Current Definition of and Controversial Issues Regarding Postoperative Pancreatic Fistulas.

Abstract:

:The International Study Group for Pancreatic Fistula (ISGPF) made the first attempt to standardize the outcome measure of fistulas in the field of pancreatic surgery by publishing the definition and classification of postoperative pancreatic fistulas (POPFs) in 2005. POPFs were determined by any measurable volume of fluid output via an operatively placed drain with amylase activity greater than three times the upper normal serum value. Taking into account more than 10 years of reported experience worldwide, the updated definition published in 2016 by the reconvened International Study Group for Pancreatic Surgery (ISGPS) attempted to overcome the limits of the previous classification. The crucial concept of POPF clinical significance was introduced by eliminating grade A from the fistula scenario. The wider use of interventional procedures has also made it necessary to recode grade C POPFs, which now have clearer boundaries, toward the worst end of the severity scale. Grade B still represents the most prevalent and heterogeneous category of POPFs, both in terms of clinical burden and management. In the near future, further efforts will be required to better stratify grade B POPFs to standardize treatment strategies and compare outcomes among institutions.

journal_name

Gut Liver

journal_title

Gut and liver

authors

Marchegiani G,Andrianello S,Salvia R,Bassi C

doi

10.5009/gnl18229

subject

Has Abstract

pub_date

2019-03-15 00:00:00

pages

149-153

issue

2

eissn

1976-2283

issn

2005-1212

pii

gnl18229

journal_volume

13

pub_type

杂志文章,评审
  • Inflammatory myoglandular polyps causing hematochezia.

    abstract::We report herein three cases of inflammatory myoglandular polyp (IMGP) presenting as hematochezia. The polyps had pedunculated, red, and smooth features, and were 12, 12, and 15 mm in diameter and located in the sigmoid colon, transverse colon, and rectum, respectively. Endoscopic polypectomies were performed. Histolo...

    journal_title:Gut and liver

    pub_type: 杂志文章

    doi:10.5009/gnl.2010.4.1.146

    authors: Chung SH,Son BK,Park YS,Jo YJ,Kim SH,Jun DW,Cheong ES,Lee WM,Ju JE

    更新日期:2010-03-01 00:00:00

  • Efficacy and safety of endoscopic submucosal dissection for early gastric cancer in patients with comorbid diseases.

    abstract:BACKGROUND/AIMS:Endoscopic submucosal dissection (ESD), a new and potentially curative method for treating gastrointestinal neoplasms, may have longer procedure time and the risk of complications when compared to conventional endoscopic mucosal resection. This study evaluated the efficacy and safety of ESD in patients ...

    journal_title:Gut and liver

    pub_type: 杂志文章

    doi:10.5009/gnl.2010.4.2.186

    authors: Kim BJ,Chang TH,Kim JJ,Min BH,Lee JH,Son HJ,Rhee PL,Rhee JC,Kim KM,Park CK

    更新日期:2010-06-01 00:00:00

  • Risk factors of post endoscopic retrograde cholangiopancreatography bacteremia.

    abstract:BACKGROUND/AIMS:Bacteremia following endoscopic retrograde cholangiopancreatography (ERCP) is a severe complication, but the risk factors for this condition have not yet been clearly determined. Thus, the aim of this study was to investigate the risk factors of post-ERCP bacteremia. METHODS:Among patients who underwen...

    journal_title:Gut and liver

    pub_type: 杂志文章

    doi:10.5009/gnl.2013.7.2.228

    authors: Kwak MS,Jang ES,Ryu JK,Kim YT,Yoon YB,Park JK

    更新日期:2013-03-01 00:00:00

  • Long-term Outcomes and Factors Affecting the Survival of Patients with Mucosal Esophageal Squamous Cell Carcinoma.

    abstract:Background/Aims:Data regarding the prognosis of early esophageal cancer are lacking. This study investigated the long-term outcomes and factors affecting the survival of patients with mucosal esophageal squamous cell carcinoma (T1aESCC). Methods:We analyzed the clinical and tumor-specific parameters of 263 patients wh...

    journal_title:Gut and liver

    pub_type: 杂志文章

    doi:10.5009/gnl20254

    authors: Kim GH,Na HK,Ahn JY,Lee JH,Jung KW,Kim DH,Kim HR,Choi KD,Song HJ,Kim YH,Lee GH,Jung HY,Park SI

    更新日期:2021-01-19 00:00:00

  • Importance of the time interval between bowel preparation and colonoscopy in determining the quality of bowel preparation for full-dose polyethylene glycol preparation.

    abstract:BACKGROUND/AIMS:The quality of bowel preparation (QBP) is the important factor in performing a successful colonoscopy. Several factors influencing QBP have been reported; however, some factors, such as the optimal preparation-to-colonoscopy time interval, remain controversial. This study aimed to determine the factors ...

    journal_title:Gut and liver

    pub_type: 杂志文章

    doi:10.5009/gnl13228

    authors: Kim TK,Kim HW,Kim SJ,Ha JK,Jang HH,Hong YM,Park SB,Choi CW,Kang DH

    更新日期:2014-11-01 00:00:00

  • Gastrointestinal stent update.

    abstract::The use of self-expanding metallic stents in the upper gastrointestinal tract, placed under radiologic imaging or endoscopic guidance, is the current treatment of choice for the palliation of malignant gastrointestinal outlet obstructions. Advances in metallic stent design and delivery systems have progressed to the s...

    journal_title:Gut and liver

    pub_type: 杂志文章

    doi:10.5009/gnl.2010.4.S1.S19

    authors: Kang SG

    更新日期:2010-09-01 00:00:00

  • Endoscopic Ultrasound-Guided Hepaticogastrostomy: Technical Review and Tips to Prevent Adverse Events.

    abstract::Most patients who require biliary drainage can be treated by endoscopic retrograde cholangiopancreatography (ERCP)- guided procedures. However, ERCP can be challenging in patients with complications, such as malignant duodenal obstruction, or a surgically-altered anatomy, such as a Rouxen- Y anastomosis, which prevent...

    journal_title:Gut and liver

    pub_type: 杂志文章,评审

    doi:10.5009/gnl20096

    authors: Ogura T,Higuchi K

    更新日期:2020-07-23 00:00:00

  • National Endoscopy Quality Improvement Program Remains Suboptimal in Korea.

    abstract:BACKGROUND/AIMS:We evaluated the characteristics of the National Cancer Screening Program (NCSP) and opinions regarding the National Endoscopy Quality Improvement Program (NEQIP). METHODS:We surveyed physicians performing esophagogastroduodenoscopy and/or colonoscopy screenings as part of the NCSP via e-mail between J...

    journal_title:Gut and liver

    pub_type: 杂志文章

    doi:10.5009/gnl15623

    authors: Cha JM,Moon JS,Chung IK,Kim JO,Im JP,Cho YK,Kim HG,Lee SK,Lee HL,Jang JY,Kim ES,Jung Y,Moon CM,Kim Y,Park BY

    更新日期:2016-09-15 00:00:00

  • Comparison of Indomethacin, Diclofenac and Aspirin-Induced Gastric Damage according to Age in Rats.

    abstract:BACKGROUND/AIMS:Aging gastric mucosa is known to have decreased mucosal defenses and increased susceptibility to injury by nonsteroidal anti-inflammatory drugs. Depending on the type of nonsteroidal anti-inflammatory drug (NSAID), the underlying mechanisms and the extent of damage to the stomach or intestine may differ...

    journal_title:Gut and liver

    pub_type: 杂志文章

    doi:10.5009/gnl.2012.6.2.210

    authors: Seo PJ,Kim N,Kim JH,Lee BH,Nam RH,Lee HS,Park JH,Lee MK,Chang H,Jung HC,Song IS

    更新日期:2012-04-01 00:00:00

  • A case of esophageal intramural pseudodiverticulosis.

    abstract::Esophageal intramural pseudodiverticulosis (EIP) is a rare benign disease that is characterized by multiple tiny flask-shaped outpouching lesions of the esophageal wall. The etiology is unknown, but the pathologic findings include dilatation of excretory ducts of submucosal glands. The predominant symptom is dysphagia...

    journal_title:Gut and liver

    pub_type: 杂志文章

    doi:10.5009/gnl.2011.5.1.93

    authors: Chon YE,Hwang S,Jung KS,Lee HJ,Lee SG,Shin SK,Lee YC

    更新日期:2011-03-01 00:00:00

  • The Usefulness of a Novel Screening Kit for Colorectal Cancer Using the Immunochromatographic Fecal Tumor M2 Pyruvate Kinase Test.

    abstract:BACKGROUND/AIMS:M2 pyruvate kinase (M2-PK) is an enzyme that is produced in undifferentiated and proliferating tissues. This study aims to evaluate the usefulness of the immunochromatographic M2 pyruvate kinase (iM2-PK) for the screening of colorectal cancer (CRC) and premalignant lesions. METHODS:Healthy volunteers a...

    journal_title:Gut and liver

    pub_type: 杂志文章,多中心研究

    doi:10.5009/gnl13457

    authors: Kim YC,Kim JH,Cheung DY,Kim TH,Jun EJ,Oh JW,Kim CW,Chung WC,Kim BW,Kim SS,Kim JI,Park SH,Kim JK

    更新日期:2015-09-23 00:00:00

  • Increased prevalence of colorectal neoplasia in korean patients with sporadic duodenal adenomas: a case-control study.

    abstract:BACKGROUND/AIMS:Recent data from Western populations have suggested that patients with sporadic duodenal adenomas are at a higher risk for the development of colorectal neoplasia. In this study, we compared the frequency of colorectal neoplasia in patients with sporadic duodenal adenomas to healthy control subjects. M...

    journal_title:Gut and liver

    pub_type: 杂志文章

    doi:10.5009/gnl.2011.5.4.432

    authors: Chung WC,Lee BI,Roh SY,Kwak JW,Hwang SM,Ko YH,Oh JH,Cho H,Chae HS,Cho YS

    更新日期:2011-12-01 00:00:00

  • Early Infliximab Yields Superior Long-Term Effects on Linear Growth in Pediatric Crohn's Disease Patients.

    abstract:Background/Aims:Information regarding the efficacy of early infliximab treatment in pediatric patients with Crohn's disease (CD) is limited. We aimed to evaluate the impact of early combined immunosuppression on linear growth in pediatric patients with CD by performing step-up comparisons. Methods:This retrospective s...

    journal_title:Gut and liver

    pub_type: 杂志文章

    doi:10.5009/gnl17290

    authors: Choi J,Kang B,Kim MJ,Sohn I,Lee HJ,Choe YH

    更新日期:2018-05-15 00:00:00

  • The Immunohistochemical Expression of STAT3, Bcl-xL, and MMP-2 Proteins in Colon Adenoma and Adenocarcinoma.

    abstract:BACKGROUND/AIMS:Signal transducers and activators of transcription (STATs) are a family of transcription factors that are activated in response to cytokines and growth factors. STAT3 activation has been implicated in modulating the activity of downstream mediators, such as Bcl-xL and matrix metalloproteinase-2 (MMP-2)....

    journal_title:Gut and liver

    pub_type: 杂志文章

    doi:10.5009/gnl.2012.6.1.45

    authors: Lee SW,Ahn YY,Kim YS,Kang SB,Nam SW,Lee DS,Jeong HY,Kim JM

    更新日期:2012-01-01 00:00:00

  • Effect of biofeedback therapy in constipation according to rectal sensation.

    abstract:BACKGROUND/AIMS:The pathophysiologic mechanism of rectal hyposensitivity (RH) is not well documented, and the significance of RH in biofeedback therapy (BFT) has not been evaluated. Thus, we aimed to assess the effect of BFT in constipated patients according to the presence of RH. METHODS:Five hundred and ninety const...

    journal_title:Gut and liver

    pub_type: 杂志文章

    doi:10.5009/gnl.2013.7.2.157

    authors: Ahn JY,Myung SJ,Jung KW,Yang DH,Koo HS,Seo SY,Yoon IJ,Kim KJ,Ye BD,Byeon JS,Jung HY,Yang SK,Kim JH

    更新日期:2013-03-01 00:00:00

  • Remission of cap polyposis maintained for more than three years after infliximab treatment.

    abstract::Cap polyposis is a rare disorder with characteristic endoscopic and histological features; its etiology is still unknown, and no specific treatment has been established. We report a case of cap polyposis that improved remarkably after infliximab infusion and had no recurrence for 3 years. ...

    journal_title:Gut and liver

    pub_type: 杂志文章

    doi:10.5009/gnl.2009.3.4.325

    authors: Kim ES,Jeen YT,Keum B,Seo YS,Chun HJ,Um SH,Kim CD,Ryu HS

    更新日期:2009-12-01 00:00:00

  • Use of antithrombin and thrombomodulin in the management of disseminated intravascular coagulation in patients with acute cholangitis.

    abstract:BACKGROUND/AIMS:To evaluate the usefulness and safety of treating disseminated intravascular coagulation (DIC) complicating cholangitis primarily with antithrombin (AT) and thrombomodulin (rTM). METHODS:A DIC treatment algorithm was determined on the basis of plasma AT III levels at the time of DIC diagnosis and DIC s...

    journal_title:Gut and liver

    pub_type: 杂志文章

    doi:10.5009/gnl.2013.7.3.363

    authors: Nakahara K,Okuse C,Adachi S,Suetani K,Kitagawa S,Okano M,Michikawa Y,Takagi R,Shigefuku R,Itoh F

    更新日期:2013-05-01 00:00:00

  • 2014 KLCSG-NCC Korea Practice Guideline for the Management of Hepatocellular Carcinoma.

    abstract::The guideline for the management of hepatocellular carcinoma (HCC) was first developed in 2003 and revised in 2009 by the Korean Liver Cancer Study Group and the National Cancer Center, Korea. Since then, many studies on HCC have been carried out in Korea and other countries. In particular, a substantial body of knowl...

    journal_title:Gut and liver

    pub_type: 杂志文章,实务指引

    doi:10.5009/gnl14460

    authors: Korean Liver Cancer Study Group (KLCSG).,National Cancer Center, Korea (NCC).

    更新日期:2015-05-23 00:00:00

  • Preventing Metachronous Gastric Cancer after the Endoscopic Resection of Gastric Epithelial Neoplasia: Roles of Helicobacter pylori Eradication and Aspirin.

    abstract::Whether Helicobacter pylori eradication actually reduces the risk of metachronous gastric cancer (MGC) development remains a controversial question. In this review, we addressed this topic by reviewing the results of clinical investigations and molecular pathological analyses of the roles of H. pylori eradication and ...

    journal_title:Gut and liver

    pub_type: 杂志文章,评审

    doi:10.5009/gnl19079

    authors: Watari J,Tomita T,Tozawa K,Oshima T,Fukui H,Miwa H

    更新日期:2020-05-15 00:00:00

  • The Performance of Multiple Transgastric Procedures Using the Natural Orifice Transluminal Endoscopic Surgery Technique: Is Pure NOTES Satisfactory?

    abstract:BACKGROUND/AIMS:Although several groups have demonstrated the usefulness of natural orifice transluminal endoscopic surgery (NOTES), there is still concern about frequent serious adverse events. We performed this study to determine the technical feasibility and safety of pure NOTES with a transgastric approach in a por...

    journal_title:Gut and liver

    pub_type: 杂志文章

    doi:10.5009/gnl.2012.6.4.457

    authors: Song TJ,Seo DW,Kim SH,Park DH,Lee SS,Lee SK,Kim MH

    更新日期:2012-10-01 00:00:00

  • Assessment for Risk of Bias in Systematic Reviews and Meta-Analyses in the Field of Hepatology.

    abstract::A systematic review (SR) provides the best and most objective analysis of the existing evidence in a particular field. SRs and derived conclusions are essential for evidence-based strategies in medicine and evidence-based guidelines in clinical practice. The popularity of SRs has also increased markedly in the field o...

    journal_title:Gut and liver

    pub_type: 杂志文章,评审

    doi:10.5009/gnl14451

    authors: Kim G,Cho YZ,Baik SK

    更新日期:2015-11-23 00:00:00

  • Primary squamous cell carcinoma of the liver initially presenting with pseudoachalasia.

    abstract::Pseudoachalasia secondary to primary squamous cell carcinoma (SCC) of the liver is extremely rare and has not been reported until now. Here, we report a unique case of primary SCC of the liver initially presenting with progressive dysphagia along with short periods of significant weight loss. A 58-year-old man initial...

    journal_title:Gut and liver

    pub_type: 杂志文章

    doi:10.5009/gnl.2012.6.2.275

    authors: Choi MK,Kim GH,Song GA,Nam HS,Yi YS,Ahn KH,Kim S,Kim JY,Park DY

    更新日期:2012-04-01 00:00:00

  • Multimodal oncological therapy comprising stents, brachytherapy, and regional chemotherapy for cholangiocarcinoma.

    abstract:BACKGROUND/AIMS:To prospectively evaluate our palliative management of unresectable cholangiocarcinoma (CC) treated with tailored multimodal oncological therapy. METHODS:Between January 2005 and January 2010, 50 consecutive patients with unresectable CC and jaundice were palliated with percutaneous drainage. Forty-thr...

    journal_title:Gut and liver

    pub_type: 杂志文章

    doi:10.5009/gnl.2010.4.S1.S82

    authors: Andrašina T,Válek V,Pánek J,Kala Z,Kiss I,Tuček S,Slampa P

    更新日期:2010-09-01 00:00:00

  • Depression Promotes the Onset of Irritable Bowel Syndrome through Unique Dysbiosis in Rats.

    abstract:Background/Aims:Although studies using conventional animal models have shown that specific stressors cause irritable bowel syndrome (IBS), it is unclear whether depression itself causes IBS. Our aim was to establish a rat model to determine if depression itself promotes the onset of IBS and to elucidate the role of gut...

    journal_title:Gut and liver

    pub_type: 杂志文章

    doi:10.5009/gnl18296

    authors: Takajo T,Tomita K,Tsuchihashi H,Enomoto S,Tanichi M,Toda H,Okada Y,Furuhashi H,Sugihara N,Wada A,Horiuchi K,Inaba K,Hanawa Y,Shibuya N,Shirakabe K,Higashiyama M,Kurihara C,Watanabe C,Komoto S,Nagao S,Kimura K,Mi

    更新日期:2019-05-15 00:00:00

  • Predictive Factors for Severe Outcomes in Ischemic Colitis.

    abstract:BACKGROUND/AIMS:Ischemic colitis includes a wide clinical spectrum ranging from mild to severe forms. This study aimed to determine the factors that are related to the occurrence of severe ischemic colitis. METHODS:This multicenter study was conducted retrospectively in Korea. The patients were divided into mild and s...

    journal_title:Gut and liver

    pub_type: 杂志文章,多中心研究

    doi:10.5009/gnl15167

    authors: Choi SR,Jee SR,Song GA,Park SJ,Lee JH,Song CS,Park HU

    更新日期:2015-11-23 00:00:00

  • Helicobacter pylori Infection with Atrophic Gastritis Is an Independent Risk Factor for Advanced Colonic Neoplasm.

    abstract:Background/Aims:Helicobacter pylori is a major risk factor for atrophic gastritis (AG) and gastric cancer. The correlation between H. pylori, AG and colorectal neoplasm (CRN) has only been examined in a limited number of studies, and findings have been inconclusive. We aimed to investigate the association between H. py...

    journal_title:Gut and liver

    pub_type: 杂志文章

    doi:10.5009/gnl15340

    authors: Lee JY,Park HW,Choi JY,Lee JS,Koo JE,Chung EJ,Chang HS,Choe J,Yang DH,Myung SJ,Jung HY,Yang SK,Byeon JS

    更新日期:2016-11-15 00:00:00

  • Endoscopic and Clinical Factors Affecting the Prognosis of Colorectal Endoscopic Submucosal Dissection-Related Perforation.

    abstract:BACKGROUND/AIMS:Although colorectal endoscopic submucosal dissection (ESD)-related perforation is not uncommon, the factors affecting clinical outcomes after perforation have not been investigated. This study was designed to investigate the factors influencing the clinical course of ESD-related colon perforation. METH...

    journal_title:Gut and liver

    pub_type: 杂志文章

    doi:10.5009/gnl15252

    authors: Kang DU,Choi Y,Lee HS,Lee HJ,Park SH,Yang DH,Yoon SM,Kim KJ,Ye BD,Myung SJ,Yang SK,Kim JH,Byeon JS

    更新日期:2016-05-23 00:00:00

  • Optimal Endoscopic Treatment and Surveillance of Serrated Polyps.

    abstract::Serrated polyps are considered precursor lesions that account for 15% to 30% of colorectal cancers, and they are overrepresented as a cause of interval cancers. They are difficult to detect and resect comprehensively; however, recent data suggest that high definition endoscopy, chromoendoscopy (via spray catheter, pum...

    journal_title:Gut and liver

    pub_type: 杂志文章,评审

    doi:10.5009/gnl19202

    authors: Gupta V,East JE

    更新日期:2020-07-15 00:00:00

  • Chronic hepatitis C.

    abstract::The goal of antiviral therapy for patients with chronic hepatitis C virus (HCV) infection is to attain a sustained virologic response (SVR), which is defined as undetectable serum HCV-RNA levels at 6 months after the cessation of treatment. Major improvements in antiviral therapy for chronic hepatitis C have occurred ...

    journal_title:Gut and liver

    pub_type: 杂志文章

    doi:10.5009/gnl.2011.5.2.117

    authors: Jang JY,Chung RT

    更新日期:2011-06-01 00:00:00

  • The simple predictors of pseudomembranous colitis in patients with hospital-acquired diarrhea: a prospective observational study.

    abstract:BACKGROUND/AIMS:As the incidence rate of and mortality from pseudomembranous colitis (PMC) are increasing worldwide, it is important to study the simple predictive risk factors for PMC among patients with hospital-acquired diarrhea (HAD). This study focused on identifying the clinical risk factors that can easily predi...

    journal_title:Gut and liver

    pub_type: 杂志文章

    doi:10.5009/gnl.2014.8.1.41

    authors: Yang BK,Do BJ,Kim EJ,Lee JU,Kim MH,Kang JG,Kim HS,Kim KH,Jang MK,Lee JH,Kim HY,Shin WG

    更新日期:2014-01-01 00:00:00