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 eliminate ...
Source: Digestive Surgery - November 8, 2018 Category: Surgery Source Type: research