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  1. Book ; Online ; E-Book: Cancer regional therapy

    Fong, Yuman / Gamblin, T. Clark / Han, Ernest S. / Lee, Byrne / Zager, Jonathan S.

    HAI, HIPEC, HILP, ILI, PIPAC and beyond

    2020  

    Author's details Yuman Fong, T. Clark Gamblin, Ernest S. Han, Byrne Lee, Jonathan S. Zager editors
    Keywords Surgery ; Surgical oncology ; Interventional radiology
    Subject code 617
    Language English
    Size 1 Online-Ressource (xxvi, 488 Seiten), Illustrationen
    Publisher Springer
    Publishing place Cham
    Publishing country Switzerland
    Document type Book ; Online ; E-Book
    Remark Zugriff für angemeldete ZB MED-Nutzerinnen und -Nutzer
    HBZ-ID HT020380654
    ISBN 978-3-030-28891-4 ; 9783030288907 ; 3-030-28891-9 ; 3030288900
    DOI 10.1007/978-3-030-28891-4
    Database ZB MED Catalogue: Medicine, Health, Nutrition, Environment, Agriculture

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  2. Article ; Online: Understanding the Caregiver Perspective: The Impact of Caring for Patients with Advanced Cancer.

    Sun, Beatrice J / Lee, Byrne

    Annals of surgical oncology

    2024  Volume 31, Issue 5, Page(s) 2826–2828

    MeSH term(s) Humans ; Caregivers ; Neoplasms/therapy ; Quality of Life ; Patients ; Patient Care
    Language English
    Publishing date 2024-01-29
    Publishing country United States
    Document type Letter
    ZDB-ID 1200469-8
    ISSN 1534-4681 ; 1068-9265
    ISSN (online) 1534-4681
    ISSN 1068-9265
    DOI 10.1245/s10434-024-14990-x
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: Heated Intraperitoneal Chemotherapy for Locally Advanced Colon Cancer-Restarting the Fire.

    Daniel, Sara K / Lee, Byrne

    JAMA surgery

    2023  Volume 158, Issue 7, Page(s) 692

    MeSH term(s) Humans ; Colonic Neoplasms/drug therapy ; Combined Modality Therapy
    Language English
    Publishing date 2023-04-26
    Publishing country United States
    Document type Journal Article ; Comment
    ZDB-ID 2701841-6
    ISSN 2168-6262 ; 2168-6254
    ISSN (online) 2168-6262
    ISSN 2168-6254
    DOI 10.1001/jamasurg.2023.0677
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: Results of the First Phase I PIPAC Trial in the United States: Braving the Storm.

    Sun, Beatrice J / Lee, Byrne

    Annals of surgical oncology

    2023  Volume 30, Issue 13, Page(s) 7923–7925

    MeSH term(s) Humans ; Aerosols ; Cisplatin ; Doxorubicin ; United States
    Chemical Substances Aerosols ; Cisplatin (Q20Q21Q62J) ; Doxorubicin (80168379AG)
    Language English
    Publishing date 2023-09-28
    Publishing country United States
    Document type Editorial ; Comment
    ZDB-ID 1200469-8
    ISSN 1534-4681 ; 1068-9265
    ISSN (online) 1534-4681
    ISSN 1068-9265
    DOI 10.1245/s10434-023-14353-y
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article ; Online: ASO Author Reflections: The Potential of ERAS in Standardizing Care for Patients Undergoing CRS-HIPEC.

    Sun, Beatrice J / Lee, Byrne

    Annals of surgical oncology

    2023  Volume 30, Issue 13, Page(s) 8170–8171

    MeSH term(s) Humans ; Hyperthermic Intraperitoneal Chemotherapy ; Hyperthermia, Induced ; Combined Modality Therapy ; Cytoreduction Surgical Procedures
    Language English
    Publishing date 2023-09-14
    Publishing country United States
    Document type Journal Article ; Comment
    ZDB-ID 1200469-8
    ISSN 1534-4681 ; 1068-9265
    ISSN (online) 1534-4681
    ISSN 1068-9265
    DOI 10.1245/s10434-023-14300-x
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article ; Online: ASO Author Reflections: Integrating Multimodal Pain Management Protocols into ERAS for Patients Undergoing CRS-HIPEC.

    Yue, Tiffany / Sun, Beatrice / Lee, Byrne

    Annals of surgical oncology

    2024  

    Language English
    Publishing date 2024-03-14
    Publishing country United States
    Document type Journal Article
    ZDB-ID 1200469-8
    ISSN 1534-4681 ; 1068-9265
    ISSN (online) 1534-4681
    ISSN 1068-9265
    DOI 10.1245/s10434-024-15178-z
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  7. Article: Review of Regional Therapies for Gastric Cancer with Peritoneal Metastases.

    Sun, Beatrice J / Lee, Byrne

    Cancers

    2022  Volume 14, Issue 3

    Abstract: Gastric cancer carries a poor prognosis and is a leading cause of cancer-related mortality worldwide. Patients with gastric cancer who develop peritoneal metastases have an even more dismal prognosis, with median survival time measured in months. Since ... ...

    Abstract Gastric cancer carries a poor prognosis and is a leading cause of cancer-related mortality worldwide. Patients with gastric cancer who develop peritoneal metastases have an even more dismal prognosis, with median survival time measured in months. Since studies have demonstrated that systemic chemotherapy has poor penetration into the peritoneum, multimodal treatment with intraperitoneal chemotherapy has been proposed for the treatment of peritoneal metastases and has become the foundation for newer therapeutic techniques and clinical trials. These include heated intraperitoneal chemotherapy (HIPEC) with cytoreductive surgery (CRS), which involves the application of heated chemotherapy into the abdomen with or without tumor debulking surgery; normothermic intraperitoneal chemotherapy (NIPEC), in which non-heated chemotherapy can be delivered into the abdomen via a peritoneal port allowing for repeat dosing; and pressurized intraperitoneal aerosolized chemotherapy (PIPAC), a newer technique of pressurized and aerosolized chemotherapy delivered into the abdomen during laparoscopy. Early results with intraperitoneal chemotherapy have shown promise in increasing disease-free and overall survival in select patients. Additionally, there may be a palliative effect of these regional therapies. In this review, we explore and summarize these different intraperitoneal chemotherapy treatment regimens for gastric cancer with peritoneal metastases.
    Language English
    Publishing date 2022-01-23
    Publishing country Switzerland
    Document type Journal Article ; Review
    ZDB-ID 2527080-1
    ISSN 2072-6694
    ISSN 2072-6694
    DOI 10.3390/cancers14030570
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  8. Article ; Online: Factors Predicting Readmission and Mortality in Patients Admitted for Malignant Bowel Obstruction.

    Xu, Nova / Sun, Beatrice J / Yue, Tiffany M / Lee, Byrne

    The American surgeon

    2024  , Page(s) 31348241250045

    Abstract: Introduction: Malignant bowel obstruction (MBO) is a common complication of patients with advanced malignancies and has poor prognosis. Currently, there are limited guidelines for MBO management or predicting outcomes for these patients.: Objective: ... ...

    Abstract Introduction: Malignant bowel obstruction (MBO) is a common complication of patients with advanced malignancies and has poor prognosis. Currently, there are limited guidelines for MBO management or predicting outcomes for these patients.
    Objective: To identify patient factors associated with readmission and mortality after hospital admission for MBO.
    Participants: A 5-year retrospective review was performed from 2017 to 2022 at a single tertiary institution to evaluate patients admitted for MBO. All patients had advanced cancer of gastrointestinal or gynecologic primary. Patient demographics, socioeconomic factors, tumor characteristics, and inpatient outcomes were collected. Multivariable analyses were performed to determine variables predicting hospital readmission for recurrent MBO and 90-day mortality.
    Results: 210 patients were included. Mean age was 61 years, 28% were male, and 19% did not primarily speak English. 35% of patients lived over 50 miles from the hospital. On multivariable analysis, non-English speaking patients exhibited increased risk of readmission for MBO (OR = 2.82,
    Conclusion: Patient age, primary language, and PC consult were predictors for MBO readmission, which may impact 90-day mortality. Given the palliative nature of MBO, modifiable factors such as PC consultation and multidisciplinary goals of care discussions should be prioritized in order to reduce readmissions and focus on quality of life (QOL) for this patient population.
    Language English
    Publishing date 2024-04-27
    Publishing country United States
    Document type Journal Article
    ZDB-ID 202465-2
    ISSN 1555-9823 ; 0003-1348
    ISSN (online) 1555-9823
    ISSN 0003-1348
    DOI 10.1177/00031348241250045
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  9. Article: PIPAC for Gastrointestinal Malignancies.

    Daniel, Sara K / Sun, Beatrice J / Lee, Byrne

    Journal of clinical medicine

    2023  Volume 12, Issue 21

    Abstract: The peritoneum is a common site of metastases for gastrointestinal tumors that predicts a poor outcome. In addition to decreased survival, peritoneal metastases (PMs) can significantly impact quality of life from the resulting ascites and bowel ... ...

    Abstract The peritoneum is a common site of metastases for gastrointestinal tumors that predicts a poor outcome. In addition to decreased survival, peritoneal metastases (PMs) can significantly impact quality of life from the resulting ascites and bowel obstructions. The peritoneum has been a target for regional therapies due to the unique properties of the blood-peritoneum barrier. Cytoreductive surgery (CRS) and heated intraperitoneal chemotherapy (HIPEC) have become accepted treatments for limited-volume peritoneal disease in appendiceal, ovarian, and colorectal malignancies, but there are limitations. Pressurized intraperitoneal aerosolized chemotherapy (PIPAC) improves drug distribution and tissue penetration, allowing for a minimally invasive application for patients who are not CRS/HIPEC candidates based on high disease burden. PIPAC is an emerging treatment that may convert the patient to resectable disease, and may increase survival without major morbidity, as indicated by many small studies. In this review, we discuss the rationale and benefits of PIPAC, as well as sentinel papers describing its application for gastric, colorectal, appendiceal, and pancreatobiliary PMs. While no PIPAC device has yet met FDA approval, we discuss next steps needed to incorporate PIPAC into neoadjuvant/adjuvant treatment paradigms, as well as palliative settings. Data on active clinical trials using PIPAC are provided.
    Language English
    Publishing date 2023-10-27
    Publishing country Switzerland
    Document type Journal Article ; Review
    ZDB-ID 2662592-1
    ISSN 2077-0383
    ISSN 2077-0383
    DOI 10.3390/jcm12216799
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  10. Article: The Role of Prophylactic and Adjuvant Hyperthermic Intraperitoneal Chemotherapy (HIPEC) in Prevention of Peritoneal Metastases in Advanced Colorectal Cancer.

    Sun, Beatrice J / Daniel, Sara K / Lee, Byrne

    Journal of clinical medicine

    2023  Volume 12, Issue 20

    Abstract: Hyperthermic intraperitoneal chemotherapy (HIPEC) is a locoregional therapy that may be combined with cytoreductive surgery (CRS) to treat patients with colorectal cancer and peritoneal metastases (PM). In recent years, three randomized controlled trials ...

    Abstract Hyperthermic intraperitoneal chemotherapy (HIPEC) is a locoregional therapy that may be combined with cytoreductive surgery (CRS) to treat patients with colorectal cancer and peritoneal metastases (PM). In recent years, three randomized controlled trials (RCTs) have investigated the role of prophylactic or adjuvant HIPEC in preventing the development of PM in patients with high-risk colorectal cancer: PROPHYLOCHIP and COLOPEC evaluated adjuvant HIPEC, and HIPECT4 studied concurrent HIPEC and CRS. Although PROPHYLOCHIP and COLOPEC were negative trials, a great deal may be learned from their methodology, outcome measures, and patient selection criteria. HIPECT4 is the first RCT to show a clinical benefit of HIPEC in high-risk T4 colorectal cancer, demonstrating improved locoregional disease control with the addition of HIPEC to CRS with no increase in the rate of complications. This review critically examines the strengths and limitations of each major trial and discusses their potential impact on the practice of HIPEC. Several additional ongoing clinical trials also seek to investigate the role of HIPEC in preventing PM in advanced colorectal cancer.
    Language English
    Publishing date 2023-10-10
    Publishing country Switzerland
    Document type Journal Article ; Review
    ZDB-ID 2662592-1
    ISSN 2077-0383
    ISSN 2077-0383
    DOI 10.3390/jcm12206443
    Database MEDical Literature Analysis and Retrieval System OnLINE

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