Giovanni Lesti, Marco Antonio Zappa, Gianluca Bonitta, Andrea Sozzi, Davide Bona, Alberto Aiolfi
Introduction: The functional laparoscopic gastric bypass with fundectomy and gastric remnant exploration (LRYGBfse) has been described in attempt to overcome the intrinsic limitations of the LRYGB with promising results. However, the detailed learning curve related to this innovative procedure has not been assessed.
{"title":"Functional Laparoscopic Roux-en-Y Gastric Bypass with Fundectomy and Gastric Remnant Exploration (LRYGBfse): Learning Curve Assessment Using the Cumulative Sum Analysis Methodology (CUSUM)","authors":"Giovanni Lesti, Marco Antonio Zappa, Gianluca Bonitta, Andrea Sozzi, Davide Bona, Alberto Aiolfi","doi":"10.21614/sgo-593","DOIUrl":"https://doi.org/10.21614/sgo-593","url":null,"abstract":"Introduction: The functional laparoscopic gastric bypass with fundectomy and gastric remnant exploration (LRYGBfse) has been described in attempt to overcome the intrinsic limitations of the LRYGB with promising results. However, the detailed learning curve related to this innovative procedure has not been assessed.","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":"136207496","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}
E. M. Khedr, Selmy S Awad, Abdoh Salem, Azzah Alzahrani, Majed Asiri, Musab AlThomali, Nadiah G. AlAmri, A. Alshamrani, Esraa J Kaheel, Malak F Almogathali, Zahraa A Assmary, Shumukh Alkhammash, Farah C Pantaran, Doaa M Elkafrawy, A. Alotaibi, Talalalfatimi Alhassan, Mahmoud R Abdulshafi, Abdullah A Altalhi, Hashim M Atallah, H. A Alshehri, Mohamed Samir Abou, A. Tarabay
{"title":"The Assessment of the Perioperative Outcome of Laparoscopic versus Open Management of Gastroduodenal Perforation. Our Two-Center Comparative Experience.","authors":"E. M. Khedr, Selmy S Awad, Abdoh Salem, Azzah Alzahrani, Majed Asiri, Musab AlThomali, Nadiah G. AlAmri, A. Alshamrani, Esraa J Kaheel, Malak F Almogathali, Zahraa A Assmary, Shumukh Alkhammash, Farah C Pantaran, Doaa M Elkafrawy, A. Alotaibi, Talalalfatimi Alhassan, Mahmoud R Abdulshafi, Abdullah A Altalhi, Hashim M Atallah, H. A Alshehri, Mohamed Samir Abou, A. Tarabay","doi":"10.21614/sgo-v.28-a.565","DOIUrl":"https://doi.org/10.21614/sgo-v.28-a.565","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":"76067866","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}
Introduction: Pediatric sacrococcygeal teratoma (SCT), yet a rare tumor, is a common solid tumor among neonates. Although overall survival is excellent, tumor recurrence may compromise the outcomes.Objectives: The aim of this study is to determine overall survival rate, tumor recurrence rate, and associated factors for recurrence.
{"title":"Outcomes of Sacrococcygeal Teratoma: An 18-year Experience in a Single Tertiary Referral Center in Thailand","authors":"Nutnicha Suksamanapun, Prapaporn Uthedphonrattanagul, Mongkol Laohapensang, Monawat Ngerncham","doi":"10.21614/sgo-ec-392-ecollection-2022-july","DOIUrl":"https://doi.org/10.21614/sgo-ec-392-ecollection-2022-july","url":null,"abstract":"Introduction: Pediatric sacrococcygeal teratoma (SCT), yet a rare tumor, is a common solid tumor among neonates. Although overall survival is excellent, tumor recurrence may compromise the outcomes.Objectives: The aim of this study is to determine overall survival rate, tumor recurrence rate, and associated factors for recurrence.","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":"136206790","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}
Pub Date : 2023-01-01DOI: 10.21614/sgo-ec-v.28-a.534
Po Hong Tan, Siti Zulaika Saad, Anuradha Valan, Jonathan Khee Ghee, Norhafizah Ehsan, Kharlina Khairuddin
Malignant obstructive jaundice (MOJ) is a disease that could negatively affect patient outcomes. It is treated with Endoscopic Retrograde Cholangiopancreatography (ERCP), Percutaneous Transhepatic Biliary drainage (PTBD), or Endoscopic ultrasound-guided biliary drainage (EUS-BD). We here present a case where malignant obstructive jaundice that failed both ERCP and PTBD achieved successful biliary decompression through trans-cholecysto-cystic duct CBD stenting. A-53-year old female presented to our center with obstructive jaundice secondary to a pancreatic uncinate tumor. Multiple attempts of ERCP and PTBD failed due to difficult cannulation and inadequate dilation of IHD. Furthermore, EUS-BD expertise was not available in our center. A percutaneous cholecystostomy was performed for temporary biliary decompression. After a multidisciplinary discussion was made, the decision was made for trans-cholecystic-cystic duct CBD stenting. The procedure was a success without significant complications. There are multiple ways for biliary decompression. ERCP and PTBD are most commonly used as the first-line treatment with a high success rate. However, PTBD is associated with more complications, with a morbidity rate of up to 33%. With the advancement of EUS, EUS-BD has been a popular treatment option with similar technical success. However, it is a complex and risky procedure that requires expertise. In this case, we achieved a biliary decompression technique similar to PTBD. Instead, the gallbladder and cystic duct are used as passage for stenting. The result is better than envisaged with successful biliary decompression without complications. In conclusion, trans-cholecysto-cystic duct biliary stenting is a feasible procedure to be done for biliary decompression.
{"title":"Successful Trans-Cholecysto-Cystic Duct Common Bile Duct Stenting in a Case of Malignant Obstructive Jaundice","authors":"Po Hong Tan, Siti Zulaika Saad, Anuradha Valan, Jonathan Khee Ghee, Norhafizah Ehsan, Kharlina Khairuddin","doi":"10.21614/sgo-ec-v.28-a.534","DOIUrl":"https://doi.org/10.21614/sgo-ec-v.28-a.534","url":null,"abstract":"Malignant obstructive jaundice (MOJ) is a disease that could negatively affect patient outcomes. It is treated with Endoscopic Retrograde Cholangiopancreatography (ERCP), Percutaneous Transhepatic Biliary drainage (PTBD), or Endoscopic ultrasound-guided biliary drainage (EUS-BD). We here present a case where malignant obstructive jaundice that failed both ERCP and PTBD achieved successful biliary decompression through trans-cholecysto-cystic duct CBD stenting. A-53-year old female presented to our center with obstructive jaundice secondary to a pancreatic uncinate tumor. Multiple attempts of ERCP and PTBD failed due to difficult cannulation and inadequate dilation of IHD. Furthermore, EUS-BD expertise was not available in our center. A percutaneous cholecystostomy was performed for temporary biliary decompression. After a multidisciplinary discussion was made, the decision was made for trans-cholecystic-cystic duct CBD stenting. The procedure was a success without significant complications. There are multiple ways for biliary decompression. ERCP and PTBD are most commonly used as the first-line treatment with a high success rate. However, PTBD is associated with more complications, with a morbidity rate of up to 33%. With the advancement of EUS, EUS-BD has been a popular treatment option with similar technical success. However, it is a complex and risky procedure that requires expertise. In this case, we achieved a biliary decompression technique similar to PTBD. Instead, the gallbladder and cystic duct are used as passage for stenting. The result is better than envisaged with successful biliary decompression without complications. In conclusion, trans-cholecysto-cystic duct biliary stenting is a feasible procedure to be done for biliary decompression.","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":"136207241","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}
Pub Date : 2022-01-27DOI: 10.21203/rs.3.rs-1256996/v1
Y. Wakasa, Y. Toyoki, Yuma Kameyama, Tadashi Odagiri, Hiroyuki Jin, M. Nakai, K. Aoki, H. Kawashima, M. Endo
[Purpose] Failure and recurrence are concerns in nonoperative management (NOM) for acute appendicitis (AA) and interval appendectomy (IA). The goal of the study was to identify predictors of failure and recurrence in patients with AA who underwent NOM. [Methods] A total of 348 adults with appendicitis were treated in our department from April 2016 to October 2021. Among these patients, 337 who did not undergo emergency surgery were divided into those with failed NOM and unplanned surgery (n=28) and successful NOM (n=309). These groups were compared to identify predictive factors for NOM failure. In the NOM-success group, 195 patients were divided into non-recurrence (n=166) and recurrence (n=29) groups to identify predictive factors for recurrence of appendicitis. [Results] In multivariate analysis, post-treatment CRP level (odds ratio (OR)=1.126, 95% confidence interval (CI) 1.076-1.179, P=0.000) and fecal stones with abscess formation (OR=5.530, 95% CI 2.081-14.691, P=0.001) were independently associated with NOM failure. Receiver operating characteristic curve analysis showed an optimum cutoff CRP level of 10.46 mg/dl for failure appendicitis. The initial CRP level was significantly lower and the % CRP decrease was significantly higher in the recurrence group than in the non-recurrence group. [Conclusions] These findings suggest that the post-treatment CRP level and fecal stones with abscess formation are predictors of NOM failure, but that recurrence may not be affected by the severity of previous appendicitis.
{"title":"Predictors of Nonoperative Management Failure and Recurrence in Adults with Acute Appendicitis: A Single-Center Retrospective Study","authors":"Y. Wakasa, Y. Toyoki, Yuma Kameyama, Tadashi Odagiri, Hiroyuki Jin, M. Nakai, K. Aoki, H. Kawashima, M. Endo","doi":"10.21203/rs.3.rs-1256996/v1","DOIUrl":"https://doi.org/10.21203/rs.3.rs-1256996/v1","url":null,"abstract":"\u0000 [Purpose]\u0000\u0000Failure and recurrence are concerns in nonoperative management (NOM) for acute appendicitis (AA) and interval appendectomy (IA). The goal of the study was to identify predictors of failure and recurrence in patients with AA who underwent NOM.\u0000[Methods]\u0000\u0000A total of 348 adults with appendicitis were treated in our department from April 2016 to October 2021. Among these patients, 337 who did not undergo emergency surgery were divided into those with failed NOM and unplanned surgery (n=28) and successful NOM (n=309). These groups were compared to identify predictive factors for NOM failure. In the NOM-success group, 195 patients were divided into non-recurrence (n=166) and recurrence (n=29) groups to identify predictive factors for recurrence of appendicitis.\u0000[Results]\u0000\u0000In multivariate analysis, post-treatment CRP level (odds ratio (OR)=1.126, 95% confidence interval (CI) 1.076-1.179, P=0.000) and fecal stones with abscess formation (OR=5.530, 95% CI 2.081-14.691, P=0.001) were independently associated with NOM failure. Receiver operating characteristic curve analysis showed an optimum cutoff CRP level of 10.46 mg/dl for failure appendicitis. The initial CRP level was significantly lower and the % CRP decrease was significantly higher in the recurrence group than in the non-recurrence group.\u0000[Conclusions]\u0000\u0000These findings suggest that the post-treatment CRP level and fecal stones with abscess formation are predictors of NOM failure, but that recurrence may not be affected by the severity of previous appendicitis.","PeriodicalId":22101,"journal":{"name":"Surgery, Gastroenterology and Oncology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-01-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75775640","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}
A. Panyko, M. Dubovsky, M. Hajská, Stefan Novak, M. Vicián
{"title":"How Fast Can a Giant Colonic Diverticulum Grow?","authors":"A. Panyko, M. Dubovsky, M. Hajská, Stefan Novak, M. Vicián","doi":"10.21614/sgo-486","DOIUrl":"https://doi.org/10.21614/sgo-486","url":null,"abstract":"","PeriodicalId":22101,"journal":{"name":"Surgery, Gastroenterology and Oncology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74342852","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}
Andreea Franculescu-Bertea, I. Copaci, Elena Laura Iliescu, L. Micu
{"title":"Evolution of Liver Fibrosis in Patients with HCV Chronic Infection Treated with Direct-Acting Antivirals","authors":"Andreea Franculescu-Bertea, I. Copaci, Elena Laura Iliescu, L. Micu","doi":"10.21614/sgo-531","DOIUrl":"https://doi.org/10.21614/sgo-531","url":null,"abstract":"","PeriodicalId":22101,"journal":{"name":"Surgery, Gastroenterology and Oncology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73541885","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}
O. Fathi, A. Sultan, A. Shehta, A. Monier, T. Salah, A. Yassen, Mohamed Elshoubari, Ahmed Nabih Elghawalby, R. Said, Mohamed Eldesoky, M. Elmorshedi, M. Elsadany, A. Marwan, Osama Shiha, K. Zalata, M. Abdel Wahab
{"title":"Prognostic Factors of Recurrence and Survival After Living-donor Liver Transplantation for Hepatocellular Carcinoma: Mansoura Experience","authors":"O. Fathi, A. Sultan, A. Shehta, A. Monier, T. Salah, A. Yassen, Mohamed Elshoubari, Ahmed Nabih Elghawalby, R. Said, Mohamed Eldesoky, M. Elmorshedi, M. Elsadany, A. Marwan, Osama Shiha, K. Zalata, M. Abdel Wahab","doi":"10.21614/sgo-409","DOIUrl":"https://doi.org/10.21614/sgo-409","url":null,"abstract":"","PeriodicalId":22101,"journal":{"name":"Surgery, Gastroenterology and Oncology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"72575421","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}
J. Barbosa, F. Sousa, Manuela Batista, Jose Pedro Barbosa, E. Barbosa
Introduction: Several interposition techniques have been described for reconstruction after total gastrectomy in FAP patients, in open (1) and laparoscopic assisted surgery (2,3,4). The Longmire technique has the advantage of allowing all the food to pass through the duodenum and better absorption of nutrients, such as iron (5). Here, we describe the use of a pedicled isoperistaltic jejunal flap interposition technique to reconstruct the digestive tract after total gastrectomy, fully performed by laparoscopic approach, in a patient with FAP that had previous total colectomy. Our patient was a 68-year-old woman, with “MUTYH-Associated Polyposis (MAP)”, a c.494A>G mutation at exon 7 and c.1145G>A mutation at exon 13. She was diagnosed with gastric cancer and lesions of high- and low-grade dysplasia. She was previously submitted to a laparoscopic total colectomy, 2009, and a conservative breast surgery plus chemoradiotherapy in 2017. She also had duodenal and rectum polyps in her surveillance months, without any relevant symptoms. Conclusion: We hereby describe a technique that has been previously used by others with good results, but with the novel contribution of performing the surgery entirely by laparoscopy.
{"title":"Totally Laparoscopic Total Gastrectomy with Oesophagus-Duodenal Interposition of a Pedicled Jejunal Flap in a Patient with Familial Adenomatous Polyposis (with video)","authors":"J. Barbosa, F. Sousa, Manuela Batista, Jose Pedro Barbosa, E. Barbosa","doi":"10.21614/sgo-499","DOIUrl":"https://doi.org/10.21614/sgo-499","url":null,"abstract":"Introduction: Several interposition techniques have been described for reconstruction after total gastrectomy in FAP patients, in open (1) and laparoscopic assisted surgery (2,3,4). The Longmire technique has the advantage of allowing all the food to pass through the duodenum and better absorption of nutrients, such as iron (5). Here, we describe the use of a pedicled isoperistaltic jejunal flap interposition technique to reconstruct the digestive tract after total gastrectomy, fully performed by laparoscopic approach, in a patient with FAP that had previous total colectomy. Our patient was a 68-year-old woman, with “MUTYH-Associated Polyposis (MAP)”, a c.494A>G mutation at exon 7 and c.1145G>A mutation at exon 13. She was diagnosed with gastric cancer and lesions of high- and low-grade dysplasia. She was previously submitted to a laparoscopic total colectomy, 2009, and a conservative breast surgery plus chemoradiotherapy in 2017. She also had duodenal and rectum polyps in her surveillance months, without any relevant symptoms. Conclusion: We hereby describe a technique that has been previously used by others with good results, but with the novel contribution of performing the surgery entirely by laparoscopy.","PeriodicalId":22101,"journal":{"name":"Surgery, Gastroenterology and Oncology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73857651","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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