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Gastrointestinal Surgery (all articles)

Systematic Review: Interventions for Preventing Upper GI bleeding in the ICU

7 Jun, 2018 | 02:56h | UTC

Interventions for preventing upper gastrointestinal bleeding in people admitted to intensive care units – Cochrane Library (link to abstract – $ for full-text)

Summary: Interventions for preventing upper gastrointestinal bleeding in people on intensive care units – Cochrane Library (free)

Related Observational Study: H2 blockers prevented clinically important GI bleeding better than PPIs in ICU patients – ACP Hospitalist (free)

 


Proof-of-concept Trial: Fecal Microbiota Transplantation for Primary Clostridium difficile Infection

7 Jun, 2018 | 02:50h | UTC

Fecal Microbiota Transplantation for Primary Clostridium difficile Infection – New England Journal of Medicine (free)

Commentary: Antibiotics Weren’t Used to Cure These Patients. Fecal Bacteria Were – The New York Times (10 articles per month are free) AND The Latest Poop On Fecal Transplants Vs. Antibiotics For C. Difficile Diarrhea – Forbes (free)

 


ASCO 2018: Preoperative Chemoradiotherapy vs Immediate Surgery for Pancreatic Cancer

7 Jun, 2018 | 02:40h | UTC

PREOPANC-1 Trial Compares Preoperative Chemoradiotherapy vs Immediate Surgery for Pancreatic Cancer – The ASCO Post (free)

Related Video: Pre-operative chemotherapy with radiation may help people with pancreatic cancer live longer – eCancer News (free)

 


ASCO 2018: Improved Overall Survival with Adjuvant mFOLFIRINOX in Resected Pancreatic Cancer

7 Jun, 2018 | 02:38h | UTC

Adjuvant mFOLFIRINOX vs Gemcitabine in Resected Pancreatic Cancer – The ASCO Post (free)

Related: Pancreatic Cancer Survival Jumps With Postsurgical Chemo Combo – OncLive (free) AND Study Finds Rare Gain for Tough-To-Treat Pancreatic Cancer – Associated Press (free)

 


Systematic Review: Stent Placement vs. Surgical Palliation in Malignant Gastric Outlet Obstruction

6 Jun, 2018 | 21:50h | UTC

Stent placement versus surgical palliation for adults with malignant gastric outlet obstruction – Cochrane Library (free)

Summary: Stent placement versus surgery to control symptoms of a blocked stomach outlet caused by inoperable cancer – Cochrane Library (free)

 


Research: Rates of Infection after Colonoscopy and Endoscopy Higher Than Expected

6 Jun, 2018 | 21:48h | UTC

Rates of infection after colonoscopy and osophagogastroduodenoscopy in ambulatory surgery centres in the USA – Gut (link to abstract – $ for full-text)

Commentary: Infection Rates After Colonoscopy, Endoscopy at US Specialty Centers Are Far Higher Than Previously Thought – Johns Hopkins Medicine, via NewsWise (free)

 


Guideline: Colorectal Cancer Screening for Average‐risk Adults

1 Jun, 2018 | 03:45h | UTC

Colorectal cancer screening for average‐risk adults: 2018 guideline update from the American Cancer Society – CA: A Cancer Journal for Clinicians (free)

News Release: American Cancer Society Updates Colorectal Cancer Screening Guideline (free)

Commentaries: American Cancer Society recommends earlier colorectal cancer screening – Reuters (free) AND American Cancer Society advises colorectal screens at 45, not 50 – UPI (free) AND Cancer Group Calls for Colorectal Cancer Screening Starting at Age 45 – The New York Times (10 articles per month are free) AND Get Screened Earlier For Colorectal Cancer, Urges American Cancer Society – NPR (free)

Related Guidelines (all suggest screening should begin at age 50 years in average-risk individuals): Colorectal Cancer Screening – U.S. Preventive Services Task Force (free resources) AND Recommendations on screening for colorectal cancer in primary care – Canadian Task Force on Preventive Health Care (free) AND Colorectal Cancer Screening: Recommendations for Physicians and Patients from the U.S. Multi-Society Task Force on Colorectal Cancer – The American Journal of Gastroenterology (free)

 


ESMO Guideline: Gastrointestinal Stromal Tumors

1 Jun, 2018 | 03:13h | UTC

Gastrointestinal stromal tumours: ESMO–EURACAN Clinical Practice Guidelines for diagnosis, treatment and follow-up – Annals of Oncology (free)

 


Register-Based Retrospective Cohort: Witch Bowel Preparation is Better Before Elective Colorectal Surgery

29 May, 2018 | 18:16h | UTC

Comparative Effectiveness and Risks of Bowel Preparation Before Elective Colorectal Surgery – Annals of Surgery (link to abstract – $ for full-text)

Commentaries: Most Patients Undergoing Elective Colorectal Surgery Receive Inadequate Bowel Preparation to Prevent Postoperative Complications – The ASCO Post (free) AND Bowel Prep for Colorectal Surgery: Which Is the Most Effective? – Medscape (free registration required)

 


ASCO Guideline: Metastatic Pancreatic Cancer

24 May, 2018 | 23:18h | UTC

Metastatic Pancreatic Cancer: ASCO Clinical Practice Guideline Update – Journal of Clinical Oncology (free)

Related Guideline: Pancreatic cancer in adults: diagnosis and management – National Institute for Health and Care Excellence (free)

Related Systematic Review: Chemotherapy and radiotherapy for advanced pancreatic cancer – Cochrane Library (free)

 


Studies: More vs Less Frequent Follow-up Testing and Colorectal Cancer Outcomes

23 May, 2018 | 12:31h | UTC

Effect of More vs Less Frequent Follow-up Testing on Overall and Colorectal Cancer–Specific Mortality in Patients With Stage II or III Colorectal Cancer: The COLOFOL Randomized Clinical Trial – JAMA (free for a limited period)

Related Study: Association Between Intensity of Posttreatment Surveillance Testing and Detection of Recurrence in Patients With Colorectal Cancer (free for a limited period)

Commentaries: Surveillance intensity not associated with earlier detection of recurrence or improved survival in colorectal cancer – MedicalXpress (free) AND CRC: No Increase in Survival with Stepped-Up Surveillance – MedPage Today (free registration required) AND CRC recurrence surveillance studies: No benefit to high-intensity strategy – Oncology Practice (free)

 


Cohort Study: Colonoscopy Adenoma Findings and Long-term Colorectal Cancer Incidence

16 May, 2018 | 01:13h | UTC

Association of Colonoscopy Adenoma Findings With Long-term Colorectal Cancer Incidence – JAMA (free for a limited period)

Related Review: Optimizing post‐polypectomy surveillance: A practical guide for the endoscopist – Digestive Endoscopy (free) AND Optimal Colonoscopy Surveillance Interval after Polypectomy – Clinical Endoscopy (free)

Related Guidelines: Guidelines for Colonoscopy Surveillance After Screening and Polypectomy: A Consensus Update by the US Multi-Society Task Force on Colorectal Cancer (free) AND Korean Guidelines for Postpolypectomy Colonoscopy Surveillance – Digestive Endoscopy (free) AND Colorectal cancer surveillance after index colonoscopy: Guidance from the Canadian Association of Gastroenterology (free) AND Post-polypectomy colonoscopy surveillance: European Society of Gastrointestinal Endoscopy (ESGE) Guideline (free)

Advanced adenomas seem to be associated with subsequent increased risk for colorectal cancer, but nonadvanced adenomas may not be associated with increased risk.

 


Randomized Trial: Intracutaneously vs. Transcutaneously Sutured Ileostomy to Prevent Stoma-related Complications

16 May, 2018 | 00:41h | UTC

Randomized clinical trial of intracutaneously versus transcutaneously sutured ileostomy to prevent stoma-related complications (ISI trial) – British Journal of Surgery (free)

 


Randomized Trial: Restrictive vs. Liberal Fluids for Major Abdominal Surgery

15 May, 2018 | 05:05h | UTC

Restrictive versus Liberal Fluid Therapy for Major Abdominal Surgery – New England Journal of Medicine (free)

Editorial: Finding the Right Balance (free)

Commentaries: Restrictive fluids tied to kidney injury after major abdominal surgery – MDedge (free) AND Restricting Fluids During Abdominal Surgery Shows No Benefit, Possible Renal Risk – Medscape (free registration required)

 


Cohort Study: Incidence, Prevalence and 5-year Pancreatic-related Mortality of Pancreatic Cysts

3 May, 2018 | 20:31h | UTC

Prospective study on the incidence, prevalence and 5-year pancreatic-related mortality of pancreatic cysts in a population-based study – Gut (free)

Commentary: Incidental Pancreatic Cysts: Majority Don’t Progress to Cancer – Medscape (free registration required)

 


Guideline: Non-variceal Upper Gastrointestinal Bleeding

3 May, 2018 | 20:34h | UTC

Asia-Pacific working group consensus on non-variceal upper gastrointestinal bleeding: an update 2018 – Gut (free)

Source: Critical Care Reviews Newsletter

 


Randomized Controlled Trial: Effects of Omitting Antibiotics in Uncomplicated Acute Diverticulitis

3 May, 2018 | 20:27h | UTC

Long-Term Effects of Omitting Antibiotics in Uncomplicated Acute Diverticulitis – American Journal of Gastroenterology (link to abstract – $ for full-text)

Commentary: Uncomplicated acute diverticulitis: omitting antibiotics found safe in DIABOLO – Univadis (free registration required)

 


Guideline: Pain in Pancreatic Ductal Adenocarcinoma

3 May, 2018 | 19:36h | UTC

Pain in pancreatic ductal adenocarcinoma: A multidisciplinary, International guideline for optimized management – Pancreatology (free)

 


Meta‐Analysis: Music Interventions for Anxiety and Pain in Surgery

3 May, 2018 | 19:34h | UTC

Meta‐analysis evaluating music interventions for anxiety and pain in surgery – British Journal of Surgery (free)

Commentary: Soothing sounds: Music reduces patient anxiety, pain during surgery – Clinical Innovation and Technology (free)

 


Review: Surgery for Metastatic GISTs

3 May, 2018 | 19:20h | UTC

Surgery for metastatic gastrointestinal stromal tumor: to whom and how to? – Translational Gastroenterology and Hepatology (free)

 


Observational Study: Age and Sex of Surgeons and Mortality of Older Surgical Patients

27 Apr, 2018 | 02:44h | UTC

Age and sex of surgeons and mortality of older surgical patients: observational study – The BMJ (free)

Editorial: Links between age and sex of surgeons and patients’ outcomes (free)

Commentary: Study Suggests Older Surgeons Produce Lower Mortality Rates in Emergency Procedures – UCLA, via NewsWise (free)

 


Randomized Trial: Sigmoidoscopy Screening and Colorectal Cancer Incidence and Mortality in Women and Men

25 Apr, 2018 | 13:36h | UTC

Long-Term Effectiveness of Sigmoidoscopy Screening on Colorectal Cancer Incidence and Mortality in Women and Men: A Randomized Trial – Annals of Internal Medicine (link to abstract – $ for full-text)

Commentaries: Sigmoidoscopy reduces colon cancer risk for men, but not women – American College of Physicians, via MedicalXpress (free) AND Sigmoidoscopy reduces colon cancer risk for men, but not women – 2 Minute Medicine (free)

 


Cohort Study: Proton‐Pump Inhibitors and Risk of Pneumonia in Older Adults

24 Apr, 2018 | 19:29h | UTC

Proton‐Pump Inhibitors and Long‐Term Risk of Community‐Acquired Pneumonia in Older Adults – Journal of the American Geriatrics Society (free)

Commentary: Commonly prescribed heartburn drug linked to Pneumonia in Older Adults – University of Exeter (free)

Related: Proton Pump Inhibitors: Review of Emerging Concerns – Mayo Clinic Proceedings (free) AND Complications of Proton Pump Inhibitor Therapy – Gastroenterology (free) AND Adverse effects of proton-pump inhibitor use in older adults: a review of the evidence – Therapeutic Advances in Drug Safety (free) AND Deprescribing proton pump inhibitors: Evidence-based clinical practice guideline – Canadian Family Physician (free)

Source: Hospital Medicine Virtual Journal Club

 


Pancreatitis: Pearls & Pitfalls

23 Apr, 2018 | 20:59h | UTC

Pancreatitis: Pearls & Pitfalls – emDocs (free)

Related guidelines: American Gastroenterological Association Institute Guideline on Initial Management of Acute Pancreatitis – Gastroenterology (free) AND Clinical practice guideline: management of acute pancreatitis – Canadian Journal of Surgery (free)

 


Review: Management of Barrett’s Esophagus with Low-grade Dysplasia

23 Apr, 2018 | 20:47h | UTC

Management of Barrett’s esophagus with low-grade dysplasia – Diseases of the Esophagus (free)

 


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