A new index predicts gastric stasis post-gastrectomy, crucial for improving surgical outcomes. In a study of 203 patients, the Hiki Index showed 85.7% sensitivity and 76.7% specificity for stasis-related interventions. Age under 75, female sex, and pylorus-preserving gastrectomy raise risk for gastric distension. Implementing the Hiki Index can lead to timely interventions and better postoperative […]

Patients undergoing pylorus-preserving surgery had shorter operative times (226 vs. 272 minutes) and shorter hospital stays (9.2 vs. 10.5 days). Higher risk of delayed gastric emptying was noted (12.5% vs. 1.6%). Patients in the pylorus-preserving group showed improved nutritional status and quality of life. Consider pylorus-preserving approaches for selected early-stage cases to enhance postoperative outcomes, […]

Flot chemotherapy shows a clear survival advantage over the Cross protocol for esophageal adenocarcinoma, impacting treatment choices. Esopec trial: median overall survival (OS) for Flot at 66 months vs. 37 months for Cross (HR: 0.70, p=0.01). Real-world data: Cross cohort median OS at 33.7 months, with a higher pathological complete response (PCR) of 20.5% versus […]

Higher levels of the C-reactive protein-triglyceride-glucose index indicate worse outcomes after radical gastrectomy for gastric cancer. Patients with a low cti had significantly longer disease-free survival (DFS) compared to those with high cti. The hazard ratio for high cti predicting poor outcomes is 2.07. Consider using cti and prognostic nutritional index (PNI) for better patient […]

Robot-assisted mediastinoscopic esophagectomy significantly reduces complications for esophageal cancer patients. Left recurrent laryngeal nerve palsy incidence dropped from 38.2% to 19.1% (p = 0.022). Intraoperative blood loss decreased from 251.0 ml to 99.8 ml (p = 0.001). Consider incorporating robot assistance as a standard approach in select minimally invasive cases without compromising oncologic outcomes. Comparable […]

This study highlights the effectiveness of the RefluxStop procedure for severe GERD, demonstrating significant symptom resolution. Median GERD-HRQL score improved by 97.6%, dropping from 42.5 to 1.0 within 12 months. PPI use plummeted from 94.8% to just 5.2% at one year. Surgeons can confidently offer this approach, even to patients with complex conditions, as only […]

A new lymph node ratio-based staging system improves survival prediction for esophageal squamous cell carcinoma (ESCC). The proposed SRRN system correlates with 5-year overall survival rates: 66.7% for SRRN0 vs. 7.9% for SRRN3. SRRN outperforms traditional N staging, showing higher accuracy in both Cox and RSF models, enhancing prognostic reliability. This method could refine patient […]

Extended D2 lymphadenectomy (D2+) improves outcomes in specific gastric cancer cases. Metastatic rates are 8% for stations 12b/12p and 13, and 7% for 14v, with therapeutic value indices (TVI) of 2.6, 2.4, and 3.9, respectively. Patients with duodenal invasion show significantly higher TVIs: 3.9 (12b/12p), 3.8 (13), and 9.0 (14v) compared to those without. Consider […]

Uncut Roux-en-Y significantly reduces bile reflux and enhances quality of life post-distal gastrectomy for gastric cancer. Bile reflux incidence at 3 months: uncut R-Y (6.8%) vs. Billroth-II (77.6%) and Billroth II Braun (63.6%), p < 0.001. Results held at 12 months: 10.5% for uncut R-Y compared to 86% for Billroth-II and 67.9% for Billroth II […]

Laparoscopic Nissen fundoplication shows strong long-term effectiveness for GERD with high patient satisfaction over 10 years. Heartburn prevalence dropped from 94% to 34% post-surgery. Overall patient satisfaction reached 87%, with 87% willing to repeat the procedure. Consider LNF for candidates seeking durable symptom relief, keeping in mind potential for gas-bloating and dysphagia in over half […]