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Upper Gastrointestinal Tract

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Upper Gastrointestinal Tract15 Dec 2023

Neoadjuvant Radiation and Pulmonary Complications in Esophagectomy: Impact only in Pre-existing Pulmonary Disease

Patients undergoing esophagectomy for malignancy often experience post-operative pulmonary complications (POPC), and this study aimed to investigate if neoadjuvant radiation therapy contributes to their incidence. The analysis of database files revealed no consistent association between neoadjuvant radiation and POPC in all patients. However, in those…

Upper Gastrointestinal Tract15 Dec 2023

Successful Fistula Closure Achieved through Surgical Management in Complex Duodenal Fistulas

This retrospective study analyzed the management options and outcomes of 50 adult patients with complex duodenal fistulas. Surgical closure combined with duodenal decompression yielded the highest success rate, with 76% of patients achieving fistula closure. In selected cases, nonoperative management was attempted, resulting in closure…

Ann Surg Oncol13 Dec 2023

Lymph Node Tumor Regression Grade (lntrg) is a Better Prognostic Indicator for Esophageal Squamous Cell Carcinoma

Comparing different staging categories for esophageal squamous cell carcinoma, this study determined that lymph node tumor regression grade (lntrg) demonstrated superior prognostic value for disease-free survival prediction compared to pretreatment pathologic n stage (prepn) and posttreatment pathologic n (ypn) categories. lntrg showed significant prognostic stratification…

BMC Surg12 Dec 2023

Primary Surgeon Specialty Does Not Impact Postoperative Complications in Esophagectomy

Cardiothoracic surgeons and general surgeons perform the majority of esophagectomies, but differences in surgical techniques exist. This study analyzed data from 3,247 patients and found that cardiothoracic surgeons were more likely to use traditional minimally invasive or open approaches, while general surgeons favored robotic or…

BMC Surg10 Dec 2023

Improved Detection of Lymph Nodes in Esophageal Squamous Cell Carcinoma Using Indocyanine Green-Near-Infrared Fluorescence Imaging

Indocyanine green-near-infrared fluorescence imaging showed a 100% success rate and significantly improved the detection rate of lymph nodes in esophageal squamous cell carcinoma. Seven cases with lymph node metastases were all near-infrared positive, while near-infrared-negative nodes were nonmetastatic. The technique accurately identified sentinel lymph nodes…

Surg Endosc10 Dec 2023

Risk-Scoring Model for Lymph Node Metastasis in T1b-T2 Esophageal Cancer

Researchers constructed and validated a risk-scoring model to predict lymph node metastasis in T1b-T2 esophageal cancer. Multivariate analysis identified primary site, tumor grade, tumor size, depth, and lymphovascular invasion as independent risk factors for lymph node metastasis. The risk-scoring model, based on these factors, showed…