Gastrointestinal Surgery (all articles)
Systematic Review: Early Enteral Nutrition in Lower Gastrointestinal Surgery
2 Nov, 2018 | 02:26h | UTCEarly enteral nutrition within 24 hours of lower gastrointestinal surgery versus later commencement for length of hospital stay and postoperative complications – Cochrane Library (free)
This review suggests that early enteral feeding is associated with a shorter length of hospital stay. For all other outcomes (postoperative complications, mortality, adverse events, and QoL) the findings are inconclusive.
Review: Similarities and Differences Between Biliary Sludge and Microlithiasis
26 Oct, 2018 | 02:52h | UTC
Randomized Trial: Proton-Pump Inhibitors Prophylaxis of Little Benefit in the ICU
26 Oct, 2018 | 02:41h | UTCPantoprazole in Patients at Risk for Gastrointestinal Bleeding in the ICU – New England Journal of Medicine (free for a limited period)
Editorial: Proton-Pump Inhibitor Prophylaxis in the ICU — Benefits Worth the Risks? (free for a limited period)
“Proton pump inhibitors are minimally effective to reduce GI bleeding among the critically ill folks at high risk for stress ulcers. Takeaways: no role for routine PPI for any patients on the WARDS, and shouldn’t be considered ‘routine’ in the ICU” (via @AnilMakam see Tweet)
Meta-Analysis: Enteral Nutrition Provided Within 48 hours After Admission in Severe Acute Pancreatitis
26 Oct, 2018 | 01:43h | UTC
Review: Enhanced Recovery in Surgical Intensive Care
19 Oct, 2018 | 00:12h | UTCEnhanced Recovery in Surgical Intensive Care: A Review – Frontiers in Medicine (free)
Retrospective Cohort: Bariatric Surgery Tied to Reduced Risk of Cardiovascular Disease in Patients With Type 2 Diabetes and Severe Obesity
16 Oct, 2018 | 23:34h | UTCAssociation Between Bariatric Surgery and Macrovascular Disease Outcomes in Patients With Type 2 Diabetes and Severe Obesity – JAMA (link to abstract – $ for full-text)
Video Summary: How Does Bariatric Surgery Compare With Medical Care for Reducing Cardiovascular Disease in Patients With Type 2 Diabetes? (free)
Commentary: Obesity surgery may lower heart attack danger in diabetics – Associated Press (free)
Meta-Analysis: Effects of Mechanical Bowel Preparation and Oral Antibiotics Before Elective Colorectal Surgery
16 Oct, 2018 | 23:08h | UTCInvited Commentary: When Will the Surgical Community Acknowledge the Evidence Regarding Prophylaxis With Oral Antibiotics for Scheduled Colorectal Operations? (free)
“Bowel Preparation and Oral Antibiotics Before Elective Colorectal Surgery. Once again the combination of oral antibiotic and oral mechanical cathartic bowel preparation yields the lowest rates of surgical site infections” (via @SWexner see Tweet)
Review: Gastrointestinal Endoscopy-Associated Infections and their Contributing Factors
16 Oct, 2018 | 21:43h | UTC
Randomized Trial: Misoprostol Heals Small Bowel Ulcers in Aspirin Users With Small Bowel Bleeding
16 Oct, 2018 | 21:30h | UTCMisoprostol Heals Small Bowel Ulcers in Aspirin Users With Small Bowel Bleeding – Gastroenterology (free for a limited period)
Commentary: Misoprostol Helps Heal Small Bowel Ulcers – MedPage Today (free registration required)
Source: EvidenceAlerts
Randomized Trial: Laparoscopic Cholecystectomy vs. Percutaneous Catheter Drainage for Acute Cholecystitis in High Risk Patients
11 Oct, 2018 | 21:32h | UTC“Laparoscopic cholecystectomy compared with percutaneous catheter drainage reduced the rate of major complications in high risk patients with acute cholecystitis.”
Study: Incidence of Progression of Persistent Non-Dysplastic Barrett’s Esophagus to Malignancy
11 Oct, 2018 | 20:01h | UTCIncidence of Progression of Persistent Non-Dysplastic Barrett’s Esophagus to Malignancy – Clinical Gastroenterology and Hepatology (link to abstract – $ for full-text)
Commentary: Patients with stable Barrett’s esophagus may need less surveillance, study finds – ACP Gastroenterology (free)
Enhanced Recovery After Surgery Guidelines for Perioperative Care in Esophagectomy
5 Oct, 2018 | 02:29h | UTCGuidelines for Perioperative Care in Esophagectomy: Enhanced Recovery After Surgery (ERAS®) Society Recommendations – World Journal of Surgery (free for a limited period)
Randomized Trial: Laparoscopic Lavage vs. Resection as Treatment for Perforated Diverticulitis
28 Sep, 2018 | 01:03h | UTCCommentary: Comparing Laparoscopic Lavage vs Resection for Perforated Diverticulitis – Medscape (free registration required)
Randomized Trial: Antibiotic Therapy Alone Seems Reasonable for Uncomplicated Appendicitis
28 Sep, 2018 | 00:55h | UTCFive-Year Follow-up of Antibiotic Therapy for Uncomplicated Acute Appendicitis in the APPAC Randomized Clinical Trial – JAMA (link to abstract – $ for full-text)
Podcast: Treating Appendicitis Without Surgery – 5-Year Follow-up from a Randomized Clinical Trial of Antibiotic Treatment (free)
Video Summary: Five-Year Follow-up of Patients Given Antibiotic Therapy for Uncomplicated Acute Appendicitis (free)
Commentaries: Pills for appendicitis? Surgery often not needed, study says – STAT (free) AND Antibiotics Alone Seem Reasonable for Uncomplicated Appendicitis in Adults – Physician’s First Watch (free) AND Appendicitis? Antibiotics May Be All You Need – The New York Times (10 articles per month are free)
Related: Randomized clinical trial of antibiotic therapy for uncomplicated appendicitis (link to abstract and commentaries) 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) AND New appendicitis guideline incorporates the possibility of non-operative treatment for uncomplicated disease (free guideline)
Position Statement: Prevention and Treatment of Parastomal Hernia
27 Sep, 2018 | 22:19h | UTC
Randomized Trial: Neoadjuvant Chemoradiotherapy Followed by Surgery vs. Surgery Alone for Locally Advanced Esophageal Cancer
21 Sep, 2018 | 01:48h | UTCCommentary: Neoadjuvant Chemoradiotherapy in Locally Advanced Esophageal Cancer – The ASCO Post (free)
Source: EvidenceAlerts
NICE Guideline: Pancreatitis
14 Sep, 2018 | 01:30h | UTCPancreatitis – National Institute for Health and Care Excellence (free)
Position Statement: The Treatment of Anal Fistula
14 Sep, 2018 | 01:22h | UTCThe treatment of anal fistula: second ACPGBI Position Statement – 2018 – Colorectal Disease (free)
Review: Endoscopic or Surgical Resection for Gastro-Esophageal Cancer
2 Sep, 2018 | 02:02h | UTCEndoscopic or Surgical Resection for Gastro-Esophageal Cancer – Deutsches Ärzteblatt International (free)
Guideline: Intestinal Failure in Adults
31 Aug, 2018 | 01:41h | UTCIntestinal failure in adults: Recommendations from the ESPEN expert groups – Clinical Nutrition (free)
Source: Critical Care Reviews Newsletter
Study: Risk of Esophageal Adenocarcinoma After Antireflux Surgery
23 Aug, 2018 | 23:46h | UTCRisk of Esophageal Adenocarcinoma After Antireflux Surgery in Patients With Gastroesophageal Reflux Disease in the Nordic Countries – JAMA Oncology (free for a limited period)
WSES Guideline: Colon and Rectal Cancer Emergencies
23 Aug, 2018 | 23:25h | UTC
Clinical Update: Management of Groin Hernias in Adults—2018
23 Aug, 2018 | 23:00h | UTCManagement of Groin Hernias in Adults—2018 – JAMA (free for a limited period)
Guideline: Medical Management of Perianal Fistulizing Crohn’s Disease
16 Aug, 2018 | 23:17h | UTC
Guideline: Management of Crohn’s Disease in Adults
3 Aug, 2018 | 11:46h | UTCACG Clinical Guideline: Management of Crohn’s Disease in Adults – The American Journal of Gastroenterology (free)
Commentary: New Crohn Disease Management Guidelines: Top Five Takeaways – Medscape (free registration required)