Pattern of Venous Collateral Development after Splenic Vein Occlusion in an Extended Whipple Procedure (Whipple at the Splenic Artery) and Long-Term Results
ConclusionsPatients who have SV ligation in an extended Whipple are protected against sequelae of sinestral portal hypertension by inferior collateral routes. The omentum and marginal veins of the colon are key links in this pathway. (Source: Journal of Gastrointestinal Surgery)
Source: Journal of Gastrointestinal Surgery - December 5, 2016 Category: Surgery Source Type: research

Robotic-Assisted Transanal Repair of a Rectovaginal Fistula
ConclusionsWe suggest that this approach can be used on selected patients with high rectovaginal fistula or other rectal pathology who are otherwise not candidates for a transanal approach. (Source: Journal of Gastrointestinal Surgery)
Source: Journal of Gastrointestinal Surgery - November 11, 2016 Category: Surgery Source Type: research

Cystic Lymphangioma of the Pancreas: a Rare Entity
(Source: Journal of Gastrointestinal Surgery)
Source: Journal of Gastrointestinal Surgery - November 11, 2016 Category: Surgery Source Type: research

Circumportal Pancreas —a Must Know Pancreatic Anomaly for the Pancreatic Surgeon
ConclusionsCircumportal pancreas is a rare entity every pancreatic surgeon should be aware of. It is difficult to identify on cross-sectional imaging studies. A right hepatic artery arising from the superior mesenteric artery should raise suspicion of circumportal pancreas. Additional pancreatic tissue resection should be performed during pancreatic head resections to avoid pancreatic fistula. (Source: Journal of Gastrointestinal Surgery)
Source: Journal of Gastrointestinal Surgery - November 8, 2016 Category: Surgery Source Type: research

Sigmoid Volvulus Through a Transmesenteric Hernia
We present a case of a sigmoid volvulus through a transmesenteric hernia in a 19-year-old patient. (Source: Journal of Gastrointestinal Surgery)
Source: Journal of Gastrointestinal Surgery - November 8, 2016 Category: Surgery Source Type: research

Biliary Duct-to-Duct Reconstruction with a Tunneled Retroperitoneal T-Tube During Liver Transplantation: a Novel Approach to Decrease Biliary Leaks After T-Tube Removal
AbstractThe benefit of placing a T-tube for duct-to-duct biliary reconstruction during orthotopic liver transplantation (OLT) remains controversial because it could be associated with specific complications, especially at the time of T-tube removal. While the utility of T-tube during OLT represents an eternal debate, only a few technical refinements of T-tube placement have been described since the report of the original technique by Starzl and colleagues. Herein, we present a novel technique of T-tube placement for duct-to-duct biliary reconstruction during OLT, using a tunneled retroperitoneal route. On the basis of our ...
Source: Journal of Gastrointestinal Surgery - November 4, 2016 Category: Surgery Source Type: research

Distinct Recurrence Risk Factors for Intrahepatic Metastasis and Multicenter Occurrence After Surgery in Patients with Hepatocellular Carcinoma
ConclusionsIM and MO recurrences were associated with distinct risk factors, while blood transfusion and high HBV-DNA load (>2000  IU/ml) were independent risk factors common to both IM and MO recurrences. (Source: Journal of Gastrointestinal Surgery)
Source: Journal of Gastrointestinal Surgery - November 4, 2016 Category: Surgery Source Type: research

Evaluating Trends in the Volume-Outcomes Relationship Following Liver Surgery: Does Regionalization Benefit All Patients the Same?
AbstractIntroductionData evaluating trends in hospital volume are lacking. The current study sought to examine trends in outcomes relative to hospital volume following liver surgery.MethodsA total of 14,296 patients>18  years undergoing an elective liver resection (LR) for cancer were identified using the National Inpatient Sample from 2001 to 2011. Multivariable logistic regression analysis was performed to compare postoperative morbidity and mortality relative to hospital volume over time.ResultsOver time, the proportion of patients undergoing a LR at a high-volume hospital (HVH) increased from 24.4 to 45.0  ...
Source: Journal of Gastrointestinal Surgery - November 3, 2016 Category: Surgery Source Type: research

Tri-comparison of Laparoscopic Nissen, Hill, and Nissen-Hill Hybrid Repairs for Uncomplicated Gastroesophageal Reflux Disease
AbstractBackgroundA randomized controlled trial (RCT) showed that laparoscopic Nissen fundoplication (LNF) and Hill (LHR) repairs are equivalent in treating uncomplicated GERD. We combined both repairs to create a laparoscopic Nissen-Hill Hybrid repair (HYB). The purpose of this study is to compare clinical and objective outcomes of a matched group of HYB to the two cohorts of the RCT.MethodsA retrospective analysis of prospectively collected data from the RCT and a prospectively collected data base was performed. Data were collected preoperatively, postoperatively short-term (ST) at 6  weeks and mid-term (MT) at 6&nd...
Source: Journal of Gastrointestinal Surgery - November 3, 2016 Category: Surgery Source Type: research

Characterizing Short-Term Outcomes Following Surgery for Rectal Cancer: the Role of Race and Insurance Status
ConclusionsIn patients who undergo elective proctectomy for rectal cancer, non-white and non-privately insured status are associated with significantly worse short-term outcomes. Further studies are needed to determine the implications with respect to receipt of adjuvant therapy and survival. (Source: Journal of Gastrointestinal Surgery)
Source: Journal of Gastrointestinal Surgery - October 25, 2016 Category: Surgery Source Type: research

The Use of Mesh in Emergent Ventral Hernia Repair: Effects on Early Patient Morbidity and Mortality
AbstractIntroductionThe long-term recurrence rate of ventral hernia repair is 20 –50 %, with a higher rate of recurrence in cases that do not use mesh. Previous teachings have cautioned against the use of mesh in contaminated wounds. Therefore, emergent ventral hernia repair is often performed without the use of mesh. Our aim is to determine if mesh is used in these cases and its effect on 30-day wound-related morbidity using the American College of Surgeons National Surgery Quality Improvement Program database.MethodsAll emergency ventral hernia repairs performed from 2005 to 2013 were identified. The effect of...
Source: Journal of Gastrointestinal Surgery - October 25, 2016 Category: Surgery Source Type: research

Hand-Assisted Laparoscopic Versus Standard Laparoscopic Colectomy: Are Outcomes and Operative Time Different?
AbstractBackgroundHAL colectomy is a technique perceived to provide the benefits of laparoscopic surgery while improving tactile feedback and operative time. Published data are largely limited to small, single-institution studies.MethodsThe 2012-2013 National Surgical Quality Improvement Program Participant Data Use File was queried for patients undergoing elective SL or HAL colectomy. Patients underwent 1:1 propensity matching and had outcomes compared. An additional subgroup analysis was performed for patients undergoing segmental resections only.Results13,949 patients were identified, of whom 6084 (43.6  %) underwe...
Source: Journal of Gastrointestinal Surgery - October 25, 2016 Category: Surgery Source Type: research

Ewing ’s Sarcoma of the Peritoneum: a Rare Location for Extraskeletal Ewing’s Sarcoma
AbstractA 38-year-old male presented to the emergency department with abdominal pain and bulge. He had a history of irritable bowel syndrome for 1  year with complaint of dyspepsia. Physical examination revealed a distended abdomen with a huge palpable mass located in the paraumblical region. Laboratory findings revealed a high white blood cell count with neutrophil predominance. Contrast-enhanced computed tomography (CT) showed a 23-cm, oval -shaped, grossly necrotic, low-attenuation mass with peripherally located dominant vessels. Magnetic resonance imaging (MRI) with diffusion weighted imaging (DWI) suggested a hig...
Source: Journal of Gastrointestinal Surgery - October 25, 2016 Category: Surgery Source Type: research

Minimally Invasive Resection of Adrenocortical Carcinoma: a Multi-Institutional Study of 201 Patients
AbstractBackground and ObjectivesMinimally invasive surgery for adrenocortical carcinoma (ACC) is controversial. We sought to evaluate the perioperative and long-term outcomes following minimally invasive (MIS) and open resection (OA) of ACC in patients treated with curative intent surgery.MethodsRetrospective data from patients who underwent adrenalectomy for primary ACC at 13 tertiary care cancer centers were analyzed, including demographics, clinicopathological, and operative outcomes. Outcomes following MIS were compared to OA.ResultsA total of 201 patients were evaluated including 47 MIS and 154 OA. There was no diffe...
Source: Journal of Gastrointestinal Surgery - October 21, 2016 Category: Surgery Source Type: research

Buried Barrett Metaplasia After Endoluminal Ablation: a Ticking Time Bomb or Much Ado About Nothing?
(Source: Journal of Gastrointestinal Surgery)
Source: Journal of Gastrointestinal Surgery - October 21, 2016 Category: Surgery Source Type: research

The Impact of Advancing Age on Recurrence and Survival Following Major Hepatectomy for Colorectal Liver Metastases
This study analysed the effect of age on survival in patients undergoing major hepatectomy (MH) for colorectal liver metastases (CRLM). The effect of adjuvant chemotherapy (AC) with age was also assessed.MethodPatients undergoing MH for CRLM between 1996 and 2011 were reviewed. Patients aged
Source: Journal of Gastrointestinal Surgery - October 21, 2016 Category: Surgery Source Type: research

Prophylactic Total Gastrectomy: a Prospective Cohort Study of Long-Term Impact on Quality of Life
ConclusionsWhile most patients do not experience negative psychosocial consequences following PTG, mild physical symptoms persist and may affect long-term HRQOL. The present study emphasizes the need for long-term follow-up of this unique population of survivors. (Source: Journal of Gastrointestinal Surgery)
Source: Journal of Gastrointestinal Surgery - October 17, 2016 Category: Surgery Source Type: research

Lessons Learned from Mentors and Heroes on Leadership and Surgical Resilience
(Source: Journal of Gastrointestinal Surgery)
Source: Journal of Gastrointestinal Surgery - October 17, 2016 Category: Surgery Source Type: research

Effect of Resected Gastric Volume on Ghrelin and GLP-1 Plasma Levels: a Prospective Study
ConclusionGhrelin and GLP-1 changes play a role in the regulation of glucose metabolism during the 1st year after LSG. RGV influences ghrelin and GLP-1 plasma levels after LSG, with a significant improvement in the T2DM control. (Source: Journal of Gastrointestinal Surgery)
Source: Journal of Gastrointestinal Surgery - October 13, 2016 Category: Surgery Source Type: research

Comment on: Preoperative Sarcopenia Strongly Influences the Risk of Postoperative Pancreatic Fistula Formation After Pancreaticoduodenectomy
(Source: Journal of Gastrointestinal Surgery)
Source: Journal of Gastrointestinal Surgery - October 13, 2016 Category: Surgery Source Type: research

Externalized Stents for Pancreatoduodenectomy Provide Value Only in High-Risk Scenarios
AbstractBackgroundEvidence suggests externalized trans-anastomotic stents may be beneficial as a fistula mitigation strategy for pancreatoduodenectomy (PD); however, previous studies have not been rigorously risk-adjusted.MethodsFrom 2001 to 2015, PDs were performed at three institutions, with externalized stents placed at the surgeon ’s discretion. The Fistula Risk Score (FRS) and the Modified Accordion Severity Grading System were used to analyze occurrence and severity of clinically relevant postoperative pancreatic fistula (CR-POPF) across various risk scenarios.ResultsOf 729 PDs, externalized stents were placed ...
Source: Journal of Gastrointestinal Surgery - October 11, 2016 Category: Surgery Source Type: research

Preoperative Chemoradiation for Pancreatic Adenocarcinoma Does Not Increase 90-Day Postoperative Morbidity or Mortality
AbstractBackgroundThe impact of preoperative chemoradiation on postoperative morbidity and mortality of patients with pancreatic adenocarcinoma remains controversial.MethodsConsecutive pancreatectomies for adenocarcinoma performed between 2011 and 2015 were prospectively monitored for 90  days by using a previously reported surveillance system to determine the association between preoperative chemoradiation and adverse events, pancreatic fistulae, readmissions, and mortality.ResultsAmong 209 consecutive patients who underwent pancreatectomy, 159 (76  %) experienced at least one adverse event within 90 postoperati...
Source: Journal of Gastrointestinal Surgery - October 11, 2016 Category: Surgery Source Type: research

Elevated Serum Carcinoembryonic Antigen Is Associated with a Worse Survival Outcome of Patients After Liver Resection for Hepatocellular Carcinoma: a Propensity Score Matching Analysis
ConclusionSerum CEA ≥5.1 μg/L was an independent risk factor of OS and TR of HCC patients, and patients with CEA ≥5.1 μg/L had poorer prognosis, especially for HCC patients with HBV infection. (Source: Journal of Gastrointestinal Surgery)
Source: Journal of Gastrointestinal Surgery - October 11, 2016 Category: Surgery Source Type: research

Expression of VEGF-D, SMAD4, and SMAD7 and Their Relationship with Lymphangiogenesis and Prognosis in Colon Cancer
AbstractAimThe vascular endothelial growth factor (VEGF) and TGF- β1 pathways play important roles in cancer. However, few studies have evaluated the expression and roles of VEGF-D, SMAD4, and SMAD7 in colon cancer, and the conclusions remain controversial. To clarify the roles of VEGF-D, SMAD4, and SMAD7 in colon cancer, we examined their expression and evaluate d correlations with lymphangiogenesis, prognosis, and chemotherapeutic outcome.MethodsThe expression of VEGF-D, SMAD4, and SMAD7 was immunohistochemically examined in 251 primary colon cancer samples obtained from the Harbin Medical University.ResultsThe expr...
Source: Journal of Gastrointestinal Surgery - October 11, 2016 Category: Surgery Source Type: research

Preoperative High Dose of Methylprednisolone Improves Early Postoperative Pulmonary Function, in Super-Obese Patients Undergoing Open Surgery; a Prospective, Comparative Study
ConclusionsPreoperative administration of a single high dose of methylprednisolone in super-obese patients undergoing open surgery inhibits the inflammatory signaling cascade, lessens the systemic inflammatory response, and results in fewer pulmonary complications and better patient recovery. (Source: Journal of Gastrointestinal Surgery)
Source: Journal of Gastrointestinal Surgery - October 11, 2016 Category: Surgery Source Type: research

Laparoendoscopic Single-Site (LESS) Nissen Fundoplication: How We Do It
(Source: Journal of Gastrointestinal Surgery)
Source: Journal of Gastrointestinal Surgery - October 11, 2016 Category: Surgery Source Type: research

Medical Malpractice in Bariatric Surgery: a Review of 140 Medicolegal Claims
ConclusionDelay in diagnosing or managing complications in the postoperative setting, most commonly an anastomotic leak, accounted for the majority of malpractice claims. Measures taken to identify and address anastomotic leaks and other complications early in the postoperative period could potentially reduce the amount of filed malpractice claims related to bariatric surgery.Level of Evidence: III (Source: Journal of Gastrointestinal Surgery)
Source: Journal of Gastrointestinal Surgery - October 11, 2016 Category: Surgery Source Type: research

Frank Gordon Moody, M.D. 1928 –2016
(Source: Journal of Gastrointestinal Surgery)
Source: Journal of Gastrointestinal Surgery - October 11, 2016 Category: Surgery Source Type: research

Pylorus-Resecting Pancreaticoduodenectomy with Proximal Roux-en-Y Gastrojejunal Anastomosis: Is This the Winning Combination for Prevention of Delayed Gastric Emptying After Pancreaticoduodenectomy?
(Source: Journal of Gastrointestinal Surgery)
Source: Journal of Gastrointestinal Surgery - October 11, 2016 Category: Surgery Source Type: research

Surgical Outcomes for the Ruptured Hepatocellular Carcinoma: Multicenter Analysis with a Case-Controlled Study
ConclusionEmergency hepatic resection should be avoided for ruptured HCC in Child-Pugh class B patients. Rupture itself was not a risk for unfavorable surgical outcomes. (Source: Journal of Gastrointestinal Surgery)
Source: Journal of Gastrointestinal Surgery - October 7, 2016 Category: Surgery Source Type: research

Prognostic Value of Lymph Node Status and Extent of Lymphadenectomy in Pancreatic Neuroendocrine Tumors Confined To and Extending Beyond the Pancreas
AbstractBackgroundThe impact of lymph node (LN) status and lymphadenectomy (LA) on survival in pancreatic neuroendocrine tumors (pNETs) remains controversial. We evaluated the impact of tumor extension and grade on nodal metastasis and survival.MethodsSurgical pNET patients were queried in the Surveillance Epidemiology and End Results (SEER) database (1998 –2012,N = 981). Factors associated with LN status were analyzed by logistic regression and by Cox analyses.ResultsFor T1 –T2 tumors, N status was associated only with tumor size. N status (p = 0.001), grade (p 
Source: Journal of Gastrointestinal Surgery - October 6, 2016 Category: Surgery Source Type: research

Transarterial Chemoembolization for the Treatment of Advanced-Stage Hepatocellular Carcinoma
AbstractIt remains controversial whether transarterial chemoembolization (TACE) should be performed in patients with advanced-stage hepatocellular carcinoma (HCC). The present large retrospective cohort study aimed to define the survival outcome following TACE of advanced HCC and to identify the prognostic factors. Five hundred eight patients with Barcelona Clinic Liver Cancer (BCLC) C-stage HCC, Child-Pugh A/B who were treated with TACE between November 1998 and December 2013 were identified. There was no significant difference in overall survival (OS) between patients with Eastern Cooperative Oncology Group (ECOG) 0 and ...
Source: Journal of Gastrointestinal Surgery - October 6, 2016 Category: Surgery Source Type: research

Randomized Comparison of Subcuticular Sutures Versus Staples for Skin Closure After Open Abdominal Surgery: a Multicenter Open-Label Randomized Controlled Trial
ConclusionSubcuticular sutures did not increase the occurrence of superficial SSIs following open laparotomies mainly consisting of clean-contaminated surgical procedures. The applicability of the wound closure material and method is likely to depend on individual circumstances of the patient and surgical procedure. (Source: Journal of Gastrointestinal Surgery)
Source: Journal of Gastrointestinal Surgery - October 3, 2016 Category: Surgery Source Type: research

Impact of Delta Hemoglobin on Provider Transfusion Practices and Post-operative Morbidity Among Patients Undergoing Liver and Pancreatic Surgery
AbstractBackgroundDelta hemoglobin ( ΔHb) is defined as the difference between the preoperative Hb and the lowest post-operative Hb level. We sought to define the impact of ΔHb relative to nadir Hb levels on the likelihood of transfusion, as well as characterize the impact of ΔHb and nadir Hb on morbidity among a large cohort of pat ients undergoing complex hepatopancreatobiliary (HPB) surgery.MethodsPatients who underwent pancreatic or hepatic resection between January 1, 2009 and June 30, 2015 at Johns Hopkins Hospital were identified. Data on the perioperative ΔHb, nadir Hb, as well as blood util...
Source: Journal of Gastrointestinal Surgery - September 30, 2016 Category: Surgery Source Type: research

Patient Adherence and Experience with Extended Use of Prophylactic Low-Molecular-Weight Heparin Following Pancreas and Liver Resection
ConclusionPatients reported high adherence and a manageable experience with post-operative extended-duration LMWH in an ambulatory setting following liver or pancreas resection. These findings suggest that patient adherence is not a major contributor to poor compliance with VTE prophylaxis guidelines. (Source: Journal of Gastrointestinal Surgery)
Source: Journal of Gastrointestinal Surgery - September 29, 2016 Category: Surgery Source Type: research

Mucosal Perforation During Laparoscopic Heller Myotomy Has No Influence on Final Treatment Outcome
ConclusionsAccidental perforation during LHD is infrequent and impossible to predict on the grounds of preoperative therapy or the surgeon ’s personal experience. Despite a longer surgical procedure and hospital stay, the outcome of LHD is much the same as for patients undergoing uneventful myotomy. A recent mucosal perforation does not influence the surgeon’s subsequent performance. (Source: Journal of Gastrointestinal Surgery)
Source: Journal of Gastrointestinal Surgery - September 29, 2016 Category: Surgery Source Type: research

The Clinical Utility of Over-the-Scope Clip for the Treatment of Gastrointestinal Defects
ConclusionsOTSC appears to have additional value in treating UGI defects. However, lower success rates for LGI defects were noted, specifically for fistulae. Most patients require an additional endoscopic or surgical procedure after one OTSC application. (Source: Journal of Gastrointestinal Surgery)
Source: Journal of Gastrointestinal Surgery - September 29, 2016 Category: Surgery Source Type: research

Perioperative Hyperglycemia and Postoperative Outcomes in Patients Undergoing Resection of Colorectal Liver Metastases
AbstractIntroductionThere is limited evidence characterizing the impact of glycemic alterations on short-term outcomes among patients undergoing resection of colorectal liver metastases (CRLM).MethodsHyperglycemia was defined as a glucose value>125  mg/dl according to WHO definition. The impact of early postoperative hyperglycemia on short-term postoperative outcomes was assessed.ResultsThe mean postoperative glucose value was 128  mg/dl; 30 (9.8 %) patients had normal fasting glucose (125  mg/dl). A postoperative complication occurred in 101 patients (morbidity, 33.1 %); among patients who expe...
Source: Journal of Gastrointestinal Surgery - September 27, 2016 Category: Surgery Source Type: research

Water-Soluble Enema Prior to Ileostomy Closure in Patients Undergoing Low Anterior Resection: Is It Necessary?
ConclusionRoutine water-soluble enema for the evaluation of colorectal anastomosis before ileostomy takedown does not provide additional information that changes patient management. The efficacy of this test in patients after neoadjuvant chemoradiotherapy and low anterior resection should be reassessed. (Source: Journal of Gastrointestinal Surgery)
Source: Journal of Gastrointestinal Surgery - September 23, 2016 Category: Surgery Source Type: research

Importance of esophageal manometry and pH monitoring for the evaluation of otorhinolaryngologic (ENT) manifestations of GERD. A multicenter study
This study aims to determine sensitivity and specificity of symptoms, nasal endoscopy, and laryngoscopy for the diagnosis of GERD as compared to pH monitoring.MethodsWe studied 79 patients (mean age 53  years, 38 % males) in whom ENT symptoms were assumed to be secondary to GERD. All patients underwent a transnasal laryngoscopy by the ENT team and upper endoscopy and esophageal function tests by the surgical team. GERD was defined by a pathological pH monitoring.ResultsPathologic reflux by pH monitoring was documented in 36 of the 79 patients (46  %), with a mean DeMeester score of 44. In 25 of the 36 patien...
Source: Journal of Gastrointestinal Surgery - September 23, 2016 Category: Surgery Source Type: research

Inhaled Beta Agonist Bronchodilator Does Not Affect Trans-diaphragmatic Pressure Gradient but Decreases Lower Esophageal Sphincter Retention Pressure in Patients with Chronic Obstructive Pulmonary Disease (COPD) and Gastroesophageal Reflux Disease (GERD)
ConclusionIn conclusion, inhaled beta agonist bronchodilators not only increase the thoracic pressure but also lead to an increased abdominal pressure favoring GERD by affecting the esophagogastric barrier. (Source: Journal of Gastrointestinal Surgery)
Source: Journal of Gastrointestinal Surgery - September 23, 2016 Category: Surgery Source Type: research

Technical Details of an Anterior Approach to the Superior Mesenteric Artery During Pancreaticoduodenectomy
ConclusionsSHT is a feasible and safe technique with acceptable short-term outcomes. We propose the use of this procedure to standardize en bloc dissection around the SMA. (Source: Journal of Gastrointestinal Surgery)
Source: Journal of Gastrointestinal Surgery - September 23, 2016 Category: Surgery Source Type: research

Prognosis of Fibrolamellar Carcinoma Compared to Non-cirrhotic Conventional Hepatocellular Carcinoma
AbstractBackgroundFibrolamellar carcinoma (FLC) and conventional hepatocellular carcinoma (HCC) share the same American Joint Committee on Cancer (AJCC) staging. The worse survival with HCC is attributed to the underlying cirrhosis.The aim of this study was to compare stage-matched prognosis after resection of FLC and non-cirrhotic HCC.MethodsOutcomes after resection of 65 consecutive patients with FLC and 158 non-cirrhotic patients with HCC were compared. Patients were staged according to the 7th edition AJCC staging.ResultsThe AJCC stage distributions for FLC and HCC demonstrated a predominance of stage IV disease in FLC...
Source: Journal of Gastrointestinal Surgery - September 23, 2016 Category: Surgery Source Type: research

Efficacy and Safety of Combined Ultrasonic and Bipolar Energy Source in Laparoscopic Surgery
ConclusionTB provides a reliable and effective hemostasis. However, ligation failure may occur. As with any kind of electrosurgery, the hot tip of the instruments bears the risk of potentially fatal thermal injuries. (Source: Journal of Gastrointestinal Surgery)
Source: Journal of Gastrointestinal Surgery - September 23, 2016 Category: Surgery Source Type: research

Extranodal Extension of Nodal Metastases Is a Poor Prognostic Indicator in Gastric Cancer: a Systematic Review and Meta-analysis
DiscussionJudging from our results, ENE in gastric cancer patients should be considered for prognostic purposes from the gross sample to the pathology report. (Source: Journal of Gastrointestinal Surgery)
Source: Journal of Gastrointestinal Surgery - September 23, 2016 Category: Surgery Source Type: research

How Does Cholecystectomy Influence Recurrence of Idiopathic Acute Pancreatitis?
ConclusionsFollowing an episode of acute pancreatitis with no identifiable cause, in patients fit for surgery, cholecystectomy should be considered to reduce the risk of recurrent episodes of pancreatitis. (Source: Journal of Gastrointestinal Surgery)
Source: Journal of Gastrointestinal Surgery - September 23, 2016 Category: Surgery Source Type: research

Abdominal Pain due to a Wandering Liver
AbstractWandering liver syndrome is an extremely rare congenital disorder. It is mainly diagnosed within the first years of life. Herein we report the case of a 40-year-old woman with hepatoptosis due to the absence of anatomical peritoneal attachments of the liver. Surgical treatment consisted in inserting the floppy right lobe of the liver in a subphrenic retroperitoneal pouch. This original technique provided excellent postoperative result. (Source: Journal of Gastrointestinal Surgery)
Source: Journal of Gastrointestinal Surgery - September 22, 2016 Category: Surgery Source Type: research

Gastric Perforation due to Giant Trichobezoar in a 13-Year-Old Child
We report the case of a 13-year-old girl who was brought to the emergency service for evaluation of an acute abdomen. Abdominal CT scanner showed a giant gastric trichobezoar which had to be removed by susombilical laparotomy and transverse gastrotomy. This case illustrates the fairly uncommon perforation risk of these gastric bezoars. (Source: Journal of Gastrointestinal Surgery)
Source: Journal of Gastrointestinal Surgery - September 22, 2016 Category: Surgery Source Type: research

ALPPS for Colorectal Liver Metastases
(Source: Journal of Gastrointestinal Surgery)
Source: Journal of Gastrointestinal Surgery - September 22, 2016 Category: Surgery Source Type: research

Juxtapapillary Duodenal Diverticulum Impacted with Enterolith
AbstractA 64-year-old man underwent abdominal computed tomography (CT) as periodic follow-up following a distal gastrectomy with lymphadenectomy for gastric cancer and mucosal-associated lymphoid tissue (MALT) lymphoma conducted 31  months earlier. Contrast-enhanced CT demonstrated a well-circumscribed mass lesion with heterogeneous density measuring 2.2 cm in diameter located between the second segment of the duodenum and uncinate process of the pancreas. Esophagogastroduodenoscopy revealed no remarkable findings in the rem nant stomach; however, the scope could not reach the duodenum due to altered anatomy by R...
Source: Journal of Gastrointestinal Surgery - September 21, 2016 Category: Surgery Source Type: research