Journal of Gastrointestinal Surgery最新文献

{"title":"Appendiceal bleeding: a rare cause of lower gastrointestinal bleeding","authors":"Congyuan Ma , Yufei Liu , Ping Zhu","doi":"10.1016/j.gassur.2024.07.011","DOIUrl":"10.1016/j.gassur.2024.07.011","url":null,"abstract":"","PeriodicalId":15893,"journal":{"name":"Journal of Gastrointestinal Surgery","volume":"28 10","pages":"Pages 1732-1734"},"PeriodicalIF":2.2,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141748392","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Different prognostic effect of lymph node metastasis between remnant gastric cancers and primary proximal gastric cancers","authors":"","doi":"10.1016/j.gassur.2024.06.026","DOIUrl":"10.1016/j.gassur.2024.06.026","url":null,"abstract":"<div><h3>Background</h3><div>Although the dissected lymph node number in remnant gastric cancer (RGC) may be smaller than in primary proximal gastric cancer (PGC), altered lymphatic flow provides different metastatic patterns in lymph nodes, which could potentially give rise to prognostic differences between RGC and PGC with nodal metastasis.</div></div><div><h3>Methods</h3><div>Between 1993 and 2020, 2546 consecutive patients with gastric cancer underwent gastrectomy. Of these, 53 patients with RGC and 381 patients with PGC with pathologic TNM stage I-III gastric cancer underwent curative gastrectomy. We reviewed their hospital records retrospectively.</div></div><div><h3>Results</h3><div>The number of dissected lymph nodes was significantly smaller in patients with RGC than in patients with PGC (<em>P</em> &lt; .001; RGC, 13.0 vs PGC, 34.5). Although the 5-year overall survival (OS) rate did not differ between RGC and PGC in all patients, the prognosis in each pathologic N (pN) stage of RGC was worse than that of PGC, suggesting that each lymph node metastasis has a greater prognostic effect in RGC. In particular, even with patients with pN1 (20.0%) or pN2 RGC (40.0%), their 5-year OS rates were poor and similar to those of patients with pN3 PGC (35.7%). The presence of lymph node metastasis in RGC (hazard ratio [HR], 4.41; 95% CI, 1.02–18.9; <em>P</em> = .045) was an independent and a similar prognostic impact in pN3 PGC (HR, 2.82; 95% CI, 1.57–5.07; <em>P</em> &lt; .001). Lymph node metastasis in RGC more strongly affected peritoneal or lymph node recurrence rather than hematogenous recurrence.</div></div><div><h3>Conclusion</h3><div>The presence of lymph node metastasis yielded a poorer prognosis in patients with RGC than patients with primary PGC. Patients with RGC with lymph node metastasis should be specifically targeted in an effort to improve their prognosis.</div></div>","PeriodicalId":15893,"journal":{"name":"Journal of Gastrointestinal Surgery","volume":"28 10","pages":"Pages 1571-1577"},"PeriodicalIF":2.2,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141534500","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Outcome of a 3-day vs 7-day selective digestive tract decontamination–based regimen for oral antibiotic bowel decontamination in left-sided colorectal surgery: A noninferiority study","authors":"Ulrich Wirth ,&nbsp;Josefine Schardey ,&nbsp;Thomas von Ahnen ,&nbsp;Alexander Crispin ,&nbsp;Alina Kappenberger ,&nbsp;Petra Zimmermann ,&nbsp;Kühn Florian ,&nbsp;Jan G. D‘Haese ,&nbsp;Jens Werner ,&nbsp;Bettina Rau","doi":"10.1016/j.gassur.2024.07.031","DOIUrl":"10.1016/j.gassur.2024.07.031","url":null,"abstract":"<div><h3>Background</h3><div>Colorectal surgery still experiences high rates of infectious complications, such as anastomotic leakage (AL) and surgical site infections (SSIs). Therefore, oral antibiotic bowel decontamination (OABD) has experienced a renaissance. However, data on perioperative selective digestive tract decontamination (SDD)–based regimens or combined bowel preparation are inconsistent. Nonetheless, with widespread use of Enhanced Recovery After Surgery concepts, the ideal length for perioperative SDD treatment has to be reconsidered.</div></div><div><h3>Methods</h3><div>Perioperative outcome was analyzed in a cohort of patients undergoing minimally invasive surgery for left-sided colorectal cancer in a retrospective study. Additional to usual perioperative outcome measures, including AL, SSIs, and overall infectious complications, the efficacy of a shortened 3-day perioperative OABD treatment was compared with the efficacy of a 7-day perioperative OABD treatment based on a noninferiority analysis.</div></div><div><h3>Results</h3><div>Overall, 256 patients were included into analysis, of whom 84 and 172 patients were treated by 3-day and 7-day perioperative OABD regimens, respectively. AL occurred in 1.2% of patients in the 3-day group and 5.2% of patients in the 7-day group, and SSIs occurred in 3.6% of patients in the 3-day group and 5.8% of patients in the 7-day group, without significant difference. The shortened 3-day perioperative SDD-based regimen was noninferior to the regular 7-day perioperative SDD-based regimen concerning the rates of AL, SSIs, and infectious complications.</div></div><div><h3>Conclusion</h3><div>Our data demonstrated noninferiority of a shortened 3-day SDD-based treatment vs a 7-day SDD-based treatment for AL, SSIs, and overall infectious complications.</div></div>","PeriodicalId":15893,"journal":{"name":"Journal of Gastrointestinal Surgery","volume":"28 10","pages":"Pages 1665-1673"},"PeriodicalIF":2.2,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141889461","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Segment 3 bypass: a long-forgotten option for hilar strictures","authors":"Jon M. Harrison ,&nbsp;Jennifer Berumen ,&nbsp;Gabriel Schnickel ,&nbsp;Bryan Clary","doi":"10.1016/j.gassur.2024.07.006","DOIUrl":"10.1016/j.gassur.2024.07.006","url":null,"abstract":"","PeriodicalId":15893,"journal":{"name":"Journal of Gastrointestinal Surgery","volume":"28 10","pages":"Pages 1726-1729"},"PeriodicalIF":2.2,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141616619","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"C-reactive protein, white blood cells, and neutrophil/lymphocyte ratio for predicting complicated appendicitis: which is more reliable?","authors":"María A. Casas ,&nbsp;Cristian A. Angeramo ,&nbsp;Manuela Monrabal Lezama ,&nbsp;Nicolas A. Rotholtz ,&nbsp;Francisco Schlottmann","doi":"10.1016/j.gassur.2024.07.021","DOIUrl":"10.1016/j.gassur.2024.07.021","url":null,"abstract":"","PeriodicalId":15893,"journal":{"name":"Journal of Gastrointestinal Surgery","volume":"28 10","pages":"Pages 1704-1705"},"PeriodicalIF":2.2,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141889459","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Outcomes of patients with eosinophilic esophagitis undergoing bariatric surgery","authors":"Nimrod Deiss-Yehiely ,&nbsp;Anne Lidor ,&nbsp;Luke Hillman","doi":"10.1016/j.gassur.2024.07.029","DOIUrl":"10.1016/j.gassur.2024.07.029","url":null,"abstract":"","PeriodicalId":15893,"journal":{"name":"Journal of Gastrointestinal Surgery","volume":"28 10","pages":"Pages 1706-1708"},"PeriodicalIF":2.2,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141889462","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Enhancing severe anastomotic leakage prediction after rectal cancer surgery through multimodal data integration.","authors":"Lei Liang, Liu-Yang Yang, Wei-Qing Liu, Hong Zhang, Xin Li, Jun Yang, Ning Xu","doi":"10.1016/j.gassur.2024.09.032","DOIUrl":"10.1016/j.gassur.2024.09.032","url":null,"abstract":"","PeriodicalId":15893,"journal":{"name":"Journal of Gastrointestinal Surgery","volume":" ","pages":""},"PeriodicalIF":2.2,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142372045","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Optimal radiation dose intensity: low vs high dose in the neoadjuvant treatment of locally advanced esophageal cancer.","authors":"Robert C G Martin, Nicolas Caminiti, Michael Egger, Charles Scoggins, Prejesh Philips","doi":"10.1016/j.gassur.2024.09.029","DOIUrl":"10.1016/j.gassur.2024.09.029","url":null,"abstract":"","PeriodicalId":15893,"journal":{"name":"Journal of Gastrointestinal Surgery","volume":" ","pages":""},"PeriodicalIF":2.2,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142372046","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Disparities in esophageal cancer care: a population-based study","authors":"Francisco Tustumi ,&nbsp;Ricardo Yugi Eri ,&nbsp;Klaus Werner Wende ,&nbsp;Eric Toshiyuki Nakamura ,&nbsp;Pedro Luiz Serrano Usón Junior ,&nbsp;Daniel José Szor","doi":"10.1016/j.gassur.2024.07.004","DOIUrl":"10.1016/j.gassur.2024.07.004","url":null,"abstract":"<div><h3>Background</h3><div>Vulnerable populations potentially have a worse prognosis for cancer. The present study aimed to identify individual and municipal characteristics of access to health, including education, use of health insurance, gross domestic product per capita (GDPpc), and urban aspects, which could impact the prognosis of patients with esophageal cancer.</div></div><div><h3>Methods</h3><div>Data on urban concentration, administrative hierarchy, GDPpc, individual patient characteristics, and access to healthcare were collected from national and state public databases spanning between 2013 and 2022. The study included cities in the state of Sao Paulo, Brazil. Independent variables such as GDPpc, urban concentration, municipal administrative hierarchy, health insurance status, education level, and individual cancer and patient characteristics were evaluated against the outcomes of overall survival (OS), likelihood of undergoing surgical treatment, and time-to-treatment initiation.</div></div><div><h3>Results</h3><div>A total of 9280 patients with esophageal cancer (85% squamous cell carcinoma and 15% adenocarcinoma) treated in 42 cities were included in the study. In univariate analysis, higher education (hazard ratio [HR] = 0.6; <em>P</em> &lt; <em>.</em>001), female gender (HR = 0.85; <em>P</em> &lt; <em>.</em>001), and having private health insurance (HR = 0.65; <em>P</em> &lt; <em>.</em>001) were identified as protective factors for OS in esophageal cancer. After adjusting for other variables in multivariate analysis, higher education (HR = 0.77; <em>P</em> = .009), female gender (HR = 0.82; <em>P</em> &lt; <em>.</em>001), and private insurance (HR = 0.65; <em>P &lt; .</em>001) remained protective factors. GDPpc was not associated with OS. Urban concentration and hierarchy influenced the likelihood of receiving surgical treatment. Patients from high urban concentrations had shorter time-to-treatment initiation intervals.</div></div><div><h3>Conclusion</h3><div>Populations at risk, particularly those with limited access to education and healthcare, face a worse prognosis for esophageal cancer.</div></div>","PeriodicalId":15893,"journal":{"name":"Journal of Gastrointestinal Surgery","volume":"28 10","pages":"Pages 1674-1681"},"PeriodicalIF":2.2,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141855710","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"An evaluation of patient experience before and after elective colectomy for diverticulitis between patients older and younger than 65 years: A pilot feasibility study in mobile health use","authors":"Numa Perez ,&nbsp;Prabh Pannu ,&nbsp;Hiroko Kunitake ,&nbsp;David Berger ,&nbsp;Rocco Ricciardi ,&nbsp;Mary Brindle ,&nbsp;Zara Cooper ,&nbsp;Christine Ritchie ,&nbsp;Liliana Bordeianou ,&nbsp;Christy E. Cauley","doi":"10.1016/j.gassur.2024.07.024","DOIUrl":"10.1016/j.gassur.2024.07.024","url":null,"abstract":"<div><h3>Background</h3><div>Mobile health (mHealth) platforms are being used to understand patient-reported experiences before and after surgery. Currently, there is limited literature describing the feasibility of using mHealth to evaluate patient experience among older adults. The objective of this study was to determine the feasibility of using mHealth to evaluate patient-reported outcomes among patients older and younger than 65 years undergoing elective colectomy for diverticulitis.</div></div><div><h3>Methods</h3><div>A prospective pilot study was performed between June 1, 2020 and August 31, 2021, enrolling patients aged &gt; 18 years undergoing elective colectomy for diverticulitis at a single academic center (n = 62). A Health Insurance Portability and Accountability Act-compliant mHealth platform was used to deliver patient-reported quality-of-life surveys at 3 time points: preoperatively, 3 months postoperatively, and 6 months postoperatively. The primary outcome was the feasibility of using mHealth in patients older and younger than 65 years to collect outcomes using recruitment, engagement, and survey completion rates. Preliminary findings of patient experiences were evaluated for patients older and younger than 65 years as secondary outcomes.</div></div><div><h3>Results</h3><div>Overall, 33.9% of participants were older than 65 years with a median age of 59.8 years (IQR, 53.3–67.9). mHealth enrollment was high (100%) with survey response rates of 79% preoperatively, 64.5% at 3 months postoperatively, and 17.7% at 6 months postoperatively. Response rates were similar among patients older and younger than 65 years (<em>P =</em> .79 preoperatively and <em>P</em> = .39 at 3 months postoperatively).</div></div><div><h3>Conclusion</h3><div>Utilization of mHealth to evaluate patient-reported outcomes is feasible in the preoperative and early postoperative settings, including older adults undergoing elective surgery for diverticulitis. Future work will focus on improving long-term outcomes to better examine potential differences when considering patient-centered outcomes among older adult patients.</div></div>","PeriodicalId":15893,"journal":{"name":"Journal of Gastrointestinal Surgery","volume":"28 10","pages":"Pages 1639-1645"},"PeriodicalIF":2.2,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141875029","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}