The American Society for Gastrointestinal Endoscopy’s updated guidelines provide an evidence-based framework for diagnosing and managing gastroesophageal reflux disease (GERD). The recommendations cover endoscopic evaluations, lifestyle modifications, and treatment options, including proton pump inhibitors and innovative endoscopic therapies. Key changes include guidelines for patients with prior surgical procedures and emphasis on detailed endoscopic assessments. Additionally, […]
Category: Upper Gastrointestinal Tract
Red Cell Distribution Width-To-Albumin Ratio Predicts Peptic Ulcer Outcomes
In a study involving 187 patients with peptic ulcer perforation, the red cell distribution width-to-albumin ratio (RAR) was found to be a strong prognostic marker for predicting major postoperative complications and 30-day mortality. The analysis revealed RAR, alongside age and surgical delay, as independent predictors of complications, with RAR demonstrating high sensitivity and specificity (AUC […]
Cytoreductive surgery with HIPEC and IORT enhances gastric cancer survival
Findings indicate that cytoreductive surgery combined with hyperthermic intraperitoneal chemotherapy (HIPEC) and intraoperative radiation therapy (IORT) significantly improves overall survival (63 months) and disease-free survival (87 months) for gastric cancer patients. Over one-third of participants experienced no postoperative complications, while those who did faced a median of just one complication, primarily grade II. The absence […]
Machine learning model effectively predicts postoperative recurrence in duodenal adenocarcinoma
A machine learning-based model has been developed to predict postoperative recurrence in patients with duodenal adenocarcinoma, utilizing data from 1,830 patients who underwent radical surgery. Among 100 predictive models tested, the penalized regression + accelerated oblique random survival forest model (pam) delivered the highest performance with a concordance index (c-index) of 0.882 in the training […]
Electroacupuncture significantly reduces postoperative ileus duration.
In a multicenter trial involving 585 patients undergoing laparoscopic gastrectomy for gastric cancer, electroacupuncture (EA) proved effective in reducing postoperative ileus (POI) duration. EA decreased the time to first flatus by over 12 hours compared to sham treatments and standard care, and it shortened the time to first defecation by approximately 15 hours. Additionally, the […]
New tool effectively identifies post-treatment quality of life issues
A six-symptom Lasors tool has been validated for identifying patients suffering from poor health-related quality of life after curative oesophageal cancer treatment. In a cohort of 263 patients, four symptoms—reduced energy, low mood, frequent diarrhea, and bloating—were significantly linked to diminished quality of life. The tool demonstrated strong diagnostic accuracy, with an area under the […]
Nomogram predicts risk of pulmonary infections in surgery patients
A novel nomogram developed by clinicians accurately predicts postoperative pulmonary infections (popis) in esophageal cancer patients. Evaluated across 910 patients, it identified six independent risk factors: age, anemia, neoadjuvant therapy, T stage, thoracic adhesions, and duration of surgery. The model demonstrated strong discrimination with areas under the curve (AUC) of 0.8095, 0.8039, and 0.7174 in […]
High success rate achieved in robotic-assisted esophagectomy
A significant 90% of patients achieved textbook outcomes following robotic-assisted minimally invasive esophagectomy (RAMIE) in a single-center analysis involving 150 consecutive patients. Key findings included a median hospital stay of 7 days, low mortality rates of 0.7% at 30 days and 1.3% at 90 days, and a complete pathologic response in 27% of patients. These […]
Deep learning model enhances safety in laparoscopic gastrectomy
A deep learning-based model was developed for real-time recognition of perigastric blood vessels during laparoscopic radical gastrectomy. In testing, the model demonstrated high precision (mean 0.9442) and recall (mean 0.9099) for arteries and maintained robust performance across various challenging conditions. It showed potential to improve intraoperative safety and reduce the risk of accidental bleeding, particularly […]
New nomogram model accurately predicts survival in gastric cancer patients
A newly developed nomogram model provides effective predictions for overall survival in gastric carcinoma patients. Based on analysis of data from 2018 to 2020, ten independent prognostic factors, including body mass index and TNM stage, were identified. The model demonstrated strong predictive capacity, with AUC values nearing 0.85 for 1-year survival in both training and […]