Publications by authors named "J Dhaese"
Background: Pancreatic ductal adenocarcinoma (PDAC) typically occurs in an older patient population. Yet, early-onset pancreatic cancer (EOPC) has one of the fastest growing incidence rates. This study investigated the influence of age and tumor location on postoperative morbidity and mortality in a large, real-world dataset.
View Article and Find Full Text PDFBackground: After pylorus-resecting pancreatoduodenectomy (PrPD), delayed gastric emptying (DGE) might partially be attributed to biliary reflux. We investigated whether the incidence of primary DGE is reduced after Roux-en-Y instead of Billroth-II reconstruction.
Methods: Patients undergoing PrPD from 2016 to 2019 at a high-volume center were identified.
Background: Colorectal surgery still experiences high rates of infectious complications, such as anastomotic leakage (AL) and surgical site infections (SSIs). Therefore, oral antibiotic bowel decontamination (OABD) has experienced a renaissance. However, data on perioperative selective digestive tract decontamination (SDD)-based regimens or combined bowel preparation are inconsistent.
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- Recent studies indicate that specific microbiota may influence complications and outcomes in patients undergoing pancreatic head resections.
- *A prospective study involving 101 patients utilized 16S rRNA sequencing to investigate the microbiome at surgical sites and found that variations in microbiome composition were linked to factors such as cancer type, age, and pre-surgical interventions.
- *In particular, higher levels of Enterococcus spp. in the bile were associated with increased risk of surgical site infections and higher mortality rates up to 24 months post-surgery.*
Background: Postoperative pancreatic fistulas are the most frequent major complications after pancreatoduodenectomy. The soft pancreatic texture is a critical, independent risk factor for postoperative pancreatic fistulas after pancreatoduodenectomy. The current gold standard for postoperative pancreatic fistula risk evaluation consists of the surgeon's intraoperative palpation of the pancreatic texture and, thus, lacks objectivity.
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