Blog

Bariatric surgery significantly improves nonalcoholic fatty liver disease outcomes

One year post-bariatric surgery, 80% of patients showed a notable improvement in the nonalcoholic fatty liver disease (NAFLD) activity score. Nonalcoholic steatohepatitis (NASH) improved in 42.1% without worsening fibrosis, and 78.8% experienced fibrosis improvement. MRI-proton density fat fraction (MRI-PDFF) reliably detected liver fat remission in 72.2% to 90.4% of patients, while a significant decline in MRI-PDFF readings differentiated NAFLD improvement outcomes. These findings clarify surgical benefits for obesity-related liver disease.

Journal Article by Li M, Zeng N (…) Zhang Z et 17 al. in Int J Surg

Copyright © 2025 The Author(s). Published by Wolters Kluwer Health, Inc.

read the whole article in Int J Surg

open it in PubMed

Frailty Predicts Postoperative Complications in Older Adults Undergoing Surgery

In older adults undergoing non-cardiac surgery, frailty significantly predicts postoperative complications, with a twofold increase in risk. While malnutrition also elevates risk, its impact is typically mediated by frailty. Analysis of 637 patients found frailty in 38.5% and malnutrition in 29.8%. Integrating both assessments effectively enhances the prediction of surgical outcomes, highlighting the necessity of comprehensive geriatric evaluations for better preoperative risk stratification.

Journal Article by Chatmongkolchart S, Saetang M (…) Sukitpaneenit K et 3 al. in Front Med (Lausanne)

Copyright © 2025 Chatmongkolchart, Saetang, Kittisopaporn, Kunapaisal, Yongsata and Sukitpaneenit.

read the whole article in Front Med (Lausanne)

open it in PubMed

New AI Framework Standardizes Intraoperative Inflammation Severity in Cholecystectomy

A novel AI tool, ENDOLAP, accurately classifies inflammation severity during laparoscopic cholecystectomy, addressing the subjectivity of current assessments. With an impressive overall accuracy of 87.3% and high sensitivity for severe cases (91.3%), it offers real-time decision support and reduces interobserver variability, which plagued 17% of previous evaluations. The framework represents a significant leap towards standardized surgical practices, enhancing safety and outcome analyses.

Journal Article by Mejía NAR, De la Cruz Rey S (…) Alonso GR et 2 al. in Surg Endosc

© 2025. The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature.

read the whole article in Surg Endosc

open it in PubMed

New Surgical Technique Cuts Parastomal Hernia Cases Down to 2.3%

A novel purse-string suture technique dramatically reduced parastomal hernia (PSH) incidence to just 2.3% compared to 32% for conventional methods. Over a follow-up period from 6 to 24 months, patients using the new technique maintained stable abdominal wall aperture sizes, while those in the traditional group saw significant increases in diameter. These findings suggest a promising, straightforward approach to preventing a common complication of enterostomies, but additional multicenter trials are necessary for validation.

Journal Article by Guo Y, Liu W (…) Sun Z et 2 al. in World J Surg

© 2025 International Society of Surgery/Société Internationale de Chirurgie (ISS/SIC).

read the whole article in World J Surg

open it in PubMed

Fluorescence Laparoscopic Surgery Cuts Anastomotic Leakage in Rectal Cancer Patients

Fluorescence-guided laparoscopic surgery significantly reduces anastomotic leakage in ultra-low rectal cancer patients, particularly post-chemoradiotherapy. In a cohort study of 393 patients, the incidence of leakage dropped to 3.1% with fluorescence techniques, compared to 11.5% in standard procedures. Benefits included reduced intraoperative blood loss and quicker recovery times. Those undergoing neoadjuvant chemoradiotherapy showed a strong trend toward lower leakage rates, emphasizing fluorescence’s potential to enhance surgical precision and patient outcomes.

Review by Qiu W, Hu G (…) Tang J et 4 al. in Tech Coloproctol

© 2025. The Author(s).

read the whole article in Tech Coloproctol

open it in PubMed

Preoperative Carbohydrates Slash Recovery Time for Colorectal Surgery Patients

Preoperative oral carbohydrate loading significantly accelerates recovery in colorectal surgery patients. Those who ingested carbohydrates experienced quicker bowel function return, better postoperative physical health, and shorter hospital stays—averaging about 10.6 days compared to 14.3 days for controls. Key laboratory indicators, including higher albumin and lower CRP, further underline the metabolic advantages. No impact on insulin resistance was detected, suggesting a well-tolerated intervention leading to improved outcomes and overall patient well-being.

Randomized Controlled Trial by Urkan M, Celebi C, Meral UM and Cavdar I in BMC Surg

© 2025. The Author(s).

read the whole article in BMC Surg

open it in PubMed

High-risk pT1 colorectal patients may avoid unnecessary surgeries safely

In a study of 276 pT1 colorectal cancer patients, key predictors of residual disease emerged. Positive resection margins and unfavorable histology strongly correlated with intramural residual tumor and lymph node metastasis. Despite high-risk features, patients managed through surveillance exhibited similar recurrence rates as those undergoing additional surgery, revealing that selective patient monitoring could significantly reduce surgical interventions. Notably, no CRC-specific deaths occurred in the surveillance cohort, suggesting a potential for safer management strategies in high-risk cases.

Journal Article by Oronoz B, Suárez J (…) Balen E et 3 al. in J Gastrointest Cancer

© 2025. The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature.

read the whole article in J Gastrointest Cancer

open it in PubMed

New Classification System Improves Decision-Making in Oncologic Surgical Emergencies

A five-category classification of oncologic surgical emergencies (OSEs) enhances clinical decision-making by correlating with higher in-hospital mortality rates, particularly among older male patients. In a study of 2,908 cases, obstruction was the leading cause of emergencies, with gastrointestinal tumors accounting for the majority. Category 1 emergencies occurred most frequently, and the mortality rate for OSE patients was significantly higher than for those with other emergencies. This framework aims to improve management strategies in a clinical setting.

Journal Article by Chen L, Min L (…) Wang D et 3 al. in Ann Surg Oncol

© 2025. Society of Surgical Oncology.

read the whole article in Ann Surg Oncol

open it in PubMed

ICG Fluorescence Cuts Anastomotic Leakage Risk After Esophagectomy

Indocyanine green (ICG) fluorescence significantly lowered anastomotic leakage rates after esophagectomy. In a randomized trial of 92 patients, leakage occurred in only 6.7% of those who received ICG guidance compared to 21.3% in the control group, demonstrating a clear advantage. The technology identifies well-perfused areas in the gastric conduit for safer anastomosis, while no differences emerged in stenosis or overall survival.

Journal Article by He W, Li Z (…) Zhou Q et 6 al. in Surg Endosc

© 2025. The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature.

read the whole article in Surg Endosc

open it in PubMed

New scoring system accurately predicts perforation risk in gastric tumor surgeries

A novel scoring system successfully identifies high-risk patients for intraoperative perforation during endoscopic resection of gastric gastrointestinal stromal tumors. Analyzing over 1,100 patients, the system considers tumor location, size, and growth pattern, achieving strong discrimination with AUCs above 0.8. Risk stratification reveals significant variations: low-risk patients face an 8.3% perforation rate, while high-risk patients experience rates as high as 80%. This tool aims to enhance patient selection and improve surgical safety.

Journal Article by He B, Xu J (…) Ye Y et 5 al. in Surg Endosc

© 2025. The Author(s).

read the whole article in Surg Endosc

open it in PubMed