Introduction: TEM is used for local excision of T1N0 rectal cancer and it has been proposed to treat selected T2-T3 N0 cases after neoadjuvant radiochemotherapy. Standard TEM usually removes few mesorectal lymphnodes immediately adjacent to the tumor, which may leave the histopathological N parameter undefined. This may be a criticism to the use of TEM […]
Introduction:24 hour esophageal pH is the most widely used method to quantify Gastroesophageal reflux (GER). GER may potentially be underestimated if the resting gastric pH is high. However, the value of routine assessment of gastric pH in the performance of 24hr esophageal pH monitoring is unclear. We studied normal subjects and symptomatic patients undergoing 24 […]
INTRODUCTION; Various types of function-preserving gastrectomy and limited gastrectomy have been performed in attempts to improve postoperative quality of life for gastric carcinoma. Proximal gastrectomy, which is one of the noteworthy procedures, is performed to retain gastric function and minimize loss of digestive and absorptive ability. Recently, laparoscopic gastrectomy is increasingly applied for gastric cancer […]
IntroductionLeakage of the esophagus is associated with a high mortality rate and needs to be treated as soon as possible. Therapeutic options are either surgical or conservative. We evaluated the treatment of esophageal leaks with self expandable metallic stents (SEMS).MethodsBetween 2002 and 2005, we included 24 consecutive patients for iatrogenic esophageal perforation (n=11), intrathoracic anastomotic […]
Elective Laparoscopy for Herald Symptoms of Mesenteric/Internal Hernia after Laparoscopic Roux-En-Y Gastric BypassAlok D. Gandhi DO, Robert E. Brolin, MD, FACSUniversity Medical Center at Princeton Background: Mesenteric/internal hernia (MIH) is a potentially life-threatening complication of laparoscopic Roux-En-Y gastric bypass (RYGB). Many patients with MIH have herald symptoms prior to developing acute small bowel obstruction (SBO).Methods: […]