External Prospective Validation of the Modified CriSTAL Score for 30- and 90-day Mortality in Geriatric Urgent Surgical Patients
ConclusionsThe modified CriSTAL tool (with FRAIL scale as frailty instrument) had good discriminant power and was well calibrated to predict 30-day and 90-day mortality in elderly patients undergoing urgent abdominal surgery. The modified CriSTAL tool is an easy preoperative tool that could assist in the prognosis of postoperative outcomes and decision-making discussions with patients before for urgent abdominal surgery. (Source: Journal of Gastrointestinal Surgery)
Source: Journal of Gastrointestinal Surgery - October 27, 2020 Category: Surgery Source Type: research

pH Impedance Parameters Associated with Improvement in GERD Health-Related Quality of Life Following Anti-reflux Surgery
ConclusionsOf the four pH impedance parameters that were investigated, a normal preoperative acid exposure time was associated with greater improvement in quality of life after anti-reflux surgery. Further investigation into the critical parameters on preoperative pH impedance testing using a multi-institutional cohort is warranted. (Source: Journal of Gastrointestinal Surgery)
Source: Journal of Gastrointestinal Surgery - October 27, 2020 Category: Surgery Source Type: research

Effects of Chronic Kidney Disease on Outcomes of Hepatic Resection
(Source: Journal of Gastrointestinal Surgery)
Source: Journal of Gastrointestinal Surgery - October 27, 2020 Category: Surgery Source Type: research

Cranial-Dorsal Approach Along the Middle Hepatic Vein Facilitating Laparoscopic Left Hemihepatectomy
AbstractThe exposure and protection of middle hepatic vein (MHV) is crucial and difficult for anatomic laparoscopic left hemihepatectomy in the treatment of left hepatic tumor.1,2 The traditional caudal approach, which the liver is transected from the branch to the main trunk of MHV, is prone to damage the vessels.3, 4 The ventral approach is easy to expose the main trunk of MHV; however, the risk of vascular laceration caused by the caudal approach cannot be completely avoided, since the direction of endoscopic view and liver dissection are from the foot to the head side. We herein present a cranial-dorsal approach along ...
Source: Journal of Gastrointestinal Surgery - October 27, 2020 Category: Surgery Source Type: research

Influence of Large Grafts Weighing ≥ 1000 g on Outcome of Pure Laparoscopic Donor Right Hepatectomy
AbstractBackgroundDepending on a transplant center ’s level of experience, utilization of pure laparoscopic donor right hepatectomy (PLDRH) may be limited due to graft size or anatomical variations. Here, we aimed to evaluate the influence of large hepatic grafts (≥ 1000 g) when performing PLDRH in both donors and recipients of such grafts.MethodsMedical records of living donors who underwent either PLDRH from November 2015 to August 2019 or open conventional donor right hepatectomy (CDRH) from January 2010 to August 2019 and those of the graft recipients were retrospectively reviewed. Donors were separated into t...
Source: Journal of Gastrointestinal Surgery - October 26, 2020 Category: Surgery Source Type: research

Multimodal Analgesia After Colorectal Surgery: Quantifying the Decrease in Opioid Consumption
(Source: Journal of Gastrointestinal Surgery)
Source: Journal of Gastrointestinal Surgery - October 26, 2020 Category: Surgery Source Type: research

Contemporary Management of Hepatic Cyst Disease: Techniques and Outcomes at a Tertiary Hepatobiliary Center
ConclusionsOutcomes for hepatic cyst disease are described with predominantly laparoscopic approach, approach with minimal morbidity, and excellent clinical results. (Source: Journal of Gastrointestinal Surgery)
Source: Journal of Gastrointestinal Surgery - October 20, 2020 Category: Surgery Source Type: research

The Significance of Lateral Lymph Node Metastasis in Low Rectal Cancer: a Propensity Score Matching Study
In this study, 40 patients with pathologically positive LLN (LLN+) were matched with 175 negative (LLN −) patients by propensity score matching (PSM). COX regression analysis was used to identify independent risk factors related to prognosis. The relapse-free survival rate (RFS) and overall survival rate (OS) of the 2 groups before and after matching were analyzed.ResultsOf the 64 patients undergoing LLND, 40 (62.5%) patients had LLN+ disease. The LLN+ patients showed deeper infiltration of the primary tumor than the LLN − patients (T3-T4: 87.5% vs. 72.0%;p = 0.044), a greater number of metastatic lymph nodes (...
Source: Journal of Gastrointestinal Surgery - October 19, 2020 Category: Surgery Source Type: research

Thrombus-First Surgery for Hepatocellular Carcinoma with Bile Duct Tumor Thrombus
ConclusionsA thrombus-first technique could be considered for HCC patients with extrahepatic BDTT, especially for those patients in which the tumor thrombus did not invade the bile duct. (Source: Journal of Gastrointestinal Surgery)
Source: Journal of Gastrointestinal Surgery - October 19, 2020 Category: Surgery Source Type: research

Laparoscopic Central Splenectomy for Littoral Cell Angioma
ConclusionLCS is a technically feasible technique for a select group of patients with centrally located LCA. The technique helps to maximize preservation of splenic function and maintains the advantages of minimally invasive surgery. (Source: Journal of Gastrointestinal Surgery)
Source: Journal of Gastrointestinal Surgery - October 19, 2020 Category: Surgery Source Type: research

Trends and Predictors of Failure of Minimally Invasive Surgery for Gastric GIST
(Source: Journal of Gastrointestinal Surgery)
Source: Journal of Gastrointestinal Surgery - October 15, 2020 Category: Surgery Source Type: research

Laparoscopic Ventral Mesh Rectopexy Versus Transvaginal Posterior Colporrhaphy in Management of Anterior Rectocele
AbstractBackgroundManagement of rectocele is challenging. Treatment usually starts with conservative measures and may involve surgical intervention in non-responding patients. We compared the outcomes of transvaginal posterior colporrhaphy (PC) and laparoscopic ventral mesh rectopexy (LVMR) in treatment of anterior rectocele.MethodsPatients with anterior rectocele who underwent PC or LVMR were functionally assessed using Cleveland Clinic Constipation Score (CCCS) and Pelvic Organ Prolapse/Urinary Incontinence Sexual Questionnaire (PISQ-12). Pelvic Organ Prolapse Quantification System (POP-Q) was used for clinical assessmen...
Source: Journal of Gastrointestinal Surgery - October 13, 2020 Category: Surgery Source Type: research

Comparison of the Efficacy and Safety of Endoscopic Incisional Therapy and Balloon Dilatation for Esophageal Anastomotic Stricture
ConclusionsEIT is a safe and effective primary treatment modality compared with BD for esophagojejunostomy anastomotic stricture after a total gastrectomy as it shows a significantly lower re-stricture rate. (Source: Journal of Gastrointestinal Surgery)
Source: Journal of Gastrointestinal Surgery - October 13, 2020 Category: Surgery Source Type: research

Surgeon Variability Impacts Costs in Laparoscopic Cholecystectomy: the Volume-Cost Relationship
AbstractBackgroundPhysician variation in adherence to best practices contributes to the high costs of health care. Understanding surgeon-specific cost variation in common surgical procedures may inform strategies to improve the value of surgical care.MethodsLaparoscopic cholecystectomies at a single institution were identified over a 5-year period and linked to an institutional cost database. Multiple linear regression was used to control for patient-, case-, and hospital-specific factors while assessing the impact of surgeon variability on cost.ResultsThe final dataset contained 1686 patients. Higher surgeon volume (repor...
Source: Journal of Gastrointestinal Surgery - October 9, 2020 Category: Surgery Source Type: research

Increased Morbidity and Mortality of Patients with Non-cirrhotic Portal Vein Thrombosis After Abdominal and Pelvic Surgeries: a Study of the National Inpatient Sample 2002 to 2015
DiscussionPatients with NCPVT had significantly higher risks of postoperative morbidity and mortality than patients with NCNPVT but less than patients with CPVT. Future studies with detail regarding the characteristics of PVTs are needed to confirm the findings in this study. (Source: Journal of Gastrointestinal Surgery)
Source: Journal of Gastrointestinal Surgery - October 9, 2020 Category: Surgery Source Type: research

Laparoscopic Pancreaticoduodenectomy with Superior Mesenteric Vein Resection and Artificial Vascular Graft Reconstruction for Borderline Resectable Pancreatic Cancer
ConclusionsThis study demonstrated the feasibility of total laparoscopic pancreaticoduodenectomy combined with vascular resection and artificial vascular graft reconstruction in properly selected cases of pancreatic cancer with vein involvement after neoadjuvant chemotherapy. It is worth noting that skilled laparoscopic technicians and effective teamwork are necessities for safe completion of the procedure. (Source: Journal of Gastrointestinal Surgery)
Source: Journal of Gastrointestinal Surgery - October 9, 2020 Category: Surgery Source Type: research

Spleen-Preserving Distal Pancreatectomy with Vein Scarifying and Artery Saving as an Alternative for Warshaw Method
(Source: Journal of Gastrointestinal Surgery)
Source: Journal of Gastrointestinal Surgery - October 9, 2020 Category: Surgery Source Type: research

How I Do It: Robotic Single-Anastomosis Duodeno-Ileal Bypass with Sleeve Gastrectomy (SADIS)
(Source: Journal of Gastrointestinal Surgery)
Source: Journal of Gastrointestinal Surgery - October 9, 2020 Category: Surgery Source Type: research

Effect of Age Alone on Major Complications After Gastrointestinal Surgery
(Source: Journal of Gastrointestinal Surgery)
Source: Journal of Gastrointestinal Surgery - October 9, 2020 Category: Surgery Source Type: research

Perioperative Impact of Widespread Implementation of an Enhanced Recovery Protocol on Short-term Outcomes in Cancer Patients
(Source: Journal of Gastrointestinal Surgery)
Source: Journal of Gastrointestinal Surgery - October 9, 2020 Category: Surgery Source Type: research

The Academic Facility Is Associated with Higher Utilization of Esophagectomy and Improved Overall Survival for Esophageal Carcinoma
AbstractBackgroundOperable esophageal carcinoma is potentially curable with surgical resection. The short-term outcomes and overall survival rate for operable esophageal carcinoma may be impacted by the healthcare facility type where patients receive care.MethodsA total of 37, 271 cases with the American Joint Committee on Cancer clinical stage I, II, and III esophageal carcinoma that were reported to the National Cancer Data Base at over 12,721 facilities were analyzed. Healthcare facilities were dichotomized into the community and academic facility types. Marginal multivariable Cox proportional hazard models were used to...
Source: Journal of Gastrointestinal Surgery - October 5, 2020 Category: Surgery Source Type: research

Adjuvant Chemotherapy Benefits on Patients with Extramural Vascular Invasion in Stages II and III Colon Cancer
ConclusionsPatients who were EMVI-negative fared better than those who were EMVI-positive. In patients who were EMVI-positive, adjuvant chemotherapy improved overall survival. (Source: Journal of Gastrointestinal Surgery)
Source: Journal of Gastrointestinal Surgery - October 1, 2020 Category: Surgery Source Type: research

Understanding the Scientific Cooperation in Incidental Gallbladder Cancer: from a Bibliometric Perspective
(Source: Journal of Gastrointestinal Surgery)
Source: Journal of Gastrointestinal Surgery - October 1, 2020 Category: Surgery Source Type: research

Surgical Management of Diverticulitis-Associated Clostridioides Difficile Infection
(Source: Journal of Gastrointestinal Surgery)
Source: Journal of Gastrointestinal Surgery - September 30, 2020 Category: Surgery Source Type: research

Robotic Hepatectomy Is a Safe and Cost-Effective Alternative to Conventional Open Hepatectomy: a Single-Center Preliminary Experience
(Source: Journal of Gastrointestinal Surgery)
Source: Journal of Gastrointestinal Surgery - September 30, 2020 Category: Surgery Source Type: research

Prognostic Accuracy of the ADV Score Following Resection of Hepatocellular Carcinoma with Portal Vein Tumor Thrombosis
ConclusionsADV score is an integrated surrogate biomarker for post-resection prognosis in HCC with PVTT. Our prognostic prediction model using ADV scores provides reliable post-resection prognosis for patients with various grades of these tumors. (Source: Journal of Gastrointestinal Surgery)
Source: Journal of Gastrointestinal Surgery - September 18, 2020 Category: Surgery Source Type: research

Malignant Melanoma: a Rare Cause of Obstructive Jaundice
(Source: Journal of Gastrointestinal Surgery)
Source: Journal of Gastrointestinal Surgery - September 18, 2020 Category: Surgery Source Type: research

Robotic Resection of Postero-Superior Liver Segments (7,8) (with Video)
Conclusions: Robotic resection of postero-superior liver segments is feasible and safe and may have some advantages over laparoscopic and openapproaches. This video may help gastrointestinal surgeons perform this complex procedure. (Source: Journal of Gastrointestinal Surgery)
Source: Journal of Gastrointestinal Surgery - September 17, 2020 Category: Surgery Source Type: research

Failure to Rescue from Surgical Complications After Trans-thoracic and Trans-hiatal Esophageal Resection: an ACS-NSQIP Study
(Source: Journal of Gastrointestinal Surgery)
Source: Journal of Gastrointestinal Surgery - September 17, 2020 Category: Surgery Source Type: research

Endoscopic Submucosal Dissection for Upper Gastrointestinal Neoplasia —a North American Perspective
ConclusionESD is a viable, effective, and safe therapeutic and staging modality for superficial lesions of the stomach and esophagus. (Source: Journal of Gastrointestinal Surgery)
Source: Journal of Gastrointestinal Surgery - September 15, 2020 Category: Surgery Source Type: research

Colonic Stents as a Bridge to Surgery Compared with Immediate Resection in Patients with Malignant Large Bowel Obstruction in a NY State Database
DiscussionColonic stenting as a bridge to surgery leads to less stoma creation, a significant quality of life advantage, compared with immediate resection. Patients should be counseled regarding these potential benefits when the technology is available. (Source: Journal of Gastrointestinal Surgery)
Source: Journal of Gastrointestinal Surgery - September 15, 2020 Category: Surgery Source Type: research

Complications and Readmissions Associated with First Assistant Training Level Following Elective Bariatric Surgery
ConclusionsVariation in training level of the first assist during bariatric surgery had no influence on DSM or readmissions. This provides reassurance that the inclusion of a wide range of first assistants in bariatric procedures does not negatively impact patient outcomes. (Source: Journal of Gastrointestinal Surgery)
Source: Journal of Gastrointestinal Surgery - September 14, 2020 Category: Surgery Source Type: research

Gastroesophageal Reflux After Sleeve Gastrectomy
AbstractSleeve gastrectomy continues to be the most commonly performed bariatric operation worldwide. Development or worsening of pre-existing GERD has been recognized as a significant issue postoperatively. There is a paucity of information concerning the most appropriate preoperative workup and the technical and anatomical factors that may or may not contribute to the occurrence of reflux symptoms. Contemporary data quality is deficient given the predominantly retrospective nature, limited follow-up time, and heterogeneous outcome measures across studies. This has produced mixed results regarding the postoperative incide...
Source: Journal of Gastrointestinal Surgery - September 14, 2020 Category: Surgery Source Type: research

A Multicenter Randomized Prospective Study of Early Cholecystectomy for Pediatric Patients with Biliary Colic
AbstractBackgroundIn patients with biliary colic, high-quality prospective data supporting the precise timing of cholecystectomy are lacking. The purpose of this study was to determine the effectiveness of early laparoscopic cholecystectomy in children with biliary colic.MethodsA multicenter, parallel-group, randomized study was conducted in patients with biliary colic at 5 hospitals in China. Pediatric patients with biliary colic were prospectively randomized to either the early cholecystectomy or conservative management strategy. The clinical outcomes within 6  months, including the number of biliary colic-free pati...
Source: Journal of Gastrointestinal Surgery - September 14, 2020 Category: Surgery Source Type: research

Planned Versus On-Demand Relaparotomy Strategy in Initial Surgery for Non-occlusive Mesenteric Ischemia
ConclusionsThe planned relaparotomy strategy, compared with on-demand relaparotomy strategy, did not show clinical benefits after the initial surgery of patients with NOMI. Further studies estimating potential subpopulations who may benefit from this strategy are required. (Source: Journal of Gastrointestinal Surgery)
Source: Journal of Gastrointestinal Surgery - September 14, 2020 Category: Surgery Source Type: research

Gastrointestinal Malignancies and the COVID-19 Pandemic: Evidence-Based Triage to Surgery
(Source: Journal of Gastrointestinal Surgery)
Source: Journal of Gastrointestinal Surgery - September 14, 2020 Category: Surgery Source Type: research

The Immediate, Hospital-Level Impact of Stay-at-Home Order on Diverticulitis Burden
(Source: Journal of Gastrointestinal Surgery)
Source: Journal of Gastrointestinal Surgery - September 14, 2020 Category: Surgery Source Type: research

Journal of Gastrointestinal Surgery : Commitment to Diversity and Inclusion in the Editorial Process
(Source: Journal of Gastrointestinal Surgery)
Source: Journal of Gastrointestinal Surgery - September 14, 2020 Category: Surgery Source Type: research

County-Level Variation in Utilization of Surgical Resection for Early-Stage Hepatopancreatic Cancer Among Medicare Beneficiaries in the USA
ConclusionArea-level variations among patients undergoing surgery for early-stage HP cancer were mainly due to differences in structural measures and county-level factors. Policies targeting high-poverty counties and improvement in structural measures may reduce variations in utilization of surgery among patients diagnosed with early-stage HP cancer. (Source: Journal of Gastrointestinal Surgery)
Source: Journal of Gastrointestinal Surgery - September 11, 2020 Category: Surgery Source Type: research

Outcomes of Per-oral Endoscopic Myotomy in Sigmoid and Advanced Sigmoid Achalasia
(Source: Journal of Gastrointestinal Surgery)
Source: Journal of Gastrointestinal Surgery - September 10, 2020 Category: Surgery Source Type: research

The Utility of the Colectomy Risk Score in Terms of Predicting Postoperative Complications in Patients with Ulcerative Colitis
(Source: Journal of Gastrointestinal Surgery)
Source: Journal of Gastrointestinal Surgery - September 10, 2020 Category: Surgery Source Type: research

Letter to the Editor RE: “COVID-19 Impact on Colorectal Daily Practice—How Long Will It Take to Catch Up?”
(Source: Journal of Gastrointestinal Surgery)
Source: Journal of Gastrointestinal Surgery - September 10, 2020 Category: Surgery Source Type: research

Long-Term Quality of Life Following Transthoracic and Transhiatal Esophagectomy for Esophageal Cancer
ConclusionLong-term HR-QoL is largely comparable in disease-free patients following TTE or THE for distal esophageal or GEJ cancer. If there were differences between the surgical groups, they were in favor of TTE. These findings may aid in preoperative counseling of patients with esophageal or GEJ cancer. (Source: Journal of Gastrointestinal Surgery)
Source: Journal of Gastrointestinal Surgery - September 8, 2020 Category: Surgery Source Type: research

Laparoscopic Liver Surgery Guided by Virtual Real-time CT-Guided Volume Navigation
The objective of this work is to evaluate VRCT (virtual real-time CT-guided volume navigation) during LH. This system aims to provide accurate anatomical orientation for surgeons enhancing the safety of LH.MethodsTwenty-seven hepatic neoplasms were resected laparoscopically at our institution under reference guidance of VRCT. During operation, electromagnetic tracking of the surgical instrument was used for navigating the direction of accurate liver transection.ResultsTwenty-six (96.3%) of the 27 lesions (mean diameter 11  mm) were successfully performed under VRCT guidance. Average registration time was
Source: Journal of Gastrointestinal Surgery - September 7, 2020 Category: Surgery Source Type: research

Association of Socioeconomic Area Deprivation Index with Hospital Readmissions After Colon and Rectal Surgery
ConclusionsThe ADI identified patients living in deprived communities with increased readmission risk. Our results show that block-group level ADI can potentially be used in risk adjustment, to identify high-risk patients and to design better care pathways that improve health outcomes. (Source: Journal of Gastrointestinal Surgery)
Source: Journal of Gastrointestinal Surgery - September 7, 2020 Category: Surgery Source Type: research

Pediatric Appendectomy: an Analysis of 22,334 Cases from the Pediatric National Surgical Quality Improvement Program Data
AbstractThis data is mandatory Please provide. (Source: Journal of Gastrointestinal Surgery)
Source: Journal of Gastrointestinal Surgery - September 4, 2020 Category: Surgery Source Type: research

Clinical Success and Correlation of Eckardt Scores with Barium Esophagram After Peroral Endoscopic Myotomy in Achalasia
(Source: Journal of Gastrointestinal Surgery)
Source: Journal of Gastrointestinal Surgery - September 2, 2020 Category: Surgery Source Type: research

Experience of Hospital Admission and Surgery During the COVID-19 Pandemic: a Survey of IBD Patients
ConclusionsCommon surgical indications were for bowel obstruction and perianal abscess. Surgery can be postponed, but disease progression should be monitored closely and surgically intervened as needed. Most patients expressed anxiety resulting from the pandemic. The overall experience was satisfactory. (Source: Journal of Gastrointestinal Surgery)
Source: Journal of Gastrointestinal Surgery - September 2, 2020 Category: Surgery Source Type: research

Distal Pancreatectomy with Celiac Axis Resection —with Posterior Ramps Approach — for Locally Advanced Pancreatic Adenocarcinoma with Celiac Trunk Infiltration (Modified Appleby Procedure) (with Video)
AbstractWith the advent of FOLFIRINOX and neoadjuvant radiotherapy, the surgical indications for adenocarcinoma have expanded. Locally advanced pancreatic adenocarcinomas of the body/tail with infiltration of the celiac trunk which have a good clinical, biological, and radiological response to neoadjuvant treatment may therefore be eligible for caudal pancreatectomy with resection of the celiac trunk (modified Appleby procedure). In addition to rigorous patient selection and surgical expertise, this procedure also requires experience in interventional radiology. (Source: Journal of Gastrointestinal Surgery)
Source: Journal of Gastrointestinal Surgery - August 31, 2020 Category: Surgery Source Type: research

Laparoscopic Portal Territory Hepatectomy (Extended Segment 5) by an Indocyanine Green Fluorescent Dual Staining Technique (Video)
ConclusionLaparoscopic anatomical S5 segmentectomy using portal territory hepatectomy strategy in a dual staining method was technically feasible and safe for patients with HCC located in segment 5. (Source: Journal of Gastrointestinal Surgery)
Source: Journal of Gastrointestinal Surgery - August 31, 2020 Category: Surgery Source Type: research