Journal of Gastrointestinal Surgery最新文献

{"title":"Letter to the editor regarding “Challenges faced by patients undergoing fecal ostomy surgery: a qualitative study of colorectal cancer patient perspectives”","authors":"Kai Sun","doi":"10.1016/j.gassur.2025.102021","DOIUrl":"10.1016/j.gassur.2025.102021","url":null,"abstract":"","PeriodicalId":15893,"journal":{"name":"Journal of Gastrointestinal Surgery","volume":"29 5","pages":"Article 102021"},"PeriodicalIF":2.2,"publicationDate":"2025-03-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143669168","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":"Clinical outcomes of extended venous thromboembolism prophylaxis after oncologic colorectal surgery","authors":"Seana L. Corbin ,&nbsp;Larkin Harris ,&nbsp;Ashlynn Fuccello ,&nbsp;Jonathan Laryea ,&nbsp;Mario Schootman ,&nbsp;Bradley C. Martin ,&nbsp;Michail N. Mavros","doi":"10.1016/j.gassur.2025.102018","DOIUrl":"10.1016/j.gassur.2025.102018","url":null,"abstract":"<div><h3>Background</h3><div>Current guidelines recommend extended venous thromboembolism (VTE) prophylaxis after colorectal surgery for cancer. However, adherence to these guidelines has been low. Moreover, the effectiveness of extended VTE prophylaxis has not been evaluated using real-world data.</div></div><div><h3>Methods</h3><div>This study retrospectively analyzed a random 25% sample of the 2009–2022 IQVIA PharMetrics Plus for Academics database, an administrative claims database representative of the commercially insured population of the United States. Patients with cancer who underwent oncologic colorectal surgery were included. The primary outcomes were 90-day postdischarge VTE and bleeding events. The association between preoperative and intraoperative variables and the outcomes was assessed using univariate and multivariate main-effect logistic regression models.</div></div><div><h3>Results</h3><div>A total of 13,117 surgical procedures were analyzed (35.0% laparoscopic colectomy, 33.4% open colectomy, 17.3% laparoscopic rectal resection, and 14.2% open rectal resection). The median age was 59 years, and 52% of patients were female. Extended VTE prophylaxis prescriptions were filled for 676 patients (5.2% of eligible patients), primarily with enoxaparin (95.5%), and increased over time (1.7% in 2010 to 12.0% in 2021). After risk adjustment, extended VTE prophylaxis was not associated with 90-day postdischarge VTE (odds ratio [OR], 1.15 [95% CI, 0.68–1.83]) or bleeding (OR, 0.93 [95% CI, 0.63–1.33]). The only factors independently associated with postdischarge VTE were the Elixhauser comorbidity score and surgery type.</div></div><div><h3>Conclusion</h3><div>Most patients who underwent colorectal surgery for cancer did not receive extended VTE prophylaxis. This did not seem to affect the risk of postoperative VTE or bleeding. Further research should focus on patients most likely to benefit from extended VTE prophylaxis.</div></div>","PeriodicalId":15893,"journal":{"name":"Journal of Gastrointestinal Surgery","volume":"29 5","pages":"Article 102018"},"PeriodicalIF":2.2,"publicationDate":"2025-03-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143630602","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":"Multivisceral Resection Serves as a Key Indicator of Recurrence in Locally Advanced Colorectal Cancers with Pathological T3 Tumors.","authors":"Kouki Imaoka, Manabu Shimomura, Hiroshi Okuda, Takuya Yano, Wataru Shimizu, Masanori Yoshimitsu, Satoshi Ikeda, Masahiro Nakahara, Mohei Kohyama, Hironori Kobayashi, Yosuke Shimizu, Masatoshi Kochi, Daisuke Sumitani, Shoichiro Mukai, Yuji Takakura, Yasuyo Ishizaki, Shinya Kodama, Masahiko Fujimori, Sho Ishikawa, Tomohiro Adachi, Hideki Ohdan","doi":"10.1016/j.gassur.2025.102015","DOIUrl":"https://doi.org/10.1016/j.gassur.2025.102015","url":null,"abstract":"<p><strong>Purpose: </strong>This study aimed to elucidate the clinical outcomes of patients with pathological T3 and T4 tumors undergoing radical resection with multivisceral resection (MVR), and to assess the prognostic significance of MVR in locally advanced colorectal cancers (CRC) in pT3-4 tumors.</p><p><strong>Methods: </strong>This multicenter retrospective analysis evaluated the characteristics, clinicopathological stages, perioperative factors, and clinical outcomes of patients who underwent primary colorectal resection. Patients were divided into four groups: those with a pT3 tumor who did not undergo MVR (pT3-MVR; n=1108), those with a pT3 tumor who did undergo MVR (pT3+MVR; n=56), those with a pT4 tumor who did not undergo MVR (pT4-MVR; n=306), and those with a pT4 tumor who did undergo MVR (pT4+MVR; n=123). Univariate and multivariate regression analyses were performed to identify risk factors for recurrence.</p><p><strong>Results: </strong>The pT3+MVR group exhibited a higher 5-year recurrence rate than the pT3-MVR group, with recurrence rates similar to those of the pT4-MVR or pT4+MVR groups (pT3-MVR, 17.4%; pT3+MVR, 31.6%; pT4-MVR, 33.4%; and pT4+MVR, 35.1%). Multivariate analysis identified MVR as an independent risk factor for recurrence, particularly peritoneal dissemination, in pT3 tumors, whereas MVR had less impact on recurrence in pT4 tumors.</p><p><strong>Conclusion: </strong>pT3 tumors requiring MVR had a high recurrence rate comparable to that of pT4 tumors. The surgeon's clinical assessment of a potential T4 tumors requiring MVR at the time of surgery was an important prognostic indicator in advanced CRC.</p>","PeriodicalId":15893,"journal":{"name":"Journal of Gastrointestinal Surgery","volume":" ","pages":"102015"},"PeriodicalIF":2.2,"publicationDate":"2025-03-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143624896","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":"Letter to the editor regarding “Rethinking hospital status in gastric cancer surgery”","authors":"Wenhan Wu","doi":"10.1016/j.gassur.2025.102016","DOIUrl":"10.1016/j.gassur.2025.102016","url":null,"abstract":"","PeriodicalId":15893,"journal":{"name":"Journal of Gastrointestinal Surgery","volume":"29 5","pages":"Article 102016"},"PeriodicalIF":2.2,"publicationDate":"2025-03-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143615652","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":"Letter to the editor regarding “Unveiling the complexity of surgical delay in appendicitis”","authors":"Wenhan Wu","doi":"10.1016/j.gassur.2025.102012","DOIUrl":"10.1016/j.gassur.2025.102012","url":null,"abstract":"","PeriodicalId":15893,"journal":{"name":"Journal of Gastrointestinal Surgery","volume":"29 5","pages":"Article 102012"},"PeriodicalIF":2.2,"publicationDate":"2025-03-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143615654","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":"Letter to editor regarding: \"Effectiveness of Enhanced Recovery After Surgery protocol in pancreatic surgery: a systematic review and meta-analysis of randomized controlled trials\".","authors":"Di Xiao, Jun Li, Yaling Li","doi":"10.1016/j.gassur.2025.102017","DOIUrl":"https://doi.org/10.1016/j.gassur.2025.102017","url":null,"abstract":"","PeriodicalId":15893,"journal":{"name":"Journal of Gastrointestinal Surgery","volume":" ","pages":"102017"},"PeriodicalIF":2.2,"publicationDate":"2025-03-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143615650","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 intestinal transplantation for familial adenomatous polyposis-associated intra-abdominal desmoid disease","authors":"Mohamed Elshawy ,&nbsp;Nicholas Smith ,&nbsp;Joshua Sommovilla ,&nbsp;Carole A. Burke ,&nbsp;Anil Vaidya ,&nbsp;Carole Macaron ,&nbsp;David Liska","doi":"10.1016/j.gassur.2025.102014","DOIUrl":"10.1016/j.gassur.2025.102014","url":null,"abstract":"","PeriodicalId":15893,"journal":{"name":"Journal of Gastrointestinal Surgery","volume":"29 5","pages":"Article 102014"},"PeriodicalIF":2.2,"publicationDate":"2025-03-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143615660","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":"The 5-item modified frailty index to assess outcomes in patients undergoing colectomy: a retrospective cohort study using the American College of Surgeons National Surgical Quality Improvement Program dataset","authors":"Justin Dourado ,&nbsp;Peter Rogers ,&nbsp;Pauline Aeschbacher ,&nbsp;Shruti Agarwal ,&nbsp;Jose Yeguez ,&nbsp;Andrew Ross ,&nbsp;Avraham Belizon","doi":"10.1016/j.gassur.2025.102013","DOIUrl":"10.1016/j.gassur.2025.102013","url":null,"abstract":"","PeriodicalId":15893,"journal":{"name":"Journal of Gastrointestinal Surgery","volume":"29 5","pages":"Article 102013"},"PeriodicalIF":2.2,"publicationDate":"2025-03-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143615662","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":"Curative resection of Castleman disease initially misdiagnosed as gastrointestinal stromal tumor","authors":"Diao Kong ,&nbsp;Wei Wang ,&nbsp;Wei Peng","doi":"10.1016/j.gassur.2025.102011","DOIUrl":"10.1016/j.gassur.2025.102011","url":null,"abstract":"","PeriodicalId":15893,"journal":{"name":"Journal of Gastrointestinal Surgery","volume":"29 5","pages":"Article 102011"},"PeriodicalIF":2.2,"publicationDate":"2025-03-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143615648","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":"Letter to the Editor regarding: “University hospital status and gastric cancer mortality: a population-based nationwide study in Finland”","authors":"Liqiu Kou","doi":"10.1016/j.gassur.2025.102009","DOIUrl":"10.1016/j.gassur.2025.102009","url":null,"abstract":"","PeriodicalId":15893,"journal":{"name":"Journal of Gastrointestinal Surgery","volume":"29 5","pages":"Article 102009"},"PeriodicalIF":2.2,"publicationDate":"2025-03-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143585936","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}