Publications by authors named "R G Berrisford"
Article Synopsis
- The technique of transgastric drainage for esophageal injuries was introduced in 2008, utilizing vacuum drainage to help heal perforations while keeping the esophagus open.
- The study reviews the outcomes of this method over 10 years, noting that it’s effective for treating specific types of esophageal perforations, particularly when primary repair is not an option.
- In a series involving 35 patients, the method resulted in a 14% mortality rate and a median healing time of 34.5 days, showing promising results compared to traditional treatment approaches.
The optimal management of cancer of the gastro-esophageal junction (GEJ) is an area of contention. GEJ tumors are typically resected via total gastrectomy or esophagectomy. Despite many studies aiming to determine the superiority of either procedure based on surgical or oncological outcomes, the evidence is equivocal.
View Article and Find Full Text PDFBackground: There is no consensus on the ideal surgical management of patients with Siewert type II gastroesophageal junctional (GEJ) cancers. Due to its anatomical location, total gastrectomy and oesophagectomy are widely used methods of resection. The aim of this study was to determine the optimal surgical treatment of these patients.
View Article and Find Full Text PDFDelayed gastric emptying (DGE) is common after an Ivor Lewis gastro-esophagectomy (ILGO). The risk of a dilated conduit is the much-feared anastomotic leak. Therefore, prompt management of DGE is required.
View Article and Find Full Text PDFArticle Synopsis
- Early delayed gastric emptying (DGE) affects up to 50% of patients after oesophagectomy, potentially leading to complications like leaks and infections.
- The review analyzed data from three studies involving 203 patients to assess the effectiveness of prophylactic pyloric balloon dilatation (PBD) in preventing DGE post-surgery.
- Results showed that patients who received PBD had significantly lower rates of early DGE (16.27% vs. 39.02%) and anastomotic leaks (8.55% vs. 12.23%) compared to those without PBD, indicating its efficacy in improving post-operative outcomes.