Patients who underwent paraesophageal hernia repair without fundoplication did not report different rates of postoperative symptoms compared to those who did. The study found that fundoplication at the time of hernia repair may not reduce postoperative reflux, despite being a standard practice for sliding-type hiatal hernias. This suggests that the additional procedure may not be […]
Category: Upper Gastrointestinal Tract
Early Endoscopy Safely Predicts Anastomotic Leakage After Esophagectomy
Early postoperative endoscopy after minimally invasive esophagectomy is safe and effective in predicting anastomotic leakage. A retrospective study with 436 patients showed that early endoscopy did not increase adverse events but significantly decreased the incidence of anastomotic leakage (9.8% vs 22.7%) and shortened hospital stays. Findings under early endoscopy also identified gastric graft ischemia as […]
Comparing Postoperative Quality of Life: Proximal vs. Total Gastrectomy
A multi-institutional observational study compared postoperative quality of life between patients undergoing total or proximal gastrectomy for early gastric cancer. Postoperative weight loss rate over 3 years was lower in the proximal gastrectomy group, showing a trend towards better quality of life, particularly in indigestion symptoms. No significant differences were found between the groups using […]
Short-term Safety of Magnetic Sphincter Augmentation vs Minimally Invasive Fundoplication
This study compared the outcomes of patients undergoing magnetic sphincter augmentation (MSA) or fundoplication for anti-reflux surgery using the ACS-NSQIP registry. A total of 7,882 patients were included, with MSA patients being younger and more often male. Compared to fundoplication, MSA was associated with reduced postoperative complications, fewer readmissions, shorter hospital stays, and shorter operative […]
Preoperative Sarcopenia Predicts Poor Prognosis in Gastric Cancer
Preoperative sarcopenia is significantly associated with lower overall survival (OS) and relapse-free survival (RFS) in patients with gastric cancer. A retrospective study of 781 gastric cancer patients who underwent radical gastrectomy revealed that preoperative sarcopenia is an independent risk factor for 10-year OS and RFS. Patients with sarcopenia had a higher risk of death and […]
Factors Influencing Outcomes in Laparoscopic Gastrectomy: A Prognostic Link to Survival
A total of 994 out of 1540 patients (64.5%) achieved textbook outcomes (TO) in laparoscopic gastrectomy (LG). Factors independently associated with reduced TO likelihood included older age, higher BMI, higher ASA score, conversion to open surgery, longer operation time, and greater estimated blood loss. Achieving TO in LG was linked to improved 5-year overall survival […]
Robotic Gastrectomy Using the Hinotori Surgical Robot System: Feasibility and Safety for Gastric Cancer
The first clinical experiences of robotic gastrectomy for gastric cancer using the Hinotori surgical robot system were evaluated in a single-institution retrospective study. Twenty-four patients underwent robotic gastrectomy with Hinotori. The results showed that the procedure can be safely performed, with a low postoperative complication rate within 30 days after surgery. The study also reported […]
Anterior Gastric Wall Anastomosis Reduces Delayed Gastric Emptying in Minimally Invasive Esophagectomy
Research comparing the effect of esophagogastrostomy on the anterior and posterior walls of the gastric conduit in minimally invasive esophagectomy revealed that placing the anastomosis on the anterior wall resulted in a lower rate of delayed gastric emptying. Out of the 439 patients included in the study, those with anterior wall anastomosis experienced fewer complications, […]
Intraoperative and Postoperative Complications in Antireflux and Hiatus Hernia Surgery
A comprehensive cohort study of 4,301 patients undergoing antireflux and hiatus hernia surgeries in Australia revealed a 12.6% incidence of intraoperative complications and a 13.3% incidence of postoperative complications. Independent predictors of complications included the Charlson comorbidity index, hernia size, revisional surgery, and baseline anticoagulant usage. These risk factors had distinct complication profiles and their […]
Validated Clinical Score Predicts Gastroesophageal Reflux in Patients with Chronic Laryngeal Symptoms
A validated clinical score, the COuGH RefluX, has been developed to predict the likelihood of gastroesophageal reflux disease (GERD) in patients with chronic laryngeal symptoms. The score, based on cough, overweight/obesity, globus, hiatal hernia, regurgitation, and male sex, accurately stratifies patients as low or high likelihood of GERD. With a sensitivity of 79% and specificity […]