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Gastrointestinal Surgery (all articles)

Guideline | Anemia management in surgical patients.

23 Sep, 2022 | 13:11h | UTC

Recommendations from the International Consensus Conference on Anemia Management in Surgical Patients (ICCAMS) – Annals of Surgery

 


Study shows that same-day home recovery for benign foregut surgery is safe and feasible for most patients.

23 Sep, 2022 | 13:07h | UTC

Same-Day Home Recovery for Benign Foregut Surgery – JAMA Surgery (link to abstract – $ for full-text)

 

Commentary on Twitter

 


M-A of the association between new hypoglycemic agents and digestive diseases.

22 Sep, 2022 | 13:16h | UTC

Meta-analysis of the association between new hypoglycemic agents and digestive diseases – Medicine

Commentary: Spotlight on digestive risks of newer diabetes drugs – ACP Gastroenterology

 


Patient Preference RCT | Short-term anti-TNF therapy with surgical closure vs. anti-TNF therapy alone in the treatment of perianal fistulas in Crohn’s disease.

21 Sep, 2022 | 13:09h | UTC

Short-term anti-TNF therapy with surgical closure versus anti-TNF therapy in the treatment of perianal fistulas in Crohn’s disease (PISA-II): a patient preference randomised trial – The Lancet Gastroenterology & Hepatology (link to abstract – $ for full-text)

Podcast: Elise Meima-van Praag on surgical closure for Crohn’s disease perianal fistulas

Commentary: Anti-TNF, surgical closure induces long-term healing in Crohn’s fistulas – Healio (free registration required)

 

Commentary on Twitter

 


RCT | Circular stapled technique vs. modified collard technique for cervical esophagogastric anastomosis after esophagectomy.

21 Sep, 2022 | 13:08h | UTC

Circular Stapled Technique Versus Modified Collard Technique for Cervical Esophagogastric Anastomosis After Esophagectomy: A Randomized Controlled Trial – Annals of Surgery (link to abstract – $ for full-text)

 


Preliminary results of a RCT | Once-only colonoscopy vs. two rounds of fecal immunochemical testing 2 years apart for colorectal cancer screening.

20 Sep, 2022 | 13:29h | UTC

Once-only colonoscopy or two rounds of faecal immunochemical testing 2 years apart for colorectal cancer screening (SCREESCO): preliminary report of a randomised controlled trial – The Lancet Gastroenterology & Hepatology (link to abstract – $ for full-text)

Commentary: Two Rounds of FIT vs Single Colonoscopy as a One-time CRC Screening – Medscape (free registration required)

 


Consensus Paper | Pediatric robotic surgery: issues in management.

20 Sep, 2022 | 13:28h | UTC

Pediatric robotic surgery: issues in management—expert consensus from the Italian Society of Pediatric and Neonatal Anesthesia and Intensive Care (SARNePI) and the Italian Society of Pediatric Surgery (SICP) – Surgical Endoscopy

 


M-A of randomized trials | Transanal tube vs. defunctioning stoma after low anterior resection for rectal cancer.

19 Sep, 2022 | 12:37h | UTC

Transanal tube versus defunctioning stoma after low anterior resection for rectal cancer: network meta-analysis of randomized controlled trials – British Journal of Surgery

 


The risk of subsequent surgery following bowel resection for Crohn’s disease in a national cohort of 19,207 patients.

19 Sep, 2022 | 12:33h | UTC

The risk of subsequent surgery following bowel resection for Crohn’s disease in a national cohort of 19,207 patients – Colorectal Disease (link to abstract – $ for full-text)

Commentary: Investigators Assess Risk of Further Surgery for Crohn’s Disease Patients – HCPLive

 


RCT | Short-term outcomes of laparoscopy-assisted vs. open surgery for patients with low rectal cancer.

16 Sep, 2022 | 12:58h | UTC

Short-term Outcomes of Laparoscopy-Assisted vs Open Surgery for Patients With Low Rectal Cancer: The LASRE Randomized Clinical Trial – JAMA Oncology

 

Commentary on Twitter

 


RCT | In patients with acute pancreatitis, early aggressive hydration resulted in a higher incidence of fluid overload without improvement in clinical outcomes.

15 Sep, 2022 | 13:15h | UTC

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

 


RCT | Robotic vs. laparoscopic surgery for middle and low rectal cancer.

15 Sep, 2022 | 13:09h | UTC

Robotic versus laparoscopic surgery for middle and low rectal cancer (REAL): short-term outcomes of a multicentre randomised controlled trial – The Lancet Gastroenterology & Hepatology (link to abstract – $ for full-text)

Commentaries:

Robotic Surgery Tops Laparoscopic Surgery for Middle and Low Rectal Cancer — Randomized trial shows fewer positive circumferential resection margins with robotic technique – MedPage Today (free registration required)

 

Commentaries on Twitter

 


Cohort Study | A 7-year study of the durability of improvements in pain, physical function, and work productivity after Roux-en-Y gastric bypass and sleeve gastrectomy.

15 Sep, 2022 | 13:03h | UTC

A 7-Year Study of the Durability of Improvements in Pain, Physical Function, and Work Productivity After Roux-en-Y Gastric Bypass and Sleeve Gastrectomy – JAMA Network Open

News Release: Beyond weight loss: Improvements in pain, mobility persist long after bariatric surgery – University of Pittsburgh

Author Interview: Long-term Changes in Pain, Physical Function, and Work Productivity After Bariatric Surgery – JAMA

 


RCT | Extended duration thromboprophylaxis (continued for 56 days postoperatively) is not beneficial after surgical resection of colorectal cancer.

14 Sep, 2022 | 13:22h | UTC

Efficacy and safety of extended duration to perioperative thromboprophylaxis with low molecular weight heparin on disease-free survival after surgical resection of colorectal cancer (PERIOP-01): multicentre, open label, randomised controlled trial – The BMJ

 


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

14 Sep, 2022 | 13:13h | UTC

Endoscopic Versus Surgical Step-Up Approach for Infected Necrotizing Pancreatitis (ExTENSION): Long-term Follow-up of a Randomized Trial – Gastroenterology

 

Commentary on Twitter

Under a Creative Commons Attribution (CC BY 4.0) License

 


AGA Clinical practice update on the endoscopic approach to recurrent acute and chronic pancreatitis.

13 Sep, 2022 | 13:12h | UTC

AGA Clinical Practice Update on the Endoscopic Approach to Recurrent Acute and Chronic Pancreatitis: Expert Review – Gastroenterology

Commentary: AGA Clinical Practice Update: Expert review on endoscopic management for recurrent acute and chronic pancreatitis – MDedge

 


Review | Acute pancreatitis: diagnosis and treatment.

13 Sep, 2022 | 13:04h | UTC

Acute Pancreatitis: Diagnosis and Treatment – Drugs

Commentaries:

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

 


AASLD practice guidance on primary sclerosing cholangitis and cholangiocarcinoma.

11 Sep, 2022 | 22:50h | UTC

AASLD Practice Guidance on Primary Sclerosing Cholangitis and Cholangiocarcinoma – Hepatology

 


A randomized crossover trial with 12 patients showed that a bihormonal “artificial pancreas” with closed-loop glucose control increases patients’ time on euglycemia after total pancreatectomy.

11 Sep, 2022 | 22:45h | UTC

Bihormonal Artificial Pancreas With Closed-Loop Glucose Control vs Current Diabetes Care After Total Pancreatectomy: A Randomized Clinical Trial – JAMA Surgery (free for a limited period)

Commentary: Novel Bihormonal Artificial Pancreas Beneficial After Pancreatectomy – HealthDay

 


Systematic Review | Surgery for the treatment of obesity in children and adolescents.

11 Sep, 2022 | 22:29h | UTC

Surgery for the treatment of obesity in children and adolescents – Cochrane Library

Summary: Surgery for the treatment of obesity in children and adolescents – Cochrane Library

 


Opinion | Tranexamic acid for safer surgery: the time is now.

7 Sep, 2022 | 12:37h | UTC

Tranexamic acid for safer surgery: the time is now – British Journal of Surgery

Related:

#ACC22 – RCT: Tranexamic acid reduces the risk of bleeding in patients undergoing noncardiac surgery.

Update on applications and limitations of perioperative tranexamic acid.

RCT | Effect of high- vs. low-dose tranexamic acid infusion on need for red blood cell transfusion and adverse events in patients undergoing cardiac surgery.

Safety of tranexamic acid in hip and knee arthroplasty in high-risk patients – this large observational study did not show an increased risk for venous thromboembolism, myocardial infarction, seizures, ischemic strokes, or transient ischemic attacks, irrespective of patient high-risk status at baseline

M-A: Intravenous tranexamic acid in surgical patients is not associated with increased risk of thromboembolic events and mortality

 


RCT | Among patients with inguinal hernia, pain with sexual activity is reduced similarly with total extraperitoneal repair without mesh fixation and Lichtenstein repair.

6 Sep, 2022 | 14:30h | UTC

Pain with sexual activity at 1 and 3 years: Comparing total extraperitoneal with Lichtenstein inguinal hernia repair in a randomized setting (TEPLICH trial) – Surgery

Commentary: Pain during sexual engagement improves among inguinal hernia patients after hernia repair – Medical Dialogues

 


Systematic Review | Contrast‐enhanced ultrasound for the diagnosis of hepatocellular carcinoma in adults with chronic liver disease.

5 Sep, 2022 | 14:13h | UTC

Contrast‐enhanced ultrasound for the diagnosis of hepatocellular carcinoma in adults with chronic liver disease – Cochrane Library

Summary: How accurate are contrast-enhanced ultrasound scans for detecting hepatocellular carcinoma? – Cochrane Library

 


M-A | Which surgeries are the best choice for chronic pancreatitis.

2 Sep, 2022 | 13:05h | UTC

Which Surgeries Are the Best Choice for Chronic Pancreatitis: A Network Meta-Analysis of Randomized Controlled Trials – Frontiers in Surgery

 


Severity of Esophageal Anastomotic Leak in patients after esophagectomy: the SEAL score.

1 Sep, 2022 | 11:47h | UTC

Severity of oEsophageal Anastomotic Leak in patients after oesophagectomy: the SEAL score – British Journal of Surgery

 

Commentary on Twitter (thread – click for more)

 


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