Vol 12, No 5 (October 01, 2023): Hepatobiliary Surgery and Nutrition

Original Article

Higher consumption of animal organ meat is associated with a lower prevalence of nonalcoholic steatohepatitis
Rui Zhang, Huai Zhang, Yi Wang, Liang-Jie Tang, Gang Li, Ou-Yang Huang, Sui-Dan Chen, Giovanni Targher, Christopher D. Byrne, Bin-Bin Gu, Ming-Hua Zheng
Organ meat is a more nutrient dense food than plant foods, or meat consumed as skeletal muscle. We found that higher daily consumption of animal organ meat was associated with lower prevalence of NASH in Chinese adults with biopsy-proven NAFLD.
Foregut bypass vs. restrictive bariatric procedures for nonalcoholic fatty liver disease: a meta-analysis of 3,355 individuals
Wen Hui Lim, Snow Yunni Lin, Cheng Han Ng, Darren Jun Hao Tan, Jieling Xiao, Jie Ning Yong, Phoebe Wen Lin Tay, Nicholas Syn, Yip Han Chin, Kai En Chan, Chin Meng Khoo, Nicholas Chew, Roger S. Y. Foo, Asim Shabbir, Eunice X. Tan, Daniel Q. Huang, Mazen Noureddin, Arun J. Sanyal, Mohammad Shadab Siddiqui, Mark D. Muthiah
This meta-analysis aimed to compare metabolic, biochemical, and histological parameters for patients with NAFLD undergoing restrictive bariatric procedures vs foregut bypass. Significant histological and metabolic advantages and comparable improvements in biochemical outcomes support the choice of foregut bypass over restrictive bariatric procedures in NAFLD management.
Associations between metabolic dysfunction-associated fatty liver disease and extrahepatic cancers: a cohort in China
Xiaojie Yuan, Xiaomo Wang, Shouling Wu, Shuohua Chen, Yanhong Wang, Jierui Wang, Ying Lu, Yuanyuan Sun, Qingjiang Fu, Li Wang
Assessment of long-term graft function following total pancreatectomy and autologous islet transplantation: the Leicester experience
Cristina A. Pollard, Wen Yuan Chung, Giuseppe Garcea, Ashley R. Dennison
The win ratio favored laparoscopic over open resection of colorectal liver metastases relative to 90-day mortality, severity of postoperative complications, time to recurrence and margin status (WR 1.82, 95%CI 1.42-2.34). Laparoscopic resection was favored regardless of sex, age, tumor burden or unilobar/bilobar disease.
Using the win ratio to compare laparoscopic versus open liver resection for colorectal cancer liver metastases
Alessandro Paro, J. Madison Hyer, Brandon S. Avery, Diamantis I. Tsilimigras, Fabio Bagante, Alfredo Guglielmi, Andrea Ruzzenente, Sorin Alexandrescu, George Poultsides, Kazunari Sasaki, Federico Aucejo, Timothy M. Pawlik
The win ratio favored laparoscopic over open resection of colorectal liver metastases relative to 90-day mortality, severity of postoperative complications, time to recurrence and margin status (WR 1.82, 95%CI 1.42-2.34). Laparoscopic resection was favored regardless of sex, age, tumor burden or unilobar/bilobar disease.
Obesity and its influence on liver dysfunction, morbidity and mortality after liver resection
Stephanie Kampf, Michael Sponder, Fabian Fitschek, Daniel Laxar, Martin Bodingbauer, Carina Binder, Stefan Stremitzer, Klaus Kaczirek, Christoph Schwarz
This large retrospective cohort study of 888 patients demonstrates that liver resections can safely be performed in obese patients. Postoperative complications and PHLF of 167 obese patients were comparable to normal weight and overweight patients.

Expert Consensus

The Hong Kong consensus recommendations on the diagnosis and management of pancreatic cystic lesions
Tan-To Cheung, Yuk Tong Lee, Raymond Shing-Yan Tang, Wong Hoi She, Kai Chi Cheng, Chin Cheung Cheung, Keith Wan Hang Chiu, Kenneth Siu Ho Chok, Wing Sun Chow, Tak Wing Lai, Wai-Kay Seto, Thomas Yau
A group of Hong Kong experts has compiled recommendations for the management of pancreatic cystic lesions (PCL). Their recommendations cover diagnosis, stratification, and treatment of patients, including the use of pancreatic enzyme replacement therapy for those who develop pancreatic exocrine insufficiency.

Editorial Commentary

Expert consensus—promoting clinical excellence and ultimately benefitting patients
Jin-Hong Chen, Lun-Xiu Qin
AASLD practice guidance on drug, herbal, and dietary supplement-induced liver injury: also useful for hepatobiliary surgeons
Jose María Pinazo-Bandera, Miren García-Cortés, Raúl J. Andrade
Update on herbal and dietary supplement-induced liver injury: current gaps and future directions
Sabine Weber, Alexander L. Gerbes
A critical review of pancreatectomy with concomitant superior mesenteric artery resection and intestinal autotransplantation
Benedetto Ielpo, Patricia Sánchez-Velázquez, Gemma Vellalta, Mauro Podda, Fernando Burdio
Tropifexor, a selective non-acid farnesoid X receptor agonist, improved nonalcoholic steatohepatitis in a phase 2 trial, but several issues remain to be resolved
Masato Yoneda, Takashi Kobayashi, Naohiro Wada, Tomohiro Otani, Asako Nogami, Michihiro Iwaki, Atsushi Nakajima
Fibroscan-AST (FAST) score and other non-invasive tests for the diagnosis of fibrotic non-alcoholic steatohepatitis
Wah Loong Chan, C. Vikneshwaran Chandra Kumar, Wah Kheong Chan
Hepatitis B down under: consensus recommendations from the Gastroenterological Society of Australia
Vignan Manne, Kris V. Kowdley
Conversion therapy for advanced cholangiocarcinoma in the era of molecular targeted therapy and immune therapy
Zunyi Zhang, Wei Zhang
Guidelines on cholangioscopy for indeterminate biliary strictures: one step closer to consensus
Fares Ayoub, Mohamed O. Othman
Practice guidance documents for the diagnosis and management of non-alcoholic fatty liver disease—recent updates and open questions
Volker M. Lauschke
The conclusion of reducing acute rejection after liver transplantation by machine perfusion should be extrapolated with caution
Aijun Liang, Linya Zhang, Junjun Jia, Kebo Zhong, Yu Nie
The role of FGFR inhibitors in the treatment of intrahepatic cholangiocarcinoma—unveiling the future challenges in drug therapy
Naoshi Nishida
Mucosa-associated microbiota alterations in primary sclerosing cholangitis (PSC) before and after liver transplantation—who is calling the shots?
Münevver Demir, Michael Sigal
Review of practice informing data and current state of NCCN consensus guidelines in hepatobiliary cancers
Virginia Corbett, Daneng Li, Aman Chauhan
Glisson's Capsule in The Avicenna’s Canon of Medicine
Sajjad Sadeghi, Elnaz Dostmohammadi, Mahdi Firoozi
Advances in the construction of in vitro liver tissue models using 3D bioprinting technology
Chengyi Zhong, Haifeng Xu