Feasibility and Preliminary Effectiveness of a Tele-Prehabilitation Program in Esophagogastric Cancer Patients

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Nutritive Value of \u3ci\u3eAlopecurus Pratensis, Festuca Rubra, Arrhenatherum Elatius\u3c/i\u3e and \u3ci\u3eLolium Perenne\u3c/i\u3e Grown in the South of Belgium

In Europe, recent strategies have aimed at encouraging farmers to use production techniques more efficient in preserving the environment and maintaining natural areas. Those strategies have encouraged the use of secondary grass species in forage production systems. However, the nutritive value of those grasses is not well known. Therefore, the aim of the present study was to evaluate the energy and nitrogen values of Alopecurus pratensis (ALPR), Festuca rubra (FERU) and Arrhenatherum elatius (AREL) under moderate rates of nitrogen (N) application (60 kg N/ha per cut) and a hay-cutting regime (2 cuts/year: 25 May and 9 July). Lolium perenne cv. Bastion (LOPE) was used as a control. The first cut of ALPR was a mixture of 18 April and 25 May cuts

What are the impact and the optimal design of a physical prehabilitation program in patients with esophagogastric cancer awaiting surgery? : A systematic review

EP was supported by a grant from the Fonds National de la Recherche Scientifique (FRIA - FNRS). GR was supported by a grant from the Institut de Recherche Expérimentale et Clinique (Université catholique de Louvain, Brussels, Belgium). The funders had no role in the study design, collection, analysis and interpretation of data and in writing the manuscript.Peer reviewedPublisher PD

Long-term follow-up after retrosternal ileocolic esophagoplasty in two cases of long-gap esophageal atresia: why it is still a valid option as a rescue strategy

IntroductionEsophageal replacement surgery in children is sometimes necessary for long-gap esophageal atresia. Ileocolic esophagoplasty in the retrosternal space can serve as a good alternative technique in case of hostile posterior mediastinum. We present two cases of successful ileocolic transposition performed at 6 months of age.MethodsEsophageal replacement was performed through a midline laparotomy incision associated with a left cervical approach. The ileocolic transplant was pediculized on the right superior colic artery after ligating the right colic and ileocolic vessels. A retrosternal tunnel was created, and the ileocolic transplant pulled through it to reach the cervical region. Proximally, esophageal-ileal anastomosis and, distally, colonic–gastric anastomosis were performed. Ileocolic continuity was repaired.ResultsThere were no early postoperative complications. In both cases, the patients presented oral feeding difficulties during the first 6 postoperative months. Thereafter, full oral feeding was achieved, and both patients were clinically asymptomatic during the following 18 and 20 years, respectively, with satisfactory oral radiological assessments, showing no redundancy or inappropriate growth of the graft and no anastomotic stricture. Currently, these patients do not complain of dysphagia, pathological reflux, or respiratory symptoms.ConclusionWhen native esophagus preservation in long-gap esophageal atresia is estimated unfeasible, ileocolic transposition in the retrosternal space might be considered a good and safe option, particularly in those difficult cases after multiple previous surgical attempts and mediastinitis. This technique is putatively associated with a beneficial anti-reflux effect, thanks to the presence of the ileocecal valve, in preventing cervical peptic esophagitis. Long-term follow-up confirms that the transposed colon in the retrosternal space did not suffer any abnormal modification in size and growth