Acesso livre
Acesso livre

Cirurgia Gastrintestinal

Estudo randomizado | Entre pacientes com câncer colorretal metastático, os randomizados para tratamento sistêmico isolado tiveram menor mortalidade em 60 dias do que aqueles randomizados para ressecção de tumor primário seguida de tratamento sistêmico.

13 Out, 2021 | 12:35h

Sixty-Day Mortality of Patients With Metastatic Colorectal Cancer Randomized to Systemic Treatment vs Primary Tumor Resection Followed by Systemic Treatment: The CAIRO4 Phase 3 Randomized Clinical Trial – JAMA Surgery (gratuito por tempo limitado)

Editorial: Primary Tumor Resection and Patients With Asymptomatic Colorectal Cancer and Nonresectable Metastases: Results of Recent Randomized Trials – JAMA Surgery (gratuito por tempo limitado)

Comentário: Systemic Therapy Alone Bests Surgical Tx for Metastatic CRC – BreakingMed

 

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Diretrizes Clínicas da ACG | Tratamento dos distúrbios anorretais benignos.

12 Out, 2021 | 11:05h

ACG Clinical Guidelines: Management of Benign Anorectal Disorders – The American Journal of Gastroenterology

 

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Estudo randomizado | Drenagem imediata não melhora os desfechos em comparação à intervenção tardia em pacientes com pancreatite necrotizante infectada.

8 Out, 2021 | 11:52h

Immediate versus Postponed Intervention for Infected Necrotizing Pancreatitis – New England Journal of Medicine

Estudo randomizado | Tubo de drenagem transanal não evita o vazamento anastomótico após ressecção laparoscópica anterior baixa em pacientes com câncer retal.

8 Out, 2021 | 11:44h

Transanal Drainage Tube Use for Preventing Anastomotic Leakage After Laparoscopic Low Anterior Resection in Patients With Rectal Cancer: A Randomized Clinical Trial – JAMA Surgery (gratuito por tempo limitado)

Comentário convidado: Transanal Drainage Tubes—Prevention of Leaks or Unnecessary Sump? – JAMA Surgery (gratuito por tempo limitado)

Amplo estudo observacional sugere que a gastrectomia vertical pode ser mais segura se comparada ao bypass gástrico em pacientes com obesidade grave.

8 Out, 2021 | 11:43h

Comparative Safety of Sleeve Gastrectomy and Gastric Bypass Up to 5 Years After Surgery in Patients With Severe Obesity – JAMA Surgery (gratuito por tempo limitado)

Comentários:

Compared to What?—Novel Methods to Approach Randomization for Long-term Bariatric Surgery Outcomes – JAMA Surgery (gratuito por tempo limitado)

Of two common weight loss surgeries, one is safer but less effective – Michigan Medicine

Conteúdos relacionados:

Different risks and benefits leading to similar costs after sleeve gastrectomy and roux-en-y gastric bypass.

Laparoscopic roux-en-y gastric bypass vs. laparoscopic sleeve gastrectomy: 5-year outcomes of merged data from two randomized clinical trials

Randomized trial: no difference in quality of life and slightly greater weight loss with roux-en-y gastric bypass compared to laparoscopic sleeve gastrectomy at 7 years

Cohort study: comparing the 5-year diabetes outcomes of sleeve gastrectomy and gastric bypass

Cohort study: interventions and operations 5 years after bariatric surgery

Cohort study: risk of operative and nonoperative interventions after roux-en-y gastric bypass vs. vertical sleeve gastrectomy

Randomized trial: gastric bypass superior to sleeve gastrectomy for remission of type 2 diabetes

Research: laparoscopic sleeve gastrectomy vs laparoscopic roux-en-y gastric bypass

 

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Diretrizes da European Hernia Society para o tratamento de diástase retal.

8 Out, 2021 | 11:19h

European Hernia Society guidelines on management of rectus diastasis – British Journal of Surgery

 

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Hipertensão intra-abdominal e síndrome compartimental abdominal em pacientes criticamente doentes: uma revisão do passado, do presente e dos passos futuros.

5 Out, 2021 | 11:16h

Intra-abdominal hypertension and abdominal compartment syndrome in critically ill patients: A narrative review of past, present, and future steps – Scandinavian Journal of Surgery

Novo robô para cirurgias é menor, mais ágil e mais barato, afirma o fabricante. Mas será melhor para os pacientes?

4 Out, 2021 | 09:55h

A new surgical robot is smaller, nimbler, and cheaper, its maker claims. But will it be better for patients? – STAT

Diretrizes WSES/GAIS/SIS-E/WSIS/AAST para pacientes com infecções intra-abdominais.

1 Out, 2021 | 21:57h

WSES/GAIS/SIS-E/WSIS/AAST global clinical pathways for patients with intra-abdominal infections – World Journal of Emergency Surgery

Conteúdos relacionados:

The Surgical Infection Society Revised Guidelines on the Management of Intra-Abdominal Infection – Surgical Infections

The management of intra-abdominal infections from a global perspective: 2017 WSES guidelines for management of intra-abdominal infections – World Journal of Emergency Surgery

Estudo randomizado | Doxiciclina é melhor que azitromicina no tratamento da Chlamydia retal em homens que têm relações sexuais com outros homens.

1 Out, 2021 | 21:47h

Doxycycline Versus Azithromycin for the Treatment of Rectal Chlamydia in Men Who Have Sex With Men: A Randomized Controlled Trial – Clinical Infectious Diseases

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