Black individuals with esophageal squamous cell carcinoma (ESCC) have a lower survival rate compared to white individuals. This disparity could be attributed to presenting at a later stage of the disease and differences in treatment received, including chemotherapy, radiation, and surgery. Black individuals were less likely to receive these treatments even when diagnosed at the […]
Category: Upper Gastrointestinal Tract
Safety and Efficacy of Percutaneous Jejunostomy Tube Placement Outperforms Surgical Methods
A retrospective analysis comparing direct percutaneous endoscopic jejunostomy (DPEJ) tube placement with laparoscopic (Lap-J) and open laparotomy (Open-J) surgical methods revealed similar procedural success rates and complication rates in all three approaches. However, patients who underwent DPEJ experienced significantly lower rates of tube dysfunction within 90 days compared to surgical groups, primarily due to reduced […]
Fibrin Sealant Effectively Closes Mucosal Penetrations during Gastrointestinal Submucosal Tumor Resection
The study aimed to assess the efficacy and safety of using a fibrin sealant for closing mucosal penetrations at the esophagus or cardia during submucosal tunnelling endoscopic resection (STER) for gastrointestinal submucosal tumors. A total of 31 mucosal penetrations were identified in 30 patients who received the fibrin sealant. The results showed that the fibrin […]
Antimicrobial Prophylaxis with Ampicillin-Sulbactam Improves Short-term Outcomes after Esophagectomy
Antimicrobial prophylaxis with ampicillin-sulbactam was found to be more effective compared to cefazolin in reducing surgical site infection, anastomotic leakage, and respiratory failure after esophagectomy. In a study involving 17,772 patients, the use of ampicillin-sulbactam was associated with significantly improved short-term postoperative outcomes, including reduced respiratory complications, length of stay, and total hospitalization costs. No […]
Safety and Efficacy of Percutaneous Jejunostomy Tube Placement Outperforms Surgical Methods
A retrospective analysis comparing direct percutaneous endoscopic jejunostomy (DPEJ) tube placement with laparoscopic (Lap-J) and open laparotomy (Open-J) surgical methods revealed similar procedural success rates and complication rates in all three approaches. However, patients who underwent DPEJ experienced significantly lower rates of tube dysfunction within 90 days compared to surgical groups, primarily due to reduced […]
Patients’ Preferences for Decision Counseling in Esophageal Cancer
Patients with esophageal cancer were offered decision counseling (dc) either before or after neoadjuvant chemoradiotherapy (ncrt) to reflect on their treatment preferences. Interviews with patients revealed that those who received counseling before ncrt were satisfied with the timing, while some patients who received counseling after ncrt would have preferred it earlier. Overall, patients had positive […]
Smoking status predicts treatment failure in anti-reflux mucosectomy for gastroesophageal reflux disease
The study evaluated the outcomes and predictors of treatment failure in patients undergoing anti-reflux mucosectomy for gastroesophageal reflux disease. The results showed that the procedure significantly improved quality of life, with symptom improvement and resolution in a majority of patients. However, symptom resolution did not always correlate with objective reflux control. Current smoking status was […]
Correlation between main and minor lesions of synchronous multiple gastric neoplasms
Researchers analyzed data from patients with early gastric cancer (EGC) who underwent endoscopic submucosal dissection (ESD) to assess the correlation between main and minor lesions of synchronous multiple gastric neoplasms (SMGNs). Among the 1013 post-ESD cases examined, 95 cases had SMGN. The study revealed a similarity in pathological type (rs = 0.37) and a positive correlation in […]
Percutaneous Creation of Gastrointestinal Anastomosis via Lumen-Apposing Metallic Stents for Gallbladder Drainage
Researchers discuss the emerging frontier of percutaneous cholecysto-enteric anastomoses for internal drainage of the gallbladder, focusing on the percutaneous delivery and deployment of lumen-apposing metallic stents. The study highlights the efficacy and safety of using these stents for creating gastrointestinal anastomosis, providing a less invasive option for gallbladder drainage compared to traditional surgical procedures. Journal […]
Supraclavicular Lymph Node Metastases in Esophageal Squamous Cell Carcinoma: Limited Impact on OS After Three-Field Dissection
The study aimed to determine the impact of clinically suspicious and pathologically confirmed supraclavicular lymph node (SCN) metastasis on survival outcomes in esophageal squamous cell carcinoma (ESCC) patients who underwent esophagectomy with three-field lymph node dissection. Analysis of 611 patients revealed that the presence of SCN metastasis did not significantly affect overall survival, regardless of […]