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Identifying Lifestyle Patterns in Patients 5+ Years After Bariatric Surgery

The study delves into the behaviors of patients who had metabolic bariatric surgery (MBS) more than 5 years ago. Analyzing various factors like diet, physical activity, sleep, smoking, and alcohol consumption, researchers uncovered two distinct lifestyle patterns. One pattern linked processed foods, risky alcohol consumption, and smoking, while the other associated with unprocessed foods and more sleep. These findings underscore the need for continued clinical support for long-term MBS patients to maintain healthier postoperative lifestyles.

Journal Article by de O Alencar L, Silva SA (…) de Carvalho KMB et 2 al. in Obes Surg

© 2023. This is a U.S. Government work and not under copyright protection in the US; foreign copyright protection may apply.

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Using Allogeneic Vessels in Pancreaticoduodenectomy: Risk of Portal Vein Thrombosis and Impact on Prognosis

This study delves into the use of allogeneic vessels (AV) in pancreaticoduodenectomy (PD) with portal vein resection (PVR) and its relationship with portal vein thrombosis (PVT). The findings reveal that PVT is notably prevalent, especially in cases involving AV reconstructions. Independent risk factors for PVT include diabetes, the surgical procedure performed, and AV reconstruction. Furthermore, PVT is linked to tumor recurrence and long-term survival in pancreatic cancer patients. These results highlight the importance of considering PVT in the management of PD with PVR.

Journal Article by Cui S, Wang H (…) Lang R et 3 al. in J Gastrointest Surg

© 2023. The Society for Surgery of the Alimentary Tract.

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Pelvic Exenteration Effectiveness for Chronic Fistulating Pelvic Sepsis Post-Multimodal Pelvic Cancer Treatment

This study focuses on pelvic exenteration as a solution for chronic fistulating pelvic sepsis, a rare complication stemming from pelvic cancer treatment. The research includes 19 patients who underwent radical resection after previous pelvic cancer treatments. Promisingly, the procedure proved safe and effective, with no intraoperative or postoperative deaths. While some patients faced major complications and readmissions, 74% ultimately showed no signs or symptoms of persistent pelvic sepsis, emphasizing the efficacy of pelvic exenteration for selected cases.

Journal Article by Brown KGM, Risbey C (…) Byrne CM et 3 al. in Eur J Surg Oncol

© 2023 Published by Elsevier Ltd.

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Effectiveness of High Ligation of Inferior Mesenteric Artery in Left-Sided Colon and Rectal Cancer Surgery

This study assessed the success rates and outcomes of high ligation of the inferior mesenteric artery (IMA) in left-sided colon and rectal cancer surgery. Results showed that high ligation was technically successful in the majority of cases, with 61.5% of operative reports indicating high ligation. However, there was no significant difference in patient outcomes between high and low ligation. This suggests that while high ligation of the IMA is frequently achieved, its impact on short-term patient outcomes remains limited.

Journal Article by Meece MS, Davis JK (…) Paluvoi NV et 4 al. in Am Surg

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Successful Laparoscopic Management of Iatrogenic Colon Perforation: A Promising Approach

Iatrogenic colon perforation, a rare but serious complication of colonoscopy, was studied to determine effective treatment approaches. Out of 51 cases, 84% required surgery. Notably, laparoscopic surgery was performed in 88% of cases, demonstrating its safety and feasibility. Laparoscopic primary suturing was successful in 80% of cases, with a high recovery rate of 96%. The study supports the use of laparoscopy as the preferred approach for managing iatrogenic colon perforation, showcasing its potential in this challenging scenario.

Journal Article by Loberman B, Kuhnreich E, Matter I and Sroka G in Int J Colorectal Dis

© 2023. The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature.

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Timely Closure of Ileostomies: A Regional Australian Hospital’s Experience

This study explores the timing and reasons for delaying loop ileostomy closure in regional Australian hospitals. Of the 123 patients who received loop ileostomies between 2010 and 2020, 86.2% had their stomas reversed. Patients with rectal cancer experienced a median time to closure of 8.5 months, while non-rectal cancer patients had a median closure time of 5.2 months. Delays were often due to clinical concerns and non-clinical factors. The study recommends early waiting list placement and improved coordination for faster reversal surgery and reduced complications.

Journal Article by Chau TC, Nguyen H (…) Yang CM et 4 al. in ANZ J Surg

© 2023 Royal Australasian College of Surgeons.

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How Compensation Models Influence Academic Surgeons

This qualitative study delves into the world of academic surgeons, exploring how compensation structures, whether based on clinical productivity incentives or fixed salaries, impact their experiences. While incentivizing high-quality patient care, education, and innovation is the ideal aim, the interplay between compensation models and clinical activities, practice development, and surgeon well-being has remained uncharted territory. By examining the perceived implications, this study provides insights into the complex relationship between compensation and academic surgical practice.

Journal Article by Finn CB, Syvyk S (…) Kelz RR et 4 al. in JAMA Surg

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Thoraco-Abdominal Chemo and Surgery for Peritoneal Carcinomatosis: Is It Safe and Effective?

This study delves into the safety and effectiveness of combining hyperthermic intraoperative thoraco-abdominal chemotherapy (HITAC) with cytoreductive surgery (CRS) in patients with peritoneal carcinomatosis (PC) who need diaphragm resection. Researchers compared HITAC to traditional intraperitoneal chemotherapy (HIPEC). Results show that HITAC is a viable option with similar safety profiles, and it might offer benefits for pleural progression. The key findings were no significant differences in adverse events, time to progression, or overall survival between the two approaches. Some factors, like age and specific types of cancer, influenced outcomes.

Journal Article by Liu G, Ji ZH (…) Li Y et 7 al. in Ann Surg Oncol

© 2023. Society of Surgical Oncology.

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The Great Gastric Cancer Debate: Is Neoadjuvant Radiation Worth Adding to Chemo?

This study navigates the ongoing debate over whether neoadjuvant radiation should be combined with chemotherapy in the treatment of resectable gastric cancer. While awaiting results from specific clinical trials, experts discuss the pros and cons. Neoadjuvant radiation may be better tolerated and improve pathologic response, especially for certain tumor locations. However, it hasn’t shown a clear survival benefit when surgery is already adequate, as gastric cancer often recurs distantly. This discussion helps shape optimal neoadjuvant strategies for these patients while waiting for trial outcomes.

Journal Article by Daniel SK, Badgwell BD (…) Poultsides GA et 2 al. in Ann Surg Oncol

© 2023. Society of Surgical Oncology.

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Diverse Asian American Groups Show Varying Pancreatic Cancer Survival Rates

This study delves into pancreatic cancer outcomes in the disaggregated Asian American, Native Hawaiian, and Pacific Islander (AANHPI) population, which is often underrepresented in scientific research. Analyzing data from 296,448 patients, it reveals that AANHPI patients, as a whole, exhibited better median survival than Caucasians and African Americans. Notably, survival rates varied among AANHPI subpopulations, with Asian Indians having the highest median survival and the Japanese subpopulation the lowest. The research highlights the significance of disaggregated data to address disparities in cancer care.

Journal Article by Kooragayala K, Lou J, Dibato J and Hong YK in Ann Surg Oncol

© 2023. Society of Surgical Oncology.

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