Journal of Hepato‐Biliary‐Pancreatic Sciences最新文献_第3页

Notation System for Liver Transplant Recipients: Key Information in Transplant Procedure. 肝移植受者符号系统：移植过程中的关键信息。

IF 2.5 3区医学

Journal of Hepato‐Biliary‐Pancreatic Sciences Pub Date : 2026-10-08 DOI: 10.1002/jhbp.70199

Hidenobu Kojima, Takashi Ito, Kei Yamane, Tomoaki Yoh, Shinya Okumura, Katsunori Sakamoto, Shoichi Kageyama, Satoshi Ogiso, Takayuki Anazawa, Yoichiro Uchida, Kazuyuki Nagai, Takamichi Ishii, Etsuro Hatano

{"title":"Notation System for Liver Transplant Recipients: Key Information in Transplant Procedure.","authors":"Hidenobu Kojima, Takashi Ito, Kei Yamane, Tomoaki Yoh, Shinya Okumura, Katsunori Sakamoto, Shoichi Kageyama, Satoshi Ogiso, Takayuki Anazawa, Yoichiro Uchida, Kazuyuki Nagai, Takamichi Ishii, Etsuro Hatano","doi":"10.1002/jhbp.70199","DOIUrl":"https://doi.org/10.1002/jhbp.70199","url":null,"abstract":"Liver transplantation (LT) is a standard therapy for patients with end-stage liver disease and certain hepatic malignancies. The LT procedure has diversified due to donor shortages and advances in immunosuppressive treatments and surgical techniques. Donor organ shortages have promoted the use of living donor liver transplantation and \"marginal\" livers, including donation after circulatory death. ABO-incompatible liver transplants now show outcomes comparable with ABO-compatible transplants when a desensitization protocol is used. Hepaticojejunostomy, rather than duct-to-duct anastomosis, is performed in select cases with an unsuitable common bile duct or in patients with primary sclerosing cholangitis. These procedural differences affect follow-up management in LT recipients. Given the increasing diversity of transplant surgeries and the long-term prognosis after LT, it is essential for healthcare professionals and transplant societies to be informed about the specific procedures performed in LT recipients. We aimed to propose a notation system for LT recipients that documents key procedural information, including the number of transplantations, donor type with donor/recipient blood types in ABO-incompatible transplantation, graft type, the number of reconstructed vessels, and the number and type of biliary reconstruction. The use of a common notation system for transplant procedures can facilitate patient management, communication, and accurate understanding of transplant procedures.","PeriodicalId":16056,"journal":{"name":"Journal of Hepato‐Biliary‐Pancreatic Sciences","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2026-10-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149136813","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}

引用次数: 0

Ex Vivo Comparative Experiments Demonstrating the Ablation Effect of a Temperature-Controlled Radiofrequency Ablation System. 温控射频烧蚀系统烧蚀效果的离体对比实验。

IF 2.5 3区医学

Journal of Hepato‐Biliary‐Pancreatic Sciences Pub Date : 2026-10-07 DOI: 10.1002/jhbp.70197

Kenjiro Yamamoto, Takao Itoi, Yuki Joyama, Takayoshi Tsuchiya, Ryosuke Tonozuka, Shuntaro Mukai, Kazumasa Nagai, Hiroyuki Kojima, Hiroshi Nanjo, Katsunori Iijima

{"title":"Ex Vivo Comparative Experiments Demonstrating the Ablation Effect of a Temperature-Controlled Radiofrequency Ablation System.","authors":"Kenjiro Yamamoto, Takao Itoi, Yuki Joyama, Takayoshi Tsuchiya, Ryosuke Tonozuka, Shuntaro Mukai, Kazumasa Nagai, Hiroyuki Kojima, Hiroshi Nanjo, Katsunori Iijima","doi":"10.1002/jhbp.70197","DOIUrl":"https://doi.org/10.1002/jhbp.70197","url":null,"abstract":"Background: A temperature-controlled radiofrequency ablation (TC-RFA) system has been introduced to reduce excessive thermal damage and enable safer treatment. However, the ablation effect of this system remains to be fully elucidated. Therefore, this ex vivo study aimed to directly compare the ablation characteristics of the TC-RFA with those of a power-controlled RFA (PC-RFA).Methods: Pig liver specimens were used. The TC-RFA using all four probe types and the PC-RFA were performed step-by-step to macroscopically evaluate the ablation area and speed. Linear regression models with interaction terms were used to compare changes in ablation dimensions over time between RFA devices and probes.Results: The TC-RFA produced different short-axis ablation diameters depending on the probe even at the same temperature setting and generated an ablation effect at an earlier time, with substantially less change in ablation dimensions over time than the PC-RFA. In contrast, the PC-RFA had the slowest onset, but its ablation area continued to increase in width and depth with longer ablation durations. These differences in ablation behavior over time were statistically significant (Holm-adjusted p < 0.001).Conclusions: In these exploratory ex vivo experiments, the TC-RFA system produced earlier and more consistent ablation effects over time than the PC-RFA system.","PeriodicalId":16056,"journal":{"name":"Journal of Hepato‐Biliary‐Pancreatic Sciences","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2026-10-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149110547","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}

引用次数: 0

Validation of Discharge Criteria and Risk Factors for Readmission After Pancreatoduodenectomy. 胰十二指肠切除术后再入院的出院标准和危险因素的验证。

IF 2.5 3区医学

Journal of Hepato‐Biliary‐Pancreatic Sciences Pub Date : 2026-10-05 DOI: 10.1002/jhbp.70196

Takahisa Hirano, Hiroyuki Ishida, Daisuke Hashimoto, Satoshi Mii, Kazuki Matsumura, Hidetaka Miyazaki, Yuki Matsui, Yuji Ikeda, So Yamaki, Sohei Satoi

{"title":"Validation of Discharge Criteria and Risk Factors for Readmission After Pancreatoduodenectomy.","authors":"Takahisa Hirano, Hiroyuki Ishida, Daisuke Hashimoto, Satoshi Mii, Kazuki Matsumura, Hidetaka Miyazaki, Yuki Matsui, Yuji Ikeda, So Yamaki, Sohei Satoi","doi":"10.1002/jhbp.70196","DOIUrl":"https://doi.org/10.1002/jhbp.70196","url":null,"abstract":"Background: The optimal timing of hospital discharge after pancreatoduodenectomy remains challenging because objective discharge criteria have not been well established. We aimed to evaluate the clinical validity of our institutional discharge criteria and identify risk factors for unplanned readmission.Methods: This single-center retrospective study included consecutive patients who underwent pancreatoduodenectomy at our institution between 2007 and 2024. Patients with in-hospital mortality were excluded. Institutional recommended discharge criteria consisted of independent activities of daily living, adequate oral intake, and a declining serum C-reactive protein (CRP) level < 5.0 mg/dL. The primary outcome was the 30-day unplanned readmission rate. Multivariable logistic regression analysis identified risk factors for readmission.Results: Among 976 patients, the median postoperative length of stay was 13 days and the 30-day readmission rate was 9.8% (n = 96). Multivariable analysis showed that postoperative intra-abdominal abscess (odds ratio [OR], 2.82) and serum CRP level ≥ 5.0 mg/dL at discharge (OR, 3.34) were associated with higher risk of readmission. Patients who fulfilled the discharge criteria consistently showed lower readmission rates regardless of postoperative length of stay.Conclusions: Our objective discharge criteria showed clinical validity, ensuring safe discharge after pancreatoduodenectomy. Patients with postoperative intra-abdominal abscesses may require stricter discharge assessment to reduce the risk of readmission.","PeriodicalId":16056,"journal":{"name":"Journal of Hepato‐Biliary‐Pancreatic Sciences","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2026-10-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149110555","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}

引用次数: 0

Liver Transplantation Versus Resection for Single-Nodule Hepatocellular Carcinoma: A Systematic Review and Meta-Analysis. 肝移植与切除治疗单结节肝癌：系统回顾和荟萃分析。

IF 2.5 3区医学

Journal of Hepato‐Biliary‐Pancreatic Sciences Pub Date : 2026-09-30 DOI: 10.1002/jhbp.70182

Carlos Rosa-Sánchez, María Á López-Garrido, Francisco Valverde-López, Eduardo Redondo-Cerezo

{"title":"Liver Transplantation Versus Resection for Single-Nodule Hepatocellular Carcinoma: A Systematic Review and Meta-Analysis.","authors":"Carlos Rosa-Sánchez, María Á López-Garrido, Francisco Valverde-López, Eduardo Redondo-Cerezo","doi":"10.1002/jhbp.70182","DOIUrl":"https://doi.org/10.1002/jhbp.70182","url":null,"abstract":"Background: Liver transplantation (LT) and liver resection (LR) are curative options for early-stage hepatocellular carcinoma (HCC), but the optimal approach for single-nodule disease remains debated. This systematic review and meta-analysis compared long-term outcomes of LT versus LR in patients with single-nodule HCC.Methods: PubMed and Cochrane Library were searched (2012-2023) following PRISMA guidelines. Studies comparing LT and LR in adults with single-nodule HCC were included. Overall survival (OS) and disease-free survival (DFS) at 1, 3, 5, and 10 years were analyzed using random-effects models.Results: Eight studies including 5094 patients (LT: 2289; LR: 2805) were analyzed. No randomized clinical trials were identified. LT showed significantly higher OS at 3, 5, and 10 years, while 1-year OS was similar. DFS was superior in the LT group at all time points, with progressively larger benefits over time. ITT and tumor-size sensitivity analyses showed similar findings.Conclusions: LT was associated with better long-term OS and DFS than LR in patients with single-nodule HCC. The consistency of these findings, particularly for DFS, suggests a potential oncological benefit of LT in appropriately selected patients. However, the observational design and substantial baseline differences limit causal interpretation and warrant further comparative research.Trail registration: This study was registered prospectively in the International Prospective Register of Systematic Reviews (PROSPERO) under the ID number CRD42024512589.","PeriodicalId":16056,"journal":{"name":"Journal of Hepato‐Biliary‐Pancreatic Sciences","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2026-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149080969","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}

引用次数: 0

Re: Topological Complexity Determines the Frequency of Branching Variations in the Celiac Trunk-Superior Mesenteric Artery System. 拓扑复杂性决定了腹腔干-肠系膜上动脉系统分支变异的频率。

IF 2.5 3区医学

Journal of Hepato‐Biliary‐Pancreatic Sciences Pub Date : 2026-09-30 DOI: 10.1002/jhbp.70193

Gharbi Lassad

引用次数: 0

Reply to the Letter to the Editor: Configurational Degeneracy as a Complementary Perspective on Arterial Branching Variation. 回复给编辑的信：构型退化作为动脉分支变异的补充视角。

IF 2.5 3区医学

Journal of Hepato‐Biliary‐Pancreatic Sciences Pub Date : 2026-09-30 DOI: 10.1002/jhbp.70194

Satoru Muro, Akimoto Nimura, Keiichi Akita

引用次数: 0

Re: Development and Validation of Nomogram Predicting Survival in Resectable Gallbladder Cancer. 可切除胆囊癌Nomogram生存预测方法的开发与验证。

IF 2.5 3区医学

Journal of Hepato‐Biliary‐Pancreatic Sciences Pub Date : 2026-09-30 DOI: 10.1002/jhbp.70192

Gharbi Lassad

引用次数: 0

Methodological Concerns on the Optimal Timing of Adjuvant S-1 After Pancreatectomy. 胰切除术后S-1辅助治疗最佳时机的方法学关注。

IF 2.5 3区医学

Journal of Hepato‐Biliary‐Pancreatic Sciences Pub Date : 2026-09-24 DOI: 10.1002/jhbp.70190

Xufeng Zhang, Yuyan Qin, Chengkang Zhang

引用次数: 0

Long-Term Outcomes of Low-Dose Steroid Induction for Autoimmune Pancreatitis: A Multicenter Retrospective Study Identifying Risk Factors for Relapse. 低剂量类固醇诱导治疗自身免疫性胰腺炎的长期疗效：一项确定复发危险因素的多中心回顾性研究

IF 2.5 3区医学

Journal of Hepato‐Biliary‐Pancreatic Sciences Pub Date : 2026-09-24 DOI: 10.1002/jhbp.70186

Yuhei Iwasa, Akinori Maruta, Keisuke Iwata, Hidetaka Kuroda, Shinya Uemura, Shota Iwata, Yosuke Ohashi, Naoki Mita, Hironao Ichikawa, Masahito Shimizu

{"title":"Long-Term Outcomes of Low-Dose Steroid Induction for Autoimmune Pancreatitis: A Multicenter Retrospective Study Identifying Risk Factors for Relapse.","authors":"Yuhei Iwasa, Akinori Maruta, Keisuke Iwata, Hidetaka Kuroda, Shinya Uemura, Shota Iwata, Yosuke Ohashi, Naoki Mita, Hironao Ichikawa, Masahito Shimizu","doi":"10.1002/jhbp.70186","DOIUrl":"https://doi.org/10.1002/jhbp.70186","url":null,"abstract":"Background: Steroids are the first-line treatment for autoimmune pancreatitis (AIP); however, the impact of lower initial doses on relapse remains unclear.Methods: Ninety patients were divided into high-dose (HD; > 0.4 mg/kg/day) and low-dose (LD; ≤ 0.4 mg/kg/day) induction groups. The treatment response, relapse rate, and predictors of relapse were evaluated.Results: Sixty-two and 28 patients received HD and LD steroid induction. The treatment response (100% vs. 100%, p > 0.99), relapse rates (33.9% vs. 32.1%, p > 0.99) and relapse-free survival (hazard ratio [HR]: 0.86; log-rank test, p = 0.99) did not differ significantly between the groups. Multivariable analysis identified discontinuation of maintenance treatment within 3 years (HR: 5.32, p = 0.0004), larger pancreatic volume (HR: 1.02, p = 0.01), and a smaller IgG4 reduction rate at 1 month after initiation of steroid treatment (HR: 0.99, p = 0.02) as independent predictors of relapse. In contrast, LD steroid induction was not identified as a risk factor for relapse (HR: 0.99, p = 0.99).Conclusions: There were no significant differences between LD and HD steroid induction in terms of treatment efficacy or long-term outcomes in patients with AIP.","PeriodicalId":16056,"journal":{"name":"Journal of Hepato‐Biliary‐Pancreatic Sciences","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2026-09-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149039180","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}

引用次数: 0

Same Session Pre-Emptive Endoscopic Ultrasound Guided Angioembolization of Perigastric Varices or Collaterals Facilitating Safe Vessel-Free Endoscopic Ultrasound Guided Cystogastrostomy (With Video) 超声内镜引导下胃周静脉曲张或侧支血管栓塞术，促进无血管内镜引导下膀胱胃造口术的安全（附视频）。

IF 2.5 3区医学

Journal of Hepato‐Biliary‐Pancreatic Sciences Pub Date : 2026-09-22 Epub Date: 2026-05-12 DOI: 10.1002/jhbp.70130

Jahnvi Dhar, Pankaj Gupta, Saroj Kant Sinha, Jayanta Samanta

引用次数: 0