Mechanism of pancreatic juice reflux in pancreaticobiliary maljunction: a fluid dynamics model experiment
ConclusionsGallbladder function may be strongly involved in pancreatic juice reflux in PBM without biliary dilatation. Cholecystectomy may be able to stop the reflux of pancreatic juice. (Source: Journal of Hepato-Biliary-Pancreatic Sciences)
Source: Journal of Hepato-Biliary-Pancreatic Sciences - January 14, 2020 Category: Gastroenterology Authors: Hiroaki Fukuzawa, Keisuke Kajihara, Tsutomu Tajikawa, Keita Aoki, Tetsuo Ajiki, Kosaku Maeda Tags: ORIGINAL ARTICLE Source Type: research

Newsletter, January 2020
Journal of Hepato-Biliary-Pancreatic Sciences, Volume 27, Issue 1, Page 34-41, January 2020. (Source: Journal of Hepato-Biliary-Pancreatic Sciences)
Source: Journal of Hepato-Biliary-Pancreatic Sciences - January 8, 2020 Category: Gastroenterology Tags: Announcement Source Type: research

Issue Information ‐ IFA
Journal of Hepato-Biliary-Pancreatic Sciences, Volume 27, Issue 1, Page 42-46, January 2020. (Source: Journal of Hepato-Biliary-Pancreatic Sciences)
Source: Journal of Hepato-Biliary-Pancreatic Sciences - January 8, 2020 Category: Gastroenterology Tags: Issue Information ‐ IFA Source Type: research

ILLS 2019 and the development of laparoscopic liver resection in Japan
Journal of Hepato-Biliary-Pancreatic Sciences, EarlyView. (Source: Journal of Hepato-Biliary-Pancreatic Sciences)
Source: Journal of Hepato-Biliary-Pancreatic Sciences - January 4, 2020 Category: Gastroenterology Authors: Go Wakabayashi, Minoru Tanabe Tags: Editorial Source Type: research

Reticular pattern around superior mesenteric artery in computed tomography imaging predicting poor prognosis of pancreatic head cancer
This study aimed to clarify the clinical significance of the reticular pattern in pancreatic head cancer.MethodsA total of 91 patients with pancreatic head cancer, who underwent upfront pancreaticoduodenectomy between 2004 and 2017, were included. Patients without reticular pattern (Non ‐group,n =  39); with reticular pattern around SMA (Ret‐group,n =  39); and with soft tissue contact (Soft‐group,n =  13) were compared.ResultsMedian overall survival (OS) of patients in the Ret ‐group was significantly worse than that in the Non‐group (21.3 vs. 57.0 months;P 
Source: Journal of Hepato-Biliary-Pancreatic Sciences - December 17, 2019 Category: Gastroenterology Authors: Tomotaka Kato, Daisuke Ban, Ukihide Tateishi, Toshiro Ogura, Kosuke Ogawa, Hiroaki Ono, Yusuke Mitsunori, Atsushi Kudo, Shinji Tanaka, Minoru Tanabe Tags: Original Article Source Type: research

Issue Information ‐ IFA
Journal of Hepato-Biliary-Pancreatic Sciences, Volume 26, Issue 12, Page 593-597, December 2019. (Source: Journal of Hepato-Biliary-Pancreatic Sciences)
Source: Journal of Hepato-Biliary-Pancreatic Sciences - December 3, 2019 Category: Gastroenterology Tags: Issue Information ‐ IFA Source Type: research

Liver retransplantation in adult recipients: Analysis of a 38 ‐year experience in the Netherlands
AbstractBackgroundLiver retransplantation (re ‐LT) accounts for up to 22% after primary liver transplantation (LT), and using donor livers for retransplantation can only be justified by successful outcome.MethodsA total of 2387 adult recipients with 2778 LT, between 1979 and 2017, were analyzed to determine risk factors and outcome of re ‐LT in the Netherlands.ResultsOf 2778 LT, 336 (12.1%) were first, 43 (1.5%) were second, and 12 (0.5%) were third or fourth re ‐LT. The 5‐year patient survival for primary LT, and first, second, and third or fourth re‐LT were 74.0%, 70.8%, 63.3%, and 57.1%, respectively (P = 0.10...
Source: Journal of Hepato-Biliary-Pancreatic Sciences - November 26, 2019 Category: Gastroenterology Authors: Kosei Takagi, Piotr Domagala, Robert J Porte, Ian Alwayn, Herold J. Metselaar, Aad P. van den Berg, Bart van Hoek, Jan N.M. Ijzermans, Wojciech G. Polak Tags: Plenary Session Source Type: research

Comparing Laparoscopic and Open Pancreaticoduodenectomy in Patients with Pancreatic Head Cancer: Oncologic outcomes and Inflammatory Scores
ConclusionsLPD is not only safe and feasible in pancreatic head cancer patients but is associated with a reduced amount of EBL, favorable DFS. (Source: Journal of Hepato-Biliary-Pancreatic Sciences)
Source: Journal of Hepato-Biliary-Pancreatic Sciences - November 9, 2019 Category: Gastroenterology Authors: Munseok Choi, Ho Kyoung Hwang, Seoung Yoon Rho, Woo Jung Lee, Chang Moo Kang Tags: ORIGINAL ARTICLE Source Type: research

The first intraoperative measurement of liver functional capacity during liver surgery using the 13C ‐methacetin‐ breath‐test – early results of a pilot study
AbstractLiver resection represents the main curative therapeutic option for primary and secondary liver malignancies. Whereas hypertrophy ‐inducing methods and modern chemotherapies expand its boundaries, the postoperative liver failure remains one of its most dreadful complications. In this context, the perioperative evaluation of remnant liver volume and quality plays a central role in planning and handling "major" resections. Cur rently, the indocyanine‐green (ICG)‐clearance‐test in eastern centres and the13C ‐methacetin‐breath‐test in european centres [1] are the two internationally leading meth...
Source: Journal of Hepato-Biliary-Pancreatic Sciences - November 9, 2019 Category: Gastroenterology Authors: Georgios Makridis, Karl J. Oldhafer Tags: RAPID COMMUNICATION Source Type: research

Reticular Pattern around SMA in CT Imaging Predicting Poor Prognosis of Pancreatic Head Cancer
This study aimed to clarify the clinical significance of the reticular pattern in pancreatic head cancer.MethodsA total number of 91 patients with pancreatic head cancer, who underwent upfront pancreaticoduodenectomy between 2004 and 2017, were included. Patients without reticular pattern (Non ‐group, 39); with reticular pattern around SMA (Ret‐group, 39); and with soft tissue contact (Soft‐group, 13) were compared.ResultsMedian overall survival (OS) of patients in the Ret ‐group was significantly worse than that in the Non‐group (21.3 vs 57.0 months;P
Source: Journal of Hepato-Biliary-Pancreatic Sciences - November 8, 2019 Category: Gastroenterology Authors: Tomotaka Kato, Daisuke Ban, Ukihide Tateishi, Toshiro Ogura, Kosuke Ogawa, Hiroaki Ono, Yusuke Mitsunori, Atsushi Kudo, Shinji Tanaka, Minoru Tanabe Tags: ORIGINAL ARTICLE Source Type: research

Novel concept of bared type metallic stent for endoscopic bilateral stent ‐in‐stent placement in patients with hilar malignant biliary obstruction (with video)
AbstractFor endoscopic bilateral stent ‐in‐stent placement (SIS) of self‐expandable metal stents (SEMSs) in patients with hilar malignant biliary obstruction (hMBO), increase in the degree of bend in the bile duct stricture may create a gap between the guide wire (GW) and cause the delivery tip to be caught in the mesh of the init ially inserted SEMS, leading to failure. (Source: Journal of Hepato-Biliary-Pancreatic Sciences)
Source: Journal of Hepato-Biliary-Pancreatic Sciences - November 8, 2019 Category: Gastroenterology Authors: Mamoru Takenaka, Atsushi Nakai, Masatoshi Kudo Tags: IMAGE OF INTEREST Source Type: research

A multicenter prospective registration study on laparoscopic pancreatectomy in Japan: report on the assessment of 1,429 patients
ConclusionLDP and LPD are performed safely in Japan, especially in experienced institutions. Our data could support the next challenges in the field of laparoscopic pancreatectomy. (Source: Journal of Hepato-Biliary-Pancreatic Sciences)
Source: Journal of Hepato-Biliary-Pancreatic Sciences - October 30, 2019 Category: Gastroenterology Authors: Takao Ohtsuka, Yuichi Nagakawa, Hirochika Toyama, Yutaka Takeda, Atsuyuki Maeda, Yusuke Kumamoto, Yoshiharu Nakamura, Kazuki Hashida, Goro Honda, Kengo Fukuzawa, Eiji Toyoda, Minoru Tanabe, Naoto Gotohda, Ippei Matsumoto, Tomoki Ryu, Ichiro Tags: Original Article Source Type: research

Corrigendum
Journal of Hepato-Biliary-Pancreatic Sciences, Volume 26, Issue 11, Page 534-534, November 2019. (Source: Journal of Hepato-Biliary-Pancreatic Sciences)
Source: Journal of Hepato-Biliary-Pancreatic Sciences - October 28, 2019 Category: Gastroenterology Tags: Corrigendum Source Type: research

Issue Information ‐ IFA
Journal of Hepato-Biliary-Pancreatic Sciences, Volume 26, Issue 11, Page 535-539, November 2019. (Source: Journal of Hepato-Biliary-Pancreatic Sciences)
Source: Journal of Hepato-Biliary-Pancreatic Sciences - October 28, 2019 Category: Gastroenterology Tags: Issue Information ‐ IFA Source Type: research

A novel integrated inside biliary stent and nasobiliary drainage catheter system for biliary drainage (with video)
AbstractEndoscopic biliary drainage (BD) has been commonly performed in patients with biliary obstruction. Endoscopic nasobiliary drainage (ENBD) is the safest technique [1]. ENBD is also a feasible method for preoperative BD in patients with perihilar biliary obstruction [2, 3]. When patients develop acute cholangitis from internal BD, currently, ENBD placement or endoscopic biliary stenting (EBS) replacement is required. (Source: Journal of Hepato-Biliary-Pancreatic Sciences)
Source: Journal of Hepato-Biliary-Pancreatic Sciences - October 26, 2019 Category: Gastroenterology Authors: Hiroshi Kawakami, Takao Itoi Tags: RAPID COMMUNICATION Source Type: research

Predictive performance of Blumgart T staging for perihilar cholangiocarcinoma in a Japanese center
AbstractBackground/purposeThe Blumgart system has been used for local tumor assessment in perihilar cholangiocarcinoma to predict resectability and survival, and T3 tumors are considered unresectable disease. The aim was to validate the predictive performance of this system using a Japanese cohort.MethodsMedical records of consecutive patients with perihilar cholangiocarcinoma between 2006 and 2016 were retrospectively reviewed. Resectability, surgical procedure, R0 resection rate, and survival were compared among T stages.ResultsAmong 729 study patients, 191 patients had T1 tumors, 94 patients had T2 tumors, and 444 (60.9...
Source: Journal of Hepato-Biliary-Pancreatic Sciences - October 26, 2019 Category: Gastroenterology Authors: Tomoki Ebata, Takashi Mizuno, Yukihiro Yokoyama, Tsuyoshi Igami, Junpei Yamaguchi, Shunsuke Onoe, Nobuyuki Watanabe, Masato Nagino Tags: Original Article Source Type: research

Outcome of portosystemic shunt surgery on pre ‐existing cholangiopathy in children with extrahepatic portal venous obstruction
ConclusionNon ‐selective PSS decompresses esophago‐gastro‐splenic venous circuit effectively but fails to ameliorate cholangiopathy and peribiliary collaterals. Peristence of cholangiopathy is attributable to SMV block. (Source: Journal of Hepato-Biliary-Pancreatic Sciences)
Source: Journal of Hepato-Biliary-Pancreatic Sciences - October 25, 2019 Category: Gastroenterology Authors: Aathira Ravindranath, Moinak Sen Sarma, Surender Kumar Yachha, Richa Lal, Somesh Singh, Anshu Srivastava, Ujjal Poddar, Zafar Neyaz, Anu Behari Tags: ORIGINAL ARTICLE Source Type: research

Proposal of the Minimal Number of Retrieved Regional Lymph Nodes for Accurate Staging of Distal Bile Duct Cancer and Clinical Validation of the Three ‐tier Lymph Node Staging System (AJCC 8th edition)
ConclusionsFor accurate staging, at least 12 LNs should be retrieved. The three ‐tier N staging system is valid for clinical practice and has a more accurate prognostic predictability than the two‐tier system. (Source: Journal of Hepato-Biliary-Pancreatic Sciences)
Source: Journal of Hepato-Biliary-Pancreatic Sciences - October 21, 2019 Category: Gastroenterology Authors: Jae Seung Kang, Ryota Higuchi, Jin He, Masakazu Yamamoto, Christopher L. Wolfgang, John L. Cameron, Youngmin Han, Donghee Son, Seungyeon Lee, Yoo Jin Choi, Yoonhyeong Byun, Hongbeom Kim, Wooil Kwon, Sun ‐Whe Kim, Taesung Park, Jin‐Young Tags: ORIGINAL ARTICLE Source Type: research

Vertical interval between hepatic segment of inferior vena cava and right atrium predicts intraoperative blood loss during hemi ‐hepatectomy
ConclusionsThe IVC ‐RA gap is a novel and simple predictor of iEBL. (Source: Journal of Hepato-Biliary-Pancreatic Sciences)
Source: Journal of Hepato-Biliary-Pancreatic Sciences - October 21, 2019 Category: Gastroenterology Authors: Katsunori Sakamoto, Kohei Ogawa, Takashi Matsui, Takeshi Utsunomiya, Masahiko Honjo, Yoshitomo Ueno, Kei Tamura, Hitoshi Inoue, Akihiro Takai, Yasutsugu Takada Tags: ORIGINAL ARTICLE Source Type: research

Classification of pancreaticobiliary maljunction and its clinical features in adults
AbstractBackgroundIn pancreaticobiliary maljunction (PBM), reflux of pancreatic juice and bile produces various pathological conditions in the biliary tract and pancreas. Clinical features according to the classification of PBM by confluence between the distal bile duct and the main pancreatic duct proposed in 2015 were evaluated in children.MethodsClinical features and complicating diseases according to the PBM classification were evaluated in 168 adult PBM patients. Patency of Santorini duct and associated biliary carcinomas were evaluated in 123 patients.ResultsSimilar to children, there were significant differences in age (P
Source: Journal of Hepato-Biliary-Pancreatic Sciences - October 21, 2019 Category: Gastroenterology Authors: Kensuke Yoshimoto, Terumi Kamisawa, Masataka Kikuyama, Sawako Kuruma, Kazuro Chiba, Yoshinori Igarashi Tags: ORIGINAL ARTICLE Source Type: research

Single ‐session multiple stent deployment using moving cell stent without dilating initial stent mesh to treat malignant hepatic hilar obstruction (with Videos)
ConclusionIn conclusion, uncovered moving cell SEMS might facilitate bilateral stent deployment using SIS technique. (Source: Journal of Hepato-Biliary-Pancreatic Sciences)
Source: Journal of Hepato-Biliary-Pancreatic Sciences - October 19, 2019 Category: Gastroenterology Authors: Takeshi Ogura, Mamoru Takenaka, Hideyuki Shiomi, Nobu Nishioka, Saori Ueno, Akira Miyano, Rieko Kamiyama, Kazuhide Higuchi Tags: ORIGINAL ARTICLE Source Type: research

Reappraisal of the validity of surgery for patients with pancreatic cancer aged 80 years or older stratified by resectability status
AbstractPurposeThe aim of this study was to assess the validity of surgical resection for patients with pancreatic adenocarcinoma (PDAC) aged ≥80 years stratified by resectability status.MethodsMedical records of 245 with resectable (R) and 169 with borderline resectable/unresectable (BR/UR) PDAC, were reviewed retrospectively. Of the total of 414 patients, 56 (14%) were ≥80 years. The prognostic impact of age ≥80 years was analyzed with stratification by resectability status.ResultsNo significant difference was found in the incidence of major complications between patients aged ≥80 versus
Source: Journal of Hepato-Biliary-Pancreatic Sciences - October 10, 2019 Category: Gastroenterology Authors: Naru Kondo, Kenichiro Uemura, Naoya Nakagawa, Kenjiro Okada, Shingo Seo, Shinya Takahashi, Yoshiaki Murakami Tags: Original Article Source Type: research

Survey of preoperative management protocol for perihilar cholangiocarcinoma at 10 Japanese high ‐volume centers with a combined experience of 2,778 cases
AbstractBackgroundIn Japan, strategies for preoperative management of perihilar cholangiocarcinoma (PHC) have evolved over the last decade; the operative mortality has significantly reduced to
Source: Journal of Hepato-Biliary-Pancreatic Sciences - October 10, 2019 Category: Gastroenterology Authors: Rohan Jagat Chaudhary, Ryota Higuchi, Masato Nagino, Michiaki Unno, Masayuki Ohtsuka, Itaru Endo, Satoshi Hirano, Katsuhiko Uesaka, Kiyoshi Hasegawa, Toshifumi Wakai, Shinji Uemoto, Masakazu Yamamoto Tags: Original Article Source Type: research

Issue Information ‐ IFA
Journal of Hepato-Biliary-Pancreatic Sciences, Volume 26, Issue 10, Page 473-477, October 2019. (Source: Journal of Hepato-Biliary-Pancreatic Sciences)
Source: Journal of Hepato-Biliary-Pancreatic Sciences - October 6, 2019 Category: Gastroenterology Tags: Issue Information ‐ IFA Source Type: research

Successful biliary self ‐expandable metallic stenting using an ultra‐slim endoscope for cholangitis caused by pancreatic cancer
AbstractAn 80 ‐year‐old man who had a 10×50‐mm self‐expandable metallic stent (SEMS) (BONA‐SHIMSTENT biliary‐covered; Standard SciTech Inc, Seoul, South Korea) placed for biliary obstruction due to pancreatic cancer presented with fever and jaundice. He previously underwent distal gastrectomy with Bi llroth II reconstruction for duodenal ulcer. (Source: Journal of Hepato-Biliary-Pancreatic Sciences)
Source: Journal of Hepato-Biliary-Pancreatic Sciences - October 4, 2019 Category: Gastroenterology Authors: Akihiko Kida, Koichiro Matsuda, Masaaki Yano, Fumitaka Arihara, Kohei Ogawa, Mitsuru Matsuda, Akito Sakai Tags: How I Do It Source Type: research

Influence of duration of type 1 diabetes on long ‐term pancreatic transplant outcomes
ConclusionsDiabetes duration has no influence on patient survival. However, long duration of T1DM appears to be protective against pancreatic graft loss. (Source: Journal of Hepato-Biliary-Pancreatic Sciences)
Source: Journal of Hepato-Biliary-Pancreatic Sciences - September 30, 2019 Category: Gastroenterology Authors: Jie Zhou, Yinlei Dong, Shengmin Mei, Yangjun Gu, Zhiwei Li, Jie Xiang, Huilin Zheng, Zheng Chen, Zhichao Huang, Zhenhua Hu Tags: ORIGINAL ARTICLE Source Type: research

Decrease in major secondary bile acid, hyodeoxycholic acid, was the main alteration in hepatic bile acid compositions in a hypertensive nonalcoholic fatty liver disease model
ConclusionsWe demonstrated that the decrease in HDCA species was the main alteration in a hypertensive NAFLD model. It was suggested that the decrease in HDCA species in the (Source: Journal of Hepato-Biliary-Pancreatic Sciences)
Source: Journal of Hepato-Biliary-Pancreatic Sciences - September 28, 2019 Category: Gastroenterology Authors: Masanobu Kodama, Keishi Kanno, Nobusuke Kishikawa, Hajime Takei, Hiroshi Nittono, Susumu Tazuma Tags: ORIGNAL ARTICLE Source Type: research

Hypothermic Perfusion Hepatectomy for Unresectable Liver Cancer: A Single ‐Center Experience
ConclusionsHypothermic perfusion hepatectomy is a realistic option for achieving surgical cure or significantly improved survival and quality of life in patients with tumors deemed unresectable using conventional normothermic hepatectomy. These approaches can overcome the limitations of the liver's restricted normothermic ischemia tolerance or inaccessible tumor locations. (Source: Journal of Hepato-Biliary-Pancreatic Sciences)
Source: Journal of Hepato-Biliary-Pancreatic Sciences - September 28, 2019 Category: Gastroenterology Authors: Young ‐In Yoon, Sung‐Gyu Lee, Deok‐Bog Moon, Ki‐Hun Kim, Cheon‐Soo Park, Gil‐Chun Park, Yong‐Pil Cho Tags: ORIGINAL ARTICLE Source Type: research

Novel single ‐layer continuous suture of Pancreaticojejunostomy for robotic pancreaticoduodenectomy
This study aimed to evaluate the safety and feasibility of a novel technique of pancreaticojejunostomy (PJ) for RPD.MethodsThe demographics and perioperative outcomes of a consecutive series of RPD patients who underwent single ‐layer continuous suture (SCS) for PJ between September 2018 and November 2018 were analyzed.ResultsThirty patients were included in the study. Twenty patients had a soft pancreas, and 15 patients had a small main pancreatic duct (MPD) (
Source: Journal of Hepato-Biliary-Pancreatic Sciences - September 28, 2019 Category: Gastroenterology Authors: Qu Liu, Zhiming Zhao, Yuanxing Gao, Guodong Zhao, Xianglong Tan, Chihyuan Wang, Rong Liu Tags: Original Article Source Type: research

Recurrence of common bile duct stones following laparoscopic common bile duct exploration: A multicenter study
ConclusionsStone size>9 mm, CBD diameter ≥10 mm, and prior history of LC were risk factors for recurrence of CBDS after LCBDE. (Source: Journal of Hepato-Biliary-Pancreatic Sciences)
Source: Journal of Hepato-Biliary-Pancreatic Sciences - September 28, 2019 Category: Gastroenterology Authors: Sun Young Park, Tae Ho Hong, Sang Kuon Lee, Il Young Park, Tae Hyeon Kim, Sung Geun Kim Tags: ORIGINAL ARTICLE Source Type: research

Hospital volume and mortality in liver resections for colorectal metastasis using population ‐based administrative data
ConclusionBased on almost complete German hospital discharge data, the results did not confirm unconditional volume –outcome relationship for CRLM patients. (Source: Journal of Hepato-Biliary-Pancreatic Sciences)
Source: Journal of Hepato-Biliary-Pancreatic Sciences - September 28, 2019 Category: Gastroenterology Authors: Richard Hunger, Anne Mantke, Christian Herrmann, Alexis Leonhard Grimm, Juliane Ludwig, Ren é Mantke Tags: ORIGINAL ARTICLE Source Type: research

Intrahepatic biliary stones extraction via an EUS ‐guided hepaticogastrostomy route confirmed by peroral transluminal video cholangioscopy (with video)
AbstractEndoscopic ultrasonography (EUS) ‐guided bile duct stone (BDS) treatment has been developed for patients with duodenal obstruction, biliary stricture, or surgically altered anatomy. Recently, peroral transluminal video cholangioscopy (POTVCS)‐guided BDS treatment via the EUS‐guided biliary drainage route has been reported [1‐ 5]. Here, we present a successful case of intrahepatic BDS extraction via the EUS‐guided hepaticogastrostomy (EUS‐HGS) route confirmed under direct antegrade POTVCS. (Source: Journal of Hepato-Biliary-Pancreatic Sciences)
Source: Journal of Hepato-Biliary-Pancreatic Sciences - September 28, 2019 Category: Gastroenterology Authors: Hiroshi Kawakami, Takao Itoi, Tessin Ban Tags: Image Of Interest Source Type: research

Laparoscopic anatomic resection of segment 7 of the liver using the intrahepatic Glissonean approach from the dorsal side (with video)
AbstractLaparoscopic anatomic resection of S7 (Lap ‐S7) is considered challenging because of its anatomical position and difficulty in identifying and isolating the Glissonean pedicles of S7 (G7) and approaching the right hepatic vein (RHV) [1]. G7 passes through the dorsal side of the RHV and close to the posterior liver surface. Therefore, apart from the benefit of laparoscopic caudo‐dorsal view, the approach to G7 is easier from the dorsal side of the liver (Fig. 1) [2]. (Source: Journal of Hepato-Biliary-Pancreatic Sciences)
Source: Journal of Hepato-Biliary-Pancreatic Sciences - September 27, 2019 Category: Gastroenterology Authors: Yusuke Ome, Yasuji Seyama, Manami Doi Tags: IMAGE OF INTEREST Source Type: research

Re: Laennec ’s capsule does not exist around the peripheral hepatic veins
Journal of Hepato-Biliary-Pancreatic Sciences, EarlyView. (Source: Journal of Hepato-Biliary-Pancreatic Sciences)
Source: Journal of Hepato-Biliary-Pancreatic Sciences - September 23, 2019 Category: Gastroenterology Authors: Atsushi Sugioka Tags: LETTER TO THE EDITOR Source Type: research

Upfront pancreaticoduodenectomy in severely jaundiced patients: Is it safe?
AbstractAimAim of the study was to evaluate the outcomes following upfront pancreaticoduodenectomy (PD) in severely jaundiced (serum bilirubin level ≥15 mg/dl) patients with malignant distal common bile duct (CBD) obstruction.BackgroundRecent studies have failed to show the benefits of preoperative biliary drainage (PBD) before PD. In addition, there is limited data on the impact of upfront PD on perioperative outcomes in severely jaundiced patients.MethodsWe reviewed the prospectively collected data of 177 patients who had undergone PD for the malignant distal CBD obstruction from May 2009 to May 2018. Study subjects w...
Source: Journal of Hepato-Biliary-Pancreatic Sciences - September 18, 2019 Category: Gastroenterology Authors: Viniyendra Pamecha, Nilesh Sadashiv Patil, Senthil Kumar, Vivek Rajendran, Sahil Gupta, Shridhar Vasantrao Sasturkar, Piyush Kumar Sinha, Asit Arora, Nikhil Agarwal, Saphalta Baghmar Tags: ORIGINAL ARTICLE Source Type: research

Retrocolic versus antecolic gastrointestinal reconstruction in robotic pancreaticoduodenectomy
In this study, we investigated the safety and effectiveness of RPD using a left retrocolic (L ‐port) technique and compared it with those of RPD using an antecolic technique.MethodsBetween October 2015 and August 2016, we retrospectively reviewed consecutive cases of RPD before and after introducing the L ‐port technique for gastrointestinal reconstruction. The L‐port technique was mainly performed for retrocolic gastrojejunal (GJ) reconstruction and some cases of duodenojejunal reconstruction. The perioperative and postoperative outcomes were compared in the two groups.Results83 cases of RPD were retrieved for stati...
Source: Journal of Hepato-Biliary-Pancreatic Sciences - September 18, 2019 Category: Gastroenterology Authors: Chih ‐Yuan Wang, Ting‐Shuo Huang, Ke‐Di Zhang, Zi‐Zheng Wang, Fei Wang, Zhi‐Ming Zhao, Yuan‐Xing Gao, Rong Liu Tags: ORIGINAL ARTICLE Source Type: research

Preoperative serum albumin is associated with intra ‐abdominal infection following major hepatectomy
This study was performed to investigate perioperative factors and determine whether the preoperative serum albumin level is associated with intra‐abdominal infection following major hepatectomy.MethodsFrom January 2008 to December 2018, 268 patients underwent major hepatectomy. We retrospectively analyzed demographic data and preoperative and perioperative variables. Intra ‐abdominal infection was defined as organ/space surgical site infection. Risk factors for intra‐abdominal infection were analyzed by logistic regression analysis.ResultsIn total, 268 patients were evaluated. Intra ‐abdominal infection was observe...
Source: Journal of Hepato-Biliary-Pancreatic Sciences - September 18, 2019 Category: Gastroenterology Authors: Narongsak Rungsakulkij, Watoo Vassanasiri, Pongsatorn Tangtawee, Wikran Suragul, Paramin Muangkaew, Somkit Mingphruedhi, Suraida Aeesoa Tags: ORIGINAL ARTICLE Source Type: research

Treatment of acute cholecystitis after cardiovascular surgery
In this study we investigated the clinical features of AC after CS.Method26 patients who underwent surgery for AC after CS between 2001 and 2018 were investigated. Of these patients, the severity of AC, onset time, surgical outcomes, and postoperative pathological findings were evaluated.ResultsGrade III accounted for 46% (12/26) of the AC after CS patients. Gallbladder drainage did not produce sufficient outcomes in all CS cases. The postoperative hospital days of AC after CS were extended (31/21 days, p=0.07) and the postoperative pathologic findings revealed a higher rate of gangrenous cholecystitis (88/41%, p
Source: Journal of Hepato-Biliary-Pancreatic Sciences - September 18, 2019 Category: Gastroenterology Authors: Kimihiko Ueno, Tetsuo Ajiki, Daisuke Tsugawa, Masayuki Akita, Yu Hashimoto, Sachio Terai, Motofumi Tanaka, Hirochika Toyama, Masahiro Kido, Takumi Fukumoto Tags: ORIGINAL ARTICLE Source Type: research

Re: Sensitivity of Murphy ’s sign on the diagnosis of acute cholecystitis: is it really so insensitive?
Journal of Hepato-Biliary-Pancreatic Sciences, EarlyView. (Source: Journal of Hepato-Biliary-Pancreatic Sciences)
Source: Journal of Hepato-Biliary-Pancreatic Sciences - September 18, 2019 Category: Gastroenterology Authors: Masamichi Yokoe Tags: LETTER TO THE EDITOR Source Type: research

Pure laparoscopic versus open hemihepatectomy: a critical assessment and realistic expectations – a propensity score‐based analysis of right and left hemihepatectomies from nine European tertiary referral centers
AbstractIntroductionA stronger evidence level is needed to confirm the benefits and limits of laparoscopic hemihepatectomies.MethodsLaparoscopic and open hemihepatectomies from nine European referral centers were compared after propensity score matching (right and left hemihepatectomies separately, and benign and malignant diseases sub ‐analyses).ResultsFive hundred and forty ‐five laparoscopic hemihepatectomies were compared with 545 open. Laparoscopy was associated with reduced blood loss (P
Source: Journal of Hepato-Biliary-Pancreatic Sciences - September 11, 2019 Category: Gastroenterology Authors: Federica Cipriani, Mohammad Alzoubi, David Fuks, Francesca Ratti, Takayuki Kawai, Giammauro Berardi, Leonid Barkhatov, Panagiotis Lainas, Marcel Van der Poel, Morad Faoury, Marc G. Besselink, Mathieu D ’Hondt, Ibrahim Dagher, Bjorn Edwin, Tags: Original Article Source Type: research

Issue Information ‐ IFA
Journal of Hepato-Biliary-Pancreatic Sciences, Volume 26, Issue 9, Page 435-439, September 2019. (Source: Journal of Hepato-Biliary-Pancreatic Sciences)
Source: Journal of Hepato-Biliary-Pancreatic Sciences - September 3, 2019 Category: Gastroenterology Tags: Issue Information ‐ IFA Source Type: research

Transpancreatic mattress suture with Vicryl mesh around the stump decreases postoperative pancreatic fistula after distal pancreatectomy
ConclusionTMV can be an effective stump closure technique for preventing POPF after DP. (Source: Journal of Hepato-Biliary-Pancreatic Sciences)
Source: Journal of Hepato-Biliary-Pancreatic Sciences - August 28, 2019 Category: Gastroenterology Authors: Yuta Yoshida, Ippei Matsumoto, Masataka Matsumoto, Kohei Kawaguchi, Takaaki Murase, Keiko Kamei, Shumpei Satoi, Atsushi Takebe, Takuya Nakai, Yoshifumi Takeyama Tags: Original Article Source Type: research

Pure laparoscopic versus open hemihepatectomy: a critical assessment and realistic expectations. A propensity score ‐based analysis of right and left hemihepatectomies from 9 European tertiary referral centers
AbstractIntroductionA stronger evidence level is needed to confirm the benefits and limits of laparoscopic hemihepatectomies.MethodsLaparoscopic and open hemihepatectomies from 9 European referral centers were compared after propensity score matching (right and left hemihepatectomies separately, and benign and malignant diseases sub ‐analyses). (Approval number: 2019‐6266).Results545 laparoscopic hemihepatectomies were compared with 545 open. Laparoscopy was associated with reduced blood loss (p
Source: Journal of Hepato-Biliary-Pancreatic Sciences - August 16, 2019 Category: Gastroenterology Authors: Federica Cipriani, Mohammad Alzoubi, David Fuks, Francesca Ratti, Takayuki Kawai, Giammauro Berardi, Leonid Barkhatov, Panagiotis Lainas, Marcel Van der Poel, Morad Faoury, Marc Besselink, Mathieu D'Hondt, Ibrahim Dagher, Bjorn Edwin, Robert Tags: Original Article Source Type: research

Malignant conversion and peritoneal dissemination after endoscopic ultrasound ‐guided ethanol ablation in intraductal papillary mucinous neoplasm of the pancreas
ConclusionsEUS ‐PCA must not be performed as a treatment for IPMNs, considering adverse results such as tumor spillage and the lack of oncological therapeutic effect.This article is protected by copyright. All rights reserved. (Source: Journal of Hepato-Biliary-Pancreatic Sciences)
Source: Journal of Hepato-Biliary-Pancreatic Sciences - August 16, 2019 Category: Gastroenterology Authors: Jin ‐Young Jang, Yoonhyeong Byun, Youngmin Han, Hongbeom Kim, Wooil Kwon Tags: Original Article Source Type: research

Issue Information ‐ IFA
Journal of Hepato-Biliary-Pancreatic Sciences, Volume 26, Issue 8, Page 377-381, August 2019. (Source: Journal of Hepato-Biliary-Pancreatic Sciences)
Source: Journal of Hepato-Biliary-Pancreatic Sciences - August 5, 2019 Category: Gastroenterology Tags: Issue Information ‐ IFA Source Type: research

Epigastralgia in a middle ‐aged woman with acquired immunodeficiency syndrome
This article is protected by copyright. All rights reserved. (Source: Journal of Hepato-Biliary-Pancreatic Sciences)
Source: Journal of Hepato-Biliary-Pancreatic Sciences - July 31, 2019 Category: Gastroenterology Authors: Chiao ‐Yun Lin, Yi‐Sheng Liu, Ming‐Ching Ou Tags: Image of Interest Source Type: research

Robotic Caudate Lobe Liver Resection Following Robotic Left Hepatectomy For Cholangiocarcinoma
This article is protected by copyright. All rights reserved. (Source: Journal of Hepato-Biliary-Pancreatic Sciences)
Source: Journal of Hepato-Biliary-Pancreatic Sciences - July 31, 2019 Category: Gastroenterology Authors: Iswanto Sucandy, Andres Giovannetti, Janelle Spence, Sharona Ross, Alexander Rosemurgy Tags: Image of Interest Source Type: research

Sensitivity of Murphy's sign on the diagnosis of acute cholecystitis: is it really so insensitive?
Journal of Hepato-Biliary-Pancreatic Sciences, EarlyView. (Source: Journal of Hepato-Biliary-Pancreatic Sciences)
Source: Journal of Hepato-Biliary-Pancreatic Sciences - July 25, 2019 Category: Gastroenterology Authors: Ryohei Sekimoto, Kentaro Iwata Tags: Letter to the Editor Source Type: research

Importance of localization of insulinomas: a systematic analysis
ConclusionThe probability of surgically identifying and removing a single, benign insulinoma is high even in the absence of successful preoperative localization or intraoperative ultrasound. However, both approaches slightly, but significantly, improve the outcome to near 100%. (Source: Journal of Hepato-Biliary-Pancreatic Sciences)
Source: Journal of Hepato-Biliary-Pancreatic Sciences - July 16, 2019 Category: Gastroenterology Authors: Lilian Burghardt, Juris J. Meier, Waldemar Uhl, Melanie Kahle ‐Stefan, Wolfgang E. Schmidt, Michael A. Nauck Tags: Original Article Source Type: research

Laennec's capsule does not exist around the peripheral hepatic veins
This article is protected by copyright. All rights reserved. (Source: Journal of Hepato-Biliary-Pancreatic Sciences)
Source: Journal of Hepato-Biliary-Pancreatic Sciences - July 13, 2019 Category: Gastroenterology Authors: Chikara Shirata, Kiyoshi Hasegawa, Nermin Halkic, Norihiro Kokudo Tags: Letter to the Editor Source Type: research