World journal of gastroenterology : WJG
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World J. Gastroenterol. · Dec 2015
ReviewFluid management in living donor hepatectomy: Recent issues and perspectives.
The importance of the safety of healthy living liver donors is widely recognized during donor hepatectomy which is associated with blood loss, transfusion, and subsequent post-operative morbidity. Although the low central venous pressure (CVP) technique can still be effective, it may not be advantageous concerning the safety of healthy donors undergoing hepatectomy. Emerging evidence suggests that stroke volume variation (SVV), a simple and useful index for fluid responsiveness and preload status in various clinical situations, can be applied as a guide for fluid management to reduce blood loss during living donor hepatectomy. ⋯ However, it is uncertain whether the intra-operative use of colloid solution is associated with similarly adverse effects in patients undergoing living donor hepatectomy. In this review article we discuss the recent issues regarding the low CVP technique and the high SVV method, i.e., maintaining 10%-20% of SVV, for fluid management in order to reduce blood loss during living donor hepatectomy. In addition, we briefly discuss the effects of intra-operative colloid or crystalloid administration for surgical rather than septic or critically ill patients.
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World J. Gastroenterol. · Dec 2015
Updated experiences with minimally invasive McKeown esophagectomy for esophageal cancer.
To update our experiences with minimally invasive McKeown esophagectomy for esophageal cancer. ⋯ Total minimally invasive McKeown esophagectomy was associated with reduced intraoperative blood loss and comparable short term and long term survival compared with hybrid minimally invasive McKeown esophagectomy or open Mckeown esophagectomy. At least 12 cases are needed to master total minimally invasive McKeown esophagectomy in a high volume center.
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World J. Gastroenterol. · Dec 2015
Biliary tract external drainage protects against intestinal barrier injury in hemorrhagic shock rats.
To investigate the effects of biliary tract external drainage (BTED) on intestinal barrier injury in rats with hemorrhagic shock (HS). ⋯ BTED protects against intestinal barrier injury in HS rats.
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World J. Gastroenterol. · Nov 2015
Comparative StudyLaparoscopic gastric bypass vs sleeve gastrectomy in obese Korean patients.
To compare the mid-term outcomes of laparoscopic sleeve gastrectomy (LSG) and laparoscopic Roux-en-Y gastric bypass (LRYGB) in obese Korean patients. ⋯ Both LSG and LRYGB are effective procedures that induce comparable weight loss in the mid-term and similar surgical risks, except for the higher revision rate after LSG.
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World J. Gastroenterol. · Nov 2015
Observational StudyCombined transjugular intrahepatic portosystemic shunt and other interventions for hepatocellular carcinoma with portal hypertension.
To evaluate combination transjugular intrahepatic portosystemic shunt (TIPS) and other interventions for hepatocellular carcinoma (HCC) and portal hypertension. ⋯ TIPS combined with other interventional treatments seems to be safe and efficacious in patients with HCC and portal hypertension.