Supplementary parenteral nutrition (h-spn) with higher energy intake decreased postoperative hospital stays and infectious complications among gastric cancer patients. In a study of 128 patients, the h-spn group had an average stay of 8.11 days compared to 10.38 days for the l-spn group and significantly fewer infections, particularly pulmonary. Furthermore, there were no added costs […]
Category: Upper Gastrointestinal Tract
Anterior gastropexy significantly reduces 1-year recurrence of hernia
Findings indicate that incorporating anterior gastropexy during minimally invasive paraesophageal hernia repair significantly lowers the 1-year recurrence rate. In a clinical trial involving 240 participants, the recurrence rate was 15% for those receiving anterior gastropexy compared to 36% for those without it, indicating a notable risk difference. While patient satisfaction and quality-of-life outcomes remained consistent […]
Deep learning model predicts early recurrence in gastric cancer
A deep learning model (DLRMLP) integrating clinical factors outperformed traditional methods in predicting early recurrence of locally advanced gastric cancer (LAGC) post-gastrectomy. In a study involving 620 patients, DLRMLP achieved an AUC of 0.891 compared to 0.797 with conventional models. This model effectively stratified early recurrence-free survival, disease-free survival, and overall survival (all p < […]
Subcomplete sealing technique minimizes recurrent laryngeal nerve palsy
The subcomplete sealing technique significantly mitigated the risk of recurrent laryngeal nerve (RLN) palsy during esophagectomy. Among 76 patients undergoing the procedure, only 3.95% experienced grade IIa RLN palsy, with no cases of more severe injuries. This approach utilizes advanced bipolar energy devices to achieve vessel sealing while preventing thermal injury to nearby nerves, thereby […]
Hybrid Robotic Surgery Enhances Distal Gastrectomy Efficiency
A novel hybrid robotic surgery, integrating minimally invasive laparoscopic techniques with the da Vinci single-port system, demonstrates promise in distal gastrectomy for gastric cancer. This approach allows for a more spacious environment for surgical teams, enhancing their efficiency. The setup permits dual operability—robotic and laparoscopic—facilitating effective nodal dissection with improved surgical quality and reduced operative […]
Adjuvant therapy benefits vary by cancer type in esophageal cancer
A large-scale observational study identified that adjuvant therapy after esophagectomy is beneficial primarily for patients with node-positive squamous cell carcinoma and specific advanced adenocarcinoma stages. Patients with adenocarcinoma experienced survival benefits mainly in cases with PT4 or PTanyN3M0 cancers, while a decrement was noted in less severe cases. For squamous cell carcinoma, survival improvements ranged […]
RefluxStop implant shows promising efficacy in GERD management
A three-year prospective study on the RefluxStop implant for gastroesophageal reflux disease (GERD) revealed outstanding outcomes. Among 47 patients, there were no device-related adverse events or need for proton pump inhibitors post-treatment. The median GERD-HRQL score improved by 93.1%, while daily regurgitation decreased by 97.9%. Additionally, incidences of bothersome dysphagia dropped significantly, with complete resolution […]
Intraoperative nerve monitoring reduces recurrent laryngeal nerve injury
A systematic review and meta-analysis of 11 case-control studies involving 1,907 patients demonstrated that intraoperative nerve monitoring (IONM) significantly reduces recurrent laryngeal nerve palsy (OR = 0.47, p
Updated Guidelines Enhance GERD Diagnosis and Management
The American Society for Gastrointestinal Endoscopy has published updated guidelines, emphasizing evidence-based diagnosis and management strategies for gastroesophageal reflux disease (GERD). Key recommendations include endoscopic evaluation for patients with alarm symptoms and lifestyle modifications. For those with confirmed GERD, proton pump inhibitors are advised at the lowest effective dose, while transoral incisionless fundoplication is suggested […]
Crystalloid volume supplementation optimizes tissue oxygenation during hemorrhage.
Findings indicate that crystalloid volume supplementation markedly enhances gastric conduit tissue oxygenation (70.5%) compared to permissive hypotension (63.3%), catecholamine therapy (45.9%), and combined therapy (69.0%). The correlation between tissue oxygenation and systemic lactate levels further supports its effectiveness. This suggests crystalloid volume supplementation as a superior anesthetic management strategy following intraoperative hemorrhage during esophagectomy, given […]