World journal of gastroenterology : WJG
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World J. Gastroenterol. · Aug 2013
Impact of mesocaval shunt on safe minimal liver remnant: porcine model.
To investigate the capacity of shunts to relieve portal hypertension and decrease the safe minimal liver remnant in pigs. ⋯ MCS can decompress the portal vein and so attenuate liver injury from hyperperfusion, and make extreme or marginal hepatectomy safer.
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World J. Gastroenterol. · Aug 2013
Randomized Controlled TrialMilligan-Morgan hemorrhoidectomy with anal cushion suspension and partial internal sphincter resection for circumferential mixed hemorrhoids.
To identify a more effective treatment protocol for circumferential mixed hemorrhoids. ⋯ Milligan-Morgan hemorrhoidectomy with anal cushion suspension and partial internal sphincter resection is the optimal treatment for circumferential mixed hemorrhoids and can be widely applied in clinical settings.
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World J. Gastroenterol. · Aug 2013
Case ReportsAnticoagulation and delayed bowel resection in the management of mesenteric venous thrombosis.
Acute mesenteric venous thrombosis is potentially lethal because it can result in mesenteric ischemia and, ultimately, bowel infarction requiring surgical intervention. Systemic anticoagulation for the prevention of thrombus propagation is a well-recognized treatment modality and the current mainstay therapy for patients with acute mesenteric venous thrombosis. However, the decision between prompt surgical exploration vs conservative treatment with anticoagulation is somewhat difficult in patients with suspected bowel ischemia. Here we describe a patient with acute mesenteric venous thrombosis who presented with bowel ischemia and was treated with anticoagulation and delayed short-segment bowel resection.
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World J. Gastroenterol. · Aug 2013
Clinical outcome in patients with hepatocellular carcinoma after living-donor liver transplantation.
To investigate risk factors for hepatocellular carcinoma (HCC) recurrence after living donor liver transplantation (LDLT) and efficacy of various criteria. ⋯ LDLT is considered the preferred therapeutic option in patients with an AFP level less than 100 ng/mL and a tumor diameter of less than 5 cm.
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World J. Gastroenterol. · Aug 2013
Comparative StudyQuality of life after laparoscopic vs open sphincter-preserving resection for rectal cancer.
To compare quality of life (QoL) outcomes in Chinese patients after curative laparoscopic vs open surgery for rectal cancer. ⋯ Laparoscopic sphincter-preserving resection for rectal cancer is associated with better preservation of QoL and fewer male sexual problems when compared with open surgery in Chinese patients. These findings, however, should be interpreted with caution because of the small sample size of the study.