Hepato Gastroenterol
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Hepato Gastroenterol · Oct 2013
Randomized Controlled TrialPreoperative oral feeding reduces stress response after laparoscopic cholecystectomy.
Fasting period before surgery may change metabolic status of the patient and have influence on perioperative stress response. The aim of the study was to investigate effects of preoperative carbohydrate-rich beverage on stress response after laparoscopic cholecystectomy. ⋯ Preoperative feeding has advantage over overnight fasting by reducing preoperative discomfort in patients after laparoscopic cholecystectomy. In fed patients, smaller increase in C-reactive protein and better regulation of cortisol levels are an indicator of decreased perioperative stress response.
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Hepato Gastroenterol · Oct 2013
Reducing the gastroesophageal reflux with lip-type reinforcement technique during intrathoracic esophagogastrostomy.
Gastroesophageal reflux is a significant problem after esophagogastrostomy, and impact considerably upon the quality of patients' lives. Aims of this study were to evaluate the operative effects in prevention of reflux with lip-type reinforcement during intrathoracic esophagogastric anastomosis. ⋯ Lip-type reinforcement is simple to perform, and effective in controlling gastroesophageal reflux and decreasing anastomotic leakage in majority of patients after esophagogastrostomy.
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Hepato Gastroenterol · Oct 2013
Randomized Controlled TrialRestricted intravenous fluid regimen reduces fluid redistribution of patients operated for abdominal malignancy.
Recent studies indicate that perioperative fluid restriction leads to better preserved clinical data as well as reduced complication rates. This study aimed to determine the probable mechanism of fluid restriction influence on the complication rate of patients undergoing gastrointestinal surgery for malignancy. ⋯ Perioperative fluid restriction could effect on fluid distribution and reduce tissue and cellular edema, and further, could reduce postoperative complication rates.
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Hepato Gastroenterol · Oct 2013
Liver function test by gadolinium-ethoxybenzyl-diethylenetriamine pentaacetic acid-enhanced magnetic resonance imaging with consideration of intrahepatic regional differences.
To accurately quantify liver function using gadolinium-ethoxybenzyl-diethylenetriamine penta-acetic acid (Gd-EOB-DTPA)-enhanced MR imaging. ⋯ The hepatic enhancement by Gd-EOB-DTPA is influenced by zonal and lobar differences. This method with consideration of regional differences is valid for estimation of liver function by Gd-EOB-DTPA-enhanced MR imaging.
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Hepato Gastroenterol · Oct 2013
Risk factors of bile leakage after hepatectomy for hepatocellular carcinoma.
To identify the risk factors for postoperative biliary complications after hepatic resection for hepatocellular carcinoma. ⋯ Prolonged operation time and hepatectomy including segment 4 led to a high risk for postoperative bile leakage in this series of patients.