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GI Surgery – Esophagus

Systematic Review | Medical treatment of eosinophilic esophagitis

21 Jul, 2023 | 13:27h | UTC

Medical treatment of eosinophilic esophagitis – Cochrane Library

Summary: Medical treatments for eosinophilic esophagitis – Cochrane Library

Related:

RCT | Study finds both one-food and six-food elimination diets are effective initial options for eosinophilic esophagitis

M-A | Efficacy of elimination diets in eosinophilic esophagitis

RCT | Dupilumab in adults and adolescents with eosinophilic esophagitis

A meta-analysis on randomized controlled trials of treating eosinophilic esophagitis with budesonide – Annals of Medicine

A Clinical Severity Index for Eosinophilic Esophagitis: Development, Consensus, and Future Directions – Gastroenterology

British Society of Gastroenterology (BSG) and British Society of Paediatric Gastroenterology, Hepatology and Nutrition (BSPGHAN) joint consensus guidelines on the diagnosis and management of eosinophilic oesophagitis in children and adults – Gut

 


Consensus Paper | Transition of patients with esophageal atresia–tracheoesophageal fistula

19 Jun, 2023 | 13:44h | UTC

The International Network on Oesophageal Atresia (INoEA) consensus guidelines on the transition of patients with oesophageal atresia–tracheoesophageal fistula – Nature Reviews Gastroenterology & Hepatology (if the link is paywalled, try this one)

 


Podcast | Dysphagia pearls

18 May, 2023 | 13:42h | UTC

#395 Dysphagia with Dr. Diana Snyder – The Curbsiders

 


RCT | Per-oral endoscopic myotomy outperforms pneumatic dilation for post-laparoscopic heller myotomy achalasia

16 May, 2023 | 14:36h | UTC

The Efficacy of Peroral Endoscopic Myotomy vs Pneumatic Dilation as Treatment for Patients With Achalasia Suffering From Persistent or Recurrent Symptoms After Laparoscopic Heller Myotomy: A Randomized Clinical Trial – Gastroenterology

 


RCT | Long versus short peroral endoscopic myotomy for the treatment of achalasia

11 May, 2023 | 11:40h | UTC

Long versus short peroral endoscopic myotomy for the treatment of achalasia: results of a non-inferiority randomised controlled trial – Gut (link to abstract – $ for full-text)

 


AGA Practical Guidance | Diagnosis and management of extraesophageal gastroesophageal reflux disease

25 Apr, 2023 | 14:50h | UTC

AGA Clinical Practice Update on the Diagnosis and Management of Extraesophageal Gastroesophageal Reflux Disease: Expert Review – Clinical Gastroenterology and Hepatology

Commentary: Guidance offered on management of extraesophageal GERD – ACP Gastroenterology

 

Commentary on Twitter (thread – click for more)

 


RCT | Over-the-scope clips show lower rebleeding rates in nonvariceal GI bleeding

6 Apr, 2023 | 12:57h | UTC

Comparison of Over-the-Scope Clips to Standard Endoscopic Treatment as the Initial Treatment in Patients With Bleeding From a Nonvariceal Upper Gastrointestinal Cause: A Randomized Controlled Trial – Annals of Internal Medicine (link to abstract – $ for full-text)

Commentaries:

Over-the-Scope Clip Beneficial for Nonvariceal Upper GI Bleeding – HealthDay

Over-the-scope clips superior to standard treatment of nonvariceal upper GI bleeding – Physician’s Weekly

 

Commentary on Twitter

 


RCT | Study finds both one-food and six-food elimination diets are effective initial options for eosinophilic esophagitis

7 Mar, 2023 | 13:17h | UTC

Summary:

The article describes a multicenter randomized trial that compared the effectiveness of a one-food elimination diet (1FED – eliminating animal milk) versus a six-food elimination diet (6FED – eliminating animal milk, wheat, egg, soy, fish and shellfish, and peanut and tree nuts) for treating eosinophilic esophagitis in adults.

The study found that both diets were equally effective at achieving histological remission, although the 6FED resulted in a higher proportion of patients achieving complete remission. Patients who did not achieve histological remission with the 1FED could proceed to the 6FED, and 43% had histological remission. For those without response to the 6FED, topical fluticasone propionate induced remission in 82%.

Overall, the study suggests that eliminating animal milk alone is an acceptable initial dietary therapy for eosinophilic esophagitis.

Article: One-food versus six-food elimination diet therapy for the treatment of eosinophilic oesophagitis: a multicentre, randomised, open-label trial – The Lancet Gastroenterology & Hepatology (link to abstract – $ for full-text)

News Release: Forgoing one food treats eosinophilic esophagitis as well as excluding six – National Institutes of Health

Related: M-A | Efficacy of elimination diets in eosinophilic esophagitis

 

Commentary on Twitter

 


Review | Platelet aggregation inhibitors and anticoagulants in gastroenterological and visceral surgical procedures

1 Mar, 2023 | 14:03h | UTC

Platelet Aggregation Inhibitors and Anticoagulants in Gastroenterological and Visceral Surgical Procedures – Deutsches Ärzteblatt international

Related: Management of antiplatelet therapy in patients undergoing elective invasive procedures. Proposals from the French Working Group on perioperative haemostasis (GIHP) and the French Study Group on thrombosis and haemostasis (GFHT). In collaboration with the French Society for Anaesthesia and Intensive Care Medicine (SFAR)

 


M-A | Efficacy of elimination diets in eosinophilic esophagitis

24 Feb, 2023 | 13:47h | UTC

Summary: This systematic review and meta-analysis evaluated the effectiveness of various dietary treatment regimens for eosinophilic esophagitis (EoE). After analyzing 34 studies with 1762 patients, it was concluded that dietary therapy is a viable and efficacious option for individuals with EoE of all ages, with an overall histological remission rate of 53.8% and a clinical response rate of 80.8%. The study also found that highly restrictive dietary regimes, such as a six-food elimination diet, may not be superior to less restrictive dietary regimens, such as a four-food elimination diet or one-food elimination diet, in achieving histological remission, supporting less restrictive dietary regimens as a treatment option. The study has several limitations, such as the observational nature of most studies included.

Article: Efficacy of elimination diets in eosinophilic esophagitis: a systematic review and meta-analysis – Clinical Gastroenterology and Hepatology

Commentary: Elimination diets effective for patients with eosinophilic esophagitis – ACP Gastroenterology

 

Commentary on Twitter

Article under a Creative Commons Attribution (CC BY 4.0) license

 


Guideline | Barrett’s esophagus and stage 1 esophageal adenocarcinoma: monitoring and management

13 Feb, 2023 | 12:49h | UTC

Barrett’s oesophagus and stage 1 oesophageal adenocarcinoma: monitoring and management – National Institute for Health and Care Excellence

Related: Diagnosis and Management of Barrett’s Esophagus: An Updated ACG Guideline – American Journal of Gastroenterology

 


RCT | Dupilumab in adults and adolescents with eosinophilic esophagitis

11 Jan, 2023 | 14:27h | UTC

Dupilumab in Adults and Adolescents with Eosinophilic Esophagitis – New England Journal of Medicine (link to abstract – $ for full-text)

Commentary: Weekly Dupilumab Beneficial in Eosinophilic Esophagitis – HealthDay

 


SR | Fundoplication in laparoscopic Heller’s cardiomyotomy for achalasia.

14 Dec, 2022 | 14:53h | UTC

Fundoplication in laparoscopic Heller’s cardiomyotomy for achalasia – Cochrane Library

Summary: Addition of a stomach wrap (fundoplication) around the food pipe (oesophagus) in keyhole (laparoscopic) surgery to treat achalasia – Cochrane Library

 


Guideline Summary | Evaluation and management of gastroesophageal reflux disease.

5 Dec, 2022 | 00:18h | UTC

Evaluation and management of gastroesophageal reflux disease: A brief look at the updated guidelines – Cleveland Clinic Journal of Medicine

Original Guideline: ACG Clinical Guideline for the Diagnosis and Management of Gastroesophageal Reflux Disease – American Journal of Gastroenterology

Related Guidelines:

Evidence-based clinical practice guidelines for gastroesophageal reflux disease 2021 – Journal of Gastroenterology

ACG Clinical Guideline for the Diagnosis and Management of Gastroesophageal Reflux Disease.

SAGES guidelines for the surgical treatment of gastroesophageal reflux.

Guideline on Screening for Esophageal Adenocarcinoma in Patients with Chronic GERD

NICE Guideline: Gastro-esophageal Reflux Disease and Dyspepsia in Adults

NICE Guideline: Gastroesophageal Reflux Disease in Children and Young People

 


RCT | The effects of modifying amount and type of dietary carbohydrate on esophageal reflux symptoms.

21 Nov, 2022 | 14:42h | UTC

The Effects of Modifying Amount and Type of Dietary Carbohydrate on Esophageal Acid Exposure Time and Esophageal Reflux Symptoms: A Randomized Controlled Trial – The American Journal of Gastroenterology 

Commentary: Study finds that reducing intake of simple sugars improves GERD – Vanderbilt University 

 


UEG and EAES rapid guideline | Recommendations on surgical management of gastroesophageal reflux disease.

6 Oct, 2022 | 13:45h | UTC

UEG and EAES rapid guideline: Update systematic review, network meta-analysis, CINeMA and GRADE assessment, and evidence-informed European recommendations on surgical management of GERD – UEG Journal

Commentary: Updated GERD Guidelines Recommend Posterior Partial Fundoplication – HCP Live

 


Consensus Paper | Use of indocyanine green fluorescence imaging in thoracic and esophageal surgery.

26 Sep, 2022 | 12:04h | UTC

Use of Indocyanine Green Fluorescence Imaging in Thoracic and Esophageal Surgery – The Annals of Thoracic Surgery

 


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)

 


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)

 


Consensus statement on intraoperative and postoperative interventions to reduce pulmonary complications after esophagectomy.

30 Aug, 2022 | 12:09h | UTC

Association of Upper Gastrointestinal Surgery of Great Britain and Ireland (AUGIS)/Perioperative Quality Initiative (POQI) consensus statement on intraoperative and postoperative interventions to reduce pulmonary complications after oesophagectomy – British Journal of Surgery

 


Review | Barrett Esophagus.

17 Aug, 2022 | 14:26h | UTC

Barrett Esophagus: A Review – JAMA (free for a limited period)

Audio clinical review: Barrett Esophagus – JAMA

Related: Diagnosis and Management of Barrett’s Esophagus: An Updated ACG Guideline – American Journal of Gastroenterology

 


Esophageal cancer | ESMO Clinical Practice Guideline for diagnosis, treatment and follow-up.

4 Aug, 2022 | 14:12h | UTC

Oesophageal cancer: ESMO Clinical Practice Guideline for diagnosis, treatment and follow-up – Annals of Oncology

 


M-A | Treating eosinophilic esophagitis with budesonide.

27 Jul, 2022 | 12:06h | UTC

A meta-analysis on randomized controlled trials of treating eosinophilic esophagitis with budesonide – Annals of Medicine

 


Network M-A | The comparisons of different therapeutic modalities for idiopathic achalasia.

12 Jul, 2022 | 11:58h | UTC

The comparisons of different therapeutic modalities for idiopathic achalasia: A systematic review and network meta-analysis – Medicine

 


RCT: The effect of enhanced recovery after minimally invasive esophagectomy.

1 Jul, 2022 | 10:56h | UTC

The effect of enhanced recovery after minimally invasive esophagectomy: a randomized controlled trial – Surgical Endoscopy

Related:

Guidelines for Perioperative Care in Esophagectomy: Enhanced Recovery After Surgery (ERAS®) Society Recommendations – World Journal of Surgery

Complete List of Enhanced Recovery After Surgery (ERAS) Society Guidelines

Top 100 Most-Cited Articles on Enhanced Recovery After Surgery: A Bibliometric Analysis and Visualized Study – Frontiers in Surgery

Guide to Enhanced Recovery for Cancer Patients Undergoing Surgery: ERAS and Oesophagectomy – Annals of Surgical Oncology

Visual abstract: ASO Visual Abstract: Guide to Enhanced Recovery for Cancer Patients Undergoing Surgery—ERAS and Esophagectomy

Enhanced recovery after surgery (ERAS) programs for esophagectomy – Journal of Thoracic Disease

 


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