Using explainable AI, we can significantly improve predictions for 90-day mortality and anastomotic leakage after oesophagectomy. The 90-day mortality rate was 6.0%, with anastomotic leakage at 12.4%. Explainable AI achieved an AUC of 0.95 for predicting mortality, compared to 0.88 for traditional methods. This technology allows for personalized risk assessments, improving decision-making for surgical candidates. […]
Category: Upper Gastrointestinal Tract
Endoscopic Pyloromyotomy Outperforms Laparoscopic Stimulation for Gastroparesis
Endoscopic peroral pyloromyotomy (pop/g-poem) shows superior outcomes compared to laparoscopic gastric electrical stimulation (ges) for treating medically refractory gastroparesis. Mean operative time was significantly shorter for pop/g-poem (28.9 minutes vs 95.6 minutes, p < 0.001). Length of stay was reduced with pop/g-poem (0.5 days vs 2.4 days, p < 0.001) and it had a lower […]
Endoscopic submucosal dissection outperforms mucosal resection for early gastric cancer.
ESD achieved a fourfold increase in both en bloc and curative resection rates compared to EMR. Favorable outcomes were particularly noted in differentiated lesions and during long-term follow-up. Consider ESD as the preferred method for selected early gastric cancer patients, keeping in mind the need for advanced skills and longer procedure times. The analysis included […]
Enhanced Recovery Nursing Model Cuts Hospital Stay for Gastric Cancer
Gastric cancer patients benefit significantly from an enhanced recovery nursing model during the perioperative period. Postoperative stay was 7.2 days in the new model vs. 10.5 days with traditional care (p < 0.001). Complications occurred in only 10% of patients using the new model compared to 26.7% in the control group (p = 0.013). Time […]
Dietary Questionnaire Validates Nutritional Recovery in Gastric Cancer Surgery
A new dietary questionnaire effectively tracks nutritional status post-gastrectomy for gastric cancer. Dietary volume intake drops to 39.7% one month after surgery, rebounding to 74.8% by one year (p < .001). Significant correlation found between dietary volume and caloric intake (r = 0.299-0.599) and weight loss (r = -0.119 to -0.301). This tool can help […]
New tool predicts esophageal stricture risk after ESD
Surgeons can now better predict the risk of esophageal stricture following extensive endoscopic submucosal dissection (ESD) for early esophageal cancer. A nomogram developed from a study of 1,043 patients categorizes stricture risk as low (2.3%), intermediate (48.8%), or high (75%). In a matched cohort of 44 patients, a combination of glucocorticoids and functional exercise reduced […]
Promising Results for PhasixST™ Mesh in Hiatal Hernia Repair
Using bioabsorbable PhasixST™ mesh in laparoscopic large hiatal hernia repairs shows potential to improve outcomes and reduce complications. Average recurrence rate with PhasixST™ mesh is just 2.82 per 100 patients within one year. No reported mesh-related complications, addressing concerns with permanent materials. Surgeons should consider this mesh option for better patient outcomes and lower risk […]
Laparoscopic D2 Lymphadenectomy Improves Gastric Cancer Outcomes
Laparoscopic D2 lymphadenectomy with complete mesogastrium excision offers significant benefits for locally advanced upper gastric cancer patients. Reduced intraoperative blood loss: 89.4 ml vs. 145.7 ml (p < .001). Increased lymph node yield: 42.9 vs. 37.1 (p = .008). Faster postoperative recovery: hospital stay of 14 days vs. 15 days (p = .035). Patients with […]
Laparoscopic Feeding Jejunostomy Outperforms Open Approach
Laparoscopic feeding jejunostomy (LFJ) offers a safer, less painful alternative to open feeding jejunostomy (OFJ) for patients with upper GI cancers. Major complications were similar (LFJ 10% vs. OFJ 17%, p = 0.472). LFJ had significantly fewer minor complications (26.6% vs. 89.6%, p < 0.001) and reduced post-operative pain. Patients with LFJ started feeds earlier […]
Endoscopic Resection Worse for Poorly Differentiated Gastric Cancer
Surgical resection offers better survival outcomes for poorly differentiated early gastric cancer. Surgical resection linked to better cancer-specific survival (CSS) and overall survival (OS) with hazard ratios of 0.61 and 0.56, respectively. Statistically significant differences in CSS and OS observed after propensity score matching (p-values 0.034 and 0.033). Surgeons should favor surgical resection to align […]