GI Surgery – Esophagus
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
RCT | Long versus short peroral endoscopic myotomy for the treatment of achalasia
11 May, 2023 | 11:40h | UTCLong 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 | UTCCommentary: Guidance offered on management of extraesophageal GERD – ACP Gastroenterology
Commentary on Twitter (thread – click for more)
Looking for guidance on management of extraesophageal reflux🔥? Check out our Best Practice Advice in the latest AGA Clinical Practice Update on Management of EER @AGA_CGH. @AmerGastroAssn
Read the article➡️:https://t.co/S6WYsQUoTj pic.twitter.com/UqjDR2JXP8
— Joan Chen, MD MS (@joanwchen) April 19, 2023
RCT | Over-the-scope clips show lower rebleeding rates in nonvariceal GI bleeding
6 Apr, 2023 | 12:57h | UTCComparison 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
Commentary on Twitter
A new RCT found that over-the-scope-clips may be more effective than standard treatment for some patients with nonvariceal upper #GastrointestinalBleeding: https://t.co/GWG70CWmlt pic.twitter.com/Foq2qQZTEc
— Annals of Int Med (@AnnalsofIM) March 7, 2023
RCT | Study finds both one-food and six-food elimination diets are effective initial options for eosinophilic esophagitis
7 Mar, 2023 | 13:17h | UTCSummary:
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
New research – Kliewer et al – One-food versus six-food elimination diet therapy for the treatment of eosinophilic oesophagitis: a multicentre, randomised, open-label trial https://t.co/Tpm0EPPfx0#EoE #GItwitter #RareDiseaseDay #CEGIR pic.twitter.com/iUcqIt9Pg5
— The Lancet Gastroenterology & Hepatology (@LancetGastroHep) February 28, 2023
Review | Platelet aggregation inhibitors and anticoagulants in gastroenterological and visceral surgical procedures
1 Mar, 2023 | 14:03h | UTC
M-A | Efficacy of elimination diets in eosinophilic esophagitis
24 Feb, 2023 | 13:47h | UTCSummary: 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.
Commentary: Elimination diets effective for patients with eosinophilic esophagitis – ACP Gastroenterology
Commentary on Twitter
Efficacy of dietary therapy in eosinophilic esophagitis for (1) histologic remission & (2) clinical response
6⃣-food elimination diet: 61%, 93%
4⃣-food elimination diet: 49%, 74%
1⃣-food elimination diet: 51%, 87%
Targeted elimination diet: 46%, 69%#EoEhttps://t.co/VKXgCQO9O6 pic.twitter.com/KfpSburuwN— John Damianos, M.D. (@john_damianosMD) February 1, 2023
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
RCT | Dupilumab in adults and adolescents with eosinophilic esophagitis
11 Jan, 2023 | 14:27h | UTCDupilumab 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 | UTCFundoplication in laparoscopic Heller’s cardiomyotomy for achalasia – Cochrane Library
Guideline Summary | Evaluation and management of gastroesophageal reflux disease.
5 Dec, 2022 | 00:18h | UTCOriginal Guideline: ACG Clinical Guideline for the Diagnosis and Management of Gastroesophageal Reflux Disease – American Journal of Gastroenterology
Related Guidelines:
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 | UTCCommentary: 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 | UTCCommentary: 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
RCT | Circular stapled technique vs. modified collard technique for cervical esophagogastric anastomosis after esophagectomy.
21 Sep, 2022 | 13:08h | UTCCircular 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
Commentary on Twitter (thread – click for more)
1/3 This week our SEAL Score manuscript was published in @BJSurgery:https://t.co/MUNmaf7l6B
A major milestone for TENTACLE – Esophagus, and first step towards finding evidence for treatment of anastomotic leak. More to come!— TENTACLE study (@tentaclestudy) July 2, 2022
Consensus statement on intraoperative and postoperative interventions to reduce pulmonary complications after esophagectomy.
30 Aug, 2022 | 12:09h | UTC
Review | Barrett Esophagus.
17 Aug, 2022 | 14:26h | UTCBarrett Esophagus: A Review – JAMA (free for a limited period)
Audio clinical review: Barrett Esophagus – JAMA
Esophageal cancer | ESMO Clinical Practice Guideline for diagnosis, treatment and follow-up.
4 Aug, 2022 | 14:12h | UTC
M-A | Treating eosinophilic esophagitis with budesonide.
27 Jul, 2022 | 12:06h | UTC
Network M-A | The comparisons of different therapeutic modalities for idiopathic achalasia.
12 Jul, 2022 | 11:58h | UTC
RCT: The effect of enhanced recovery after minimally invasive esophagectomy.
1 Jul, 2022 | 10:56h | UTCRelated:
Complete List of Enhanced Recovery After Surgery (ERAS) Society Guidelines
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
Dysplastic recurrence after successful treatment for early Barrett’s neoplasia: development and validation of a prediction model.
24 Jun, 2022 | 11:07h | UTC
Consensus report on anatomy, pathophysiology and clinical significance of the gastro-esophageal junction.
23 Jun, 2022 | 10:26h | UTC