Hepato Gastroenterol
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Hepato Gastroenterol · May 2008
Oily chemoembolization combined with degradable starch microspheres for HCC with cirrhosis.
To assess efficacy of transcatheter arterial chemoembolization (TACE) combined with degradable starch microspheres (DSM) for patients with liver cirrhosis and hepatocellular carcinoma (HCC). ⋯ From these results we conclude that TACE-DSM therapy is useful for protecting liver function in patients with cirrhosis and unresectable HCC.
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Hepato Gastroenterol · May 2008
Comparative StudyThe use of different diagnostic modalities in diagnosing fistula-in-ano.
In this study, a comparison was made of the accuracy and clinical usefulness of clinical investigation, fistulography, and endorectal ultrasound with and without hydrogen peroxide in preoperative classification of the fistula-in-ano. ⋯ In this study, endorectal ultrasound with H2O2 was the most accurate diagnostic modality in the preoperative assessment of the fistula-in-ano. As it can provide valuable information that can influence the type of operative procedure, and because it is relatively cheap and available in almost all hospitals, it should be used prior to operative treatment in all patients with a fistula-in-ano.
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Hepato Gastroenterol · May 2008
Hepatectomy and pancreatectomy with combined vascular resection in patients with hepato-biliary and pancreas diseases at a single cancer institute.
In advanced cancers of hepatobiliary and pancreatic lesions, major vascular resection and reconstruction are necessary to accomplish curative resection, which may provide better patient outcomes. ⋯ Complete surgical resection (R0) combined with main vascular resection could be safely performed in many patients with disease of the hepatobiliary and pancreas, which achieved longer survival in some patients even in the advanced stage.
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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.