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Long-term Outcomes of Laparoscopic Gastric Bypass Surgery

Long-term study on laparoscopic gastric bypass surgery revealed sustained weight loss over 11 years, with recurrent weight gain observed in some patients. The procedure improved hypercholesterolemia and hypertriglyceridemia significantly, leading to remission of diabetes in many cases. However, adverse effects such as gallstones, bowel obstruction, and anemia emerged post-surgery. Results highlight the procedure’s efficacy in weight management but also the importance of ongoing monitoring for potential complications.

Journal Article by Deycies Gaete L, Attila Csendes J (…) Panza B et 2 al. in Obes Surg

© 2024. The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature.

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Outcome Improvement with Transcatheter Arterial Embolization/Chemoembolization and Elective Hepatectomy for Ruptured Hepatocellular Carcinoma

Spontaneous rupture of hepatocellular carcinoma (RHCC) poses a major threat, with mortality rates ranging from 25-75%. Recent research highlights improved survival rates and reduced complications through a treatment combination of transcatheter arterial embolization/chemoembolization (TAE/TACE) followed by elective hepatectomy. Active surveillance efforts, advanced diagnostic tools, and multidisciplinary management strategies are crucial for enhancing short and long-term patient outcomes in managing RHCC.

Review by Aziz H, Kwon YIC (…) Pawlik TM et 3 al. in J Gastrointest Surg

Copyright © 2024 Society for Surgery of the Alimentary Tract. Published by Elsevier Inc. All rights reserved.

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Long-term Risk Reduction After Colonoscopy for Colorectal Cancer

Colorectal cancer risk remains lower more than 15 years post-colonoscopy, challenging current screening guidelines. A population-based study in Ontario, Canada, with over 5 million participants showed reduced cancer incidence and mortality at all timepoints up to 15 years, even after the procedure. Individuals with negative colonoscopy results had significantly lower risk. The study suggests a reevaluation of the 10-year screening interval for these patients.

Journal Article by Ruco A, Moineddin R (…) Baxter NN et 6 al. in Lancet Gastroenterol Hepatol

Copyright © 2024 Elsevier Ltd. All rights reserved, including those for text and data mining, AI training, and similar technologies.

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Open Surgery with Lateral Neck Approach in Cases of Foreign Body Impaction Penetrating the Neck through the Esophagus

Open surgery with a lateral neck approach proved to be a safe and effective treatment for foreign body impaction penetrating the neck through the esophagus. Tenderness in the pre-cervical site was a useful screening sign, and timely surgical intervention, along with appropriate post-operative care, led to successful outcomes in all 15 cases analyzed. The therapeutic procedure described in the study highlighted the importance of early intervention and proper wound management for optimal patient recovery.

Journal Article by Xu F, Shen N (…) Zhou X et 4 al. in BMC Surg

© 2024. The Author(s).

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Laser Hemorrhoidoplasty Reduces Pain and Bleeding Over Conventional Hemorrhoidectomy

Diode laser hemorrhoidoplasty demonstrates superiority over conventional hemorrhoidectomy in reducing operative blood loss, postoperative hemorrhage, operative time, and postoperative pain score. However, there is no significant difference in complications such as fecal/flatus incontinence, urinary retention, and hemorrhoid recurrence. Subgroup analyses support these findings, highlighting the benefits of laser hemorrhoidoplasty in terms of minimizing postoperative complications and discomfort.

Review by Cheng PL, Chen CC (…) Huang YJ et 2 al. in Asian J Surg

Copyright © 2024 Asian Surgical Association and Taiwan Society of Coloproctology. Published by Elsevier B.V. All rights reserved.

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Endoscopic Therapy is Safe and Effective for Stoma Closure Site Strictures in Ileal Pouches

Endoscopic therapy is safe and effective for stoma closure site strictures in patients with ileal pouches, providing symptomatic relief and avoiding surgery. Immediate technical success was achieved in 90.4% of interventions, with no need for surgical intervention during follow-up. Post-procedural complications were minimal, with 66.7% of patients reporting symptom improvement. Both endoscopic balloon dilation and stricturotomy/strictureplasty show promising outcomes in treating these strictures.

Journal Article by Jabi O, Lan N (…) Shen B et 2 al. in Gastroenterol Rep (Oxf)

© The Author(s) 2024. Published by Oxford University Press and Sixth Affiliated Hospital of Sun Yat-sen University.

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Effectiveness of Oesophageal Cell Collection Device in Identifying High-Risk Barrett’s Patients

Implementation of oesophageal cell collection device (OCCD) for Barrett’s surveillance in Scotland showed promising results, with longer Barrett’s segments correlating with abnormal OCCD tests. High-grade dysplasia or cancer was detected in 8.2% of patients who underwent endoscopy post-OCCD testing, prompting urgent investigation. 92.0% of high-risk patients were correctly identified by OCCD testing, demonstrating its effectiveness as a triage tool for identifying high-risk Barrett’s patients.

Journal Article by Chien S, Glen P (…) Fullarton G et 10 al. in Br J Surg

© The Author(s) 2024. Published by Oxford University Press on behalf of BJS Foundation Ltd.

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Robotic Right Hepatectomy with En Bloc Caudatectomy for Bismuth IIIa Hilar Cholangiocarcinoma

Minimally invasive robotic right hepatectomy with en bloc caudatectomy is safe and feasible for Bismuth IIIa hilar cholangiocarcinoma, with successful outcomes and minimal complications. The technique allows for radical resections and satisfactory postoperative recoveries, demonstrating a new surgical approach for challenging hepatic conditions. This approach offers a potential alternative for patients requiring right hemihepatectomy combined with total caudate lobectomy.

Journal Article by Li G, Zong K (…) Zhou B et 3 al. in Ann Surg Oncol

© 2024. Society of Surgical Oncology.

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Addressing the Global Emergency Burden in Low and Middle-Income Countries

In low and middle-income countries, injuries are a significant cause of surgical disease, outweighing the mortality rates of HIV/AIDS, tuberculosis, and malaria combined. With road traffic injuries as the leading cause of death among young individuals, the lack of robust trauma systems and emergency medical services poses a challenge. The World Health Organization recommends the establishment of tier 1 emergency medical services as a starting point to address this burden effectively.

Journal Article by Delaney PG, Eisner ZJ and Geduld H in BMC Surg

Copyright © 2024 The Authors. Published by Elsevier Inc. All rights reserved.

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Real-time Detection of Active Bleeding in Laparoscopic Colectomy using AI

Developing a real-time AI model to detect active intraoperative bleeding, this study achieved an average precision of 0.574 for active bleeding and 48.5 frames per second. Surgeons rated the sensitivity and overdetection areas of the model highly, indicating its potential to improve surgical outcomes by providing real-time support in laparoscopic colectomy. The AI model can efficiently detect bleeding events, contributing to safer surgeries.

Journal Article by Horita K, Hida K (…) Obama K et 5 al. in Surg Endosc

© 2024. The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature.

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