V Velanovich

..One of the difficulties with this approach is manipulating the pancreas with laparoscopic instruments to avoid unnecessary injury to the pancreas, and yet obtain adequate margins. The described technique accomplishes these goals...

..This case demonstrates the utility of immunohistochemistry for accurately diagnosing patients with inconclusive findings in the setting of peritoneal carcinomatosis and primary peritoneal cystadenocarcinoma...

..A new device, the Esophyx (Endogastric Solutions, Redmond, WA), provides the closest approximation experimentally to a standard Belsy fundoplication. This report describes an initial experience with this device...

..This report provides a descriptive analysis of the cholecystectomy database...

..It contains perioperative and postoperative data on nearly 20,000 operations. This report provides a descriptive analysis of the groin hernia database...

..Awareness of these other causes can lead to more appropriate treatments...

..03). Laparoscopic distal pancreatectomy/splenectomy does lead to shorter hospital stay and faster return to normal activity. Pancreatic leak rate and overall complication rate appear similar...

..14 for the no wrap group (P = 0.03). The addition of the split-stomach fundoplication to esophagogastrectomy may decrease the incidence of anastomotic leak and postoperative refluxlike symptoms...

..Qualitative analysis is a useful tool in assessing patient expectations. Expectations were remarkably similar. Patients who did not mention postoperative adverse events as possibilities preoperatively were more likely to be dissatisfied...

..The instrument has been translated into several languages, and appears valid, reliable and practical in each...

..Data from the 36-Item Short-Form Health Survey (SF-36) do not follow a normal distribution and should not be analyzed using parametric techniques. A novel type of analysis, top-box analysis, may add to the interpretation of these data...

..An example of a cause of fatigue, lassitude, and lack of vitality is anemia. This study explores whether a generic quality-of-life instrument's measure of vitality is correlated with anemia...

..The purpose of this study is to report symptomatic and quality-of-life response to gastric neurostimulation...

..The importance of this issue rests on whether these postoperative complications are detrimental enough to not recommend preoperative chemoradiation in the treatment of pancreatic cancer...

..This study reports the experience of a single surgeon using an endoscopic endoluminal device that delivers radiofrequency energy (the BARRx device) to ablate Barrett's esophagus...

..To determine if pretreatment quality of life is associated with performance status in patients with pancreatic and periampullary tumors...

..Preoperative quality-of-life measurement can predict which patients will be satisfied with surgical fundoplication in the treatment of gastroesophageal reflux disease (GERD)...

..After transplant, these patients may need surgery for common diseases and for problems caused by immunosuppression. The purpose of this study was to determine surgical outcomes heart and lung transplant patients after transplantation...

..In order to further define this risk, we studied the relationship of GERD in patients with or without gastroesophageal junction adenocarcinomas...

..Paraesophageal hernias (PEHs) have protean clinical manifestations, and a variety of surgical approaches may be appropriate. We report both surgical and quality-of-life (QoL) outcomes for PEH repairs...

..Manometrically discovered NMDs do not appear to affect preoperative symptoms or symptomatic outcomes of patients surgically treated for GERD. These findings my reflect the severity of GERD and may improve with antireflux surgery...

..The purpose of this study was to determine if SL increases the incidence of trocar-site and peritoneal recurrence of pancreatic cancer...

..Further studies to determine whether this better utilization of postoperative treatment results in better outcomes in these patients are needed...

..Maintaining the pylorus may protect patients from dumping syndrome, and bile reflux esophagitis with its potential noxious effects on the remaining esophageal mucosa...

..In addition, most postoperative ARS patients placed on medications do not respond, and therefore require an objective evaluation for their symptoms...

..Despite improved technique, bleeding from the cut surface of the spleen still remains an obstacle...

..This report is presents an early experience of the effects of endoluminal ablation on the reflux symptoms and completeness of ablation in post-fundoplication patients...

..Antireflux surgery in patients who suffer from major depression or anxiety disorder should be approached with great trepidation...

..The purpose of this analysis was to determine the optimal management of such patients...

..Fibrin sealants are products that promote the adhesion of tissue surfaces to each other. This report demonstrates the use of fibrin sealants to decrease the incidence of pancreatic fistula...

..CONCLUSION: In properly selected patients laparoscopic splenectomy is preferable to open splenectomy...

..Therefore, we recommend systematic follow-up after surgical resection of a malignant GIST to include physical examination and CT scan at 6-month intervals for up to 2 years after surgery with repeat CT scan at 3 years...

..CONCLUSIONS: Laparoscopic Heller myotomy has comparable success to open Heller myotomy, and causes less early detriment to quality of life. This should be the primary treatment in all fit surgical patients with achalasia...

..Nevertheless, approximately one quarter of patients will have no improvement, which is much more than those undergoing laparoscopic fundoplication...

..Laparoscopic Nissen fundoplication is feasible after failed endoscopic gastroplication. Symptomatic improvement is similar to that with the de novo operation. However, in some patients, dysphagia may persist longer...

..This technology is time- and cost-efficient, as well as reliable...

..In conclusion, PED/CPS patients are generally dissatisfied with antireflux surgery. Although some patients do benefit from surgery, careful patient selection is required...

..The NSQIP was instituted at a large tertiary hospital in 2005, identifying through experience 12 critical steps to help surgeons and hospitals implement the NSQIP...

..2, which is considered an adequate sample size. Although LARS does produce better QoL scores in the early postoperative period, after 1 year, these scores converge...

..Further research is needed to determine whether African Americans truly have a lower incidence of GERD or if bias exists in referral patterns or cultural attitudes...

..CONCLUSIONS: These data imply that patient-perceived health status and quality of life are linked and that quality-of-life scores after pancreaticoduodenectomy are better in patients more than 1 year postoperative...

..The purpose of this study was to assess whether a pyloroplasty with a fundoplication will improve bloating symptoms in these patients...

..Researchers and journal reviewers need to be better versed on the techniques of quality of life research...

..We will analyze the device in detail, its placement and the results of studies evaluating its efficacy...

..The aim of this study was to identify predictive factors for malignancy in patients undergoing surgery for suspected pancreatic cancer without a preoperative tissue diagnosis...

..The purpose of this study was to determine threshold values to choose resection over observation for a patient with an asymptomatic pancreatic cyst...

..Importantly, as the number of comorbidities increased, the scores of the SF-36 decreased, implying that the effect of the surgical disease would be greater in patients with fewer comorbidities...

..A regional collaborative approach is an efficient platform for surgical quality improvement...

..We studied whether associations exist between hospital volume and hospital clinical resources and between both of these factors to mortality to help explain this relationship...

..Because all 3 techniques are reliable, cosmesis has been suggested to be a critical issue driving procedure choice. However, no study has surveyed breast biopsy patients themselves as to the importance of this issue...

..To determine the utility of adding oral nonabsorbable antibiotics to the bowel prep prior to elective colon surgery...

..CONCLUSION: Population-based studies of breast cancer treatment do not adequately assess the complex decision making associated with breast cancer in the elderly. Patients do not receive standard care for specific reasons...

..Depression, although common among patients with pancreatic cancer, does not affect survival...

..The hypothesis of this study is that these notes are inadequate to assess patient-centered outcomes and determine surgeons' core competencies...

..Splenectomy is both diagnostic and therapeutic and should be considered for all patients with idiopathic splenomegaly...