Clinical Classification and Severity Scoring Systems in Chronic Pancreatitis: A Systematic Review
Conclusion: Available systems and scores do not reflect recent advances and guidelines in CP and are not commonly used. A practical clinical classification and scoring system, validated prospectively for prognostication would be useful for the meaningful analysis in observational and interventional studies in CP.Dig Surg (Source: Digestive Surgery)
Source: Digestive Surgery - July 3, 2019 Category: Surgery Source Type: research

One-Step verse Step-Up Laparoscopic-Assisted Necrosectomy for Infected Pancreatic Necrosis
Conclusion: Compared with step-up approach, one-step surgery was safe and effective in selected IPN patients with less interventions and shorter hospital stay.Dig Surg (Source: Digestive Surgery)
Source: Digestive Surgery - July 3, 2019 Category: Surgery Source Type: research

Long-Term Outcomes of Laparoscopic versus Open Total Gastrectomy for Advanced Gastric Cancer: A Propensity Score-Matched Analysis
Conclusions: For treating proximal AGC, LTG may be a technically and an oncologically safe and feasible method.Dig Surg (Source: Digestive Surgery)
Source: Digestive Surgery - July 3, 2019 Category: Surgery Source Type: research

Robotic-Assisted versus Laparoscopic Distal Pancreatectomy: The Results of a Case-Matched Analysis from a Tertiary Care Center
Conclusions: The RDP showed a lower estimated blood loss, conversion, and morbidity rate. It offered a higher spleen preservation rate in comparison to LDP while maintaining comparable oncologic outcomes.Dig Surg (Source: Digestive Surgery)
Source: Digestive Surgery - July 3, 2019 Category: Surgery Source Type: research

A Prospective, Multi-Center Phase I Study of Postoperative Enoxaparin Treatment in Patients Undergoing Curative Hepatobiliary-Pancreatic Surgery for Malignancies
Conclusions: Our study indicated that enoxaparin was well tolerated and safe for patients who received hepatobiliary-pancreatic surgery for malignancies.Dig Surg (Source: Digestive Surgery)
Source: Digestive Surgery - June 11, 2019 Category: Surgery Source Type: research

Quality of Life and Bowel Dysfunction after Transanal Endoscopic Microsurgery for Rectal Cancer: One Third of Patients Experience Major Low Anterior Resection Syndrome
Conclusion: This is the first study demonstrating major LARS after TEM treatment for rectal cancer, with a negative effect on QoL, even years after treatment. Our data provides an adequate counselling before TEM in terms of postoperative bowel dysfunction and its effect on QoL.Dig Surg (Source: Digestive Surgery)
Source: Digestive Surgery - June 11, 2019 Category: Surgery Source Type: research

How Exercise Can Influence Oxidative Stress and Glucose Levels after Pancreatic Resection: A Randomised Controlled Trial
Conclusions: Exercise has a positive effect on glycaemic control in patients after pancreatic resection.Dig Surg (Source: Digestive Surgery)
Source: Digestive Surgery - June 6, 2019 Category: Surgery Source Type: research

Systematic Review and Meta-Analysis of Postoperative Antibiotics for Patients with a Complex Appendicitis
Postoperative antibiotics are recommended after appendectomy for complex appendicitis to reduce infectious complications. The duration of this treatment varies considerably between and even within institutions. The aim of this review was to critically appraise studies on duration of antibiotic treatment following appendectomy for complex appendicitis. A systematic literature search according to the PRISMA guidelines was performed. Comparative studies evaluating different durations of postoperative antibiotic therapy. Primary endpoint was intra-abdominal abscess (IAA) after appendectomy. Secondary endpoints were surgical si...
Source: Digestive Surgery - June 4, 2019 Category: Surgery Source Type: research

HBPD Table of Contents, Vol. 18, No. 2, 2019
Dig Surg 2019;36:360 –362 (Source: Digestive Surgery)
Source: Digestive Surgery - May 27, 2019 Category: Surgery Source Type: research

EDS Society News
Dig Surg 2019;36:358 –359 (Source: Digestive Surgery)
Source: Digestive Surgery - May 27, 2019 Category: Surgery Source Type: research

Symptomatic Uncomplicated Diverticular Disease and Incidence of Unexpected Abscess during Sigmoidectomy: A Multicenter Prospective Observational Study
Conclusion: Our series of patients affected by symptomatic uncomplicated diverticular disease showed an incidence of unexpected pericolic or intramural abscess of 47.5%. Patients affected by smoldering diverticular disease presented a greater abscess rate.Dig Surg (Source: Digestive Surgery)
Source: Digestive Surgery - May 22, 2019 Category: Surgery Source Type: research

Minimally Invasive Esophagectomy
Minimally invasive esophagectomy (MIE) was introduced in the 1990s with the aim to decrease the rate of respiratory complications associated with thoracotomy, along with the benefits of reduced morbidity and a quicker return to normal activities provided by minimally invasive techniques. However, MIE is not routinely applied as a standard approach for esophageal cancer worldwide, due to the high technical complexity of this minimally invasive procedure. Therefore, the open transthoracic esophagectomy is considered to be the gold standard for resectable esophageal cancer worldwide nowadays. In this article, the current stat...
Source: Digestive Surgery - May 16, 2019 Category: Surgery Source Type: research

Usefulness of Preoperative Mechanical Bowel Preparation in Patients with Colon Cancer who Undergo Elective Surgery: A Prospective Randomized Trial Using Oral Antibiotics
Conclusions: MBP combined with oral antibiotics and intravenous antibiotics remains standard in elective colon cancer surgery.Dig Surg (Source: Digestive Surgery)
Source: Digestive Surgery - May 5, 2019 Category: Surgery Source Type: research

EDS Society News
Dig Surg 2019;36:268 –269 (Source: Digestive Surgery)
Source: Digestive Surgery - April 3, 2019 Category: Surgery Source Type: research

HBPD Table of Contents Vol. 18, No. 1, 2019
Dig Surg 2019;36:270 –272 (Source: Digestive Surgery)
Source: Digestive Surgery - April 3, 2019 Category: Surgery Source Type: research

Evaluation of the Associations between Gastric Tube Preparation Methods and the Incidence of Cervical Anastomotic Leakage after Esophagectomy for Thoracic Esophageal Cancer
Conclusions: The GT preparation method is an independent risk factor for AL after cervical esophagogastrostomy. Thus, improved GT preparation methods could contribute to the reduction of AL after esophagectomy.Dig Surg (Source: Digestive Surgery)
Source: Digestive Surgery - April 3, 2019 Category: Surgery Source Type: research

30-Day Postoperative Morbidity of Emergency Surgery for Obstructive Right- and Left-Sided Colon Cancer in Obese Patients: A Multicenter Cohort Study of the French Surgical Association
Conclusion: Compared with lower BMI patients, obese patients with OCC had a more severe presentation at admission but similar surgical management. Obesity did not increase 30-day postoperative morbidity except stoma-related complications for those with left-sided OCC.Dig Surg (Source: Digestive Surgery)
Source: Digestive Surgery - April 3, 2019 Category: Surgery Source Type: research

Duration and Magnitude of Postoperative Risk of Venous Thromboembolism after Cholecystectomy: A Population-Based Cohort Study
Conclusions: Cholecystectomy is associated with a low absolute risk of VTE and we have identified high risk groups including the elderly, obese and those having open surgery.Dig Surg (Source: Digestive Surgery)
Source: Digestive Surgery - April 3, 2019 Category: Surgery Source Type: research

Proximal Gastric Resection with Posterior Esophago-Gastrostomy and Partial Neo-Fundoplication in the Treatment of Advanced Upper Gastric Carcinoma
Conclusions: Proximal gastrectomy is feasible and may be safely used in patients with advanced GC after neo-adjuvant chemotherapy with acceptable survival. Posterior esophago-gastrostomy with partial neo-fundoplication reduces the postoperative reflux, while patients with persistent reflux symptoms can be effectively treated with an antireflux therapy.Dig Surg (Source: Digestive Surgery)
Source: Digestive Surgery - March 31, 2019 Category: Surgery Source Type: research

Laparoscopic Hepatectomy (with or without Robotic Assistance) versus Radiofrequency Ablation as a Minimally Invasive Treatment for Very Early-Stage or Early-Stage Hepatocellular Carcinoma
Conclusions: Compared with RFA, MIH provided better long-term survival outcomes in patients with early-stage HCC, with no increase in the incidence of complications. When feasible, MIH should be considered a first-line treatment for this patient population.Dig Surg (Source: Digestive Surgery)
Source: Digestive Surgery - March 31, 2019 Category: Surgery Source Type: research

Effects of Caffeine on Colon: A Potential Clinical Use of Coffee in Surgical Patients
Dig Surg (Source: Digestive Surgery)
Source: Digestive Surgery - March 31, 2019 Category: Surgery Source Type: research

Single-Incision Laparoscopic versus Open Sigmoidectomy for Diverticular Disease: A Disease-Stratified Matched-Pair Analysis
Conclusions: SILS equals open sigmoidectomy regarding complications with advantages regarding pain, LoS, IMC/intensive care unit treatment, and blood transfusion.Dig Surg (Source: Digestive Surgery)
Source: Digestive Surgery - March 31, 2019 Category: Surgery Source Type: research

Erratum
Dig Surg (Source: Digestive Surgery)
Source: Digestive Surgery - March 21, 2019 Category: Surgery Source Type: research

Allogeneic Leukocyte-Reduced Red Blood Cell Transfusion Is Associated with Postoperative Infectious Complications and Cancer Recurrence after Colon Cancer Resection
Conclusion: Transfusion of LR RBCs is associated with an increased risk of infectious complications and worsened survival after elective surgery for colon cancer, irrespective of leukocyte reduction.Dig Surg (Source: Digestive Surgery)
Source: Digestive Surgery - March 7, 2019 Category: Surgery Source Type: research

The Preoperative Prognostic Nutritional Index Predicts Short-Term and Long-Term Outcomes of Patients with Stage II/III Gastric Cancer: Analysis of a Multi-Institution Dataset
Conclusions: The preoperative PNI is a useful predictor reflecting the incidence of complications after gastrectomy and the prognosis of patients with stage II/III gastric cancer.Dig Surg (Source: Digestive Surgery)
Source: Digestive Surgery - March 7, 2019 Category: Surgery Source Type: research

Evaluation of the Estimation of Physiologic Ability and Surgical Stress Score as a Prognostic Indicator for Older Patients with Gastric Cancer
Conclusions: E-PASS was a useful prognostic indicator for older GC patients.Dig Surg (Source: Digestive Surgery)
Source: Digestive Surgery - March 7, 2019 Category: Surgery Source Type: research

Estimation of Physiological Ability and Surgical Stress Score Is a Useful Prognostic Indicator for Elderly Patients with Colorectal Cancer
Conclusions: E-PASS was a useful prognostic indicator in elderly CRC patients.Dig Surg (Source: Digestive Surgery)
Source: Digestive Surgery - March 7, 2019 Category: Surgery Source Type: research

Reduced Opioid-Demand and Fewer Pulmonary Complications after Laparoscopic Liver Resection in the Posterior Segments
This single-centre study aims to evaluate the advantages and limitations of laparoscopic liver resection (LLR) of lesions in the posterior segments (segments 6 and 7) in comparison to the open procedure. Institutional database between June 2014 and October 2017 was retrieved. The perioperative data and the surgical outcomes were analysed retrospectively. Out of 366 consecutive liver resections, 35 patients who met the inclusion criteria were identified. Twenty patients underwent open liver resection, while 15 patients underwent pure LLR. The technical challenge of laparoscopic access for lesions in the posterior segments c...
Source: Digestive Surgery - February 27, 2019 Category: Surgery Source Type: research

Impact of Enhanced Recovery Program after Surgery in Patients Undergoing Pancreatectomy on Postoperative Outcomes: A Controlled before and after Study
Conclusion: Implementation of ERAS program was safe and effective after pancreatectomy with high compliance rate. LOS was significantly reduced without compromising morbidityDig Surg (Source: Digestive Surgery)
Source: Digestive Surgery - February 22, 2019 Category: Surgery Source Type: research

EDS Society News
Dig Surg 2019;36:181 –182 (Source: Digestive Surgery)
Source: Digestive Surgery - February 18, 2019 Category: Surgery Source Type: research

Heller Myotomy for Epiphrenic Diverticula Compared to Nondiverticula Esophageal Motility Disorders, A Single Institution Experience and Appraisal of Patient Characteristics, High-Resolution Manometry and Outcomes
Conclusions: Esophageal diverticula patients have a unique profile compare to patients with non-diverticula motility disorders. Operations are more complex, with increased complication rate and a longer length of stay. In spite of this, there is no statistically significant difference in symptomatic outcomes between the groups.Dig Surg (Source: Digestive Surgery)
Source: Digestive Surgery - February 6, 2019 Category: Surgery Source Type: research

Long-Term Impact of Iatrogenic Bile Duct Injury
Conclusions: The long-term impact of BDI is considerable, both in terms of clinical outcomes and QoL. Treatment should be performed in tertiary expert centers to optimize outcomes. Patients require a long-term follow-up to detect anastomotic strictures. Strictures should initially be managed by percutaneous dilatation, with surgical revision as a next step in treatment.Dig Surg (Source: Digestive Surgery)
Source: Digestive Surgery - January 18, 2019 Category: Surgery Source Type: research

Exocrine Pancreatic Insufficiency after Gastrectomy for Cancer Is Not Severe
Dig Surg (Source: Digestive Surgery)
Source: Digestive Surgery - January 16, 2019 Category: Surgery Source Type: research

Management of Pancreatic Cystic Lesions
Conclusions: Management of PCNs requires a selective approach with the aim of minimizing clinically relevant diagnostic mistakes. Through the evaluation of clinical and radiological features of a PCN, the surgeon can elaborate on a diagnostic hypothesis and assess malignancy risk, but the final decision should be tailored to the individual patient ’s need.Dig Surg (Source: Digestive Surgery)
Source: Digestive Surgery - January 13, 2019 Category: Surgery Source Type: research

Effect of Caffeine Intake on Postoperative Ileus: A Systematic Review and Meta-Analysis
Conclusion: The administration of coffee as a postoperative ileus prevention measure can change the way postoperative enhanced recovery is applied. Even though the mechanism of action of coffee is not fully known, currently available literature demonstrates a significant improvement in gastrointestinal motility without having any impact on postoperative morbidity. Studies with higher methodological quality can offer a more careful evaluation of the clinical use of this popular beverage.Dig Surg (Source: Digestive Surgery)
Source: Digestive Surgery - January 13, 2019 Category: Surgery Source Type: research

External Validation of Different Scoring Systems for Suspected Choledocholithiasis
Conclusion: The available scoring systems are precise only in identifying patients with a negligible risk of common bile duct stone, but overall insufficiently accurate to suggest the routine use in clinical practice.Dig Surg (Source: Digestive Surgery)
Source: Digestive Surgery - January 13, 2019 Category: Surgery Source Type: research

Double Gastric Hanging for Gastric Exposure in Laparoscopic Distal Pancreatectomy
Conclusion: The double gastric hanging provides excellent exposure of the pancreatic neck, celiac trunk collaterals, and lymph nodes for better technical and oncological resections with no related complications.Dig Surg (Source: Digestive Surgery)
Source: Digestive Surgery - January 2, 2019 Category: Surgery Source Type: research

The Actual Prevalence of Symptoms in Pancreatic Cystic Neoplasms: A Prospective Propensity Matched Cohort Analysis
Conclusion: Patients with PCNs under surveillance have a similar prevalence of abdominal pain when compared to a matched population of controls. Abdominal pain might not correlate with radiological signs of malignancy.Dig Surg (Source: Digestive Surgery)
Source: Digestive Surgery - December 13, 2018 Category: Surgery Source Type: research

EDS Society News
Dig Surg 2019;36:91 –92 (Source: Digestive Surgery)
Source: Digestive Surgery - December 6, 2018 Category: Surgery Source Type: research

HBPD Table of Contents Vol. 17, Nr. 4, 2018
Dig Surg 2019;36:93 –95 (Source: Digestive Surgery)
Source: Digestive Surgery - December 6, 2018 Category: Surgery Source Type: research

HBPD Table of Contents Vol. 17, No. 5, 2018
Dig Surg 2019;36:96 –98 (Source: Digestive Surgery)
Source: Digestive Surgery - December 6, 2018 Category: Surgery Source Type: research

Modified Intrathoracic Esophagogastrostomy with Minimally Invasive Robot-Assisted Ivor-Lewis Esophagectomy for Cancer
Conclusion: RAILE is safe and feasible. Our modified procedure highlighting the “side-insertion” method may simplify the process of intrathoracic anvil placement and purse string suture for anastomosis at RAILE.Dig Surg (Source: Digestive Surgery)
Source: Digestive Surgery - December 5, 2018 Category: Surgery Source Type: research

Risk Factors Analysis of Postoperative Pleural Effusion after Liver Resection
Conclusion: This study identifies 6 risk factors for PPE. Identification and management of some of these factors could possibly reduce morbidity and improve short-term surgical outcomes.Dig Surg (Source: Digestive Surgery)
Source: Digestive Surgery - December 5, 2018 Category: Surgery Source Type: research

Establishment of a Nomogram by Integrating Molecular Markers and Tumor-Node-Metastasis Staging System for Predicting the Prognosis of Hepatocellular Carcinoma
Conclusion: The novel nomogram by integrating the  molecular markers and TNM staging system has better performance in predicting long-term prognosis in HCC patients than the TNM staging system alone.Dig Surg (Source: Digestive Surgery)
Source: Digestive Surgery - November 27, 2018 Category: Surgery Source Type: research

Risk Factors for Recurrence of Right Colonic Diverticulitis
Conclusion: Factors associated with recurrence of RCD may include smoking and the long hospital stay due to complexity when first diverticulitis occurs. Further prospective large-scale studies are needed to draw a definite conclusion.Dig Surg (Source: Digestive Surgery)
Source: Digestive Surgery - November 8, 2018 Category: Surgery Source Type: research

Neoadjuvant Treatment for Borderline Resectable Pancreatic Ductal Adenocarcinoma
One of the main reasons for the dismal prognosis of pancreatic ductal adenocarcinoma (PDAC) is its late diagnosis. At the time of presentation, only approximately 15 –20% of all patients with PDAC are considered resectable and around 30% are considered borderline resectable. A surgical approach, which is the only curative option, is limited in borderline resectable patients by local involvement of surrounding structures. In borderline resectable pancreatic can cer (BRPC), neoadjuvant treatment regimens have been introduced with the rationale to downstage and downsize the tumor in order to enable resection and elimina...
Source: Digestive Surgery - November 8, 2018 Category: Surgery Source Type: research

Occult Hiatal Hernia in Achalasia Patients: Its Incidence and Treatment Options
Conclusion: Hiatal hernia was found in 20.7% of patients who received surgical treatment for achalasia, but no cases were diagnosed prior to surgery.Dig Surg (Source: Digestive Surgery)
Source: Digestive Surgery - October 10, 2018 Category: Surgery Source Type: research

Colonoscopy Should Be Performed After an Episode of Uncomplicated Diverticulitis
Dig Surg (Source: Digestive Surgery)
Source: Digestive Surgery - October 10, 2018 Category: Surgery Source Type: research

Contents Vol. 35, 2018
Dig Surg 2018;35:I –VI (Source: Digestive Surgery)
Source: Digestive Surgery - October 10, 2018 Category: Surgery Source Type: research

Prognostic Value of Inflammatory Biomarkers in Gastric Cancer Patients and the Construction of a Predictive Model
Conclusions: The nomogram yielded a more accurate prognostic prediction in GC patients after gastrectomy, suggesting great clinical value.Dig Surg (Source: Digestive Surgery)
Source: Digestive Surgery - October 9, 2018 Category: Surgery Source Type: research