Risk factors associated with functional esophageal disorders (FED) versus gastroesophageal reflux disease (GERD)
DiscussionThis is the first report of a greater risk of FED in patients with underweight BMI, insomnia, chronic pain, allergic rhinitis, or of Asian or Hispanic ethnicities. The weak associations between female gender and anxiety are corroborated in other studies. Our findings enable clinicians to better screen patients with reflux for this disorder.Graphical abstract (Source: Surgical Endoscopy)
Source: Surgical Endoscopy - March 25, 2024 Category: Surgery Source Type: research
Intensive pre-operative information course (IPIC) and pre-operative weight loss results in long-term sustained weight loss following bariatric surgery: 11 years results from a tertiary referral centre
ConclusionsIPIC and higher pre-operative weight loss improve weight loss post-bariatric surgery and reduce the likelihood of weight regain during long-term follow-up. (Source: Surgical Endoscopy)
Source: Surgical Endoscopy - March 22, 2024 Category: Surgery Source Type: research
Impact on carotid intima-media thickness after laparoscopic sleeve gastrectomy in patients with morbid obesity
ConclusionWe observed a significant reduction in CIMT& improvement in 2D ECHO parameters at 6 after LSG although no statistically significant change was observed in mean right CIMT& EF at 6 months. (Source: Surgical Endoscopy)
Source: Surgical Endoscopy - March 22, 2024 Category: Surgery Source Type: research
The death of laparoscopy
ConclusionsThe study suggests a transformative shift towards robotic-assisted surgery, poised to dominate various minimally invasive procedures. The forecasts indicate that robotic surgery may surpass laparoscopy and open surgery in colectomies, proctectomies, pancreatectomies, and esophagectomies by 2025. This anticipated change emphasizes the need for proactive adjustments in surgical training programs to align with evolving surgical practices. The findings have substantial implications for future healthcare practices, necessitating a balance between traditional laparoscopy and the burgeoning role of robotic-assisted sur...
Source: Surgical Endoscopy - March 22, 2024 Category: Surgery Source Type: research
Ultrasound-guided robotic surgical procedures: a systematic review
ConclusionThe advantages of robotic instrumentation, including ergonomics, dexterity, and precision of movements, are of relevance for robotic intraoperative ultrasound (RIOUS). The present systematic review demonstrates the virtue of RIOUS to support surgeons and potentially reduce minimally invasive procedure times. (Source: Surgical Endoscopy)
Source: Surgical Endoscopy - March 21, 2024 Category: Surgery Source Type: research
Robot-assisted versus laparoscopic-assisted gastrectomy among malnourished patients with gastric cancer based on textbook outcome
ConclusionsFor malnourished patients with GC, RAG performed by experienced surgeons can achieved a higher rate of TO than those of LAG, which directly contributed to better AC compliance and a faster restoration of nutritional status. (Source: Surgical Endoscopy)
Source: Surgical Endoscopy - March 21, 2024 Category: Surgery Source Type: research
Efficacy and safety of long-term indwelling plastic stents after resolution of pancreatic fluid collections with endoscopic transmural drainage: a systematic review and meta-analysis
ConclusionsOur results show that LTIS after PFC resolution with ETD is feasible, safe, and superior to SSR in reducing the risk of PFC recurrence and need for interventions. (Source: Surgical Endoscopy)
Source: Surgical Endoscopy - March 20, 2024 Category: Surgery Source Type: research
Single anastomosis duodenal switch versus Roux-en-Y gastric bypass in patients with BMI ≥ 50 kg/m2: a multi-centered comparative analysis
ConclusionsIn our cohort, SADI-S was associated with higher and sustained weight-loss results compared to RYGB. Comorbidity resolution was also higher after SADI-S. Both procedures demonstrate a similar safety profile. Further studies are required to validate the long-term safety of SADI-S compared to other bariatric procedures. (Source: Surgical Endoscopy)
Source: Surgical Endoscopy - March 20, 2024 Category: Surgery Source Type: research
Index admission cholecystectomy for biliary acute pancreatitis or choledocholithiasis reduces 30-day readmission rates in children
ConclusionsIndex cholecystectomy was performed in only 59% of pediatric patients admitted with BAP or choledocholithiasis but was associated with 84% decreased odds of readmission within 30 days. Current guidelines should be updated to reflect these findings, and future studies should evaluate barriers to index cholecystectomy. (Source: Surgical Endoscopy)
Source: Surgical Endoscopy - March 19, 2024 Category: Surgery Source Type: research
Timing of readmissions for complications following emergency colectomy: follow-up beyond post-operative day 30 matters
This study aimed to assess the readmission rate and factors associated with readmission 6-months following emergency colectomy.MethodsA retrospective cohort study of adult patients who underwent emergency colectomy (2010 –2018) was performed using the Nationwide Readmissions Database. The cohort was divided into two groups: (i) no readmission and (ii) emergency readmission(s) for complications related to colectomy (defined using ICD-9/10 codes). Readmissions were categorized as either “early” (POD0–30) or “ late” (> POD30). Differences between groups were described and multivariable regression controlling...
Source: Surgical Endoscopy - March 19, 2024 Category: Surgery Source Type: research
A decade of experience with minimally invasive anti-reflux operations: robot vs. LESS
ConclusionDespite longer operative times and LOS in older patients, the robotic approach is efficient in undertaking very difficult operations, including patients with type IV or recurrent hiatal hernias. Furthermore, preoperative anti-reflux operations were more likely to be undertaken with the robotic approach than the LESS approach. The patient ’s postoperative symptomatic dysphagia improved relatively more than after the LESS approach. The vast majority of patients who underwent the LESS approach enjoyed improved cosmesis, thus, making LESS a stronger candidate for more routine operations. Despite patient selection b...
Source: Surgical Endoscopy - March 19, 2024 Category: Surgery Source Type: research
Stenting as bridge to surgery versus upfront emergency resection for non-metastatic left sided obstructing colorectal cancer: risk of peritoneal recurrence and long-term outcomes
ConclusionsThere are concerns over oncological safety of SBTS even with low rates of stent-related perforation. Higher rates of peritoneal recurrence are seen especially with T4 colon cancers treated with SBTS. SBTS, DM and nodal stage were significant predictors for peritoneal recurrence. (Source: Surgical Endoscopy)
Source: Surgical Endoscopy - March 19, 2024 Category: Surgery Source Type: research
Correction: Explainable artificial intelligence prediction-based model in laparoscopic liver surgery for segments 7 and 8: an international multicenter study
(Source: Surgical Endoscopy)
Source: Surgical Endoscopy - March 19, 2024 Category: Surgery Source Type: research
Optimizing the consent process for emergent laparoscopic cholecystectomy using an interactive digital education platform: a randomized control trial
ConclusionThe addition of digital education platform to standard verbal consent significantly improves patient ’s early and delayed understanding of risks and benefits of LC in an acute care setting. (Source: Surgical Endoscopy)
Source: Surgical Endoscopy - March 18, 2024 Category: Surgery Source Type: research
Long-term outcomes of PGA-TMC absorbable synthetic scaffold in both clean and contaminated ventral hernia repairs
ConclusionThis study affirms the use of biosynthetic mesh as a cost-effective alternative in all wound classifications, yielding good outcomes, limited long-term complications, and low recurrence.rates. (Source: Surgical Endoscopy)
Source: Surgical Endoscopy - March 18, 2024 Category: Surgery Source Type: research
