Current gastroenterology reports
-
Curr Gastroenterol Rep · Feb 2004
Review Comparative StudyDiagnosis and treatment of cholangiocarcinoma.
Epidemiologic studies have demonstrated increasing mortality rates from intrahepatic cholangiocarcinoma during the past decades. Primary sclerosing cholangitis is the most important predisposing condition to the development of cholangiocarcinoma. Improvements in noninvasive diagnostic techniques have led to decreased use of invasive procedures. ⋯ Radical surgery with negative histologic margins is the only curative option in cholangiocarcinoma. With more aggressive surgical approaches, including partial hepatectomy, 3-year survival rates of 35% to 50% can be achieved. Liver transplantation for unresectable cholangiocarcinoma was shown to be feasible in pilot studies of highly selected patients.
-
Curr Gastroenterol Rep · Aug 2002
Randomized Controlled Trial Multicenter Study Comparative Study Clinical TrialEnteral versus parenteral nutrition following resection in malnourished patients with gastrointestinal cancer.
-
Colonic diverticular disease is common but surprisingly poorly understood. Recent advances in the field continue to focus on the introduction of new technology. ⋯ Selected patients undergoing laparoscopic sigmoid resection may benefit from this approach. The vast majority of reports are from retrospective studies and include few randomized, controlled trials.