Gastrointestinal Surgery (all articles) | Links Medicus Content Curation & Alerts in Medicine

A #DeepLearning model shows non-inferior performance in distinguishing colon cancer from diverticulitis in CT images. It may help board-certified radiologists and residents as an #AI-support system. https://t.co/YpwtN4508n

— JAMA Network Open (@JAMANetworkOpen) January 27, 2023

RCT | Disposable elevator cap duodenoscopes reduce microbial contamination during ERCP

30 Jan, 2023 | 00:49h | UTC

Effect of Disposable Elevator Cap Duodenoscopes on Persistent Microbial Contamination and Technical Performance of Endoscopic Retrograde Cholangiopancreatography: The ICECAP Randomized Clinical Trial – JAMA Internal Medicine

Commentary: Disposable elevator cap duodenoscopes may reduce contamination in endoscopic retrograde cholangiopancreatography – the ICECAP trial – JAMA Internal Medicine

Commentary on Twitter

In this RCT of 520 ERCP patients, disposable elevator cap duodenoscopes reduced persistent contamination (RR 0.34, 95% CI 0.16–0.75), with no differences in performance (technical success 94.6% vs. 90.7%, P=.13) or safety outcomes. https://t.co/km87WyxsvR

— JAMA Internal Medicine (@JAMAInternalMed) January 26, 2023

M-A | The optimal timing and intervention to reduce mortality for necrotizing pancreatitis

30 Jan, 2023 | 00:44h | UTC

The optimal timing and intervention to reduce mortality for necrotizing pancreatitis: a systematic review and network meta-analysis – World Journal of Emergency Surgery

Long-term follow-up of a RCT | Endoscopic versus surgical step-up approach for infected necrotizing pancreatitis.

RCT: Immediate drainage did not improve outcomes compared to postponed intervention in patients with infected necrotizing pancreatitis.

An Endoscopic Transluminal Approach, Compared With Minimally Invasive Surgery, Reduces Complications and Costs for Patients With Necrotizing Pancreatitis – Gastroenterology

Research: Endoscopic or Surgical Step-up Approach for Infected Necrotising Pancreatitis

Evidence-Based Approach to the Surgical Management of Acute Pancreatitis – The Surgery Journal

Intravenous fluid therapy in patients with severe acute pancreatitis admitted to the intensive care unit: a narrative review – Intensive Care Medicine

Aggressive or Moderate Fluid Resuscitation in Acute Pancreatitis – New England Journal of Medicine (link to abstract – $ for full-text)

Acute Pancreatitis: Diagnosis and Treatment – Drugs

Revised Clinical Practice Guidelines of the Korean Pancreatobiliary Association for Acute Pancreatitis – Gut and Liver

Guidelines for the management of patients with severe acute pancreatitis, 2021 – Anaesthesia Critical Care & Pain Medicine

Evidence-Based Disposition of Acute Pancreatitis – emDocs

2019 WSES guidelines for the management of severe acute pancreatitis – World Journal of Emergency Surgery

American Gastroenterological Association Institute Guideline on Initial Management of Acute Pancreatitis

Pancreatitis – National Institute for Health and Care Excellence

M-A | Proximal gastrectomy with double-tract-reconstruction vs. total gastrectomy in gastric and gastroesophageal junction cancer patients

27 Jan, 2023 | 11:54h | UTC

Systematic review and meta-analysis comparing proximal gastrectomy with double-tract-reconstruction and total gastrectomy in gastric and gastroesophageal junction cancer patients: Still no sufficient evidence for clinical decision-making – Surgery

RCT | Curettage plus platelet-rich plasma gel vs. curettage plus phenol application in treatment of pilonidal sinus disease

26 Jan, 2023 | 12:05h | UTC

Comparison of Curettage Plus Platelet-Rich Plasma Gel and Curettage Plus Phenol Application in Treatment of Pilonidal Sinus Disease: A Randomized Trial – Diseases of the Colon & Rectum (link to abstract – $ for full-text)

Cohort Study | Alcohol-related problems before and after metabolic and bariatric surgery in adolescents

26 Jan, 2023 | 12:01h | UTC

A Prospective Cohort of Alcohol use and Alcohol-related Problems Before and After Metabolic and Bariatric Surgery in Adolescents – Annals of Surgery (link to abstract – $ for full-text)

News Release: Problems with Alcohol Increase After Weight-Loss Surgery in Adolescence – Ann & Robert H. Lurie Children’s Hospital of Chicago

RCT | 2 days of postoperative antibiotics is noninferior to 5 days in patients with complex appendicitis

24 Jan, 2023 | 14:33h | UTC

2 days versus 5 days of postoperative antibiotics for complex appendicitis: a pragmatic, open-label, multicentre, non-inferiority randomised trial – The Lancet (link to abstract – $ for full-text)

Commentary: Trial supports shorter postoperative antibiotics for complex appendicitis – CIDRAP

Commentary on Twitter

After laparoscopic appendicectomy for complex appendicitis, 2 days versus 5 days of intravenous #antibiotics was non-inferior in terms of infectious complications and mortality within 90 days, suggests new Dutch study: https://t.co/oRsf8BQgAd

— The Lancet (@TheLancet) January 19, 2023

RCT | Intracorporeal vs. extracorporeal anastomosis in robotic right colectomy

24 Jan, 2023 | 14:17h | UTC

Intracorporeal Versus Extracorporeal Anastomosis in Robotic Right Colectomy: A Multicenter, Triple-blind, Randomized Clinical Trial – Annals of Surgery (link to abstract – $ for full-text)

Cohort Study | Prevalence of colorectal neoplasia 10 or more years after a negative screening colonoscopy in 120 000 repeated screening colonoscopies

23 Jan, 2023 | 13:36h | UTC

Prevalence of Colorectal Neoplasia 10 or More Years After a Negative Screening Colonoscopy in 120 000 Repeated Screening Colonoscopies – JAMA Internal Medicine

Commentaries:

Prevalence of Colorectal Cancers Low 10 Years Following Negative Screening Test – HCP Live

Risk for Advanced Neoplasm Low 10+ Years After Negative Colonoscopy – HealthDay

Commentary on Twitter

Large registry-based study finds strong potential for risk-adapted #colorectalcancer screening, suggests extension of screening endoscopy intervals beyond 10 years may be warranted particularly in asymptomatic female and younger participants. https://t.co/fChg6DRyPw @DKFZ

— JAMA Internal Medicine (@JAMAInternalMed) January 17, 2023

M-A | Enhanced recovery after surgery in children undergoing abdominal surgery

23 Jan, 2023 | 13:12h | UTC

Enhanced recovery after surgery in children undergoing abdominal surgery: meta-analysis – BJS Open

MRI anatomy of the rectum: key concepts important for rectal cancer staging and treatment planning

20 Jan, 2023 | 14:34h | UTC

MRI anatomy of the rectum: key concepts important for rectal cancer staging and treatment planning – Insights into Imaging

RCT | Effect of interval between neoadjuvant chemoradiotherapy and surgery on disease recurrence and survival in rectal cancer

20 Jan, 2023 | 14:19h | UTC

Effect of interval between neoadjuvant chemoradiotherapy and surgery on disease recurrence and survival in rectal cancer: long-term results of a randomized clinical trial – BJS Open

Commentary on Twitter

Single centre #RCT of surgery for T3/4 N+ #rectalcancer before or after 8 weeks of CRT

🧑‍🤝‍🧑350 patients
⚖️no difference locoregional recurrence
Distant mets more common in delayed group at 5yrs
DFS and OS similar#some4surgery @SEIQuirurgica @asgbi https://t.co/4evsKNKKK1 pic.twitter.com/CxI0GJdG56

— BJS Open (@BjsOpen) October 24, 2022

Study shows patients with circulating tumor DNA are at increased risk of relapse after surgery for resectable colorectal cancer

19 Jan, 2023 | 14:18h | UTC

Molecular residual disease and efficacy of adjuvant chemotherapy in patients with colorectal cancer – Nature Medicine – Nature Medicine

Commentary: Data Support ctDNA as a Prognostic Marker for Recurrence/Benefit in Colorectal Cancer – Cancer Network

Commentary on Twitter

In the observational arm of the CIRCULATE-Japan study, among patients with stage II-IV #ColorectalCancer, those with the presence of circulating #tumorDNA post-tumor resection have a high recurrence risk & are likely to benefit from adjuvant #chemotherapy https://t.co/hKlRt1ZW6T

— Nature Medicine (@NatureMedicine) January 17, 2023