Category: Upper Gastrointestinal Tract

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, […]

Preoperative chemotherapy improves overall survival in liver-limited metastasis from gastric cancer

Preoperative chemotherapy significantly increased overall survival in patients with liver-limited metastasis from gastric cancer who underwent hepatectomy, compared to upfront surgery. Patients who exhibited a partial response to preoperative chemotherapy had better outcomes than those with stable or progressive disease. The preoperative chemotherapy group also had a higher chance of undergoing surgical resection for recurrent […]

Robot-assisted gastrectomy boosts textbook outcomes and nutritional status in malnourished gastric cancer patients.

Robot-assisted gastrectomy (RAG) outperformed laparoscopic-assisted gastrectomy (LAG) in malnourished gastric cancer patients in terms of achieving a textbook outcome (TO), with higher operative time, lymph nodes harvested, and lower blood loss and hospital stay. RAG was an independent protective factor for TO, leading to better adjuvant chemotherapy compliance, faster nutritional recovery, and increased malnutrition reversal […]

Substantial Increase in Gastric Surgery Volume During General Surgery Residency Training in the US

General surgery residents in the US have experienced a significant increase in gastric surgery volume from 2009 to 2022, mainly driven by a rise in laparoscopic gastric reduction for morbid obesity. There was also a notable growth in laparoscopic partial gastric resections, repair of gastric perforation, and “other major stomach procedures,” while open gastrostomy, open […]

Robotic surgery in foregut procedures

Comparing robotic and laparoscopic approaches in hiatal hernia repair and Heller myotomy, robotic surgery showed non-significantly shorter hospital stays, fewer conversions to open, and lower morbidity rates for hhr, while hm had significantly fewer esophageal perforations, reinterventions, and a non-significantly shorter stay. Both robotic procedures had longer operative times. Safety profiles and perioperative outcomes were […]

Hybrid Surgical Approach in Esophageal Cancer: Real-World Validation of MIRO Trial

A national cohort study validated the external validity of the MIRO randomized controlled trial in a real-life population within France by comparing postoperative complications in esophageal cancer patients. The hybrid approach was found to be protective against severe respiratory complications, with no significant difference in 30-day mortality or leakage rate between surgical approaches. Journal Article […]

Low Rates of Metastases in Mucosal Esophageal Adenocarcinoma with Poor Differentiation

Patients with mucosal esophageal adenocarcinoma and poor differentiation had low rates of metastases after endoscopic resection, even when additional risk factors were present. Metastasis rates were 4.0% for single risk factor patients and 20.0% for those with additional risk factors. Overall death rates were 28.0% and 20.0% for the respective groups. A conservative approach may […]