Prevalence of Persistent Common Bile Duct Stones in Acute Biliary Pancreatitis Remains Stable Within the First Week of Symptoms
ConclusionsIn patients with mild acute biliary pancreatitis, the prevalence of persistent CBD stones does not change within the first 7 days since the onset of symptoms. This fact may have major clinical relevance when deciding the optimal therapeutic strategy in this population. (Source: Journal of Gastrointestinal Surgery)
Source: Journal of Gastrointestinal Surgery - June 22, 2021 Category: Surgery Source Type: research

Intraoperative (Contrast-Enhanced) Ultrasound Has the Highest Diagnostic Accuracy of Any Imaging Modality in Resection of Colorectal Liver Metastases
ConclusionAt 5-mm lesion size, preoperative imaging shows a drop in accuracy of detection. In patients with multiple lesions, addition of MRI to MDCT seems useful. Accuracy of intraoperative ultrasound is not impacted by lesion size and should be mandatory. CEIOUS can improve intraoperative decision-making.Trial RegistrationStudy registered withclinicaltrials.gov: NCT01522209 (Source: Journal of Gastrointestinal Surgery)
Source: Journal of Gastrointestinal Surgery - June 22, 2021 Category: Surgery Source Type: research

Roux-en-Y with Distal Gastrectomy for Gastroesophageal Reflux After Sleeve Gastrectomy
(Source: Journal of Gastrointestinal Surgery)
Source: Journal of Gastrointestinal Surgery - June 22, 2021 Category: Surgery Source Type: research

Primary Neuroendocrine Tumor of the Extrahepatic Biliary Tract
(Source: Journal of Gastrointestinal Surgery)
Source: Journal of Gastrointestinal Surgery - June 22, 2021 Category: Surgery Source Type: research

Construction of a Prognostic Nomogram for Colorectal Cancer Patients with Fewer than Twelve Lymph Nodes Examined: a Population-Based Study in the SEER Database and China
(Source: Journal of Gastrointestinal Surgery)
Source: Journal of Gastrointestinal Surgery - June 22, 2021 Category: Surgery Source Type: research

Multicenter Experience in Robot-Assisted Minimally Invasive Esophagectomy — a Comparison of Hybrid and Totally Robot-Assisted Techniques
AbstractBackgroundOncological esophageal surgery has evolved significantly in the last decades. From open esophagectomy over (hybrid) minimally invasive surgery, nowadays, robot-assisted minimally invasive esophagectomy (RAMIE) approaches are applied. Current techniques require an analysis of possible advantages and disadvantages indicating the direction towards a novel gold standard.MethodsRobot-assisted Ivor Lewis esophagectomies, performed in the period from April 2017 to June 2019 in five German centers (Berlin, Cologne, Hamburg, Kiel, Mainz), were included in this study. Pre-, intra-, and postoperative parameters were...
Source: Journal of Gastrointestinal Surgery - June 18, 2021 Category: Surgery Source Type: research

Preoperative Weight Loss as a Predictor of Bariatric Surgery Postoperative Weight Loss and Complications
ConclusionsPreoperative weight loss is not predictive of postoperative weight loss success after bariatric surgery. Greater preoperative weight loss was associated with a mild decreased in length of stay but was not associated with a reduction in operative time, overall complication rates, ICU admissions, or intraoperative complications. The inconclusive literature and our findings do not support the medical necessity of weight loss prior to bariatric surgery for the purpose of reducing surgical complications or predicting successful postoperative weight loss success. (Source: Journal of Gastrointestinal Surgery)
Source: Journal of Gastrointestinal Surgery - June 18, 2021 Category: Surgery Source Type: research

Emergency Department Utilization Following Hepatopancreatic Surgery Among Medicare Beneficiaries
ConclusionMore than 1 in 4 patients undergoing hepatopancreatic surgery presented to the ED within 30 days of discharge, with most patients returning to the ED within the first week of discharge. A subset of patients had multiple ED visits. Future efforts should target patients most likely to be high ED utilizers to avoid the need for early post-discharge ED use. (Source: Journal of Gastrointestinal Surgery)
Source: Journal of Gastrointestinal Surgery - June 18, 2021 Category: Surgery Source Type: research

Jejunal Perforation Secondary to Disseminated Histoplasmosis
(Source: Journal of Gastrointestinal Surgery)
Source: Journal of Gastrointestinal Surgery - June 18, 2021 Category: Surgery Source Type: research

Survival Outcomes for Colorectal Cancer with Isolated Liver Metastases at Academic Versus Community Hospitals
(Source: Journal of Gastrointestinal Surgery)
Source: Journal of Gastrointestinal Surgery - June 18, 2021 Category: Surgery Source Type: research

Standardized Technique of Selective Left Liver Vascular Exclusion During Laparoscopic Liver Resection for Benign and Malignant Tumors
ConclusionsThe laparoscopic approach for an extrahepatic control of the common trunk of middle and left hepatic veins is reproducible, safe, and effective, and can be applied during laparoscopic liver resection for tumors close to major hepatic veins. (Source: Journal of Gastrointestinal Surgery)
Source: Journal of Gastrointestinal Surgery - June 15, 2021 Category: Surgery Source Type: research

Surgical Outcomes After Esophagectomy in Patients with Achalasia: a NSQIP Matched Analysis With Non-Achalasia Esophagectomy Patients
ConclusionEsophagectomy outcomes are similar in patients with achalasia vs non-achalasia, and the diagnosis of achalasia does not independently increase the risk of reoperation and overall complications. Finally, regardless of diagnosis, the potential for morbidity following esophagectomy, should to be discussed with patients in the preoperative setting. (Source: Journal of Gastrointestinal Surgery)
Source: Journal of Gastrointestinal Surgery - June 15, 2021 Category: Surgery Source Type: research

Surgical Strategies for Bismuth Type I and II Hilar Cholangiocarcinoma: Impact on Long-Term Outcomes
ConclusionR0 resection, overall survival, and recurrence-free survival were comparable  among well-selected patients who had BDR versus BDR+HR for Bismuth type I and II HCCA. (Source: Journal of Gastrointestinal Surgery)
Source: Journal of Gastrointestinal Surgery - June 15, 2021 Category: Surgery Source Type: research

Gastro- or Duodenojejunostomy Leaks After Pancreatoduodenectomy: Single Center Experience and Narrative Literature Review
ConclusionGastro- or duodenojejunostomy leak is a rare complication after pancreatoduodenectomy. Prompt diagnosis and early repair is important. In most cases, a surgical intervention is necessary for a good outcome. Under salvage conditions, a bailout strategy may be to temporarily dismantle the gastro- or duodenojejunal anastomosis. (Source: Journal of Gastrointestinal Surgery)
Source: Journal of Gastrointestinal Surgery - June 15, 2021 Category: Surgery Source Type: research

Living Donor Liver Transplantation During the COVID-19 Pandemic: an Evolving Challenge
ConclusionDespite comparable outcomes, fewer sick patients might undergo LDLT during the pandemic. Individuals recovered from COVID-19 might be safely considered for donation or transplantation. (Source: Journal of Gastrointestinal Surgery)
Source: Journal of Gastrointestinal Surgery - June 15, 2021 Category: Surgery Source Type: research

Post-operative Ascites After Hepatectomy —Not More Than What Meets the Eyes
(Source: Journal of Gastrointestinal Surgery)
Source: Journal of Gastrointestinal Surgery - June 15, 2021 Category: Surgery Source Type: research

Role of Removed Lymph Nodes on the Prognosis of M0 Small-Bowel Neuroendocrine Tumors: a Propensity Score Matching Analysis from SEER Database
This study aimed to clarify the prognostic value of removed LNs for SBNETs.MethodsSBNET patients without distant metastasis from 2004 to 2017 in the SEER database were included. The optimal cutoff values of examined LNs (ELNs) and negative LNs (NLNs) were calculated by the X-tile software. Propensity score matching (PSM) was done to match patients 1:1 on clinicopathological characteristics between the two groups. The Kaplan-Meier method with log-rank test and multivariable Cox proportional-hazards regression model were used to evaluate the prognostic effect of removed LNs.ResultsThe cutoff values of 14 for ELNs and 9 for N...
Source: Journal of Gastrointestinal Surgery - June 9, 2021 Category: Surgery Source Type: research

An Optimal Surgical Plane for Laparoscopic Functional Total Mesorectal Excision in Rectal Cancer
ConclusionNerve plane is an optimal surgical landmark for laparoscopic functional total mesorectal excision in rectal cancer. It provides a superior surgical technique for pelvic autonomic nerve protection. (Source: Journal of Gastrointestinal Surgery)
Source: Journal of Gastrointestinal Surgery - June 9, 2021 Category: Surgery Source Type: research

Safety and Threshold Analysis of Preoperative Platelets in Right Lobe Living Donors for Liver Transplantation
ConclusionsPreoperative platelet count, in addition to remnant liver volume ratio, can be used as a surrogate marker to predict the risk of posthepatectomy liver failure in living liver right lobe donors. Probability curves figured out from logistic regression analysis, in this regard, provided an explicit perspective of platelets having a decisive role on liver donor safety. Thus, remaining in safer remnant liver volume ratio limits with respect to preoperative platelet count should be addressed in safe donor selection strategies. (Source: Journal of Gastrointestinal Surgery)
Source: Journal of Gastrointestinal Surgery - June 7, 2021 Category: Surgery Source Type: research

Neoadjuvant Pelvic Radiotherapy in the Management of Rectal Cancer with Synchronous Liver Metastases: Is It Worth It?
ConclusionThe use of radiotherapy in metastatic rectal cancer is popular but is based on limited data. Treatment should be tailored to the local extent of rectal cancer and priority of liver metastasis management. The optimal treatment strategy in patients with rectal cancer and synchronous liver metastatic disease needs to be studied in randomized trials. (Source: Journal of Gastrointestinal Surgery)
Source: Journal of Gastrointestinal Surgery - June 7, 2021 Category: Surgery Source Type: research

Association Between Anesthesia Delivered During Tumor Resection and Cancer Survival: a Systematic Review of a Mixed Picture with Constant Themes
DiscussionProspective randomized trials, coupled with basic science and translational studies, are needed to further define this association. (Source: Journal of Gastrointestinal Surgery)
Source: Journal of Gastrointestinal Surgery - June 7, 2021 Category: Surgery Source Type: research

Laparoscopic Revisional Surgery After Failed Heller Myotomy for Esophageal Achalasia: Long-Term Outcome at a Single Tertiary Center
AbstractBackgroundLaparoscopic Heller myotomy (HM) has gained acceptance as the gold standard of treatment for achalasia. However, 10 –20% of the patients will experience symptom recurrence, thus requiring further treatment including pneumodilations (PD) or revisional surgery. The aim of our study was to assess the long-term outcome of laparoscopic redo HM.MethodsPatients who underwent redo HM at our center between 2000 and 2019 were enrolled. Postoperative outcomes of redo HM patients (redo group) were compared with that of patients who underwent primary laparoscopic HM in the same time span (control group). For the...
Source: Journal of Gastrointestinal Surgery - June 7, 2021 Category: Surgery Source Type: research

Extent of Lymph Node Dissection for Accurate Staging in Intrahepatic Cholangiocarcinoma
ConclusionLND including at least stations no. 12 (hepatoduodenal ligament) and 8 (common hepatic artery), regardless of tumor location, is recommended for accurate staging in ICC patients. (Source: Journal of Gastrointestinal Surgery)
Source: Journal of Gastrointestinal Surgery - June 7, 2021 Category: Surgery Source Type: research

Anastomotic Leak: Toward an Understanding of Its Root Causes
ConclusionsAt the individual case level, declaring that an anastomotic leak is due to an error in surgical technique without clear and compelling evidence either visually and/or at the tissue level to substantiate such a claim remains speculative. (Source: Journal of Gastrointestinal Surgery)
Source: Journal of Gastrointestinal Surgery - June 7, 2021 Category: Surgery Source Type: research

Revisional Adjustable Gastric Band in Roux-en-Y Gastric Bypass —Is It Worth It?
This study analyzes the mid-term efficacy and safety of LAGB as a revisional procedure after RYGB.MethodsData of all patients with revisional LAGB after primary RYGB between January 2011 and May 2019 were retrospectively reviewed. Outcomes included assessment of weight changes, resolution of comorbidities, and early and late complications during the study period.ResultsTwenty patients were included. The median Body Mass Index (BMI) before revisional LAGB was 34.8 (interquartile range [IQR] 31.9 –38.1) kg/m2. After a median follow-up of 33.5 (IQR 19.5 –76.5) months, the median BMI was 28.7 (IQR 26.1–32.2) ...
Source: Journal of Gastrointestinal Surgery - June 7, 2021 Category: Surgery Source Type: research

Robotic Resection and Reconstruction of the Superior Mesenteric Vein Without Graft During Pancreatoduodenectomy (with Video)
ConclusionsRobotic resection and reconstruction of the SMV is safe and feasible without graft during pancreatoduodenectomy in patients with invasion but not encasing of the portal vein or SMV. The proposed technique should be used in cases where the invasion requires extended resection that precludes simple lateral suture. (Source: Journal of Gastrointestinal Surgery)
Source: Journal of Gastrointestinal Surgery - June 7, 2021 Category: Surgery Source Type: research

The Role of Real-Time Continuous High-Resolution Manometry During Bougie-Free Laparoscopic Hill Repair for the Treatment of Gastroesophageal Reflux Disease
(Source: Journal of Gastrointestinal Surgery)
Source: Journal of Gastrointestinal Surgery - June 1, 2021 Category: Surgery Source Type: research

Key Factors for Maintaining Postoperative Skeletal Muscle Mass After Laparoscopic Proximal Gastrectomy with Double-Flap Technique Reconstruction for Early Gastric Cancer
(Source: Journal of Gastrointestinal Surgery)
Source: Journal of Gastrointestinal Surgery - June 1, 2021 Category: Surgery Source Type: research

A 10-Year Evaluation of Short-Term Outcomes After Synchronous Colorectal Cancer Surgery: a Dutch Population-Based Study
This study aimed to evaluate time trends in incidence, population characteristics, and short-term outcomes of synchronous CRC patients at the population level over a 10-year time period.MethodsData of all patients that underwent resection for primary CRC were extracted from the Dutch ColoRectal Audit (2010 –2019). Analyses were stratified for solitary and synchronous colon and rectal cancer. Multilevel logistic regression analyses were used to determine factors associated with pathological and surgical outcomes.ResultsAmong 100,474 patients, 3.1% underwent surgery for synchronous CRC. A screening-related decrease for...
Source: Journal of Gastrointestinal Surgery - May 24, 2021 Category: Surgery Source Type: research

COVID-19 ’s Impact on Cancer Care: Increased Emotional Stress in Patients and High Risk of Provider Burnout
This study aims at comparatively analyzing COVID-19’s effect on cancer care from both patient and provider perspectives.MethodsA multi-institutional survey was developed to assess COVID-19-specific concerns regarding treatment, safety, and emotional stress through 5-point Likert-type prompts and open-ended questions before and during the pandemic. Wilcoxon signed-rank and rank-sum tests were used to analyze before/during answers for providers and patients independently. Open-ended responses were assessed using inductive thematic analysis.ResultsThe survey was completed by 104 (69.3%) patients and 50 (50%) providers. ...
Source: Journal of Gastrointestinal Surgery - May 23, 2021 Category: Surgery Source Type: research

Proclivity to Explore Locally Advanced Pancreas Cancer Is Not Associated with Surgeon Volume
ConclusionsIn an international survey of pancreas surgeons, the proclivity to consider exploration for LAPC was not associated with multiple categories of surgeon volume. Better evidence is needed to define the optimal management approach to LAPC. (Source: Journal of Gastrointestinal Surgery)
Source: Journal of Gastrointestinal Surgery - May 23, 2021 Category: Surgery Source Type: research

Race, Age, Gender, and Insurance Status: A Comparative Analysis of Access to and Quality of Gastrointestinal Cancer Care
This study evaluates gastrointestinal cancer care disparity by comparing the impact of different patient factors across oncologic care metrices.MethodsA multi-institutional prospectively maintained cancer database was reviewed retrospectively for gastrointestinal cancers (esophagus, stomach, liver, pancreas, colorectal, and hepato-pancreato-biliary) from 2007 to 2017 to assess quality of care provided. Quality of care was defined by clinical course following national guidelines for the respective cancer. This included surgical intervention, chemotherapy, palliative care, and minimal delay to treatment/diagnosis. Logistic r...
Source: Journal of Gastrointestinal Surgery - May 23, 2021 Category: Surgery Source Type: research

Single Incision Laparoscopic Appendectomy Using a New Multi-joint Articulating Instrument
(Source: Journal of Gastrointestinal Surgery)
Source: Journal of Gastrointestinal Surgery - May 19, 2021 Category: Surgery Source Type: research

Occurrence and Risk Factors of Infected Pancreatic Necrosis in Intensive Care Unit –Treated Patients with Necrotizing Severe Acute Pancreatitis
ConclusionsWide anatomical spread of necrotic collections, postinterventional etiology, preceding bacteremia, and preceding open abdomen treatment were identified as independent risk factors for IPN. (Source: Journal of Gastrointestinal Surgery)
Source: Journal of Gastrointestinal Surgery - May 13, 2021 Category: Surgery Source Type: research

Impact of the Affordable Care Act Medicaid Expansion on Reimbursement in Emergency General Surgery
This study compares reimbursement rates for surgical procedures performed by emergency general surgery (EGS) services at the Univ ersity of Kentucky (UK) before and after Medicaid expansion in January 2014.MethodsThis IRB-approved, single-institution study retrospectively evaluated all patients undergoing surgical treatment by our EGS team from 1/1/2011 to 12/31/2016. We queried operative records for the most frequently performed procedures by the EGS service. We reviewed patient electronic medical records and hospital financial records to identify insurance status, diagnosis codes, and expected hospital reimbursements, ba...
Source: Journal of Gastrointestinal Surgery - May 7, 2021 Category: Surgery Source Type: research

Hepatic Arterioportal Fistula Is Associated with Decreased Future Liver Remnant Regeneration after Stage-I ALPPS for Hepatocellular Carcinoma
AbstractBackgroundHepatocellular carcinoma (HCC) patients often developed hepatic arterioportal fistula (APF). The aim of this study is to evaluate the impact of APF on future liver remnant (FLR) regeneration and surgical outcomes after the first stage of associating liver partition and portal vein ligation for staged hepatectomy (stage-I ALPPS).MethodsConsecutive HCC patients who underwent ALPPS at our center between March 2017 and May 2019 were retrospectively studied. Data for the association between APF and clinicopathological details, liver volume, and surgical outcomes were analyzed.ResultsThe enrolled 35 HCC patient...
Source: Journal of Gastrointestinal Surgery - May 7, 2021 Category: Surgery Source Type: research

Laparoscopic Heller-Dor Is an Effective Treatment for Esophageal-Gastric Junction Outflow Obstruction
AbstractBackgroundThe treatment of esophagogastric junction outflow obstruction (EGJOO) currently mirrors that of achalasia, but this is based on only a few studies on small case series. The aim of this prospective, controlled study was to assess the outcome of laparoscopic Heller-Dor (LHD) in patients with EGJOO, as compared with patients with esophageal achalasia.Materials and MethodsBetween 2016 and 2019, patients with manometric diagnosis of idiopathic EGJOO and patients with radiological stage I achalasia, both treated with LHD, were compared. The achalasia group was further analyzed by subgrouping the patients based ...
Source: Journal of Gastrointestinal Surgery - May 6, 2021 Category: Surgery Source Type: research

Clinical Efficacy of the Preservation of the Hepatic Branch of the Vagus Nerve on Delayed Gastric Emptying After Laparoscopic Pancreaticoduodenectomy
AbstractBackgroundDelayed gastric emptying (DGE) is a common complication following laparoscopic pancreaticoduodenectomy (LPD), although it remains incompletely understood, and only few studies have investigated the clinical benefits of hepatic branch of the vagus nerve (HBVN) preservation on DGE after LPD until now. We intended to evaluate the effect of preservation of the HBVN during LPD on the incidence of DGE.MethodsA total of 274 consecutive LPDs performed at a single center between July 2014 and December 2019 with available videos were retrospectively reviewed. DGE was defined according to the International Study Gro...
Source: Journal of Gastrointestinal Surgery - May 5, 2021 Category: Surgery Source Type: research

Groove Pancreatitis and Gastric Outlet Obstruction
(Source: Journal of Gastrointestinal Surgery)
Source: Journal of Gastrointestinal Surgery - May 5, 2021 Category: Surgery Source Type: research

Training Paradigms in Hepato-Pancreatico-Biliary Surgery: an Overview of the Different Fellowship Pathways
AbstractHepato-pancreatico-biliary (HPB) surgery, and the training of HPB surgeons, has evolved significantly over the last several decades. The current state of training in HPB surgery in North America is defined through three main pathways: the Complex General Surgical Oncology (CGSO) ACGME fellowship, the American Society of Transplant Surgeons (ASTS) fellowship, and the Americas Hepatopancreaticobiliary Association (AHPBA) fellowship. These fellowships offer variable experiences in pancreas, liver, and biliary cases, and each pathway offers a unique perspective on HPB surgery. The CGSO ACGME, ASTS, and AHPBA fellowship...
Source: Journal of Gastrointestinal Surgery - May 4, 2021 Category: Surgery Source Type: research

Hemoglobin A1c Is a Predictor of New Insulin Dependence After Partial Pancreatectomy: A Multi-Institutional Analysis
This study sought to identify the incidence of new insulin-dependent diabetes mellitus (IDDM) after pancreatectomy and the predictive accuracy of hemoglobin A1c (HbA1c) or blood glucose.MethodsPatients who underwent partial pancreatectomy and had preoperative HbA1c available at two academic institutions were assessed for new IDDM on discharge in relation to complication rates and survival.ResultsOf the 267 patients analyzed, 67% had abnormal HbA1c levels prior to surgery (mean 6.8%, glucose 135 mg/dL). Two hundred eight (77.9%) were not insulin-dependent prior to surgery, and 35 (16.8%) developed new IDDM after resection. ...
Source: Journal of Gastrointestinal Surgery - May 4, 2021 Category: Surgery Source Type: research

Specialty-Specific Readmission Risk Models Outperform General Models in Estimating Hepatopancreatobiliary Surgery Readmission Risk
ConclusionHPB readmission risk models using 30-day subspecialty-specific data outperform general readmission risk tools. Hospitals and practices aiming to decrease readmissions in HPB surgery patient populations should use specialty-specific readmission reduction strategies. (Source: Journal of Gastrointestinal Surgery)
Source: Journal of Gastrointestinal Surgery - May 4, 2021 Category: Surgery Source Type: research

Robotic Subtotal Gastrectomy with Small Remnant Stomach for Gastric Cancer in the Upper Stomach
ConclusionRsTG for treatment of patients with GC in the upper body of the stomach is safe and feasible, and may enable improved postoperative nutritional status compared with RTG. (Source: Journal of Gastrointestinal Surgery)
Source: Journal of Gastrointestinal Surgery - May 4, 2021 Category: Surgery Source Type: research

Small Bowel Video Capsule Endoscope Retention Requiring Surgical Treatment: Detailed Analysis of Etiology and Outcomes in a Large Outpatient Cohort
(Source: Journal of Gastrointestinal Surgery)
Source: Journal of Gastrointestinal Surgery - May 4, 2021 Category: Surgery Source Type: research

Is there Clinical Value to Routine Postoperative Day 1 Labs after Proctectomy?
(Source: Journal of Gastrointestinal Surgery)
Source: Journal of Gastrointestinal Surgery - May 4, 2021 Category: Surgery Source Type: research

Lyon Consensus pH Monitoring Gray Zone Is more Prone to be Actual Gastroesophageal Reflux Disease According to the DeMeester Score
(Source: Journal of Gastrointestinal Surgery)
Source: Journal of Gastrointestinal Surgery - May 4, 2021 Category: Surgery Source Type: research

Impact of Psychiatric Illness on Survival among Patients with Hepatocellular Carcinoma
(Source: Journal of Gastrointestinal Surgery)
Source: Journal of Gastrointestinal Surgery - May 4, 2021 Category: Surgery Source Type: research

Surgical Outcomes of Rectal Gastrointestinal Stromal Tumor in the Era of Imatinib
(Source: Journal of Gastrointestinal Surgery)
Source: Journal of Gastrointestinal Surgery - May 4, 2021 Category: Surgery Source Type: research

Acute Gastrointestinal Injury and Feeding Intolerance as Prognostic Factors in Critically Ill COVID-19 Patients
AbstractBackgroundAlthough acute gastrointestinal injury (AGI) and feeding intolerance (FI) are known independent determinants of worse outcomes and high mortality in intensive care unit (ICU) patients, the incidence of AGI and FI in critically ill COVID-19 patients and their prognostic importance have not been thoroughly studied.MethodsWe reviewed 218 intubated patients at Stony Brook University Hospital and stratified them into three groups based on AGI severity, according to data collected in the first 10 days of ICU course. We used chi-square test to compare categorical variables such as age and sex and two-samplet-tes...
Source: Journal of Gastrointestinal Surgery - April 27, 2021 Category: Surgery Source Type: research

Nomogram for Predicting the Probability of Permanent Stoma after Laparoscopic Intersphincteric Resection
AbstractPurposeThe purpose of this study was to determine the risk factors for the development of a permanent stoma in laparoscopic intersphincteric resection (LS-ISR) for ultralow rectal adenocarcinoma and to develop and validate a prediction model to predict the probability of permanent stoma after surgery.MethodsA primary cohort consisting of 301 consecutive patients who underwent LS-ISR was enrolled in this study. Multivariable logistic regression analysis was used to identify risk factors and develop the nomogram. The performance of the nomogram was assessed with respect to its calibration, discrimination, and clinica...
Source: Journal of Gastrointestinal Surgery - April 26, 2021 Category: Surgery Source Type: research