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Evaluating the use of adjuvant and neoadjuvant terminology in bariatric surgery: A scoping review J. Gastrointest. Surg. (IF 3.2) Pub Date : 2024-03-15 Theo Sher, Michelle McGee, Christopher DuCoin, Joseph Sujka, Salvatore Docimo Jr.
Weight regain and inadequate weight loss are common following bariatric surgery. Literature is emerging regarding the use of pharmacotherapy with bariatric surgery as a potential solution to these adverse effects. Pharmacotherapy may be used before (“neoadjuvant”) or after (“adjuvant”) bariatric surgery, although this terminology has not been standardized. As a rapidly growing area of research, there
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Fast-Track Discharge Following Percutaneous Endoscopic Gastrostomy Removal in Head and Neck Cancer Patients after Remission: A Feasibility and Safety Study J. Gastrointest. Surg. (IF 3.2) Pub Date : 2024-03-13 Daniel Conceição, Luís Correia Gomes, Fátima Francisco, Ivone Frade, Joana Gramacho, Sandra Faias, Isabel Claro
Head and neck cancer patients (HNCP) often require enteral nutritional support during chemoradiotherapy (CRT) possibly using a percutaneous endoscopic gastrostomy (PEG). Patients achieving complete oncological response and successfully resuming normal oral intake, will be scheduled for the removal of PEG post-treatment. We aim to evaluate the feasibility and safety of PEG tube removal with immediate
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Is the Writing on the Wall? The Relationship Between the Number of Disease Modifying Anti-Inflammatory Bowel Disease Drugs Used and the Risk of Surgical Resection J. Gastrointest. Surg. (IF 3.2) Pub Date : 2024-03-13 Marc M. Mankarious M.D., Alicia C. Greene MD, Eric W. Schaefer M.S., Kofi Clarke M.D., Afif N. Kulaylat M.D. M. Sc, Nimalan A. Jeganathan M.D., Michael J. Deutsch M.D., Audrey S. Kulaylat M.D M.Sc
Disease modifying drugs anti-inflammatory bowel disease drugs revolutionized the management of ulcerative colitis. This study assesses the relationship between the number and timing of drugs used to treat ulcerative colitis and the risk of colectomy and postoperative complications. Retrospective review of adult patients with ulcerative colitis treated with disease-modifying drugs between 2005-2020
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Preoperative Anemia: Impact on Short- and Long-term Outcomes Following Curative-intent Resection of Gastro-entero-pancreatic Neuroendocrine Tumors J. Gastrointest. Surg. (IF 3.2) Pub Date : 2024-03-13 Jun-Xi Xiang MD, Yang-Long Nan MD, Jin He MD, Alexandra G. Lopez-Aguiar MD, George Poultsides MD, Flavio Rocha MD, Sharon Weber MD, Ryan Fields MD, Kamran Idrees MD, Cliff Cho MD, Shishir K Maithel MD, Yi Lv MD PhD, Xu-Feng Zhang MD PhD, Timothy M. Pawlik MD PhD MPH MTS MBA
The impact of preoperative anemia on clinical outcomes of patients undergoing resection of gastro-entero-pancreatic neuroendocrine tumors (GEP-NETs) has not been previously investigated. The objective of the current study was to characterize how preoperative anemia affected short- and long-term outcomes of patients undergoing curative-intent resection of GEP-NETs. Patients who underwent curative-intent
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Proximal Gastric Cancer – Time for Organ Sparing Approach? J. Gastrointest. Surg. (IF 3.2) Pub Date : 2024-03-12 Karol Rawicz-Pruszyński, Yutaka Endo, Diamantis Tsilimigras, Muhammad Musaab Munir, Erryk Katayama, Katarzyna Sędłak, Zuzanna Pelc, Timothy M Pawlik
A steady increase in gastroesophageal junction and proximal gastric cancer (GC) incidence has been observed in the West. Given recent advances in neoadjuvant chemotherapy (NAC), we sought to characterize short- and long-term outcomes of patients with proximal GC who underwent total (TG) versus proximal gastrectomy (PG). Patients with stage II/III proximal GC who underwent curative intent treatment
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Machine Learning Improves Prediction of Postoperative Outcomes After Gastrointestinal Surgery: A Systematic Review and Meta-analysis J. Gastrointest. Surg. (IF 3.2) Pub Date : 2024-03-12 Jane Wang, Francesca Tozzi, Amir Ashraf Ganjouei, Fernanda Romero-Hernandez, Jean Feng, Lucia Calthorpe, Maria Castro, Greta Davis, Jacquelyn Withers, Connie Zhou, Zaim Chaudhary, Mohamed Adam, Frederik Berrevoet, Adnan Alseidi, Nikdokht Rashidian
Machine learning (ML) approaches have become increasingly popular in predicting surgical outcomes. However, it is unknown whether they are superior to traditional statistical methods such as logistic regression (LR). The aim of this study was to perform a systematic review and meta-analysis to compare the performance of ML versus LR models in predicting postoperative outcomes for patients undergoing
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The Impact of the COVID-19 Pandemic on Patients with Pancreatic Cancer J. Gastrointest. Surg. (IF 3.2) Pub Date : 2024-03-12 Oscar Salirrosas, Eduardo A. Vega, Elena Panettieri, Omid Salehi, Olga Kozyreva, Hamed Harandi, Shree Ganta, Claudius Conrad
It remains unclear today whether the poor prognosis of pancreas cancer (PDAC) was further worsened by the COVID-19 pandemic and whether this may affect providers and patients, today. Hence, the present study aims to investigate the effect of COVID-19 on care delivery and outcomes of patients with PDAC in the USA. NCDB was queried for PDAC, between 2017-2020. Changes in the number of diagnoses and treatment
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Impact of Antecolic versus Transmesocolic Reconstruction on Delayed Gastric Emptying Following Pancreaticoduodenectomy J. Gastrointest. Surg. (IF 3.2) Pub Date : 2024-03-12 Amber Lee Geng, Bhavana Thota, Sreekanth Yellanki, Hui Chen, Ryan Maguire, Harish Lavu, Wilbur Bowne, Charles J. Yeo, Avinoam Nevler
Delayed gastric emptying (DGE) is a common complication after pancreaticoduodenectomy. There remains an active debate over the impact of gastrointestinal reconstruction techniques, such as antecolic (AC) versus transmesocolic (TMC) reconstruction, on DGE rates. This study compared the rates of DGE between AC and TMC reconstruction following pylorus-preserving (PPPD) and classic pancreaticoduodenectomies
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Stapled versus hand-sewn anastomosis and anastomotic leaks in gastric cancer surgery – a population-based nationwide study in Finland J. Gastrointest. Surg. (IF 3.2) Pub Date : 2024-03-12 Elina Kvist, Olli Helminen, Mika Helmiö, Heikki Huhta, Aapo Jalkanen, Raija Kallio, Vesa Koivukangas, Arto Kokkola, Simo Laine, Elina Lietzen, Johanna Louhimo, Sanna Meriläinen, Vesa-Matti Pohjanen, Tuomo Rantanen, Ari Ristimäki, Jari V. Räsänen, Juha Saarnio, Eero Sihvo, Vesa Toikkanen, Tuula Tyrväinen, Antti Valtola, Joonas H. Kauppila, on behalf of the FINEGO group
There is a lack of evidence regarding anastomotic technique and postoperative complications in gastric cancer surgery. The aim of the study was to evaluate whether there are differences between stapled and hand-sewn anastomosis and anastomotic leaks. This was a population based, retrospective, nationwide cohort study in Finland using the Finnish National Esophago-Gastric Cancer Cohort (FINEGO). Gastrectomy
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Association of Pathologic Factors with Postoperative Venous Thromboembolism following Gastrointestinal Cancer Surgery J. Gastrointest. Surg. (IF 3.2) Pub Date : 2024-03-11 Lauren M Janczewski, Casey M Silver, Cary Jo R Schlick, David D Odell, David J Bentrem, Anthony D Yang, Karl Y Bilimoria, Ryan P Merkow
Venous thromboembolism (VTE) chemoprophylaxis is the standard of care following gastrointestinal (GI) cancer surgery, however, variation in risk based on pathologic factors (e.g., stage, histology) is unclear. The objective of this study was to evaluate the association of pathologic factors with VTE following GI cancer surgery. The American College of Surgeons National Surgical Quality Improvement
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A follow-up study on monitoring local recurrence of rectal cancer after surgery by endoscopic ultrasound J. Gastrointest. Surg. (IF 3.2) Pub Date : 2024-03-05 Jing Li, Haiyang Li, Duanmin Hu, Hongwei Peng, Wen Tang, Yuxin Liu, Guojian Yin
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Surgical Site Infections at Prior Stoma Site after Colostomy Closure: A Multi-Institutional Analysis J. Gastrointest. Surg. (IF 3.2) Pub Date : 2024-03-05 Maxwell D. Mirande, Nicholas P. McKenna, Jack W. Sample, Katherine A. Bews, Justin T. Brady, Dorin T. Colibaseanu, Scott R. Kelley
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Sarcopenia impacts perioperative and survival outcomes following esophagectomy for cancer: A multicentre study J. Gastrointest. Surg. (IF 3.2) Pub Date : 2024-03-04 Jin-soo Park, Maxwell Colby, Doruk Seyfi, Steven Leibman, Jerome Martin Laurence, Garett Smith, Gregory Leighton Falk, Charbel Sandroussi
The impact of sarcopenia on outcomes following esophagectomy is controversial. Most data are currently derived from Asian populations. This study aimed to correlate sarcopenia to short-term perioperative complication rates as well as long-term survival and recurrence outcomes. A retrospective analysis was performed of patients undergoing esophagectomy for cancer from three tertiary referral centres
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Changes in social care after major emergency general surgery procedures J. Gastrointest. Surg. (IF 3.2) Pub Date : 2024-02-27 Osamah Niaz, Abdullah Khalil, Mohammed Ibrahim Batt, Oluwatofunmi Sesby-Banjoh, Othman Al-Fagih, Alan Askari, Omer Al-Taan
Emergency general surgery (EGS) is a major part of the provision of healthcare, and patients undergoing EGS are at elevated risk of morbidity and mortality. This study aimed to determine factors contributing to patients losing their independence and being discharged to residential and nursing homes having previously lived in their own residences. Our local data uploaded to the National Emergency Laparotomy
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Contemporary trends and outcomes after liver transplantation and resection for intrahepatic cholangiocarcinoma J. Gastrointest. Surg. (IF 3.2) Pub Date : 2024-02-22 Thomas Clark Howell, Kristen E. Rhodin, Brian Shaw, Jiayin Bao, Elishama Kanu, Sabran Masoud, Alex J. Bartholomew, Qimeng Gao, Imran J. Anwar, Joseph M. Ladowski, Daniel P. Nussbaum, Dan G. Blazer 3rd, Sabino Zani, Peter J. Allen, Andrew S. Barbas, Michael E. Lidsky
Liver transplantation (LT) has been shown to be superior to resection in highly selected patients with perihilar cholangiocarcinoma (CCA), yet has traditionally been contraindicated for intrahepatic CCA (iCCA). Herein, we aimed to examine contemporary trends and outcomes for surgical resection and LT for iCCA. The National Cancer Database was queried for patients presenting with stage I-III iCCA between
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A laparoscopic left-sided approach combined with the counterclockwise dissection method (Huaxi dissection method) for complex tumors located in caudate lobe: a pilot study J. Gastrointest. Surg. (IF 3.2) Pub Date : 2024-02-21 Kejie Zheng, Anque Liao, Xiangyu Du, Xingyu Pu, Xuehai Jia, Jiayin Yang, Li Jiang
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Textbook outcome in patients with biliary duct injury during cholecystectomy J. Gastrointest. Surg. (IF 3.2) Pub Date : 2024-02-21 Victor Lopez-Lopez, Christoph Kuemmerli, Javier Maupoey, Rafael López-Andujar, Laura Lladó, Kristel Mils, Philip Müller, Andres Valdivieso, Marina Garcés-Albir, Luis Sabater, Andrea Benedetti Cacciaguerra, Marco Vivarelli, Luis Díez Valladares, Sergio Annese Pérez, Benito Flores, Roberto Brusadin, Asunción López Conesa, Sagrario Martinez Cortijo, Sandra Paterna, Alejando Serrablo, Ferdinand Heinz Walther
Iatrogenic bile duct injury (BDI) during cholecystectomy is associated with a complex and heterogeneous management owing to the burden of morbidity until their definitive treatment. This study aimed to define the textbook outcomes (TOs) after BDI with the purpose to indicate the ideal treatment and to improve it management. We collected data from patients with an BDI between 1990 and 2022 from 27 hospitals
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A nomogram for predicting liver metastasis in patients with gastric gastrointestinal stromal tumor J. Gastrointest. Surg. (IF 3.2) Pub Date : 2024-02-20 Jinqiu Ruan, Yinfu He, Qingwan Li, Zhaojuan Jiang, Shaoyou Liu, Jing Ai, Keyu Mao, Xingxiang Dong, Dafu Zhang, Guangjun Yang, Depei Gao, Zhenhui Li
Liver metastasis (LIM) is an important factor in the diagnosis, treatment, follow-up, and prognosis of patients with gastric gastrointestinal stromal tumor (GIST). There is no simple tool to assess the risk of LIM in patients with gastric GIST. Our aim was to develop and validate a nomogram to identify patients with gastric GIST at high risk of LIM. Patient data diagnosed as having gastric GIST between
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Long-term medical and quality of life outcomes among voluntary liver donors J. Gastrointest. Surg. (IF 3.2) Pub Date : 2024-02-20 Abu Bakar Hafeez Bhatti, Wajih Naqvi, Maheen Mohsan, Moeza Iqbal, Eman Binte Arshad, Zainab Khan, Anum Waheed, Haseeb Haider Zia, Nusrat Yar Khan, Abdul Wahab Yousafzai, Nasir Ayub Khan
Long-term medical and quality of life (QOL) outcomes in voluntary liver donors remain under investigated. The objective of the current study was to report long-term medical outcomes and re-evaluate QOL in living liver donors. This was a single-center retrospective cohort study of donors who underwent donor hepatectomy between 2012 and 2018. We investigated long-term outcomes in 7 domains. These include
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Prognostic significance of serum tumor markers in various pathologic subtypes of gastric cancer J. Gastrointest. Surg. (IF 3.2) Pub Date : 2024-02-20 Chuhong Pang, Yubo Ma, Wenyi Shi, Mengli Zi, Jinxia Chen, Chen Liang, Xiao Li, Zhuo Liu, Yian Du
This study aimed to assess the utility of 6 serum tumor markers in prognosis between gastric adenocarcinoma and gastric signet ring cell carcinoma (SRCC). A cohort of 3131 cases of gastric adenocarcinoma and 275 cases of gastric SRCC was assembled. The serum levels of carcinoembryonic antigen (CEA), carbohydrate antigen 19-9 (CA19-9), carbohydrate antigen 125, alpha fetoprotein (AFP), carbohydrate
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Tampa Difficulty Score: a novel scoring system for difficulty of robotic hepatectomy J. Gastrointest. Surg. (IF 3.2) Pub Date : 2024-02-19 Iswanto Sucandy, Michelle M. Dugan, Sharona B. Ross, Cameron Syblis, Kaitlyn Crespo, Parisa Yazdankhah Kenary, Alexander Rosemurgy
Difficulty scoring system (DSS) has been established for laparoscopic hepatectomy and serves as useful tools to predict difficulty and guide preoperative planning. Despite increased adoption of robotics and its unique technical characteristics compared with laparoscopy, no DSS currently exists for robotic hepatectomy. We aimed to introduce a new DSS for robotic hepatectomy. A total of 328 patients
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A population-based analysis on the incidence of metachronous colon cancer after endoscopic resection of advanced adenomas with high-grade dysplasia: does location matter? J. Gastrointest. Surg. (IF 3.2) Pub Date : 2024-02-19 Sonja Boatman, Julia Kohn, Sarah L. Mott, Wolfgang B. Gaertner, Robert D. Madoff, Genevieve B. Melton, Aasma Shaukat, Imran Hassan, Paolo Goffredo
Advanced adenomas (AAs) with high-grade dysplasia (HGD) represent a risk factor for metachronous neoplasia, with guidelines recommending short-interval surveillance. Although the worse prognosis of proximal (vs distal) colon cancers (CCs) is established, there is paucity of evidence on the impact of laterality on the risk of subsequent neoplasia for these AAs. Adults with HGD adenomas undergoing polypectomy
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Common hepatic artery lymph node metastasis in pancreatic ductal adenocarcinoma: an analysis of actual survival J. Gastrointest. Surg. (IF 3.2) Pub Date : 2024-02-13 Susan Kuo, Marco Ventin, Hiroki Sato, Jon M. Harrison, Yusuke Okuda, Motaz Qadan, Cristina R. Ferrone, Keith D. Lillemoe, Carlos Fernandez-del Castillo
The common hepatic artery lymph node (CHALN) represents a second-echelon node for tumors in the head of the pancreas. Although early studies suggested survival was comparable between the CHALN and remote metastasis in pancreatic ductal adenocarcinoma (PDAC), whether the lymph node is associated with adverse survival remains equivocal. Here, we examined a prospective cohort of patients calculating actual
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Medicaid expansion and palliative care for advanced-stage liver cancer J. Gastrointest. Surg. (IF 3.2) Pub Date : 2024-02-12 Henrique A. Lima, Parit Mavani, Muhammad Musaab Munir, Yutaka Endo, Selamawit Woldesenbet, Muhammad Muntazir Mehdi Khan, Karol Rawicz-Pruszyński, Usama Waqar, Erryk Katayama, Vivian Resende, Mujtaba Khalil, Timothy M. Pawlik
Medicaid expansion (ME) has contributed to transforming the United States healthcare system. However, its effect on palliative care of primary liver cancers remains unknown. This study aimed to evaluate the association between ME and the receipt of palliative treatment in advanced-stage liver cancer. Patients diagnosed with stage IV hepatocellular carcinoma or intrahepatic cholangiocarcinoma were identified
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Intraoperative hepatic artery infusion pump perfusion testing with indocyanine green near-infrared imaging offers multiple potential advantages J. Gastrointest. Surg. (IF 3.2) Pub Date : 2024-02-10 Paul Wong, Daniel Hoffman, Tommaso Pollini, Marco Zampese, Carlos U. Corvera, Ajay V. Maker
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Rethinking postoperative care: same-day ileostomy closure discharge improves patient outcomes J. Gastrointest. Surg. (IF 3.2) Pub Date : 2024-02-10 Davide Ferrari, Tommaso Violante, Abdullah Bin Zubair, Kristen K. Rumer, Sherief F. Shawki, Amit Merchea, Luca Stocchi, Kevin T. Behm, Jenna K. Lovely, David W. Larson
The evolution of enhanced recovery pathways (ERPs) in colon and rectal surgery has led to the development of same-day discharge (SDD) procedures for selected patients. Early discharge after diverting loop ileostomy (DLI) closure was first described in 2003. However, its widespread adoption remains limited, with SDD accounting for only 3.2% of all DLI closures in 2005-2006, according to the American
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The utilization of circulating tumor DNA to predict the risk and location of relapse after curative-intent local therapy in oligometastatic colorectal cancer J. Gastrointest. Surg. (IF 3.2) Pub Date : 2024-02-09 Shannon N. Radomski, Sundas Ali, Kelly J. Lafaro, Christopher Shubert, Madison Hidalgo, Haniee Chung, Eric S. Christenson
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A second chance for a new heart? The role of metabolic and bariatric surgery in patients with end-stage heart failure J. Gastrointest. Surg. (IF 3.2) Pub Date : 2024-02-09 Deanna L. Palenzuela, Divyansh Agarwal, Karen Flanders, Erin Coglianese, Lana Tsao, David D’Alessandro, Gregory D. Lewis, Michael Fitzsimons, Denise Gee
Obesity is an independent risk factor for heart failure (HF). Substantial weight loss has been shown to reverse obesity-related cardiomyopathy. This study aimed to report our institution’s experience with laparoscopic sleeve gastrectomy (LSG) in patients with morbid obesity and end-stage HF. Between 2018 and 2022, 26 patients with end-stage HF were referred for LSG. Of 26 patients, 16 underwent an
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Role of indocyanine green fluorescence imaging for evaluating blood supply in the gastric conduit via the substernal route after McKeown minimally invasive esophagectomy J. Gastrointest. Surg. (IF 3.2) Pub Date : 2024-02-09 Doan Thuy Nguyen, Tran Quang Dat, Dang Quang Thong, Nguyen Viet Hai, Nguyen Hoang Bac, Vo Duy Long
Anastomotic leakage (AL) is a determining factor of morbidity and mortality after esophagectomy. Adequate perfusion of the gastric conduit is crucial for AL prevention. This study aimed to determine whether intraoperative angiography using indocyanine green (ICG) fluorescence improves the incidence of AL after McKeown minimally invasive esophagectomy (MIE) with gastric conduit via the substernal route
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Predicting postoperative prognosis of pancreatic cancer using a computed tomography-based radio-clinical model: exploring biologic functions J. Gastrointest. Surg. (IF 3.2) Pub Date : 2024-02-09 Can Yu, Yuli Ruan, Lan Yu, Xinxin Wang, Zhaoshen Hu, Guanyu Zhu, Tao Huang
Computed tomography (CT) imaging has the potential to assist in predicting the prognosis and treatment strategies for pancreatic cancer (PC). This study aimed to develop and validate a radio-clinical model based on preoperative multiphase CT assessments to predict the overall survival (OS) of PC and identify differentially expressed genes associated with OS. Patients with PC who had undergone radical
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Prediction of vessels encapsulating tumor clusters pattern and prognosis of hepatocellular carcinoma based on preoperative gadolinium-ethoxybenzyl-diethylenetriaminepentaacetic acid magnetic resonance imaging J. Gastrointest. Surg. (IF 3.2) Pub Date : 2024-02-09 Miaomiao Wang, Liang Cao, Yinzhong Wang, Hongliang Huang, Shi Cao, Xiaoxue Tian, Junqiang Lei
Vessels encapsulating tumor clusters (VETC) is a novel vascular pattern distinct from microvascular invasion that is significantly associated with poor prognosis in patients with hepatocellular carcinoma (HCC). This study aimed to predict the VETC pattern and prognosis of patients with HCC based on preoperative gadolinium-ethoxybenzyl-diethylenetriaminepentaacetic acid (Gd-EOB-DTPA) magnetic resonance
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Clinical study on simultaneous resection of liver metastases combined with hyperthermic intraperitoneal chemotherapy for synchronous colorectal cancer liver metastasis J. Gastrointest. Surg. (IF 3.2) Pub Date : 2024-02-09 Wenxiao Li, Hui Ren, Hongchao Mou, Jie Li, Lijun Dong, Guangjin Li, Mingxuan Xing
This study aimed to analyze the clinical effect of simultaneous resection of liver metastases combined with hyperthermic intraperitoneal chemotherapy (HIPEC) on synchronous colorectal cancer liver metastasis. A total of 144 patients with synchronous colorectal cancer liver metastasis who were admitted to our hospital between January 2018 and January 2019 were randomly assigned into a control group
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Textbook outcome in liver surgery: open vs minimally invasive hepatectomy among patients with hepatocellular carcinoma J. Gastrointest. Surg. (IF 3.2) Pub Date : 2024-02-09 Yutaka Endo, Diamantis I. Tsilimigras, Muhammad Musaab Munir, Selamawit Woldesenbet, Jason Yang, Erryk Katayama, Alfredo Guglielmi, Francesca Ratti, Hugo P. Marques, François Cauchy, Vincent Lam, George A. Poultsides, Minoru Kitago, Irinel Popescu, Sorin Alexandrescu, Guillaume Martel, Ana Gleisner, Tom Hugh, Luca Aldrighetti, Feng Shen, Itaru Endo, Timothy M. Pawlik
We sought to investigate whether minimally invasive hepatectomy (MIH) was superior to open hepatectomy (OH) in terms of achieving textbook outcome in liver surgery (TOLS) after resection of hepatocellular carcinoma (HCC). Patients who underwent resection of HCC between 2000 and 2020 were identified from an international database. TOLS was defined by the absence of intraoperative grade ≥2 events, R1
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Cost variation of nonelective surgery for ulcerative colitis across the United States J. Gastrointest. Surg. (IF 3.2) Pub Date : 2024-02-09 Ayesha P. Ng, Nikhil Chervu, Giselle Porter, Saad Mallick, Nguyen Le, Peyman Benharash, Hanjoo Lee
Although clinical outcomes of surgery for ulcerative colitis (UC) have improved in the modern biologic era, expenditures continue to increase. A contemporary cost analysis of UC operative care is lacking. The present study aimed to characterize risk factors and center-level variation in hospitalization costs after nonelective resection for UC. All adults with UC in the 2016-2020 Nationwide Readmissions
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Simultaneous resection for colorectal cancer with synchronous liver metastases: current state-of-the-art J. Gastrointest. Surg. (IF 3.2) Pub Date : 2024-02-09 Nikolaos Machairas, Marcello Di Martino, Florian Primavesi, Patrick Underwood, Martin de Santibanes, Ioannis Ntanasis-Stathopoulos, Iveta Urban, Diamantis I. Tsilimigras, Ajith K. Siriwardena, Adam E. Frampton, Timothy M. Pawlik
A large proportion of patients with colorectal cancer (CRC) presents with synchronous colorectal liver metastases (sCRLM) at diagnosis. Surgical approaches for patients with sCRLM have evolved over the past decades. Simultaneous resection (SR) of CRC and sCRLM for selected patients has emerged as a safe and efficient alternative approach to traditional staged resections. A comprehensive review of the
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Prescription opioid use increases resource utilization following ventral hernia repair J. Gastrointest. Surg. (IF 3.2) Pub Date : 2024-02-09 Skyler Palmer, Margaret Plymale, Anthony Mangino, Daniel Davenport, John Scott Roth
Previous studies showed that preoperative opioid use is associated with increased postoperative opioid use and surgical site infection (SSI) in patients undergoing ventral hernia repair (VHR). Orthopedic surgery literature cites increased resource utilization with opioid use. This study aimed to determine the effect of preoperative opioid use on resource utilization after open VHR. A retrospective
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Treatment of esophageal adenocarcinoma in patients with a history of bariatric surgery J. Gastrointest. Surg. (IF 3.2) Pub Date : 2024-02-09 Tamar Nobel, Marisa Sewell, Thomas Boerner, Manjit S. Bains, Matthew J. Bott, Hans Gerdes, Katherine Gray, Makoto Nishimura, Bernard J. Park, Pari Shah, Smita Sihag, David R. Jones, Daniela Molena
The relationship among obesity, bariatric surgery, and esophageal adenocarcinoma (EAC) is complex, given that some bariatric procedures are thought to be associated with increased incidence of reflux and Barrett’s esophagus. Previous bariatric surgery may complicate the use of the stomach as a conduit for esophagectomy. In this study, we presented our experience with patients who developed EAC after
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Recurrence of severe diverticulitis is associated with age and birth decade J. Gastrointest. Surg. (IF 3.2) Pub Date : 2024-02-09 Molly E. Leonard, Joshua J. Horns, Kristina Allen-Brady, Elissa M. Ozanne, Andrea S. Wallace, Benjamin S. Brooke, Mark A. Supiano, Jessica N. Cohan
The risk of recurrence is an important consideration when deciding to treat patients medically or with elective colectomy after recovery from diverticulitis. It is unclear whether age is associated with recurrence. This study aimed to examine the relationship between age and the risk of recurrent diverticulitis while considering important epidemiologic factors, such as birth decade. The Utah Population
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Demonstrating the utility of fluorescence cholangiography with indocyanine green during laparoscopic cholecystectomy J. Gastrointest. Surg. (IF 3.2) Pub Date : 2024-02-09 Graham J. Spurzem, Ryan C. Broderick, Santiago Horgan
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Left posterior superior mesenteric artery approach using a hanging maneuver in robotic pancreaticoduodenectomy J. Gastrointest. Surg. (IF 3.2) Pub Date : 2024-02-09 Kosei Takagi, Motohiko Yamada, Yuzo Umeda
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Gastric calcifying fibrous tumor J. Gastrointest. Surg. (IF 3.2) Pub Date : 2024-02-08 Dong-Ge Han, Yong-Xin Yang, Wei Liu
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Textbook outcome after pancreatoduodenectomy and distal pancreatectomy with postoperative hyperamylasemia—a propensity score matching analysis J. Gastrointest. Surg. (IF 3.2) Pub Date : 2024-02-07 Olga Radulova-Mauersberger, Nicolas Mibelli, Felix von Bechtolsheim, Louisa Kroesen, Sebastian Hempel, Jürgen Weitz, Marius Distler, Florian Oehme
Postoperative serum hyperamylasemia (POH) is a part of the new, increasingly highlighted, definition for postpancreatectomy pancreatitis (PPAP). This study aimed to analyze whether the biochemical changes of PPAP are differently associated with postoperative complications after distal pancreatectomy (DP) compared with pancreatoduodenectomy (PD). The textbook outcome (TO) was used as a summary measure
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The correlation of sarcopenia and adverse events of imatinib therapy postoperatively in gastrointestinal stromal tumor through computed tomography quantitative body composition J. Gastrointest. Surg. (IF 3.2) Pub Date : 2024-02-01 Xinyi Shao, Hao Wu, Chen Huang, Hanyu Yin, Pengfei Wang, Xiaoli Wu
This study aimed to investigate the correlation between sarcopenia and adverse events (AEs) of postoperative imatinib therapy through computed tomography (CT) quantitative body composition for intermediate- and high-risk gastrointestinal stromal tumors (GISTs). The study retrospectively analyzed the clinical data of 208 patients with intermediate- and high-risk GIST treated surgically and treated with
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Innovative mesenteric Kocher maneuver during robotic pancreatoduodenectomy J. Gastrointest. Surg. (IF 3.2) Pub Date : 2024-01-24 Kosei Takagi, Motohiko Yamada, Yuzo Umeda
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Gastritis cystica profunda J. Gastrointest. Surg. (IF 3.2) Pub Date : 2024-01-23 Si-Huang Lin, Wei Liu, Xiao-Li Yan
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Prognostic value of the modified Glasgow prognostic score in biliary tract cancer patients: a systematic review and meta-analysis J. Gastrointest. Surg. (IF 3.2) Pub Date : 2024-01-23 Yu Zhou, Zhuoran Liu, Yonglang Cheng, Jing Li, Wenguang Fu
Biliary tract cancer (BTC) is an invasive adenocarcinoma affecting the hepatobiliary system, but high recurrence rates highlight the need for more effective adjuvant approaches. The modified Glasgow prognostic score (mGPS) has been explored as an independent prognostic indicator in patients with BTC. However, consensus on its prognostic value is lacking. This meta-analysis aimed to comprehensively
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Optimizing laparoscopic and robotic skills through simulation in participants with limited or no prior experience: a systematic review and meta-analysis J. Gastrointest. Surg. (IF 3.2) Pub Date : 2024-01-23 Doris Sarmiento-Altamirano, Fernanda Ormaza, María Rosa Arroyo, Catherine Cabrera-Ordoñez, Rafael Valdivieso, Megan Docksey, Salomone Di Saverio
Simulation is an innovative tool for developing complex skills required for surgical training. The objective of this study was to determine the advancement of laparoscopic and robotic skills through simulation in participants with limited or no previous experience. This is a systematic review and meta-analysis of randomized controlled trials (RCTs) in keeping with the Preferred Reporting Items for
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Adult intussusception secondary to inverted Meckel’s diverticulum J. Gastrointest. Surg. (IF 3.2) Pub Date : 2024-01-23 Tong Liu, Chunhai Yu, Jun Li
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Comment on “Duodenum-preserving pancreatic head resection for benign and premalignant tumors” J. Gastrointest. Surg. (IF 3.2) Pub Date : 2024-01-23 I.-Wen Chen, Hsiu-Jung Lin, Kuo-Chuan Hung
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Comment on “Oesophagectomy or total gastrectomy for the management of Siewert II gastroesophageal junction cancer” J. Gastrointest. Surg. (IF 3.2) Pub Date : 2024-01-23 I.-Wen Chen, Hsiu-Lan Weng, Kuo-Chuan Hung
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Clinical influence of prophylactic lateral lymph node dissection on oncologic outcomes of patients with mid-low rectal cancer undergoing mesorectal excision: a meta-analysis J. Gastrointest. Surg. (IF 3.2) Pub Date : 2024-01-23 Mitsuru Ishizuka, Norisuke Shibuya, Hiroyuki Hachiya, Yusuke Nishi, Masashi Takayanagi, Junki Fujita, Keisuke Ihara, Takayuki Shiraki, Takatsugu Matsumoto, Shozo Mori, Yukihiro Iso, Takatoshi Nakamura, Taku Aoki, Atsushi Irisawa
Although several recent meta-analyses have investigated the clinical influence of the addition of lateral lymph node dissection (LLND) on oncologic outcomes in patients with mid-low rectal cancer (RC) undergoing mesorectal excision (ME), most studies included in such meta-analyses were retrospectively designed. Therefore, this study aimed to explore the clinical influence of prophylactic LLND on oncologic
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The development of a risk assessment tool for patients with postoperative pneumonia after gastrectomy for gastric cancer J. Gastrointest. Surg. (IF 3.2) Pub Date : 2024-01-23 Katsunobu Sakurai, Naoshi Kubo, Tsuyoshi Hasegawa, Junya Nishimura, Yasuhito Iseki, Takafumi Nishii, Toru Inoue, Yukio Nishiguchi, Kiyoshi Maeda
Although frail patients are known to experience increased postoperative complications, this is unclear for postoperative pneumonia (POP). We investigated associations between frailty and POP in patients with gastric cancer (GC) undergoing gastrectomy. In this prospective study conducted between August 2016 and December 2022, we preoperatively assessed frailty in 341 patients with GC undergoing gastrectomy
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A retrospective study: exploring the optimal patient population for adjuvant chemotherapy after D2 gastrectomy J. Gastrointest. Surg. (IF 3.2) Pub Date : 2024-01-23 Yingsong Zheng, Yubo Ma, Chuhong Pang, KaiLai Yin, Kang Liu, Jinxia Chen, Mengli Zi, Yizhou Wei, Xiangdong Cheng, Li Yuan
Adjuvant chemotherapy (CT) constitutes the primary approach for treating resectable advanced gastric cancer (GC). However, the effectiveness of postoperative CT can differ across various patient groups. This retrospective study aimed to examine how variances in clinical and pathologic factors affect postoperative CT. This study enrolled 2060 patients with GC who underwent curative gastrectomy at Zhejiang
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Phase 1 randomized trial of inpatient high-intensity interval training after major surgery J. Gastrointest. Surg. (IF 3.2) Pub Date : 2024-01-23 Shambavi J. Rao, Ian Solsky, Antonius Gunawan, Perry Shen, Edward Levine, Clancy J. Clark
High-intensity interval training (HIT) can provide physiologic benefits and may improve postoperative recovery but has not been evaluated in inpatients. This study aimed to evaluate the safety and tolerability of HIT after major surgery. We performed a phase I randomized study comparing HIT with low-intensity continuous ambulation (40 m) during the initial inpatient stay after major surgery at a large
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Short- and long-term outcomes after distal pancreatectomy with radiologic infiltration of splenic vessels for pancreatic ductal adenocarcinoma J. Gastrointest. Surg. (IF 3.2) Pub Date : 2024-01-23 Gerardo Blanco-Fernández, Mario Serradilla-Martín, Fernando Rotellar, Raquel Latorre, Isabel Jaén-Torrejimeno, Elena Muñoz-Forner, Celia Villodre, Alberto Carabias-Hernández, Helga K. Kälviäinen-Mejía, Sara Esteban Gordillo, Roberto de la Plaza, Noelia De Armas-Conde, Marina Garcés-Albir, Silvia Carbonell Morote, Alba Manuel-Vázquez, Alejandro Serrablo, Fernando Pardo, Luis Sabater, María Paloma Sanz
The effect of radiologic splenic vessels involvement (RSVI) on the survival of patients with pancreatic adenocarcinoma (PAC) located in the body and tail of the pancreas is controversial, and its influence on postoperative morbidity after distal pancreatectomy (DP) is unknown. This study aimed to determine the influence of RSVI on postoperative complications, overall survival (OS), and disease-free
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The influence of postoperative outcomes on survival after esophageal cancer surgery: validation of a consensus-based updated textbook outcome parameter J. Gastrointest. Surg. (IF 3.2) Pub Date : 2024-01-23 Joel D’Souza, Daniel Pasquale Cinelli, Andrew McCombie, Ross Roberts
Esophagectomy in combination with perioperative multimodal therapy is the cornerstone of modern curative treatment for esophageal adenocarcinoma. The primary aim of this study was to assess the influence of textbook outcome (TO) as a composite quality performance indicator (QPI) and its perioperative parameters on survival in patients who underwent esophagectomy with curative intent. Consecutive patients
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Efficacy, safety, and advantages of magnetic anchor–guided endoscopic submucosal dissection vs conventional endoscopic submucosal dissection: A retrospective paired cohort study J. Gastrointest. Surg. (IF 3.2) Pub Date : 2024-01-23 Jing Li, Guifang Lu, Yan Yin, Xinlan Lu, Feng Ma, Yi Lv, Shuixiang He, Mudan Ren
Endoscopic submucosal dissection (ESD) has been recommended as the first-line treatment for early gastric cancer (EGC). However, poor visualization of the operative field increases both the procedure time and the risk of complications, especially for large and difficult lesions. We introduced a novel technique, magnetic anchor–guided ESD (MAG-ESD) and compared it with conventional ESD (C-ESD) for the
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Management and staging of anal adenocarcinoma in the United States: a population-based analysis J. Gastrointest. Surg. (IF 3.2) Pub Date : 2024-01-23 Alexander Troester, Julia Kohn, Qi Wang, Lauren Weaver, Imran Hassan, Wolfgang Gaertner, Schelomo Marmor, Paolo Goffredo
Anal adenocarcinoma is rare with no standardized treatment regimen or staging system. Therefore, different combinations of chemotherapy, radiation, and surgery are used in management. Within the staging system, tumor stage can be based on the depth of invasion, as for rectal adenocarcinoma, or size, as in anal squamous cell carcinoma. This study aimed to analyze patterns of care and clinically available
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Association of county-level food deserts and food swamps on postoperative outcomes among patients undergoing colorectal surgery J. Gastrointest. Surg. (IF 3.2) Pub Date : 2024-01-23 Mujtaba Khalil, Muhammad Musaab Munir, Selamawit Woldesenbet, Yutaka Endo, Diamantis I. Tsilimigras, Matthew F. Kalady, Emily Huang, Syed Husain, Alan Harzman, Timothy M. Pawlik
Although malnutrition has been linked to worse healthcare outcomes, the broader context of food environments has not been examined relative to surgical outcomes. We sought to define the impact of food environment on postoperative outcomes of patients undergoing resection for colorectal cancer (CRC). Patients who underwent surgery for CRC between 2014 and 2020 were identified from the Medicare database
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Effect of previous abdominal surgery on robotic-assisted rectal cancer surgery J. Gastrointest. Surg. (IF 3.2) Pub Date : 2024-01-23 Davide Ferrari, Tommaso Violante, Himani Bhatt, Ibrahim A. Gomaa, Anne-Lise D. D’Angelo, Kellie L. Mathis, David W. Larson
The effect of previous abdominal surgery (PAS) in laparoscopic surgery is well known and significantly adds to longer hospital length of stay (LOS), postoperative ileus, and inadvertent enterotomies. However, little evidence exists in patients with PAS undergoing robotic-assisted (RA) rectal surgery. All patients undergoing RA surgery for rectal cancer were reviewed. Patients with PAS were divided