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Neoadjuvant chemotherapy demonstrates better long-term survival outcomes compared to neoadjuvant chemoradiotherapy. Although the latter may exhibit a higher pathological complete response rate, it does not necessarily translate to improved survival. Additionally, neoadjuvant chemoradiotherapy is associated with higher 30-day mortality and unclear postoperative complications, potentially compromising…
A novel gastric endoscopic submucosal dissection (ESD) training model, the G-Master, significantly improved procedural speed for trainees compared to traditional methods. Trainees using the G-Master showed faster skill development, lower perforation rates, and reduced need for expert intervention, highlighting its effectiveness in enhancing ESD skills.…
Patients undergoing laparoscopic omentum-preserving gastrectomy had shorter hospital stays, lower postoperative morbidity, and more lymph nodes extracted compared to open surgery. There was no significant difference in 5-year survival rates between the groups. Omental preservation did not increase the risk of peritoneal dissemination or intestinal…
Equal incidences of anastomosis-related complications between intracorporeal mechanical gastrogastrostomy (img) and extracorporeal hand-sewing gastrogastrostomy (ehg) were found in laparoscopic pylorus-preserving gastrectomy for middle gastric cancer. In addition, img had a lower wound infection rate. These results support the safety and feasibility of img in this…
A nomogram was developed to predict overall survival and cancer-specific survival in patients with gastric cancer and liver metastasis, showing satisfactory performance. Factors influencing survival included age, chemotherapy, grade, metastasis sites, and treatment received. The nomogram can assist clinicians in planning follow-up and rehabilitation strategies…
This study, analyzing over 2000 oesophagectomies across multiple countries, identifies predictors of anastomotic leak (AL) and conduit necrosis (CN). While AL remains challenging to predict using preoperative factors, a risk-scoring model for CN shows promise, with factors like BMI, performance status, myocardial infarction history, and…
High-resolution manometry (HRM) plays a crucial role in the diagnostic assessment of foregut symptoms before and after antireflux surgery (ARS). A collaborative initiative by surgeons and gastroenterologists developed a postoperative classification for interpreting HRM findings, providing key insights into patient management post-ARS.
Gastric neuroendocrine neoplasms (GNENs) exhibit unique characteristics based on their type. Incidence is rising, with GNENs including carcinomas and tumors. Different types require distinct approaches, with type III often needing locoregional and systemic treatments. Treatment data is limited, but insights from other neuroendocrine tumors are…
Geriatric Nutritional Risk Index (GNRI) is independently associated with postoperative complications, pathological complete response prediction, and prognostication in neoadjuvant immunotherapy-treated esophageal squamous cell carcinoma. Higher GNRI correlates with increased pathological complete response rates, decreased severe morbidity, and improved 3-year overall and disease-free survival. GNRI, utilizing…
New Zealand is a low-volume center for upper gastrointestinal surgery, with most complex procedures concentrated in national cancer centers. There is evidence of regionalization, where larger centers perform procedures more frequently. Palliative procedures are more widely performed, but indigenous Māori are less likely to be…
