A predictive model utilizing endoscopic ultrasound (EUS) parameters has been developed, demonstrating significant efficacy in predicting pathologic complete response (PCR) in esophageal cancer patients undergoing neoadjuvant immunotherapy combined with chemotherapy. Key predictors identified were treatment regimen, negative biopsy findings, RECIST assessment, EUS responsiveness, and downstaging. The model showed an area under the curve of 0.840 […]
Category: Upper Gastrointestinal Tract
ω-3 Fish Oil Emulsion Reduces Delayed Gastric Emptying Risk
In patients undergoing Roux-en-Y reconstruction for gastric cancer, ω-3 fish oil fat emulsion significantly decreased the incidence of delayed gastric emptying (DGE) from 15.5% to 4.3%, highlighting its protective role. The intervention group also experienced a shorter median hospital stay of 10 days compared to 13 days for controls. Multivariate analysis further solidified ω-3 supplementation […]
ERAS interventions enhance recovery in gastrointestinal tumor patients
A study found that enhanced recovery after surgery (ERAS) nursing interventions significantly improved postoperative outcomes for patients undergoing endoscopic resection of early gastrointestinal tumors. Compared to conventional care, patients in the ERAS group experienced lower complication rates, shorter hospital stays (4.8 vs. 6.3 days), and higher satisfaction and quality of life at three months. The […]
Gastropexy reduces recurrence rates of giant hiatal hernias.
In a study involving 77 patients with giant hiatal hernias, those undergoing anterior gastropexy experienced significantly lower recurrence rates of hiatal hernias and esophagitis compared to those without the procedure. Despite longer operating times for the gastropexy group, both groups showed no differences in post-operative complications. Symptom relief, including reductions in heartburn and reflux, was […]
High hospital volume reduces postoperative mortality after esophagectomy
A study examining 6,234 esophagectomy cases across 161 hospitals in Australia and New Zealand found a significant correlation between hospital surgical volume and in-hospital mortality. Mortality rates were lowest at 0.73% in high-volume hospitals performing 21 or more surgeries annually. In contrast, low-volume hospitals reported mortality as high as 5.71%. High-volume centers also demonstrated shorter […]
AI Model Outperforms Clinicians in Tumor Differentiation
An artificial intelligence model employing endoscopic ultrasonography (EUS) has demonstrated effective differentiation between small gastric stromal tumors (GSTs) and gastric leiomyomas (GLs). Utilizing a dataset of 358 EUS images, the ResNet50 architecture achieved impressive area under the curve (AUC) values of 0.994 and 0.911 for micro and small tumors respectively. In comparison, clinicians and clinical […]
Optimal lymph node yield determined for accurate gastric cancer staging
A cohort study of 6,463 gastric cancer patients established new benchmarks for lymph node harvesting in gastrectomy. Results showed that just five lymph nodes (LNs) sufficed for CT1 patients to maintain a low risk of false negatives, while CT2 patients required 17 nodes. For CT3 and CT4 patients, even 35 nodes did not significantly reduce […]
Robotic surgery improves outcomes for hiatal and paraesophageal hernia repair
A study of 1,834 patients revealed a significant increase in the adoption of robotic surgery for hiatal and paraesophageal hernia repairs. Robotic techniques led to superior symptom resolution compared to open surgery, especially in larger hernias. Although overall rates for recurrence and reoperation remained low, robotic surgery exhibited a higher recurrence rate for large hernias […]
Lifestyle choices influence long-term survival post-gastric cancer surgery
A population-based study of 71,014 gastric cancer patients revealed that lifestyle behaviors significantly impact long-term mortality after curative gastrectomy, despite not affecting late recurrence. Notably, current underweight status and continued smoking increased mortality risk, while regular physical activity and maintaining a higher BMI post-surgery correlated with reduced mortality. Among the cohort, 8.1% experienced late recurrence, […]
Prehabilitation reduces postoperative pneumonia in esophagogastric surgery
A multimodal prehabilitation regimen improved postoperative outcomes for patients undergoing esophagogastric cancer surgery. Of 94 participants analyzed, those who completed at least 2 weeks of structured prehabilitation showcased a significant reduction in postoperative pneumonia compared to the control group. This research underscores the importance of tailored prehabilitation strategies in enhancing recovery and addressing complications in […]