Cirurgia Gastrintestinal

Análise crítica das diretrizes para o tratamento de pólipos da vesícula biliar.

27 Abr, 2022 | 16:07h

Critical Analysis of the Updated Guidelines for Management of Gallbladder Polyps – Annals of Surgical Oncology (se o acesso a este link for pago, tente este)

Conteúdo relacionado: Management and follow-up of gallbladder polyps: updated joint guidelines between the ESGAR, EAES, EFISDS and ESGE – European Radiology

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Revisão ampla e comparativa das diretrizes globais de tratamento do câncer gástrico.

27 Abr, 2022 | 16:05h

A Comprehensive and Comparative Review of Global Gastric Cancer Treatment Guidelines – Journal of Gastric Cancer

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Estudo randomizado | Em pacientes com doença do refluxo gastresofágico, laparoscopia total vs. fundoplicatura parcial posterior a 270° resultou em desfechos similares após 15 anos.

27 Abr, 2022 | 15:12h

Clinical Outcomes of a Laparoscopic Total vs a 270° Posterior Partial Fundoplication in Chronic Gastroesophageal Reflux Disease: A Randomized Clinical Trial – JAMA Surgery (gratuito por tempo limitado)

Entrevista com os autores: Comparable Clinical Outcomes of Partial vs Total Fundoplication – JAMA

Comentários:

Long-term Efficacy of Total and Partial Posterior Fundoplication to Treat Gastroesophageal Reflux Disease – JAMA Surgery (gratuito por tempo limitado)

Two Surgeries for Chronic GERD Yield Similar Long-Term Outcomes— Swedish trial finds partial and total fundoplication on par, 15 years later – MedPage Today (necessário cadastro gratuito)

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M-A | Eficácia clínica dos tratamentos adjuvantes para pacientes com câncer de vias biliares ressecado.

25 Abr, 2022 | 12:37h

Clinical efficacy of adjuvant treatments for patients with resected biliary tract cancer: a systematic review and network meta-analysis – BMJ Open

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Inteligência artificial (AI) reduz a taxa de erro no rastreamento de pólipos pré-cancerosos no câncer colorretal.

21 Abr, 2022 | 11:19h

Comunicado de imprensa: AI reduces miss rate of precancerous polyps in colorectal cancer screening – Mayo Clinic

Estudo original: Impact of Artificial Intelligence on Miss Rate of Colorectal Neoplasia – Gastroenterology (link para o resumo – $ para o texto completo)

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M-A | Abordagem abdominal vs. perineal para prolapso retal externo.

18 Abr, 2022 | 15:09h

Abdominal versus perineal approach for external rectal prolapse: systematic review with meta-analysis – BJS Open

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M-A | Técnica de 3-portas vs. 4-portas para colecistectomia laparoscópica.

14 Abr, 2022 | 17:22h

Three-port versus four-port technique for laparoscopic cholecystectomy: systematic review and meta-analysis – BJS Open

 

Comentário no Twitter

Laparoscopic cholecystectomy: 3 port 🤜🤛 4 port

📚 Syst review meta-analysis of 18 trials

🟰 length procedure and adverse events
⌛️ 3 ports LOS 0.3 days less 🫤

📐 Use of 3 ports should not be at the expense of safe dissection of Calot’s trianglehttps://t.co/yumsSJpPFt pic.twitter.com/qgNMQitY0e

— Giovanni Marchegiani (@Gio_Marchegiani) April 9, 2022

 

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M-A | Efeito clínico e segurança das novas diretrizes sobre o tempo de jejum pré-operatório para cirurgias eletivas.

14 Abr, 2022 | 16:54h

The clinical effect and safety of new preoperative fasting time guidelines for elective surgery: a systematic review and meta-analysis – Gland Surgery

Conteúdos relacionados:

An international multidisciplinary consensus statement on fasting before procedural sedation in adults and children – Anaesthesia

Does my hospitalized patient need an NPO-after-midnight order preoperatively?

ESPEN practical guideline: Clinical nutrition in surgery – “Preoperative fasting from midnight is unnecessary in most patients. Patients undergoing surgery, who are considered to have no specific risk of aspiration, shall drink clear fluids until 2 h before anesthesia. Solids shall be allowed until 6 h before anesthesia.”

Pro-Con Debate: 1- vs 2-Hour Fast for Clear Liquids Before Anesthesia in Children.

Editorial: The rationale for the recommendations of the European Pediatric Fasting Guideline – “the authors of the 2021 ESAIC pediatric guideline have found reasons to recommend reductions to the minimum fasting times for infant formula to 4 h, for breast milk to 3 h and for clear fluids to 1 h”.

Practice Guidelines for Preoperative Fasting and the Use of Pharmacologic Agents to Reduce the Risk of Pulmonary Aspiration: Application to Healthy Patients Undergoing Elective Procedures: An Updated Report by the American Society of Anesthesiologists Task Force on Preoperative Fasting and the Use of Pharmacologic Agents to Reduce the Risk of Pulmonary Aspiration

Perioperative fasting in adults and children: guidelines from the European Society of Anaesthesiology

Clear fluids fasting for elective paediatric anaesthesia: The European Society of Anaesthesiology consensus statement – European Journal of Anaesthesiology

Canadian Pediatric Anesthesia Society statement on clear fluid fasting for elective pediatric anesthesia – Canadian Journal of Anesthesia (gratuito)

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M-A de estudos randomizados controlados | Anastomose intratorácica vs. cervical na esofagectomia para câncer esofágico.

14 Abr, 2022 | 16:44h

Intrathoracic versus cervical anastomosis in esophagectomy for esophageal cancer: A meta-analysis of randomized controlled trials – Surgery

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Revisão da prática atual | Prevenção e tratamento de íleo pós-operatório.

14 Abr, 2022 | 16:24h

Prevention and Management of Postoperative Ileus: A Review of Current Practice – Cureus

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