Long-term surgical results of carcinoma of the gastric remnant: A statistical analysis of 613 patients from 98 institutions

1985 ◽  
Vol 9 (6) ◽  
pp. 966-971 ◽  
Author(s):  
Tsutomu Kidokoro ◽  
Yaso Hayashida ◽  
Motomichi Urabe
2021 ◽  
pp. 000313482198905
Author(s):  
John A. Perrone ◽  
Stephanie Yee ◽  
Manrique Guerrero ◽  
Antai Wang ◽  
Brian Hanley ◽  
...  

Introduction After extensive mediastinal dissection fails to achieve adequate intra-abdominal esophageal length, a Collis gastroplasty(CG) is recommended to decrease axial tension and reduce hiatal hernia recurrence. However, concerns exist about staple line leak, and long-term symptoms of heartburn and dysphagia due to the acid-producing neoesophagus which lacks peristaltic activity. This study aimed to assess long-term satisfaction and GERD-related quality of life after robotic fundoplication with CG (wedge fundectomy technique) and to compare outcomes to patients who underwent fundoplication without CG. Outcomes studied included patient satisfaction, resumption of proton pump inhibitors (PPI), length of surgery (LOS), hospital stay, and reintervention. Methods This was a single-center retrospective analysis of patients from January 2017 through December 2018 undergoing elective robotic hiatal hernia repair and fundoplication. 61 patients were contacted for follow-up, of which 20 responded. Of those 20 patients, 7 had a CG performed during surgery while 13 did not. There was no significant difference in size and type of hiatal hernias in the 2 groups. These patients agreed to give their feedback via a GERD health-related quality of life (GERD HRQL) questionnaire. Their medical records were reviewed for LOS, length of hospital stay (LOH), and reintervention needed. Statistical analysis was performed using SPSS v 25. Satisfaction and need for PPIs were compared between the treatment and control groups using the chi-square test of independence. Results Statistical analysis showed that satisfaction with outcome and PPI resumption was not significantly different between both groups ( P > .05). There was a significant difference in the average ranks between the 2 groups for the question on postoperative dysphagia on the follow-up GERD HRQL questionnaire, with the group with CG reporting no dysphagia. There were no significant differences in the average ranks between the 2 groups for the remaining 15 questions ( P > .05). The median LOS was longer in patients who had a CG compared to patients who did not (250 vs. 148 min) ( P = .01). The LOH stay was not significantly different ( P > .05) with a median length of stay of 2 days observed in both groups. There were no leaks in the Collis group and no reoperations, conversions, or blood transfusions needed in either group. Conclusion Collis gastroplasty is a safe option to utilize for short esophagus noted despite extensive mediastinal mobilization and does not adversely affect the LOH stay, need for reoperation, or patient long-term satisfaction.


2016 ◽  
Vol 127 (9) ◽  
pp. e315 ◽  
Author(s):  
Mario A. Alonso-Vanegas ◽  
Ricardo M. Buentello Garcia ◽  
Carlos Castillo-Montoya ◽  
Daniel San-Juan ◽  
Horacio Senties-Madrid ◽  
...  

Neurology ◽  
2020 ◽  
pp. 10.1212/WNL.0000000000011237
Author(s):  
Silvia Masnada ◽  
Anna Pichiecchio ◽  
Manuela Formica ◽  
Filippo Arrigoni ◽  
Paola Borrelli ◽  
...  

ObjectiveAiming to detect associations between neuroradiologic and EEG evaluations and long-term clinical outcome in order to detect possible prognostic factors, a detailed clinical and neuroimaging characterization of 67 cases of Aicardi syndrome (AIC), collected through a multicenter collaboration, was performed.MethodsOnly patients who satisfied Sutton diagnostic criteria were included. Clinical outcome was assessed using gross motor function, manual ability, and eating and drinking ability classification systems. Brain imaging studies and statistical analysis were reviewed.ResultsPatients presented early-onset epilepsy, which evolved into drug-resistant seizures. AIC has a variable clinical course, leading to permanent disability in most cases; nevertheless, some cases presented residual motor abilities. Chorioretinal lacunae were present in 86.56% of our patients. Statistical analysis revealed correlations between MRI, EEG at onset, and clinical outcome. On brain imaging, 100% of the patients displayed corpus callosum malformations, 98% cortical dysplasia and nodular heterotopias, and 96.36% intracranial cysts (with similar rates of 2b and 2d). As well as demonstrating that posterior fossa abnormalities (found in 63.63% of cases) should also be considered a common feature in AIC, our study highlighted the presence (in 76.36%) of basal ganglia dysmorphisms (never previously reported).ConclusionThe AIC neuroradiologic phenotype consists of a complex brain malformation whose presence should be considered central to the diagnosis. Basal ganglia dysmorphisms are frequently associated. Our work underlines the importance of MRI and EEG, both for correct diagnosis and as a factor for predicting long-term outcome.Classification of evidenceThis study provides Class II evidence that for patients with AIC, specific MRI abnormalities and EEG at onset are associated with clinical outcomes.


2014 ◽  
Vol 23 (5) ◽  
pp. 401-408
Author(s):  
Hiroshi Nishimoto ◽  
Jun Kurihara

2001 ◽  
Vol 10 (2) ◽  
pp. 92-98 ◽  
Author(s):  
Hiroshi Nishimoto ◽  
Yasuhide Makiyama ◽  
Jiro Nishimura ◽  
Shoji Watanabe
Keyword(s):  

2015 ◽  
Vol 2015 ◽  
pp. 1-12 ◽  
Author(s):  
Chao-Yin Kuo ◽  
Bor-Rong Huang ◽  
Hsin-Chien Chen ◽  
Cheng-Ping Shih ◽  
Wei-Kang Chang ◽  
...  

The aim of this study was to retrospectively review the long-term hearing results and the impact of mastoid exclusion/obliteration in patients with cholesteatoma (102 ears) who underwent retrograde tympanomastoidectomy and in whom bone chips/paté were applied as the sole materials during the procedure. In 79 ears, this was combined with ossiculoplasty in a single-stage procedure. In >71% of ears, the results of audiometric testing were monitored for more than 2 years. The results suggested there was a significant gain in hearing following surgery, with respect to the postoperative change in both air-conduction thresholds and air-bone gaps (P<0.001). Linear regression analyses of pure-tone averages at different frequencies, before and after surgery, demonstrated that patients benefitted from a postoperative hearing gain at low and middle frequencies, but their hearing often deteriorated at frequencies of 8000 Hz. As for the impact of the type of tympanoplasty on hearing outcomes, type III-interposition markedly increased hearing gain. The overall rate of postoperative adverse events was 8.8%. We conclude that reconstruction of the ear canal and mastoid via mastoid exclusion/obliteration using bone chips/paté can be considered as an alternative procedure following retrograde mastoidectomy. It gives excellent surgical results and has fewer postoperative adverse events.


2004 ◽  
Vol 93 (10) ◽  
pp. 2609-2623 ◽  
Author(s):  
Derrick S. Katayama ◽  
Carol F. Kirchhoff ◽  
Carrie M. Elliott ◽  
Robert E. Johnson ◽  
Jeffry Borgmeyer ◽  
...  

1986 ◽  
Vol 22 (2) ◽  
pp. 187-198 ◽  
Author(s):  
D. A. Preece

SUMMARYThis review paper deals with some of the general statistical principles of crop rotation experiments. The basic terminology of the subject is defined. Attention is paid to the fundamental design principle that each phase of a rotation should each year be present in an experiment involving that rotation. The inclusion of ‘auxiliary’ treatments - usually fertilizer treatments - is discussed. Consideration is given to matters influencing the choice of size and shape of plots. The statistician's role in planning a rotation experiment is portrayed as onerous. Emphasis is put on the importance of care and good practice in the management of a long-term agricultural experiment. Complications arising in the statistical analysis of data from a rotation trial are sketched.


2015 ◽  
Vol 2015 ◽  
pp. 1-12 ◽  
Author(s):  
Dana Halmova ◽  
Pavla Pekarova ◽  
Juraj Olbrimek ◽  
Pavol Miklanek ◽  
Jan Pekar

The aim of this paper is to investigate the statistical aspects of multiannual variability of precipitation at the Hurbanovo station, Slovakia, over 140 years (1872–2011). We compare the long-term variability of annual precipitation for Hurbanovo (Slovakia), Brno (Czech Republic), Vienna (Austria), and Mosonmagyarovar (Hungary) stations using autocorrelation and spectral analysis methods. From the long-term point of view, there is no consistent trend in the annual precipitation; only a multiannual variability has been detected. Consequently we identify changes in the distribution of annual maximum daily precipitation for Hurbanovo during different periods for winter-spring and summer-autumn seasons using histograms, empirical exceedance curves, and frequency curves of daily precipitation. Next, we calculate the periods of days without precipitation exceeding 29 days between 1872 and 2011. The longest period of days without precipitation was 83 days in 1947. The statistical analysis does not confirm our initial hypothesis that neither high daily precipitation (over 51.2 mm per day) nor long dry periods (more than 50 days without precipitation) would occur more frequently nowadays. We assume that the decrease in annual precipitation over the period 1942–2011 (compared to 1872–1941) is caused by the less frequent occurrence of daily precipitation between 0.4 and 25.6 mm.


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