Publications by authors named "P J Kestens"
Article Synopsis
- Complete cyst excision with biliary reconstruction is the preferred treatment for patients with congenital bile duct cysts (BDC), but it becomes complicated when the cyst extends to the main biliary convergence (MBC).
- A multicenter study analyzed 49 adult patients with type I and IV BDC, finding that 14% had cysts affecting the MBC, with similar clinical presentations and outcomes compared to those without MBC involvement.
- The study revealed a high rate of incomplete proximal cyst excision (86%) in the MBC involvement group and indicated a significantly increased risk of subsequent cancer (29%) in these patients, suggesting the need for further research on this issue.
Background: The prognostic relevance of a Japanese-like lymphadenectomy for gastric adenocarcinoma is Caucasian patients is not well establishes.
Methods: Skeletonizing en-bloc gastrectomy (SEBG) (including removal of the stomach, excision of the potentially involved lymph nodes, and skeletonization of the main anatomic structures in the upper abdominal floor) was attempted in 216 consecutive patients with adenocarcinoma of the stomach. Gastrectomy was total in 143 patients, and subtotal in 72.
Objective: To evaluate the long-term outcome of patients with esophageal cancer after resection of the extraesophageal component of the neoplastic process en bloc with the esophageal tube.
Summary Background Data: Opinions are conflicting about the addition of extended resection of locoregional lymph nodes and soft tissue to removal of the esophageal tube.
Methods: Esophagectomy performed en bloc with locoregional lymph nodes and resulting in a real skeletonization of the nonresectable anatomical structures adjacent to the esophagus was attempted in 324 patients.
Objective: To determine whether early postoperative administration of erythromycin accelerates the spontaneous motor recovery process after elevation of the denervated whole stomach up to the neck.
Summary Background Data: Spontaneous motor recovery after gastric denervation is a slow process that progressively takes place over years.
Methods: Erythromycin was administered as follows: continuous intravenous (i.