Cirurgia Gastrintestinal

Podcast | Pólipos, polipectomia e vigilância.

6 Out, 2022 | 12:36h

Polyps, polypectomy & surveillance with Dr. Jennifer Maranki – The Curbsiders

 

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Estudo de coorte | A taxa de detecção de adenoma após teste fecal imunoquímico (fecal immunochemical test – FIT) positivo está associada a risco de câncer colorretal no intervalo pós-colonoscopia.

6 Out, 2022 | 12:34h

Adenoma Detection Rate and Risk for Interval Postcolonoscopy Colorectal Cancer in Fecal Immunochemical Test–Based Screening: A Population-Based Cohort Study – Annals of Internal Medicine (link para o resumo – $ para o texto completo)

Comentários:

Colonoscopies in FIT-positive persons requires much higher ADR than primary colonoscopy – American College of Physicians – American College of Physicians

Adenoma Detection Rate Tied to CRC Risk After Positive FIT – HealthDay

 

Comentário no Twitter

New from @ErasmusMC: endoscopists performing colonoscopy in FIT-based screening programs should aim for higher ADRs compared w/ programs that use colonoscopy as primary screening intervention: https://t.co/Fob1gxXF1i pic.twitter.com/y6qoAkOrT9

— Annals of Int Med (@AnnalsofIM) September 30, 2022

 

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Estudo randomizado | Prucaloprida não melhora o tempo de recuperação da função intestinal após cirurgia colorretal eletiva.

6 Out, 2022 | 12:32h

Effect of prucalopride to improve time to gut function recovery following elective colorectal surgery: randomized clinical trial – British Journal of Surgery

 

Comentário no Twitter

Disappointing to read the return of gut function was not improved by prucalopride, a serotonin agonist, in this study that included 148 patients.@BJSurgery @BjsOpen @young_bjs

Read the full paper⬇️https://t.co/NswHzhPkUD

— BJS Academy (@BJSAcademy) September 27, 2022

 

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Diretriz | Tratamento cirúrgico de abdome agudo após cirurgia bariátrica no ambiente de emergência.

4 Out, 2022 | 12:35h

Operative management of acute abdomen after bariatric surgery in the emergency setting: the OBA guidelines – World Journal of Emergency Surgery

Conteúdo relacionado: AGA clinical practice update on evaluation and management of early complications after bariatric/metabolic surgery.

 

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Estudo de coorte | Calculadora clínica para câncer retal pode estimar a recorrência após terapia neoadjuvante com ou sem cirurgia.

3 Out, 2022 | 12:46h

A Dynamic Clinical Calculator for Estimating Conditional Recurrence-Free Survival After Total Neoadjuvant Therapy for Rectal Cancer and Either Surgery or Watch-and-Wait Management – JAMA Network Open

Comentário convidado: A Clinical Calculator in the Era of Nonoperative Management for Rectal Cancer—How Should We Intensify or Deescalate Surveillance? – JAMA Network Open

 

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Diretriz prática AASLD sobre colangite esclerosante primária e colangiocarcinoma.

13 Set, 2022 | 12:02h

AASLD Practice Guidance on Primary Sclerosing Cholangitis and Cholangiocarcinoma – Hepatology

 

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Estudo randomizado transversal com 12 pacientes mostrou que um “pâncreas artificial” bi-hormonal com controle glicêmico em circuito fechado aumentou o tempo do paciente em euglicemia após pancreatectomia total.

13 Set, 2022 | 11:58h

Bihormonal Artificial Pancreas With Closed-Loop Glucose Control vs Current Diabetes Care After Total Pancreatectomy: A Randomized Clinical Trial – JAMA Surgery (gratuito por tempo limitado)

Comentário: Novel Bihormonal Artificial Pancreas Beneficial After Pancreatectomy – HealthDay

 

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Revisão sistemática | Cirurgia para tratamento de obesidade em crianças e adolescentes.

13 Set, 2022 | 11:46h

Surgery for the treatment of obesity in children and adolescents – Cochrane Library

Resumo: Surgery for the treatment of obesity in children and adolescents – Cochrane Library

 

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Opinião | Ácido tranexâmico para uma cirurgia mais segura: o momento é agora.

8 Set, 2022 | 14:21h

Tranexamic acid for safer surgery: the time is now – British Journal of Surgery

Conteúdos relacionados:

#ACC22 – RCT: Tranexamic acid reduces the risk of bleeding in patients undergoing noncardiac surgery.

Update on applications and limitations of perioperative tranexamic acid.

RCT | Effect of high- vs. low-dose tranexamic acid infusion on need for red blood cell transfusion and adverse events in patients undergoing cardiac surgery.

Safety of tranexamic acid in hip and knee arthroplasty in high-risk patients – this large observational study did not show an increased risk for venous thromboembolism, myocardial infarction, seizures, ischemic strokes, or transient ischemic attacks, irrespective of patient high-risk status at baseline

M-A: Intravenous tranexamic acid in surgical patients is not associated with increased risk of thromboembolic events and mortality

 

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Estudo randomizado | Entre pacientes com hérnia inguinal, a dor durante a atividade sexual é reduzida de modo similar tanto com o reparo extraperitoneal sem tela de fixação quanto com o reparo de Lichtenstein.

8 Set, 2022 | 13:51h

Pain with sexual activity at 1 and 3 years: Comparing total extraperitoneal with Lichtenstein inguinal hernia repair in a randomized setting (TEPLICH trial) – Surgery

Comentário: Pain during sexual engagement improves among inguinal hernia patients after hernia repair – Medical Dialogues

 

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