Cancer of the Esophagogastric Junction: Double Tract Reconstruction - Evidence and Technique
Zentralbl Chir. 2024 Apr;149(2):202-208. doi: 10.1055/a-2284-6597. Epub 2024 Apr 2.ABSTRACTAdenocarcinoma of the esophagogastric junction (AEG) still represent a certain surgical challenge. In contrary to the trend of thoracoabdominal surgery for AEG I and AEG II cancer, the proximal gastrectomy is regaining popularity through new reconstruction methods such as the double tract reconstruction. Proximal gastrectomy followed by double tract reconstruction represents an alternative for the thoracoabdominal approach for suitable AEG II cancer and an alternative to the total gastrectomy for AEG III cancers. Latest studies sugge...
Source: Zentralblatt fur Chirurgie - April 2, 2024 Category: Surgery Authors: Felix Berlth Ulrich Klaus Fetzner Andre L Mihaljevic Peter Grimminger Source Type: research
Cancer of the Esophagogastric Junction: Double Tract Reconstruction - Evidence and Technique
Zentralbl Chir. 2024 Apr;149(2):202-208. doi: 10.1055/a-2284-6597. Epub 2024 Apr 2.ABSTRACTAdenocarcinoma of the esophagogastric junction (AEG) still represent a certain surgical challenge. In contrary to the trend of thoracoabdominal surgery for AEG I and AEG II cancer, the proximal gastrectomy is regaining popularity through new reconstruction methods such as the double tract reconstruction. Proximal gastrectomy followed by double tract reconstruction represents an alternative for the thoracoabdominal approach for suitable AEG II cancer and an alternative to the total gastrectomy for AEG III cancers. Latest studies sugge...
Source: Zentralblatt fur Chirurgie - April 2, 2024 Category: Surgery Authors: Felix Berlth Ulrich Klaus Fetzner Andre L Mihaljevic Peter Grimminger Source Type: research
Gastric paraganglioma: a case report and review of literature
Paragangliomas (PGLs) are rare neuroendocrine tumors which overproduce catecholamines (CAs). They are extra-adrenal, catecholamine-secreting tumors occurring outside the adrenal glands. Gastric PGLs originating from extra-adrenal paraganglia are exceptionally rare, and their presentation in geriatric patients further adds to the complexity of diagnosis and management. A 72-year-old male patient presented with enduring left upper abdominal pain and anemia persisting for over a year, and hypertension for six months. Physical examination revealed epigastric discomfort and pallor. Computed tomography scans revealed enlarged ly...
Source: Frontiers in Oncology - April 2, 2024 Category: Cancer & Oncology Source Type: research
Bariatric Surgery in Patients with Achondroplasia, a Feasibility Study of Two Case Studies
ConclusionsBariatric surgery is feasible and effective in patients with achondroplasia, with good outcomes for excess weight loss and related comorbidities. These findings suggest that bariatric surgery should be considered a treatment option for patients with achondroplasia and obesity. (Source: Obesity Surgery)
Source: Obesity Surgery - April 2, 2024 Category: Surgery Source Type: research
Laparoscopic Roux-en-Y Gastric Bypass Yields Superior Short- and Long-term Improvements in Dyslipidemia Compared to Sleeve Gastrectomy: A Subgroup Analysis
(Source: Obesity Surgery)
Source: Obesity Surgery - April 2, 2024 Category: Surgery Source Type: research
Routine Upper Gastrointestinal Series Post-bariatric Surgery: Predictors, Usage, and Utility
ConclusionRoutine UGI series may be of limited value for the detection of anastomotic leaks after gastric bypass or sleeve gastrectomy and patients should undergo routine imaging based on clinical parameters. Gastric bypass procedure and female gender were factors increasing the likelihood of routine post-operative UGI. Further larger scale analysis of this important topic is warranted.Graphical Abstract (Source: Obesity Surgery)
Source: Obesity Surgery - April 2, 2024 Category: Surgery Source Type: research
Laparoscopic Versus Open Gastrectomy for Advanced Gastric Cancer: A Meta-Analysis of Randomized Controlled Trials
ConclusionThis meta-analysis of RCTs suggests that LAG may be an effective and safe alternative to OG for treating AGC; albeit, it may be associated with an increased risk for pancreatic fistula. (Source: Journal of Gastrointestinal Cancer)
Source: Journal of Gastrointestinal Cancer - April 2, 2024 Category: Cancer & Oncology Source Type: research
Portuguese observational cross-sectional clinical imaging study protocol to investigate central dopaminergic mechanisms of successful weight loss through bariatric surgery
Introduction
Bariatric surgery (BS) is the treatment of choice for refractory obesity. Although weight loss (WL) reduces the prevalence of obesity-related comorbidities, not all patients maintain it. It has been suggested that central mechanisms involving dopamine receptors may play a role in successful WL. This protocol describes an observational cross-sectional study to test if the binding of central dopamine receptors is similar in individuals who responded successfully to BS and age- and gender-matched normal-weight healthy individuals (controls). As secondary goals, the protocol will investigate if this binding correl...
Source: BMJ Open - April 2, 2024 Category: General Medicine Authors: Pais, M. L., Crisostomo, J., Abrunhosa, A., Castelo-Branco, M. Tags: Open access, Diabetes and Endocrinology Source Type: research
External Oblique Intercostal Plane Block Versus Port-Site Infiltration for Laparoscopic Sleeve Gastrectomy: A Randomized Controlled Study
ConclusionEOI block can be used as a part of multimodal analgesia due to its simplicity and effective postoperative analgesia in LSG.Graphical Abstract (Source: Obesity Surgery)
Source: Obesity Surgery - April 2, 2024 Category: Surgery Source Type: research
Prediction of Post-Gastrectomy Pancreatic Complications: A Preoperative Imaging Study Based on Computed Tomography
CONCLUSION: The GPC is a simple and reliable predictor of PPRC after LG. Surgeons should evaluate GPC status on preoperative CT images before proceeding with laparoscopic gastric cancer surgery.PMID:38557149 | DOI:10.1177/00031348241246275 (Source: The American Surgeon)
Source: The American Surgeon - April 1, 2024 Category: Surgery Authors: Masaki Ohi Yuji Toiyama Hiromi Yasuda Takashi Ichikawa Ryo Uratani Takahito Kitajima Tadanobu Shimura Hiroki Imaoka Mikio Kawamura Yuki Morimoto Yoshinaga Okugawa Yoshiki Okita Shigeyuki Yoshiyama Source Type: research
Time interval between surgery and adjuvant chemotherapy in patients with gastric cancer after gastrectomy: a population-based cohort study using a nationwide claim database
CONCLUSION: Adjuvant chemotherapy after gastrectomy in patients with gastric cancer should be initiated within 5 weeks of surgery. A delay of more than 5 weeks may have a detrimental effect on the subsequent disease course.PMID:38559613 | PMC:PMC10981231 | DOI:10.1177/17588359241241972 (Source: Adv Data)
Source: Adv Data - April 1, 2024 Category: Epidemiology Authors: Chi Hoon Maeng Hoseob Kim Mina Kim Source Type: research
Banded One-Anastomosis Gastric Bypass (BOAGB) for Patients Living with Obesity and Extreme Obesity: A Single Institution ’s Experience
ConclusionsThe BOAGB procedure, like OAGB and SG, demonstrated favorable weight loss outcomes and weight maintenance 1 year postoperatively without significant differences between the procedures. The BOAGB procedure is relatively new, with good bariatric outcomes and a favorable safety profile. Long-term study is needed to evaluate these various bariatric procedures’ efficacy further.Graphical Abstract (Source: Obesity Surgery)
Source: Obesity Surgery - April 1, 2024 Category: Surgery Source Type: research
Early postoperative COVID infection is associated with significantly increased risk of venous thromboembolism after metabolic and bariatric surgery
CONCLUSIONS: Early postoperative coronavirus infection after MBS is associated with higher odds of postoperative VTE. This persisted on subset analyses of the 2 most common procedures and appeared particularly important for Roux-en-Y bypass. COVID infection after MBS may warrant prolonged VTE prophylaxis.PMID:38556419 | DOI:10.1016/j.soard.2024.01.021 (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 - March 31, 2024 Category: Surgery Authors: Andrew P Sanders R Wesley Vosburg Source Type: research
Metabolic Bariatric surgery in People with Obesity aged ≥65 Years
Eur J Intern Med. 2024 Mar 30:S0953-6205(24)00134-1. doi: 10.1016/j.ejim.2024.03.029. Online ahead of print.ABSTRACTObesity management guidelines recommend metabolic bariatric surgery for individuals with body mass index (BMI) ≥35 kg/m2, regardless of the presence of any obesity-related comorbidity; and for individuals with BMI 30-34.9 kg/m2 with metabolic diseases. Older age is not in itself a contraindication for bariatric surgeries, which can be performed after careful selection and assessment, to decrease the risks of postoperative complications. An essential amount of data has accumulated about bariatric surgery res...
Source: European Journal of Internal Medicine - March 31, 2024 Category: Internal Medicine Authors: Nursel Çalık Başaran Dana Marcoviciu Dror Dicker Source Type: research
Sleeve gastrectomy improves cardiac function and glucose-lipid metabolism disorder in obese rats induced by a high-fat and high-sugar diet
In conclusion, SG improved cardiac function and glucose-lipid metabolism disorders in obese rats induced by a high-fat and high-sugar diet.PMID:38556321 | DOI:10.1507/endocrj.EJ23-0567 (Source: Endocrine Journal)
Source: Endocrine Journal - March 31, 2024 Category: Endocrinology Authors: Xiaojuan Li Luming Qiao Wei Wang Ying Shi Lei Yuan Zhiwei Zhai Source Type: research
