World journal of gastrointestinal surgery
-
World J Gastrointest Surg · Apr 2013
Clinical presentation predicts the outcome of patients with colon cancer.
To elucidate the relationship between clinical presentation and outcome. ⋯ The quality of symptoms rather than quantity is correlated with outcome among patients with colon cancer. The proposed clinical scoring system may correctly predict the patient's outcome.
-
World J Gastrointest Surg · Dec 2012
Non-steroidal anti-inflammatory drugs in colorectal surgery: A risk factor for anastomotic complications?
In a recent article, Gorissen et al report on 795 patients with primary colorectal anastomosis operated on during the period 2008-2010 for different colorectal conditions at two centres. The leakage rate was significantly higher among patients who were administered non-steroidal anti-inflammatory drugs (NSAIDs) in the perioperative course. A dose-response relationship could also be traced, where longer NSAID use yielded a higher risk of anastomotic breakdown. ⋯ Moreover, the question whether different affinity for the cyclooxygenase enzyme is important in different NSAIDs seems to be largely unanswered. The results, conclusions and clinical relevance of the aforementioned study, including the possible effects of different types of NSAIDs, are discussed. While acknowledging that this study represents the best attempt so far in establishing the causal relationship between perioperative NSAID use and anastomotic leakage, the need for further research in this important area is underlined.
-
World J Gastrointest Surg · Oct 2012
Real-time outcome monitoring following oesophagectomy using cumulative sum techniques.
To examine the feasibility of prospective, real-time outcome monitoring in a United Kingdom oesophago-gastric cancer surgery unit. ⋯ CUSUM techniques provide a potential method of prospective, real-time outcome monitoring in oesophageal cancer surgery.
-
World J Gastrointest Surg · Jul 2012
Computed tomography for pancreatic injuries in pediatric blunt abdominal trauma.
To evaluate the efficacy of computed tomography scan in diagnosing and grading the pattern of pancreatic injuries in children. ⋯ Pediatric pancreatic injuries due to blunt abdominal trauma are rare. The majority of the patients sustained extensive pancreatic injuries. MDCT findings are helpful and reliable in diagnosing and grading the pancreatic injuries.