Miller and colleagues retrospectively compared anastomotic integrity with pleural amylase levels (PAL), measured daily from postoperative day 3-10 after an Ivor Lewis esophagectomy. Three of 45 patients had an anastomotic leak, each of which coincided with a large increase in their PAL.
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Esophagus - Cancer
In Global News: 3D Printing Tracheas, Free Heart Surgery for Children, and a Test for Barrett’s Esophagus
January 19, 2018
Patient Care China and Cambodia will work together on a program to provide free heart surgery to 100 Cambodian children with congenital heart disease.
December 13, 2017
As many will recall, world chess champion Garry Kasparov was defeated by IBM's Deep Blue computer in 1997. Now machine-learning algorithms have bested trained pathologists in differentiating between benign and malignant changes in sentinel lymph nodes in breast cancer patients. We can expect to see increasing involvement of AI in pathology as well
November 27, 2017
Newspaper and prime time TV advertisements are beginning in the US today that detail the medical toll that smoking exacts on its victims. The ads are paid for by big tobacco based on a court order from 2006 that has finally survived the appeal process. A spokesperson for one of the companies stated that they hope to "develop less risky tobacco prod
Oesophageal Adenocarcinoma Has a Higher Risk of Lymph Node Metastasis Than Squamous Cell Carcinoma: A Propensity Score-Matched Study
October 30, 2017
Deng and colleagues analyzed the pattern of lymph node metastasis in a retrospective study including approximately 1200 patients with esophageal cancer. Patients with adenocarcinoma had a larger mean number of positive lymph nodes and a higher rate of lymph node metastasis than those with squamous cell carcinoma.
In Global News: Rapid Heart Transplants, Gender and Esophageal Cancer, and Broad Skills Versus Specialization
August 25, 2017
Patient Care Two critically ill patients receive heart transplants within 4 hours in a hospital in Mumbai, India, thanks to efficient and quick transport of the organs.
Minimally Invasive Esophagectomy Provides Equivalent Survival to Open Esophagectomy: An Analysis of the National Cancer Database
August 22, 2017
The authors compare outcomes of open versus minimally invasive esophagectomy (OE, MIE) from the National Cancer Databased (NCDB) 2010-2012 and use propensity scoring to match patients (977 pairs). Short term outcomes were equivalent for LOS and mortality, and median survival was similar. Nodal removal was higher for MIE (16.3 vs 14.5).
August 18, 2017
Patient Care Several private hospitals in Kolkata, India, have applied for licenses to perform heart and lung transplants in a region underserved for transplant of these organs.
August 16, 2017
In this video, the authors demonstrate a novel “side-to-side, staple line on staple line” technique for intrathoracic esophagogastric anastomoses.
January 9, 2017
In this video, the authors show the the McKeown esophagectomy technique utilized for patients with mid and distal esophageal cancers.