Evidence is being gathered on the potential benefits of prehabilitation for patients undergoing gastric cancer surgery. This systematic review and meta-analysis will investigate the impact of trimodal prehabilitation, including exercise, nutrition, and psychological support, on reducing postoperative complications and enhancing recovery. The study will focus on key outcomes such as complication rates, hospital stay duration, […]
Category: Upper Gastrointestinal Tract
Higher BMI does not worsen outcomes in hernia repair
The study finds no significant correlation between body mass index (BMI) and perioperative outcomes or short-term recurrence after paraesophageal hernia repair in a cohort of 884 patients. Key metrics such as blood loss, length of hospital stay, major complications, and mortality were unaffected by increasing BMI levels. Notably, overweight and obese patients showed no increased […]
Endoscopic full-thickness resection proves effective for tumors
A study analyzing 232 patients undergoing endoscopic full-thickness resection (EFTR) demonstrates its feasibility, safety, and effectiveness for treating upper gastrointestinal submucosal tumors, including predominantly extraluminal lesions. The procedure achieved an en-bloc resection rate of 98.7%, with a negligible recurrence observed over a mean follow-up of 3.7 years. Notably, complications occurred in 9.1% of cases, with […]
Nomograms improve survival prediction in gastric cancer patients
Incorporating a systemic oxidative stress score (soss) based on fibrinogen, albumin, and cholesterol significantly enhances prognostic accuracy for gastric cancer patients post-radical gastrectomy. Among 3,820 patients, nomograms utilizing soss outperformed traditional staging methods in predicting overall and disease-free survival (AUC: 0.830 vs. 0.778, AUC: 0.824 vs. 0.775). Moreover, high-risk groups demonstrated significantly increased recurrence rates, […]
Dysphagia scores significantly impact survival in esophageal cancer patients.
A study involving 302 patients with advanced resectable esophageal cancer revealed that preoperative dysphagia scores are crucial prognostic factors for survival outcomes. Patients with higher dysphagia scores (2-4) exhibited significantly poorer disease-free and overall survival rates compared to those with scores of 0-1. Specifically, 5-year disease-free survival rates decreased from 52.9% to 26.7% as scores […]
Extracapsular spread is a key predictor of early recurrence.
Analysis of 196 patients with oesophagogastric adenocarcinoma revealed a 13.8% early recurrence rate post-surgery, with a one-year recurrence-free survival of 83.7% and overall survival of 90.8%. The study identified extracapsular spread and ypN3 stage as independent risk factors for early recurrence, highlighting their significance in prognostication. Understanding these predictors may guide tailored follow-up strategies, including […]
Motorized stapler reduces surgery time in gastric procedures.
A prospective study of 98 gastric surgery patients compared mechanical and motorized staplers. Results showed that the use of motorized staplers significantly decreased surgical times and number of firings (p
Standardized measures enhance surgical quality for gastric cancer patients.
The study highlights the importance of measuring surgical quality in multimodal treatment for gastric cancer. By implementing standardized systems for recording complications and ensuring adherence to treatment guidelines, surgeons can optimize patient outcomes. This focus aims to reduce postoperative complications and improve overall quality of life, ultimately influencing long-term oncological results. A composite quality measure […]
Simultaneous robot-assisted esophagectomy reduces surgery time.
A novel approach to robot-assisted cervical esophagectomy combining cervical and abdominal procedures has shown significant advantages. In a study of 30 patients, this simultaneous procedure, utilizing nerve integrity monitoring without muscle relaxants, resulted in a total operative time of 291.2 minutes, markedly shorter than the sequential group’s 453.8 minutes. No intraoperative adverse events or postoperative […]
Endoscopic Vacuum Therapy effectively treats Boerhaave’s syndrome.
A multicenter analysis demonstrates that Endoscopic Vacuum Therapy (EVT) has a high success rate for treating Boerhaave’s syndrome, yielding an 80% treatment success in 25 patients. Mortality rates were significantly lower for EVT patients (8.0%) compared to those undergoing other methods (25.0%). Moreover, treatment success with EVT was statistically superior to non-EVT approaches (43.8%). These […]