Acesso livre
Acesso livre

Cirurgia Gastrintestinal

Revisão | Avaliação diagnóstica dos distúrbios motores e sensoriais gástricos.

21 Jan, 2022 | 15:40h

Diagnostic Evaluation of Gastric Motor and Sensory Disorders – American Journal of Gastroenterology

Estudo randomizado | Entre pacientes com infecção recorrente por Clostridioides difficile, o uso de SER-109, uma terapia de microbioma oral, reduziu a taxa de recorrência em comparação ao placebo (12% vs. 40%).

20 Jan, 2022 | 23:02h

SER-109, an Oral Microbiome Therapy for Recurrent Clostridioides difficile Infection – New England Journal of Medicine (link para o resumo – $ para o texto completo)

Diretriz de consenso sobre tratamento hemostático, anticoagulação e terapia antiplaquetária no transplante hepático.

20 Jan, 2022 | 22:44h

Consensus Statement on Hemostatic Management, Anticoagulation, and Antiplatelet Therapy in Liver Transplantation – Transplantation

Resultados cumulativos de 5 anos de um estudo randomizado controlado comparando o uso de malha biológica vs. sutura perineal primária após ressecção abdominoperineal extraelevadora.

20 Jan, 2022 | 22:40h

Cumulative 5-year Results of a Randomized Controlled Trial Comparing Biological Mesh With Primary Perineal Wound Closure After Extralevator Abdominoperineal Resection (BIOPEX-study) – Annals of Surgery (link para o resumo – $ para o texto completo)

M-A | Papel da terapia adjuvante em pacientes com câncer esofágico após terapia neoadjuvante e esofagectomia.

20 Jan, 2022 | 21:47h

Role of Adjuvant Therapy in Esophageal Cancer Patients After Neoadjuvant Therapy and Esophagectomy: A Systematic Review and Meta-analysis – Annals of Surgery (link para o resumo – $ para o texto completo)

 

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Diretriz ACP | Diagnóstico e tratamento da diverticulite colônica aguda de lado esquerdo.

20 Jan, 2022 | 21:09h

Diagnosis and Management of Acute Left-Sided Colonic Diverticulitis: A Clinical Guideline From the American College of Physicians – Annals of Internal Medicine

Diretriz relacionada: Colonoscopy for Diagnostic Evaluation and Interventions to Prevent Recurrence After Acute Left-Sided Colonic Diverticulitis: A Clinical Guideline From the American College of Physicians – Annals of Internal Medicine

Revisões sistemáticas relacionadas:

Diagnostic Imaging and Medical Management of Acute Left-Sided Colonic Diverticulitis: A Systematic Review – Annals of Internal Medicine

Evaluation and Management After Acute Left-Sided Colonic Diverticulitis: A Systematic Review – Annals of Internal Medicine

Resumo em vídeo: Diagnostic Imaging and Medical Management of Acute Left-Sided Colonic Diverticulitis: A Systematic Review – Annals of Internal Medicine

Comunicado de imprensa: ACP releases two new clinical guidelines on the diagnosis and management of diverticulitis – American College of Physicians

Estudo de coorte | Em pacientes submetidos a cirurgia bariátrica, aqueles que fizeram bypass gástrico foram levemente mais propensos a se manter sem medicamentos relacionados com obesidade durante o seguimento, em comparação com aqueles que fizeram gastroplastia vertical.

20 Jan, 2022 | 21:01h

Medication Use for Obesity-Related Comorbidities After Sleeve Gastrectomy or Gastric Bypass – JAMA Surgery (link para o resumo – $ para o texto completo)

Comentário: Gastric Bypass Tied to Modest Shift in Need for Comorbidity Meds – MedPage Today (necessário cadastro gratuito)

 

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Diretrizes ERAS para atenção perioperatória na cirurgia bariátrica.

20 Jan, 2022 | 20:02h

Guidelines for Perioperative Care in Bariatric Surgery: Enhanced Recovery After Surgery (ERAS) Society Recommendations: A 2021 Update – World Journal of Surgery

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

 

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Estudo de coorte | Pacientes que perderam peso via cirurgia bariátrica podem estar sob menor risco de ter Covid-19 grave, em comparação a pacientes não submetidos a intervenção cirúrgica como tratamento de sua obesidade.

17 Jan, 2022 | 13:11h

Association of Weight Loss Achieved Through Metabolic Surgery With Risk and Severity of COVID-19 Infection – JAMA Surgery

Comentários:

Is COVID-19 the Newest Comorbidity of Obesity Mitigated by Bariatric Surgery? – JAMA Surgery

Can weight loss help protect against Covid-19? – CNN

Revisão sistemática | Limiares restritivos de transfusão podem reduzir as transfusões de forma segura em até 41% em uma ampla variedade de contextos clínicos.

17 Jan, 2022 | 13:01h

Transfusion thresholds for guiding red blood cell transfusion – Cochrane Library

Resumo: Is it safe to use lower blood counts (haemoglobin levels) as a trigger for blood transfusion in order to give fewer blood transfusions? – Cochrane Library

Conteúdos relacionados:

RCT: Among patients with acute MI and anemia, a restrictive transfusion strategy resulted in a noninferior rate of major cardiovascular events compared to a liberal transfusion strategy

Randomized trial: Liberal vs. restrictive transfusion thresholds in extremely low-birth-weight infants

Meta-Analysis: Effects of Restrictive vs. Liberal Transfusion Strategies on Longer-term Outcomes After Cardiac Surgery

Randomized Trial: In Patients Undergoing Cardiac Surgery, A Restrictive Transfusion Approach Does Not Increase the Risk of Acute Kidney Injury

Effects of restrictive red blood cell transfusion on the prognoses of adult patients undergoing cardiac surgery: a meta-analysis of randomized controlled trials – Critical Care

Research: Restrictive or Liberal Red-Cell Transfusion for Cardiac Surgery

Transfusion Requirements After Cardiac Surgery: The TRACS Randomized Controlled Trial – JAMA

 

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