World journal of gastroenterology : WJG
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World J. Gastroenterol. · Jan 2014
Review Meta AnalysisFast-track program vs traditional care in surgery for gastric cancer.
To systematically review the evidence for the effectiveness of fast-track program vs traditional care in laparoscopic or open surgery for gastric cancer. ⋯ Our overall results suggested that compared with traditional care, fast-track program could result in shorter postoperative hospital stay, less medical costs, and lower level of CRP, with no more complications occurring in both laparoscopic and open surgery for gastric cancer.
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World J. Gastroenterol. · Jan 2014
Review Meta AnalysisControlled low central venous pressure reduces blood loss and transfusion requirements in hepatectomy.
To evaluate the effect of low central venous pressure (LCVP) on blood loss and blood transfusion in patients undergoing hepatectomy. ⋯ Controlled LCVP is a simple and effective technique to reduce blood loss and blood transfusion during liver resection, and appears to have no detrimental effects on liver and renal function.
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World J. Gastroenterol. · Jan 2014
Multicenter StudySerum and urine metabolomic fingerprinting in diagnostics of inflammatory bowel diseases.
To evaluate the utility of serum and urine metabolomic analysis in diagnosing and monitoring of inflammatory bowel diseases (IBD). ⋯ NMR-based metabolomic fingerprinting of serum and urine has the potential to be a useful tool in distinguishing patients with active IBD from those in remission.
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World J. Gastroenterol. · Jan 2014
ReviewCeliac plexus neurolysis in pancreatic cancer: the endoscopic ultrasound approach.
Pain in pancreatic cancer is often a major problem of treatment. Administration of opioids is frequently limited by side effects or insufficient analgesia. Endoscopic ultrasound-guided celiac plexus neurolysis (EUS-CPN) represents an alternative for the palliative treatment of visceral pain in patients with pancreatic cancer. ⋯ The EUS-CPN with multiple intraganglia injection approach seems to have better results, although extended studies are still needed. Further trials are required to enable more confident conclusions regarding timing, quantity of alcohol injected and the method of choice. Severe complications have rarely been reported, and great care should be taken in choosing the site of alcohol injection.