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Surgical Endoscopy

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Surg Endosc18 Mar 2024

Endoscopic Vacuum Therapy Shortens Treatment Duration for Esophageal Perforations

Patients with traumatic esophageal perforations treated with endoscopic vacuum therapy (evt) had significantly shorter treatment duration than those treated with endoscopic self-expandable metal stent (e-sems). However, e-sems led to a shorter time of hospitalization and lower costs. Both methods had similar clinical outcomes, with high…

Ann Surg16 Mar 2024

Antibiotic Duration Unaffected by Biliary Stents in Pancreatoduodenectomy

Antibiotic duration did not impact infection rates in pancreatoduodenectomy patients with biliary stents. A retrospective cohort study found similar composite infection rates among patients receiving short, medium, or long-duration antibiotics, with no significant differences in other outcomes. Postoperative pancreatic fistula and male sex were associated…

Surg Endosc15 Mar 2024

Laparoscopic vs. Open Surgery After Colorectal Stent in Obstructive Cancer

Comparing laparoscopic and open surgery in obstructive colorectal cancer patients following stent placement, a meta-analysis of 12 cohort studies found no difference in 30-day mortality rates. While laparoscopic surgery had less blood loss, longer operation time, and shorter hospital stay, open surgery had more complications.…

Clin Gastroenterol Hepatol14 Mar 2024

Low Colorectal Cancer Risk After Resection of High-Risk Pedunculated Polyps

CRC incidence is significantly higher in patients with high-risk adenomas (HRAs) diagnosed at colonoscopy, with a 1.53-fold increase in risk. However, patients with only distal pedunculated polyps without high-grade dysplasia do not have an increased CRC risk. The presence of certain risk factors explains most…

Langenbecks Arch Surg13 Mar 2024

Direct Visual Control of Vacuum Sponges for Esophageal Anastomotic Leaks Treatment

Placing vacuum sponges in esophageal anastomotic leaks using a piggyback technique proved to be a fast and safe alternative to standard methods. In seven patients, 56 eso-sponges® were successfully inserted or replaced with minimal complications, except for one dislocation. All patients healed, except for one…