Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract
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J. Gastrointest. Surg. · Aug 2010
Case ReportsInferior vena cava gas, portal venous system gas, and pneumatosis intestinalis.
Necrotizing enterocolitis is typically found in premature neonates, but it also has been described in adults, particularly those with cirrhosis and immunocompromised. Radiographic findings of diffuse pneumatosis intestinalis and portal venous gas are characteristic of necrotizing enterocolitis. Here, we provide radiographic findings of a serious adult case of necrotizing enterocolitis. To the best of our knowledge, a wide range of portal vein and vena cava gas has never been reported.
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J. Gastrointest. Surg. · Jul 2010
Multicenter StudyInfection rates in a large investigational trial of sacral nerve stimulation for fecal incontinence.
Treatment options for patients with fecal incontinence (FI) are limited, and surgical treatments can be associated with high rates of infection and other complications. One treatment, sacral nerve stimulation (SNS), is approved for FI in Europe. A large multicenter trial was conducted in North America and Australia to assess the efficacy of SNS in patients with chronic fecal incontinence. The aim of this report was to analyze the infectious complication rates in that trial. ⋯ SNS for FI resulted in a relatively low infection rate. This finding is especially important because the only other Food and Drug Administration-approved treatment for end-stage FI, the artificial bowel sphincter, reports a much higher rate. Combined with its published high therapeutic success rate, this treatment has a positive risk/benefit profile.
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J. Gastrointest. Surg. · Jul 2010
Impact of obesity on perioperative outcomes and survival following pancreaticoduodenectomy for pancreatic cancer: a large single-institution study.
To examine the effect of body mass index (BMI) on clinicopathologic factors and long-term survival in patients undergoing pancreaticoduodenectomy for pancreatic adenocarcinoma. ⋯ Obese patients had similar tumor-specific characteristics, as well as perioperative outcomes, compared with normal weight patients. However, obese patients undergoing pancreaticoduodenectomy for pancreatic cancer had an improved long-term survival independent of known clinicopathologic factors.
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J. Gastrointest. Surg. · Jun 2010
Surgical outcomes associated with oesophagectomy in New South Wales: an investigation of hospital volume.
Resection remains the standard treatment for curable oesophageal cancer. By linking the NSW Central Cancer Registry (CCR) and the NSW Admitted Patient Data Collection (APDC) databases, mortality, post-resection complication and survival associated with oesophagectomy were investigated. ⋯ Oesophagectomy in NSW is performed with satisfactory results. However, there is a suggestion that higher- rather than lower-volume hospitals have better post-resection outcomes.
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J. Gastrointest. Surg. · Jun 2010
Meta Analysis Comparative StudyA meta-analysis of randomized controlled trials that compared laparoscopy-assisted and open distal gastrectomy for early gastric cancer.
We conducted a meta-analysis to evaluate and compare the advantages of laparoscopy-assisted distal gastrectomy (LADG) over open distal gastrectomy (ODG) for treating early gastric cancer (EGC). ⋯ LADG is advantageous over ODG because it results in lesser blood loss, is less painful, and is associated with a low risk of complications. Additional RCTs that compare LADG and ODG and investigate the long-term oncological outcomes of LADG are required to determine the advantages of LADG over ODG.