Hepato Gastroenterol
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Hepato Gastroenterol · Mar 2008
Effect of perioperative parenteral nutritional support for gastric cancer patients undergoing gastrectomy.
Malnutrition is frequently seen in gastric cancer patients. Perioperative nutritional support may reduce postoperative complications, especially in severely depleted gastric cancer patients with GI obstruction. However, the beneficial effects of perioperative total parenteral nutrition for gastric cancer surgery patients still have not been clearly demonstrated in Taiwan. This study evaluated the effects of perioperative nutritional support for severely malnourished patients with gastric cancer undergoing gastrectomy. ⋯ TPN use, perioperatively or postoperatively, can help reduce the morbidity and mortality of these patients. Total nutritional support is effective for patients with malnutrition undergoing gastric cancer surgery.
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Hepato Gastroenterol · Mar 2008
ReviewPostoperative hemorrhage after major pancreatobiliary surgery: an update.
In recent years, mortality associated with pancreaticoduodenectomy has come down to less than 5% but morbidity still remains high. Pancreatic fistula is one of the most common complications following pancreaticoduodenectomy. Postpancreatectomy hemorrhage is a rare but disastrous complication and associated with poor outcome. ⋯ Delayed hemorrhage has more complex pathophysiology and requires a multimodality approach for its management. In this paper, we review the recent articles related to postoperative hemorrhage after major pancreatobiliary surgery. Here we discuss the incidence, cause, investigations and management of early and late postoperative hemorrhage.
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Hepato Gastroenterol · Mar 2008
Strong association between frequency of intermittent inflow occlusion and transient increase in serum liver enzymes after hepatic resection.
Although significantly higher serum levels of liver transaminases are commonly observed after hepatic resection, the factors responsible for the increase and the association between the increase and the postoperative course remain unclear. ⋯ The frequency of intermittent inflow occlusion is the only factor that affects the postoperative enzyme elevation.