Gastrointestinal Surgery (all articles)
Clinical Practice Guidelines for Enhanced Recovery After Colon and Rectal Surgery
16 Jul, 2017 | 12:41h | UTCSee other Enhanced Recovery After Surgery (ERAS) Guidelines and Reviews in our collection and in the ERAS Society Website.
NCCN Guidelines Insights: Antiemesis
13 Jul, 2017 | 20:57h | UTCNCCN Guidelines Insights: Antiemesis, Version 2.2017 (free)
Post-Surgical Complications
11 Jul, 2017 | 16:45h | UTCPost-Surgical Complications – emDocs (free)
Practical review of this common problem in the emergency department.
Association of delay of urgent or emergency surgery with mortality and use of health care resources
10 Jul, 2017 | 15:09h | UTCCommentary: Patients whose emergency surgery is delayed are at higher risk of death – Canadian Medical Association Journal, via EurekAlert (free)
Source: STAT News Newsletter
“Delayed operating room access for emergency surgery was associated with increased risk of inhospital mortality, longer length of stay and higher costs”.
The relationship between eosinophilic esophagitis and esophageal cancer
11 Jul, 2017 | 16:44h | UTCThe relationship between eosinophilic esophagitis and esophageal cancer – Diseases of The Esophagus (free)
An analysis of a large database of de-identified electronic medical records (EMRs) with over 40.000.000 patients found no association.
Guideline – Management of Crohn’s disease
7 Jul, 2017 | 14:06h | UTC
Guideline – Management of ulcerative colitis
7 Jul, 2017 | 14:06h | UTC
Cases of recurrent Clostridium difficile infection are increasing
7 Jul, 2017 | 14:04h | UTCCommentaries: Cases of recurrent Clostridium difficile infection are soaring – University of Pennsylvania School of Medicine, via EurekAlert (free) AND Multiply Recurrent C difficile Infection Rates Sharply Rise – Medscape (free registration required) AND Demand for FMT likely to increase with rise in multiply recurrent C. difficile cases – 2 Minute Medicine (free) AND Marked increase seen in multiply recurrent C diff – CIDRAP (free)
Multidisciplinary approach of colorectal cancer liver metastases
7 Jul, 2017 | 13:36h | UTCReview: Multidisciplinary approach of colorectal cancer liver metastases – World Journal of Clinical Oncology (free)
Current Status of Immune Checkpoint Inhibitors in Gastrointestinal Cancers
7 Jul, 2017 | 13:38h | UTCReview: Current Status of Immune Checkpoint Inhibitors in Gastrointestinal Cancers – Journal of Cancer (free)
Magnetic resonance imaging for diagnosis and neoadjuvant treatment evaluation in locally advanced rectal cancer
7 Jul, 2017 | 13:36h | UTC
Immunotherapy in pancreatic cancer
7 Jul, 2017 | 13:35h | UTCReview: Immunotherapy in pancreatic cancer: Unleash its potential through novel combinations – World Journal of Clinical Oncology (free)
Updates in Mirizzi syndrome
7 Jul, 2017 | 13:21h | UTCReview: Updates in Mirizzi syndrome – Hepatobiliary Surgery and Nutrition (free)
Pancreatic Ductal Adenocarcinoma: Current and Evolving Therapies
7 Jul, 2017 | 13:17h | UTCReview: Pancreatic Ductal Adenocarcinoma: Current and Evolving Therapies – International Journal of Molecular Sciences (free)
Risk of death among users of Proton Pump Inhibitors
5 Jul, 2017 | 15:31h | UTCCommentaries: Proton pump inhibitors associated with raised mortality – OnMedica (free) AND Longtime use of heartburn drugs linked to increased risk of death – NewsMedical (free) AND People taking heartburn drugs could have higher risk of death, study claims – The Guardian (free) AND Some heartburn drugs linked with higher risk of death – CBS News (free) AND PPIs Linked to Higher Risk for Death – Medscape (free registration required)
In a large observational study, PPI use was associated with increased mortality (HR 1.25; CI 1.23 to 1.28). PPIs were also associated with increased risk compared to H2 blockers (HR 1.24; CI 1.21 to 1.27). See more on the trade-offs of PPI therapy in our July 3rd issue (see #10)
Re-designing the pathway to surgery: better care and added value
3 Jul, 2017 | 17:16h | UTCRe-designing the pathway to surgery: better care and added value – Perioperative Medicine (free)
Source: Critical Care Reviews Newsletter
Complications of Proton Pump Inhibitor Therapy
30 Jun, 2017 | 15:20h | UTCComplications of Proton Pump Inhibitor Therapy – Gastroenterology (free)
Commentary: Complications of Proton Pump Inhibitor Therapy – PracticeUpdate (free registration required)
Related: Deprescribing proton pump inhibitors: Evidence-based clinical practice guideline – Canadian Family Physician (free) AND Proton Pump Inhibitors and Risk of Incident CKD and Progression to ESRD – Journal of the American Society of Nephrology (link to abstract – registration required for full text) AND Association of Proton Pump Inhibitors With Risk of Dementia: A Pharmacoepidemiological Claims Data Analysis – Jama Neurology (link to abstract – subscription required for full text)
The authors of this review argue that the observational studies that brought up the safety issues associated with PPIs (above studies, for example) are insufficient to establish causation and suggest a more balanced approach to PPI prescribing.
Colorectal polypectomy and endoscopic mucosal resection
29 Jun, 2017 | 15:38h | UTC
Monitoring Medical Devices: Missed Warning Signs Within Existing Data
26 Jun, 2017 | 21:27h | UTCViewpoint: Monitoring Medical Devices: Missed Warning Signs Within Existing Data – JAMA (free)
Related: The lap band for weight loss is a tale of medicine gone wrong – VOX (free) Reoperation and Medicare Expenditures After Laparoscopic Gastric Band Surgery – JAMA Surgery (link to abstract – $ for full-text) AND Safety, Effectiveness of Gastric Banding Called Into Question – Medscape (free registration required) AND 1 In 5 Gastric Band Surgeries Require Corrective Operations – American Council on Science and Health (free)
The authors use the example of gastric band surgery to discuss how available data may be used more appropriately for earlier detection of problems in the safety of medical devices.
A Meta-analysis of the Impact of Aspirin, Clopidogrel, and Dual Antiplatelet Therapy on Bleeding Complications in Noncardiac Surgery
26 Jun, 2017 | 17:32h | UTCA Meta-analysis of the Impact of Aspirin, Clopidogrel, and Dual Antiplatelet Therapy on Bleeding Complications in Noncardiac Surgery – Annals of Surgery (link to abstract – $ for full-text)
Source: EvidenceAlerts (free resource to find articles of interest)
“Antiplatelet therapy at the time of noncardiac surgery confers minimal bleeding risk with no difference in thrombotic complications. In many cases, it is safe to continue antiplatelet therapy in patients with important indications for their use”
Diagnostic Accuracy of Fecal Immunochemical Test in Patients at Increased Risk for Colorectal Cancer
25 Jun, 2017 | 14:57h | UTCDiagnostic Accuracy of Fecal Immunochemical Test in Patients at Increased Risk for Colorectal Cancer: A Meta-analysis – JAMA Internal Medicine (link to abstract – $ for full-text)
Commentaries: Fecal immunochemical testing demonstrates good diagnostic accuracy for high-risk individuals – 2 minute medicine (free) AND Mixed Results with FIT Screen for High-Risk Colon Cancer – MedPage Today (free registration required)
Interview with the author: Fecal Testing Better At Detecting Colon Cancer Than Advanced Atypical Changes – MedicalResearch.com (free)
“FIT is the best alternative screening strategy for pts at increased risk for CRC who refuse to use colonoscopy” (RT @JAMAInternalMed see Tweet)
ACG and CAG Clinical Guideline: Management of Dyspepsia
23 Jun, 2017 | 18:40h | UTCACG and CAG Clinical Guideline: Management of Dyspepsia – American College of Gastroenterology and Canadian Association of Gastroenterology (free PDF)
Guidelines for the Management of Cancer of the Colon, Rectum and Anus
23 Jun, 2017 | 18:32h | UTCSpecial Issue – Homepage: Association of Coloproctology of Great Britain & Ireland (ACPGBI): Guidelines for the Management of Cancer of the Colon, Rectum and Anus (2017)
1 – Introduction (free)
2 – Diagnosis, Investigations and Screening (free)
3 – Surgical Management (free)
4 – Multidisciplinary Management (free)
5 – Follow Up, Lifestyle and Survivorship (free)
6 – Audit and Outcome Reporting (free)
7 – Pathology Standards and Datasets (free)
8 – Anal Cancer (free)
Update on anti-TNF agents and other new drugs for IBD
23 Jun, 2017 | 13:27h | UTCClinical Review: Update on anti-tumor necrosis factor agents and other new drugs for inflammatory bowel disease – The BMJ (free)
Aspirin and other NSAIDs and colorectal cancer survival
21 Jun, 2017 | 18:01h | UTCTiming of Aspirin and Other Nonsteroidal Anti-Inflammatory Drug Use Among Patients With Colorectal Cancer in Relation to Tumor Markers and Survival – Journal of Clinical Oncology (link to abstract – $ for full-text)
Commentary: Study Informs NSAID Benefit in Colon Cancer – MedPage Today (free registration required)
Observational data suggests a benefit for individuals with KRAS wild-type tumors