This study introduced the rare syndrome and diseases related with digestive tract and abdominal organic operations including the Ehlers-Danlos syndrome (SED) which belonging a genetopathy for dominant gene in chromosome, usually caused synthetic disorder of collagen. The patients with SED usually had coagulation disorder due to collagen type 3 deficiency that platelets can adhere with endometrium of vascular wall. The life expectancy of patients was not exceeded to 40 ages. Castheman disease was lymphatic angiofollicular hyperplasia that located in many areas of the body in which localized tumor (80%) in mediastina (70%), in abdomen (12%)) and tumor occurred in many areas (20%). The type of localized tumor had a good prognosis (best way was removal operation) The average survival of patients with unlocalized tumors were 30 months.
Gastrointestinal Tract ; Surgery

As the evidence-based medicine of gastrointestinal laparoscopy (GIL) for gastrointestinal cancer accumulated, the procedures have become a "should be done" treatment, not a "can be done" ones, for early or median gastric or colorectal cancer. So, we propose that GIL for cancer should be indicationization, rather than doctorization. The former is that the procedures should be performed according to indication of the gastrointestinal tumors, and the latter is that the different procedures applied depend on the doctor's experience. For indicationization of GIL, special training program is suggested and format or standardization of GIL for cancer should be abstracted.
Gastrointestinal Tract ; surgery ; Humans ; Laparoscopy ; methods

Female ; Gastrointestinal Tract ; surgery ; Humans ; Intestines ; surgery ; Male

Gut microbiota have been validated to play a pivotal role in metabolic regulation. As the most effective treatment for obesity and related comorbidities, bariatric surgery has been shown to result in significant alterations to the gut microbiota. Literature have recently suggested temporal and spatial features of alterations to the intestinal bacteria following bariatric surgery, which is possibly attributed to the gut adaptation to the surgical modification on the gastrointestinal tract. More importantly, the gut microbiota have been appreciated as a critical contributor to the metabolic improvements following bariatric surgery. Although not fully elucidated, the underlying mechanisms are associated with the molecular pathways mediating the crosstalk between gut microbiota and host . On the other hand, change of the gut microbiota has been found to be related to the prognosis of patients receiving bariatric surgery. Some studies even point out negative effects of the gut microbiota on certain surgical complications . In this review, we summarize the characteristics of alterations to the gut microbiota following bariatric surgery as well as its relevant impacts to better understand the role of gut microbiota in bariatric surgery.
Bariatric Surgery ; Gastrointestinal Microbiome/physiology* ; Gastrointestinal Tract ; Humans ; Obesity/surgery* ; Treatment Outcome

A new anastomat for digestive tract operations, based on the magnetic compressive technique and mechanical transmission mechanism, is composed of a removable head and a reusable body. The head includes two parts: the proximal end can be fixed to the body, and the distal end could be used for performing a purse string suture. The procedure of anastomosis is similar to that of the stapler, and the anastomoses is established using a pair of magnetic rings. The instrument makes magnamosis more simple and feasible, and it would facilitate the clinical application. The body of the anastomat is reusable and the head could be replaced according to the clinical scenarios, these could reduce the medical cost. The magnetic rings would be excreted with the feces, and there is no foreign body response at last.
Anastomosis, Surgical ; instrumentation ; methods ; Gastrointestinal Tract ; surgery ; Humans ; Magnetics

Function-preserving gastrectomy (FPG) can be regarded as a concrete embodiment of precise treatment for early gastric cancer. Digestive tract reconstruction plays an important role in FPG. The aims of reconstruction mainly include the preservation of normal digestive tract and digestive function, the reconstruction of pivotal anatomical structure, and the consequent improvement of postoperative quality of life. We establish a new classification of digestive tract reconstruction based on the different role of digestive tract reconstructions in FPG for early gastric cancer, meanwhile we briefly summarize current progress and elucidate surgical indications. We hope that it can provide theoretical reference for surgeons to choose the appropriate procedure of digestive tract reconstruction after FPG.
Anastomosis, Surgical ; Gastrectomy ; Gastrointestinal Tract ; Humans ; Quality of Life ; Stomach/surgery* ; Stomach Neoplasms/surgery*

No abstract available.
Esophageal Neoplasms/*surgery ; Female ; Gastrostomy/*methods ; Humans ; Intestinal Obstruction/*surgery ; Laryngeal Neoplasms/*surgery ; Male ; Upper Gastrointestinal Tract/*surgery

Obesity is a complex metabolic disease. Currently, obesity treatment includes lifestyle modification, obesity drug treatment, and bariatric surgery. Lifestyle modification is an essential part of obesity treatment, but it is limited by itself. And anti-obesity treatment drugs also showed limited weight loss effect, about 3-9% per year, and can cause serious side effects such as cardiovascular side events. Surgical treatment requires high cost, permanent resection of the gastrointestinal tract and can cause complication related to surgery. Recently, several promising endoscopic bariatric therapies are emerging. Endoluminal bariatric treatment using flexible gastrointestinal endoscopy could offer a minimally invasive treatment aimed at achieving an effect comparable to obesity surgery, while offering advantages of low cost and safety. In this paper, we described a new technological method, recent clinical data, and the latest findings on obstacles to be overcome for endoscopic gastroplasty using endoscopic suture instruments. Endoscopic gastroplasty presented reduced gastric volume, effective weight loss and maintenance effect without severe adverse events. It could suggest an attractive treatment option for obesity.
Bariatric Surgery ; Bariatrics ; Endoscopy ; Endoscopy, Gastrointestinal ; Gastrointestinal Tract ; Gastroplasty* ; Life Style ; Metabolic Diseases ; Methods ; Obesity* ; Sutures ; Weight Loss

Laparoscopic surgery for gastrointestinal diseases had a remarkable progress in the past 20 years. Laparoscopic surgery for colon cancer is adopted worldwide by increasingly surgeons based on the evidence from randomized controlled studies. Minimally invasive surgery is also adopted as alternative procedure for early gastric cancer. The standardization and spreading of the minimally invasive technique for gastrointestinal surgery is also being implemented efficiently in China. However, how to innovate the new technique and improve the new instrumentation for minimally invasive surgery is still a problem which we have to confront in the current situation. But we believe that with the great efforts of gastrointestinal surgeons, the widespread adoption of minimally invasive gastrointestinal surgery would surely take place in the near future.
China ; Female ; Gastrointestinal Tract ; surgery ; Humans ; Laparoscopy ; methods ; Male ; Minimally Invasive Surgical Procedures ; methods

Esophageal Atresia ; complications ; surgery ; Female ; Gastrointestinal Tract ; abnormalities ; Humans ; Infant, Newborn ; Male