Gastrointestinal Surgery (all articles)
NICE Guideline Update | Colonoscopic surveillance in adults with inflammatory bowel disease or adenomas.
10 Nov, 2022 | 14:16h | UTCRelated:
USPSTF Statement: Start colorectal cancer screening at 45 years for most patients.
ACG Clinical Guidelines: Start colorectal cancer screening at 45
RCT | Tamponade dressing does not reduce bleeding or pain compared to no dressing after hemorrhoidectomy.
10 Nov, 2022 | 14:06h | UTC
Commentary on Twitter
What's the role of tamponade dressing after #haemorrhoidectomy?
RCT ?? 725 patients
Tamponade dressing assoc w:
?pain
? bleeding ratesWhy use it?#some4surgery #colorectalsurgery@Mcfark @LauraLorenzonMD @paulo_sutt https://t.co/J4bA3uSowT pic.twitter.com/Cda7ibx2rd
— BJS Open (@BjsOpen) June 2, 2022
RCT | Effect of local anesthetic infiltration on postoperative pain after laparoscopic cholecystectomy.
10 Nov, 2022 | 13:56h | UTC
Commentary on Twitter
Does it matter where you put local #anasthetic after #lapchole?
This #RCT ?? shows that getting the local into the sheath, not just skin, reduces pain.#some4surgery #surgicalresearchhttps://t.co/ByRt7zuLfR@asgbi @SEIQuirurgica @villesallinen @Gio_Marchegiani pic.twitter.com/Cszf9H2wO2
— BJS Open (@BjsOpen) June 3, 2022
Guidelines | Managing functional dyspepsia overlapping with other gastrointestinal symptoms.
9 Nov, 2022 | 12:26h | UTC
Cohort Study | Population-based estimates of 1-year mortality after major surgery among community-living older adults.
9 Nov, 2022 | 12:23h | UTCPopulation-Based Estimates of 1-Year Mortality After Major Surgery Among Community-Living Older US Adults – JAMA Surgery (link to abstract – $ for full-text)
Commentaries:
One in Seven Older Adults Die Within a Year After Surgery – Medscape (free registration required)
Surgery Holds Danger for Seniors. Who’s Most at Risk? – HealthDay
Commentary on Twitter
In a nationally representative sample of community-living Americans aged ≥65 years, nearly 1 out of every 7 persons died in the year after major surgery, including more than 1 of 4 who were frail and nearly 1 of 3 who had probable #dementia. https://t.co/nf8W4oLOLd @NHATS_NSOC
— JAMA Surgery (@JAMASurgery) October 19, 2022
Cross-sectional Study | Factors associated with lesion detection in colonoscopy among different indications.
9 Nov, 2022 | 12:08h | UTCFactors associated with lesion detection in colonoscopy among different indications – UEG Journal
Review | Intravenous fluid therapy in patients with severe acute pancreatitis admitted to the intensive care unit.
8 Nov, 2022 | 12:15h | UTCRelated:
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
Expert consensus | Use of sponge-assisted endoluminal vacuum therapy for the treatment of colorectal anastomotic leaks.
7 Nov, 2022 | 12:42h | UTC
Commentary on Twitter
Endoluminal vacuum therapy (EVT) is a devloping technology for #anastomoticleak management.
This paper presents an expert #consensus to guide current use of this technology in leak management.#some4surgery @SEIQuirurgica @asgbi https://t.co/k6IZSHrPUB pic.twitter.com/gPOz8eTtKA
— BJS Open (@BjsOpen) October 27, 2022
RCT | Oral antimicrobial prophylaxis reduced surgical site infection after elective colorectal surgery.
4 Nov, 2022 | 13:48h | UTC
RCT | Post-operative electrical muscle stimulation may attenuate loss of muscle mass after abdominal surgery in older adults.
4 Nov, 2022 | 13:19h | UTC
RCT | Routine sterile glove and instrument change at the time of abdominal wound closure to prevent surgical site infection.
3 Nov, 2022 | 14:13h | UTCCommentary: Experts pave the way for safer surgery to address global elective waiting lists – University of Birmingham
Commentary on Twitter (thread – click for more)
Surgical site infection (SSI) remains the most common complication of surgery around the world.
This trial aimed to test whether a routine change of gloves & instruments before wound closure reduced abdominal SSI: https://t.co/cFM3nN7Hcs ? 1/4
— The Lancet (@TheLancet) November 1, 2022
RCT | Electroacupuncture shortened the duration of postoperative ileus after laparoscopic surgery for colorectal cancer.
3 Nov, 2022 | 14:17h | UTCElectroacupuncture vs Sham Electroacupuncture in the Treatment of Postoperative Ileus After Laparoscopic Surgery for Colorectal Cancer: A Multicenter, Randomized Clinical Trial – JAMA Surgery (free for a limited period)
Invited Commentary: Will Acupuncture Be the Next Addition to Enhanced Recovery After Surgery Protocols? – JAMA Surgery (free for a limited period)
Commentary on Twitter
Results of this trial show that electroacupuncture is effective in promoting gastrointestinal function recovery within the Enhanced Recovery After Surgery protocol. #Research https://t.co/vniYwqvwHH
— JAMA Surgery (@JAMASurgery) November 2, 2022
M-A | Postoperative analgesia efficacy of erector spinae plane block in adult abdominal surgery.
3 Nov, 2022 | 13:59h | UTC
Cohort Study | Mental health morbidities and time to cancer diagnosis among adults with colon cancer in England.
3 Nov, 2022 | 13:55h | UTCInvited Commentary: The Interface Between Colon Cancer and Mental Health Morbidities – JAMA Network Open
M-A | Perioperative interventions to reduce pancreatic fistula following pancreatoduodenectomy.
2 Nov, 2022 | 14:22h | UTCPerioperative interventions to reduce pancreatic fistula following pancreatoduodenectomy: meta-analysis – British Journal of Surgery (link to abstract – $ for full-text)
Commentary on Twitter
Perioperative interventions to reduce POPF ? following pancreatoduodenectomy @BJSurgery
? Meta analysis reveal RCTs small and underpowered
Possible role for the following:
⛽️ External pancreatic duct drainage
? Ulinastatin
? Invagination techniquehttps://t.co/IqPMLjb1Er pic.twitter.com/wv6RQUE3lY— Giovanni Marchegiani (@Gio_Marchegiani) June 29, 2022
ERAS Guidelines for perioperative care for liver surgery.
1 Nov, 2022 | 12:16h | UTCRelated:
Complete List of Enhanced Recovery After Surgery (ERAS) Society Guidelines
ACCP Guideline | Perioperative management of antithrombotic therapy.
1 Nov, 2022 | 12:18h | UTCExecutive Summary: Perioperative Management of Antithrombotic Therapy: An American College of Chest Physicians Clinical Practice Guideline – CHEST
Commentary on Twitter
2022 guideline for perioperative management of VKAs, heparin bridging, DOACs & antiplatelets
Pts requiring elective surgery, in general,?? before surgery
?VKAs 3-5d
?DOACS 1-2d
?P2Y12 receptor inhibitors 3-7d✅drug specificshttps://t.co/RYNrEOovRe @SCCM_Surgery @SCCM_CPP— Sandra L. Kane-Gill, PharmD, MSc, FCCP, FCCM (@SCCMPresident) August 26, 2022
Guideline | Acute mesenteric ischemia.
31 Oct, 2022 | 13:58h | UTC
M-A of RCT | Combination of ulinastatin and somatostatin evaluated in acute pancreatitis.
31 Oct, 2022 | 13:44h | UTC
Cohort Study | Diverticular disease linked to increased risk of cancer outside the GI tract.
31 Oct, 2022 | 13:33h | UTCCancer risk in patients with diverticular disease: a nationwide cohort study – JNCI: Journal of the National Cancer Institute (link to abstract – $ for full-text)
News Release: Diverticular disease associated with cancer outside gastrointestinal tract – Karolinska Institutet
RCT | Liposomal bupivacaine transversus abdominis plane block did not reduce postoperative pain after abdominal wall reconstruction.
31 Oct, 2022 | 13:30h | UTCThe Efficacy of Liposomal Bupivacaine on Postoperative Pain Following Abdominal Wall Reconstruction: A Randomized, Double-blind, Placebo-controlled Trial – Annals of Surgery (link to abstract – $ for full-text)
Expert Consensus | Imaging standardization in metastatic colorectal cancer.
26 Oct, 2022 | 14:36h | UTC
ESGE Position Statement | Expected value of artificial intelligence in gastrointestinal endoscopy.
25 Oct, 2022 | 13:20h | UTC
Post-trial follow-up | Microbiome therapeutic SER-109 through 24 weeks for recurrent Clostridioides difficile infection.
24 Oct, 2022 | 14:15h | UTCExtended Follow-up of Microbiome Therapeutic SER-109 Through 24 Weeks for Recurrent Clostridioides difficile Infection in a Randomized Clinical Trial – JAMA (free for a limited period)
Commentary on Twitter
SER-109, an investigational microbiome therapeutic comprised of purified Firmicutes spores, durably reduced recurrent Clostridioides difficile infection rates and was well-tolerated through 24 weeks in patients with prevalent comorbidities. https://t.co/abayN0iJ5z
— JAMA (@JAMA_current) October 19, 2022
Updated guideline for closure of abdominal wall incisions.
21 Oct, 2022 | 13:02h | UTC