Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract
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J. Gastrointest. Surg. · Sep 2012
Randomized Controlled Trial Comparative StudyRandomized controlled single-center trial comparing pancreatogastrostomy versus pancreaticojejunostomy after partial pancreatoduodenectomy.
The aim of this single-center randomized trial was to compare the perioperative outcome of pancreatoduodenectomy with pancreatogastrostomy (PG) vs pancreaticojejunostomy (PJ). ⋯ Our randomized controlled trial shows no difference between PG and PJ as reconstruction techniques after partial pancreatoduodenectomy. POPF rate, DGE, and bleeding were not statistically different. Operation time was significantly shorter in the PG group.
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J. Gastrointest. Surg. · Sep 2012
Case ReportsBlunt diaphragmatic rupture--a rare injury in blunt thoracoabdominal trauma.
Blunt traumatic rupture of the diaphragm is rare. ⋯ We provide a case report of rupture of the diaphragm with visceral herniation in blunt thoracoabdominal trauma.
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J. Gastrointest. Surg. · Sep 2012
Minimally invasive esophagectomy with cervical esophagogastric anastomosis.
Thoracoscopic dissection of the esophagus and laparoscopic dissection of the stomach with cervical esophagogastric anastomosis is a safe method for resection of esophageal and gastroesophageal junction malignancy. ⋯ Thoracoscopic dissection of the esophagus, laparoscopic dissection of the stomach, and a side-to-side stapled cervical esophagogastric anastomosis is safe, oncologically appropriate, and provides excellent functional results.
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J. Gastrointest. Surg. · Sep 2012
Influence of neoadjuvant radiotherapy on anastomotic leak after restorative resection for rectal cancer.
This study was undertaken to determine whether neoadjuvant radiotherapy is associated with an increased risk of anastomotic leak for rectal cancer patients undergoing restorative resection. ⋯ The findings suggest that neoadjuvant radiotherapy is not independently associated with an anastomotic leak for rectal cancer patients undergoing restorative resection and support a selective policy towards the use of a defunctioning ostomy on a case by case basis based on intra-operative judgment and consideration of tumor location, size, and patient characteristics.
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J. Gastrointest. Surg. · Sep 2012
Randomized Controlled Trial Comparative StudyAnterior 90° partial vs Nissen fundoplication--5 year follow-up of a single-centre randomised trial.
Nissen fundoplication can be followed by side effects, and this has driven modifications, including partial fundoplications. We previously reported early outcomes from a randomised trial of Nissen vs anterior 90° partial fundoplication. This paper reports 5-year follow-up outcomes to determine whether anterior 90° fundoplication achieves a satisfactory longer-term outcome. ⋯ At 5 years, anterior 90° partial fundoplication was associated with less side effects, offset by greater use of antisecretory medication. Reflux symptoms and overall satisfaction were similar to Nissen fundoplication. Laparoscopic anterior 90° partial fundoplication is an effective treatment for gastro-esophageal reflux.