Surgery, Gastroenterology and Oncology最新文献_第4页

Functional Laparoscopic Roux-en-Y Gastric Bypass with Fundectomy and Gastric Remnant Exploration (LRYGBfse): Learning Curve Assessment Using the Cumulative Sum Analysis Methodology (CUSUM) 功能性腹腔镜Roux-en-Y胃旁路手术伴胃底切除和胃残余探查(LRYGBfse):使用累积和分析方法(CUSUM)的学习曲线评估

Surgery, Gastroenterology and Oncology Pub Date : 2023-01-01 DOI: 10.21614/sgo-593

Giovanni Lesti, Marco Antonio Zappa, Gianluca Bonitta, Andrea Sozzi, Davide Bona, Alberto Aiolfi

引用次数: 0

The Assessment of the Perioperative Outcome of Laparoscopic versus Open Management of Gastroduodenal Perforation. Our Two-Center Comparative Experience. 腹腔镜与开放治疗胃十二指肠穿孔围手术期疗效比较。我们的双中心比较经验。

Surgery, Gastroenterology and Oncology Pub Date : 2023-01-01 DOI: 10.21614/sgo-v.28-a.565

E. M. Khedr, Selmy S Awad, Abdoh Salem, Azzah Alzahrani, Majed Asiri, Musab AlThomali, Nadiah G. AlAmri, A. Alshamrani, Esraa J Kaheel, Malak F Almogathali, Zahraa A Assmary, Shumukh Alkhammash, Farah C Pantaran, Doaa M Elkafrawy, A. Alotaibi, Talalalfatimi Alhassan, Mahmoud R Abdulshafi, Abdullah A Altalhi, Hashim M Atallah, H. A Alshehri, Mohamed Samir Abou, A. Tarabay

引用次数: 0

Outcomes of Sacrococcygeal Teratoma: An 18-year Experience in a Single Tertiary Referral Center in Thailand 骶尾畸胎瘤的治疗结果:泰国一家三级转诊中心18年的经验

Surgery, Gastroenterology and Oncology Pub Date : 2023-01-01 DOI: 10.21614/sgo-ec-392-ecollection-2022-july

Nutnicha Suksamanapun, Prapaporn Uthedphonrattanagul, Mongkol Laohapensang, Monawat Ngerncham

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Successful Trans-Cholecysto-Cystic Duct Common Bile Duct Stenting in a Case of Malignant Obstructive Jaundice 恶性梗阻性黄疸经胆囊-胆囊管胆总管支架置入术成功1例

Surgery, Gastroenterology and Oncology Pub Date : 2023-01-01 DOI: 10.21614/sgo-ec-v.28-a.534

Po Hong Tan, Siti Zulaika Saad, Anuradha Valan, Jonathan Khee Ghee, Norhafizah Ehsan, Kharlina Khairuddin

{"title":"Successful Trans-Cholecysto-Cystic Duct Common Bile Duct Stenting in a Case of Malignant Obstructive Jaundice","authors":"Po Hong Tan, Siti Zulaika Saad, Anuradha Valan, Jonathan Khee Ghee, Norhafizah Ehsan, Kharlina Khairuddin","doi":"10.21614/sgo-ec-v.28-a.534","DOIUrl":"https://doi.org/10.21614/sgo-ec-v.28-a.534","url":null,"abstract":"Malignant obstructive jaundice (MOJ) is a disease that could negatively affect patient outcomes. It is treated with Endoscopic Retrograde Cholangiopancreatography (ERCP), Percutaneous Transhepatic Biliary drainage (PTBD), or Endoscopic ultrasound-guided biliary drainage (EUS-BD). We here present a case where malignant obstructive jaundice that failed both ERCP and PTBD achieved successful biliary decompression through trans-cholecysto-cystic duct CBD stenting. A-53-year old female presented to our center with obstructive jaundice secondary to a pancreatic uncinate tumor. Multiple attempts of ERCP and PTBD failed due to difficult cannulation and inadequate dilation of IHD. Furthermore, EUS-BD expertise was not available in our center. A percutaneous cholecystostomy was performed for temporary biliary decompression. After a multidisciplinary discussion was made, the decision was made for trans-cholecystic-cystic duct CBD stenting. The procedure was a success without significant complications. There are multiple ways for biliary decompression. ERCP and PTBD are most commonly used as the first-line treatment with a high success rate. However, PTBD is associated with more complications, with a morbidity rate of up to 33%. With the advancement of EUS, EUS-BD has been a popular treatment option with similar technical success. However, it is a complex and risky procedure that requires expertise. In this case, we achieved a biliary decompression technique similar to PTBD. Instead, the gallbladder and cystic duct are used as passage for stenting. The result is better than envisaged with successful biliary decompression without complications. In conclusion, trans-cholecysto-cystic duct biliary stenting is a feasible procedure to be done for biliary decompression.","PeriodicalId":22101,"journal":{"name":"Surgery, Gastroenterology and Oncology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136207241","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

Predictors of Nonoperative Management Failure and Recurrence in Adults with Acute Appendicitis: A Single-Center Retrospective Study 成人急性阑尾炎非手术治疗失败和复发的预测因素:单中心回顾性研究

Surgery, Gastroenterology and Oncology Pub Date : 2022-01-27 DOI: 10.21203/rs.3.rs-1256996/v1

Y. Wakasa, Y. Toyoki, Yuma Kameyama, Tadashi Odagiri, Hiroyuki Jin, M. Nakai, K. Aoki, H. Kawashima, M. Endo

{"title":"Predictors of Nonoperative Management Failure and Recurrence in Adults with Acute Appendicitis: A Single-Center Retrospective Study","authors":"Y. Wakasa, Y. Toyoki, Yuma Kameyama, Tadashi Odagiri, Hiroyuki Jin, M. Nakai, K. Aoki, H. Kawashima, M. Endo","doi":"10.21203/rs.3.rs-1256996/v1","DOIUrl":"https://doi.org/10.21203/rs.3.rs-1256996/v1","url":null,"abstract":"\u0000 [Purpose]\u0000\u0000Failure and recurrence are concerns in nonoperative management (NOM) for acute appendicitis (AA) and interval appendectomy (IA). The goal of the study was to identify predictors of failure and recurrence in patients with AA who underwent NOM.\u0000[Methods]\u0000\u0000A total of 348 adults with appendicitis were treated in our department from April 2016 to October 2021. Among these patients, 337 who did not undergo emergency surgery were divided into those with failed NOM and unplanned surgery (n=28) and successful NOM (n=309). These groups were compared to identify predictive factors for NOM failure. In the NOM-success group, 195 patients were divided into non-recurrence (n=166) and recurrence (n=29) groups to identify predictive factors for recurrence of appendicitis.\u0000[Results]\u0000\u0000In multivariate analysis, post-treatment CRP level (odds ratio (OR)=1.126, 95% confidence interval (CI) 1.076-1.179, P=0.000) and fecal stones with abscess formation (OR=5.530, 95% CI 2.081-14.691, P=0.001) were independently associated with NOM failure. Receiver operating characteristic curve analysis showed an optimum cutoff CRP level of 10.46 mg/dl for failure appendicitis. The initial CRP level was significantly lower and the % CRP decrease was significantly higher in the recurrence group than in the non-recurrence group.\u0000[Conclusions]\u0000\u0000These findings suggest that the post-treatment CRP level and fecal stones with abscess formation are predictors of NOM failure, but that recurrence may not be affected by the severity of previous appendicitis.","PeriodicalId":22101,"journal":{"name":"Surgery, Gastroenterology and Oncology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-01-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75775640","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

How Fast Can a Giant Colonic Diverticulum Grow? 巨型结肠憩室能生长多快?

Surgery, Gastroenterology and Oncology Pub Date : 2022-01-01 DOI: 10.21614/sgo-486

A. Panyko, M. Dubovsky, M. Hajská, Stefan Novak, M. Vicián

引用次数: 0

Evolution of Liver Fibrosis in Patients with HCV Chronic Infection Treated with Direct-Acting Antivirals 直接抗病毒药物治疗HCV慢性感染患者肝纤维化的演变

Surgery, Gastroenterology and Oncology Pub Date : 2022-01-01 DOI: 10.21614/sgo-531

Andreea Franculescu-Bertea, I. Copaci, Elena Laura Iliescu, L. Micu

引用次数: 0

Prognostic Factors of Recurrence and Survival After Living-donor Liver Transplantation for Hepatocellular Carcinoma: Mansoura Experience 肝细胞癌活体肝移植术后复发和生存的预后因素:曼苏拉经验

Surgery, Gastroenterology and Oncology Pub Date : 2022-01-01 DOI: 10.21614/sgo-409

O. Fathi, A. Sultan, A. Shehta, A. Monier, T. Salah, A. Yassen, Mohamed Elshoubari, Ahmed Nabih Elghawalby, R. Said, Mohamed Eldesoky, M. Elmorshedi, M. Elsadany, A. Marwan, Osama Shiha, K. Zalata, M. Abdel Wahab

引用次数: 0

Totally Laparoscopic Total Gastrectomy with Oesophagus-Duodenal Interposition of a Pedicled Jejunal Flap in a Patient with Familial Adenomatous Polyposis (with video) 全腹腔镜下食管-十二指肠间置带蒂空肠瓣全胃切除术治疗家族性腺瘤性息肉病1例(附视频)

Surgery, Gastroenterology and Oncology Pub Date : 2022-01-01 DOI: 10.21614/sgo-499

J. Barbosa, F. Sousa, Manuela Batista, Jose Pedro Barbosa, E. Barbosa

{"title":"Totally Laparoscopic Total Gastrectomy with Oesophagus-Duodenal Interposition of a Pedicled Jejunal Flap in a Patient with Familial Adenomatous Polyposis (with video)","authors":"J. Barbosa, F. Sousa, Manuela Batista, Jose Pedro Barbosa, E. Barbosa","doi":"10.21614/sgo-499","DOIUrl":"https://doi.org/10.21614/sgo-499","url":null,"abstract":"Introduction: Several interposition techniques have been described for reconstruction after total gastrectomy in FAP patients, in open (1) and laparoscopic assisted surgery (2,3,4). The Longmire technique has the advantage of allowing all the food to pass through the duodenum and better absorption of nutrients, such as iron (5). Here, we describe the use of a pedicled isoperistaltic jejunal flap interposition technique to reconstruct the digestive tract after total gastrectomy, fully performed by laparoscopic approach, in a patient with FAP that had previous total colectomy. Our patient was a 68-year-old woman, with “MUTYH-Associated Polyposis (MAP)”, a c.494A>G mutation at exon 7 and c.1145G>A mutation at exon 13. She was diagnosed with gastric cancer and lesions of high- and low-grade dysplasia. She was previously submitted to a laparoscopic total colectomy, 2009, and a conservative breast surgery plus chemoradiotherapy in 2017. She also had duodenal and rectum polyps in her surveillance months, without any relevant symptoms. Conclusion: We hereby describe a technique that has been previously used by others with good results, but with the novel contribution of performing the surgery entirely by laparoscopy.","PeriodicalId":22101,"journal":{"name":"Surgery, Gastroenterology and Oncology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73857651","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}

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Lymphadenectomy and Survival in Esophageal Adenocarcinoma - A Systematic Review and Meta-Analysis 食管腺癌的淋巴结切除术和生存率-系统回顾和荟萃分析

Surgery, Gastroenterology and Oncology Pub Date : 2022-01-01 DOI: 10.21614/sgo-505

Sara Rodrigues, Carolina Pinto da, Joana Augusto, Tiago Trindade, Margarida Lopes Ferreira, Rafaela Coelho da, Beatriz Pinho, JosÃ© Barbosa

引用次数: 0