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Upper Gastrointestinal Tract

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Int J Surg8 May 2024

Self-inflatable Balloon for Treating Refractory Benign Esophageal Strictures

The novel self-help inflatable balloon (SHIB) showed high efficacy and safety in treating refractory benign esophageal strictures, with a clinical success rate of 51.2%. Patients experienced significant improvements in dysphagia scores, decreased stricture length, and prolonged intervention-free intervals. Endoscopic resection was particularly effective, with stricture…

Dis Esophagus8 May 2024

Contemporary Outcomes of Left Thoraco-Abdominal Esophagectomy for Esophageal Cancer

A multicenter cohort study on left thoraco-abdominal esophagectomy for esophageal or gastroesophageal junction cancer showed favorable outcomes. Key results include low mortality rates, common postoperative complications, and survival associations with tumor characteristics and treatment modalities. The study highlights the feasibility and efficacy of this open…

J Am Coll Surg7 May 2024

Gender Disparities in Gas and Bloat Symptoms Post-Anti-Reflux Procedures

Female patients are more likely to experience higher gas/bloat scores after anti-reflux procedures compared to males. Despite similar rates of hernia recurrence, females also exhibit higher GERD-specific quality of life scores post-procedure. Results suggest the need for tailored treatments and prognostication for GERD patients based…

BJS Open7 May 2024

Impact of Surgeon Age on Long-Term Survival After Gastrectomy

In this population-based cohort study involving 1,647 patients undergoing gastrectomy for gastric adenocarcinoma, surgeon age ≥47 years was associated with worse 5-year all-cause mortality rates. Adjusted hazard ratios for surgeons aged 55+ were 1.21 (95% CI 1.04 to 1.41), and for those aged 47-54 were…

Surgical Endoscopy6 May 2024

Advancements in Endoscopic Cryotherapy in Gastrointestinal Diseases

Endoscopic cryotherapy has shown safety and efficacy in treating gastrointestinal conditions, including complete eradication of dysplasia and neoplasia in Barrett's esophagus. It serves as a second-line treatment for refractory cases and an alternative to surgical resection for duodenal adenomas. Innovative applications for gastrointestinal bleeding and…

Surg Endosc4 May 2024

Acupuncture Point Stimulation Improves Tolerance in Non-Sedated Upper GI Endoscopy

Researchers conducted a double-blinded, randomized controlled trial to examine the effects of transcutaneous electrical nerve stimulation of acupuncture points (acu-tens) during non-sedated oesophagogastroduodenoscopy (OGDS). The trial included 348 subjects undergoing elective diagnostic OGDS. The success rate of OGDS was significantly higher with acu-tens (77.8%) than…

Int J Surg4 May 2024

Predicting Overall Survival in GEP-NETs Using a Treatment Data Nomogram

A nomogram incorporating treatment data proved better than the AJCC staging system in predicting overall survival for gastroenteropancreatic neuroendocrine tumors. Key factors include sex, age, race, tumor location, and treatment modalities. Internal and external validation showed superior performance, advocating for individual risk evaluation to enhance…

Upper Gastrointestinal Tract4 May 2024

Advancements in Minimally Invasive Surgical Techniques for Early Gastric Cancer

Minimally invasive surgical techniques, such as endoscopic mucosal resection and laparoscopic and endoscopic cooperative surgery, offer precise and effective options for treating early gastric cancer. These advanced procedures result in less trauma, blood loss, and quicker recovery for patients, providing unique value in the examination…

Surg Endosc3 May 2024

Factors influencing paraesophageal hernia recurrence after repair

This study analyzed paraesophageal hernia repairs to identify factors influencing postoperative symptom improvement and radiographic recurrence. Propensity score matching compared initial and reoperative repairs, showing lower symptom improvement rates in reoperations but similar rates of recurrence and complications. Most patients experienced symptom improvement, despite frequent…