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Common Channel Length and Type II Diabetes Remission after Duodenal Switch

Exploring the impact of common channel (CC) length in duodenal switch (DS) surgeries on Type II diabetes mellitus (DM) remission, this study analyzed 341 DM patients with varying CC lengths (100 cm, 150 cm, and 200 cm). When stratified by insulin dependence, patients with shorter CC lengths exhibited improved glycemic control and greater DM remission in the insulin-dependent group. Milder DM cases responded well to all CC lengths. Importantly, shorter CC lengths didn’t affect nutritional status or necessitate more revisions for malnutrition.

Journal Article by Sharp LS, Sharp WT and Ng P in Obes Surg

© 2023. The Author(s).

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Factors Influencing Readmissions After Sleeve Gastrectomy

In the quest to understand 30-day readmission rates following laparoscopic sleeve gastrectomy, a study involving 235,563 patients identified several influential factors. These factors included age, gender, body mass index (BMI), payment source, length of hospital stay, comorbidities, and hospital characteristics. Older age, male gender, higher BMI, Medicare as the primary payer, and certain comorbidities were associated with higher readmission rates. Additionally, hospital factors like size and ownership played a role. Recognizing these influences is crucial for decision-making around readmission penalties.

Journal Article by Dubchuk C, Afifi AM (…) Nazzal M et 6 al. in Obes Surg

© 2023. The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature.

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Gender Disparity in Penetrating Trauma Outcomes: Insights from a Single-Center Study

While penetrating trauma occurs less often in females, a study delving into this specific demographic reveals some intriguing findings. Females, on average, had less severe injuries than males, but the mortality rates were similar. Surprisingly, females underwent fewer surgical or interventional radiology interventions. After accounting for age and injury severity, the study found no significant differences in mortality rates, hospital stays, or complications between the genders. This research calls for further investigation into the factors contributing to these outcomes in penetrating trauma.

Journal Article by Zwemer CH, Mohamed T (…) Kartiko S et 3 al. in J Surg Res

Copyright © 2023 Elsevier Inc. All rights reserved.

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Identifying Risk Factors for Postoperative Respiratory Failure Outcome

Postoperative complications can lead to death, but what predicts this failure to rescue, especially after respiratory failure? In a study involving 13,047 adult patients, researchers pinpointed eight key predictors. These include age, sex, preoperative health status, conditions like ascites and cancer, and preoperative biochemical markers. Disturbingly, nearly 30% of patients with postoperative respiratory failure didn’t survive 30 days post-surgery. This predictive model offers insights for preoperative planning and resource allocation, aiding clinicians in managing these critical cases.

Journal Article by Karamchandani K, Khorsand S (…) Carr ZJ et 3 al. in J Surg Res

Copyright © 2023 Elsevier Inc. All rights reserved.

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Emergency Parastomal Hernia Repair in Older Adults: Impact of Surgical Techniques on Outcomes

Researchers delved into Medicare claims data from 2007-2015 to unveil the secrets of emergency parastomal hernia repair (PHR) in older adults. Among 6,658 patients, they discovered that this procedure comes with significant complications (62.3% within 30 days), but technique matters. Patients undergoing ostomy resiting had fewer complications. Additionally, the study identified the five-year cumulative incidence of reoperation, lowest in patients opting for PHR with ostomy reversal. Understanding these nuances could enhance decision-making and counseling for patients facing this common issue.

Journal Article by Baxter NB, Pediyakkal HF (…) Ehlers AP et 7 al. in J Surg Res

Copyright © 2023 Elsevier Inc. All rights reserved.

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Revolutionizing Stage II Colon Cancer Care: A New Tool Predicts High Risk of Recurrence

Researchers have introduced a groundbreaking recurrence prediction value (RPV) system for stage II colon cancer, offering a precise way to identify patients at high risk of cancer recurrence. Using a vast international dataset, they established that RPV successfully stratifies patients into low and high-risk categories. Patients with high RPV demonstrated significantly increased risk of recurrence. This innovative approach provides an invaluable tool to guide treatment and monitoring for individuals with stage II colon cancer, potentially enhancing survival outcomes globally.

Journal Article by Mizuno S, Shigeta K (…) Kunitake H et 26 al. in Ann Surg

Copyright © 2023 Wolters Kluwer Health, Inc. All rights reserved.

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Long-term Effects of Hiatal Hernia Repair Methods in GERD Patients: Mesh vs. Sutures

In the treatment of gastroesophageal reflux disease (GERD), repairing hiatal hernias alongside antireflux surgery is common. A 13-year follow-up of a randomized clinical trial reveals that using a nonabsorbable mesh for hiatal hernia repair doesn’t significantly reduce hernia recurrence rates compared to crural sutures alone. Moreover, patients who received mesh repair experienced higher dysphagia scores for solid foods, indicating swallowing difficulties. These findings question the routine use of mesh closure in laparoscopic hiatal hernia repair for GERD treatment, emphasizing the importance of long-term outcomes.

Journal Article by Analatos A, Håkanson BS (…) Thorell A et 3 al. in JAMA Surg

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Cracking the Diversity Code: The Lack of Inclusivity in US Surgical Leadership

This study reveals a stark lack of diversity among academic surgical leaders in the United States. Although the medical community recognizes the importance of diversity, surgical department chairs, vice chairs, and division chiefs remain predominantly male and underrepresented by racial and ethnic minorities. Notably, leadership roles associated with diversity and faculty development show greater female and minority representation. This research emphasizes the need for increased diversity within surgical leadership and suggests that specific leadership tracks may hinder advancement opportunities for underrepresented groups.

Journal Article by Iwai Y, Yu AYL (…) Fayanju OM et 5 al. in JAMA Surg

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Neoadjuvant Imatinib Enhances Resection in Advanced Gastrointestinal Stromal Tumors (GISTs)

Neoadjuvant imatinib, a treatment for gastrointestinal stromal tumors (GISTs), effectively and safely decreases tumor size, enabling less extensive surgery with a higher rate of complete resection. Among 108 GIST patients, 88% experienced reduced tumor size. Those with specific genetic mutations predicted a positive response to imatinib. Surgical complications occurred in 15% of cases, but 89% achieved complete resection. Five-year survival rates were 80% disease-free and 91% overall. This study demonstrates the efficacy and safety of neoadjuvant imatinib for large or locally advanced GISTs.

Journal Article by van der Burg SJC, van de Wal D (…) van Houdt WJ et 11 al. in Ann Surg Oncol

© 2023. Society of Surgical Oncology.

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Systemic Chemotherapy’s Impact in Colorectal Peritoneal Metastases Patients Undergoing CRS-HIPEC

In patients with colorectal peritoneal metastases (CRC-PM) treated with cytoreductive surgery and hyperthermic intraperitoneal chemotherapy (CRS-HIPEC), systemic chemotherapy (SC) did not significantly enhance overall survival (OS). However, the timing of SC made a difference. Preoperative SC correlated with more major complications and shorter disease-free intervals, while postoperative SC resulted in longer disease-free intervals. The study emphasizes the need for randomized trials to clarify the role and timing of SC in this patient subset.

Journal Article by Tonello M, Baratti D (…) Sommariva A et 26 al. in Ann Surg Oncol

© 2023. Society of Surgical Oncology.

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