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Prognostic nutritional index in predicting survival of patients with gastric or gastroesophageal junction adenocarcinoma: A systematic review

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World Journal of Gastrointestinal Oncology 2024年第2期16卷 514-526页

作者： Stylianos Fiflis Grigorios Christodoulidis Menelaos Papakonstantinou alexandros giakoustidis Stergos Koukias Paraskevi Roussos Marina Nektaria Kouliou Konstantinos Eleftherios Koumarelas Dimitrios giakoustidis First Department of Surgery General Hospital PapageorgiouThessaloniki 56429Greece Department of General Surgery University Hospital of LarissaLarissa 41110Greece

BACKGROUND Gastric cancer is the third most common cause of cancer related death *** with or without chemotherapy is the most common approach with curative intent;however,the prognosis is poor as mortality rates remain *** indexes have been proposed in the past few years in order to estimate the survival of patients undergoing *** preoperative nutritional status of gastric cancer patients has recently gained attention as a factor that could affect the postoperative course and various indexes have been *** aim of this systematic review was to assess the role of the prognostic nutritional index(PNI)in predicting the survival of patients with gastric or gastroesophageal adenocarcinoma who underwent gastrectomy with curative *** To investigate the role of PNI in predicting the survival of patients with gastric or gastroesophageal junction *** A thorough literature search of PubMed and the Cochrane library was performed for studies comparing the overall survival(OS)of patients with gastric or gastroesophageal cancer after surgical resection depending on the preoperative PNI *** PRISMA algorithm was used in the screening process and finally 16 studies were included in this systematic *** review protocol was registered in the International Prospective Register of Systematic Reviews(PRO) RESULTS Sixteen studies involving 14551 patients with gastric or esophagogastric junction adenocarcinoma undergoing open or laparoscopic or robotic gastrectomy with or without adjuvant chemotherapy were included in this systematic *** patients were divided into high-and low-PNI groups according to cut-off values that were set according to previous reports or by using receiver operating characteristic curve analysis in each individual *** 5-year OS of patients in the low-PNI groups ranged between 39%and 70.6%,while in the high-PNI groups,it ranged between 54.9%and 95.8%.In most of the included st

关键词： Prognostic nutritional index Gastric adenocarcinoma Gastroesophageal junction cancer Prognosis Overall survival

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Comparison between upfront surgery and neoadjuvant chemotherapy in patients with locally advanced gastric cancer:A systematic review

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世界胃肠外科杂志:英文版(电子版) 2023年第8期15卷 1808-1818页

作者： Stylianos Fiflis Menelaos Papakonstantinou alexandros giakoustidis Gregory Christodoulidis Eleni Louri Vasileios N Papadopoulos Dimitrios giakoustidis A’Department of Surgery General Hospital PapageorgiouThessaloniki 56429Greece Department of General Surgery University Hospital of LarissaLarissa 41110Greece

BACKGROUND Gastric cancer(GC)is a major health concern *** resection and chemotherapy is the mainstay treatment for gastric carcinoma,however,the optimal approach remains unclear and should be different in each *** can be administered both pre-and postoperatively,but a multidisciplinary approach is preferred when *** is particularly relevant for locally advanced GC(LAGC),as neoadjuvant chemotherapy(NAT)could potentially lead to tumor downsizing thus allowing for a complete resection with curative *** though the recent progress has been impressive,European and International guidelines are still controversial,thus attenuating the need for a more standardized approach in the management of locally advanced *** To investigate the effects of NAT on the overall survival(OS),the disease-free survival(DFS),the morbidity and the mortality of patients with LAGC in comparison to upfront surgery(US).METHODS For this systematic review,a literature search was conducted between November and February 2023 in PubMed,Cochrane Library and *** for studies including patients with *** independent reviewers conducted the research and extracted the data according to predetermined inclusion and exclusion *** Preferred Reporting Items for Systematic Reviews and Meta-Analyses was used to form the search strategy and the study protocol has been registered in the International Prospective Register of Systematic *** Eighteen studies with 4839 patients with LAGC in total were included in our systematic *** were separated into two groups;one receiving NAT before the gastrectomy(NAT group)and the other undergoing upfront surgery(US group).The OS ranged from 41.6%to 74.2%in the NAT group and from 30.9%to 74%in the US *** DFS was also longer in the NAT group and reached up to 80%in certain *** complications related to the chemotherapy or the surgery ranged from 6.4%to 38.1%in

关键词： Gastric cancer Locally advanced gastric cancer Neoadjuvant chemotherapy Surgery Survival

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Median arcuate ligament syndrome often poses a diagnostic challenge: A literature review with a scope of our own experience

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World Journal of Gastrointestinal Surgery 2023年第6期15卷 1048-1055页

作者： alexandros giakoustidis Stavros Moschonas Gregory Christodoulidis Danae Chourmouzi Anna Diamantidou Sophia Masoura Eleni Louri Vasileios N Papadopoulos Dimitrios giakoustidis Department of Surgery General Hospital PapageorgiouAristotle University of ThessalonikiThessaloniki 56429Greece Fifth Department of Surgery Interbalkan European Medical CentreThessaloniki 55535Greece Department of General Surgery University Hospital of LarissaLarissa 41110Greece

The median arcuate ligament syndrome(MALS)is recognized as a rare clinical entity,characterized by chronic post-prandial abdominal pain,nausea,vomiting,and unintentional weight *** to its vague symptomatology,it is mainly regarded as a diagnosis of *** can often be misdiagnosed for several years before a correct diagnosis is established,also due to a medical team’s clinical *** present a case series of two patients who suffered from MALS and were treated *** first patient is a 32-year-old woman,presenting with post-prandial abdominal pain and weight loss that have lasted for the past ten *** second patient,a 50-year-old woman,presented with similar symptomatology,with the symptoms lasting for the last five *** cases were treated by laparoscopic division of the median arcuate ligament fibers,which alleviated extrinsic pressure from the celiac *** cases of MALS were retrieved from PubMed,to assemble a better diagnostic algorithm and propose a treatment method of *** literature review suggests an angiography with a respiratory variation protocol as the diagnostic modality of choice,along with the laparoscopic division of the median arcuate ligament fibers as the proposed treatment of choice.

关键词： Median arcuate ligament syndrome Dunbar syndrome Celiac trunk compression syndrome Celiac artery compression syndrome Case series Review

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Neutrophil-to-lymphocyte ratio as a prognostic factor for survival in patients with colorectal liver metastases: A systematic review

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World Journal of Clinical Oncology 2022年第10期13卷 822-834页

作者： Menelaos Papakonstantinou Stylianos Fiflis Gregory Christodoulidis Mariano Cesare Giglio Eleni Louri Savvas Mavromatidis Dimitrios giakoustidis Vasileios N Papadopoulos alexandros giakoustidis Department of Surgery General Hospital PapageorgiouAristotle University of ThessalonikiThessaloniki 56429Greece Department of General Surgery University Hospital of LarissaLarissa 41110Greece Department of Clinical Medicine and Surgery Federico II University of NaplesNaples 80138Italy

BACKGROUND The inflammatory response to tumor has been proven to be closely related to the prognosis of colorectal *** to lymphocyte ratio(NLR)is a widely available inflammatory biomarker that may have prognostic value for patients with colorectal liver metastasis(CRLM).AIM To assess the role of NLR as a prognostic factor of survival and tumor recurrence in patients with *** A systematic literature search of PubMed,Cochrane Library and *** was conducted by two independent researchers in order to minimize potential errors and *** were discussed and settled between three *** including patients undergoing different types of medical interventions for the treatment of CRLM and evaluating the correlation between pretreatment NLR and disease-free survival(DFS)and overall survival(OS)were included in the *** studies,involving 3283 patients matched our inclusion *** In the studies included,NLR was measured before the intervention and the NLR thresholds ranged between 1.9 and *** studies used 5 as the cut-off *** metastases were treated with hepatectomy with or without chemotherapy regimens in 13 studies and with radiofrequency ablation,radioembolization,chemoembolization or solely with chemotherapy in 6 *** NLR was associated with decreased OS and DFS after liver resection or other medical ***,high NLR was associated with poor *** the contrary,CRLM patients with low pretreatment NLR demonstrated improved OS and *** could potentially be used as a predictive factor of survival and tumor recurrence in patients with CRLM treated with interventions of any modality,including surgery,chemotherapy and ablative *** NLR is an inflammatory biomarker that demonstrates considerable prognostic *** pretreatment NLR is associated with poor OS and DFS in patients with CRLM who are submitted to different treatments.

关键词： Neutrophil-to-lymphocyte ratio Colorectal liver metastasis Prognosis Survival

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