Publications by authors named "Bin Chet Toh"
Article Synopsis
- Esophagogastric junction outflow obstruction (EGJOO) is an esophageal disorder with a high integrated relaxation pressure, and while symptoms are usually self-limiting, this study investigates factors that affect symptom resolution.
- A cohort study of 53 patients revealed that while dysphagia and atypical chest pain were common symptoms, obesity was a significant risk factor for persistent symptoms, with only 37.5% of obese patients seeing resolution compared to 87.2% of non-obese patients.
- The study emphasizes that addressing obesity may be crucial for improving outcomes in patients with functional EGJOO, as it significantly impacts the likelihood of symptom resolution.
Introduction: Laparoscopic sleeve gastrectomy (LSG) is associated with postoperative gastroesophageal reflux disease (GERD) and erosive esophagitis (EE). The role of crural repair during LSG is still controversial. The preoperative laxity of the gastroesophageal junction (GEJ), graded by the Hill's classification, is more predictive for postoperative GERD and EE after LSG than the presence of a hiatal hernia seen on endoscopy.
View Article and Find Full Text PDFBackground: Laparoscopic sleeve gastrectomy (SG) is a widely performed bariatric surgery, but it is associated with an increased risk of gastroesophageal reflux (GERD) in the long term. The addition of fundoplication to laparoscopic SG may improve lower oesophageal sphincter function and reduce postoperative GERD.
Objectives: This systematic review and meta-analysis aims to compare the efficacy and safety of SG plus fundoplication (SG + F) versus SG alone for the treatment of patients with severe obesity (≥35 kg/m).
Prevalence of perceived weight-based stigmatisation in a multiethnic Asian population.
Ann Acad Med Singap
September 2022
Gastric cancer (GC) has a good prognosis, if detected at an early stage. The intestinal subtype of GC follows a stepwise progression to carcinoma, which is treatable with early detection and intervention using high-quality endoscopy. Premalignant lesions and gastric epithelial polyps are commonly encountered in clinical practice.
View Article and Find Full Text PDFBackground: Laparoscopic sleeve gastrectomy (LSG) is one of the commonest bariatric procedures. However, it is associated with postoperative gastroesophageal reflux disease (GERD) and erosive esophagitis (EE). This study aims to assess the impact of various preoperative clinical and endoscopic characteristics on the development of postoperative GERD and EE.
View Article and Find Full Text PDFBackground/aims: Surgeons and endoscopists have started to use endoscopically inserted double pigtail stents (DPTs) in the management of upper gastrointestinal (UGI) leaks, including UGI anastomotic leaks. We investigated our own experiences in this patient population.
Methods: From March 2017 to June 2020, 12 patients had endoscopic internal drainage of a radiologically proven anastomotic leak after UGI surgery in two tertiary UGI centers.
Kamikawa Double-Flap Reconstruction After Minimally Invasive Ivor-Lewis Esophagectomy.
Ann Thorac Surg
July 2019
Despite the high incidence of reflux esophagitis, there are few reports of antireflux modifications for minimally invasive Ivor-Lewis esophagectomy. We present the case of a 63-year-old man with mid-thoracic esophageal squamous cell carcinoma who underwent minimally invasive Ivor-Lewis esophagectomy after neoadjuvant chemoradiotherapy. Laparoscopic dissection, gastric tube creation, and mobilization was performed.
View Article and Find Full Text PDFArticle Synopsis
- * A 64-year-old woman with a specific type of stomach cancer underwent extensive laparoscopic surgery, including total gastrectomy and removal of parts of the pancreas and spleen.
- * The patient's surgery took 235 minutes, and after a successful recovery with no complications, she was discharged on the ninth day post-operation, though the long-term benefits of laparoscopic surgery for cancer treatment are still unknown.