Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract
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J. Gastrointest. Surg. · Sep 2011
Disease characteristics of inflammatory bowel disease (IBD): findings from a tertiary care centre in South Asia.
Inflammatory bowel diseases (IBD) include ulcerative colitis (UC) and Crohn's disease (CD), which are chronic inflammatory conditions affecting the gastrointestinal tract. There are only few published data on disease characteristics of IBD related to South Asia. ⋯ The majority of UC patients had left-sided colitis. CD compared to UC was diagnosed at a younger age. However, compared to data reported for some Western countries, extra-intestinal manifestations and malignancy rates were lower.
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J. Gastrointest. Surg. · Sep 2011
Effect of TachoSil patch in prevention of postoperative pancreatic fistula.
Postoperative pancreatic fistula (POPF) is a severe complication after pancreatic resections. The aim was to assess if application of TachoSil® patch could reduce incidence of postoperative fistulas after laparoscopic distal pancreatic resections. ⋯ The application of the TachoSil® patch did not affect either occurrence of POPF or duration of postoperative hospital stay. Routine use of TachoSil® patch to prevent pancreatic fistulas does not provide clinically significant benefit.
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J. Gastrointest. Surg. · Sep 2011
Open versus minimally invasive esophagectomy: what is the best approach? Minimally invasive esophagectomy.
Esophageal cancer is a complex disease that is typically discovered at a late stage and is associated with a poor overall survival rate. ⋯ Regardless of surgical approach, esophagectomy carries a significant morbidity and mortality. The surgeon should choose the surgical approach based on her comfort level, training and experience. Further investigation is required to evaluate the translatability of minimally invasive esophagectomy on a large scale.
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Rapunzel syndrome is a rare entity comprising of a large gastroduodenal trichobezoar due to trichotillomania. Its treatment is often surgical. ⋯ A 27-year-old patient was investigated after an upper gastro-intestinal tract obstruction. Computed tomography and endoscopy showed a large gastric trichobezoar with a duodenojejunal tail. Conservative treatments failed to remove the bezoar. We performed a short laparotomy which allowed the removal of the bezoar through a longitudinal gastrotomy. Postoperative course was uneventful.
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J. Gastrointest. Surg. · Aug 2011
Epidural analgesia in open resection of colorectal cancer: is there a clinical benefit? a retrospective study on 1,470 patients.
Epidural analgesia (EA) is effective for postoperative pain relief and results in an earlier recovery from postoperative paralytic ileus. This study evaluated the influence of epidural analgesia on the postoperative 30-day mortality and morbidity after open colorectal cancer resection. ⋯ For patients with open colorectal cancer surgery, the application of EA leads to a reduction in pneumonia. Although this is only a retrospective study, it strongly supports the use of EA.