46 results match your criteria: "University Digestive Health Care Center[Affiliation]"

Background: The risk for recurrence in patients with distal gastric cancer can be reduced by surgical radicality. However, dispute exists about the value of the proposed minimum proximal margin distance (PMD). Here, we assess the prognostic value of the safety distance between the proximal resection margin and the tumor.

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Background: Microscopic colitis (MC) is an inflammatory disorder of the colon. To date, the relationship between inflammatory eye diseases and MC is unclear.

Objective: To assess whether inflammatory eye disease (iridocyclitis and episcleritis) is a risk factor for MC.

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: International guidelines recommend transarterial chemoembolization (TACE) for intermediate-stage hepatocellular carcinoma (HCC). However, it is used outside these recommendations and has proven beneficial in prolonging survival. Since the role of TACE outside BCLC stage B is unclear, the present study analyzed the results of TACE performed at a tertiary center in Switzerland for different treatment groups, and aims to highlight the treatment outcomes for these groups.

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Purpose: The purpose of this study was to assess the effect of training with a personal, portable laparoscopic endo-trainer (PLET) on residents' laparoscopic skills.

Methods: The study took place at a tertiary-care academic university hospital in Switzerland. All participants were randomized to either a home- or hospital-based PLET training group, and surgical skill performance was assessed using five laparoscopic exercises.

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Background: For high-risk patients receiving right-sided colectomy, stoma formation is a safety strategy. Options are anastomosis with loop ileostomy, end ileostomy, or split stoma. The aim is to compare the outcome of these three options.

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Article Synopsis
  • - Teratomas are rare germ cell tumors usually found in children, and a unique case of retroperitoneal papillary thyroid carcinoma in an adult woman is discussed here.
  • - A 41-year-old woman experienced intermittent abdominal pain, leading to the discovery of a retroperitoneal mass that turned out to be papillary thyroid carcinoma after surgical removal.
  • - Diagnosing primary retroperitoneal teratomas can be challenging due to vague symptoms and limited imaging findings; surgery is the main treatment, but decisions on further treatments like total thyroidectomy and radioiodine therapy remain debated.
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Objective: Telemedicine is becoming an increasingly feasible option for patients with chronic diseases due to its convenience, cost-effectiveness and ease of access. While there are certain limitations, the benefits can be appreciated by those seeking repetitive care. The perception of telemedicine as an alternative to recurrent, in-person appointments for patients with obesity in structured bariatric programmes is still unclear.

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Article Synopsis
  • Most studies on AI for surgical activity recognition have focused narrowly on single activities and small data sets, raising questions about their general applicability across different surgical centers.
  • This research introduces a comprehensive dataset called MultiBypass140, which includes 140 laparoscopic Roux-en-Y gastric bypass videos from two different hospitals, annotated by professional surgeons to enhance training and evaluation accuracy.
  • Findings indicate that training AI models on varied data from multiple centers significantly enhances their performance and generalization, highlighting the limitations of mono-centric training approaches.
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Background: Transarterial chemoembolization is the first-line treatment for intermediate-stage HCC. However, the response rate to transarterial chemoembolization varies, and the molecular mechanisms underlying variable responses are poorly understood. Patient-derived hepatocellular carcinoma organoids (HCCOs) offer a novel platform to investigate the molecular mechanisms underlying doxorubicin resistance.

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In this report, two cases of patients with severe adverse events after an adjuvant treatment with capecitabine are described in detail. The first patient suffered from a severe ileocolitis, where ultimately intensive care treatment, total colectomy and ileum resection was necessary. The second patient experienced a toxic enteritis, which could be managed conservatively.

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Article Synopsis
  • The study focuses on comparing the long-term quality of life (QoL) outcomes between two surgical methods for esophageal cancer: open Ivor Lewis esophagectomy (Open-E) and a hybrid approach (hRob-E) that combines laparotomy and robot-assisted surgery.
  • Patients were evaluated 36 to 40 months post-surgery using specific QoL questionnaires, revealing that both groups had similar emotional and cognitive functioning, but noticeable differences in physical functioning and pain.
  • Results suggest that while global health status remains stable post-surgery, hRob-E patients may experience better physical functioning and less pain compared to those who underwent Open-E, indicating potential advantages of the hybrid approach.
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Synovial sarcoma is a rare and highly malignant soft tissue sarcoma. The inconspicuous and diversity of its early symptoms make it a highly misdiagnosed disease. The management of synovial sarcomas is challenging as they are rare and have a poor prognosis.

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Reply to: "Familial clustering of MASLD: Rethinking strategies for population screening".

J Hepatol

June 2024

Department of Medical Epidemiology and Biostatistics, Karolinska Institutet, Stockholm, Sweden; Department of Pediatrics, Örebro University Hospital, Örebro, Sweden; Department of Medicine, Columbia University College of Physicians and Surgeons, New York, New York, USA.

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Article Synopsis
  • * A study using a consensus method involved 78 bariatric surgeons globally, who agreed on 54 statements regarding when to use MBS for Class I and II obesity, determining a 70% agreement threshold.
  • * The experts concluded that MBS is cost-effective for Class II obesity and Class I obesity with inadequate weight loss from non-surgical methods, and identified specific surgical options including intra-gastric balloon, endoscopic sleeve gastroplasty, sleeve gastrectomy, Roux-en-Y gastric bypass, and one
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ChatGPT has been widely heralded as a way to level the playing field in scientific communication through its free language editing service. However, such claims lack systematic evidence. A writing scholar (LL) and six non-native English scholars researching health professions education collaborated on this Writer's Craft to fill this gap.

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Background: Prior studies suggest a link between metabolic dysfunction-associated steatotic liver disease (MASLD) and incident arrhythmias, including atrial fibrillation (AF). However, robust data are lacking from cohorts with liver histology, which remains the gold standard for staging MASLD severity.

Methods: This population-based cohort included all Swedish adults with histologically-confirmed MASLD and without prior cardiac arrhythmias (1966-2016; n = 11,206).

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Article Synopsis
  • The study investigates the link between low levels of intact parathyroid hormone (iPTH) after total thyroidectomy and the risk of hypocalcemia (low calcium levels) post-surgery.
  • Data from 607 patients who underwent thyroidectomy from 2010 to 2022 were analyzed, showing that 32.5% had decreased iPTH levels, with 20.4% developing hypocalcemia on the first day after surgery.
  • Results indicate that a significant drop in iPTH, especially levels below 10 pg/ml, correlates with a higher likelihood of postoperative hypocalcemia, suggesting iPTH measurement can help predict this complication.
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Technical skill assessment in minimally invasive surgery using artificial intelligence: a systematic review.

Surg Endosc

October 2023

Department of Visceral Surgery and Medicine, Inselspital, Bern University Hospital, University of Bern, Bern, Switzerland.

Background: Technical skill assessment in surgery relies on expert opinion. Therefore, it is time-consuming, costly, and often lacks objectivity. Analysis of intraoperative data by artificial intelligence (AI) has the potential for automated technical skill assessment.

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Purpose: In the long term, laparoscopic sleeve gastrectomy (SG) may be associated with insufficient weight loss (IWL), gastroesophageal reflux disease (GERD), and persistence or relapse of associated medical problems. This study's objective is to present mid-term results regarding weight loss (WL), evolution of associated medical problems, and reoperation rate of patients who underwent a conversion after SG.

Methods: Retrospective single-center analysis of patients with a minimal follow-up of 2 years after conversion.

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