The study compared the weight loss outcomes and safety profiles of Banded One-Anastomosis Gastric Bypass (BOAGB) with other bariatric procedures. Despite a longer surgery duration, BOAGB showed favorable weight loss outcomes and weight maintenance at 1 year post-surgery, with no significant differences in complications compared to other procedures. All bariatric procedures led to significant excess […]
Author: STITCHES Newsletter
Risk Factors for Perforation in Gastric Endoscopic Submucosal Dissection
Study identified risk factors for intraoperative and delayed perforations in gastric endoscopic submucosal dissection for early gastric cancer. Intraoperative perforation occurred in 2.2% of patients, necessitating emergency surgery in 0.04% of cases, while delayed perforation occurred in 0.4% of patients, with emergency surgery required in 0.12% of cases. Factors like location in upper or middle […]
Expert Tips for Successful Direct Percutaneous Endoscopic Jejunostomy (DPEJ) Tube Placement
Direct percutaneous endoscopic jejunostomy (DPEJ) offers stable enteral access, especially for patients intolerant to gastric feeding. This article identifies risk factors for complications and provides top tips for successful DPEJ placement. Despite being less commonly taught, DPEJ demonstrates advantages over other feeding tube methods, including greater stability, reduced risk of clogging, and improved nutrient delivery. […]
Long-term outcomes of laparoscopic surgery for very low rectal cancers: high anus preservation and moderate functional outcomes
Patients undergoing laparoscopic surgery for stage I ultra-low rectal cancers near the anal verge showed a 3-year local recurrence rate of 6.3%. Anus-preserving surgery was successful in 93% of cases, leading to high rates of functional preservation, with moderate improvements in anal function and acceptable incontinence scores. Urinary function recovered rapidly post-surgery, but sexual function […]
Comparison of Short- and Long-Term Outcomes After Resection for Advanced Pancreatic Cancer
Patients with locally advanced pancreatic cancer (LAPC) who underwent resection following induction therapy showed comparable postoperative pancreas-specific complications, mortality, disease-free interval, and overall survival rates as those with (borderline) resectable pancreatic cancer ((B)RPC). Laparoscopic patients had a higher rate of delayed gastric emptying post-surgery compared to (B)RPC patients, but overall outcomes were similar between the […]
NICE Guidelines Emphasize Barrett’s Oesophagus Surveillance
NICE guidance emphasizes the importance of monitoring Barrett’s oesophagus due to its link to oesophageal adenocarcinoma. Risk factors include acid reflux symptoms, obesity, male gender, smoking, and family history. Surveillance allows for early detection and intervention, leading to excellent prognoses for dysplasia and stage I cancer. Endoscopic techniques are crucial for accurate staging and eradication […]
Successful Robotic Ultrasound-Guided Central Pancreatectomy for Intraductal Papillary Mucinous Neoplasm
A parenchymal-sparing central pancreatectomy was performed with robotic assistance and intraoperative endoscopic evaluation of the main pancreatic duct. The procedure had a relatively short operative time of 290 minutes and minimal blood loss. Despite a postoperative complication requiring angioembolization and drainage, the patient was discharged on day 22 with good long-term outcomes, demonstrating the effectiveness […]
Antibiotic Use Prior to Ileal Pouch-Anal Anastomosis Increases Pouchitis Risk
Researchers found that antibiotic exposure in the 12 months before Ileal Pouch-Anal Anastomosis (IPAA) surgery for ulcerative colitis increased the risk of developing pouchitis in the first 2 years post-surgery. Compared to those without antibiotic prescriptions, patients with 1-2 courses had a 30% increased risk, while those with 3 or more courses had a 77% […]
Management of Right-Sided Diverticulitis: North African Experience
Researchers conducted a retrospective study on 40 patients with right-sided diverticulitis in a North African surgical center. They found that conservative management was successful in 14 cases, while 26 patients underwent operative procedures with no postoperative events and a short hospital stay. Follow-up showed no recurrences, indicating that right-sided diverticulitis has a lower complication rate […]
Appendectomy is associated with a milder clinical course in Crohn’s disease
In a nationwide cohort study, Crohn’s disease patients who had previously undergone appendectomy had a lower rate of CD-related hospital admissions and were less likely to initiate treatment with biologics or undergo colorectal resections compared to those without appendectomy. Rates of small bowel resections were comparable between the two groups. Appendectomy performed after CD diagnosis […]