Gastrointestinal Surgery (all articles)
RCT | Disposable elevator cap duodenoscopes reduce microbial contamination during ERCP
30 Jan, 2023 | 00:49h | UTC
Commentary on Twitter
In this RCT of 520 ERCP patients, disposable elevator cap duodenoscopes reduced persistent contamination (RR 0.34, 95% CI 0.16–0.75), with no differences in performance (technical success 94.6% vs. 90.7%, P=.13) or safety outcomes. https://t.co/km87WyxsvR
— JAMA Internal Medicine (@JAMAInternalMed) January 26, 2023
M-A | The optimal timing and intervention to reduce mortality for necrotizing pancreatitis
30 Jan, 2023 | 00:44h | UTCRelated:
Research: Endoscopic or Surgical Step-up Approach for Infected Necrotising Pancreatitis
Evidence-Based Approach to the Surgical Management of Acute Pancreatitis – The Surgery Journal
Aggressive or Moderate Fluid Resuscitation in Acute Pancreatitis – New England Journal of Medicine (link to abstract – $ for full-text)
Acute Pancreatitis: Diagnosis and Treatment – Drugs
Evidence-Based Disposition of Acute Pancreatitis – emDocs
Pancreatitis – National Institute for Health and Care Excellence
M-A | Proximal gastrectomy with double-tract-reconstruction vs. total gastrectomy in gastric and gastroesophageal junction cancer patients
27 Jan, 2023 | 11:54h | UTC
RCT | Curettage plus platelet-rich plasma gel vs. curettage plus phenol application in treatment of pilonidal sinus disease
26 Jan, 2023 | 12:05h | UTCComparison of Curettage Plus Platelet-Rich Plasma Gel and Curettage Plus Phenol Application in Treatment of Pilonidal Sinus Disease: A Randomized Trial – Diseases of the Colon & Rectum (link to abstract – $ for full-text)
See also: Visual Abstract
Cohort Study | Alcohol-related problems before and after metabolic and bariatric surgery in adolescents
26 Jan, 2023 | 12:01h | UTCA Prospective Cohort of Alcohol use and Alcohol-related Problems Before and After Metabolic and Bariatric Surgery in Adolescents – Annals of Surgery (link to abstract – $ for full-text)
News Release: Problems with Alcohol Increase After Weight-Loss Surgery in Adolescence – Ann & Robert H. Lurie Children’s Hospital of Chicago
Related Study: Association Between Bariatric Surgery and Alcohol Use–Related Hospitalization and All-Cause Mortality in a Veterans Affairs Cohort – JAMA Surgery (link to abstract – $ for full-text)
RCT | 2 days of postoperative antibiotics is noninferior to 5 days in patients with complex appendicitis
24 Jan, 2023 | 14:33h | UTC2 days versus 5 days of postoperative antibiotics for complex appendicitis: a pragmatic, open-label, multicentre, non-inferiority randomised trial – The Lancet (link to abstract – $ for full-text)
Commentary: Trial supports shorter postoperative antibiotics for complex appendicitis – CIDRAP
Commentary on Twitter
After laparoscopic appendicectomy for complex appendicitis, 2 days versus 5 days of intravenous #antibiotics was non-inferior in terms of infectious complications and mortality within 90 days, suggests new Dutch study: https://t.co/oRsf8BQgAd
— The Lancet (@TheLancet) January 19, 2023
RCT | Intracorporeal vs. extracorporeal anastomosis in robotic right colectomy
24 Jan, 2023 | 14:17h | UTCIntracorporeal Versus Extracorporeal Anastomosis in Robotic Right Colectomy: A Multicenter, Triple-blind, Randomized Clinical Trial – Annals of Surgery (link to abstract – $ for full-text)
Cohort Study | Prevalence of colorectal neoplasia 10 or more years after a negative screening colonoscopy in 120 000 repeated screening colonoscopies
23 Jan, 2023 | 13:36h | UTCCommentaries:
Prevalence of Colorectal Cancers Low 10 Years Following Negative Screening Test – HCP Live
Risk for Advanced Neoplasm Low 10+ Years After Negative Colonoscopy – HealthDay
Commentary on Twitter
Large registry-based study finds strong potential for risk-adapted #colorectalcancer screening, suggests extension of screening endoscopy intervals beyond 10 years may be warranted particularly in asymptomatic female and younger participants. https://t.co/fChg6DRyPw @DKFZ
— JAMA Internal Medicine (@JAMAInternalMed) January 17, 2023
M-A | Enhanced recovery after surgery in children undergoing abdominal surgery
23 Jan, 2023 | 13:12h | UTCEnhanced recovery after surgery in children undergoing abdominal surgery: meta-analysis – BJS Open
MRI anatomy of the rectum: key concepts important for rectal cancer staging and treatment planning
20 Jan, 2023 | 14:34h | UTC
RCT | Effect of interval between neoadjuvant chemoradiotherapy and surgery on disease recurrence and survival in rectal cancer
20 Jan, 2023 | 14:19h | UTC
Commentary on Twitter
Single centre #RCT of surgery for T3/4 N+ #rectalcancer before or after 8 weeks of CRT
???350 patients
⚖️no difference locoregional recurrence
Distant mets more common in delayed group at 5yrs
DFS and OS similar#some4surgery @SEIQuirurgica @asgbi https://t.co/4evsKNKKK1 pic.twitter.com/CxI0GJdG56— BJS Open (@BjsOpen) October 24, 2022
Study shows patients with circulating tumor DNA are at increased risk of relapse after surgery for resectable colorectal cancer
19 Jan, 2023 | 14:18h | UTCCommentary: Data Support ctDNA as a Prognostic Marker for Recurrence/Benefit in Colorectal Cancer – Cancer Network
Commentary on Twitter
In the observational arm of the CIRCULATE-Japan study, among patients with stage II-IV #ColorectalCancer, those with the presence of circulating #tumorDNA post-tumor resection have a high recurrence risk & are likely to benefit from adjuvant #chemotherapyhttps://t.co/hKlRt1ZW6T
— Nature Medicine (@NatureMedicine) January 17, 2023
Consensus Paper | Management of early-onset colorectal cancer
19 Jan, 2023 | 14:14h | UTC
RCT | SPONGE-assisted vs. Trendelenburg position surgery in laparoscopic sigmoid and rectal cancer surgery
19 Jan, 2023 | 14:06h | UTCSPONGE-assisted vs. Trendelenburg position surgery in laparoscopic sigmoid and rectal cancer surgery (SPONGE trial): randomized clinical trial – British Journal of Surgery (link to abstract – $ for full-text)
RCT | Prevention of incisional hernias by prophylactic mesh-augmented reinforcement of midline laparotomies for AAA treatment
19 Jan, 2023 | 14:03h | UTC
M-A | Impact of perioperative steroid administration in patients undergoing elective liver resection
19 Jan, 2023 | 14:00h | UTC
RCT | Aqueous povidone-iodine vs. normal saline for intraoperative wound irrigation on the incidence of SSI after GI surgery
19 Jan, 2023 | 13:54h | UTCAqueous Povidone-Iodine Versus Normal Saline For Intraoperative Wound Irrigation On The Incidence Of Surgical Site Infection In Clean-Contaminated Wounds After Gastroenterological Surgery: A Single Institute, Prospective, Blinded-Endpoint, Randomized Controlled Trial – Annals of Surgery (link to abstract – $ for full-text)
M-A | Optimal timing of perioperative chemical thromboprophylaxis in elective major abdominal surgery
19 Jan, 2023 | 13:52h | UTCOptimal Timing of Perioperative Chemical Thromboprophylaxis in Elective Major Abdominal Surgery: A Systematic Review and Meta-analysis – Annals of Surgery (link to abstract – $ for full-text)
ACG Clinical Guideline | Diagnosis and management of gastrointestinal subepithelial lesions
18 Jan, 2023 | 14:39h | UTC
Review | Surgical site infection prevention
18 Jan, 2023 | 14:31h | UTCSurgical Site Infection Prevention: A Review – JAMA (free for a limited period)
Author interview: Surgical Site Infection Prevention – JAMA
Related:
Global guidelines on the prevention of surgical site infection – World Health Organization
AAOS Guideline: Prevention of surgical site infections after major extremity trauma.
RCT | Reduced adenoma miss rate with 9-minute vs. 6-minute withdrawal times for screening colonoscopy
18 Jan, 2023 | 14:13h | UTCCommentary: Longer withdrawal time reduces miss rates in screening colonoscopy – MDedge
Commentary on Twitter
? #RapidRCTinAJG, accelerating the time from RCT to publication
Reduced Adenoma Miss Rate With 9-Minute vs 6-Minute Withdrawal Times for Screening Colonoscopy: A Multicenter Randomized Tandem Trial by Zhao, et al.
? https://t.co/SSIktB0Aoc@JasmohanBajaj @MLongMD #RedJournal pic.twitter.com/OwJhzeKYPA
— AJG – The American Journal of Gastroenterology (@AmJGastro) January 5, 2023
Opinion | The American Academy of Pediatrics is pushing drugs and surgery for obesity
17 Jan, 2023 | 13:27h | UTCThe American Academy of Pediatrics is Pushing Drugs & Surgery for Obesity – Sensible Medicine
Original article and commentaries: AAP Guideline | Evaluation and treatment of children and adolescents with obesity
M-A | Does neoadjuvant treatment in resectable pancreatic cancer improve overall survival?
17 Jan, 2023 | 13:07h | UTC
Establishment and external validation of neutrophil-to-lymphocyte ratio in excluding postoperative pancreatic fistula after pancreatoduodenectomy
17 Jan, 2023 | 12:57h | UTC
M-A | Costs and clinical benefits of enhanced recovery after surgery (ERAS) in pancreaticoduodenectomy
15 Jan, 2023 | 19:58h | UTCRelated:
Complete List of Enhanced Recovery After Surgery (ERAS) Society Guidelines