S. Kostov, Y. Kornovski, Y. Ivanova, S. Slavchev, A. Yordanov
{"title":"Laparoscopic Ovarian Transposition for Young Patients with Locally Advanced Cervical Cancer Treated by Primary Chemoradiation: A Step-by-Step Surgical Technique Video","authors":"S. Kostov, Y. Kornovski, Y. Ivanova, S. Slavchev, A. Yordanov","doi":"10.21614/sgo-v.28-a.583","DOIUrl":"https://doi.org/10.21614/sgo-v.28-a.583","url":null,"abstract":"","PeriodicalId":22101,"journal":{"name":"Surgery, Gastroenterology and Oncology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"72436089","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Mihaela Ghioca, S. Iacob, Ioana G. Lupescu, G. Becheanu, D. Coriu, C. Dobrea, A. Costache, A. Bardaş, C. Gheorghe, L. Gheorghe
Hepatitis C virus is a hepatotropic and lymphotropic virus, triggering B-cells and promoting B lymphocyte proliferation. The association between chronic HCV infection and different lymphoproliferative disorders is well known. Antiviral therapy for HCV, including direct acting antivirals, has been proven as effective therapy of HCV-related lymphomas. So far, only few cases of lymphoma after HCV eradication have been reported in the literature. We report a series of 3 cases with HCV-related liver cirrhosis, two of them with sustained virologic response 12 weeks after direct acting antiviral therapy and one with spontaneous eradication of HCV infection, that were diagnosed with large B cell non-Hodgkin’s lymphoma, that are still in remission actually, with a favorable evolution. Engaging the multidisciplinary team is tremendously important, since the diagnosis and management of those cases are successfully made by close collaboration between the gastroenterologist, hematologist, radiologist and pathologist, using imaging techniques, histopathological and immunohistochemical analysis. In the era of highly effective and safe direct acting antivirals, achieving sustained virologic response has been proven to prevent hepatic and extrahepatic malignant complications of chronic HCV infection, including lymphoma. However, recent reports showing the persistent risk for hepatic malignancy in some rare cases, demonstrate that HCV eradication is not the end point and this could be also in line with our cases of extrahepatic non-Hodgkin’s lymphoma.
{"title":"Non-Hodgkin's Lymphoma as an Extrahepatic Manifestation after Achieving Sustained Virologic Response for Hepatitis C Viral Infection","authors":"Mihaela Ghioca, S. Iacob, Ioana G. Lupescu, G. Becheanu, D. Coriu, C. Dobrea, A. Costache, A. Bardaş, C. Gheorghe, L. Gheorghe","doi":"10.21614/sgo-549","DOIUrl":"https://doi.org/10.21614/sgo-549","url":null,"abstract":"Hepatitis C virus is a hepatotropic and lymphotropic virus, triggering B-cells and promoting B lymphocyte proliferation. The association between chronic HCV infection and different lymphoproliferative disorders is well known. Antiviral therapy for HCV, including direct acting antivirals, has been proven as effective therapy of HCV-related lymphomas. So far, only few cases of lymphoma after HCV eradication have been reported in the literature. We report a series of 3 cases with HCV-related liver cirrhosis, two of them with sustained virologic response 12 weeks after direct acting antiviral therapy and one with spontaneous eradication of HCV infection, that were diagnosed with large B cell non-Hodgkin’s lymphoma, that are still in remission actually, with a favorable evolution. Engaging the multidisciplinary team is tremendously important, since the diagnosis and management of those cases are successfully made by close collaboration between the gastroenterologist, hematologist, radiologist and pathologist, using imaging techniques, histopathological and immunohistochemical analysis. In the era of highly effective and safe direct acting antivirals, achieving sustained virologic response has been proven to prevent hepatic and extrahepatic malignant complications of chronic HCV infection, including lymphoma. However, recent reports showing the persistent risk for hepatic malignancy in some rare cases, demonstrate that HCV eradication is not the end point and this could be also in line with our cases of extrahepatic non-Hodgkin’s lymphoma.","PeriodicalId":22101,"journal":{"name":"Surgery, Gastroenterology and Oncology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87299859","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Corina Pietrareanu, Liliana Simona Gheorghe, Speranta Maria Iacob, Claudia Jorza, Carmen Cristina Ester, Mihaela Corina Ghioca
Background: Alcohol consumption is increasing worldwide, as being the most popular drug used for recreational purposes. Excessive consumption leads to irreversible liver damage, and since 2015 alcoholic cirrhosis has become the main indication of liver transplantation (LT).
{"title":"A Comparative Study of 3 Short Screening Questionnaires for Alcohol Consumption in Patients on the Waiting List for Liver Transplantation: Predictive Power for the Alcoholic Component of Those with Mixed-Cause Cirrhosis and Survival Analysis","authors":"Corina Pietrareanu, Liliana Simona Gheorghe, Speranta Maria Iacob, Claudia Jorza, Carmen Cristina Ester, Mihaela Corina Ghioca","doi":"10.21614/sgo-590","DOIUrl":"https://doi.org/10.21614/sgo-590","url":null,"abstract":"Background: Alcohol consumption is increasing worldwide, as being the most popular drug used for recreational purposes. Excessive consumption leads to irreversible liver damage, and since 2015 alcoholic cirrhosis has become the main indication of liver transplantation (LT).","PeriodicalId":22101,"journal":{"name":"Surgery, Gastroenterology and Oncology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136207218","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Huzifa Haj-Ibrahim, Faisal Janahi, Juan Porta Medina
{"title":"An Unusual Presentation of Female Appendiceal Mucinous Neoplasm with Preoperative Suspicion of Mesenteric Cyst","authors":"Huzifa Haj-Ibrahim, Faisal Janahi, Juan Porta Medina","doi":"10.21614/sgo-v.28-a.570","DOIUrl":"https://doi.org/10.21614/sgo-v.28-a.570","url":null,"abstract":"","PeriodicalId":22101,"journal":{"name":"Surgery, Gastroenterology and Oncology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80178753","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
M. Zuhdy, Khaled M. Belal, Mariam Shata, S. Awny, Nirmeen Megahed, Mostafa Elmansy, Osama Bahy, Ahmed Hassan
{"title":"A Large Extraluminal Ascending Colon Leiomyoma Mimicking a Uterine Fibroid: A Case Report and Literature Review.","authors":"M. Zuhdy, Khaled M. Belal, Mariam Shata, S. Awny, Nirmeen Megahed, Mostafa Elmansy, Osama Bahy, Ahmed Hassan","doi":"10.21614/sgo-v.28-a.560","DOIUrl":"https://doi.org/10.21614/sgo-v.28-a.560","url":null,"abstract":"","PeriodicalId":22101,"journal":{"name":"Surgery, Gastroenterology and Oncology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91149659","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Left isomerism (IS), also known as polysplenic syndrome, is part of the category of heterotaxic syndromes. Heterotaxic syndrome is a general term that describes the abnormal positioning of the viscera in the chest and abdomen. Signs of polysplenic syndrome include: bilobed lungs, liver located on the median line, but also intestinal malrotation. The prevalence of this condition is 1.4 patients per 10,000 children. The clinical aspect is closely correlated with the specific pathology of polysplenism. Apparently, incidental signs and symptoms are encountered, unexplained and unassociated from the etiopathogenic point of view, until the imaging examination that elucidates the causes of the observed clinical picture. As such, polysplenism, i.e., left isomerism, is the result of the abnormal development of the asymmetry of the laterality of the organs having the effect of situs ambiguus.
{"title":"Left Isomerism (Polysplenia Syndrome)","authors":"Mircea Stoian, Radu Ionescu","doi":"10.21614/sgo-586","DOIUrl":"https://doi.org/10.21614/sgo-586","url":null,"abstract":"Left isomerism (IS), also known as polysplenic syndrome, is part of the category of heterotaxic syndromes. Heterotaxic syndrome is a general term that describes the abnormal positioning of the viscera in the chest and abdomen. Signs of polysplenic syndrome include: bilobed lungs, liver located on the median line, but also intestinal malrotation. The prevalence of this condition is 1.4 patients per 10,000 children. The clinical aspect is closely correlated with the specific pathology of polysplenism. Apparently, incidental signs and symptoms are encountered, unexplained and unassociated from the etiopathogenic point of view, until the imaging examination that elucidates the causes of the observed clinical picture. As such, polysplenism, i.e., left isomerism, is the result of the abnormal development of the asymmetry of the laterality of the organs having the effect of situs ambiguus.","PeriodicalId":22101,"journal":{"name":"Surgery, Gastroenterology and Oncology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136207238","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
G. Omran, R. A. Sherif, Mahmoud H. Khalil, A. Salahuddin, K. Shalaby
{"title":"Impact of miR-23b and miR-331 Gene Expressions on HCV-Related Hepatocellular Carcinoma in Egyptian Patients","authors":"G. Omran, R. A. Sherif, Mahmoud H. Khalil, A. Salahuddin, K. Shalaby","doi":"10.21614/sgo-v.28-a.567","DOIUrl":"https://doi.org/10.21614/sgo-v.28-a.567","url":null,"abstract":"","PeriodicalId":22101,"journal":{"name":"Surgery, Gastroenterology and Oncology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85500131","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
S. Cimpean, Nicolas Barriol, Hugo Steyaert, G. Cadière
Background: Laparoscopic or robotic TEP hernia repair represents a minimally invasive surgical technique used in treatment of inguinal or femoral hernia in male or female patients. Surgical technique: We describe the operative steps of the TEP hernia repair technique with the particularities of endoscope dissection of the extra-peritoneal space and no-fixation of the mesh after placement. Discussions: The description of the trocar’s positioning and the particularities of the technique are important, especially for young surgeons and are utterly for orientation but depends on the intraoperative findings. The correct space dissection, mesh placement and non-fixation of the mesh can reduce the risk of hernia recurrence and chronic postoperative chronic pain. Conclusion: Due to the regular anatomy, TEP hernia repair operative technique can be standardized. The thorough comprehension of the anatomical landmarks and the surgical steps are important for the good outcome of the surgery.
{"title":"Laparoscopic Totally Extra Peritoneal Inguinal Hernia Repair with Endoscope Preperitoneal Dissection and No Mesh Fixation - How I Do It","authors":"S. Cimpean, Nicolas Barriol, Hugo Steyaert, G. Cadière","doi":"10.21614/sgo-539","DOIUrl":"https://doi.org/10.21614/sgo-539","url":null,"abstract":"Background: Laparoscopic or robotic TEP hernia repair represents a minimally invasive surgical technique used in treatment of inguinal or femoral hernia in male or female patients. Surgical technique: We describe the operative steps of the TEP hernia repair technique with the particularities of endoscope dissection of the extra-peritoneal space and no-fixation of the mesh after placement. Discussions: The description of the trocar’s positioning and the particularities of the technique are important, especially for young surgeons and are utterly for orientation but depends on the intraoperative findings. The correct space dissection, mesh placement and non-fixation of the mesh can reduce the risk of hernia recurrence and chronic postoperative chronic pain. Conclusion: Due to the regular anatomy, TEP hernia repair operative technique can be standardized. The thorough comprehension of the anatomical landmarks and the surgical steps are important for the good outcome of the surgery.","PeriodicalId":22101,"journal":{"name":"Surgery, Gastroenterology and Oncology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83137086","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Lucia Villegas-Coronado, Jose Lopez-Navarro, Diego Chavez-Bermudez, Ivan Gonzalez-Jimenez, Lucero Chao-Zhou, Dany Gonzalez-Bojorquez
Background: The early detection of colorectal anastomotic leakage (CAL) remains challenging despite advancements in diagnostic methods. Reliable markers are needed to reduce patient morbidity and mortality. Cytokines in drain fluid and systemic cytokine levels have shown potential as predictive markers for CAL, but more robust evidence is required. This systematic review and meta-analysis aimed to evaluate the importance of peritoneal and serum or plasma interleukin-6 (IL-6) levels in the early detection of CAL after colorectal surgery in colorectal cancer patients.
{"title":"Peritoneal and Serum or Plasma Interleukin-6 as Early Biomarkers for Colorectal Anastomotic Leakage after Colorectal Surgery in Patients with Colorectal Cancer: A Systematic Review and Meta-Analysis","authors":"Lucia Villegas-Coronado, Jose Lopez-Navarro, Diego Chavez-Bermudez, Ivan Gonzalez-Jimenez, Lucero Chao-Zhou, Dany Gonzalez-Bojorquez","doi":"10.21614/sgo-582","DOIUrl":"https://doi.org/10.21614/sgo-582","url":null,"abstract":"Background: The early detection of colorectal anastomotic leakage (CAL) remains challenging despite advancements in diagnostic methods. Reliable markers are needed to reduce patient morbidity and mortality. Cytokines in drain fluid and systemic cytokine levels have shown potential as predictive markers for CAL, but more robust evidence is required. This systematic review and meta-analysis aimed to evaluate the importance of peritoneal and serum or plasma interleukin-6 (IL-6) levels in the early detection of CAL after colorectal surgery in colorectal cancer patients.","PeriodicalId":22101,"journal":{"name":"Surgery, Gastroenterology and Oncology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136207235","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
M. Mihăilă, I. Lupescu, V. Herlea, C. Dobrea, G. Smira, Teodor Cabel
{"title":"Atypically Gastric Tumor with Unexpected Evolution: A Case Report","authors":"M. Mihăilă, I. Lupescu, V. Herlea, C. Dobrea, G. Smira, Teodor Cabel","doi":"10.21614/sgo-ec-520","DOIUrl":"https://doi.org/10.21614/sgo-ec-520","url":null,"abstract":"","PeriodicalId":22101,"journal":{"name":"Surgery, Gastroenterology and Oncology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86516318","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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