GI Surgery – Biliary Tract and Pancreas
Post-transplant biliary complications: advances in pathophysiology, diagnosis, and treatment
3 Feb, 2023 | 14:01h | UTC
M-A | Major complications and mortality after resection of intrahepatic cholangiocarcinoma
3 Feb, 2023 | 13:43h | UTC
RCT | Disposable elevator cap duodenoscopes reduce microbial contamination during ERCP
30 Jan, 2023 | 00:49h | UTC
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 | UTCRelated:
Research: Endoscopic or Surgical Step-up Approach for Infected Necrotising Pancreatitis
Evidence-Based Approach to the Surgical Management of Acute Pancreatitis – The Surgery Journal
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
Evidence-Based Disposition of Acute Pancreatitis – emDocs
Pancreatitis – National Institute for Health and Care Excellence
M-A | Does neoadjuvant treatment in resectable pancreatic cancer improve overall survival?
17 Jan, 2023 | 13:07h | UTC
Establishment and external validation of neutrophil-to-lymphocyte ratio in excluding postoperative pancreatic fistula after pancreatoduodenectomy
17 Jan, 2023 | 12:57h | UTC
M-A | Costs and clinical benefits of enhanced recovery after surgery (ERAS) in pancreaticoduodenectomy
15 Jan, 2023 | 19:58h | UTCRelated:
Complete List of Enhanced Recovery After Surgery (ERAS) Society Guidelines
M-A | Laparoscopic vs. open pancreatoduodenectomy in patients with periampullary tumors
9 Jan, 2023 | 14:02h | UTCLaparoscopic versus Open Pancreatoduodenectomy in Patients with Periampullary Tumors: A Systematic Review and Meta-analysis – Annals of Surgery (link to abstract – $ for full-text)
Phase 2 RCT | Immediate surgery vs. short-course neoadjuvant gemcitabine plus capecitabine, FOLFIRINOX, or chemoradiotherapy in patients with borderline resectable pancreatic cancer.
14 Dec, 2022 | 15:01h | UTCNews Release: Chemotherapy before surgery can improve survival rates in pancreatic cancer patients – University of Liverpool
Commentary on Twitter
New research – Ghaneh et al – Immediate surgery vs short-course neoadjuvant gemcitabine + capecitabine, FOLFIRINOX, or chemoradiotherapy in patients w/ borderline resectable #pancreaticcancer (ESPAC5): a randomised phase 2 trialhttps://t.co/9S1hupyKjg#gitwitter #onctwitter pic.twitter.com/g2jQUAhUSJ
— The Lancet Gastroenterology & Hepatology (@LancetGastroHep) December 14, 2022
Review | Acute and chronic alcoholic pancreatitis, including paraduodenal pancreatitis.
2 Dec, 2022 | 14:08h | UTC
Evidence-based approach to the surgical management of acute pancreatitis.
29 Nov, 2022 | 14:10h | UTCEvidence-Based Approach to the Surgical Management of Acute Pancreatitis – The Surgery Journal
Related:
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
Evidence-Based Disposition of Acute Pancreatitis – emDocs
Pancreatitis – National Institute for Health and Care Excellence
M-A | Is early laparoscopic cholecystectomy after clearance of common bile duct stones by ERCP superior?
23 Nov, 2022 | 13:44h | UTC
Biliary tract cancer: ESMO Clinical Practice Guideline for diagnosis, treatment and follow-up.
15 Nov, 2022 | 12:52h | UTC
Commentary from the author on Twitter
https://twitter.com/ArndtVogel/status/1590634413377081344
RCT | Effect of local anesthetic infiltration on postoperative pain after laparoscopic cholecystectomy.
10 Nov, 2022 | 13:56h | UTC
Commentary on Twitter
Does it matter where you put local #anasthetic after #lapchole?
This #RCT 🇹🇭 shows that getting the local into the sheath, not just skin, reduces pain.#some4surgery #surgicalresearchhttps://t.co/ByRt7zuLfR@asgbi @SEIQuirurgica @villesallinen @Gio_Marchegiani pic.twitter.com/Cszf9H2wO2
— BJS Open (@BjsOpen) June 3, 2022
Review | Intravenous fluid therapy in patients with severe acute pancreatitis admitted to the intensive care unit.
8 Nov, 2022 | 12:15h | UTCRelated:
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
Evidence-Based Disposition of Acute Pancreatitis – emDocs
Pancreatitis – National Institute for Health and Care Excellence
M-A | Perioperative interventions to reduce pancreatic fistula following pancreatoduodenectomy.
2 Nov, 2022 | 14:22h | UTCPerioperative interventions to reduce pancreatic fistula following pancreatoduodenectomy: meta-analysis – British Journal of Surgery (link to abstract – $ for full-text)
Commentary on Twitter
Perioperative interventions to reduce POPF 🐳 following pancreatoduodenectomy @BJSurgery
🙈 Meta analysis reveal RCTs small and underpowered
Possible role for the following:
⛽️ External pancreatic duct drainage
💉 Ulinastatin
🪡 Invagination techniquehttps://t.co/IqPMLjb1Er pic.twitter.com/wv6RQUE3lY— Giovanni Marchegiani (@Gio_Marchegiani) June 29, 2022
ERAS Guidelines for perioperative care for liver surgery.
1 Nov, 2022 | 12:16h | UTCRelated:
Complete List of Enhanced Recovery After Surgery (ERAS) Society Guidelines
M-A of RCT | Combination of ulinastatin and somatostatin evaluated in acute pancreatitis.
31 Oct, 2022 | 13:44h | UTC
Cohort Study | Genetic sequencing of pancreatic cyst fluid reveals diverse genomic alterations that may guide clinical management.
20 Oct, 2022 | 12:24h | UTCNews Release: Genetic test for pancreatic cancer outperforms current guidelines – University of Pittsburgh
Commentary from the author on Twitter (thread – click for more)
A tweetorial on our study (https://t.co/OCqCRJEMdx). But, first a case: Young female w/ a 1.9 cm incidental pancreatic cyst. No concerning features, but KRAS, TP53 and SMAD4 mutations on molecular testing. Surgical resection: #IPMN w/ a small #PancreaticCancer. #Pathology #GIPath pic.twitter.com/hMJQ4OAUld
— Aatur Singhi, MD PhD (@PancPathologist) October 10, 2022
M-A of the association between new hypoglycemic agents and digestive diseases.
22 Sep, 2022 | 13:16h | UTCMeta-analysis of the association between new hypoglycemic agents and digestive diseases – Medicine
Commentary: Spotlight on digestive risks of newer diabetes drugs – ACP Gastroenterology
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 | UTCAggressive or Moderate Fluid Resuscitation in Acute Pancreatitis – New England Journal of Medicine (link to abstract – $ for full-text)
Long-term follow-up of a RCT | Endoscopic versus surgical step-up approach for infected necrotizing pancreatitis.
14 Sep, 2022 | 13:13h | UTC
Commentary on Twitter
Long term follow-up #TENSION trial 🇳🇱, today @AGA_Gastro: Endoscopic step-up approach not superior to surgical step-up approach in pts with infected necrotizing #pancreatitis. With endoscopy: ⬇️ pancreaticocutaneous fistulas and ⬇️ re-interventions. https://t.co/WKP7Pwb3vG pic.twitter.com/CGgd3jiTxm
— Marc Besselink (@MarcBesselink) May 18, 2022
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
Review | Acute pancreatitis: diagnosis and treatment.
13 Sep, 2022 | 13:04h | UTCAcute Pancreatitis: Diagnosis and Treatment – Drugs
Commentaries:
Evidence-Based Disposition of Acute Pancreatitis – emDocs
Pancreatitis – National Institute for Health and Care Excellence
AASLD practice guidance on primary sclerosing cholangitis and cholangiocarcinoma.
11 Sep, 2022 | 22:50h | UTCAASLD Practice Guidance on Primary Sclerosing Cholangitis and Cholangiocarcinoma – Hepatology