Surgery, Gastroenterology and Oncology
Vol. 23, Nr. 5, Oct 2018
Minimally Invasive Locoregional Treatment of Intrahepatic Cholangiocellular Carcinoma
Daniel Putzer, Peter Schullian, Werner R. Jaschke, Reto Bale
REVIEW, Oct 2018
Article DOI: 10.21614/sgo-23-5-303
Read article Surgical resection is considered first-line treatment for intrahepatic cholangiocellular carcinoma (ICC).
In case of a unresectable tumor, chemotherapy is part of standardized treatment guidelines, despite dismal outcome. Technical advances in locoregional therapies such as radiofrequency ablation, microwave ablation, irreversible electroporation, transarterial chemoembolization and selective internal radiation therapy bear the promise for enhancing local tumor control, while reducing treatment associated morbidity and improving survival as well asquality of life.
This review....[more]
Novel Image-guided Surgery of Gallbladder Cancer by Indocyanine Green Fluorescence Navigation
Satoru Seo, Rei Toda, Hiroto Nishino, Ken Fukumitsu, Takamichi Ishii, Kojiro Taura, Takashi Nitta, Toshimi Kaido, Kyoichi Takaori, Etsuro Hatano, Shinji Uemoto
Article DOI: 10.21614/sgo-23-5-309
Read article Background: There has been a debate as to the extent of hepatic resection for T2 gallbladder cancer. While some surgeons advocate resection of the segments 4a and 5, gallbladder bed resection is also performed by others.
A fluorescent imaging technique with selective injection of indocyanine green can provide real-time anatomic guidance within the operative field for hepatobiliary surgery.
This study was performed to evaluate the usefulness of fluorescent navigation surgery for gallbladder cancer.

Methods: Four patients underwent fluorescent navigati....[more]
Risk Factors for Recurrence of Hepatocellular Carcinoma after Curative Resection
Mitsugi Shimoda, Tsunehiko Maruyama, Kazuomi Suzuki, Tomoya Tago, Kiyotaka Nishida, Jiro Shimazaki, Shuji Suzuki
Article DOI: 10.21614/sgo-23-5-314
Read article Background Aims: Hepatic surgical resection is one of the most effective treatment for hepatocellular carcinoma (HCC). However, recurrence of HCC (HCCR) is still very common among operated patients, and its risk factors still remains unclear.

Materials and Methods: We have conducted a retrospective study of 56 patients operated for HCC in our medical center during April 2008 through March 2016, to analyze the risk factors for HCCR. The ideal cutoff values of laboratory parameters was defined using the Receiver Operating Characteristic (ROC) curve analysis, and....[more]
Comparison of Diagnostic Sensitivities for Resectable Pancreatic Adenocarcinoma Between Endoscopic Ultrasound-guided Fine-needle Asp....
Daisuke Ito, Yoshikuni Kawaguchi, Naoki Okura, Junichi Arita, Tsuyoshi Hamada, Yousuke Nakai, Hiroyuki Isayama, Nobuhisa Akamatsu, Junichi Kaneko, Yoshihiro Sakamoto, Kazuhiko Koike, Norihiro Kokudo, Kiyoshi Hasegawa
Article DOI: 10.21614/sgo-23-5-320
Read article Background: Endoscopic ultrasound-guided fine-needle aspiration (EUS-FNA) is performed for diagnosing pancreatic lesions. As EUS-FNA can develop needle track seeding, its use for radiographically-diagnosed pancreatic malignancy remains controversial.
We investigated a useful setting of EUS-FNA for resectable pancreatic adenocarcinoma by comparing the diagnostic sensitivity between EUS-FNA and contrast enhanced-computed tomography (CT), and by evaluating the short- and long-term outcomes.

Methods: Between January 2012 and March 2015, 107 consecutive patie....[more]
Long-term Outcome of Adjuvant Chemotherapy with S-1 Consisting of 3-week Administration Followed by 1-week Rest for Stage III Colore....
Hidejiro Kawahara, Yuki Hiramoto, Mitsumasa Takeda, Tomo Matusmoto, Takeyuki Misawa, Katsuhiko Yanaga
Article DOI: 10.21614/sgo-23-5-330
Read article Background Aims: The aim of this study is to evaluate long-term outcome of 3-week method (3-week administration followed by 1-week rest) for colorectal cancer as adjuvant chemotherapy with an oral anticancer drug, S-1.

Methods: Between 2008 and 2012, 142 patients with stage III colorectal cancer who underwent curative resection in our hospital and received oral adjuvant chemotherapy with S-1 for six months were enrolled in this study.
They were divided into two groups, 3-week method or 4-week method (4-week administration followed 2-week rest).

Can Gastric Specimen Measurements Defines the Laparoscopic Sleeve Gastrectomy Outcome?
Ömer Günal, Kıvılcım Uprak, Muhammer Ergenç, Aylin Erdim
Article DOI: 10.21614/sgo-23-5-336
Read article Background: It is a matter of search that resected gastric specimen measurements (RGSM) has an effect on weight loss following LSG. The aim of this study was to investigate the influence of RGSM on weight loss at 3-6-12 months after LSG.

Methods: 64 Patients who underwent LSG between 2014-2018 at Marmara University Hospital were enrolled. The LSG procedure and RGSMs were performed using standardized techniques. Patients were followed-up every 3 months in the first year. Correlations between the percentages of excess weight losses (EWL) at 3rd, 6th, 12th months....[more]
Impact of Diabetes Mellitus on the Outcomes After Pancreaticoduodenectomy for Pancreatic Ductal Adenocarcinoma: A Single Center Expe....
Ayman El Nakeeb, Ahmed Shehta, Rami Said, Mohamed El Dosoky, Ahmed Moneer, Mohamed Elrefai, Hosam Hamed, Talaat Abd Allah
Article DOI: 10.21614/sgo-23-5-342
Read article Purpose: Pancreatic ductal adenocarcinoma is a life-threatening health problem. Surgical excision is the principal step of multimodal treatment, but it is associated with poor outcomes. At the time of diagnosis, up to 80% of those patients have impaired glucose tolerance or diabetes mellitus.
The role of pre-operative diabetes mellitus on the outcomes after pancreaticoduodenectomy is still unclear.

Method: We reviewed the data of patients who underwent pancreaticoduodenectomy for pancreatic ductal adenocarcinoma. Patients were divided into 2 groups accord....[more]
Intra-abdominal Hemorrhage Due to Rupture of a Mycotic Jejunal Artery Pseudoaneurysm in a 37-year-old Patient with Klebsiella Pneumo....
Ana-Maria Serban, Elena Andrei, Catalina Ionita, Alexandru Martiniuc, Marian Tudoroiu, Ovidiu Stiru, Adrian Marinescu, Traian Dumitrascu
Images in Clinical Medicine, Oct 2018
Article DOI: 10.21614/sgo-23-5-350
Read article Visceral artery aneurysms (VAAs) are defined as aneurysms affecting the celiac, superior, or inferior mesenteric arteries and their branches. The incidence rate of aneurysms of superior mesenteric artery (SMA) and its branches is exceptionally infrequent, with only a handful of cases ever reported. Mycotic aneurysms (MA) in the context of infective endocarditis (IE) are also uncommon, particularly for Klebsiella Pneumonie species etiology.
Hereby, it is presented a case of a 37-year-old male with previous prosthetic heart valves for IE who developed recurrent IE and furthermore....[more]
Immaculate Fistulas Without Original Sin Between the Stomach and the Jejunum
Il Hyun Baek, Young Seok Doh, Kyu-Hyun Paik, Ji-Woong Jang, Sae Hee Kim, Sung Hee Jung, Kyeong Won Min
Images in Clinical Medicine, Oct 2018
Article DOI: 10.21614/sgo-23-5-355
Read article A 28-year old man was referred to Eulji university hospital for suspected gastrojejunal fistulae detected by screening upper gastrointestinal endoscopy. He presented no symptoms. He had no previous history of abdominal trauma, peptic ulcer, gastric cancer or gastric surgery.
Upper endoscopy revealed gastrojejunal fistulae without any pathological changes on the gastric antrum and body. Abdominal computerized tomography showed a fistulous tract between the posterior wall of the gastric body and the jejunum.
An upper gastrointestinal series showed contrast medium flow into ....[more]

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