Journal of Visceral Surgery最新文献

{"title":"RE: Management of stomal prolapse: Stapler repair.","authors":"Alexandra Pellegrin, Gaetan Pasinato, Charles Sabbagh","doi":"10.1016/j.jviscsurg.2025.07.001","DOIUrl":"https://doi.org/10.1016/j.jviscsurg.2025.07.001","url":null,"abstract":"","PeriodicalId":49271,"journal":{"name":"Journal of Visceral Surgery","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-07-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144621013","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Unplanned re-hospitalization after bariatric surgery.","authors":"Claire Blanchard, Benjamin Menahem","doi":"10.1016/j.jviscsurg.2025.05.001","DOIUrl":"https://doi.org/10.1016/j.jviscsurg.2025.05.001","url":null,"abstract":"<p><p>Bariatric surgery is a standard treatment for obesity and a number of its complications. Although surgical complications are relatively rare, some patients must return to the emergency department or to a facility far removed in place and time from the original surgery. The purpose of this update is to outline the main reasons for short, medium, and long-term emergency department visits and re-hospitalizations in patients who have undergone bariatric surgery. In the short term, patients may experience non-specific (pulmonary embolism, rhabdomyolysis) and specific (hemorrhage, fistula) complications. Their management is based on a multidisciplinary medical, nutritional, and interventional strategy, with an increasingly important role for surgical endoscopy. In the medium and long term, the reasons for emergency consultation and re-hospitalization are relatively non-specific (abdominal pain, vomiting, excessive or inadequate weight loss). In all cases, complete clinical, laboratory and nutritional assessments are essential. Some long-term postoperative complications are non-specific and require appropriate management: symptomatic gallstones, trocar orifice hernia. Other complications are more specific to each type of bariatric surgery. For gastric banding, these are mainly intragastric band migration and tilting; for sleeve gastrectomy, these are severe reflux, stricture, and delayed fistula; finally, for gastric bypass, these are intestinal obstructions, particularly due to mesenteric breaches, strictures, and anastomotic ulcers. The management of these complications also relies on a multidisciplinary strategy. In conclusion, re-hospitalizations after bariatric surgery are not infrequent and may occur for relatively non-specific reasons. Appropriate clinical, laboratory, and morphological assessments allow for an accurate diagnosis and appropriate management.</p>","PeriodicalId":49271,"journal":{"name":"Journal of Visceral Surgery","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-07-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144610154","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Correlation between magnetic resonance imaging and definitive histological response in adenocarcinoma of middle and low rectum after neoadjuvant treatment.","authors":"Jeanne Vertier, Rémi Grange, François Casteillo, Clément Costanza, Loïc Campion, Bertrand Le Roy, Laura Ornella Perotto","doi":"10.1016/j.jviscsurg.2025.04.006","DOIUrl":"https://doi.org/10.1016/j.jviscsurg.2025.04.006","url":null,"abstract":"<p><strong>Background: </strong>Data Rectal preservation strategies are being developed for small tumors in complete or good response on magnetic resonance imaging (MRI) after neoadjuvant treatment. Therefore, correlation between tumor regression on MRI and definitive histology is not clearly known. The aim of the present study is to show this correlation to see if MRI can be a reliable tool to propose a rectal preservation strategy.</p><p><strong>Methods: </strong>All patients over 18 years of age with non-metastatic adenocarcinoma of the lower or middle rectum who have received neoadjuvant treatment followed by a re-assessment MRI prior to surgery, between 2015 and 2023 were retrospectively included. Tumor regression on MRI was defined using mrTumor Regression Grade (mrTRG) classification. Histological tumor regression grade (pTRG) was defined according to the Mandard classification. The statistical relationship between pTRG and mrTRG was determined by univariate logistic regression, with calculation of the odds ratio.</p><p><strong>Results: </strong>76 patients were included. Most of the patients (57%) received chemoradiotherapy based on CAP50 and 26% received total neoadjuvant treatment. We found 63% concordance between mrTRG and pTRG. Moreover, among the 37% of patients for whom mrTRG and pTRG were not concordant, MRI overestimated the histological response in 71% of cases. MRI has a NPV of 81% (95% CI 73%-90%). Concordance of mrTRG and pTRG is significantly associated with mrT (P=0.026), mrTRG (P=0.002), endoscopic stenosing aspect (P=0.034) and respect of fascia recti on MRI (P=0.021).</p><p><strong>Conclusion: </strong>In conclusion, this analysis reveals 63% concordance between mrTRG and pTRG. Moreover, MRI has a NPV of 81% and therefore MRI is more accurate with poor tumor regression. Thus, mrTRG must be used in association with other clinical or endoscopic outcomes to assess a rectal preservation strategy.</p>","PeriodicalId":49271,"journal":{"name":"Journal of Visceral Surgery","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144555527","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Sternal manubriotomy for substernal goiter in four steps (with video).","authors":"Francois Ansart, Sébastien Gaujoux, Gaëlle Godiris-Petit","doi":"10.1016/j.jviscsurg.2025.06.005","DOIUrl":"https://doi.org/10.1016/j.jviscsurg.2025.06.005","url":null,"abstract":"","PeriodicalId":49271,"journal":{"name":"Journal of Visceral Surgery","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144555528","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Management of acute intestinal intussusception.","authors":"Margaux Masure, Hugo Defives, Jean-Marc Regimbeau","doi":"10.1016/j.jviscsurg.2025.06.010","DOIUrl":"https://doi.org/10.1016/j.jviscsurg.2025.06.010","url":null,"abstract":"","PeriodicalId":49271,"journal":{"name":"Journal of Visceral Surgery","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144545774","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"RE: Evolution of the methodological requirements for surgery-related publications; Update of CONSORT.","authors":"Karem Slim, Marc Pocard","doi":"10.1016/j.jviscsurg.2025.06.012","DOIUrl":"https://doi.org/10.1016/j.jviscsurg.2025.06.012","url":null,"abstract":"","PeriodicalId":49271,"journal":{"name":"Journal of Visceral Surgery","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144545775","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Indocyanine green-assisted lymphadenectomy in minimally invasive oncologic gastrectomy (with video).","authors":"Remy Amory, Antoine Mariani, Mehdi Karoui","doi":"10.1016/j.jviscsurg.2025.06.004","DOIUrl":"https://doi.org/10.1016/j.jviscsurg.2025.06.004","url":null,"abstract":"","PeriodicalId":49271,"journal":{"name":"Journal of Visceral Surgery","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-06-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144530680","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Robotic-assisted fistulo-jejunostomy with Roux-en-Y anastomosis for chronic fistula after sleeve gastrectomy (with video).","authors":"Lucien Maraux, Tigran Poghosyan","doi":"10.1016/j.jviscsurg.2025.06.006","DOIUrl":"https://doi.org/10.1016/j.jviscsurg.2025.06.006","url":null,"abstract":"","PeriodicalId":49271,"journal":{"name":"Journal of Visceral Surgery","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-06-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144530681","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A symptomatic congenital intra-hepatic portosystemic shunt.","authors":"Pierre Peyrafort, Ephrem Salamé, Petru Bucur","doi":"10.1016/j.jviscsurg.2025.06.003","DOIUrl":"10.1016/j.jviscsurg.2025.06.003","url":null,"abstract":"","PeriodicalId":49271,"journal":{"name":"Journal of Visceral Surgery","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-06-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144334259","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"RE: \"Construction of J-shaped ileal reservoir and manual or stapled ileo-anal anastomosis\".","authors":"Antonio Manenti, Stefania Caramaschi, Gianrocco Manco","doi":"10.1016/j.jviscsurg.2025.06.001","DOIUrl":"https://doi.org/10.1016/j.jviscsurg.2025.06.001","url":null,"abstract":"","PeriodicalId":49271,"journal":{"name":"Journal of Visceral Surgery","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-06-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144286969","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}