Gastroenterology News & Articles

1 Repeat liver resection for colorectal metastases British Journal of Surgery, May 6, 2013
Kulik U et al. – Following resection of colorectal liver metastases (CLMs) up to 75 per cent of patients develop recurrent liver metastases. Although repeat resection remains the only curative therapy, data evaluating the outcome are deficient. This study analysed postoperative morbidity, mortality and independent predictors of survival following repeat resection of CLMs. Recurrent CLM surgery is feasible with similar morbidity and mortality rates to those of initial or single CLM ...

2 Laparoscopic Resection of Rectal Cancer Results in Higher Lymph Node Yield and Better Short-term Outcomes Than Open Surgery: A Large Single-Center Comparative Study Diseases of the Colon and Rectum, May 13, 2013
Boutros M et al. – The authors aim to compare the pathologic and short–term outcomes of laparoscopic and open resections for rectal cancer. Laparoscopy for primary rectal cancer is associated with a greater number of lymph nodes as well as short–term benefits. Methods This is a large single-center retrospective comparative study using a prospective database. All patients who underwent primary resections for rectal cancer from January 2007 to September 2011 were identified. ...

3 Nocturia and sleep quality after transurethral resection of the prostate International Journal of Urology, May 22, 2013
Wada N et al. - This study aimed to evaluate the clinical efficacy of transurethral resection of the prostate on nocturia and sleep disorders in patients with lower urinary tract symptoms suggestive of benign prostatic obstruction. Transurethral resection of the prostate diminishes nocturnal urinary frequency and partly improves sleep quality in patients with nocturia and lower urinary tract symptoms suggestive of benign prostatic obstruction. A persistent sleep disorder after ...

4 Laparoscopic Versus Open Multivisceral Resection for Primary Colorectal Cancer: Comparison of Perioperative Outcomes Journal of Gastrointestinal Surgery, May 10, 2013
Nagasue Y et al. - This study evaluated the safety and feasibility of laparoscopic multivisceral resection for colorectal cancer. Laparoscopic multivisceral resection for colorectal cancer invading or adhering to neighboring organs is safe and feasible in selected patients. Methods This study included 126 patients who underwent multivisceral resection for primary colorectal cancer invading or adhering to neighboring organs or structures between July 2005 and November 2012 at the ...

5 SISCOM and FDG-PET in patients with non-lesional extratemporal epilepsy: correlation with intracranial EEG, histology, and seizure outcome Epileptic Disorders, May 7, 2013
Kudr M et al. - The study aims to assess the practical localising value of subtraction ictal single-photon emission computed tomography (SISCOM) coregistered with MRI and 18F-fluorodeoxyglucose positron emission tomography (FDG-PET) in patients with extratemporal epilepsy and normal MRI. Complete resection of the dysplastic cortex localised by SISCOM, FDG-PET or intracranial EEG is a reliable predictor of favourable postoperative seizure outcome in patients with ...

6 Long-Term Functional Outcomes of Resected Tarsal Coalitions Foot & Ankle International, May 14, 2013
Khoshbin A et al. - There are few long-term studies evaluating tarsal coalition resections. The purpose of this study was to compare patient outcomes following resection of calcaneonavicular (CN) and talocalcaneal (TC) bars and to determine the relationship between the extent of a coalition and the outcome of resection. Resected CN and TC bars behaved similarly in the long term in terms of function and patient satisfaction. Favorable results were attained when resections were ...

7 Magnetic source imaging (MSI) in children with neocortical epilepsy: Surgical outcome association with 3D post-resection analysis Epilepsy Research, May 22, 2013
Kim H et al. - The study aims to investigate the validity of magnetic source imaging (MSI) to localize seizure-onset zone using 3D analysis of pre-operative MSI source imaging coregistered to post-resection MRI following neocortical epilepsy surgery. Number and density of clustered spike dipole sources within the surgical resection volume is not associated with postoperative seizure-free outcome. MSI successfully localized the perilesional epileptogenic zone in ...

8 Timing of hepatectomy in resectable synchronous colorectal liver metastases (SCRLM) Hepatology, February 7, 2013
Yin Z et al. - The authors conducted a systematic review and meta-analysis of all observational studies to define the safety and efficacy of simultaneous versus delayed resection of the colon and liver. Simultaneous resection is as efficient as delayed procedure for the long-term survival. There are evidences implied that in synchronous colorectal liver metastases (SCLRM) patients simultaneous resection is an acceptable and safe option with the carefully good selected ...

9 Surgery for Locally Advanced Recurrent Colorectal Cancer Involving the Aortoiliac Axis: Can We Achieve R0 Resection and Long-term Survival? Diseases of the Colon and Rectum, May 13, 2013
Abdelsattar ZM et al. – The aim of this study was to assess oncologic outcomes and the ability to achieve an R0 resection in these patients. R0 resection of locally advanced recurrent colorectal cancer involving the aortoiliac axis was achieved in over 50% of patients. Overall and disease–free survival was comparable to outcomes seen with locally advanced disease to nonvascular structures. Methods A retrospective review of a prospectively maintained colorectal cancer database ...

10 A Simple System to Predict Perihilar Cholangiocarcinoma Resectability Journal of Gastrointestinal Surgery, May 15, 2013
Boudjema K et al. - The aim of this study was to retrospectively validate a new system to predict perihilar cholangiocarcinoma (PHC) resectability. The authors hypothesized that when the left lateral section (segments II–III) duct confluence (LLC) is free, the left lateral section might be preserved for curative resection. When the LLC is invaded, vascular invasion is frequent and radical resection might often be impossible without complex vascular reconstruction. XY classification for ...