GI Surgery – Biliary Tract and Pancreas
Cohort Study | UK pancreatitis study reveals gallstones as most common cause
29 May, 2023 | 10:57h | UTC
Commentary on Twitter
Panc Collaborative📜(113🏥, 2580😷) on acute pancreatitis shows 50% related to gall🪨, 20% idiopathic and 5% severe. ✝️2.3% overall, but >30% in severe cases! Age, ♂️& frailty predicted ⚰️:https://t.co/dw9tR5Uyjg#SoMe4Surgery @BJSAcademy @BJSurgery @young_bjs #some4hpb #SurgEd pic.twitter.com/AAPf8L4lnt
— BJS Open (@BjsOpen) May 12, 2023
Review | Hereditary colorectal, gastric, and pancreatic cancer
18 May, 2023 | 13:43h | UTCHereditary colorectal, gastric, and pancreatic cancer: comprehensive review – BJS Open
Commentary on Twitter
Have a🔎at our latest comprehensive review covering all u need to know📜about hereditary 🧬colorectal, gastric & pancreatic🦀! https://t.co/y1LL0DNRiy@Adductor @DrRABurkhart #SoMe4Surgery #StepUp4CRC #SurgEd #MedTwitter @BJSAcademy @BJSurgery @juliomayol @young_bjs Great read! pic.twitter.com/JmmOmMBydO
— BJS Open (@BjsOpen) May 11, 2023
Fluorescence-guided surgery: comprehensive review
18 May, 2023 | 13:34h | UTCFluorescence-guided surgery: comprehensive review – BJS Open
Commentary on Twitter
Find all you ever wanted to know about the current state of fluorescence-guided surgery 🟢🔬🔪in our latest comprehensive review by @BJSurgery editor @paulo_sutt et al. Absolutely worth reading!https://t.co/Tgrj4UvOzV@BJSAcademy @juliomayol @young_bjs #SoMe4Surgery #MedTwitter pic.twitter.com/ReArdO1LOs
— BJS Open (@BjsOpen) May 17, 2023
Current perioperative care in pancreatoduodenectomy: a step-by-step surgical roadmap from first visit to discharge
16 May, 2023 | 14:52h | UTC
Commentary on Twitter
Step by step surgical roadmap 🗺️ for pancreatoduodenectomy
🧭 Pre, intra and post operative periods have specific landmarks
⚖️ Such factors weight the actual value of surgery vs. alternative options
🔑 is minimize complications and patients selectionhttps://t.co/3obsQdfHs6 pic.twitter.com/6EHoRjc2wE
— Giovanni Marchegiani (@Gio_Marchegiani) April 27, 2023
RCT | Interrupted vs. continuous suture technique for biliary-enteric anastomosis
16 May, 2023 | 14:22h | UTC
Commentary on Twitter
Interrupted vs continuous suture for bilioenteric anastomosis?#RCT 🧑🤝🧑=82
⏱️Cont. suture approx 10mins quicker
⚖️No difference in biliary complications#some4hpb #SoMe4Surgery https://t.co/7Vo7GlBG9V pic.twitter.com/mdRM7xWkIS— BJS Open (@BjsOpen) February 6, 2023
Review | Predicting postoperative pancreatic fistula and pancreatitis after pancreatoduodenectomy or distal pancreatectomy
10 May, 2023 | 15:41h | UTC
Commentary from the author on Twitter
All you ever wanted to know about prediction of pancreatic fistula or postoperative pancreatitis – See new review paper w @BonsdorffA in @ScandJSurg !https://t.co/i73czVzXtu pic.twitter.com/tleWlAJsr3
— Ville Sallinen (@villesallinen) April 21, 2023
EASL-ILCA Clinical practice guidelines on the management of intrahepatic cholangiocarcinoma
9 May, 2023 | 14:47h | UTC
Commentary on Twitter
🆕#CPG in press❕
EASL-ILCA Clinical Practice Guidelines on the management of #IntrahepaticCholangiocarcinoma
🆓Find it here👉https://t.co/buM8rgBU1F@EASLedu@EASLnews#iCCA#LiverTwitter pic.twitter.com/raR983x0qk
— Journal of Hepatology (@JHepatology) April 20, 2023
Guideline | Perioperative management of patients undergoing endoscopic retrograde cholangiopancreatography
4 May, 2023 | 13:52h | UTC
Consensus definition of sludge and microlithiasis as a possible cause of pancreatitis
3 May, 2023 | 15:22h | UTCConsensus definition of sludge and microlithiasis as a possible cause of pancreatitis – Gut
Review | Multidisciplinary management in the treatment of intrahepatic cholangiocarcinoma
28 Apr, 2023 | 13:03h | UTC
SR | Etiology, diagnosis, and modern management of chronic pancreatitis
24 Apr, 2023 | 13:29h | UTCEtiology, Diagnosis, and Modern Management of Chronic Pancreatitis: A Systematic Review – JAMA Surgery (free for a limited period)
RCT | Piperacillin-tazobactam better than cefoxitin in antimicrobial prophylaxis for open pancreatoduodenectomy
21 Apr, 2023 | 13:08h | UTCPiperacillin-Tazobactam Compared With Cefoxitin as Antimicrobial Prophylaxis for Pancreatoduodenectomy: A Randomized Clinical Trial – JAMA (free for a limited period)
Editorial: Informing a Rational Approach to Antimicrobial Prophylaxis in Open Pancreatoduodenectomy – JAMA (free for a limited period)
Commentary on Twitter
Study findings support the use of piperacillin-tazobactam as perioperative antimicrobial prophylaxis for open pancreatoduodenectomy. https://t.co/M9qAVrePRH pic.twitter.com/xq01qPTHQO
— JAMA (@JAMA_current) April 20, 2023
Review | Diagnostic, structured classification and therapeutic approach in cystic pancreatic lesions
12 Apr, 2023 | 12:58h | UTCRelated:
Cystic pancreatic lesions: MR imaging findings and management.
Recommendations for the management of incidental pancreatic findings in adults.
Pancreatic cystic neoplasms: a review of current recommendations for surveillance and management
Management of Pancreatic Cystic Lesions
Consensus Recommendations: Diagnosis and Surveillance of Incidental Pancreatic Cystic Lesions
Review: Pancreatic Cystic Lesions
Guidelines on pancreatic cystic neoplasms
SR | Risk factors for cholangitis after pancreatoduodenectomy
11 Apr, 2023 | 14:21h | UTC
Preliminary study suggests a PEG-coated hemostatic patch reduces pancreatic fistula post-pancreatoduodenectomy
11 Apr, 2023 | 14:02h | UTC
Commentary on Twitter
POPF prevention 🐳 any help from haemostatic patches?!
🩹 Polyethylene glycol-coated haemostatic patch for prevention: RCT from 🇪🇸
📉 POPF reduction 90% (!!!) regardless of other risk factors
🧐 What is your practice?! https://t.co/Fn7OgFgwTR pic.twitter.com/ZjlxuUTZEN
— Giovanni Marchegiani (@Gio_Marchegiani) April 7, 2023
Cohort Study | Impact of complications after resection of pancreatic cancer on disease recurrence and survival
10 Apr, 2023 | 13:34h | UTC
Commentary on Twitter
Major complications after🦀surgery are known to impair DF- and OS ➡️📜of all 🇳🇱 pat undergoing panc surgery 2014–2017 (n=1071) confirms via causal mediation 📈that this is mediated due to omission of adjuvant CTX!https://t.co/8kjr9MpRt4#some4surgery #some4hpb @BJSAcademy pic.twitter.com/EZd7Yvi4z2
— BJS Open (@BjsOpen) April 1, 2023
Brief Review | What every gastroenterologist should know about gastrointestinal neuroendocrine tumors
4 Apr, 2023 | 13:29h | UTC
Cohort Study | Celiac axis stenosis is an underestimated risk factor for increased morbidity after pancreatoduodenectomy
4 Apr, 2023 | 13:20h | UTC
Update on the management of acute pancreatitis
30 Mar, 2023 | 14:10h | UTCUpdate on the management of acute pancreatitis – Current Opinion in Critical Care
Related:
Aggressive or Moderate Fluid Resuscitation in Acute Pancreatitis – New England Journal of Medicine
Acute Pancreatitis: Diagnosis and Treatment – Drugs
Evidence-Based Disposition of Acute Pancreatitis – emDocs
Pancreatitis – National Institute for Health and Care Excellence
Research: Endoscopic or Surgical Step-up Approach for Infected Necrotising Pancreatitis
Evidence-Based Approach to the Surgical Management of Acute Pancreatitis – The Surgery Journal
RCT | Efficacy and safety of colesevelam for the treatment of bile acid diarrhea
30 Mar, 2023 | 14:06h | UTCEfficacy and safety of colesevelam for the treatment of bile acid diarrhoea: a double-blind, randomised, placebo-controlled, phase 4 clinical trial – The Lancet Gastroenterology & Hepatology (link to abstract – $ for full-text)
Commentary on Twitter
New research – Borup et al – Efficacy and safety of colesevelam for the treatment of bile acid diarrhoea: a double-blind, randomised, placebo controlled, phase 4 clinical trialhttps://t.co/m1r0heRgjX#gitwitter #BAD #diarrhoea pic.twitter.com/zk1TnZFS6b
— The Lancet Gastroenterology & Hepatology (@LancetGastroHep) February 7, 2023
M-A | Aggressive IV hydration may increase mortality risk in severe acute pancreatitis
29 Mar, 2023 | 13:26h | UTCSummary: This systematic review and meta-analysis investigated the outcomes of aggressive and non-aggressive intravenous hydration in patients with severe and non-severe acute pancreatitis (AP). The study included nine randomized controlled trials with a total of 953 participants.
The findings revealed that aggressive intravenous hydration significantly increased mortality risk in severe AP cases, and fluid-related complication risk in both severe and non-severe AP cases. However, the study has some limitations, as only one study with 249 participants was judged to have a low risk of bias in all domains, while the remaining eight studies had non-low risk of bias, raising concerns about the reliability of the findings.
Despite these concerns, the findings still suggest that more conservative intravenous fluid resuscitation protocols for AP may be preferable. Further research with more rigorous study designs is needed to provide robust evidence on the effectiveness of different intravenous hydration strategies in treating acute pancreatitis.
M-A | Analgesic effect of erector spinae plane block in adults undergoing laparoscopic cholecystectomy
21 Mar, 2023 | 13:06h | UTC
Cohort Study | A simple classification of pancreatic duct size and texture predicts the risk of postoperative pancreatic fistula
10 Mar, 2023 | 14:10h | UTCRelated:
M-A | Perioperative interventions to reduce pancreatic fistula following pancreatoduodenectomy.
Commentary on Twitter
NEW classification from @ISGPS_news for reporting of pancreatoduodenectomy trials:
A – not-soft (hard) texture and duct >3 mm 😀
B – not-soft (hard) texture and duct ≤3 mm 🙂
C – soft texture and duct >3 mm 😕
D – soft texture and duct ≤3 mm 😬https://t.co/sZeL3MAva2— Pascal Probst (@ProbstPascal) May 1, 2021
RCT | Tranexamic acid did not significantly reduce blood loss in pancreaticoduodenectomy
10 Mar, 2023 | 14:05h | UTCTranexamic acid and blood loss in pancreaticoduodenectomy: TAC-PD randomized clinical trial – British Journal of Surgery (link to abstract – $ for full-text)
ACG Guideline | Diagnosis and management of biliary strictures
3 Mar, 2023 | 14:13h | UTC