Or early gastric Ro 67-7476 site cancer (EGC). Many dyes and detecting procedures were evaluated to obtain the accuracy of detecting sentinel nodes in SNNS for EGC. Aims Techniques: The aim of this study is to investigatethe security and feasibility of sentinel node mapping using a fluorescent dye and visible rayin the patients with gastric cancer. Nineteen sufferers with gastric cancer,in whom laparoscopic distal gastrectomy with common lymphadenectomy,have been enrolled in this study. Ahead of lymphadenectomy,they underwent endoscopic peritumoral injection of Fluorescein option. The sentinel basin was investigated by means of inspecting the laparoscopic fluorescent imaging below a blue ray (wave length of nm) emitted from a LED curing light.The detection rateand lymph node status have been analyzed in the enrolled individuals. Also,shortterm clinical outcomes had been also investigated. Benefits: Sentinel nodes had been detected inof enrolled individuals ( Metastatic lymph nodes were located in two enrolled situations. These lymph nodes belonged to sentinel basin of each and every patients. Meanwhile,a patient underwent postoperative complication that had little relation using the sentinel node mapping. In all enrolled situations,nomortality was recorded. Conclusion: The sentinel node mapping with visible light fluorescence was secure and successful at visualization of sentinel node. Additionally,this strategy is superior than other fluorescent imaging tactics in visualizing the concrete correlation of sentinel node and surrounded structures.A References . Park do J,et al. Simultaneous indocyanine green and (m)Tcantimony sulfur colloidguided laparoscopic sentinel basin dissection for gastric cancer. One particular of most feared complications of contemporary bariatric surgery is gastric anastomotic PubMed ID:https://www.ncbi.nlm.nih.gov/pubmed/23136856 leak (GL). Firstline therapy of leaks is external drainage collection and antibiotics. Therapy with the GL utilised clips,tissucol,SelfExpanding Metal endoprothesis (SEMS) and later pigtails. Endpoint of treatment is absence of contrast agent leakage on RX or CT. Aims Approaches: We reviewed retrospectively situations of bariatric surgery performed in our hospital in between and (Sleeve gastrectomy and RouxenY gastric bypass). individuals had been referred to gastroenterologists for GL. Following remedies have been used: SEMS exclusively (n:),SEMS plus pigtails (n:),SEMS then pigtails (n:),double pigtails (n:),clip (n:). Results: In SEMS group,the fistulas disappeared in most patients ( In one patient,endoclip necessary to become placed just after removing the stent. Within the pigtails group,all sufferers responded (,to remedy. Median hospitalization stay was . weeks in the SEMS group (n:..w) and .w in the pigtail group (n: ..w). Nineteen prosthesis (Ultraflex ,Endoflex ,Taewoong Health-related ,Life Partners Megastent (Barthet) had been applied. Two individuals were lost for comply with up. Early migration occurred inpatients with SEMS. Longstanding nausea,vomiting,retrosternal pain and gastro oesophageal reflux occurred in a lot more than half of sufferers with SEMS vs none in the pigtail group . Conclusion: SEMS are efficient in therapy of GL. Tolerance is normally bad,in particular immediately after Sleeve gastrectomy. Much more lately,endoscopic placement of double pigtails was introduced for therapy of GL. Early results in chosen patients are promising with regards to fistulas closure and tolerance. Additional studies are expected to confirm these preliminary results. Disclosure of Interest: None declaredP What is the Greatest Procedure FOR T TUMORS OF ESOPHAGOGASTRIC JUNCTION K. Noma,Y. Shirakawa,Y.