Patients with preoperative anemia undergoing curative-intent resection for gastroenteropancreatic neuroendocrine tumors (GEP-NETs) had higher rates of major complications and poorer long-term outcomes. Anemia was associated with worse overall survival, while postoperative transfusions were linked to lower overall survival and recurrence-free survival rates. Preoperative anemia affected around one-third of patients and significantly increased the risk of […]
Category: Upper Gastrointestinal Tract
ERAS Protocol Reduces Hospital Stay in Gastric Cancer Surgery
Implementation of enhanced recovery after surgery (ERAS) protocol in distal gastrectomy for gastric cancer significantly reduces adjusted hospital stay without increasing complications. However, no significant differences were observed in long-term nutritional outcomes and quality of life between ERAS and conventional care groups Journal Article by Choi CI, Park JK (…) Kim DH et 4 al. […]
Comparable Long-Term Survival Rates of Endoscopic Therapy and Surgical Resection for 2-5 cm Gastrointestinal Stromal Tumors
In a comparative study of endoscopic therapy (ET) versus surgical resection for 2-5 cm gastrointestinal stromal tumors, long-term outcomes showed no significant difference in overall or cancer-specific survival rates. After propensity score matching, both groups had comparable survival rates, suggesting that ET may be a viable treatment option for these tumors. Further research is needed […]
Potent Nomogram Predicts Lymph Node Involvement in Early Gastric Cancer
A potent nomogram incorporating tumor budding accurately predicts lymph node involvement in early gastric cancer patients, providing exceptional discriminative power and precise predictive capabilities. Tumor budding, along with other clinicopathological factors, demonstrated a robust association with lymph node involvement, improving clinical decision-making by reducing the risk of overtreatment in endoscopic curability C-2. Journal Article by […]
Superior Outcomes of Modified Billroth-II in Gastric Cancer Reconstruction
Comparing modified Billroth-II with hinged anti-peristaltic afferent loop and Roux-en-Y reconstruction after distal gastrectomy for gastric cancer, the former showed superior outcomes in terms of operating time, postoperative hospital stays, and time to semi-solid diet tolerance. However, both methods had similar functional outcomes. The study suggests that Billroth-II could be a favorable alternative to Roux-en-Y […]
Impact of Neoadjuvant Immunotherapy on Perioperative Outcomes in Esophageal Adenocarcinoma
Patients with locally advanced esophageal adenocarcinoma who received neoadjuvant immunotherapy (io) combined with chemotherapy showed similar perioperative outcomes compared to those who received neoadjuvant chemotherapy alone. Rates of overall and major complications, anastomotic leak, respiratory complications, hospital stay length, and mortality were comparable between the two groups. The addition of immunotherapy did not significantly alter […]
Factors Associated with Financial Toxicity After Upper Gastrointestinal Cancer Surgery
Patients younger than 50 years, of non-white race, with annual income
Frequency of size increase in gastric leiomyomas is low
Most gastric leiomyomas are benign subepithelial tumors, with few becoming symptomatic or increasing in size. A retrospective review of 231 cases showed that only 2.4% experienced size increase, one of which was leiomyosarcoma. The majority remained stable, with resections confirming leiomyoma. Close monitoring may be sufficient for asymptomatic cases, but resection could be considered for […]
Differentiating Risk Factors: FED vs. GERD
Patients with functional esophageal disorders (FED) are more likely to be non-Hispanic Asian, have an underweight BMI, chronic pain, insomnia, and allergic rhinitis. Conversely, patients with an overweight BMI and who use alcohol have a decreased risk for FED. These findings provide valuable information for clinicians to identify and screen patients with reflux symptoms for […]
Comparison of hybrid and open surgery for oesophageal cancer: similar recovery and cost-effectiveness
Hybrid oesophagectomy with minimally invasive gastric mobilization and thoracotomy did not result in faster recovery or greater cost-effectiveness compared to open surgery for patients with oesophageal cancer. Physical function and complication rates over the first 3 months post-randomization were similar between the two groups. Surgeons can continue to use their preferred approach without changing practice, […]