (after 13:00) groups or divided into 2 groups according to the median operation start time (before or after 11:23). Then, the relevant influence of the surgical start time was analyzed. The morning group (before 13:00) and the front median group (before 11:23) showed longer operative time (P = .008 and P = .016, respectively), lower estimated blood loss (P  (Source: Medicine)
Source: Medicine - May 1, 2020 Category: Internal Medicine Tags: Research Article: Observational Study Source Type: research

The expression of epidermal growth factor receptor 1 and human epidermal growth factor receptor 2 based on tumor location affect survival in gastric cancer
To investigate the different expression of epidermal growth factor receptor 1 (EGFR) and human epidermal growth factor receptor 2 (HER2) in gastric cancer based on tumor locations and its impact on patients survival. Gastric cancer is heterogeneous disease, recent years have established a molecular classification and described distribution of molecular subtypes in stomach. However, the difference of EGFR and HER-2 expression among tumor location is still unknown. Between January 2010 and August 2014, 2477 consecutive patients with gastric cancer were treated in our surgery department. The tumor locations were classified ...
Source: Medicine - May 1, 2020 Category: Internal Medicine Tags: Research Article: Observational Study Source Type: research

Differences in Factors Affecting the Quality of Life Over Time After the Gastrectomy in Patients With Stage I Gastric Cancer
This study examined QoL of patients with Stage I gastric cancer over time following gastrectomy and the effects of QoL subdomains on the patients' overall QoL over time after surgery. Data were collected from 138 patients with Stage I gastric cancer who had undergone gastrectomy within the previous 3 years. Data were classified into 3 groups according to the length of postsurgery time: 12 months or less (Group 1), 13–24 months (Group 2), and 25–36 months (Group 3). A confirmatory factor analysis was performed to examine the effects of QoL subdomains. Quality of life of patients with Stage I gastric cancer impro...
Source: Gastroenterology Nursing - May 1, 2020 Category: Nursing Tags: Features Source Type: research

Changes in Serum Nesfatin-1 After Laparoscopic Sleeve Gastrectomy are Associated with Improvements in Nonalcoholic Fatty Liver Disease
(Source: Diabetes, Metabolic Syndrome and Obesity: Targets and Therapy)
Source: Diabetes, Metabolic Syndrome and Obesity: Targets and Therapy - May 1, 2020 Category: Endocrinology Tags: Diabetes, Metabolic Syndrome and Obesity: Targets and Therapy Source Type: research

Feasibility of preserving the remnant stomach during distal pancreatectomy after distal gastrectomy
ConclusionOur study suggested that the remnant stomach may be safely preserved when performing DP in patients with a history of DG with respect to short-term morbidities. However, there are some concerns about the long-term nutritional status in patients with a history of DG. (Source: Surgery Today)
Source: Surgery Today - May 1, 2020 Category: Surgery Source Type: research

Influence of endoscopic resection on additional laparoscopic distal gastrectomy: a propensity score-matching analysis
ConclusionER prior to surgical resection showed no significant influence on postoperative complications or mortality. LDG can be safely performed to achieve radical resection after incomplete ER. (Source: Surgery Today)
Source: Surgery Today - May 1, 2020 Category: Surgery Source Type: research

Role of Endoscopic Stent Insertion on Management of Gastric Twist after Sleeve Gastrectomy
ConclusionGastric pouch twisting is a rare complication; however, it has a rising incidence. Endoscopic stent insertion is highly effective on the management of twisting after SG and it should be tried before any further surgical intervention. (Source: Obesity Surgery)
Source: Obesity Surgery - May 1, 2020 Category: Surgery Source Type: research

Do Bariatric Surgeries Enhance Brown/Beige Adipose Tissue Thermogenesis?
Bariatric surgeries induce marked and durable weight loss in individuals with morbid obesity through powerful effects on both food intake and energy expenditure. While alterations in gut-brain communication are increasingly implicated in the improved eating behavior following bariatric surgeries, less is known about the mechanistic basis for energy expenditure changes. Brown adipose tissue (BAT) and beige adipose tissue (BeAT) have emerged as major regulators of whole-body energy metabolism in humans as well as in rodents due to their ability to convert the chemical energy in circulating glucose and fatty acids into heat. ...
Source: Frontiers in Endocrinology - April 30, 2020 Category: Endocrinology Source Type: research

Random biopsies in patients harboring a CDH1 mutation: time to change the approach?
DISCUSSION: gastroscopy has a poor sensitivity to detect SRCC. Even with Cambridge protocol, gastroscopy has a very limited role in the surveillance of patients with a CDH1 mutation and prophylactic total gastrectomy is the most advisable option. Nevertheless, endoscopic protocols should be optimized to favor targeted biopsies over a high number of random biopsies. PMID: 32338015 [PubMed - as supplied by publisher] (Source: Revista Espanola de Enfermedades Digestivas)
Source: Revista Espanola de Enfermedades Digestivas - April 29, 2020 Category: Gastroenterology Tags: Rev Esp Enferm Dig Source Type: research

Debulking Surgery for Moderately Differentiated Neuroendocrine Gastric Carcinoma - A Case Report and Literature Review
Conclusion: Multiple visceral resections might be needed in order to maximize the debulking effort in metastatic gastric neuroendocrine carcinomas. (Source: In Vivo)
Source: In Vivo - April 29, 2020 Category: Research Authors: BACALBASA, N., HALMACIU, I., BOLCA, C., NEACSU, A., CRETOIU, D., BALALAU, C., DIACONU, C., ILIESCU, L., FILIPESCU, A., POP, C., BALESCU, I. Tags: Clinical Studies Source Type: research

The Clinical Significance of Lymphovascular Invasion in Gastric Cancer
Conclusion: LVI in gastric cancer is an independent prognostic factor, and tends to worsen prognosis, especially in advanced cancers with lymph node metastases. (Source: In Vivo)
Source: In Vivo - April 29, 2020 Category: Research Authors: FUJIKAWA, H., KOUMORI, K., WATANABE, H., KANO, K., SHIMODA, Y., AOYAMA, T., YAMADA, T., HIROSHI, T., YAMAMOTO, N., CHO, H., SHIOZAWA, M., YOSHIKAWA, T., MORINAGA, S., RINO, Y., MASUDA, M., OGATA, T., OSHIMA, T. Tags: Clinical Studies Source Type: research

The Effectiveness of Gastrectomy With Chemoradiotherapy Among Stage IV Gastric Adenocarcinoma: A Population-Based Analysis
The objective of this study was to assess whether tumor resection is beneficial to survival in gastric cancer patients with incurable stage IV disease.Methods: This is a retrospective cohort study of gastric cancer patients in the Surveillance, Epidemiology, and End Results (SEER) database between 2010 and 2015. Due to the baseline bias, 1:1 propensity score matching (PSM) was used in this cohort. Patients were grouped by treatment, (1) gastrectomy with chemoradiotherapy (CRT), or (2) CRT only, and a Cox proportional hazards regression model was used to identify predictors of survival. Overall survival was compared between...
Source: Frontiers in Oncology - April 28, 2020 Category: Cancer & Oncology Source Type: research

Comment on: Endoscopic internal drainage by double pigtail stents in the management of laparoscopic sleeve gastrectomy leaks
In this experience described by Siddique et al.,1 a different approach treating an isolated area of sleeve gastrectomy leak is described. In essence, the authors are taking existing biliary endoscopic techniques and applying it to the management of a sleeve gastrectomy leak. The authors are also treating a leak with an internal drain, somewhat like a cyst-gastrostomy for pancreatic cyst. (Source: Surgery for Obesity and Related Diseases)
Source: Surgery for Obesity and Related Diseases - April 28, 2020 Category: Surgery Authors: Federico J. Serrot, Edward Lin Source Type: research

Long-Term Results and Current Problems in Laparoscopic Gastrectomy: Single-Center Experience
Journal of Laparoendoscopic&Advanced Surgical Techniques, Ahead of Print. (Source: Journal of Laparoendoscopic)
Source: Journal of Laparoendoscopic - April 28, 2020 Category: Surgery Authors: Cemil Y üksel Og ün Erşen Ümit Mercan Salim İlksen Başçeken Batuhan Bak ırarar Sancar Bayar Ali Ekrem Ünal Salim Demirci Source Type: research

Long-Term Results and Current Problems in Laparoscopic Gastrectomy: Single-Center Experience
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 - April 28, 2020 Category: Surgery Authors: Cemil Y üksel Og ün Erşen Ümit Mercan Salim İlksen Başçeken Batuhan Bak ırarar Sancar Bayar Ali Ekrem Ünal Salim Demirci Source Type: research

Longitudinal patterns of cytokine expression at the individual level in humans after laparoscopic sleeve gastrectomy.
In conclusion, the longitudinal analysis of cytokines in a standard model allowed the identification of their underlying patterns of expression. We propose that the two prototype patterns shown may reflect the mechanism that separates the common and individual aspects of the injury response. PMID: 32336016 [PubMed - as supplied by publisher] (Source: J Cell Mol Med)
Source: J Cell Mol Med - April 26, 2020 Category: Molecular Biology Authors: Trahtemberg U, Darawshe F, Elazary R, Ginsburg I, Beil M, van Heerden PV, Sviri S Tags: J Cell Mol Med Source Type: research

Reduced expression of exosomal miR ‑29s in peritoneal fluid is a useful predictor of peritoneal recurrence after curative resection of gastric cancer with serosal involvement.
Reduced expression of exosomal miR‑29s in peritoneal fluid is a useful predictor of peritoneal recurrence after curative resection of gastric cancer with serosal involvement. Oncol Rep. 2020 Feb 17;: Authors: Ohzawa H, Saito A, Kumagai Y, Kimura Y, Yamaguchi H, Hosoya Y, Lefor AK, Sata N, Kitayama J Abstract The peritoneal surface is the most frequent site of metastasis disease in patients with gastric cancer. Even after curative surgery and adjuvant chemotherapy, peritoneal recurrences often develop. Exosomes play pivotal roles in tumor metastasis via the transfer of microRNAs (miRNAs). In the prese...
Source: Oncology Reports - April 25, 2020 Category: Cancer & Oncology Tags: Oncol Rep Source Type: research

Combined use of endoscopy to guide laparoscopic management of intra-luminal bleeding from the staple-line following sleeve gastrectomy: a video case report.
Unlike Roux-en-Y gastric bypass (RYGB) where “intra-luminal” bleeding is relatively common from the anastomosis(1-5), “intra-luminal” hemorrhage from the staple-line is extremely rare after sleeve gastrectomy (SG). Unstable hemodynamics after aggressive medical treatment will require emergency re-intervention. The preferred option in t he management of intra-luminal anastomotic bleeding following a RYGB is gastroscopic hemostasis, providing the anastomosis is accessible.(1-5) However, intra-luminal staple-line bleeding after an SG may well be an exception to this management algorithm. (Source: Surge...
Source: Surgery for Obesity and Related Diseases - April 25, 2020 Category: Surgery Authors: İsmail Çalıkoğlu, Hülya Hamzaoğlu, Mehmet Ali Yerdel Tags: VIDEO CASE REPORT Source Type: research

Paired Editorial "Thrombophilia Prevalence in Patients Seeking Laparoscopic Sleeve Gastrectomy; Extended Chemoprophylaxis May Decrease Portal Vein Thrombosis Rate"
In this issue of Surgery of Obesity and Related Diseases, *** et al examined the prevalence of undiagnosed thrombophilia in patients seeking laparoscopic sleeve gastrectomy and sought to determine if extended chemophrophylaxis following surgery would reduce the incidence of portomesenteric vein thrombosis (PMVT). The authors performed a retrospective study in which thrombophilia panels were collected on 1,075 patients. These patients were then discharged on extended chemoprophylaxis and PMVT rates and bleeding was recorded. (Source: Surgery for Obesity and Related Diseases)
Source: Surgery for Obesity and Related Diseases - April 25, 2020 Category: Surgery Authors: Maria S. Altieri Source Type: research

Comment on: Thrombophilia prevalence in patients seeking laparoscopic sleeve gastrectomy: extended chemoprophylaxis may decrease portal vein thrombosis rate
In this issue of Surgery of Obesity and Related Diseases, Parikh et  al. examined the prevalence of undiagnosed thrombophilia in patients seeking laparoscopic sleeve gastrectomy and sought to determine if extended chemoprophylaxis after surgery would reduce the incidence of portomesenteric vein thrombosis (PMVT). The authors performed a retrospective study in which thrombophilia panels were collected on 1075 patients. These patients were then discharged on extended chemoprophylaxis, and PMVT rates and bleeding were recorded. (Source: Surgery for Obesity and Related Diseases)
Source: Surgery for Obesity and Related Diseases - April 25, 2020 Category: Surgery Authors: Maria S. Altieri Tags: Editorial comment Source Type: research

Comment on: Thrombophilia prevalence in patients seeking laparoscopic sleeve gastrectomy: extended chemoprophylaxis may decrease portal vein thrombosis rate.
PMID: 32423832 [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 - April 25, 2020 Category: Surgery Authors: Altieri MS Tags: Surg Obes Relat Dis Source Type: research

Combined use of endoscopy to guide laparoscopic management of intraluminal bleeding from the staple-line after sleeve gastrectomy: a video case report
Unlike Roux-en-Y gastric bypass (RYGB), in which intraluminal bleeding is relatively common from the anastomosis [1 –5], intraluminal hemorrhage from the staple line is extremely rare after sleeve gastrectomy (SG). Unstable hemodynamics after aggressive medical treatment will require emergency reintervention. The preferred option in the management of intraluminal anastomotic bleeding after a RYGB is gastroscopi c hemostasis, providing the anastomosis is accessible [1–5]. However, intraluminal staple-line bleeding after an SG may well be an exception to this management algorithm. (Source: Surgery for Obesity and Related Diseases)
Source: Surgery for Obesity and Related Diseases - April 25, 2020 Category: Surgery Authors: İsmail Çalıkoğlu, Hülya Hamzaoğlu, Mehmet Ali Yerdel Tags: Video case report Source Type: research

Effect of Sleeve Gastrectomy on Bone Metabolism and Serum 5-Hydroxytryptamine in Obese Rats.
CONCLUSIONS BMD was decrease and bone metabolism demonstrated a trend of bone destruction after SG. SG can affect the level of 5-HT in serum or bone tissue and the 5-HT may be involved in the process through which SG affects bone metabolism. PMID: 32324718 [PubMed - as supplied by publisher] (Source: Medical Science Monitor)
Source: Medical Science Monitor - April 24, 2020 Category: Research Tags: Med Sci Monit Source Type: research

Trends and progress of bariatric and metabolic surgery in India
AbstractBariatric and metabolic surgery are being performed in India for 2 decades. Aim of this paper is to evaluate the changing clinical trends over the last 5 years and to present the other aspects helmed by Obesity and Metabolic Surgery Society of India (OSSI) to aid the growth of research, education, data management and registry, quality control, insurance-related issues and policy change. OSSI conducts an annual survey to collect data pertaining to numbers of surgical procedures. With the approval of the executive committee, data collected from 2014 to 2018 were retrieved and analysed. 20,242 surgical procedures were...
Source: Updates in Surgery - April 24, 2020 Category: Surgery Source Type: research

Five years results after resleeve gastrectomy
Laparoscopic sleeve gastrectomy (LSG) has rapidly become increasingly popular in bariatric surgery. However, in the long-term follow-up, weight loss failure and intractable severe acid reflux after primary LSG can necessitate further interventions. (Source: Surgery for Obesity and Related Diseases)
Source: Surgery for Obesity and Related Diseases - April 24, 2020 Category: Surgery Authors: Patrick Noel, Anamaria Nedelcu, Imane Eddbali, Michel Gagner, Marc Danan, Marius Nedelcu Tags: Original articles Source Type: research

Analysis of risk factors of stage IV gastric cancer from the SEER database.
CONCLUSIONS: In patients with stage IV gastric cancer, gastrectomy (partial, subtotal or hemi) should be selected when surgery is necessary. The number of regional lymph node metastasis could be considered as a prognostic factor for patients with stage IV gastric cancer and lymph node dissection could reduce the risk of patients undergoing surgery. PMID: 32326735 [PubMed - as supplied by publisher] (Source: Annals of the Royal College of Surgeons of England)
Source: Annals of the Royal College of Surgeons of England - April 24, 2020 Category: Surgery Authors: Ge XY, Ge F, Wang Z, Wang YL, Lei LW, Liu QR, Sun XY, Jiang X Tags: Ann R Coll Surg Engl Source Type: research

Five-year results after resleeve gastrectomy
Laparoscopic sleeve gastrectomy (LSG) has become increasingly popular in bariatric surgery. However, in the long-term follow-up, weight loss failure and intractable severe acid reflux after primary LSG can necessitate further interventions. (Source: Surgery for Obesity and Related Diseases)
Source: Surgery for Obesity and Related Diseases - April 24, 2020 Category: Surgery Authors: Patrick Noel, Anamaria Nedelcu, Imane Eddbali, Michel Gagner, Marc Danan, Marius Nedelcu Tags: Original article Source Type: research

Correction
The abstract, “Stenting of Post-Sleeve Gastrectomy Leaks with Special Bariatric Stent: 22 Consecutive Cases,” which appeared in the October 2019 Supplement issue of the Journal of the American College of Surgeons, Volume 229, Number 4, (Supplement 2), page e74, was published without the full author list. The correct author list for this abstract is: Bassem M Abou-Hussein, MBBS, FACS, Omar Al Marzouqi, MD, FRCS, Khaled Ba Makhrama, MD, Sameer Al Awadhi, MD, Ali Khammas, MD. The authors apologize for this error. (Source: Journal of the American College of Surgeons)
Source: Journal of the American College of Surgeons - April 22, 2020 Category: Surgery Tags: Correction Source Type: research