Cirurgia Gastrintestinal

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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Revisão sistemática | Ultrassonografia melhorada por contraste para diagnóstico de carcinoma hepatocelular em adultos com doença hepática crônica.

6 Set, 2022 | 12:41h

Contrast‐enhanced ultrasound for the diagnosis of hepatocellular carcinoma in adults with chronic liver disease – Cochrane Library

Resumo: How accurate are contrast-enhanced ultrasound scans for detecting hepatocellular carcinoma? – Cochrane Library

 

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Perspectiva | Agendamentos em dobro, problemas em dobro: limitações e perigos de cirurgias sobrepostas.

29 Ago, 2022 | 17:48h

Double trouble with double-booking: limitations and dangers of overlapping surgery – British Journal of Surgery

Conteúdos relacionados:

Review | The effect of overlapping surgical scheduling on operating theatre productivity.

Study: Association of Overlapping Surgery with Perioperative Outcomes

 

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Estudo de coorte | Falha no tratamento (morte nos primeiros 90 dias) após reoperação para corrigir complicações graves de cirurgias colorretais eletivas e de emergência.

29 Ago, 2022 | 17:41h

Failure to rescue after reoperation for major complications of elective and emergency colorectal surgery: A population-based multicenter cohort study – Surgery

 

Comentário no Twitter

Failure-to-Rescue after Colorectal Surgery

☢️ Reoperation 2x after emergency surgery

💀 Failure-to-rescue 3x after emergency surgery

4 complications in ~75% of cases
👉 anastomotic leak, fascial rupture, bleeding, bowel obstructionhttps://t.co/XvRX4UVtwY #SoMe4Surgery pic.twitter.com/RJSirOI0F2

— Ville Sallinen (@villesallinen) August 2, 2022

Sob licença de Creative Commons Attribution (CC BY 4.0)

 

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Revisão | Novos conceitos no tratamento do carcinoma hepatocelular.

29 Ago, 2022 | 16:20h

New concepts in the treatment of hepatocellular carcinoma – UEG Journal

 

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Diretrizes de prática clínica baseadas em evidências para pancreatite crônica.

29 Ago, 2022 | 13:57h

Evidence-based clinical practice guidelines for chronic pancreatitis 2021 – Journal of Gastroenterology

Conteúdos relacionados:

ACG Clinical Guideline: Chronic Pancreatitis – American Journal of Gastroenterology

Pancreatitis – National Institute for Health and Care Excellence

United European Gastroenterology evidence-based guidelines for the diagnosis and therapy of chronic pancreatitis

Guidelines for the understanding and management of pain in chronic pancreatitis – Pancreatology

 

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