World journal of gastroenterology : WJG
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World J. Gastroenterol. · Apr 2014
ReviewRole of stereotactic body radiotherapy for oligometastasis from colorectal cancer.
Systemic chemotherapy has enabled prolongation of survival in patients with stage IV colorectal cancer. This has subsequently increased the relative significance of local therapy for patients with oligometastases because they can be cured by removal of oligometastatic lesions. One of the most frequently reported tumor histologies for oligometastases is colorectal cancer. ⋯ Many retrospective studies have indicated that SBRT for various lesions results in good outcomes with low morbidity, both in the curative and palliative setting. However, few reports with a high level of evidence have indicated the efficacy of SBRT compared to standard therapy. Hereafter, the optimal indication of SBRT needs to be prospectively investigated to obtain convincing evidence.
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World J. Gastroenterol. · Apr 2014
Living-donor or deceased-donor liver transplantation for hepatic carcinoma: a case-matched comparison.
To compare the surgical outcomes between living-donor and deceased-donor liver transplantation in patients with hepatic carcinoma. ⋯ Although biliary complications were more common in the LDLT group, this group did not show any inferiority in long-term overall survival or relapse-free survival compared with DDLT.
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World J. Gastroenterol. · Apr 2014
Anatomic resection of liver segments 6-8 for hepatocellular carcinoma.
To report the devised anatomic liver resection of segments 6, 7 and 8 to improve the resection rate for patients with right liver tumors. ⋯ Anatomic liver resection of segments 6, 7 and 8 can be a conventional operation to improve the overall resection rate for hepatocellular carcinoma.
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World J. Gastroenterol. · Apr 2014
ReviewAnemia in inflammatory bowel disease: a neglected issue with relevant effects.
Anemia, a common complication associated with inflammatory bowel disease (IBD), is frequently overlooked in the management of IBD patients. Unfortunately, it represents one of the major causes of both decreased quality of life and increased hospital admissions among this population. Anemia in IBD is pathogenically complex, with several factors contributing to its development. ⋯ In special situations, erythropoietin supplementation and biological therapies should be considered. In conclusion, the management of anemia is a complex aspect of treating IBD patients, one that significantly influences the prognosis of the disease. As a consequence, its correction should be considered a specific, first-line therapeutic goal in the management of these patients.
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World J. Gastroenterol. · Apr 2014
Review Case ReportsSuccessful treatment of liver abscess secondary to foreign body penetration of the alimentary tract: a case report and literature review.
Hepatic abscess caused by foreign body penetration of the alimentary tract is rare. We report a case of gastric antrum penetration due to a toothpick complicated by liver abscess formation. A 41-year-old man was admitted to our hospital with the chief complaint of upper abdominal pain for 2 mo. ⋯ Patients receiving abscess drainage via laparotomy had a significantly shorter length of hospitalization compared with those undergoing image-guided drainage. There was no significant difference in age between those who survived and those who died, however, the latter presented to hospitals in a more critical condition than the former. The overall mortality rate was 7.95%.