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Upper Gastrointestinal Tract

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J Gastrointest Surg3 May 2025

ω-3 Fish Oil Emulsion Reduces Delayed Gastric Emptying Risk

In patients undergoing Roux-en-Y reconstruction for gastric cancer, ω-3 fish oil fat emulsion significantly decreased the incidence of delayed gastric emptying (DGE) from 15.5% to 4.3%, highlighting its protective role. The intervention group also experienced a shorter median hospital stay of 10 days compared to…

Surgical Endoscopy29 Apr 2025

ERAS interventions enhance recovery in gastrointestinal tumor patients

A study found that enhanced recovery after surgery (ERAS) nursing interventions significantly improved postoperative outcomes for patients undergoing endoscopic resection of early gastrointestinal tumors. Compared to conventional care, patients in the ERAS group experienced lower complication rates, shorter hospital stays (4.8 vs. 6.3 days), and…

Surg Endosc28 Apr 2025

Gastropexy reduces recurrence rates of giant hiatal hernias.

In a study involving 77 patients with giant hiatal hernias, those undergoing anterior gastropexy experienced significantly lower recurrence rates of hiatal hernias and esophagitis compared to those without the procedure. Despite longer operating times for the gastropexy group, both groups showed no differences in post-operative…

World J Surg27 Apr 2025

High hospital volume reduces postoperative mortality after esophagectomy

A study examining 6,234 esophagectomy cases across 161 hospitals in Australia and New Zealand found a significant correlation between hospital surgical volume and in-hospital mortality. Mortality rates were lowest at 0.73% in high-volume hospitals performing 21 or more surgeries annually. In contrast, low-volume hospitals reported…

BMC Gastroenterol26 Apr 2025

AI Model Outperforms Clinicians in Tumor Differentiation

An artificial intelligence model employing endoscopic ultrasonography (EUS) has demonstrated effective differentiation between small gastric stromal tumors (GSTs) and gastric leiomyomas (GLs). Utilizing a dataset of 358 EUS images, the ResNet50 architecture achieved impressive area under the curve (AUC) values of 0.994 and 0.911 for…

World J Surg Oncol22 Apr 2025

Optimal lymph node yield determined for accurate gastric cancer staging

A cohort study of 6,463 gastric cancer patients established new benchmarks for lymph node harvesting in gastrectomy. Results showed that just five lymph nodes (LNs) sufficed for CT1 patients to maintain a low risk of false negatives, while CT2 patients required 17 nodes. For CT3…

J Robot Surg21 Apr 2025

Robotic surgery improves outcomes for hiatal and paraesophageal hernia repair

A study of 1,834 patients revealed a significant increase in the adoption of robotic surgery for hiatal and paraesophageal hernia repairs. Robotic techniques led to superior symptom resolution compared to open surgery, especially in larger hernias. Although overall rates for recurrence and reoperation remained low,…

Upper Gastrointestinal Tract19 Apr 2025

Lifestyle choices influence long-term survival post-gastric cancer surgery

A population-based study of 71,014 gastric cancer patients revealed that lifestyle behaviors significantly impact long-term mortality after curative gastrectomy, despite not affecting late recurrence. Notably, current underweight status and continued smoking increased mortality risk, while regular physical activity and maintaining a higher BMI post-surgery correlated…

World J Surg15 Apr 2025

Prehabilitation reduces postoperative pneumonia in esophagogastric surgery

A multimodal prehabilitation regimen improved postoperative outcomes for patients undergoing esophagogastric cancer surgery. Of 94 participants analyzed, those who completed at least 2 weeks of structured prehabilitation showcased a significant reduction in postoperative pneumonia compared to the control group. This research underscores the importance of…

Br J Surg9 Apr 2025

Desflurane anaesthesia linked to better respiratory outcomes post-oesophagectomy

A retrospective study analyzed 21,080 patients undergoing oesophagectomy, revealing that desflurane anaesthesia resulted in lower rates of respiratory complications and ventilatory failure compared to sevoflurane and propofol. Patients receiving sevoflurane and propofol had significantly higher incidences of respiratory issues, with odds ratios of 1.13 and…