Gastrointestinal Surgery (all articles)
Meta-Analysis: Outcomes at Follow-up of Negative Colonoscopy in Average Risk Population
15 Nov, 2019 | 10:25h | UTCRelated Guidelines: ACP Guideline: Screening for Colorectal Cancer in Asymptomatic Average-Risk Adults (free) AND BMJ Guideline: Colorectal Cancer Screening with Fecal Immunochemical Testing, Sigmoidoscopy or Colonoscopy (new guideline suggesting a more selective approach to screening) AND Colorectal cancer screening for average‐risk adults: 2018 guideline update from the American Cancer Society (recent guideline with recommendation to start screening at 45 years, with links to guidelines from other organizations)
“Our findings suggest that 10 year intervals for colonoscopy screening after a negative colonoscopy, as currently recommended, may be adequate”
Review: Post-operative Abdominal Infections: Epidemiology, Operational Definitions, and Outcomes
15 Nov, 2019 | 10:14h | UTCRelated Guidelines: The management of intra-abdominal infections from a global perspective: 2017 WSES guidelines – World Journal of Emergency Surgery (free) AND Management of intra-abdominal infections: recommendations by the WSES 2016 consensus conference – World Journal of Emergency Surgery (free) AND The Surgical Infection Society Revised Guidelines on the Management of Intra-Abdominal Infection – Surgical Infections (free) AND The 2018 Lebanese Society of Infectious Diseases and Clinical Microbiology Guidelines for the use of antimicrobial therapy in complicated intra-abdominal infections in the era of antimicrobial resistance – BMC Infectious Diseases (free)
[Abstract Only] Randomized Trial: Secondary Surgical Cytoreduction Not Beneficial for Recurrent Ovarian Cancer
14 Nov, 2019 | 10:34h | UTCSecondary Surgical Cytoreduction for Recurrent Ovarian Cancer – New England Journal of Medicine (link to abstract – $ for full-text)
Commentaries: Secondary surgery does not improve overall survival for recurrent ovarian cancer patients – University of Texas M. D. Anderson Cancer Center (free) AND Second surgery for many ovarian cancers found ineffective – Reuters (free)
[Abstract Only] Meta-Analysis: Antibiotic Treatment vs. Appendectomy for Uncomplicated Acute Appendicitis in Adults and Children
14 Nov, 2019 | 10:22h | UTCAntibiotic Treatment and Appendectomy for Uncomplicated Acute Appendicitis in Adults and Children: A Systematic Review and Meta-analysis – Annals of Surgery (link to abstract – $ for full-text)
Related Meta-Analysis: Antibiotic therapy for acute uncomplicated appendicitis: a systematic review and meta-analysis – International Journal of Colorectal Disease (free) AND Antibiotics Versus Surgical Therapy for Uncomplicated Appendicitis (link to abstract and commentaries) AND Antibiotic Therapy versus Appendectomy for Acute Uncomplicated Appendicitis (free study and commentaries)
Related Randomized Trials: Antibiotic Therapy Alone Seems Reasonable for Uncomplicated Appendicitis (free study and commentaries) AND Randomized clinical trial of antibiotic therapy for uncomplicated appendicitis (link to abstract and commentaries)
Related Cohort Study: Study: Nonoperative Management of Uncomplicated Appendicitis (free study and commentary)
Cohort Study: Even Minor Surgical Procedures Are Associated with High Risk for Patients with Frailty
14 Nov, 2019 | 10:19h | UTCAssociation of Preoperative Patient Frailty and Operative Stress With Postoperative Mortality – JAMA Surgery (free for a limited period)
Commentaries: Looking Beyond Mortality Among Older Adults Who Are Frail and Considering Surgical Intervention – JAMA Surgery (free for a limited period) AND No such thing as a low-risk surgery for frail patients – Vanderbilt University Medical Center (free) AND Even low-stress surgery can be fatal for frail patients, study finds – University of Texas Health Center at San Antonio (free)
Guidelines for The Perioperative Nutrition, Metabolic, And Nonsurgical Support of Patients Undergoing Bariatric Procedures
12 Nov, 2019 | 11:26h | UTC
Meta-Analysis: Intravenous vs. Intravenous/Oral Antibiotics for Perforated Appendicitis in Pediatric Patients
10 Nov, 2019 | 13:34h | UTC
[Abstract Only] Randomized Trial Suggests Possible Harm from Perioperative Probiotics Among Patients Undergoing Major Abdominal Operation
8 Nov, 2019 | 07:49h | UTCRandomized Trial of Perioperative Probiotics Among Patients Undergoing Major Abdominal Operation – Journal of the American College of Surgeons (link to abstract – $ for full-text)
Source: EvidenceAlerts
“A significantly higher readmission rate was observed among those exposed to probiotics. Additional studies remain warranted.”
[Abstract Only] Study: Evidence of Bacterial Transmission from Probiotic Capsule to Blood in ICU Patients
8 Nov, 2019 | 07:36h | UTCGenomic and epidemiological evidence of bacterial transmission from probiotic capsule to blood in ICU patients – Nature Medicine (link to abstract – $ for full-text)
Related: Systematic Review: Harms Reporting in Trials with Probiotics (link to abstract and commentaries) AND The Problem With Probiotics – The New York Times (free)
Related Commentary on Twitter
The use of #probiotics in hospitals is increasing. Now the first proof via genomic sequencing that these pills can induce sepsis https://t.co/mY0gxPXFQ1 @NatureMedicine by @TechnionLive's @idanyelin @harvardmed and collaborators pic.twitter.com/GZ6HgwxWyR
— Eric Topol (@EricTopol) November 7, 2019
Choosing Wisely in Pediatric Surgery: Five Things Physicians and Patients Should Question
8 Nov, 2019 | 07:21h | UTCCommentary: Choosing Wisely Examines Pediatric Surgical Practices to Avoid – NEJM Journal Watch (free)
See complete lists of low-value practices: Choosing Wisely U.S. / Choosing Wisely UK / Choosing Wisely Australia AND Choosing Wisely Canada
CSF-diverting Shunts: Implications for Abdominal and Pelvic Surgeons; A Review and Pragmatic Overview
8 Nov, 2019 | 06:45h | UTC
Update on the Management of Constipation
7 Nov, 2019 | 07:35h | UTCUpdate on the Management of Constipation – JAMA (free for a limited period)
Related: Indian Consensus on Chronic Constipation in Adults (free guidelines and reviews on the subject)
ACP Guideline: Screening for Colorectal Cancer in Asymptomatic Average-Risk Adults
5 Nov, 2019 | 10:43h | UTCNews Release: ACP issues guidance for colorectal cancer screening – American College of Physicians (free)
Summaries for Patients: Colorectal Cancer Screening in Average-Risk Adults (free)
Commentaries: ACP issues new guidance on colorectal cancer screening – ACP Internist (free) AND Medical groups differ on when to start colon and rectal cancer screening. Here’s why – CNN (free)
Related: BMJ Guideline: Colorectal Cancer Screening with Fecal Immunochemical Testing, Sigmoidoscopy or Colonoscopy (new guideline suggesting a more selective approach to screening) AND Colorectal cancer screening for average‐risk adults: 2018 guideline update from the American Cancer Society (recent guideline with recommendation to start screening at 45 years, with links to guidelines from other organizations)
The Global Burden of Pancreatic Cancer
30 Oct, 2019 | 07:59h | UTCInvited Commentary: Pancreatic cancer: a growing burden (free)
Related Commentary on Twitter
New research: Globally, the number of deaths, incident cases, and DALYs caused by #pancreaticcancer has more than doubled from 1990 to 2017 – https://t.co/ErtopvrIP5 #UEGWeek #GBDStudy @IHME_UW #pancsm pic.twitter.com/8L7sdjAGtm
— The Lancet Gastroenterology & Hepatology (@LancetGastroHep) October 22, 2019
The Global Burden of Colorectal Cancer
30 Oct, 2019 | 07:55h | UTCInvited Commentary: The global challenge of colorectal cancer (free)
Related Commentary on Twitter
New research: In 2017, there were 1·8 million incident cases of #colorectalcancer worldwide; the age-standardised incidence rate showed an increase of 9·5% from 1990 to 2017 – https://t.co/lqAbA8nKJL #UEGWeek #GBDStudy @IHME_UW #crcsm pic.twitter.com/juXBZ6Xcgo
— The Lancet Gastroenterology & Hepatology (@LancetGastroHep) October 22, 2019
The Global Burden of Inflammatory Bowel Disease
30 Oct, 2019 | 08:01h | UTCInvited Commentary: Global burden of inflammatory bowel disease (free)
Related Commentary on Twitter
New research: Global estimates suggest there were more than 6·8 million cases of #inflammatoryboweldisease in 2017; the highest age-standardised prevalence rates were in the #USA and the #UK – https://t.co/lLb6sXn4Jh #UEGWeek #GBDStudy @IHME_UW #IBD pic.twitter.com/k1txxA52VO
— The Lancet Gastroenterology & Hepatology (@LancetGastroHep) October 22, 2019
The Global Burden of Gastric Cancer
30 Oct, 2019 | 07:57h | UTCInvited Commentary: 27 years of stomach cancer: painting a global picture (free)
Related Commentary on Twitter
New research: Global estimates of the burden of #stomachcancer suggest there were more than 1·22 million incident cases worldwide in 2017; more than half these occurred in #China – https://t.co/NrC1nNaNPX #GBDStudy #UEGweek @IHME_UW #stcsm pic.twitter.com/mPRb9YmDsp
— The Lancet Gastroenterology & Hepatology (@LancetGastroHep) October 22, 2019
Together We Stand, Divided We Fall: A Multidisciplinary Approach in Complicated Acute Pancreatitis
30 Oct, 2019 | 07:46h | UTCRelated Guidelines: 2019 WSES guidelines for the management of severe acute pancreatitis – World Journal of Emergency Surgery (free) AND American Gastroenterological Association Institute Guideline on Initial Management of Acute Pancreatitis (free) AND Pancreatitis – National Institute for Health and Care Excellence (free) AND American College of Gastroenterology Guideline: Management of Acute Pancreatitis (free)
AAP Policy Statement: Pediatric Metabolic and Bariatric Surgery
28 Oct, 2019 | 00:48h | UTCPediatric Metabolic and Bariatric Surgery: Evidence, Barriers, and Best Practices – Pediatrics (free)
Technical Report: Metabolic and Bariatric Surgery for Pediatric Patients With Severe Obesity – Pediatrics (free)
Commentary: More kids should get weight-loss surgery, even some preteens, pediatricians say – STAT / Associated Press (free)
[Abstract Only] Meta-Analysis: Incisional Negative Pressure Wound Therapy vs. Control Dressings for the Prevention of Postoperative Wound Complications
23 Oct, 2019 | 07:54h | UTCMeta-analysis, Meta-regression, and GRADE Assessment of Randomized and Nonrandomized Studies of Incisional Negative Pressure Wound Therapy Versus Control Dressings for the Prevention of Postoperative Wound Complications – Annals of Surgery (link to abstract – $ for full-text)
Source: EvidenceAlerts
Guideline: Management of Nonvariceal Upper Gastrointestinal Bleeding
22 Oct, 2019 | 08:13h | UTCCommentary: Guideline on Managing Acute Upper Gastrointestinal Bleeding Updated – NEJM Journal Watch (free)
Systematic Review: Continuous Local Anesthetic Wound Infusion for Postoperative Pain After Midline Laparotomy for Colorectal Resection in Adults
20 Oct, 2019 | 22:31h | UTCContinuous local anaesthetic wound infusion for postoperative pain after midline laparotomy for colorectal resection in adults – Cochrane Library (free)
[Abstract Only] Randomized Trial: Medical vs. Surgical Treatment for Refractory Heartburn
17 Oct, 2019 | 08:28h | UTCRandomized Trial of Medical versus Surgical Treatment for Refractory Heartburn – New England Journal of Medicine (link to abstract – $ for full-text)
Commentaries: Surgery for Refractory GERD Works for Small Subset of Patients – NEJM Journal Watch (free) AND Surgery Beats Meds for True Refractory Heartburn – MedPage Today (free registration required)
Meta-analysis: Local Management of Anogenital Warts in Non-immunocompromised Adults
16 Oct, 2019 | 08:37h | UTC
Guideline: Endoscopic Management of Lynch Syndrome and Familial Risk of Colorectal Cancer
16 Oct, 2019 | 08:35h | UTC