MARC details
| 000 -LEADER |
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| fixed length control field |
03012nam a22003977a 4500 |
| 008 - FIXED-LENGTH DATA ELEMENTS--GENERAL INFORMATION |
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| fixed length control field |
181102s20182018 xxu||||| |||| 00| 0 eng d |
| 022 ## - INTERNATIONAL STANDARD SERIAL NUMBER |
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| International Standard Serial Number |
0003-4975 |
| 024 ## - OTHER STANDARD IDENTIFIER |
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| Standard number or code |
10.1016/j.athoracsur.2018.08.050 [doi] |
| 024 ## - OTHER STANDARD IDENTIFIER |
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| Standard number or code |
S0003-4975(18)31459-0 [pii] |
| 040 ## - CATALOGING SOURCE |
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| Original cataloging agency |
Ovid MEDLINE(R) |
| 099 ## - LOCAL FREE-TEXT CALL NUMBER (OCLC) |
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| PMID |
30315795 |
| 245 ## - TITLE STATEMENT |
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| Title |
Minimally Invasive Intragastric Approach to Gastroesophageal Junction Pathology. |
| 251 ## - Source |
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| Source |
Annals of Thoracic Surgery. 2018 Oct 10 |
| 252 ## - Abbreviated Source |
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| Abbreviated source |
Ann Thorac Surg. 2018 Oct 10 |
| 253 ## - Journal Name |
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| Journal name |
The Annals of thoracic surgery |
| 260 ## - PUBLICATION, DISTRIBUTION, ETC. |
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| Year |
2018 |
| 260 ## - PUBLICATION, DISTRIBUTION, ETC. |
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| Manufacturer |
FY2019 |
| 265 ## - SOURCE FOR ACQUISITION/SUBSCRIPTION ADDRESS [OBSOLETE] |
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| Publication status |
aheadofprint |
| 266 ## - Date added to catalog |
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| Date added to catalog |
2018-11-02 |
| 501 ## - WITH NOTE |
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| Local holdings |
Available online from MWHC library: 1995 - present, Available in print through MWHC library:1999-2007 |
| 520 ## - SUMMARY, ETC. |
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| Abstract |
BACKGROUND: A minimally invasive intragastric approach to the gastroesophageal junction (GEJ) allows resection of intramural pathology while avoiding disruption of the lower esophageal sphincter (LES) and vagi. Few surgeons use this approach, thus little is known regarding its indications, feasibility, technical aspects, complication profile, and long-term outcomes. We reviewed our experience with this technique. |
| 520 ## - SUMMARY, ETC. |
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| Abstract |
CONCLUSIONS: Resection of selected intramural GEJ pathology using a minimally invasive trans-gastric approach can be performed safely with acceptable morbidity and good long-term results. The approach allows preservation of the LES and vagi, a potential advantage compared to other surgical alternatives to resection in this region. |
| 520 ## - SUMMARY, ETC. |
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| Abstract |
Copyright (c) 2018. Published by Elsevier Inc. |
| 520 ## - SUMMARY, ETC. |
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| Abstract |
METHODS: We performed a retrospective review of a prospectively maintained IRB-approved database covering the time period 01/01/2005-8/01/2017. Indications, operative details, postoperative complications, and outcomes were assessed. |
| 520 ## - SUMMARY, ETC. |
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| Abstract |
RESULTS: There were 12 patients identified. Mean patient age was 51.9 years. The indications for resection included 10 symptomatic leiomyomas, 1 gastrointestinal stromal tumor (GIST) and 3 cancers of the GEJ. Mean and median length of stay was 4.9 and 2.5 days, respectively. There were two postoperative esophageal leaks managed with laparoscopic repair. Of the 3 patients with cancer, 2 underwent an R0 resection while one underwent an R1 resection. There were no other complications or recurrences. Mean follow up was 6.0 years (range 0.5-12.6); no patients developed stricture or symptomatic gastroesophageal reflux upon long term follow up. |
| 546 ## - LANGUAGE NOTE |
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| Language note |
English |
| 650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM |
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| Topical term or geographic name entry element |
IN PROCESS -- NOT YET INDEXED |
| 651 ## - SUBJECT ADDED ENTRY--GEOGRAPHIC NAME |
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| Institution |
MedStar Washington Hospital Center |
| 656 ## - INDEX TERM--OCCUPATION |
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| Department |
Surgery/Thoracic and Esophageal Surgery |
| 657 ## - INDEX TERM--FUNCTION |
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| Medline publication type |
Journal Article |
| 700 ## - ADDED ENTRY--PERSONAL NAME |
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| Local Authors |
Lofthus, Alexander |
| 700 ## - ADDED ENTRY--PERSONAL NAME |
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| Local Authors |
Villano, Anthony M |
| 790 ## - Authors |
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| All authors |
Haddad NG, Lofthus A, Marshall MB, Villano AM, Watson TJ |
| 856 ## - ELECTRONIC LOCATION AND ACCESS |
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| DOI |
<a href="https://dx.doi.org/10.1016/j.athoracsur.2018.08.050">https://dx.doi.org/10.1016/j.athoracsur.2018.08.050</a> |
| Public note |
https://dx.doi.org/10.1016/j.athoracsur.2018.08.050 |
| 942 ## - ADDED ENTRY ELEMENTS (KOHA) |
|---|
| Koha item type |
Journal Article |
| Item type description |
Article |
