Category: Upper Gastrointestinal Tract

Optimistic Long-Term Outcomes for Esophageal Cancer Patients with Pathologic Complete Response after Neoadjuvant Chemotherapy and Surgery

Patients with locally advanced esophageal squamous cell carcinoma (ESCC) who achieved a pathologic complete response (PCR) after neoadjuvant chemotherapy had a favorable prognosis in terms of long-term survival. The 5-year overall survival rate for patients with PCR was significantly higher compared to those without PCR. However, a subset of patients still experienced recurrence, particularly locoregional […]

Impact of Tumor Size on Survival Outcome in Esophageal Squamous Cell Carcinoma

The study evaluated the influence of tumor size on the prognosis of patients with esophageal squamous cell carcinoma (ESCC) undergoing esophagectomy after neoadjuvant chemotherapy. A total of 272 patients were categorized based on tumor size, with 36mm being the cut-off. Patients with tumor size ≥ 36mm had worse histological response and deeper tumor invasion. In […]

Upfront Surgery Valid for cT1-2N1 Esophageal Squamous Cell Carcinoma

The study analyzed the efficacy of neoadjuvant chemoradiation therapy (ncrt) in patients with completely resectable esophageal squamous cell carcinoma (escc) and minimal lymph node involvement (cN1). The researchers conducted a retrospective review of 247 patients who underwent upfront radical esophagectomy followed by adjuvant treatment. They found that upfront surgery provided accurate nodal staging information, potentially […]

Neoadjuvant Chemotherapy Does Not Increase Postoperative Complications in Gastric Adenocarcinoma

The study compared postoperative complications between neoadjuvant chemotherapy and upfront surgery in gastric adenocarcinoma patients in Finland. Analyzing data from 769 patients, the study found that neoadjuvant chemotherapy did not increase major postoperative complications, including pneumonia, anastomotic complications, wound complications, or other complications. The results suggest that neoadjuvant therapy is not associated with increased postoperative […]

A Video-Based Procedure-Specific Competency Assessment Tool Improves Evaluation of Minimally Invasive Esophagectomy

The study developed and validated a procedure-specific competency assessment tool (CAT) for minimally invasive esophagectomy (MIE). The CAT consists of 8 procedural phases, with 4 quality components per phase, assessed using a 1-4 Likert scale. Peer-reviewed MIE videos were evaluated by 18 international experts. Results showed good intrarater reliability and moderate interrater reliability. Construct validity […]

International Consensus Defines Quality Measures for Minimally Invasive Gastrectomy

Researchers conducted an international Delphi consensus study to determine expert agreement on the key technical steps of minimally invasive total gastrectomy (MITG) for gastric cancer. A final consensus of 41 statements was reached, outlining crucial steps for performing high-quality MITG for oncological indications. The findings provide a foundation for developing and validating surgical quality assessment […]

Hiatal Hernia Repair Post-Laparoscopic RYGB: Short-Term Symptom Relief

Symptomatic hiatal hernia (HH) with pouch migration is a rare complication after laparoscopic Roux-en-Y gastric bypass (RYGB), and there is limited evidence on the utility of surgical repair. In this retrospective review of 44 patients who underwent isolated HH repair after previous RYGB, researchers found that common symptoms were dysphagia and reflux. Surgical repair resulted […]

Long-term tube feeding after minimally invasive esophagectomy helps prevent skeletal muscle loss

Long-term tube feeding intervention after minimally invasive esophagectomy was found to effectively prevent skeletal muscle loss and aid in preventing sarcopenia. The study compared short-term and long-term outcomes of tube feeding intervention in patients who underwent esophagectomy. While there were no significant differences in postoperative albumin levels, body weight, or psoas muscle area between the […]

Improved Diagnostic Workup and Delay in Treatment Start in Esophageal Cancer Patients Between Two Tertiary Centers

Comparative study between two tertiary centers in Europe reveals that the time interval from diagnosis to treatment differs significantly between the centers. The main reasons for these differences are the need for additional diagnostics and variations in referral routines. Gastroscopy was frequently repeated for further anatomical mapping. Clearer protocols, checklists, and guidelines can contribute to […]

Laparoscopic Transverse Abdominis Plane Block Reduces Operation Time and Cost in Pancreatectomy and Gastrectomy

The study compared the efficacy and efficiency of laparoscopic transverse abdominis plane block (lap-tap) versus ultrasound-guided tap (us-tap) in patients undergoing pancreatoduodenectomy and gastrectomy. The lap-tap group showed a significantly shorter median time to skin incision and a reduction in operation cost by $602 compared to the us-tap group. Pain control and opioid use were […]