Minimally invasive esophagectomy (MIE) demonstrated superior outcomes over open esophagectomy (OE) for esophageal squamous cell carcinoma. MIE patients had lower postoperative complications, higher R0 resection rate, better 3-year survival rates, and reduced locoregional recurrence. This benefit was especially pronounced in patients with CT3-4 tumors. Overall, MIE proved more advantageous for locally advanced esophageal squamous cell […]
Category: Upper Gastrointestinal Tract
CT Findings Predicting Surgery in Delayed Perforation After Endoscopic Tumor Resection
CT findings of gross perforation and peritonitis are significant factors associated with surgery in delayed perforation after endoscopic tumor resection. These factors can guide patients towards an appropriate treatment plan, with a low rate of 0.50% experiencing delayed perforation. Clinical factors and pneumoperitoneum amount were not significant predictors for surgery, emphasizing the importance of imaging […]
Deep Learning Model for Predicting Gastric Cancer Recurrence
Using CT imaging data, a deep learning model accurately predicts postoperative recurrence in gastric cancer patients. Developed and validated on 2,813 patients, the model showed excellent performance in identifying high-risk cases of recurrence. The deep learning fusion signature outperformed clinical models and baseline deep learning signatures, demonstrating its potential as a prognostic factor for patients […]
Extended Regular Follow-Up Improves Survival Rates in Gastric Cancer Patients
Extended regular follow-up after 5 years postgastrectomy in gastric cancer patients significantly reduced overall mortality rates and improved postrecurrence survival rates. The combination of endoscopy and abdominopelvic CT had the highest 5-year postrecurrence survival rate. A time interval of more than 2 years between previous imaging and late recurrence or gastric remnant cancer diagnosis led […]
Identification of Tertiary Lymphoid Structures in Gastric Cancer
Assessment of tertiary lymphoid structures (TLSs) through a digital gene panel proved highly accurate in predicting TLS status and demonstrated associations with survival and response to anti-cancer therapies in gastric cancer patients. Patients with high TLS gene signature exhibited significant benefits from adjuvant chemotherapy and higher response rates to anti-PD-1 immunotherapy. The digital panel offers […]
Lymph Node Metastasis Patterns in ESCC Post-Neoadjuvant Therapy
Researchers analyzed 623 esophageal squamous cell carcinoma (ESCC) patients post-neoadjuvant therapy, finding lymph node metastases in 34% of cases. Metastases were most frequent along the right recurrent nerve (10.1%), paracardial station (11.4%), and left gastric artery (10.9%). The data, differentiated by tumor location and pretreatment factors, revealed significant patterns. For instance, metastases were prevalent in […]
Endoscopic Submucosal Dissection Outperforms Mucosal Resection for Barrett’s Neoplasia
Endoscopic submucosal dissection (ESD) yields superior en bloc resection, higher R0 resection, and curative resection rates compared to endoscopic mucosal resection (EMR) for Barrett’s neoplasia and esophageal adenocarcinoma. ESD also shows lower local recurrence rates. Adverse events between the two techniques were similar. These findings suggest that ESD may be a more effective approach in […]
Proximal Gastrectomy with Double-Tract Reconstruction Reduces Glucose Spikes
Proximal gastrectomy with double-tract reconstruction leads to lower glucose variability postoperatively compared to total gastrectomy. Patients who underwent the procedure exhibited smaller fluctuations in glucose levels and experienced fewer dumping symptoms. Food flow into the remnant stomach was crucial for maintaining better glycemic control and preventing dumping syndrome. This study highlights the benefits of proximal […]
Novel Technique for Esophageal Reconstruction: OVEA
A novel oral-vestibule-enteral anastomosis (OVEA) technique shows promise in patients with compromised epiglottic function or esophageal loss, providing a solution where traditional surgeries fail. Outcomes from 13 patients revealed successful oral feeding, improved quality of life, and minimal fatalities, highlighting the potential of OVEA to enhance patient outcomes. Further research is needed to assess long-term […]
Preoperative Lab Indicators Predict Survival in Esophageal Carcinoma
Preoperative laboratory data indicators, including the systemic immune-inflammation index (SII) and prognostic nutritional index (PNI), were found to significantly impact overall survival in patients with postoperative staged T3N0M0 esophageal carcinoma. These indicators, along with the neutrophil-to-lymphocyte ratio (NLR), platelet-to-lymphocyte ratio (PLR), and lymphocyte-to-monocyte ratio (LMR), were identified as independent predictors of prognosis. Combining SII and […]