Cirurgia Gastrintestinal

Diretriz ACG | Tratamento de pacientes com sangramento agudo do trato gastrintestinal baixo

7 Fev, 2023 | 18:21h

Management of Patients With Acute Lower Gastrointestinal Bleeding: An Updated ACG Guideline

Conteúdos relacionados:

Diagnosis and management of acute lower gastrointestinal bleeding: European Society of Gastrointestinal Endoscopy (ESGE) Guideline – Endoscopy

Randomized Trial: Efficacy and Safety of Early vs. Elective Colonoscopy for Acute Lower Gastrointestinal Bleeding

[Abstract Only] Systematic Review: Early Colonoscopy Does Not Improve Outcomes of Patients with Lower Gastrointestinal Bleeding

Diagnosis and management of acute lower gastrointestinal bleeding: guidelines from the British Society of Gastroenterology – Gut

 

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Taxas de resistência a antibióticos em isolados de Helicobacter pylori nos EUA e na Europa

7 Fev, 2023 | 15:16h

Rates of Antimicrobial Resistance in Helicobacter pylori Isolates From Clinical Trial Patients Across the US and Europe – The American Journal of Gastroenterology

Comentário: Time to ditch clarithromycin for H. pylori? – MDedge

 

Comentário no Twitter

New #RedJournal study by Mégraud, et al., shows high antibiotic resistance rates in #Hpylori isolates across the US & EU and the need for antibiotic resistance surveillance and novel treatment strategies for H. pylori.

📕 Read more: https://t.co/JT6P0MnEdW@umfoodoc @cwhowden pic.twitter.com/5FeV3Wj6Dw

— AJG – The American Journal of Gastroenterology (@AmJGastro) November 14, 2022

 

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Estudo randomizado | Duodenoscópios com tampa descartável reduzem a contaminação microbiana durante colangiopancreatografia retrógrada endoscópica (CPRE)

31 Jan, 2023 | 12:18h

Effect of Disposable Elevator Cap Duodenoscopes on Persistent Microbial Contamination and Technical Performance of Endoscopic Retrograde Cholangiopancreatography: The ICECAP Randomized Clinical Trial – JAMA Internal Medicine

Comentário: Disposable elevator cap duodenoscopes may reduce contamination in endoscopic retrograde cholangiopancreatography – the ICECAP trial – JAMA Internal Medicine

 

Comentário no 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

 

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M-A | Tempo ótimo de intervenções para reduzir a mortalidade da pancreatite necrotizante

31 Jan, 2023 | 12:13h

The optimal timing and intervention to reduce mortality for necrotizing pancreatitis: a systematic review and network meta-analysis – World Journal of Emergency Surgery

Conteúdos relacionados:

Long-term follow-up of a RCT | Endoscopic versus surgical step-up approach for infected necrotizing pancreatitis.

RCT: Immediate drainage did not improve outcomes compared to postponed intervention in patients with infected necrotizing pancreatitis.

An Endoscopic Transluminal Approach, Compared With Minimally Invasive Surgery, Reduces Complications and Costs for Patients With Necrotizing Pancreatitis – Gastroenterology

Research: Endoscopic or Surgical Step-up Approach for Infected Necrotising Pancreatitis

Evidence-Based Approach to the Surgical Management of Acute Pancreatitis – The Surgery Journal

Intravenous fluid therapy in patients with severe acute pancreatitis admitted to the intensive care unit: a narrative review – Intensive Care Medicine

Aggressive or Moderate Fluid Resuscitation in Acute Pancreatitis – New England Journal of Medicine (link para o resumo – $ para o texto completo)

Acute Pancreatitis: Diagnosis and Treatment – Drugs

Revised Clinical Practice Guidelines of the Korean Pancreatobiliary Association for Acute Pancreatitis – Gut and Liver

Guidelines for the management of patients with severe acute pancreatitis, 2021 – Anaesthesia Critical Care & Pain Medicine

Evidence-Based Disposition of Acute Pancreatitis – emDocs

2019 WSES guidelines for the management of severe acute pancreatitis – World Journal of Emergency Surgery

American Gastroenterological Association Institute Guideline on Initial Management of Acute Pancreatitis

Pancreatitis – National Institute for Health and Care Excellence

 

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Estudo de coorte | Prevalência da neoplasia colorretal 10 ou mais anos após uma colonoscopia de rastreamento negativa em 120.000 repetições desses exames

23 Jan, 2023 | 13:34h

Prevalence of Colorectal Neoplasia 10 or More Years After a Negative Screening Colonoscopy in 120 000 Repeated Screening Colonoscopies – JAMA Internal Medicine

Comentários:

Prevalence of Colorectal Cancers Low 10 Years Following Negative Screening Test – HCP Live

Risk for Advanced Neoplasm Low 10+ Years After Negative Colonoscopy – HealthDay

 

Comentário no 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

 

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M-A | Enhanced recovery after surgery (ERAS) em crianças submetidas a cirurgia abdominal

23 Jan, 2023 | 12:56h

Enhanced recovery after surgery in children undergoing abdominal surgery: meta-analysis – BJS Open

 

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M-A | Custos e benefícios clínicos de enhanced recovery after surgery (ERAS) na pancreatoduodenectomia

16 Jan, 2023 | 10:42h

Costs and clinical benefits of enhanced recovery after surgery (ERAS) in pancreaticoduodenectomy: an updated systematic review and meta-analysis – Journal of Cancer Research and Clinical Oncology

Conteúdos relacionados:

Guidelines for Perioperative Care for Pancreatoduodenectomy: Enhanced Recovery After Surgery (ERAS) Recommendations 2019 – World Journal of Surgery

Complete List of Enhanced Recovery After Surgery (ERAS) Society Guidelines

Top 100 Most-Cited Articles on Enhanced Recovery After Surgery: A Bibliometric Analysis and Visualized Study – Frontiers in Surgery

 

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Revisão | Gastroenterologia intervencionista na oncologia.

13 Dez, 2022 | 15:15h

Interventional gastroenterology in oncology – CA: A Cancer Journal for Clinicians

 

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Breve revisão | Diagnóstico e tratamento da gastroparesia.

13 Dez, 2022 | 15:06h

Diagnosis and Management of Gastroparesis – The American Journal of Gastroenterology

Conteúdos relacionados:

Worldwide prevalence and burden of gastroparesis-like symptoms.

ACG Clinical Guideline: Gastroparesis – The American Journal of Gastroenterology

United European Gastroenterology (UEG) and European Society for Neurogastroenterology and Motility (ESNM) consensus on gastroparesis – UEG Journal

 

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Seguimento pós-estudo | Bursectomia vs. omentectomia isolada para câncer gástrico ressecável.

13 Dez, 2022 | 14:59h

Five-year follow-up of a randomized clinical trial comparing bursectomy and omentectomy alone for resectable gastric cancer (JCOG1001) – British Journal of Surgery (link para o resumo – $ para o texto completo)

 

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