Effects of COVID-19 Pandemic on the Treatment of Pancreatic Cancer: A Perspective from Central Europe
Conclusions: The first wave of the COVID-19 pandemic had an important impact on pancreatic cancer surgery in central Europe. Guidelines for prompt interventions and prevention of the spread of viral infections in the surgical environment are needed to avoid a deterioration of care in cancer patients in the event of a second wave or a new pandemic. High-volume centers for pancreatic surgery should be preferred and their activity maintained. Virtual conferences have proven to be efficient during this pandemic and should be implemented in the near future.Dig Surg (Source: Digestive Surgery)
Source: Digestive Surgery - February 26, 2021 Category: Surgery Source Type: research
The Effect of Peroral Endoscopic Myotomy in Achalasia Patients with Prior Endoscopic Intervention: A Systematic Review and Meta-Analysis
Conclusions: POEM is an effective and safe treatment for achalasia patients with prior endoscopic intervention. Randomized clinical trials are needed to further verify the efficiency and safety of the POEM in those patients.Dig Surg (Source: Digestive Surgery)
Source: Digestive Surgery - February 8, 2021 Category: Surgery Source Type: research
Albumin Difference as a New Predictor of Postoperative Complications following Pancreatectomy
Conclusions: AD, a variable that reflects dynamic physiological changes is a new and accessible predictor of OPCs following pancreatectomy.Dig Surg (Source: Digestive Surgery)
Source: Digestive Surgery - February 1, 2021 Category: Surgery Source Type: research
Surgical Resection for Crohn ’s and Cancer: A Comparison of Disease-Specific Risk Factors and Outcomes
Conclusions: Patients with Crohn ’s disease were more prone to surgical complications and postoperative sepsis compared to the cancer group undergoing the same procedure. Careful evaluation and correction of disease-specific modifiable risk factors of patients with CD and CC, respectively, are important.Dig Surg (Source: Digestive Surgery)
Source: Digestive Surgery - January 27, 2021 Category: Surgery Source Type: research
Surgical Management of Idiopathic Perianal Fistulas: A Systematic Review and Meta-Analysis
This study was conducted according to PRISMA guidelines. Primary outcomes were analyzed for each group and expressed as pooled odds ratio with confidence intervals of 95%. 687 studies were identified from which 28 relevant studies were included. There was no significant difference in rates of incontinence identified between various surgical approaches. Glues and plugs show higher recurrence rates. Newer treatments continue to emerge with promise but lack supporting evidence of benefit over conventional therapies.Key Messages: While we await more robust randomized data, we will continue to proceed cautiously trying to offse...
Source: Digestive Surgery - January 27, 2021 Category: Surgery Source Type: research
Acute Mesenteric Infarction: The Chameleon of Acute Abdomen Evaluating the Quality of the Diagnostic Parameters in Acute Mesenteric Ischemia
Conclusion: New diagnostic parameters are needed. So far, explorative laparotomy is the only reliable diagnostic method to detect mesenteric infarction.Dig Surg (Source: Digestive Surgery)
Source: Digestive Surgery - January 27, 2021 Category: Surgery Source Type: research
Dynamic Perfusion Computed Tomography and Apparent Diffusion Coefficient as Potential Markers for Poorly Differentiated Pancreatic Adenocarcinoma
Conclusion: The MTT parameter, calculated with the deconvolution method, and the ADC value may serve as effective independent prognosticators identifying poorly differentiated PDAC.Dig Surg (Source: Digestive Surgery)
Source: Digestive Surgery - January 27, 2021 Category: Surgery Source Type: research
HBPD Table of Contents Vol. 19, No. 6, 2020
Dig Surg 2021;38:88 –90 (Source: Digestive Surgery)
Source: Digestive Surgery - January 18, 2021 Category: Surgery Source Type: research
EDS Society News
Dig Surg 2021;38:87 –87 (Source: Digestive Surgery)
Source: Digestive Surgery - January 18, 2021 Category: Surgery Source Type: research
Iatrogenic Biliary Injury during Cholecystectomy: Critical Review of a Historical Case and Its Political Consequences
Biliary injuries during cholecystectomy represent serious adverse events that can have a profound impact on the patient ’s quality of life and on the surgeon’s well-being and career. Sometimes, they can have an unexpectedly disastrous effect on the whole community, as demonstrated by the case of Anthony Eden, former foreign secretary and prime minister of Britain in the 1950s. Mr. Eden, later Lord Avon, had been suffering from biliary symptoms for a while when he had his cholecystectomy performed on April 12, 1953. On post-op day 1, a bile leak was evident, possibly due to a complete transection of the common bile duct...
Source: Digestive Surgery - December 16, 2020 Category: Surgery Source Type: research
Overtreatment of Nonneoplastic Gallbladder Polyps due to Inadequate Routine Ultrasound Assessment
Conclusion: Routine ultrasound assessment of polyps is associated with overestimation of polyp size and low specificity of sonographic size ≥1 cm for neoplasia, which contributes to surgical overtreatment of nonneoplastic polyps.Dig Surg (Source: Digestive Surgery)
Source: Digestive Surgery - December 10, 2020 Category: Surgery Source Type: research
Frailty in Elderly Gastric Cancer Patients Undergoing Gastrectomy
Conclusions: Elderly gastric cancer patients undergoing gastrectomy with MFS #x3e; 5 do not have increased mortality risk. The influence of frailty on postoperative outcomes may vary based on the risk of the surgical procedure.Dig Surg (Source: Digestive Surgery)
Source: Digestive Surgery - December 8, 2020 Category: Surgery Source Type: research
Feasibility of Endoscopic Submucosal Dissection for Early Esophageal Squamous Cell Carcinoma with Relative Indications
Conclusions: ESD is a feasible and effective treatment for early ESCC with relative indications. Under the premise of sufficient preoperative assessment and scheduled postoperative endoscopic surveillance, additional treatment might not be necessary for patients with relative indications after ESD procedures.Dig Surg (Source: Digestive Surgery)
Source: Digestive Surgery - December 3, 2020 Category: Surgery Source Type: research
Selective Resection of Type 1 Gastric Neuroendocrine Neoplasms and the Risk of Progression in an Endoscopic Surveillance Programme
Conclusion: We concluded that up to a third of patients with type 1 gNENs have significant disease requiring resection. Hence, endoscopic surveillance and resect strategy would benefit patients.Dig Surg (Source: Digestive Surgery)
Source: Digestive Surgery - December 1, 2020 Category: Surgery Source Type: research
The Elevation in Preoperative Procalcitonin Is Associated with a Poor Prognosis for Patients Undergoing Resection for Colorectal Cancer
Conclusion: High preoperative PCT values in CRC patients appeared to be associated with poor OS but not RFS following surgical treatments.Dig Surg (Source: Digestive Surgery)
Source: Digestive Surgery - November 26, 2020 Category: Surgery Source Type: research
