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Gastrointestinal Surgery (all articles)

Cohort study: In patients who underwent bariatric surgery, those submitted to gastric bypass were slightly more likely to remain free of obesity-related medications during follow-up compared with those who underwent sleeve gastrectomy.

18 Jan, 2022 | 09:31h | UTC

Medication Use for Obesity-Related Comorbidities After Sleeve Gastrectomy or Gastric Bypass – JAMA Surgery (link to abstract – $ for full-text)

Commentary: Gastric Bypass Tied to Modest Shift in Need for Comorbidity Meds – MedPage Today (free registration required)

 

Commentary on Twitter

 


ERAS Guidelines for perioperative care in bariatric surgery.

16 Jan, 2022 | 23:21h | UTC

Guidelines for Perioperative Care in Bariatric Surgery: Enhanced Recovery After Surgery (ERAS) Society Recommendations: A 2021 Update – World Journal of Surgery

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

 

Commentary on Twitter

 


Cohort Study: Patients who achieved weight loss through bariatric surgery may have lower risk for severe Covid-19 compared to patients who did not have surgical intervention for their obesity.

14 Jan, 2022 | 08:32h | UTC

Association of Weight Loss Achieved Through Metabolic Surgery With Risk and Severity of COVID-19 Infection – JAMA Surgery

Commentaries:

Is COVID-19 the Newest Comorbidity of Obesity Mitigated by Bariatric Surgery? – JAMA Surgery

Can weight loss help protect against Covid-19? – CNN

 


Systematic Review: Restrictive transfusion thresholds can safely decrease transfusions by 41% across a broad range of clinical contexts.

14 Jan, 2022 | 08:18h | UTC

Transfusion thresholds for guiding red blood cell transfusion – Cochrane Library

Summary: Is it safe to use lower blood counts (haemoglobin levels) as a trigger for blood transfusion in order to give fewer blood transfusions? – Cochrane Library

Related:

RCT: Among patients with acute MI and anemia, a restrictive transfusion strategy resulted in a noninferior rate of major cardiovascular events compared to a liberal transfusion strategy

Randomized trial: Liberal vs. restrictive transfusion thresholds in extremely low-birth-weight infants

Meta-Analysis: Effects of Restrictive vs. Liberal Transfusion Strategies on Longer-term Outcomes After Cardiac Surgery

Randomized Trial: In Patients Undergoing Cardiac Surgery, A Restrictive Transfusion Approach Does Not Increase the Risk of Acute Kidney Injury

Effects of restrictive red blood cell transfusion on the prognoses of adult patients undergoing cardiac surgery: a meta-analysis of randomized controlled trials – Critical Care

Research: Restrictive or Liberal Red-Cell Transfusion for Cardiac Surgery

Transfusion Requirements After Cardiac Surgery: The TRACS Randomized Controlled Trial – JAMA

 

Commentary on Twitter

https://twitter.com/cochraneINJ/status/1473667822542888964

 


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

13 Jan, 2022 | 08:35h | UTC

Pancreatoduodenectomy with or without prophylactic falciform ligament wrap around the hepatic artery for prevention of postpancreatectomy haemorrhage: randomized clinical trial (PANDA trial) – British Journal of Surgery (link to abstract – $ for full-text)

 

Commentary on Twitter

 


Cohort Study: Patient factors associated with appendectomy within 30 days of initiating antibiotic treatment for appendicitis – the presence of an appendicolith was associated with a nearly 2-fold increased risk of undergoing appendectomy within 30 days.

13 Jan, 2022 | 08:39h | UTC

Patient Factors Associated With Appendectomy Within 30 Days of Initiating Antibiotic Treatment for Appendicitis – JAMA Surgery (free for a limited period)

Invited commentary: Appendicoliths, Antibiotic Treatment Failure, and Appendectomy—Is the Glass Half Full or Half Empty? – JAMA Surgery

 


Review: Bowel decontamination before colonic and rectal surgery.

13 Jan, 2022 | 08:36h | UTC

Bowel decontamination before colonic and rectal surgery – British Journal of Surgery

 


ASCO Guideline Update: Adjuvant Therapy for Stage II Colon Cancer.

13 Jan, 2022 | 08:19h | UTC

Adjuvant Therapy for Stage II Colon Cancer: ASCO Guideline Update – Journal of Clinical Oncology

 


Systematic Review: Antecolic vs. retrocolic reconstruction after partial pancreaticoduodenectomy.

12 Jan, 2022 | 08:38h | UTC

Antecolic versus retrocolic reconstruction after partial pancreaticoduodenectomy – Cochrane Library

 


M-A: Fecal immunochemical test to triage patients with possible colorectal cancer symptoms.

11 Jan, 2022 | 02:18h | UTC

Faecal immunochemical test to triage patients with possible colorectal cancer symptoms: meta-analysis – British Journal of Surgery

Commentary: Guest Plain English summary: Worried about symptoms of bowel cancer? A simple stool test may help. – Cutting Edge

 

Commentary on Twitter

 


Meta-analysis (mostly of observational studies): In patients undergoing pancreaticoduodenectomy, routine nasogastric decompression is associated with increased rates of delayed gastric emptying, major complications, and longer length of stay compared to no routine nasogastric decompression.

8 Jan, 2022 | 22:44h | UTC

Impact of routine nasogastric decompression versus no nasogastric decompression after pancreaticoduodenectomy on perioperative outcomes: meta-analysis – BJS Open

Related Study: Nasogastric Decompression vs No Decompression After Pancreaticoduodenectomy: The Randomized Clinical IPOD Trial – JAMA Surgery

 

Commentary on Twitter

 


Position Paper: Diagnosis, management, and prevention of button battery ingestion in childhood.

15 Dec, 2021 | 08:32h | UTC

Diagnosis, Management, and Prevention of Button Battery Ingestion in Childhood: A European Society for Paediatric Gastroenterology Hepatology and Nutrition Position Paper – Journal of Pediatric Gastroenterology and Nutrition

Visual summary: Diagnosis, Management, and Prevention of Button Battery Ingestion in Childhood

 

Commentary on Twitter (thread – click for more)

 


Review: Diagnosis and management of acute appendicitis in adults.

15 Dec, 2021 | 08:28h | UTC

Diagnosis and Management of Acute Appendicitis in Adults: A Review – JAMA (free for a limited period)

Author Interview: Current Management of Acute Appendicitis: Antibiotics or Surgical Intervention

Commentary: Antibiotics can be first-line therapy for uncomplicated appendicitis cases – Duke University Medical Center

 


Colorectal cancer incidence, mortality, tumor characteristics, and treatment before and after the introduction of the fecal immunochemical testing-based screening program in the Netherlands: a population-based study.

13 Dec, 2021 | 08:50h | UTC

Colorectal cancer incidence, mortality, tumour characteristics, and treatment before and after introduction of the faecal immunochemical testing-based screening programme in the Netherlands: a population-based study – The Lancet Gastroenterology & Hepatology (link to abstract – $ for full-text)

 

Commentary on Twitter

 


Outcomes associated with caustic ingestion among 1198 adults in a national prospective database in France.

9 Dec, 2021 | 10:19h | UTC

Outcomes Associated With Caustic Ingestion Among Adults in a National Prospective Database in France – JAMA Surgery (free for a limited period)

Invited commentary: Caustic Ingestion—The Haves and the Have Nots (free for a limited period)

 

Commentary on Twitter

 


M-A: Effects of immediate or early oral feeding on acute pancreatitis.

9 Dec, 2021 | 10:14h | UTC

Effects of immediate or early oral feeding on acute pancreatitis: A systematic review and meta-analysis – Pancreatology

 


Review: Current issues in the use of opioids for the management of postoperative pain.

9 Dec, 2021 | 10:18h | UTC

Current Issues in the Use of Opioids for the Management of Postoperative Pain: A Review – JAMA Surgery (free for a limited period)

 


Blood sugar targets in surgical intensive care: management and special considerations in patients with diabetes.

9 Dec, 2021 | 10:06h | UTC

Blood Sugar Targets in Surgical Intensive Care – Deutsches Ärzteblatt International

 


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.

7 Dec, 2021 | 10:23h | UTC

The Risk of Postoperative Complications following Major Elective Surgery in Active or Resolved COVID-19 in the United States – Annals of Surgery

Related:

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

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

 


M-A: Major adverse events related to endoscopic or laparoscopic procedures in achalasia.

7 Dec, 2021 | 08:33h | UTC

Major adverse events related to endoscopic or laparoscopic procedures in achalasia. A systematic review and meta-analysis – Revista de Gastroenterología de México

 


ESGE Guideline: Endoscopic management of enteral tubes in adult patients.

3 Dec, 2021 | 10:02h | UTC

Endoscopic management of enteral tubes in adult patients: European Society of Gastrointestinal Endoscopy (ESGE) Guideline – Endoscopy

Part 1: Definitions and indications.

Part 2: Peri- and post-procedural management.

 


Review: Current treatment and future directions in the management of anal cancer.

1 Dec, 2021 | 08:38h | UTC

Current treatment and future directions in the management of anal cancer – CA: A Cancer Journal for Clinicians

 


CT imaging of peritoneal carcinomatosis with surgical correlation: a pictorial review.

1 Dec, 2021 | 08:30h | UTC

CT imaging of peritoneal carcinomatosis with surgical correlation: a pictorial review – Insights into Imaging

 


M-A (mostly observational studies): Comparison of gastrojejunostomy to endoscopic stenting for gastric outlet obstruction.

30 Nov, 2021 | 10:08h | UTC

Comparison of gastrojejunostomy to endoscopic stenting for gastric outlet obstruction: An updated Systematic Review and Meta‐analysis – The American Journal of Surgery

 


M-A: Treatment for gastrointestinal and pancreatic neuroendocrine tumors.

26 Nov, 2021 | 09:53h | UTC

Treatment for gastrointestinal and pancreatic neuroendocrine tumours: a network meta‐analysis – Cochrane Library

Summary: Treatment options for neuroendocrine tumours – Cochrane Library

 


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