Journal of Hepato-biliary-pancreatic Sciences
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INTRODUCTION The duration of perioperative antibiotic prophylaxis following live liver donor hepatectomy (LDH) is not known. METHODS This is a double-blind equivalence trial. All consecutive LDH were randomized into: group A (three doses) and group B (nine doses) of perioperative antibiotics (piperacillin + tazobactam - 4.5 g intravenous) at fixed 8 hourly intervals. Primary end point was incidence of infective complications as per CDC (Centers for Disease Control and Prevention) criteria. Secon...
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#1Andrew Canakis (UMB: University of Maryland, Baltimore)
#2Kelly Hathorn (UNC: University of North Carolina at Chapel Hill)H-Index: 11
Last. Todd H. Baron (UNC: University of North Carolina at Chapel Hill)H-Index: 114
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Background null Concomitant malignant biliary and gastric outlet obstruction can be difficult to manage endoscopically with traditional ERCP and luminal stenting. Endoscopic ultrasound (EUS)-guided hepaticogastrostomy (HG) and gastrojejunostomy (GJ) are novel techniques that can relieve both obstructions in a single session. This study aims to describe the outcomes of combined, single session EUS-HG and EUS-GJ. null Methods null This is a two-center retrospective study of consecutive patients wh...
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#1Neda Amini (JHUSOM: Johns Hopkins University School of Medicine)H-Index: 27
#2Nikolaos Andreatos (JHUSOM: Johns Hopkins University School of Medicine)H-Index: 1
Last. Jinger Sun (Cleveland Clinic)
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BACKGROUND The prognostic implication of mutant KRAS (mKRAS) among patients with primary disease in the rectum remains unknown. METHODS From 2000 to 2018, patients undergoing hepatectomy for colorectal liver metastases at 10 collaborating international institutions with documented KRAS status were surveyed. RESULTS A total of 834 (65.8%) patients with primary colon cancer and 434 (34.2%) patients with primary rectal cancer were included. In patients with primary colon cancer, mKRAS served as a r...
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A 71-year-old man with benign distal biliary stricture due to chronic pancreatitis presented to our institution with fever. Six months before this visit, we had placed a fully covered self-expandable metal stent (SEMS) (Bonastent m-intraductal 10 × 70 mm, Sewoon Medical Inc, Seoul, Korea) (Figure 1a) across the papilla. Abdominal radiograph and computed tomography revealed that the SEMS was elevated proximally. So, the patient was diagnosed with cholangitis due to stent migration. Visualization ...
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#1Hisashi Kosaka (Kansai Medical University)H-Index: 8
#2Sohei Satoi (Anschutz Medical Campus)
Last. Mitsugu Sekimoto (Kansai Medical University)H-Index: 3
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BACKGROUND Pancreatoduodenectomy (PD) is a technically complex procedure. Preoperative anticipation of the degree of difficulty could contribute to patient safety during trainee surgical education. METHODS We prospectively administered a questionnaire to the chief surgeon after each PD performed between 2016 and 2018 at our institution (99 consecutive patients). The surgeon rated the difficulty of the procedure; we then analyzed this information against perioperative data. RESULTS The difficulty...
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Background null Invasive gallbladder carcinoma generally presents nodular-sclerosing growth. Recently, "polypoid invasive carcinoma (PICA)" showing grossly visible polypoid neoplasm and histologically invasive carcinoma with no adenomatous components was proposed as a neoplastic polyp of the gallbladder. null Methods null We herein report 5 cases of PICA collected from 49 cases of invasive gallbladder carcinoma in comparison with another polypoid preinvasive neoplasm of gallbladder, intracholecy...
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#1Mirang Lee (New Generation University College)
#2Jae Seung Kang (New Generation University College)H-Index: 23
Last. Jin-Young Jang (New Generation University College)H-Index: 54
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BACKGROUND: Locally advanced (unresectable) pancreatic cancer (LAPC) is surgically unresectable and often treated with chemotherapy. Most of previous studies, that have evaluated conversion surgery after chemotherapy, included heterogeneous patients and chemotherapy regimens, making it challenging to determine the impact of FOLFIRINOX. The present study evaluated the survival benefit of conversion surgery in patients with LAPC who received FOLFIRINOX chemotherapy, and analyzed the prognostic fac...
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#1Sunhawit Junrungsee (CMU: Chiang Mai University)H-Index: 4
#2Worakitti Lapisatepun (CMU: Chiang Mai University)H-Index: 3
Last. Anon Chotirosniramit (CMU: Chiang Mai University)H-Index: 5
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#1Atsushi Oba (University of Colorado Denver)H-Index: 1
#2Marco Del Chiaro (University of Colorado Denver)H-Index: 31
Last. Kyohei Ariake (Tohoku University)H-Index: 8
view all 21 authors...
The symposium "New criteria of resectability for pancreatic cancer" was held during the 33nd meeting of the Japanese Society of Hepato-Biliary-Pancreatic Surgery (JSHBPS) in 2021 to discuss the potential modifications that could be made in the current resectability classification. The meeting focused on setting the foundation for developing a new prognosis-based resectability classification that is based on the tumor biology and the response to neoadjuvant treatment (NAT). The symposium included...
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#1Hiroyuki Inoue (Mie University)H-Index: 14
#2Akiko Eguchi (Mie University)H-Index: 23
Last. Yoshiyuki Takei (Mie University)H-Index: 56
view all 10 authors...
BACKGROUND The survival rate of pancreatic ductal adenocarcinoma (PDAC) is very poor because early detection is difficult. Extracellular vesicles (EVs) are released from cells associating with the cellular condition and circulated in the blood. We aimed to identify EV proteins from endoscopic ultrasound-fine needle aspiration (EUS-FNA) biopsy samples in order to develop novel biomarkers for PDAC. METHODS Extracellular vesicles were isolated from EUS-FNA samples of 40 PDAC patients and six autoim...
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