Neuroendocrine Liver Metastasis: Prognostic Implications of Primary Tumor Site on Patients Undergoing Curative Intent Liver Surgery
ConclusionPNET patients more often present with non-functional NELM and moderately differentiated tumors. On propensity-matched analysis, factors such as extrahepatic disease and tumor grade, but not primary tumor location, were associated with prognosis of patients undergoing curative intent liver surgery for NELM. (Source: Journal of Gastrointestinal Surgery)
Source: Journal of Gastrointestinal Surgery - November 22, 2017 Category: Surgery Source Type: research

Tube Feed Necrosis after Major Gastrointestinal Oncologic Surgery: Institutional Lessons and a Review of the Literature
ConclusionThis case series describes a change in clinical practice that is associated with decreased morbidity and mortality of TFN. Wider implementation and further refinement of this tube-feeding protocol may reduce TFN incidence at other institutions and in patients with other conditions requiring enteral nutrition. (Source: Journal of Gastrointestinal Surgery)
Source: Journal of Gastrointestinal Surgery - November 22, 2017 Category: Surgery Source Type: research

Common Bile Duct Duplication Type Va. A Rare but Important Anatomical Variation to Know
(Source: Journal of Gastrointestinal Surgery)
Source: Journal of Gastrointestinal Surgery - November 22, 2017 Category: Surgery Source Type: research

Patient-Provider Communication and Health Outcomes Among Individuals with Hepato-Pancreato-Biliary Disease in the USA
AbstractBackgroundPatient-provider communication (PPC) is utilized as a value-based metric in pay-for-performance programs. We sought to evaluate the association of PPC with patient-reported health outcomes, as well as healthcare resource utilization among a nationally representative cohort of patients with hepato-pancreato-biliary (HPB) diagnoses.MethodsPatients with HPB diseases were identified from the 2008 –2014 Medical Expenditure Panel Survey cohort. A weighted PPC composite score was categorized using the responses from the CAHPS (Consumer Assessment of Healthcare Providers and Systems) survey as optimal, aver...
Source: Journal of Gastrointestinal Surgery - November 20, 2017 Category: Surgery Source Type: research

Correlation Between Postoperative Early Recurrence of Hepatocellular Carcinoma and Mesenchymal Circulating Tumor Cells in Peripheral Blood
AbstractBackgroundCirculating tumor cells (CTCs) have been actively studied for their functions in hepatocellular carcinoma (HCC) recurrence. However, the relationship between circulating tumor cells subtypes and hepatocellular carcinoma recurrence is still unclear.MethodsCTCs were collected from the peripheral blood of 62 postoperative HCC patients. The CTCs were isolated with a filtration-based method. Multiplex fluorescence in situ hybridization was used to characterize the CTCs based on mRNA expression levels of epithelial and mesenchymal markers.ResultsOf the 62 HCC patients, 26 were diagnosed with early recurrence (E...
Source: Journal of Gastrointestinal Surgery - November 20, 2017 Category: Surgery Source Type: research

Left Paraduodenal Hernia
AbstractLeft paraduodenal hernia is an entrapment of the small bowel into theLandzert fossa, an unusual congenital peritoneal defect behind the descending mesocolon that results from failure of part of the descending mesocolon to fuse with the posterior parietal peritoneum (Doishitaet al. in Radiographics, 36(1): 88 –106,2016). This fossa is reported to be present in approximately 2% of autopsy bodies. The authors present a case of a left paraduodenal hernia in a young woman. (Source: Journal of Gastrointestinal Surgery)
Source: Journal of Gastrointestinal Surgery - November 20, 2017 Category: Surgery Source Type: research

Colorectal Surgery Fellowship Improves In-hospital Mortality After Colectomy and Proctectomy Irrespective of Hospital and Surgeon Volume
This study aimed to assess in-hospital mortality stratified by CR training status after adjusting for surgeon and hospital volume.MethodsThe Statewide Planning and Research Cooperative system database was used to identify all patients who underwent colectomy/proctectomy from January 1, 2000, to December 31, 2014, in the state of New York. Operations performed by board-certified CR surgeons were identified. The relationships between CR board certification and in-hospital mortality, in-hospital complications, length of stay, and ostomy were assessed using multivariate regression models.ResultsTwo hundred seventy thousand six...
Source: Journal of Gastrointestinal Surgery - November 15, 2017 Category: Surgery Source Type: research

Common Hepatic Artery Abutment or Encasement Is an Adverse Prognostic Factor in Patients with Borderline and Unresectable Pancreatic Cancer
ConclusionIn this cohort, common hepatic arterialabutment or encasement and residual lymph node disease at resection portended a particularly poor outcome in patients with localized, unresectable PDA. (Source: Journal of Gastrointestinal Surgery)
Source: Journal of Gastrointestinal Surgery - November 14, 2017 Category: Surgery Source Type: research

Comparison of Hepatectomy for Patients with Metabolic Syndrome-Related HCC and HBV-Related HCC
ConclusionsWe should pay more attention to patients with MetS-HCC perioperatively due to the high rate of surgical complications. Nevertheless, curative treatment should be provided to patients with MetS. (Source: Journal of Gastrointestinal Surgery)
Source: Journal of Gastrointestinal Surgery - November 14, 2017 Category: Surgery Source Type: research

ASGE EndoVators Summit: Defining the Role and Value of Endoscopic Therapies in Obesity Management
(Source: Journal of Gastrointestinal Surgery)
Source: Journal of Gastrointestinal Surgery - November 14, 2017 Category: Surgery Source Type: research

Ketorolac and Other NSAIDs Increase the Risk of Anastomotic Leakage After Surgery for GEJ Cancers: a Cohort Study of 557 Patients
ConclusionIn the present study, we found a strong association between the postoperative use of ketorolac and other nonsteroidal anti-inflammatory drugs and the risk for anastomotic leakage after surgery for gastro-esophageal-junction cancers. (Source: Journal of Gastrointestinal Surgery)
Source: Journal of Gastrointestinal Surgery - November 13, 2017 Category: Surgery Source Type: research

Short- and Long-Term Outcomes of Endoscope-Assisted Laparoscopic Wedge Resection for Gastric Submucosal Tumors Adjacent to Esophagogastric Junction
ConclusionsEndoscope-assisted LWR is safe, feasible, and effective for gastric SMTs near the EGJ. LTWR is preferable to LEWR for gastric SMTs in the posterior wall, those with intraluminal growth, and those closer to the EGJ. (Source: Journal of Gastrointestinal Surgery)
Source: Journal of Gastrointestinal Surgery - November 13, 2017 Category: Surgery Source Type: research

Association of Adjuvant Therapy with Improved Survival in Ampullary Cancer: A National Cohort Study
ConclusionsIn this retrospective study, the use of adjuvant therapy in ampullary cancer was associated with significantly improved overall survival. The benefit of adjuvant therapy for this disease should be confirmed in a more rigorous fashion via randomized controlled trials. (Source: Journal of Gastrointestinal Surgery)
Source: Journal of Gastrointestinal Surgery - November 10, 2017 Category: Surgery Source Type: research

Attempting a Laparoscopic Approach in Patients Undergoing Left-Sided Colorectal Surgery Who Have Had a Previous Laparotomy: Is it Feasible?
ConclusionsPrior laparotomy should not be a contraindication to patients undergoing laparoscopic colorectal surgery, though surgeons should anticipate a higher likelihood of conversion to open. (Source: Journal of Gastrointestinal Surgery)
Source: Journal of Gastrointestinal Surgery - November 10, 2017 Category: Surgery Source Type: research

Benefit of Surgical Resection of the Primary Tumor in Patients Undergoing Chemotherapy for Stage IV Colorectal Cancer with Unresected Metastasis
AbstractPurposeResection of the primary tumor in patients with unresected metastatic colorectal cancer is controversial, and often performed only for palliation of symptoms. Our goal was to determine if resection of the primary tumor in this patient population is associated with improved survival.MethodsThis is a retrospective cohort study of the National Cancer Data Base from 2004 to 2012. The study population included all patients with synchronous metastatic colorectal adenocarcinoma who were treated with systemic chemotherapy. The study groups were patients who underwent definitive surgery for the primary tumor and thos...
Source: Journal of Gastrointestinal Surgery - November 9, 2017 Category: Surgery Source Type: research

Gastrectomy with Extended Lymphadenectomy: a North American Perspective
This study evaluates the safety and efficacy of D2 dissection in a high-volume North American center.MethodsA prospectively entered database of all patients undergoing gastrectomy for cancer at a North American referral center from 2005 to 2016 was reviewed. Wedge resections, thoracoabdominal approach, emergency surgery, palliative operations, and non-adenocarcinoma cases were excluded.ResultsOf 366 non-bariatric gastrectomies over this period, 175 met the inclusion criteria. Median age was 73  years and 69% were male. One hundred forty-one patients (80%) underwent D2 dissection, the rest having D1. There was no diffe...
Source: Journal of Gastrointestinal Surgery - November 9, 2017 Category: Surgery Source Type: research

18-Fluorodeoxyglucose Positron Emission Tomography Predicts Recurrence in Resected Pancreatic Ductal Adenocarcinoma
AbstractBackgroundWe aimed to determine whether treatment should be stratified according to 18-fluorodeoxyglucose positron emission tomography/computed tomography (18F-FDG PET/CT) maximum standardized uptake values (SUVmax) in pancreatic ductal adenocarcinoma.MethodsPatients who underwent preoperative 18F-FDG PET/CT between 2006 and 2014 (n = 138) were stratified into high (≥ 4.85) and low (
Source: Journal of Gastrointestinal Surgery - November 8, 2017 Category: Surgery Source Type: research

The Non-operative Management of Asymptomatic Liver Hydatids: Ending Echinococcophobia
ConclusionsMore than 80% of asymptomatic liver hydatids have a favorable outcome without pre-emptive surgical interventions. The presence of LMD at any stage and/or PDCs of any grade justifiably exempts asymptomatic univesicular liver hydatids from any treatments. Those without LMD or PDCs can be effectively managed with long-term albendazole, artificially inducing larval involution. (Source: Journal of Gastrointestinal Surgery)
Source: Journal of Gastrointestinal Surgery - November 8, 2017 Category: Surgery Source Type: research

Multifocality in Small Bowel Neuroendocrine Tumors
ConclusionsSBNETs have a high incidence of multifocality. DBE can be used in the preoperative assessment to detect multifocal NET. Multifocality has no impact on survival or recurrence outcomes. (Source: Journal of Gastrointestinal Surgery)
Source: Journal of Gastrointestinal Surgery - November 8, 2017 Category: Surgery Source Type: research

Perioperative Factors Predicting Prolonged Postoperative Ileus After Major Abdominal Surgery
ConclusionsColorectal surgery, open abdominal surgery, and smoking history were found to be independent predictive factors for PPOI in patients who underwent major abdominal surgery. A nomogram based on these factors was shown to be useful for identifying patients with a high probability of developing PPOI. (Source: Journal of Gastrointestinal Surgery)
Source: Journal of Gastrointestinal Surgery - November 8, 2017 Category: Surgery Source Type: research

Better Late than Never? Adherence to Adjuvant Therapy Guidelines for Stage III Colon Cancer in an Underserved Region
We examined adherence in a healthcare system serving a region with disparities in CC outcomes.MethodsIn a retrospective analysis of patients (2005 –2014) with stage III CC in a multi-hospital healthcare system, the associations between adherence, clinicopathologic, demographic, geographic, and socioeconomic data and overall survival (OS) were examined.ResultsOf 1171 CC patients, 438 (37.4%) had stage III disease with 63% (n = 276) receiving AC and 37% (n = 162) not. AC conferred a 5-year OS advantage (62.4 vs. 42.5%,p 
Source: Journal of Gastrointestinal Surgery - November 8, 2017 Category: Surgery Source Type: research

Predictors of Futile Liver Resection for Patients with Barcelona Clinic Liver Cancer Stage B/C Hepatocellular Carcinoma
ConclusionA risk-scoring model and predictive nomogram for futile liver resection were developed in the present study. T`he BCLC stage B/C HCC patients with a high risk obtained no benefit from liver resection. (Source: Journal of Gastrointestinal Surgery)
Source: Journal of Gastrointestinal Surgery - November 8, 2017 Category: Surgery Source Type: research

Is Diversion with Ileostomy Non-inferior to Hartmann Resection for Left-sided Colorectal Anastomotic Leak?
ConclusionThere was no difference in the outcomes of mortality or need for second abdominal reoperation in patients treated with diverting ileostomy as compared to Hartmann resection for left-sided colorectal anastomotic leak. Thus, select patients with left-sided colorectal anastomotic leaks may be safely managed with diverting ileostomy. (Source: Journal of Gastrointestinal Surgery)
Source: Journal of Gastrointestinal Surgery - November 8, 2017 Category: Surgery Source Type: research

Malignant Lymphoma of the Ileum Presenting as Ileocecal Intussusception
(Source: Journal of Gastrointestinal Surgery)
Source: Journal of Gastrointestinal Surgery - November 8, 2017 Category: Surgery Source Type: research

Endoscopic Sleeve Gastroplasty, Laparoscopic Sleeve Gastrectomy, and Laparoscopic Band for Weight Loss: How Do They Compare?
AbstractBackgroundEndoscopic sleeve gastroplasty (ESG) is a novel endobariatric procedure. Initial studies demonstrated an association of ESG with weight loss and improvement of obesity-related comorbidities. Our aim was to compare ESG to laparoscopic sleeve gastrectomy (LSG) and laparoscopic adjustable gastric banding (LAGB).MethodsWe included 278 obese (BMI>  30) patients who underwent ESG (n = 91), LSG (n = 120), or LAGB (n = 67) at our tertiary care academic center. Primary outcome was percent total body weight loss (%TBWL) at 3, 6, 9, and 12 months. Secondary outcome measures...
Source: Journal of Gastrointestinal Surgery - November 6, 2017 Category: Surgery Source Type: research

Paraneoplastic Stiff Person Syndrome Secondary to Pancreatic Adenocarcinoma
(Source: Journal of Gastrointestinal Surgery)
Source: Journal of Gastrointestinal Surgery - November 6, 2017 Category: Surgery Source Type: research

Epithelioid Angiomyolipoma of the Liver
(Source: Journal of Gastrointestinal Surgery)
Source: Journal of Gastrointestinal Surgery - November 6, 2017 Category: Surgery Source Type: research

Updates and Critical Insights on Glissonian Approach in Liver Surgery
AbstractRecent advances in surgical techniques have broadened the indications of surgical management of liver malignancies. Intraoperative bleeding is one of the known predictors of postoperative outcomes following liver surgery, signifying the importance of vascular control during liver resection. Furthermore, preservation of future liver remnant plays a critical role in prevention of post-hepatectomy liver failure as one of the main causes of postoperative morbidity and mortality. Glissonian approach liver resection offers an effective method for vascular inflow control while protecting future liver remnant from ischemia...
Source: Journal of Gastrointestinal Surgery - November 3, 2017 Category: Surgery Source Type: research

How I Do It: Per-Oral Pyloromyotomy (POP)
ConclusionIn our experience, these methods provide promising initial results with low operative risks, although long-term outcomes remain to be determined. (Source: Journal of Gastrointestinal Surgery)
Source: Journal of Gastrointestinal Surgery - November 1, 2017 Category: Surgery Source Type: research

Early Recurrence of Neuroendocrine Liver Metastasis After Curative Hepatectomy: Risk Factors, Prognosis, and Treatment
The objective of the current study was to investigate the risk factors, treatment, and prognosis of early recurrence of neuroendocrine tumor (NET) liver metastasis (NELM) after hepatic resection.MethodsA total of 481 patients who underwent curative-intent resection for NELM were identified from a multi-institutional database. Data on clinicopathological characteristics, intraoperative details, and outcomes were documented. The optimal cutoff value to differentiate early and late recurrence was determined to be 3  years based on linear regression.ResultsWith a median follow-up of 60  months, 223 (46.4%) patients d...
Source: Journal of Gastrointestinal Surgery - November 1, 2017 Category: Surgery Source Type: research

72  h Is the Time Critical Point to Operate in Acute Appendicitis
AbstractBackground and AimsDelay of operative management of acute appendicitis may adversely affect post-operative outcomes and increase the likelihood of post-operative complications occurring. We aim to correlate the duration of symptoms with intra-operative findings to create a timeline of the pathological change in appendicitis.MethodsAppendicectomies performed at a large teaching hospital between June 2015 and July 2016 were prospectively analysed. Time of onset of pain, operative findings, pre-operative C-reactive protein (CRP) and white cell count (WCC) were recorded. Intra-operative findings were categorised by the...
Source: Journal of Gastrointestinal Surgery - October 30, 2017 Category: Surgery Source Type: research

What Is “Enhanced Recovery,” and How Can I Do It?
AbstractBackgroundEnhanced recovery (ER) and fast-track protocols were initially implemented in the perioperative management of the surgical patient over 20 years ago. These standardized protocols are now broadly implemented across most surgical specialties for its many benefits. ER is well known for its positive effects on decreasing length of stay and complications. However, patient-centric outcomes for adequate pain control, functional recovery, costs, and overall patient experience are less considered.How I Do ItA successful ER foundation stands on the pillars of several perioperative care principles: early feeding, ea...
Source: Journal of Gastrointestinal Surgery - October 24, 2017 Category: Surgery Source Type: research

Intraductal Papillary Mucinous Neoplasm of the Pancreas in Young Patients: Tumor Biology, Clinical Features, and Survival Outcomes
ConclusionResection for IPMN is infrequent in young patients, but when they are resected, IPMNs from young patients demonstrate different epithelial subtypes from those in older patients and more favorable prognosis. (Source: Journal of Gastrointestinal Surgery)
Source: Journal of Gastrointestinal Surgery - October 18, 2017 Category: Surgery Source Type: research

Postoperative Visceral Tissue Edema Assessed by Computed Tomography Is a Predictor for Severe Complications After Pancreaticoduodenectomy
This study aims to evaluate how visceral tissue edema due to fluid overload affects severe postoperative complications after PD. It aims to clarify the usefulness of assessment by computed tomography (CT) of postoperative tissue edema.MethodsWe classified 200 patients who underwent PD as either liberal fluid management (LFM) group (n = 100) or goal-directed fluid therapy (GDFT) group (n = 100), based on intraoperative fluid management. We assessed postoperative tissue edema by cross section of the body trunk area using pre- and postoperative CT.ResultsSevere complication (Clavien-Dindo more than grade I...
Source: Journal of Gastrointestinal Surgery - October 18, 2017 Category: Surgery Source Type: research

Predictive Factors for Lymph Node Metastasis and Prognostic Factors for Survival in Rectal Neuroendocrine Tumors
This study aimed to identify predictive factors of lymph node metastasis and prognostic factors for survival in rectal neuroendocrine tumors.MethodsSixty-four patients underwent endoscopic or surgical treatment for rectal NET. The data on these patients were collected in our database prospectively and reviewed retrospectively.ResultsTransanal excision was performed in 28 (43.8%) patients, endoscopic mucosal resection or submucosal dissection was performed in 15 (23.4%) patients, and radical resection was performed in 21 (31.8%) patients. Lymph node and distant metastasis was present in 16 (25.0%) and fir (7.8%) patients. T...
Source: Journal of Gastrointestinal Surgery - October 18, 2017 Category: Surgery Source Type: research

Submucosal Tunneling Endoscopic Resection for the Treatment of Gastrointestinal Submucosal Tumors Originating from the Muscularis Propria Layer
AbstractSurgical resection and endoscopic resection comprise two alternative options for the treatment of submucosal tumors (SMTs) originating from the muscularis propria (MP) layer. Endoscopic resection is minimally invasive compared with surgical resection. Conventional non-tunneling techniques, such as endoscopic submucosal dissection (ESD), endoscopic submucosal excavation (ESE), and endoscopic full-thickness resection (EFR) have been demonstrated to be safe and effective. However, these techniques fail to maintain the integrity of the mucosa and induce high risk of perforation, infection, and postoperative strictures....
Source: Journal of Gastrointestinal Surgery - October 17, 2017 Category: Surgery Source Type: research

Duodenal Crohn ’s Disease—a Diagnostic Conundrum
AbstractGastroduodenal Crohn ’s disease is rare as most often the disease is found in the terminal ileum and colon rather than the upper gastrointestinal tract. The most common phenotype is stricturing disease which can lead to obstructive-like symptoms. Medical treatment options include proton pump inhibitors and biologic th erapy. Endoscopic and surgical intervention may be needed to relieve the obstructive-like symptoms from the stricturing phenotype. (Source: Journal of Gastrointestinal Surgery)
Source: Journal of Gastrointestinal Surgery - October 17, 2017 Category: Surgery Source Type: research

A Comprehensive Assessment of Accurate Lymph Node Staging and Preoperative Detection in Resected Pancreatic Cancer
AbstractBackgroundThe current (seventh edition) American Joint Commission on Cancer (AJCC) Staging System for pancreatic ductal adenocarcinoma (PDAC) dichotomizes pathologic lymph node (LN) involvement into absence (pN0) or presence (pN1) of disease. The recently announced eighth edition also includes stratification on the number of positive nodes. Furthermore, LNs detected on preoperative imaging (CT, MRI, or endoscopic ultrasound —EUS) are considered to be pathologically involved in other gastrointestinal cancers. However, this is less well defined for PDAC. Therefore, the three aims of this study were to determine...
Source: Journal of Gastrointestinal Surgery - October 17, 2017 Category: Surgery Source Type: research

Chylous Mesenteric Cyst
(Source: Journal of Gastrointestinal Surgery)
Source: Journal of Gastrointestinal Surgery - October 17, 2017 Category: Surgery Source Type: research

Hepatic Hemolymphangioma Manifesting as Severe Anemia
(Source: Journal of Gastrointestinal Surgery)
Source: Journal of Gastrointestinal Surgery - October 17, 2017 Category: Surgery Source Type: research

Endoscopic Treatment Versus Esophagectomy for Early-Stage Esophageal Cancer: a Population-Based Study Using Propensity Score Matching
ConclusionIn this population-based study using PSM, patients with stage Tis and T1N0M0 esophageal cancer with ET had OS and ECSS comparable to those treated by esophagectomy after adjusting for clinical variables. The results support ET as an alternative to esophagectomy in early esophageal cancer. (Source: Journal of Gastrointestinal Surgery)
Source: Journal of Gastrointestinal Surgery - October 13, 2017 Category: Surgery Source Type: research

Recurrence After Operative Treatment of Adhesive Small-Bowel Obstruction
ConclusionsThe overall recurrence rate after surgically treated ASBO was 12.1%, and the risk of recurrence was persistent several years after index operation. Factors associated with an increased risk were female gender, multiple/matted adhesions, and fascial dehiscence. (Source: Journal of Gastrointestinal Surgery)
Source: Journal of Gastrointestinal Surgery - October 13, 2017 Category: Surgery Source Type: research

Drain Placement Does Not Increase Infectious Complications After Retromuscular Ventral Hernia Repair with Synthetic Mesh: an AHSQC Analysis
ConclusionDrain placement after retromuscular VHR with synthetic mesh is a common practice. Based on an analysis of early outcomes, surgical drains do not increase the risk of surgical infectious complications, and may be protective against some SSOs, such as seroma formation. (Source: Journal of Gastrointestinal Surgery)
Source: Journal of Gastrointestinal Surgery - October 5, 2017 Category: Surgery Source Type: research

The Effects of Travel Burden on Outcomes After Resection of Extrahepatic Biliary Malignancies: Results from the US Extrahepatic Biliary Consortium
AbstractBackgroundSurgical resection of extrahepatic biliary malignancies has been increasingly centralized at high-volume tertiary care centers. While this has improved outcomes overall, increased travel burden has been associated with worse survival for many other malignancies. We hypothesized that longer travel distances are associated with worse outcomes for these patients as well.Study DesignData was analyzed from the US Extrahepatic Biliary Consortium database, which retrospectively reviewed patients who received resection of extrahepatic biliary malignancies at 10 high-volume centers. Driving distance to the patient...
Source: Journal of Gastrointestinal Surgery - October 4, 2017 Category: Surgery Source Type: research

A Hill Gastropexy Combined with Nissen Fundoplication Appears Equivalent to a Collis-Nissen in the Management of Short Esophagus
ConclusionsThe management of shortened esophagus with Hill-Nissen is safe and as effective as Collis gastroplasty with Nissen fundoplication. Both options appear to produce similar outcomes to patients requiring only a Nissen fundoplication suggesting a shortened esophagus does not beget an inferior outcome. (Source: Journal of Gastrointestinal Surgery)
Source: Journal of Gastrointestinal Surgery - October 2, 2017 Category: Surgery Source Type: research

Inpatient Choledocholithiasis Requiring ERCP and Cholecystectomy: Outcomes of a Combined Single Inpatient Procedure Versus Separate-Session Procedures
ConclusionThe SOS approach is safe, efficacious, and cost-efficient when compared to separate operative sessions. This approach can be considered in situations where it is preferable for the patient to undergo a single session of anesthesia, without compromising technical success and safety. (Source: Journal of Gastrointestinal Surgery)
Source: Journal of Gastrointestinal Surgery - October 2, 2017 Category: Surgery Source Type: research

Postoperative Outcomes, Weight Loss Predictors, and Late Gastrointestinal Symptoms Following Laparoscopic Sleeve Gastrectomy
AbstractObjectiveTo evaluate the outcomes, weight loss predictors, and gastrointestinal symptoms of patients after laparoscopic sleeve gastrectomy (LSG).MethodsThe postoperative medical status of the patients was obtained retrospectively using a questionnaire and was compared to existing medical data before the surgery.ResultsWe included 201 candidates, 178 patients completed mean of 3  years of follow-up. Mean excess body weight loss (%EWL) was 65.14% ± 15.74 at 6 months, 78.53% ± 20.28 at 12 months, and 74.32% ± 23.92 at 3 years after LSG. Older age (...
Source: Journal of Gastrointestinal Surgery - October 2, 2017 Category: Surgery Source Type: research

Risk Factors for Postoperative Complications Following Diverting Loop Ileostomy Takedown
ConclusionsDiverting loop ileostomy takedown has a complication rate of approximately 20%. Higher ASA class, longer operative times, history of bleeding disorder, and functional status were identified as risk factors for most complications. (Source: Journal of Gastrointestinal Surgery)
Source: Journal of Gastrointestinal Surgery - October 2, 2017 Category: Surgery Source Type: research

The Stomach: a Rare Site for Metastatic Solid Pseudopapillary Neoplasm of the Pancreas
We present a case of a lady with solid pseudopapillary neoplasm of the pancreas who previously had a distal pancreatectomy but subsequently had multiple hepatic, adrenal peritoneal and nodal metastases. She developed dyspepsia and on oesophagogastroduodenoscopy, was found to have gastric metastases as well. We believe this is the first reported case of metastatic solid pseudopapillary neoplasm of the pancreas to the stomach. (Source: Journal of Gastrointestinal Surgery)
Source: Journal of Gastrointestinal Surgery - October 2, 2017 Category: Surgery Source Type: research

Right Flank Erythema After a Fall
(Source: Journal of Gastrointestinal Surgery)
Source: Journal of Gastrointestinal Surgery - October 2, 2017 Category: Surgery Source Type: research