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Accurate preoperative prediction of lymphovascular and perineural invasion status in gastric cancer patients is crucial for identifying high-risk individuals. This study developed and tested a machine learning model that successfully combines spectral CT parameters and clinical indicators to accurately predict LVI/PNI status. The integration of…
Prolonged acid reflux monitoring for 96 hours diagnosed more patients with GERD compared to standard 48-hour testing. Extended monitoring led to clinically significant changes in study interpretation, with almost half of patients showing abnormal results after a normal study on day 1. Results suggest that…
Early contrast-enhanced MR imaging showed higher accuracy in detecting complete tumor response in esophageal squamous cell carcinoma post-neoadjuvant therapy compared to T2WI+DWI. ECE-MRI had an AUC of 0.85 for diagnosing ypt1-4, significantly better than T2WI+DWI. Performance improved with increasing tumor stage, with higher AUCs in…
Robot-assisted endoscopic full-thickness gastric resection with regional lymph node dissection using a 3D near-infrared video system resulted in no metastasis or mortality in patients with early gastric cancer over a 5-year follow-up period. This approach may be a safe and effective method for radical gastrectomy…
Patients with traumatic esophageal perforations treated with endoscopic vacuum therapy (evt) had significantly shorter treatment duration than those treated with endoscopic self-expandable metal stent (e-sems). However, e-sems led to a shorter time of hospitalization and lower costs. Both methods had similar clinical outcomes, with high…
Individuals with familial adenomatous polyposis (FAP) have a 25% risk of duodenal and papillary cancers once duodenal polyposis reaches Spigelman stage IV, although the sensitivity of this stage is low. Factors like polyp size, count, and dysplasia influence cancer risk. The Spigelman staging system lacks…
Endoscopic surveillance at 3-year intervals significantly increases the likelihood of detecting early gastric cancer (EGC), with 98% of cases detected within this group. EGC lesions in the short-interval group were smaller, shallower, and had a higher curative resection rate compared to the unchecked group. This…
Antimicrobial prophylaxis with ampicillin-sulbactam was associated with significantly lower rates of surgical site infection, anastomotic leakage, and respiratory failure compared to cefazolin in esophagectomy patients. This choice of antibiotic also led to reduced respiratory complications, shorter hospital stays, and lower total hospitalization costs, with no…
Endoscopic ultrasound-guided gastroenterostomy was found to be superior to enteral stenting in reducing treatment failure and prolonging time until treatment failure in a propensity score-matched cohort study of patients with malignant gastric outlet obstruction. The study showed a significantly higher treatment failure rate in the…
Placing vacuum sponges in esophageal anastomotic leaks using a piggyback technique proved to be a fast and safe alternative to standard methods. In seven patients, 56 eso-sponges® were successfully inserted or replaced with minimal complications, except for one dislocation. All patients healed, except for one…
