This important consensus statement on definitions of postoperative complications after esophagectomy was developed by an international group of surgical experts. It should serve as a template for data collection and reporting for clinical reports and trials.
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Esophagus
July 14, 2015
This small randomized trial evaluated the potential benefits of ghrelin, an anti-inflammatory agent, in reducing the SIRS response after esophagectomy. The ghrelin group had a reduced SIRS duration, lower CRP levels, and lower IL-6 levels compared to controls. Pulmonary complications were reduced in the ghrelin group, but other complication inciden
June 12, 2015
Outcomes of esophagectomy, including in-hospital mortality and length of stay (LOS), were compared between England (centralized care) and the US (no centralized care). Data for 2005-2010 included 7433 esophagectomies performed in 66 hospitals in England and 5858 esophagectomies performed in 775 hospitals in the US. Morality was greater in the US (5
June 12, 2015
Laser-assisted fluorescent-dye angiography (LAA) was used prospectively in 150 patients undergoing esophagectomy with gastric pull-up to assess blood flow in the gastric tube. Anastomotic leak occured in 17%. Anastomoses performed in areas of normal perfusion had a 2% leak rate, compared to a 45% leak rate when anastomoses were performed in areas o
June 11, 2015
This single institution retrospective analysis of esophagectomy or gastrectomy for GEJ cancer compared outcomes between groups who did and did not complete recommended 2 cycles of postoperative adjuvant chemotherapy. Of 110 pts who underwent perioperative chemotherapy, 67% completed postoperative adjuvant chemotherapy. Completion of 2 cycles or mor
May 21, 2015
This prospective observational study followed 111 patients for 3 years after laparoscopic repair of a type III paraesophageal hernia. QOL improved at all postoperative time intervals from 28.5 preop to about 10. The radiographic recurrence rate was 27% at 1 year. Hernias involving most of the stomach were more likely to recur than smaller hernias.
May 20, 2015
This video demonstrates the technique of robot-assisted trans-abdominal Nissen fundoplication for the surgical management of GERD. It includes discussion of techniques and tips to perform the operation well.
May 17, 2015
In this population-based cohort study with 1044 patients who underwent esophagectomy for esophageal cancer between 1987 and 2010 in Sweden, the researchers found that a higher number of lymph nodes removed did not affect mortality in any specific stage.
May 12, 2015
This video demonstrates a peroral endoscopic myotomy (POEM).
April 28, 2015
This video demonstrates the technical aspects of a full thickness laparoscopic intra-gastric resection of a symptomatic leiomyoma at the level of the gastro-esophageal junction.