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Gastrointestinal Surgery (all articles)

#ACC22 – RCT: In patients undergoing non-cardiac surgery, a strategy of aggressive intraoperative warming (target core temperature of 37°C) did not reduce major complications compared to routine thermal management (target of 35·5°C).

5 Apr, 2022 | 09:57h | UTC

Aggressive intraoperative warming versus routine thermal management during non-cardiac surgery (PROTECT): a multicentre, parallel group, superiority trial – The Lancet (free registration required)

Commentary: PROTECT: Aggressive Warming During Surgery Does Not Reduce Major Complications – American College of Cardiology

 

Podcast: Acute pancreatitis pearls.

5 Apr, 2022 | 08:26h | UTC

#327 Acute Pancreatitis – The Curbsiders

 

ACG Guideline: Diagnosis and management of Barrett’s esophagus.

4 Apr, 2022 | 01:07h | UTC

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

 

Systematic Review | Guidewire or contrast: which works better to prevent post-endoscopic retrograde cholangiopancreatography pancreatitis?

4 Apr, 2022 | 00:28h | UTC

Summary: Guidewire or contrast: which works better for the prevention of post-endoscopic retrograde cholangiopancreatography pancreatitis? – Cochrane Library

Original Study: Guidewire‐assisted cannulation of the common bile duct for the prevention of post‐endoscopic retrograde cholangiopancreatography (ERCP) pancreatitis – Cochrane Library

 

SEOM-GEMCAD-TTD Clinical Guideline for the diagnosis and treatment of esophageal cancer.

31 Mar, 2022 | 07:48h | UTC

SEOM-GEMCAD-TTD Clinical Guideline for the diagnosis and treatment of esophageal cancer (2021) – Clinical and Translational Oncology

 

The harms of postoperative antibiotic prophylaxis: a teachable moment.

30 Mar, 2022 | 10:36h | UTC

The Harms of Postoperative Antibiotic Prophylaxis: A Teachable Moment – JAMA Internal Medicine (free for a limited period)

 

Cohort Study: Risk factors for complications after surgery for pancreatic neuroendocrine tumors.

30 Mar, 2022 | 10:03h | UTC

Risk factors for complications after surgery for pancreatic neuroendocrine tumors – Surgery

 

Commentary on Twitter

 

Safety and economic analysis of selective histopathology following cholecystectomy: multicenter, prospective, cross-sectional study.

30 Mar, 2022 | 09:59h | UTC

Safety and economic analysis of selective histopathology following cholecystectomy: multicentre, prospective, cross-sectional FANCY study – British Journal of Surgery

 

Commentary on Twitter

 

Meta-analysis of randomized trials: GLP1 receptor agonists increase the risk of gallbladder and biliary diseases (RR, 1.37; 95% CI, 1.23-1.52).

29 Mar, 2022 | 10:02h | UTC

Association of Glucagon-Like Peptide-1 Receptor Agonist Use With Risk of Gallbladder and Biliary Diseases: A Systematic Review and Meta-analysis of Randomized Clinical Trials – JAMA Internal Medicine (free for a limited period)

Commentary: GLP-1 Receptor Agonists: How Safe Are They for the Gallbladder?— Link with gallbladder, biliary diseases could be due to weight loss associated with class of drug – MedPage Today (free registration required)

 

Review: Surgical risk assessment in patients with chronic liver diseases.

25 Mar, 2022 | 08:46h | UTC

Surgical Risk Assessment in Patients With Chronic Liver Diseases – Journal of Clinical and Experimental Hepatology

 

Commentary on Twitter

 

Review: Surgical management of gastric cancer.

25 Mar, 2022 | 08:48h | UTC

Surgical Management of Gastric Cancer: A Review – JAMA Surgery (free for a limited period)

 

Review | Imaging findings of gastrointestinal tract tumors in children and adolescents.

25 Mar, 2022 | 08:38h | UTC

Imaging findings of gastrointestinal tract tumors in children and adolescents – Insights into Imaging

 

SEOM-GEMCAD-TTD clinical guidelines for localized rectal cancer.

25 Mar, 2022 | 08:21h | UTC

SEOM-GEMCAD-TTD clinical guidelines for localized rectal cancer (2021) – Clinical and Translational Oncology

 

Observational study suggests antidopaminergic antiemetics (domperidone, metopimazine, and metoclopramide) are associated with increased stroke risk.

24 Mar, 2022 | 09:51h | UTC

Risk of first ischaemic stroke and use of antidopaminergic antiemetics: nationwide case-time-control study – The BMJ

News Release: Widely used nausea drugs linked to heightened risk of stroke – BMJ

 

Multidisciplinary evidence-based recommendations for the management of malignant bowel obstruction in advanced cancer.

24 Mar, 2022 | 08:45h | UTC

MASCC multidisciplinary evidence-based recommendations for the management of malignant bowel obstruction in advanced cancer – Supportive Care in Cancer

 

Systematic Review: Duct‐to‐mucosa vs. other types of pancreaticojejunostomy for the prevention of postoperative pancreatic fistula following pancreaticoduodenectomy.

24 Mar, 2022 | 08:27h | UTC

Duct‐to‐mucosa versus other types of pancreaticojejunostomy for the prevention of postoperative pancreatic fistula following pancreaticoduodenectomy – Cochrane Library

Summary: Is attachment of the excretory duct of the pancreas to the second part of the small intestine better than other reconstruction methods to reduce leakage of juice from the pancreas to the abdominal tissues? – Cochrane Library

 

UEG/ESCP/ESNM/ESPCG Guideline for the diagnosis and treatment of Fecal Incontinence.

23 Mar, 2022 | 10:14h | UTC

Guideline for the diagnosis and treatment of Faecal Incontinence—A UEG/ESCP/ESNM/ESPCG collaboration – ueg Journal

 

RCT: Excision and suture in the midline vs. Karydakis flap surgery for pilonidal sinus.

23 Mar, 2022 | 09:54h | UTC

Excision and suture in the midline versus Karydakis flap surgery for pilonidal sinus: randomized clinical trial – BJS Open

 

Commentaries on Twitter

 

Review: When to operate after SARS-CoV-2 infection?

22 Mar, 2022 | 09:44h | UTC

When to operate after SARS-CoV-2 infection? A review on the recent consensus recommendation of the DGC/BDC and the DGAI/BDA – Langenbeck’s Archives of Surgery

Related:

Guideline Update: Timing of elective surgery and risk assessment after SARS-CoV-2 infection – “The guidance remains that patients should avoid elective surgery within 7 weeks of infection, unless the benefits of doing so exceed the risk of waiting”.

Perioperative cardiovascular considerations prior to elective noncardiac surgery in patients with a history of Covid-19.

Guideline: SARS‐CoV‐2 infection, COVID‐19 and timing of elective surgery

Study from 116 countries suggests surgery should be delayed for at least seven weeks following a COVID-19 diagnosis to reduce mortality risk

BJS commission on surgery and perioperative care post-COVID-19.

The risk of postoperative complications following major elective surgery in active or resolved COVID-19 in the United States – Major, elective surgery 0–4 weeks after Covid-19 is associated with greatly increased risk of postoperative complications; surgery performed 4–8 weeks after infection is still associated with an increased risk of pneumonia.

ASA Guidance: Preoperative testing for COVID-19 is essential, regardless of vaccination.

Position statement: Perioperative management of post-COVID-19 surgical patients.

Cohort study: Postoperative in-hospital mortality of patients with COVID-19 infection was more than double that in patients without COVID-19

 

Evidence-based disposition of acute pancreatitis.

22 Mar, 2022 | 08:08h | UTC

Evidence-Based Disposition of Acute Pancreatitis – emDocs

Related Guidelines:

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

 

EASL Clinical Practice Guidelines on prevention and management of bleeding and thrombosis in patients with cirrhosis.

21 Mar, 2022 | 10:01h | UTC

EASL Clinical Practice Guidelines on prevention and management of bleeding and thrombosis in patients with cirrhosis – Journal of Hepatology

 

Review: How to manage a high-output stoma.

21 Mar, 2022 | 08:44h | UTC

How to manage a high-output stoma – Frontline Gastroenterology

 

Commentary on Twitter

 

Guideline: Management of anticoagulants and antiplatelets during acute gastrointestinal bleeding and the periendoscopic period.

18 Mar, 2022 | 09:39h | UTC

American College of Gastroenterology-Canadian Association of Gastroenterology Clinical Practice Guideline: Management of Anticoagulants and Antiplatelets During Acute Gastrointestinal Bleeding and the Periendoscopic Period – Journal of the Canadian Association of Gastroenterology

 

Commentary on Twitter

 

Risk of colorectal cancer is associated with lifetime excess weight.

18 Mar, 2022 | 08:07h | UTC

Risk of Colorectal Cancer Associated With Lifetime Excess Weight – JAMA Oncology

 

Diagnostic approach to incidentally detected pancreatic cystic lesions.

18 Mar, 2022 | 08:11h | UTC

Diagnostic Approach to Incidentally Detected Pancreatic Cystic Lesions – Current Treatment Options in Gastroenterology

Related:

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

 

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