INTRODUCTION: Endoscopic stenting with a self-expandable metallic stent (SEMS) as a bridge to surgery (BTS) is a widely accepted procedure for malignant colonic obstruction; however, it has not been approved under Japanese insurance system. We started to conduct this prospective feasibility study immediately after this procedure was approved for coverage by the national health insurance in January 2012.
METHODS AND PROCEDURES: Our objectives were to estimate the safety and feasibility of SEMS p
Introduction: Traditionally, postoperative complications are used in the literature as a surgical outcome. However, to date, very few studies have quantified the impact of complications on recovery after abdominal surgery. The objective of this study was to investigate the impact of complications on the recovery rate of elderly patient’s functional status, after elective abdominal surgery.
Methods: The study consisted of a prospective clinical trial. Elderly patients (70 years and older) unde
Introduction: Per-oral endoscopic myotomy (POEM) is an emerging treatment for esophageal achalasia. Some surgeons have expressed concern about the potential for post-operative gastroesophageal reflux in the absence of an associated anti-reflux procedure. It is unknown whether subjective reports of reflux symptoms and PPI use correlate with objective reflux measurements. The purpose of this study was to compare the objective measurement and subjective reports of reflux after POEM.
Methods and Pr
Background: Historically, surgical intervention for gastroesophageal reflux disease (GERD) has been limited to fundoplication. Recently, magnetic sphincter augmentation (MSA) of the reflux barrier has garnered interest as an alternative surgical intervention in the treatment of GERD. Single and multicenter case series have shown safety and efficacy of MSA but comparative data to fundoplication is lacking and is required to determine the role of MSA in GERD management. We aimed to compare periope
BACKGROUND: The monopolar instrument emits stray energy from the active electrode’s cord (via a phenomenon termed “antenna coupling”) which is implicated in unintended thermal injury in laparoscopy. Stray energy emitted from the dispersive electrode cord has not been studied. The PURPOSE of this study was to determine if, and to what extent, the dispersive electrode’s cord contributes to unintended radiofrequency energy transfer and to describe practical steps that can minimize the magnitude of