Gastrointestinal Surgery (all articles)
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
Antiplatelet Therapy in Patients With Coronary Stents Undergoing Elective Noncardiac Surgery
20 Jun, 2017 | 18:23h | UTCNew colorectal cancer screening guidelines
20 Jun, 2017 | 19:51h | UTCCommentaries: Task Force presents new ranking of colorectal cancer screening tests – American Society of Gastrointestinal Endoscopy, via EurekAlert (free) AND Latest Colorectal Cancer Screening Guidelines – Latest Colorectal Cancer Screening Guidelines – GI and Hepatology News (free)
Related: Colorectal Cancer Screening – U.S. Preventive Services Task Force (free)
Inspired by War Zones, Balloon Device May Save Civilians From Fatal Blood Loss
20 Jun, 2017 | 12:25h | UTCInspired by War Zones, Balloon Device May Save Civilians From Fatal Blood Loss – The New York Times (10 articles per month are free)
Surgeon Variation in Complications With Minimally Invasive and Open Colectomy
20 Jun, 2017 | 12:23h | UTCSurgeon Variation in Complications With Minimally Invasive and Open Colectomy: Results From the Michigan Surgical Quality Collaborative – JAMA Surgery (free) (RT @MaryDixonWoods see Tweet)
Surgeon-level variation in complications among surgeons was nearly twice as great for Minimally Invasive Colectomy than for Open Colectomy, implying a need for improved training in adoption of minimally invasive techniques.
Development and validation of risk prediction equations to estimate survival in patients with colorectal cancer
19 Jun, 2017 | 12:59h | UTCCommentary: New web calculator to more accurately predict bowel cancer survival – University of Nottingham, via EurekAlert (free)
See also: QCancer-2017(colorectal, survival) risk calculator (free risk calculator based on the data)
Guidelines for gastro-entero-pancreatic neuroendocrine neoplasms
19 Jun, 2017 | 12:46h | UTC
Asia–Pacific clinical practice guidelines on the management of hepatocellular carcinoma
16 Jun, 2017 | 01:35h | UTC
Pancreatic Adenocarcinoma: Improving Prevention and Survivorship
16 Jun, 2017 | 01:33h | UTCPancreatic Adenocarcinoma: Improving Prevention and Survivorship – 2017 ASCO Educational Book (free)
Inflammatory Bowel Disease in Childhood and Adolescence
16 Jun, 2017 | 01:10h | UTCInflammatory Bowel Disease in Childhood and Adolescence – Deutsches Ärzteblatt (free)
Age-specific risks, severity, time course, and outcome of bleeding on long-term antiplatelet treatment after vascular events
15 Jun, 2017 | 00:47h | UTCInvited commentary: Preventing major gastrointestinal bleeding in elderly patients (free)
Commentaries: Aspirin Bleeding Risk in Over 75s Higher Than Thought – Medscape (free registration required) AND Aspirin linked to higher risk of serious bleeding in the elderly – Reuters Health News (free)
In this cohort, the risk of major bleeding increased sharply in patients above 75 years.
Practice Guidelines for Preoperative Fasting
9 Jun, 2017 | 16:03h | UTCPractice Guidelines for Preoperative Fasting and the Use of Pharmacologic Agents to Reduce the Risk of Pulmonary Aspiration – Anesthesiology, via Medscape (free registration required)
#ASCO2017 – Risk-Based Approach to Chemotherapy Duration Recommended for Stage III Colon Cancer
7 Jun, 2017 | 15:24h | UTC#ASCO2017 (Unpublished results) – Risk-Based Approach to Chemotherapy Duration Recommended for Stage III Colon Cancer – ASCO Daily News(free) AND ASCO2017:The IDEA Collaboration: Global Study Sets New Risk-Based Standard to Personalize Chemotherapy for Colon Cancer After Surgery – ASCO Post (free)
Commentaries: Chemo Cut in Half Following Surgery Without Increased Recurrence Risk in Patients With Low-Risk Colon Cancer – Targeted Oncology (free) Less Is More: Patients With Colon Cancer Get a Chemo Break – Medscape (free registration required) Cutting Chemo Time in Low-Risk Colon Ca an Option – MedPage Today (free registration required)
Antibiotics Versus Surgical Therapy for Uncomplicated Appendicitis (again)
7 Jun, 2017 | 15:21h | UTCAntibiotics Versus Surgical Therapy for Uncomplicated Appendicitis: Systematic Review and Meta-analysis of Controlled Trials – Annals of Surgery (link to abstract – $ for full-text)
Commentary: Antibiotics Versus Surgery: Equally Effective in Treating Appendicitis? – Medscape (free registration required)
This meta-analysis and the author’s conclusions do not favor antibiotics alone for the treatment of uncomplicated appendicitis, contradiction the results of other recent meta-analysis, as well as a recent guideline on the subject, suggesting antibiotics might be an option in selected cases.
Inflammatory bowel disease: Five things physicians and patients should question
7 Jun, 2017 | 15:19h | UTC
Guidelines on the Management of Intra-Abdominal Infection
26 May, 2017 | 15:10h | UTCRelated: Management of intra-abdominal infections: recommendations by the WSES 2016 consensus conference – World Journal of Emergency Surgery (free)
The lap band for weight loss is a tale of medicine gone wrong
25 May, 2017 | 15:02h | UTCThe lap band for weight loss is a tale of medicine gone wrong – VOX (free)
See also a recent study showing high complication rates of laparoscopic gastric band surgeries in our May 23rd issue (see #7)
Effect of a Modified Hospital Elder Life Program on Delirium and Length of Hospital Stay in Patients Undergoing Abdominal Surgery
25 May, 2017 | 14:50h | UTCEffect of a Modified Hospital Elder Life Program on Delirium and Length of Hospital Stay in Patients Undergoing Abdominal Surgery: A Cluster Randomized Clinical Trial – JAMA Surgery (free) (RT @PreetiNMalani see Tweet)
Commentary: Anti-delirium strategy reduces after-surgery confusion in elderly – Reuters Health (free)
Multicomponent nonpharmacologic interventions, including orienting communications, oral and nutritional assistance, and early mobilization reduced postoperative delirium by 56% and length of stay by 2 days.
Reoperation and Medicare Expenditures After Laparoscopic Gastric Band Surgery
23 May, 2017 | 14:25h | UTCReoperation and Medicare Expenditures After Laparoscopic Gastric Band Surgery – JAMA Surgery (link to abstract – $ for full-text)
Commentaries: Following gastric band surgery, device-related reoperation common, costly – Science Daily (free) 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)