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Upper Gastrointestinal Surgeons (upper + gastrointestinal_surgeon)
Selected AbstractsThe effect of preoperative weight loss and body mass index on postoperative outcome in patients with esophagogastric carcinomaDISEASES OF THE ESOPHAGUS, Issue 7 2009J. Skipworth SUMMARY Studies have shown that weight loss is associated with adverse outcomes in all treatment modalities for esophagogastric carcinoma. Because of the increased prevalence of obesity and the effectiveness of perioperative nutrition, a number of patients are now obese or have normal body mass index (BMI) at the time of treatment. We investigated the relationship between weight loss, BMI, and outcome of surgery for patients with esophagogastric carcinoma. Data were collected over a 38-month period for all patients diagnosed with operable esophagogastric cancer at two UK centers. All patients underwent resection by a single Consultant Upper Gastrointestinal Surgeon and the use of perioperative jejunal feeding was universal. Ninety-three patients (57 male) underwent esophagogastric resection; 48 had no preoperative weight loss (34 with a BMI > 25 and 14 with a BMI < 25). Forty-five patients had preoperative weight loss (20 with BMI > 25 and 25 with BMI < 25). There was no significant difference in complication rates, median hospital stay, or mortality between the four groups. A significantly higher number of patients displaying preoperative weight loss were found to have stage III disease, but difference in survival of up to 3 years did not reach statistical significance on multivariate analysis. Preoperative weight loss and low BMI did not significantly influence the complication rate, perioperative mortality rate, length of hospital stay, or short-term prognosis. We conclude that preoperative weight loss can not be reliably used as an independent predictor of poor outcome in patients undergoing surgery for esophagogastric carcinoma. However, patients with preoperative weight loss and low BMI are more likely to have advanced disease. [source] The Association of Upper Gastrointestinal Surgeons of Great Britain and IrelandBRITISH JOURNAL OF SURGERY (NOW INCLUDES EUROPEAN JOURNAL OF SURGERY), Issue S5 2010Article first published online: 27 SEP 2010 The Annual Scientific Meeting of the Association of Upper Gastrointestinal Surgeons for Great Britain and Ireland takes place this year in Oxford on the 9th and 10th of September. Copyright © 2010 British Journal of Surgery Society Ltd. Published by John Wiley & Sons, Ltd. [source] The Association of Upper Gastrointestinal Surgeons of Great Britain and IrelandBRITISH JOURNAL OF SURGERY (NOW INCLUDES EUROPEAN JOURNAL OF SURGERY), Issue S6 2009Article first published online: 15 OCT 200 The Annual Scientific Meeting of the Association of Upper Gastrointestinal Surgeons for Great Britain and Ireland takes place this year in Nottingham on the 3rd and 4th of September. To view the abstracts from this meeting, please click the pdf link on this page. Copyright © 2009 British Journal of Surgery Society Ltd. Published by John Wiley & Sons, Ltd. [source] The Association of Upper Gastrointestinal Surgeons for Great Britain and IrelandBRITISH JOURNAL OF SURGERY (NOW INCLUDES EUROPEAN JOURNAL OF SURGERY), Issue S7 2008Article first published online: 27 AUG 200 The Annual Scientific Meeting of the Association of Upper Gastrointestinal Surgeons for Great Britain and Ireland was held in Liverpool in 25th and 26th September 2008, under the presidency of Mr Myrddin Rees. To view all abstracts and posters from this meeting, please click the pdf link on this page. Copyright © 2008 British Journal of Surgery Society Ltd. Published by John Wiley & Sons, Ltd. [source] The Association of Upper Gastrointestinal Surgeons for Great Britain and IrelandBRITISH JOURNAL OF SURGERY (NOW INCLUDES EUROPEAN JOURNAL OF SURGERY), Issue S5 2007Article first published online: 30 AUG 200 The 2007 Annual Scientific Meeting of the Association of Upper Gastrointestinal Surgeons for Great Britain and Ireland (AUGIS) was held in Cardiff on the 27th and 28th September 2007, under the presidency of Mr Myrddin Rees. To view all abstracts from this meeting, please click the pdf link on this page. Copyright © 2007 British Journal of Surgery Society Ltd. Published by John Wiley & Sons, Ltd. [source] Current practice of emergency vagotomy and Helicobacter pylori eradication for complicated peptic ulcer in the United KingdomBRITISH JOURNAL OF SURGERY (NOW INCLUDES EUROPEAN JOURNAL OF SURGERY), Issue 1 2003A. D. Gilliam Background The aim was to assess the current opinion of surgeons, by subspecialty, towards vagotomy and the practice of Helicobacter pylori testing, treatment and follow-up, in patients with bleeding or perforated duodenal ulcer. Methods A postal questionnaire was sent to 1073 Fellows of the Association of Surgeons of Great Britain and Ireland in 2001. Results Some 697 valid questionnaires were analysed (65·0 per cent). Most surgeons did not perform vagotomy for perforated or bleeding duodenal ulcer. There was no statistical difference between the responses of upper gastrointestinal surgeons and those of other specialists for perforated (P = 0·35) and bleeding (P = 0·45) ulcers. Respondents were more likely to perform a vagotomy for bleeding than for a perforated ulcer (P < 0·001). Although more than 80 per cent of surgeons prescribed H. pylori eradication treatment after operation, fewer than 60 per cent routinely tested patients for H. pylori eradication. Upper gastrointestinal surgeons were more likely to prescribe H. pylori treatment and test for eradication than other specialists (P < 0·01). Conclusion Most surgeons in the UK no longer perform vagotomy for duodenal ulcer complications. Copyright © 2002 British Journal of Surgery Society Ltd. Published by John Wiley & Sons Ltd [source] |