Journal of Gastrointestinal Surgery最新文献

{"title":"Robotic-assisted resection of a retroperitoneal arteriovenous malformation","authors":"Melody Pi Yin Tu, Hoe Yan Hor, Nabil Wasif","doi":"10.1016/j.gassur.2026.102371","DOIUrl":"10.1016/j.gassur.2026.102371","url":null,"abstract":"","PeriodicalId":15893,"journal":{"name":"Journal of Gastrointestinal Surgery","volume":"30 4","pages":"Article 102371"},"PeriodicalIF":2.4,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146201965","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":"Quain’s internal hernia: a case report","authors":"Ricardo Soto Gómez","doi":"10.1016/j.gassur.2026.102324","DOIUrl":"10.1016/j.gassur.2026.102324","url":null,"abstract":"","PeriodicalId":15893,"journal":{"name":"Journal of Gastrointestinal Surgery","volume":"30 4","pages":"Article 102324"},"PeriodicalIF":2.4,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145994517","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 “Oral microbiome signatures as potential biomarkers for gastric cancer risk assessment”","authors":"Kanishka Harariya , Thakur Rohit Singh , Ankita Kalra , Swarupanjali Padhi , Fayaz Ahamed","doi":"10.1016/j.gassur.2026.102339","DOIUrl":"10.1016/j.gassur.2026.102339","url":null,"abstract":"","PeriodicalId":15893,"journal":{"name":"Journal of Gastrointestinal Surgery","volume":"30 4","pages":"Article 102339"},"PeriodicalIF":2.4,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146003513","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":"Operative strategies for the acute difficult gallbladder: a Society for Surgery of the Alimentary Tract state-of-the-art systematic review and meta-analysis of subtotal cholecystectomy outcomes","authors":"Muhammad Ahmad Nadeem ,&nbsp;Abdul Rafeh Awan ,&nbsp;Chase J. Wehrle ,&nbsp;Ayaka Tsutsumi ,&nbsp;Fabrizio Darby ,&nbsp;Shaan Bhandarkar ,&nbsp;David Bentrem ,&nbsp;Casey Allen ,&nbsp;Kaitlyn Kelly ,&nbsp;Clancy Clark ,&nbsp;Toms Augustin ,&nbsp;Vanita Ahuja ,&nbsp;Samer Naffouje","doi":"10.1016/j.gassur.2026.102345","DOIUrl":"10.1016/j.gassur.2026.102345","url":null,"abstract":"<div><h3>Background</h3><div>The “difficult gallbladder” in acute cholecystitis can preclude safe achievement of the critical view of safety, prompting subtotal cholecystectomy (STC) as a guideline-supported bailout. We performed a contemporary synthesis to clarify STC’s safety effectiveness trade-offs vs total cholecystectomy (TC) and delineate technique-specific outcomes and patient factors that may influence risk.</div></div><div><h3>Methods</h3><div>We conducted a systematic review and meta-analysis of studies from 2010 to June 2025. Three comparisons were evaluated: (i) single-arm outcomes after STC, (ii) STC vs TC, and (iii) fenestrating STC (f-STC) vs reconstituting STC (r-STC). Random-effects models were applied, with prespecified subgroup analyses, leave-one-out sensitivity analyses, and exploratory meta-regression.</div></div><div><h3>Results</h3><div>In single-arm analysis, bile duct injury (BDI) occurred in 0.3%, bile leak in 13.5%, retained stones in 6.1%, and overall complications in 24.7% of patients. Readmission and reoperation occurred in 17.8% and 6.3%, whereas mortality was 0.8%. Postprocedural endoscopic retrograde cholangiopancreatography (ERCP) occurred in 16.2%, and percutaneous drainage in 5.7%. Compared with TC, STC had significantly higher bile leak, retained stones, overall complications, readmission, reoperation, and ERCP, with no significant difference in mortality, intensive care unit admission, or length of stay (LOS). Meta-regression linked diabetes with higher leak, complications, and ERCP, and male sex with higher surgical site infection. f-STC had significantly higher bile leak and longer LOS than r-STC, with ERCP trending higher.</div></div><div><h3>Conclusion</h3><div>STC carries a very low BDI rate, but higher postoperative morbidity and secondary interventions than TC. r-STC demonstrated superior outcomes to f-STC. Diabetes and male sex were important risk modifiers. STC remains a rational bailout when the critical view cannot be achieved.</div></div>","PeriodicalId":15893,"journal":{"name":"Journal of Gastrointestinal Surgery","volume":"30 4","pages":"Article 102345"},"PeriodicalIF":2.4,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146125356","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":"Neoadjuvant stereotactic body vs conventionally fractionated radiation therapy for borderline resectable and locally advanced pancreatic cancer: a propensity score–matched analysis","authors":"Takayuki Shimizu ,&nbsp;Serena Zheng ,&nbsp;Shimpei Maeda ,&nbsp;Jason Link ,&nbsp;Aletta Deranteriassian ,&nbsp;Alykhan Premji ,&nbsp;Johathan King ,&nbsp;Mark Girgis ,&nbsp;Oscar Joe Hines ,&nbsp;Zev Wainberg ,&nbsp;Ann Raldow ,&nbsp;Jin He ,&nbsp;William Burns ,&nbsp;Amol Narang ,&nbsp;Motaz Qadan ,&nbsp;Carlos Fernandez-Del Castillo ,&nbsp;Keith D. Lillemoe ,&nbsp;Jennifer Wo ,&nbsp;Theodore Hong ,&nbsp;Timothy R. Donahue","doi":"10.1016/j.gassur.2026.102358","DOIUrl":"10.1016/j.gassur.2026.102358","url":null,"abstract":"<div><h3>Background</h3><div>Stereotactic body radiation therapy (SBRT) is increasingly used in neoadjuvant chemoradiotherapy (NCRT) for borderline resectable (BR) and locally advanced (LA) pancreatic ductal adenocarcinoma (PC), but head-to-head data on SBRT vs conventionally fractionated radiation therapy (CFRT) remain limited. We compared clinical and pathological outcomes of SBRT vs CFRT in BR/LA PC.</div></div><div><h3>Methods</h3><div>We retrospectively analyzed 312 patients with BR/LA PC who received NCRT followed by margin-negative (R0)/margin-positive surgery at 3 high-volume academic centers (2011–2021). To reduce selection bias, 1:1 propensity score matching (PSM) was applied based on baseline clinical variables. The primary outcome was overall survival (OS), and the secondary outcome was clinical and pathological response to NCRT.</div></div><div><h3>Results</h3><div>Of 312 patients, 177 (56.7%) received SBRT and 135 (43.3%) received CFRT. Before PSM, significant differences were observed in patient age, neoadjuvant chemotherapy regimen, and duration of the preoperative interval. After PSM, 180 patients were matched, with no significant differences in pretreatment variables between groups. Clinical and pathological outcomes were similar between the matched cohorts, including complete/near-complete pathological response rates (36.7% vs 45.6%; <em>P</em> =.56), node-positive disease (32.2% vs 36.7%; <em>P</em> =.53), and R0 resection rates (80.0% vs 82.2%; <em>P</em> =.70). The median OS was not significantly different (27.2 vs 40.6 months; <em>P</em> =.70). Patients in the SBRT cohort were more likely to receive adjuvant therapy than those in the CFRT cohort (60.0% vs 38.9%; <em>P</em> =.007). In subgroup analyses restricted to patients treated with neoadjuvant FOLFIRINOX (FFX), SBRT was associated with a significantly longer OS among those presenting with markedly elevated pretreatment carbohydrate antigen 19-9 (CA19-9) levels (≥1500 U/mL) (29.8 vs 12.1 months; <em>P</em> =.02).</div></div><div><h3>Conclusion</h3><div>Neoadjuvant SBRT achieves oncologic outcomes comparable with CFRT in BR/LA PC and is associated with greater adjuvant therapy use. A potential survival signal for SBRT in patients receiving FFX with CA19-9 of ≥1500 U/mL is hypothesis generating and warrants validation and formal interaction testing.</div></div>","PeriodicalId":15893,"journal":{"name":"Journal of Gastrointestinal Surgery","volume":"30 4","pages":"Article 102358"},"PeriodicalIF":2.4,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146125343","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":"Robotic ventral mesh rectopexy: standard technique and difficult scenarios","authors":"Marco Bertucci Zoccali,&nbsp;Taylor Kavanagh,&nbsp;Yuhamy Curbelo","doi":"10.1016/j.gassur.2026.102362","DOIUrl":"10.1016/j.gassur.2026.102362","url":null,"abstract":"","PeriodicalId":15893,"journal":{"name":"Journal of Gastrointestinal Surgery","volume":"30 4","pages":"Article 102362"},"PeriodicalIF":2.4,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146132027","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":"Distant esophageal metastasis from colorectal adenocarcinoma","authors":"Tian-Qi Zhao ,&nbsp;Kai-Rong Hou ,&nbsp;Wei Liu","doi":"10.1016/j.gassur.2026.102370","DOIUrl":"10.1016/j.gassur.2026.102370","url":null,"abstract":"","PeriodicalId":15893,"journal":{"name":"Journal of Gastrointestinal Surgery","volume":"30 4","pages":"Article 102370"},"PeriodicalIF":2.4,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146197733","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":"Age-related differences in postoperative outcomes following colectomy for diverticular disease: a National Surgical Quality Improvement Program study","authors":"Spyridon Papadimatos,&nbsp;Itzel Elizabeth Vidal Sanchez,&nbsp;Alexander A. Xu,&nbsp;Kristen T. Crowell,&nbsp;Evangelos Messaris","doi":"10.1016/j.gassur.2026.102340","DOIUrl":"10.1016/j.gassur.2026.102340","url":null,"abstract":"<div><h3>Purpose</h3><div>The incidence of diverticular disease in younger adults has been on the rise over the past decades. This study aimed to evaluate the association between age and postoperative outcomes for patients undergoing colectomy for diverticular disease.</div></div><div><h3>Methods</h3><div>A retrospective analysis was performed using the American College of Surgeons National Surgical Quality Improvement Program Participant Use Files between 2016 and 2020. Adults aged ≥18 years who underwent colectomy for diverticular disease were included. Demographic, perioperative, and postoperative variables were analyzed between patients aged &lt;50 and ≥50 years. A multivariable logistic regression was used to identify independent predictors of major intra-abdominal complications, defined as positive when either anastomotic leak or organ/space surgical site infections were present.</div></div><div><h3>Results</h3><div>A total of 39,729 patients met the inclusion criteria. Younger individuals comprised 23% of the cohort, were less often female (36% vs 61%; <em>P</em> &lt;.001), had a higher mean body mass index (32 vs 29; <em>P</em> &lt;.001), and were more likely to be smokers (28% vs 18%; <em>P</em> &lt;.001). Readmissions were more frequent in older patients (8.5% vs 7.5%; <em>P</em> =.002); however, the median time to first readmission occurred earlier in younger patients (12 vs 15 days; <em>P</em> &lt;.001). In multivariable analysis, among other factors, age younger than 50 years independently increased the risk of major intra-abdominal complications (odds ratio, 1.14; 95% CI, 1.02–1.27).</div></div><div><h3>Conclusion</h3><div>Despite their overall healthier profile, younger patients experience comparable postoperative risk rates with older patients and are at an increased risk of severe intra-abdominal complications. These findings provide insights that add to patient–physician shared decision making.</div></div>","PeriodicalId":15893,"journal":{"name":"Journal of Gastrointestinal Surgery","volume":"30 4","pages":"Article 102340"},"PeriodicalIF":2.4,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146040817","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":"Giant Brunner gland hamartoma of the duodenum","authors":"Bijit Saha ,&nbsp;Bijan Basak ,&nbsp;Gourab Bhaduri","doi":"10.1016/j.gassur.2026.102348","DOIUrl":"10.1016/j.gassur.2026.102348","url":null,"abstract":"","PeriodicalId":15893,"journal":{"name":"Journal of Gastrointestinal Surgery","volume":"30 4","pages":"Article 102348"},"PeriodicalIF":2.4,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146097117","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 “Predictors for operative intervention in adult patients with foreign body ingestion”","authors":"Jiancheng Ye ,&nbsp;Wen Lyu","doi":"10.1016/j.gassur.2026.102372","DOIUrl":"10.1016/j.gassur.2026.102372","url":null,"abstract":"","PeriodicalId":15893,"journal":{"name":"Journal of Gastrointestinal Surgery","volume":"30 4","pages":"Article 102372"},"PeriodicalIF":2.4,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146197703","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}