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Red blood cell distribution width as a non-invasive marker for the assessment of inflammation in non-alcoholic steatohepatitis. 红细胞分布宽度作为评估非酒精性脂肪性肝炎炎症的非侵入性标志物
Hepato-gastroenterology Pub Date : 2015-03-01
Serkan Dogan, Mehmet Celikbilek, Gokmen Zararsiz, Kemal Deniz, Serdar Sivgin, Kadri Guven, Sebnem Gursoy, Omer Ozbakir, Mehmet Yucesoy
{"title":"Red blood cell distribution width as a non-invasive marker for the assessment of inflammation in non-alcoholic steatohepatitis.","authors":"Serkan Dogan,&nbsp;Mehmet Celikbilek,&nbsp;Gokmen Zararsiz,&nbsp;Kemal Deniz,&nbsp;Serdar Sivgin,&nbsp;Kadri Guven,&nbsp;Sebnem Gursoy,&nbsp;Omer Ozbakir,&nbsp;Mehmet Yucesoy","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Background/aims: </strong>The aim of this study was to assess the association between red cell distribution width and inflammation in biopsy proven non-alcoholic steatohepatitis.</p><p><strong>Methodology: </strong>Fifty four subjects with non-alcoholic steatohepatitis and thirty nine controls were enrolled for the study. Liver biopsy specimens were scored by using non-alcoholic fatty liver disease activity score by a single experienced liver pathologist.</p><p><strong>Results: </strong>Red cell distribution width was higher in the severe inflammation group in non-alcoholic steatohepatitis (p < 0.05). The areas under the receiver operating characteristic curves for the predictive performance of aspartate aminotransferase, alanine aminotransferase, gamma glutamyl transferase and red cell distribution width in identifying inflammation in non-alcoholic steatohepatitis were 0.55 (0.41-0.68), 0.51 (0.37-0.64), 0.53 (0.39-0.67) and 0.73 (0.59-0.84) respectively and the differences of these values between red cell distribution width and other parameters were found to be statistically significant (p < 0.05). To determine the grading of inflammation, the specificity for using the red cell distribution width as an indicator in non-alcoholic steatohepatitis patients was calculated to be 73.3%, with 79.5% sen- sitivity.</p><p><strong>Conclusion: </strong>Red cell distribution width was a sensitive and specific method for the assessment of the inflammation in patients with non-alcoholic steatohepatitis.</p>","PeriodicalId":12985,"journal":{"name":"Hepato-gastroenterology","volume":"62 138","pages":"393-8"},"PeriodicalIF":0.0,"publicationDate":"2015-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"33134079","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Risk factors associated with outcome in liver retransplantation: multicentric study. 与肝再移植预后相关的危险因素:多中心研究
Hepato-gastroenterology Pub Date : 2015-03-01 DOI: 10.5754/HGE13565
Rogério O Mattos, M. Linhares, D. Matos, R. Adam, H. Bismuth, D. Castaing, Achim Konietzko, J. Lerut, R. Porte, Jamieson Neville, D. Azoulay
{"title":"Risk factors associated with outcome in liver retransplantation: multicentric study.","authors":"Rogério O Mattos, M. Linhares, D. Matos, R. Adam, H. Bismuth, D. Castaing, Achim Konietzko, J. Lerut, R. Porte, Jamieson Neville, D. Azoulay","doi":"10.5754/HGE13565","DOIUrl":"https://doi.org/10.5754/HGE13565","url":null,"abstract":"BACKGROUND/AIMS\u0000To externally validate the predictive mathematical model of survival designed by Linhares et al. (2006).\u0000\u0000\u0000METHODOLOGY\u0000This retrospective study was conducted on 217 individuals submitted to liver retransplantation from January 2000 to December 2008 in four European centers. The following variables were obtained on the recipient: age, creatinine, urgency of retransplantation and time between transplantation and retransplantation. The Kaplan-Meier survival curve and ROC curve were used to validate the mathematical model.\u0000\u0000\u0000RESULTS\u0000The present results showed a similar pattern of survival compared to the study of Linhares et al. (2006) concerning the biological variations, when survival curves were compared for each of the four variables analyzed between both samples. When compared, the areas below the ROC curve (aROC) of derivation (0.733) and validation samples (0.593) presented significant difference (p = 0.005), revealing low relationship of sensitivity and specificity between the two curves. Similarity was observed in Kaplan-Meier survival curves.\u0000\u0000\u0000CONCLUSION\u0000This study allowed external validation by the Kaplan-Meier survival curves of the predictive mathematical model of survival in liver retransplantation proposed by Linhares et al. (2006). However, validation through the ROC curve, the aROC, evidenced weak discrimination ability.","PeriodicalId":12985,"journal":{"name":"Hepato-gastroenterology","volume":"8 1","pages":"341-5"},"PeriodicalIF":0.0,"publicationDate":"2015-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71080898","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
Lymphatic invasion is an independent prognostic factor in pancreatic cancer patients undergoing curative resection followed by adjuvant chemotherapy with gemcitabine or S-1. 在接受根治性切除后辅以吉西他滨或S-1化疗的胰腺癌患者中,淋巴浸润是一个独立的预后因素。
Hepato-gastroenterology Pub Date : 2015-03-01 DOI: 10.1200/jco.2016.34.4_suppl.290
T. Aoyama, M. Murakawa, Yusuke Katayama, M. Shiozawa, M. Ueno, M. Morimoto, T. Yoshikawa, Y. Rino, M. Masuda, S. Morinaga
{"title":"Lymphatic invasion is an independent prognostic factor in pancreatic cancer patients undergoing curative resection followed by adjuvant chemotherapy with gemcitabine or S-1.","authors":"T. Aoyama, M. Murakawa, Yusuke Katayama, M. Shiozawa, M. Ueno, M. Morimoto, T. Yoshikawa, Y. Rino, M. Masuda, S. Morinaga","doi":"10.1200/jco.2016.34.4_suppl.290","DOIUrl":"https://doi.org/10.1200/jco.2016.34.4_suppl.290","url":null,"abstract":"BACKGROUND/AIMS\u0000The objective of this retrospective study was to clarify prognostic factors in pancreatic cancer patients undergoing curative resection followed by adjuvant chemotherapy with gemcitabine or S-1.\u0000\u0000\u0000METHODOLOGY\u0000Both overall survival (OS) and recurrence-free survival (RFS) were examined in 122 pancreatic cancer patients who underwent curative surgery and received adjuvant gemcitabine or S-1 after surgery between 2005 and 2014.\u0000\u0000\u0000RESULTS\u0000When the length of OS was evaluated according to the log-rank test, significant differences were observed in lymphatic invasion and the T status. Univariate and multivariate Cox's proportional hazard analyses demonstrated that lymphatic invasion was the only significant independent prognostic factor for both OS and RFS. The 5-year OS was 30.1% in the lymphatic invasion-negative group and 12.1% in the lymphatic invasion-positive group (p < 0.001). Moreover, the 5-year RFS was 20.5% in the lymphatic invasion-negative group and 10.4% in the lymphatic invasion- positive group (p = 0.006).\u0000\u0000\u0000CONCLUSIONS\u0000Lymphatic invasion is the most important prognostic factor for OS and RFS in patients with pancreatic cancer who undergo curative resection followed by adjuvant chemotherapy. The present results suggest that adjuvant chemotherapy is not sufficient, especially in patients with risk factors. Such patients should be evaluated as a target group for clinical trials of novel treatments.","PeriodicalId":12985,"journal":{"name":"Hepato-gastroenterology","volume":"62 138 1","pages":"472-7"},"PeriodicalIF":0.0,"publicationDate":"2015-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"65887403","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 5
Protein microarray analysis for detection of serum anti-Helicobacter pylori antibodies after eradication therapy: a clinical follow-up. 蛋白微阵列分析检测根除治疗后血清抗幽门螺杆菌抗体:临床随访。
Hepato-gastroenterology Pub Date : 2015-03-01
Meihua Cui, Hong Wei, Fanghong Mu, Guoxing Yi, Yi Fu, Lin Yue
{"title":"Protein microarray analysis for detection of serum anti-Helicobacter pylori antibodies after eradication therapy: a clinical follow-up.","authors":"Meihua Cui,&nbsp;Hong Wei,&nbsp;Fanghong Mu,&nbsp;Guoxing Yi,&nbsp;Yi Fu,&nbsp;Lin Yue","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Background/aims: </strong>We aimed to observe the changes in the anti-Helicobacter pylori (Hp) serum antibodies to Hp virulence factors after eradication therapy and evaluate the potential application value of protein microarray in detecting Hp antibodies after eradication therapy.</p><p><strong>Methodology: </strong>A total of 107 Hp-positive patients with peptic ulcers (55) and chronic gastritis (52) were recruited. Serum antibodies to Hp urease (Ure), cytotoxin-associated protein (CagA), vacuolating cytotoxin (VacA), heat shock protein 60 (Hsp60), and anti-RdxA nitroreductase were measured. Four weeks after treatment, a 13C-urea breath test (13C- UBT) was applied to assess the Hp eradication state and to analyze correlations between the Hp eradication rate and the five antibodies. Six months after the therapy, protein microarray analysis was used to study the changes in these five serum antibodies.</p><p><strong>Results: </strong>The overall Hp eradication rate was 86.0%There was no significant difference in the rate among the groups that tested positive and negative for the remaining four virulence factors.</p><p><strong>Conclusion: </strong>The disease type and serum anti-CagA antibody levels affect the therapeutic outcome of Hp eradication therapy. Protein microarray detection of Hp-related antibodies did not have significant application value for the long-term follow-up of Hp infection after eradication therapy.</p>","PeriodicalId":12985,"journal":{"name":"Hepato-gastroenterology","volume":"62 138","pages":"503-6"},"PeriodicalIF":0.0,"publicationDate":"2015-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"33253609","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Risk factors associated with multiple and missed gastric neoplastic lesions after endoscopic resection: prospective study at a single institution in south Korea. 内镜切除后胃肿瘤多发和漏诊的危险因素:韩国单一机构的前瞻性研究
Hepato-gastroenterology Pub Date : 2015-03-01
Ji Sun Han, Jin Seok Jang, Hwan Cheol Ryu, Min Chan Kim, Ki Han Kim, Dong Kyun Kim
{"title":"Risk factors associated with multiple and missed gastric neoplastic lesions after endoscopic resection: prospective study at a single institution in south Korea.","authors":"Ji Sun Han,&nbsp;Jin Seok Jang,&nbsp;Hwan Cheol Ryu,&nbsp;Min Chan Kim,&nbsp;Ki Han Kim,&nbsp;Dong Kyun Kim","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Background/aims: </strong>Only a small part of visible gas tric mucosal lesion can be removed by endoscopic resection. This study is aimed to identify incidence rate and associated risk factors of multiple and missed gastric lesions, and proper timing of follow-up en doscopy.</p><p><strong>Methodology: </strong>Endoscopic surveillance was performed on 1 week, and 1, 6, 12 months af ter endoscopic resection. All multiple gastric lesions were divided into main and accessory lesions. The accessory lesions were subdivided into detected and missed lesions.</p><p><strong>Results: </strong>Totally, 250 lesions of 215 patients were analyzed. There were 81 early gastric cancers, 50 high grade dysplasias and 119 low grade dysplasias. Thirty patients (14%) had multiple gastric neoplastic lesions, either adenoma or cancer, within 1 year follow-up after endoscopic resection. Old age, male gender and severe intestinal metaplasia were independent risk factors of multiple gastric lesions. Small size (≤ 1 cm) and flat morphology were major risk factors of missed lesion. Among 10 missed lesions, 9 (90%) could be detected within 6 month after resection.</p><p><strong>Conclusions: </strong>Old age, male gender, severe intestinal metaplasia were risk factors for multiple gastric lesions after endoscopic resection. Follow-up endoscopy is needed at least one time within six months after resection, with careful inspection of entire stomach.</p>","PeriodicalId":12985,"journal":{"name":"Hepato-gastroenterology","volume":"62 138","pages":"512-7"},"PeriodicalIF":0.0,"publicationDate":"2015-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"33253611","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Anti-TNF-A therapy about infliximab and adalimamab for the effectiveness in ulcerative colitis compared with conventional therapy: a meta-analysis. 英夫利昔单抗和阿达马单抗抗tnf -a治疗对溃疡性结肠炎的疗效与常规治疗的比较:一项荟萃分析。
Hepato-gastroenterology Pub Date : 2015-03-01
Zheng Zhou, Cong Dai, Wei-Xin Liu
{"title":"Anti-TNF-A therapy about infliximab and adalimamab for the effectiveness in ulcerative colitis compared with conventional therapy: a meta-analysis.","authors":"Zheng Zhou,&nbsp;Cong Dai,&nbsp;Wei-Xin Liu","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Background/aims: </strong>TNF-α has an important role in the pathogenesis of ulcerative colitis (UC). It seems that anti-TNF-α therapy is beneficial in the treatment of UC. The aim was to assess the effectiveness of Infliximab and Adalimamab with UC compared with conventional therapy.</p><p><strong>Methodology: </strong>The Pubmed and Embase databases were searched for studies investigating the efficacy of infliximab and adalimumab on UC.</p><p><strong>Results: </strong>Infliximab had a statistically significant effects in induction of clinical response (RR = 1.67; 95% CI 1.12 to 2.50) of UC compared with conventional therapy, but those had not a statistically significant effects in clinical remission (RR = 1.63; 95% CI 0.84 to 3.18) and reduction of colectomy rate (RR = 0.54; 95% CI 0.26 to 1.12) of UC. And adalimumab had a statistically significant effects in induction of clinical remission (RR = 1.82; 95% CI 1.24 to 2.67) and clinical response (RR = 1.36; 95% CI 1.13 to 1.64) of UC compared with conventional therapy.</p><p><strong>Conclusion: </strong>Our meta-analyses suggested that Infliximab had a statistically significant effects in induction of clinical response of UC compared with conventional therapy and adalimumab had a statistically significant effects in induction of clinical remission and clinical response of UC compared with conventional therapy.</p>","PeriodicalId":12985,"journal":{"name":"Hepato-gastroenterology","volume":"62 138","pages":"309-18"},"PeriodicalIF":0.0,"publicationDate":"2015-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"33255017","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Evaluation of antibiotic use to prevent post-endoscopic retrograde cholangiopancreatography pancreatitis and cholangitis. 应用抗生素预防内镜逆行胆管造影术后胰腺炎和胆管炎的评价。
Hepato-gastroenterology Pub Date : 2015-03-01
Takashi Ishigaki, Tamito Sasaki, Masahiro Serikawa, Kenso Kobayashi, Michihiro Kamigaki, Tomoyuki Minami, Akihito Okazaki, Masanobu Yukutake, Yasutaka Ishii, Keiichi Kosaka, Teruo Mouri, Satoshi Yoshimi, Kazuaki Chayama
{"title":"Evaluation of antibiotic use to prevent post-endoscopic retrograde cholangiopancreatography pancreatitis and cholangitis.","authors":"Takashi Ishigaki,&nbsp;Tamito Sasaki,&nbsp;Masahiro Serikawa,&nbsp;Kenso Kobayashi,&nbsp;Michihiro Kamigaki,&nbsp;Tomoyuki Minami,&nbsp;Akihito Okazaki,&nbsp;Masanobu Yukutake,&nbsp;Yasutaka Ishii,&nbsp;Keiichi Kosaka,&nbsp;Teruo Mouri,&nbsp;Satoshi Yoshimi,&nbsp;Kazuaki Chayama","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Background/aims: </strong>The purpose of this study was to evaluate the relationship between prophylactic antibiotic use and complications following endoscopic retrograde cholangiopancreatography (ERCP).</p><p><strong>Methodology: </strong>We retrospectively evaluated 605 consecutive patients who underwent ERCP in our hospital between September 2009 and November 2011. The antibiotic group included patients who underwent their procedure before October 2010, while the control group included patients after October 1, 2010, who did not receive antibiotics. We compared the incidence of postoperative pancreatitis and cholangitis between the groups.</p><p><strong>Results: </strong>There were no significant differences in the backgrounds of the 304 control and the 301 antibiotic-treated patients. The incidence of post-ERCP pancreatitis was 4.9% in the control group and 4.3% in the antibiotic group (p = 0.72). The incidence of postoperative cholangitis was 2.0% in the control group and 1.7% in the antibiotic group (p = 0.99). Choledocholithiasis, pancreatic duct injection, and female gender were detected as significant risk factors for postoperative pancreatitis by multivariate analysis; sclerosing cholangitis and incomplete biliary drainage were significant risk factors for postoperative cholangitis. Even in cases with these risk factors, prophylactic antibiotic use did not influence the incidence of pancreatitis or cholangitis.</p><p><strong>Conclusion: </strong>Prophylactic antibiotics do not reduce the incidence of either pancreatitis or cholangitis following ERCP.</p>","PeriodicalId":12985,"journal":{"name":"Hepato-gastroenterology","volume":"62 138","pages":"417-24"},"PeriodicalIF":0.0,"publicationDate":"2015-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"33252305","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The effect of no naked pancreatic surface in the cavity of jejunum on pancreaticojejunostomy in 132 consecutive cases. 132例空肠腔无胰面对胰空肠吻合术的影响。
Hepato-gastroenterology Pub Date : 2015-03-01
Fumin Zhang, Jichun Jin, Hao Jiang, Shiyang Wang, Hanbao Gu, Xinglin Jin
{"title":"The effect of no naked pancreatic surface in the cavity of jejunum on pancreaticojejunostomy in 132 consecutive cases.","authors":"Fumin Zhang,&nbsp;Jichun Jin,&nbsp;Hao Jiang,&nbsp;Shiyang Wang,&nbsp;Hanbao Gu,&nbsp;Xinglin Jin","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Background/aims: </strong>To prevent the pancreatic fistulas, we designed a technique termed \"no naked pancreatic surface in the cavity of jejunum\" on pancreaticojejunostomy.</p><p><strong>Methodology: </strong>We adopted pancreatic exocrine secretions following the pancreatic duct by drainage; there was no naked pancreatic surface in the cavity of jejunum, and entail 2-3 cm sheath of the jejunum to the pancreatic stump.</p><p><strong>Results: </strong>Only 3 (2.27%) cases developed pancreatic fistulas, 1 patient had a grade A leak, and 2 patients had grade B leakage. The overall morbidity was 25.76%. There was no dilatation of pancreatic duct or pancreatic enzyme deficiency shown during followed-up. The duration for accomplishing the anastomosis was 20 minutes averagely.</p><p><strong>Conclusions: </strong>The technique of no naked pancreatic surface in the cavity of jejunum can be routinely used in any case with pancreaticojejunostomy. It is a safe, simple, and effective technique that avoids the primary complication of anastomotic leakage.</p>","PeriodicalId":12985,"journal":{"name":"Hepato-gastroenterology","volume":"62 138","pages":"425-8"},"PeriodicalIF":0.0,"publicationDate":"2015-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"33252306","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Outcome after pancreaticoduodenectomy for malignancy in elderly patients. 老年恶性肿瘤患者行胰十二指肠切除术后的预后。
Hepato-gastroenterology Pub Date : 2015-03-01
Dafang Zhang, Jie Gao, Shu Li, Fushun Wang, Jiye Zhu, Xisheng Leng
{"title":"Outcome after pancreaticoduodenectomy for malignancy in elderly patients.","authors":"Dafang Zhang,&nbsp;Jie Gao,&nbsp;Shu Li,&nbsp;Fushun Wang,&nbsp;Jiye Zhu,&nbsp;Xisheng Leng","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Background/aims: </strong>To evaluate short-term outcomes and long-term survival after pancreaticoduodenectomy for malignancy in elderly Chinese patients (aged 70 years or older) compared with younger patients.</p><p><strong>Methodology: </strong>Between January 2005 and December 2013, 216 consecutive patients who underwent a PD with pancreatic cancer or periampullary cancers in our institution were recruited in this study. Sixty-eight patients aged 70 years or older when they underwent PD, while 148 patients younger than 70.</p><p><strong>Results: </strong>There were no significant differences in postoperative mortality (p = 0.104), overall morbidity (p = 0.057) and surgical complications (p = 0.200) between the elderly patients and the younger patients. Elderly patients had a significantly higher incidence of cardiac events (p = 0.008) and pneumonia (p = 0.041) postoperatively. The postoperative hospital stay in the older age group was significantly longer (p = 0.013). The overall survival did not differ between the two age groups both when patients with pancreatic cancer were analyzed (p = 0.836) and when patients with periampullary cancers were analyzed (p = 0.817).</p><p><strong>Conclusions: </strong>Our results showed that pancreaticoduodenectomy for malignancy in Chinese patients over 70 years old could be performed safely. Age should not be considered as a contraindication to pancreaticoduodenectomy.</p>","PeriodicalId":12985,"journal":{"name":"Hepato-gastroenterology","volume":"62 138","pages":"451-4"},"PeriodicalIF":0.0,"publicationDate":"2015-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"33252745","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Regulation of neutrophil infiltration into peritoneal cavity by laparoscopic gastrectomy. 腹腔镜胃切除术对中性粒细胞腹腔浸润的调节。
Hepato-gastroenterology Pub Date : 2015-03-01
Mami Yoshii, Hiroaki Tanaka, Masaichi Ohira, Kazuya Muguruma, Tomohiro Lee, Katsunobu Sakurai, Naoshi Kubo, Kiyoshi Maeda, Kosei Hirakawa
{"title":"Regulation of neutrophil infiltration into peritoneal cavity by laparoscopic gastrectomy.","authors":"Mami Yoshii,&nbsp;Hiroaki Tanaka,&nbsp;Masaichi Ohira,&nbsp;Kazuya Muguruma,&nbsp;Tomohiro Lee,&nbsp;Katsunobu Sakurai,&nbsp;Naoshi Kubo,&nbsp;Kiyoshi Maeda,&nbsp;Kosei Hirakawa","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Background/aims: </strong>Laparoscopic surgery is a minimally invasive operation developed for treating gastrointestinal malignancies. We aimed to characterize the differences in the intra-abdominal environment following open and laparoscopic surgeries.</p><p><strong>Methodology: </strong>We investigated data of 48 patients who underwent gastrectomy between 2010 and 2012. We analyzed the mRNA expression of chemokines, indoleamine 2, 3-dioxygenase (IDO), and so on in peritoneal lavage fluid with real-time RT-PCR. We also determined the leukocyte population and calculated the granulocyte/lymphocyte (G/L) ratio in peritoneal lavage fluid using flow cytometry.</p><p><strong>Results: </strong>CCL3 mRNA was significantly upregulated, whereas IDO mRNA was significantly downregulated, in the open group compared to the laparoscopic surgery group. Flow cytometry revealed that the G/L ratio was significantly higher in the open group.</p><p><strong>Conclusions: </strong>We suggest that the production of chemokines and neutrophil infiltration into the abdominal cavity may be suppressed in the laparoscopic surgery. Thus, laparoscopic surgery may be beneficial in preserving local immunity.</p>","PeriodicalId":12985,"journal":{"name":"Hepato-gastroenterology","volume":"62 138","pages":"546-50"},"PeriodicalIF":0.0,"publicationDate":"2015-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"33253545","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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