Journal Detail Information

1

Cite

Share

Understanding of International Sleeve Gastroectomy Expert Panel Consensus Statement and our experience.

Chinese Journal of Gastrointestinal Surgery.2012;15(11):1099-1101.

An international symposium on the standard surgical treatment of morbid obesity and type 2 diabetes mellitus was held in Florida, USA in March 2011. An expert panel from all over the world attended the meeting. The expert panelists discussed and established International Sleeve Gastroectomy Expert Panel Consensus Statement : best practice guidelines based on experience of more than 12,000 cases, which made a very commendable attempt in standardized surgical pathway of sleeve gastroectomy. Based on clinical experience over 10 years and the understanding of the consensus , this paper discusses the learning curve, preoperative preparation, indications/contraindications, surgical technique, management and prevention of complications, and post operative management.
Consensus Development Conferences as Topic ; Gastrectomy ; methods ; Humans ; Obesity, Morbid ; surgery ; Practice Guidelines as Topic

2

Cite

Share

Neo-adjuvant therapy for locally advanced low rectal cancer.

Xiao DU ; Zhong CHENG ; Zong-guang ZHOU

Chinese Journal of Gastrointestinal Surgery.2012;15(10):1095-1098.

Rectal cancer is one of the most malignant tumors in gastrointestinal tract, while low rectal cancer with locally advanced stage is the most common type in China. The concept of neo-adjuvant therapy has challenged the traditional treatment strategy for rectal cancer, and has showed encouraging effects in local relapse control, radical resection and sphincter preservation. However, some important issues still remain controversial, including course and dose of radiotherapy, choice of chemotherapy regimen, long-term benefits. This article aims to review and discuss related issues of neo-adjuvant therapy.
China ; Humans ; Neoadjuvant Therapy ; Neoplasm Recurrence, Local ; Rectal Neoplasms ; therapy

3

Cite

Share

Adjuvant chemotherapy for stage II colon cancer.

Yang ZENG ; Ping LAN

Chinese Journal of Gastrointestinal Surgery.2012;15(10):1092-1094.

Colorectal cancer is one of the most common diseases in China. Whether stage 11 patients should receive adjuvant chemotherapy was controversial. Here we summarize the latest advancement about clinical risk factors and biomarkers for the adjuvant chemotherapy of stage 11 colon cancer.
Chemotherapy, Adjuvant ; China ; Colonic Neoplasms ; drug therapy ; pathology ; Humans ; Neoplasm Staging ; Risk Factors

4

Cite

Share

Laparoscopic colorectomy versus open colorectomy for elderly patients over 80 years old: a meta-analysis of safety and efficacy.

Sheng-ping SONG ; Lei LIAN ; Xiao-sheng HE ; Xiao-jian WU

Chinese Journal of Gastrointestinal Surgery.2012;15(10):1027-1031.

OBJECTIVETo compare the clinical safety and efficacy of laparoscopic versus open colorectal resection in octogenarians. Methods Studies comparing laparoscopic colorectal resection with open colorectal resection in octogenarians were identified from the Medline, Embase, Ovid, and Cochrane databases from 1990 to 2012. The methodological quality of the selected studies was assessed to determine studies suitable for inclusion. Meta-analysis was performed by fixed or random effects model.

RESULTSFive observational studies with a total of 685 patients (330 laparoscopic colorectal resections and 355 open colorectal resections) were identified. Laparoscopic colorectal resection was associated with a prolonged operative time (WMD=27.89, P<0.01) and a lower rate of overall complications (OR=0.58, P<0.01), wound infection (OR=0.50, P<0.05), cardiovascular complication(OR=0.53, P<0.05), quicker bowel function return (WMD=-0.83, P<0.01), and shorter length of hospital stay (WMD=-3.60, P<0.05). No differences were found with regard to anastomotic leak (OR=1.13, P>0.05), prolonged ileus (OR=0.71, P>0.05), respiratory complication (OR=0.59, P>0.05),mortality (OR=0.67, P>0.05), and reoperation (OR=0.85, P>0.05).

CONCLUSIONLaparoscopic colorectal resection is as safe as open colorectal resection, and is more favorable in terms of length of hospital stay and bowel function return in octogenarians.

Aged, 80 and over ; Anastomotic Leak ; Colectomy ; methods ; Humans ; Laparoscopy ; Length of Stay ; Operative Time ; Treatment Outcome

5

Cite

Share

Value of serum P53 antibody as a tumor marker surveillance of colorectal cancer within follow-up after curative resection.

Cheng-chao SHOU ; Hao HUANG

Chinese Journal of Gastrointestinal Surgery.2012;15(10):1020-1022.

P53 gene mutations and the abnormal P53 protein can introduce the production to P53 antibody. A large number of studies showed that serum levels of P53 antibody had the correlation with the prognosis of patients with different cancers, the lymph node invasion and metastasis of colorectal cancer, and its recurrence after the curative resection. And it is possible for its application in predicting the early recurrence and metastasis in colorectal cancer after the curative resection.However, there are still a lot of work needed to be done before its use in the clinical settings.
Antibodies ; blood ; Biomarkers, Tumor ; blood ; Colorectal Neoplasms ; blood ; Follow-Up Studies ; Humans ; Lymph Nodes ; Prognosis ; Tumor Suppressor Protein p53 ; immunology

6

Cite

Share

Therapeutic strategy and prognostic factors in colorectal cancer patients with pulmonary metastasis.

Xi-shan WANG ; Yun-he HAO

Chinese Journal of Gastrointestinal Surgery.2012;15(10):1017-1019.

Patients with pulmonary metastasis from colorectal cancer have been considered to be associated with poor prognosis. It is a problem to improve survival for patients who suffer pulmonary metastasis from colorectal cancer by analyzing the prognosis of patients who underwent pulmonary surgery or not and then choose the right treatment regimen. The identification of prognostic factors is particularly important in colorectal cancer patients with pulmonary metastasis.
Colorectal Neoplasms ; diagnosis ; therapy ; Humans ; Lung Neoplasms ; diagnosis ; therapy ; Prognosis

7

Cite

Share

Standardized use of sphincter preservation resection for rectal cancer.

Bao-ming YU

Chinese Journal of Gastrointestinal Surgery.2012;15(10):1008-1009.

Sphincter preservation resection has been the first choice for rectal cancer, not only for high and mid-rectal cancer, but also for low rectal cancer. Were sphincter preservation resection indicated and suitable for all of the patients with rectal cancer? The aim of this paper is to discuss when sphincter preservation resection should be chosen? Firstly we should have a thorough preoperative assessment for the patients. After that we should determine the indications of sphincter preservation resection according to the NCCN guideline. Meanwhile, surgical approach should be balanced between long term survival and functional outcomes.As a result, what is most important in sphincter preservation resection is reaching satisfaction both in curative resection and functional outcomes. These are also the reasons for rational utilization of sphincter preservation resection for rectal cancer.
Digestive System Surgical Procedures ; standards ; Humans ; Rectal Neoplasms ; surgery

8

Cite

Share

Second thoughts on standardized surgery of colon cancer.

Hong-wei YAO ; Yin-hua LIU

Chinese Journal of Gastrointestinal Surgery.2012;15(10):1000-1004.

Standardization of colon cancer surgery has been one of the hottest issues for to clinicians. The establishment of complete mesocolic excision (CME) concept standardizes and defines the anatomic access of surgical procedures of colon cancer, and also provides the possibility to obtain high quality standards of pathological specimen assessment. In 2010 the Ministry of Health announced Standard of Diagnosis and Treatment of Colorectal Cancer on the legal basis. However, hot discussion was present again,due to the lack of definition of standardized operation. Through reviewing Japanese Standard of Diagnosis and Treatment of Colon Cancer (7th Edition), and the literature on CME published in English and Chinese since April 2009, the authors raise the discussion and reflection on theoretical basis that the safe bowel resection margin must be reached in colon cancer RO surgery and rationality of regional lymph node dissection.
Colectomy ; standards ; Colonic Neoplasms ; surgery ; Colorectal Neoplasms ; Digestive System Surgical Procedures ; Humans ; Lymph Node Excision

9

Cite

Share

Essentials and interpretations of practice parameters for the management of colon cancer (2012) released by American Society of Colon and Rectal Surgeons.

Jin GU ; Lin WANG

Chinese Journal of Gastrointestinal Surgery.2012;15(10):997-999.

Clinical practice guideline for the management of colon cancer by the ASCRS (American Society evidence. This guideline is inclusive, but not prescriptive.Their purpose is to provide information on which to base decisions. This guideline is intended for the use of all practitioners, health care workers, and patients who desire information about the management of the conditions addressed by the topics covered in this guideline.
Colonic Neoplasms ; surgery ; therapy ; Humans ; Practice Guidelines as Topic ; Surgeons ; United States

10

Cite

Share

Endoscopic mucosal resection in the treatment of 2609 cases with colorectal polyps.

De-chang DENG ; Xiao-ming FANG ; Hai-hong JU ; Wen-xiao SHEN ; Hai-fei YE

Chinese Journal of Gastrointestinal Surgery.2012;15(12):1301-1303.

OBJECTIVETo explore the safety and effectiveness of endoscopic mucosal resection (EMR) in the treatment of colorectal polyps.

METHODEMR was applied in the treatment of colorectal polyps.

RESULTSA total of 3578 polyps in 2609 patients were all completely resected except 2 cases and the integrated rate of samples was 99.6%. Intra- and post-operation complications occurred in 22 cases(0.8%), including 7 intraoperative bleeding, 5 postoperative bleeding, and 10 thermal burn, which were cured by symptomatic treatment. A total of 1530 (58.6%) cases were followed-up with 3-12 months and no relapse was found in former place of excision.

CONCLUSIONEMR can be applied in resection of colorectal polyps effectively and safely.

Aged ; Endoscopy, Gastrointestinal ; Humans ; Intestinal Mucosa ; surgery ; Intestinal Polyps ; surgery ; Postoperative Hemorrhage ; Recurrence

DISPLAY OPTIONS

Cite

Share

Cite

Share

Cite

Share

Cite

Share

Cite

Share

Cite

Share

Cite

Share

Cite

Share

Cite

Share

Cite

Share