Review
Oncology
John S. Young, Antonio Coppolino
Summary: There is a complex interplay between gastroesophageal reflux and lung disease, particularly in pre and post-lung transplant patients. Surgical interventions have been shown to improve symptoms and prevent allograft dysfunction in these patients.
ANNALS OF TRANSLATIONAL MEDICINE
(2021)
Article
Surgery
Mykola Paranyak, Rikesh Patel
Summary: This study evaluated the clinical effect of laparoscopic fundoplication on extraesophageal symptoms of gastroesophageal reflux disease (GERD). The results showed that both total and partial laparoscopic fundoplication have similar effects on improving extraesophageal symptoms of GERD, as well as similar quality of life.
LANGENBECKS ARCHIVES OF SURGERY
(2023)
Article
Surgery
Karla Bernardi, Lauren Hawley, Vivian L. Wang, Anahita D. Jalilvand, Kelly R. Haisley, Kyle A. Perry
Summary: This retrospective cohort study evaluated 353 patients who underwent laparoscopic fundoplication (LF) for GERD between 2011 and 2017. The results showed that 16% of patients developed GERD-like symptoms after the surgery, and only 9% of these patients had recurrent pathologic acid reflux.
SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES
(2023)
Article
Surgery
Francisco Schlottmann, Francisco Laxague, Cristian A. Angeramo, Emmanuel E. Sadava, Fernando A. M. Herbella, Marco G. Patti
Summary: Laparoscopic redo fundoplication (LRF) is a feasible and safe procedure that provides symptom relief and improved quality of life for the majority of patients, with low recurrence rates.
Article
Pediatrics
Faraz A. Khan, Kelsey Nestor, Asra Hashmi, Saleem Islam
Summary: This report assessed outcomes in infants who underwent GT insertion alone or with concomitant ARP. The study found that preoperative GER was significantly higher in the GT with ARP group, and the postoperative increase in anti-reflux medications was also higher in the GT group. However, there was no significant difference in the need for a secondary procedure between patients who underwent GT alone and those who underwent GT with ARP. Overall, the study suggests that GT insertion can be considered a reasonable approach even in high-risk patients who have already undergone ARP.
FRONTIERS IN PEDIATRICS
(2022)
Article
Surgery
Adam S. Weltz, Alex Addo, Andrew Broda, Kevin Connors, H. Reza Zahiri, Adrian Park
Summary: In this study, a retrospective review was conducted on patients with extraesophageal symptoms and pathologic reflux who underwent LARS between February 2012 and July 2019. The study included 420 patients with a mean age of 61.7 years and BMI of 28.6 kg/m². Patients reported significant improvements post LARS at a mean follow-up of 18.9 months, with the majority demonstrating complete resolution of symptoms during follow-up surveys.
SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES
(2021)
Review
Health Care Sciences & Services
Sara Vertaldi, Anna D'Amore, Michele Manigrasso, Pietro Anoldo, Alessia Chini, Francesco Maione, Marcella Pesce, Giovanni Sarnelli, Giovanni Domenico De Palma, Marco Milone
Summary: The laparoscopic fundoplication is considered the gold standard surgical treatment for functional diseases of the esophago-gastric junction (EGJ). This meta-analysis aimed to compare functional outcomes between robotic fundoplication and conventional laparoscopic fundoplication. Sixteen studies were included, with only four being randomized controlled trials (RCTs). The analysis showed no significant differences between the two groups in terms of 30-day readmission rates, persistence of symptomatology at follow-up, recurrence, and reoperation. Further research is needed to better evaluate the advantages of robotic fundoplication.
JOURNAL OF PERSONALIZED MEDICINE
(2023)
Article
Cardiac & Cardiovascular Systems
Adam Frankel, Trina Kellar, Farah Zahir, Daniel Chambers, Peter Hopkins, David Gotley
Summary: This study aimed to determine whether allograft function in lung transplant recipients improves or stabilizes after laparoscopic fundoplication (LF). The study found that LF did not appear to alter the reduction in allograft function seen with time, based on the analysis of pulmonary function tests and statistical models. Only one patient showed a significant improvement in lung function, while nine patients had a significant decline. The results suggest that LF may not be effective in improving or stabilizing allograft function in LTx recipients.
JOURNAL OF HEART AND LUNG TRANSPLANTATION
(2023)
Article
Surgery
Celeste G. Yergin, Kelly M. Herremans, Sheetal Patel, Andres Pelaez, Tiago N. Machuca, Alexander L. Ayzengart, Manuel A. Amaris
Summary: Laparoscopic Toupet fundoplication is a safe and effective alternative anti-reflux surgery in lung transplant recipients, providing objective acid reflux control and improvement of gastroesophageal reflux symptoms while preserving lung function and foregut motility.
SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES
(2023)
Article
Surgery
Celeste G. Yergin, Kelly M. Herremans, Sheetal Patel, Andres Pelaez, Tiago N. Machuca, Alexander L. Ayzengart, Manuel A. Amaris
Summary: The study evaluated the efficacy and safety of laparoscopic Toupet fundoplication in lung transplant recipients. The results showed that the procedure can improve pathological acid reflux and symptomatic gastroesophageal reflux while preserving lung function and foregut motility.
SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES
(2023)
Article
Cardiac & Cardiovascular Systems
Jesse M. P. Rappaport, Siva Raja, Scott Gabbard, Lucy Thuita, Madhusudhan R. Sanaka, Eugene H. Blackstone, Usman Ahmad
Summary: This study evaluated the safety and clinical effectiveness of per-oral endoscopic pyloromyotomy in relieving gastroparesis after lung transplant. The results showed that this procedure can effectively alleviate the symptoms of gastroparesis and also improve gastroesophageal reflux and allograft function.
JOURNAL OF THORACIC AND CARDIOVASCULAR SURGERY
(2022)
Article
Gastroenterology & Hepatology
Manar Yanes, Giola Santoni, John Maret-Ouda, Sheraz Markar, Eivind Ness-Jensen, Joonas Kauppila, Martti Farkkila, Elsebeth Lynge, Eero Pukkala, Laufey Tryggvadottir, My Von Euler-Chelpin, Jesper Lagergren
Summary: The study reveals that laparoscopic antireflux surgery has a favorable safety profile in the treatment of gastro-esophageal reflux disease, especially in younger patients without severe comorbidity who undergo surgery at high-volume centers.
Article
Surgery
Min Seo Kim, Youjin Oh, Jun-Hyun Lee, Joong-Min Park, Jin-Jo Kim, Kyo Young Song, Seung Wan Ryu, Kyung Won Seo, Hyoung-Il Kim, Dong Jin Kim, Sungsoo Park, Sang-Uk Han
Summary: The study followed up on Korean patients with GERD who underwent anti-reflux surgery for up to 1 year, finding that over 90% of patients had good symptom resolution at one year post-operation. The proportion of patients with hiatal hernia and comorbidities increased in the later period (2015-2018), with a significant decrease in operation time. Symptom control and complication rate remained comparable between the early and late periods.
SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES
(2021)
Review
Surgery
Sophia K. McKinley, Rebecca C. Dirks, Danielle Walsh, Celeste Hollands, Lauren E. Arthur, Noe Rodriguez, Joyce Jhang, Ahmed Abou-Setta, Aurora Pryor, Dimitrios Stefanidis, Bethany J. Slater
Summary: The review found that surgical treatment of GERD can improve short-term quality of life, but does not show significant superiority in short-term symptom control. Compared to total fundoplication, partial fundoplication leads to higher rates of prolonged PPI usage.
SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES
(2021)
Article
Surgery
Zia Kanani, Jon C. Gould
Summary: Laparoscopic fundoplication is the standard treatment for medically refractory gastroesophageal reflux disease. While both primary and reoperative fundoplication patients experience improvement in GERD-related symptoms, the degree of improvement is greater in primary patients. Perioperative morbidity rates following reoperative and primary procedures can be similar when performed by an experienced surgeon.
SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES
(2021)
Article
Surgery
Yazmin Johari, Gillian Lim, Anagi Wickremasinghe, Helen Yue, Jarrel Seah, Geraldine Ooi, Julie Playfair, Cheryl Laurie, Paul Beech, Kenneth Yap, Geoff Hebbard, Wendy Brown, Paul Burton
Summary: The study evaluated the mechanisms associated with reflux events after sleeve gastrectomy (SG). The results showed a strong association between reflux and SG, and identified three unique categories of reflux. The study also found that elevated gastro-esophageal pressure gradient was the main mechanism of reflux.
Article
Surgery
Yazmin Johari, William Catchlove, Madeleine Tse, Kalai Shaw, Eldho Paul, Richard Chen, Damien Loh, Andrew Packiyanathan, Paul Burton, Peter Nottle, Samantha Ellis, Wendy Brown
Summary: In this study, a classification system based on CT findings was developed to predict the outcomes of sleeve gastrectomy leaks. The system showed good agreement and could help guide patient management and interventions.
Review
Surgery
Wendy A. Brown, Eileen M. Moore, David A. Watters
Summary: This study conducted a systematic review and meta-analysis of the impact of COVID-19 on post-operative mortality, and found that concurrent infection with COVID-19 increases the risk of surgical mortality. It is essential to develop strategies to mitigate this risk.
ANZ JOURNAL OF SURGERY
(2021)
Article
Surgery
Gillian Lim, Yazmin Johari, Geraldine Ooi, Julie Playfair, Cheryl Laurie, Geoffrey Hebbard, Wendy Brown, Paul Burton
Summary: This study aimed to determine the discriminant factors of symptomatic reflux and establish diagnostic thresholds for GERD following SG. The results indicated that reflux score and supine acid exposure were the strongest discriminant factors for symptomatic reflux. The symptomatic cohort typically showed higher levels of acid exposure.
Article
Surgery
Wendy A. Brown, Guillermo Ponce de Leon Ballesteros, Geraldine Ooi, Kelvin Higa, Jacques Himpens, Antonio Torres, Scott Shikora, Lilian Kow, Miguel F. Herrera
Summary: The International Federation for the Surgery of Obesity and Metabolic Disorders (IFSO) has published a position paper on the SADI-S/OADS procedure, highlighting its potential as a safe and effective treatment for adiposity and related diseases while also calling for more long-term data and high-level evidence. They emphasize the importance of long-term multidisciplinary care for patients, patient registration in national registries, and more randomized controlled trials involving the procedure.
Article
Surgery
Oliver M. Fisher, Daniel L. Chan, Michael L. Talbot, Almino Ramos, Ahmad Bashir, Miguel F. Herrera, Jacques Himpens, Scott Shikora, Kelvin D. Higa, Lilian Kow, Wendy A. Brown
Summary: The IFSO commissioned a task force to study the incidence of Barrett's esophagus in BMS patients, the frequency of development post-BMS, and the potential regression of Barrett's esophagus post-BMS. A position statement was developed based on these findings for the management of this pathology.
Article
Anesthesiology
Jennifer R. Reilly, Carolyn Deng, Wendy A. Brown, Dianne Brown, Belinda J. Gabbe, Carol L. Hodgson, Paul S. Myles
Summary: In Australia, there is a need to improve the utilization of perioperative electronic medical record data. Establishing a national perioperative outcomes registry can help address the gap in data utilization and facilitate multicenter research and quality assurance.
ANAESTHESIA AND INTENSIVE CARE
(2022)
Review
Surgery
Wendy A. Brown, Susannah Ahern, Andrew D. MacCormick, Jennifer R. Reilly, Julian A. Smith, David A. Watters
Summary: Clinical quality registries (CQRs) are tools that systematically collect data to assess the quality of care. Despite successful examples in Australia and New Zealand, there are still significant barriers to the implementation and function of CQRs, including challenges in data capture, ethical review, and funding.
ANZ JOURNAL OF SURGERY
(2022)
Article
Cardiac & Cardiovascular Systems
Victor Hui, Nada Marhoon, Michael Bailey, Jackson Hua, Bobby Ou Yang, Siven Seevanayagam, Jaishankar Raman, Ilonka Meyer, Rinaldo Bellomo
Summary: This study characterized the patterns of opioid prescription after cardiac surgery. The results showed that opioid prescriptions at hospital discharge were common and often at higher doses than recommended. More than half of the prescriptions were slow-release formulations. Furthermore, 14.0% of patients were still receiving opioids 3-12 months after surgery.
HEART LUNG AND CIRCULATION
(2022)
Article
Surgery
William Catchlove, Yazmin Johari, Edward Forrest, Amos Au, Kalai Shaw, Peter Nottle, Samantha Ellis, Wendy A. Brown, Paul Burton
Summary: This study compared the treatment methods for sleeve gastrectomy leaks and found no significant difference in outcomes between intraluminal occlusion and repeated debridement. The initial radiologic appearance was predictive of length of stay and complication severity.
SURGERY FOR OBESITY AND RELATED DISEASES
(2022)
Article
Critical Care Medicine
Kate Goulding, Rosa Marchetti, Rushan Perera, Richard Johnson, Michael Bailey, Paul Secombe
Summary: Obesity has a significant impact on thoracic cage compression during cardiopulmonary resuscitation. This study evaluated the effectiveness of the BariBoard (TM) in obese patients using a simulation model. The results showed that the use of the BariBoard (TM) did not improve the efficacy of chest compressions.
AUSTRALIAN CRITICAL CARE
(2022)
Article
Surgery
Jennifer Richelle Reilly, Darren Wong, Wendy Ann Brown, Belinda Jane Gabbe, Paul Stewart Myles
Summary: This study aimed to investigate the external validity of Surgical Outcome Risk Tool (SORT) in predicting in-hospital mortality in the Australian context. The results showed that SORT may significantly under-predict 30-day mortality in a dataset with low perioperative mortality rate.
ANZ JOURNAL OF SURGERY
(2022)
Review
Surgery
Henry Richard Edward Drysdale, David Allan Watters, Yit Leang, Benjamin N. J. Thomson, Wendy Ann Brown, Andrew Wilson, Victorian Surgical Directors Grp
Summary: Victoria experienced three major waves of COVID-19, with Melbourne being locked down for 267 days. The state implemented strict social restrictions, contact tracing, furlough, escalating PPE guidance, and respiratory protection measures, which effectively reduced healthcare worker infections.
ANZ JOURNAL OF SURGERY
(2023)
Article
Surgery
Chiara Chadwick, Paul R. R. Burton, Dianne Brown, Jennifer F. F. Holland, Angus Campbell, Jenifer Cottrell, Jennifer Reilly, Andrew D. D. MacCormick, Ian Caterson, Wendy A. A. Brown
Summary: This study aimed to define the expected average length of stay (ALOS) of bariatric surgery in Australia and to identify factors that influence ALOS. The study found that increased patient age, diabetes, rural living, procedural complications, and surgeon and hospital case volume all contributed to a small increase in ALOS following bariatric surgery.
ANZ JOURNAL OF SURGERY
(2023)
Article
Surgery
Stephen W. Bell, Joseph C. H. Kong, David A. Clark, Peter Carne, Stewart Skinner, Stephen Pillinger, Paul Burton, Wendy Brown
Summary: This study evaluated the NASA Task Load Index (TLX) as an objective measure of technical difficulty of an operation. The results showed that the NASA TLX score correlated significantly with operative duration, blood loss, previous abdominal surgery, and the surgeon's assessment of difficulty. This tool could be used in research and teaching settings to assess surgical difficulty and monitor a trainee's proficiency over time.
ANZ JOURNAL OF SURGERY
(2022)