Asian Journal of SurgeryPub Date : 2026-08-01Epub Date: 2026-03-30DOI: 10.1016/j.asjsur.2026.03.029
M. Kadir Bartın, Sebahattin Celik, Mahir Coskun, İbrahim Doğan, Ezgi Sönmez, Barzin Tajani, Ayesha Sohail, John W. Boland
{"title":"Botox application before intragastric balloon placement may improve balloon tolerance but does not change weight loss: A randomized prospective clinical trial","authors":"M. Kadir Bartın, Sebahattin Celik, Mahir Coskun, İbrahim Doğan, Ezgi Sönmez, Barzin Tajani, Ayesha Sohail, John W. Boland","doi":"10.1016/j.asjsur.2026.03.029","DOIUrl":"10.1016/j.asjsur.2026.03.029","url":null,"abstract":"<div><h3>Aim/background</h3><div>Gastric balloon application is a common method in obesity management, but early removal remains a challenge. This study aimed to evaluate whether gastric botox (BTX-A) affects balloon tolerance and weight loss.</div></div><div><h3>Methods</h3><div>A randomized controlled trial was conducted at a tertiary university hospital between January and December 2024. Patients meeting obesity criteria were enrolled and completed the S-36 quality of life questionnaire. They were randomized 1:1 into two groups: the control group received only a 500 cc gastric balloon, while the study group received 200 UI BTX-A, followed by balloon placement after seven days. Rhodex scores were assessed at the 1st hour, 1st day, and 7th day post-insertion. After balloon removal, the S-36 form was repeated. Early balloon removal rates and weight loss after six months were compared.</div></div><div><h3>Results</h3><div>A total of 140 patients were randomized; however, 10 patients were excluded due to predefined criteria, and ultimately 130 patients were evaluated. Early balloon removal occurred in 4 patients in the control group and 2 in the study group (p = 0.681). While initial Rhodex scores were similar, scores on the 1st and 7th days were significantly lower in the study group (p < 0.001). Readmissions occurred in 9 control and 3 study patients (9.2% total). Quality of life improved in both groups without significant differences. Six-month weight loss was 14.2 kg (study) vs. 14.5 kg (control) (p = 0.865).</div></div><div><h3>Conclusion</h3><div>BTX-A reduced early balloon removal and hospital readmissions clinically but not statistically. It did not affect weight loss or quality of life.</div></div><div><h3>Registration number</h3><div>NCT05872932</div></div>","PeriodicalId":55454,"journal":{"name":"Asian Journal of Surgery","volume":"49 8","pages":"Pages 4541-4546"},"PeriodicalIF":5.2,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148647609","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Asian Journal of SurgeryPub Date : 2026-08-01Epub Date: 2026-01-31DOI: 10.1016/j.asjsur.2026.01.056
Haiyan Gao, Wenjuan Ma, Wenlong Li
{"title":"A case report of surgical management of gout with giant elbow tophi: Elucidating pathophysiology and surgical indications","authors":"Haiyan Gao, Wenjuan Ma, Wenlong Li","doi":"10.1016/j.asjsur.2026.01.056","DOIUrl":"10.1016/j.asjsur.2026.01.056","url":null,"abstract":"","PeriodicalId":55454,"journal":{"name":"Asian Journal of Surgery","volume":"49 8","pages":"Pages 4754-4755"},"PeriodicalIF":5.2,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148640877","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Prediagnostic antibiotic use and its association with results of false-negative pediatric appendicitis scores: A single-center retrospective cohort study","authors":"Yudai Goto, Daisuke Ogawa, Tomohiro Aoyama, Bryan J. Mathis, Kouji Masumoto","doi":"10.1016/j.asjsur.2025.12.201","DOIUrl":"10.1016/j.asjsur.2025.12.201","url":null,"abstract":"<div><h3>Background/objective</h3><div>In facilities with limited pediatric imaging or surgical treatment, the pediatric appendicitis score (PAS) is widely used to support referral or transfer decisions. However, false-negative PAS results may delay diagnosis and increase the risk of complications. We aimed to identify factors associated with false-negative PAS results, focusing on the effect of prediagnostic antibiotic use.</div></div><div><h3>Methods</h3><div>This retrospective cohort study comprised pediatric patients aged ≤15 years who had undergone appendectomy for pathologically confirmed appendicitis between April 2013 and March 2023 at a single tertiary care center in Japan. The patients were divided into low- (PAS ≤6) or high- (PAS ≥7) PAS groups. Clinical characteristics were compared and logistic regression analysis was performed.</div></div><div><h3>Results</h3><div>Among 274 eligible patients, 69 (25.1 %) had a PAS of ≤6. Prediagnostic antibiotic use was significantly more common in this group, and logistic regression analysis identified antibiotic use as an independent predictor of a low PAS (odds ratio: 15.5). Patients who received prediagnostic antibiotic therapy showed lower rates of leukocytosis and neutrophilia, delayed presentation, and higher rates of perforation and gangrenous appendicitis.</div></div><div><h3>Conclusions</h3><div>Prediagnostic antibiotic use may reduce PAS and delay diagnosis. Appropriate imaging or surgery, when indicated, should not be delayed even in children with a low PAS after antibiotic exposure. Clinicians should also consider referral when prior antibiotics and a low PAS cause diagnostic uncertainty.</div></div>","PeriodicalId":55454,"journal":{"name":"Asian Journal of Surgery","volume":"49 8","pages":"Pages 4527-4532"},"PeriodicalIF":5.2,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148647131","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Asian Journal of SurgeryPub Date : 2026-08-01Epub Date: 2026-07-01DOI: 10.1016/j.asjsur.2026.06.029
Jing Wang, Jinling Liu
{"title":"Ropivacaine versus bupivacaine for pain management following total knee arthroplasty: A meta-analysis","authors":"Jing Wang, Jinling Liu","doi":"10.1016/j.asjsur.2026.06.029","DOIUrl":"10.1016/j.asjsur.2026.06.029","url":null,"abstract":"","PeriodicalId":55454,"journal":{"name":"Asian Journal of Surgery","volume":"49 8","pages":"Pages 4675-4677"},"PeriodicalIF":5.2,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148647487","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Asian Journal of SurgeryPub Date : 2026-08-01Epub Date: 2026-03-11DOI: 10.1016/j.asjsur.2026.01.078
Benfa Li, Wanyi Chen, Chaoming Cun, Min Huang
{"title":"Metaplastic breast carcinoma: A case report","authors":"Benfa Li, Wanyi Chen, Chaoming Cun, Min Huang","doi":"10.1016/j.asjsur.2026.01.078","DOIUrl":"10.1016/j.asjsur.2026.01.078","url":null,"abstract":"","PeriodicalId":55454,"journal":{"name":"Asian Journal of Surgery","volume":"49 8","pages":"Pages 4627-4629"},"PeriodicalIF":5.2,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148647494","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Asian Journal of SurgeryPub Date : 2026-08-01Epub Date: 2026-01-29DOI: 10.1016/j.asjsur.2026.01.017
Li Zhang, Chuanling Niu
{"title":"Lung metastasis of cervical mixed adenoneuroendocrine carcinoma with biphenotypic differentiation: A case report","authors":"Li Zhang, Chuanling Niu","doi":"10.1016/j.asjsur.2026.01.017","DOIUrl":"10.1016/j.asjsur.2026.01.017","url":null,"abstract":"","PeriodicalId":55454,"journal":{"name":"Asian Journal of Surgery","volume":"49 8","pages":"Pages 4678-4680"},"PeriodicalIF":5.2,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148647496","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Asian Journal of SurgeryPub Date : 2026-08-01Epub Date: 2026-02-03DOI: 10.1016/j.asjsur.2026.01.063
Xun Ni, Tingting Ding, Shanshan Lu, Aihua Lin
{"title":"The role of dynamic monitoring in early resuscitation of traumatic shock and its relationship with blood loss","authors":"Xun Ni, Tingting Ding, Shanshan Lu, Aihua Lin","doi":"10.1016/j.asjsur.2026.01.063","DOIUrl":"10.1016/j.asjsur.2026.01.063","url":null,"abstract":"","PeriodicalId":55454,"journal":{"name":"Asian Journal of Surgery","volume":"49 8","pages":"Pages 4765-4767"},"PeriodicalIF":5.2,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148634119","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Asian Journal of SurgeryPub Date : 2026-08-01Epub Date: 2026-02-03DOI: 10.1016/j.asjsur.2026.01.040
Si-Yao Guan, Jia-Qin Yao, Li-Zhen Xu, Ju-Zhang Li
{"title":"Postural management during recovery from anesthesia in abdominal surgery: A narrative review","authors":"Si-Yao Guan, Jia-Qin Yao, Li-Zhen Xu, Ju-Zhang Li","doi":"10.1016/j.asjsur.2026.01.040","DOIUrl":"10.1016/j.asjsur.2026.01.040","url":null,"abstract":"","PeriodicalId":55454,"journal":{"name":"Asian Journal of Surgery","volume":"49 8","pages":"Pages 4715-4716"},"PeriodicalIF":5.2,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148634258","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Asian Journal of SurgeryPub Date : 2026-08-01Epub Date: 2026-02-02DOI: 10.1016/j.asjsur.2026.01.051
Xiaomeng Wang, Xiaosa Chi
{"title":"The essential reporting of odds ratios and confidence intervals in logistic regression","authors":"Xiaomeng Wang, Xiaosa Chi","doi":"10.1016/j.asjsur.2026.01.051","DOIUrl":"10.1016/j.asjsur.2026.01.051","url":null,"abstract":"","PeriodicalId":55454,"journal":{"name":"Asian Journal of Surgery","volume":"49 8","pages":"Page 4737"},"PeriodicalIF":5.2,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148634477","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}