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Gastrointestinal Surgery (all articles)

M-A: Laparoscopic versus open distal gastrectomy for gastric cancer.

3 Feb, 2022 | 08:30h | UTC

Laparoscopic versus open distal gastrectomy for gastric cancer: A systematic review and meta-analysis – Surgery

 

M-A: factors for Mesh infection following abdominal wall hernia repair surgery.

3 Feb, 2022 | 08:18h | UTC

Systematic review and meta-analysis of risk factors for Mesh infection following Abdominal Wall Hernia Repair Surgery – The American Journal of Surgery (link to abstract – $ for full-text)

 

Commentary on Twitter

 

Cluster Randomized Trial: In older patients undergoing elective surgical procedures, a multimodal nonpharmacological prevention program reduced postoperative delirium occurrence and days with delirium.

2 Feb, 2022 | 08:38h | UTC

Outcomes of a Delirium Prevention Program in Older Persons After Elective Surgery: A Stepped-Wedge Cluster Randomized Clinical Trial – JAMA Surgery

Author Interview: Effective Delirium Prevention in Older Persons After Elective Surgery

 

Commentary on Twitter

 

Review: Primary and metastatic peritoneal surface malignancies.

2 Feb, 2022 | 08:33h | UTC

Primary and metastatic peritoneal surface malignancies – Nature Reviews Disease Primers (if the link is paywalled, try this one)

Infographic: Primary and metastatic peritoneal surface malignancies – Nature Reviews Disease Primers (if the link is paywalled, try this one)

 

Commentary on Twitter

 

RCT: 2 L polyethylene glycol plus ascorbic acid may provide similar efficacy and better tolerability as 4 L polyethylene glycol for bowel cleansing in elderly patients aged 60–79.

2 Feb, 2022 | 08:29h | UTC

Comparison of 2 L Polyethylene Glycol Plus Ascorbic Acid and 4 L Polyethylene Glycol in Elderly Patients Aged 60–79: A Prospective Randomized Study – Digestive Diseases and Sciences (link to abstract – $ for full-text)

Related Guidelines:

Bowel preparation for colonoscopy: European Society of Gastrointestinal Endoscopy (ESGE) Guideline – Update 2019 – Endoscopy

Bowel preparation before colonoscopy – Gastrointestinal Endoscopy

 

Review: Advance care planning and goals of care discussions in advanced liver disease.

2 Feb, 2022 | 08:17h | UTC

Advance Care Planning and Goals of Care Discussions in Advanced Liver Disease – Current Hepatology Reports

 

RCT: Impact of portable normothermic blood-based machine perfusion on outcomes of liver transplant.

1 Feb, 2022 | 08:58h | UTC

Impact of Portable Normothermic Blood-Based Machine Perfusion on Outcomes of Liver Transplant: The OCS Liver PROTECT Randomized Clinical Trial – JAMA Surgery

Commentaries:

Normothermic Machine Perfusion Improves Outcomes in Liver Transplant Recipients – Physician’s Weekly

Machine Perfusion Cuts Early Graft Dysfunction in Liver Transplantation – MedPage Today (free registration required)

Related:

RCT: Hypothermic machine perfusion in liver transplantation

Transplantation of Discarded Livers Following Viability Testing with Normothermic Machine Perfusion

 

Commentaries on Twitter

 

RCT: Early drain removal is safe in patients with low or intermediate risk of pancreatic fistula after pancreaticoduodenectomy.

1 Feb, 2022 | 08:33h | UTC

Early Drain Removal is Safe in Patients With Low or Intermediate Risk of Pancreatic Fistula After Pancreaticoduodenectomy: A Multicenter, Randomized Controlled Trial – Annals of Surgery (link to abstract – $ for full-text)

 

Robot performs first laparoscopic surgery in a pig without human help.

30 Jan, 2022 | 14:31h | UTC

Autonomous robotic laparoscopic surgery for intestinal anastomosis – Science Robotics

Commentaries:

Robot performs first laparoscopic surgery without human help – Johns Hopkins University

In a First, a Robot Performs Laparoscopic Surgery on Pig Without Human Help – HealthDay

 

M-A: Clinical and endoscopic characteristics associated with post-endoscopy upper gastrointestinal cancers.

28 Jan, 2022 | 08:08h | UTC

Clinical and Endoscopic Characteristics Associated with Post-Endoscopy Upper Gastrointestinal Cancers: a Systematic Review and Meta-analysis – Gastroenterology (link to abstract – $ for full-text)

 

Long-Term Results of RCT: Neoadjuvant chemoradiotherapy vs. upfront surgery for resectable and borderline resectable pancreatic cancer.

28 Jan, 2022 | 08:01h | UTC

Neoadjuvant Chemoradiotherapy Versus Upfront Surgery for Resectable and Borderline Resectable Pancreatic Cancer: Long-Term Results of the Dutch Randomized PREOPANC Trial – Journal of Clinical Oncology (link to abstract – $ for full-text)

 

Review: Postoperative pain management in enhanced recovery pathways.

27 Jan, 2022 | 09:24h | UTC

Postoperative Pain Management in Enhanced Recovery Pathways – Journal of Pain Research

 

RCT: In patients undergoing laparoscopic colectomy, intraperitoneal infusion of lidocaine reduced postoperative opioid consumption compared to intravenous infusions of lidocaine.

27 Jan, 2022 | 09:17h | UTC

Intravenous Local Anesthetic Compared With Intraperitoneal Local Anesthetic in Laparoscopic Colectomy: A Double-blind Randomized Controlled Trial – Annals of Surgery (link to abstract – $ for full-text)

 

RCT: In patients undergoing gastroscopy under intravenous anesthesia, nasal mask oxygenation may reduce the risk of hypoxemia compared to traditional nasal cannula.

27 Jan, 2022 | 09:13h | UTC

Comparison of a Nasal Mask and Traditional Nasal Cannula During Intravenous Anesthesia for Gastroscopy Procedures: A Randomized Controlled Trial – Anesthesia & Analgesia

 

Review: Genotypic and phenotypic characteristics of hereditary colorectal cancer.

26 Jan, 2022 | 01:16h | UTC

Genotypic and Phenotypic Characteristics of Hereditary Colorectal Cancer – Annals of Coloproctology

 

Review: Treatment for peritoneal metastasis of patients with colorectal cancer.

26 Jan, 2022 | 01:17h | UTC

Treatment for Peritoneal Metastasis of Patients With Colorectal Cancer – Annals of Coloproctology

 

The WSES/SICG/ACOI/SICUT/AcEMC/SIFIPAC guidelines for diagnosis and treatment of acute left colonic diverticulitis in the elderly.

24 Jan, 2022 | 08:24h | UTC

The WSES/SICG/ACOI/SICUT/AcEMC/SIFIPAC guidelines for diagnosis and treatment of acute left colonic diverticulitis in the elderly – World Journal of Emergency Surgery

Related:

ACP Guideline: Diagnosis and management of acute left-sided colonic diverticulitis.

Review: Changing paradigms in the management of acute uncomplicated diverticulitis.

RCT: Another study shows that non-antibiotic outpatient treatment in mild acute diverticulitis is safe.

Review: Elective surgical management of diverticulitis

State of the Art Review | Management of colonic diverticulitis

Drains, germs, or steel: Multidisciplinary management of acute colonic diverticulitis

Diverticulitis: Observational study in outpatients suggests amoxicillin-clavulanate is a safe and effective option compared with metronidazole-fluoroquinolone

Randomized trial: Laparoscopic lavage vs. primary resection for perforated purulent diverticulitis; similar long-term results, but recurrence was more common after laparoscopic lavage

Randomized trial: In patients with recurrent, complicated, or persistent painful diverticulitis, sigmoid resection improved quality of life but was associated with a small but significant risk of major complications

Systematic review: Management of colonic diverticulitis

WSES Guidelines for the Management of Acute Colonic Diverticulitis

ASCRS Guidelines for the Treatment of Left-Sided Colonic Diverticulitis

 

M-A: Impact of enhanced recovery protocols after pancreatoduodenectomy.

24 Jan, 2022 | 08:00h | UTC

Impact of enhanced recovery protocols after pancreatoduodenectomy: meta-analysis – British Journal of Surgery (link to abstract – $ for full-text)

Related:

RCT: Pancreatoduodenectomy with or without prophylactic falciform ligament wrap around the hepatic artery for prevention of postpancreatectomy haemorrhage.

Randomized Trial: Gastrointestinal Complications After Pancreatoduodenectomy With Epidural vs. Patient-Controlled Intravenous Analgesia

[Abstract Only] Meta‐analysis of Effect of Routine Enteral Nutrition on Postoperative Outcomes after Pancreatoduodenectomy

Randomized Trial: Oral vs. Enteral Feeding for Patients with Postoperative Pancreatic Fistula After Pancreatoduodenectomy

See also: Complete List of Enhanced Recovery After Surgery (ERAS) Society Guidelines (some guidelines are free)

 

Commentary on Twitter

 

Review: Diagnostic evaluation of gastric motor and sensory disorders.

21 Jan, 2022 | 09:42h | UTC

Diagnostic Evaluation of Gastric Motor and Sensory Disorders – American Journal of Gastroenterology

 

Sleeping on the LEFT side seems to be associated with reduced nocturnal acid exposure compared with supine and right lateral decubitus positions.

21 Jan, 2022 | 09:45h | UTC

Associations Between Sleep Position and Nocturnal Gastroesophageal Reflux: A Study Using Concurrent Monitoring of Sleep Position and Esophageal pH and Impedance – American Journal of Gastroenterology (link to abstract – $ for full-text)

 

RCT: Among patients with recurrent Clostridioides difficile infection, the use of SER-109, an oral microbiome therapy, reduced recurrence rate compared to placebo (12% vs. 40%).

20 Jan, 2022 | 09:11h | UTC

SER-109, an Oral Microbiome Therapy for Recurrent Clostridioides difficile Infection – New England Journal of Medicine (link to abstract – $ for full-text)

 

Cumulative 5-year results of a randomized controlled trial comparing biological Mesh with primary perineal wound closure after extralevator abdominoperineal resection.

20 Jan, 2022 | 08:40h | UTC

Cumulative 5-year Results of a Randomized Controlled Trial Comparing Biological Mesh With Primary Perineal Wound Closure After Extralevator Abdominoperineal Resection (BIOPEX-study) – Annals of Surgery (link to abstract – $ for full-text)

 

Consensus statement on hemostatic management, anticoagulation, and antiplatelet therapy in liver transplantation.

20 Jan, 2022 | 08:47h | UTC

Consensus Statement on Hemostatic Management, Anticoagulation, and Antiplatelet Therapy in Liver Transplantation – Transplantation

 

M-A: Role of adjuvant therapy in esophageal cancer patients after neoadjuvant therapy and esophagectomy.

19 Jan, 2022 | 08:19h | UTC

Role of Adjuvant Therapy in Esophageal Cancer Patients After Neoadjuvant Therapy and Esophagectomy: A Systematic Review and Meta-analysis – Annals of Surgery (link to abstract – $ for full-text)

 

Commentary on Twitter

 

ACP Guideline: Diagnosis and management of acute left-sided colonic diverticulitis.

18 Jan, 2022 | 09:38h | UTC

Diagnosis and Management of Acute Left-Sided Colonic Diverticulitis: A Clinical Guideline From the American College of Physicians – Annals of Internal Medicine

Related Guideline: Colonoscopy for Diagnostic Evaluation and Interventions to Prevent Recurrence After Acute Left-Sided Colonic Diverticulitis: A Clinical Guideline From the American College of Physicians – Annals of Internal Medicine

Related Systematic Reviews:

Diagnostic Imaging and Medical Management of Acute Left-Sided Colonic Diverticulitis: A Systematic Review – Annals of Internal Medicine

Evaluation and Management After Acute Left-Sided Colonic Diverticulitis: A Systematic Review – Annals of Internal Medicine

Annals Video Summary: Diagnostic Imaging and Medical Management of Acute Left-Sided Colonic Diverticulitis: A Systematic Review – Annals of Internal Medicine

News Release: ACP releases two new clinical guidelines on the diagnosis and management of diverticulitis – American College of Physicians

 

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