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78 papers 25 to 100 followers
https://www.readbyqxmd.com/read/26583669/prospective-study-of-malabsorption-and-malnutrition-after-esophageal-and-gastric-cancer-surgery
#1
Helen M Heneghan, Alexandra Zaborowski, Michelle Fanning, Aisling McHugh, Suzanne Doyle, Jenny Moore, Nayarasamy Ravi, John V Reynolds
OBJECTIVE: To study malabsorption and malnutrition after curative resection of esophageal and gastric cancer. DESIGN: Prospective cohort study. BACKGROUND: Improved cure rates for esophageal and gastric cancer have increased focus on health-related quality of life (HR-QL) in survivorship. Although malnutrition is well described in long-term follow-up, and gastrointestinal symptoms are common, data on gut and pancreatic-related malabsorption are scant...
November 2015: Annals of Surgery
https://www.readbyqxmd.com/read/27664260/gastric-cancer-esmo-clinical-practice-guidelines-for-diagnosis-treatment-and-follow-up
#2
E C Smyth, M Verheij, W Allum, D Cunningham, A Cervantes, D Arnold
No abstract text is available yet for this article.
September 2016: Annals of Oncology: Official Journal of the European Society for Medical Oncology
https://www.readbyqxmd.com/read/27686365/randomized-clinical-trial-of-observational-versus-antibiotic-treatment-for-a-first-episode-of-ct-proven-uncomplicated-acute-diverticulitis
#3
L Daniels, Ç Ünlü, N de Korte, S van Dieren, H B Stockmann, B C Vrouenraets, E C Consten, J A van der Hoeven, Q A Eijsbouts, I F Faneyte, W A Bemelman, M G Dijkgraaf, M A Boermeester
BACKGROUND: Antibiotics are advised in most guidelines on acute diverticulitis, despite a lack of evidence to support their routine use. This trial compared the effectiveness of a strategy with or without antibiotics for a first episode of uncomplicated acute diverticulitis. METHODS: Patients with CT-proven, primary, left-sided, uncomplicated, acute diverticulitis were included at 22 clinical sites in the Netherlands, and assigned randomly to an observational or antibiotic treatment strategy...
September 30, 2016: British Journal of Surgery
https://www.readbyqxmd.com/read/27788918/comparison-of-outcomes-of-patients-with-acute-appendicitis-between-an-acute-care-surgery-model-and-traditional-call-coverage-model-in-the-same-community
#4
Shaina Schaetzel, Rachel Dirks, James Davis
BACKGROUND: This study compared outcomes, patient flow, and cost between an acute care surgery (ACS) and traditional call model (TRAD) for acute appendicitis in the same community and time period. METHODS: Patients who underwent appendectomy from 7/1/2012 to 6/30/2014 were retrospectively reviewed. An ACS and TRAD were compared. Demographic data, outcomes, cost, and time intervals were compared. RESULTS: Of the 945 patients reviewed, the ACS group had more perforated appendicitis on preoperative computed tomography scan (9% vs 3%, P < ...
October 3, 2016: American Journal of Surgery
https://www.readbyqxmd.com/read/27793458/nonoperative-management-of-appendicitis-in-adults-a-systematic-review-and-meta-analysis-of-randomized-controlled-trials
#5
REVIEW
John M Findlay, Jihène El Kafsi, Clare Hammer, Jeffrey Gilmour, Richard S Gillies, Nicholas D Maynard
No abstract text is available yet for this article.
December 2016: Journal of the American College of Surgeons
https://www.readbyqxmd.com/read/27521713/gallbladder-disease-in-children
#6
David H Rothstein, Carroll M Harmon
Biliary disease in children has changed over the past few decades, with a marked rise in incidence-perhaps most related to the parallel rise in pediatric obesity-as well as a rise in cholecystectomy rates. In addition to stone disease (cholelithiasis), acalculous causes of gallbladder pain such as biliary dyskinesia, also appear to be on the rise and present diagnostic and treatment conundrums to surgeons.
August 2016: Seminars in Pediatric Surgery
https://www.readbyqxmd.com/read/27759621/antibiotics-versus-surgical-therapy-for-uncomplicated-appendicitis-systematic-review-and-meta-analysis-of-controlled-trials-prospero-2015-crd42015016882
#7
Julian C Harnoss, Isabelle Zelienka, Pascal Probst, Kathrin Grummich, Catharina Müller-Lantzsch, Jonathan M Harnoss, Alexis Ulrich, Markus W Büchler, Markus K Diener
OBJECTIVE: The aim was to investigate available evidence regarding effectiveness and safety of surgical versus conservative treatment of acute appendicitis. SUMMARY OF BACKGROUND DATA: There is ongoing debate on the merits of surgical and conservative treatment for acute appendicitis. METHODS: A systematic literature search (Cochrane Library, Medline, Embase) and hand search of retrieved reference lists up to January 2016 was conducted to identify randomized and nonrandomized studies...
October 17, 2016: Annals of Surgery
https://www.readbyqxmd.com/read/27567926/laparoscopic-lavage-is-superior-to-colon-resection-for-perforated-purulent-diverticulitis-a-meta-analysis
#8
Eva Angenete, David Bock, Jacob Rosenberg, Eva Haglind
PURPOSE: Perforated diverticulitis often requires surgery with a colon resection such as Hartmann's procedure, with inherent morbidity. Recent studies suggest that laparoscopic lavage may be an alternative surgical treatment. The aim of this study was to compare re-operations, morbidity, and mortality as well as health economic outcomes between laparoscopic lavage and colon resection for perforated purulent diverticulitis. METHODS: PubMed, Cochrane, Centre for Reviews and Dissemination, and Embase were searched...
August 27, 2016: International Journal of Colorectal Disease
https://www.readbyqxmd.com/read/26895088/a-prospective-study-of-platelet-function-in-trauma-patients
#9
Matthew T Ramsey, Timothy C Fabian, Charles P Shahan, John P Sharpe, Scott E Mabry, Jordan A Weinberg, Martin A Croce, Lisa K Jennings
BACKGROUND: Exsanguination associated with acute traumatic coagulopathy is a leading cause of death following injury. While platelets occupy a pivotal role in clot formation, clinical research has been scant because of complexities resulting from the need for rapid handling and complex testing of platelet functions. While the thrombin pathway has been proposed as a mediator of platelet dysfunction in trauma, it has not been systematically investigated. The purpose of this study was to evaluate the thrombin pathway in platelet dysfunction...
May 2016: Journal of Trauma and Acute Care Surgery
https://www.readbyqxmd.com/read/27741006/early-versus-delayed-cholecystectomy-for-acute-cholecystitis-are-the-72-hours-still-the-rule-a-randomized-trial
#10
Didier Roulin, Alend Saadi, Luca Di Mare, Nicolas Demartines, Nermin Halkic
OBJECTIVE: The aim of this study was to compare clinical outcomes of early versus delayed laparoscopic cholecystectomy (LC) in acute cholecystitis with more than 72 hours of symptoms. BACKGROUND: LC is the treatment of acute cholecystitis, with consensus recommendation that patients should be operated within 72 hours of evolution. Data however remain weak with no prospective study focusing on patients beyond 72 hours of symptoms. METHODS: Patients with acute cholecystitis and more than 72 hours of symptoms were randomly assigned to early LC (ELC) or delayed LC (DLC)...
November 2016: Annals of Surgery
https://www.readbyqxmd.com/read/27763684/incidence-risk-factors-and-clinical-implications-of-chyle-leak-after-pancreatic-surgery
#11
O Strobel, S Brangs, U Hinz, T Pausch, F J Hüttner, M K Diener, L Schneider, T Hackert, M W Büchler
BACKGROUND: Chyle leak is a well known but poorly characterized complication after pancreatic surgery. Available data on incidence, risk factors and clinical significance of chyle leak are highly heterogeneous. METHODS: For this cohort study all patients who underwent pancreatic surgery between January 2008 and December 2012 were identified from a prospective database. Chyle leak was defined as any drainage output with triglyceride content of 110 mg/dl or more...
October 20, 2016: British Journal of Surgery
https://www.readbyqxmd.com/read/27612631/acute-appendicitis-in-children-not-only-surgical-treatment
#12
Anna Maria Caruso, Alessandro Pane, Roberto Garau, Pietro Atzori, Marcello Podda, Alessandra Casuccio, Luigi Mascia
PURPOSE: An accurate diagnosis of acute appendicitis is important to avoid severe outcome or unnecessary surgery but management is controversial. The aim of study was to evaluate, in younger and older children, the efficacy of conservative management for uncomplicated appendicitis and the outcome of complicated forms underwent early surgery. METHODS: Children with acute appendicitis were investigated by clinical, laboratory variables and abdominal ultrasound and divided in two groups: complicated and uncomplicated...
August 25, 2016: Journal of Pediatric Surgery
https://www.readbyqxmd.com/read/27305663/evaluation-of-cervical-spine-clearance-by-computed-tomographic-scan-alone-in-intoxicated-patients-with-blunt-trauma
#13
Lisa Bush, Robert Brookshire, Breanna Roche, Amelia Johnson, Frederic Cole, Riyad Karmy-Jones, William Long, Matthew J Martin
IMPORTANCE: Current trauma guidelines dictate that the cervical spine should not be cleared in intoxicated patients, resulting in prolonged immobilization or additional imaging. Modern computed tomography (CT) technology may obviate this and allow for immediate clearance. OBJECTIVE: To analyze cervical spine clearance practices and the utility of CT scans of the cervical spine in intoxicated patients with blunt trauma. DESIGN, SETTING, AND PARTICIPANTS: We performed a prospective observational study of 1668 patients with blunt trauma aged 18 years and older who underwent cervical spine CT scans from March 2014 to March 2015 at an American College of Surgeons-verified Level I trauma center...
September 1, 2016: JAMA Surgery
https://www.readbyqxmd.com/read/27083179/sentinel-lymph-node-biopsy-can-be-omitted-in-dcis-patients-treated-with-breast-conserving-therapy
#14
L M van Roozendaal, B Goorts, M Klinkert, K B M I Keymeulen, B De Vries, L J A Strobbe, C A P Wauters, Y E van Riet, E Degreef, E J T Rutgers, J Wesseling, M L Smidt
Breast cancer guidelines advise sentinel lymph node biopsy (SLNB) in patients with ductal carcinoma in situ (DCIS) on core biopsy at high risk of invasive cancer or in case of mastectomy. This study investigates the incidence of SLNB and SLN metastases and the relevance of indications in guidelines and literature to perform SLNB in order to validate whether SLNB is justified in patients with DCIS on core biopsy in current era. Clinically node negative patients diagnosed from 2004 to 2013 with only DCIS on core needle biopsy were selected from a national database...
April 2016: Breast Cancer Research and Treatment
https://www.readbyqxmd.com/read/27232248/history-of-the-innovation-of-damage-control-for-management-of-trauma-patients-1902-2016
#15
Derek J Roberts, Chad G Ball, David V Feliciano, Ernest E Moore, Rao R Ivatury, Charles E Lucas, Timothy C Fabian, David A Zygun, Andrew W Kirkpatrick, Henry T Stelfox
OBJECTIVE: To review the history of the innovation of damage control (DC) for management of trauma patients. BACKGROUND: DC is an important development in trauma care that provides a valuable case study in surgical innovation. METHODS: We searched bibliographic databases (1950-2015), conference abstracts (2009-2013), Web sites, textbooks, and bibliographies for articles relating to trauma DC. The innovation of DC was then classified according to the Innovation, Development, Exploration, Assessment, and Long-term study model of surgical innovation...
June 17, 2016: Annals of Surgery
https://www.readbyqxmd.com/read/26976277/crystalloid-fluid-therapy
#16
REVIEW
Sumeet Reddy, Laurence Weinberg, Paul Young
This article is one of ten reviews selected from the Annual Update in Intensive Care and Emergency medicine 2016. Other selected articles can be found online at http://www.biomedcentral.com/collections/annualupdate2016. Further information about the Annual Update in Intensive Care and Emergency Medicine is available from http://www.springer.com/series/8901.
March 15, 2016: Critical Care: the Official Journal of the Critical Care Forum
https://www.readbyqxmd.com/read/27278528/management-of-adrenal-incidentaloma-the-role-of-adrenalectomy-may-be-underestimated
#17
Yun-Lin Ye, Xiao-Xu Yuan, Ming-Kun Chen, Yu-Ping Dai, Zi-Ke Qin, Fu-Fu Zheng
BACKGROUND: To demonstrate clinical characteristics of adrenal incidentaloma in South China and explore its comprehensive management. METHODS: The clinical data of patients with adrenal neoplasm from Jan 1998 to Dec 2012 were retrospectively analysed. Patients with suspicion of adrenal abnormalities or those in whom adrenal abnormalities were detected in the staging procedures of other cancers were excluded. Most patients with adrenal incidentaloma chose to have adrenalectomy, and some chose surveillance...
June 8, 2016: BMC Surgery
https://www.readbyqxmd.com/read/27280502/multicenter-prospective-trial-of-selective-drain-management-for-pancreatoduodenectomy-using-risk-stratification
#18
Matthew T McMillan, Giuseppe Malleo, Claudio Bassi, Valentina Allegrini, Luca Casetti, Jeffrey A Drebin, Alessandro Esposito, Luca Landoni, Major K Lee, Alessandra Pulvirenti, Robert E Roses, Roberto Salvia, Charles M Vollmer
OBJECTIVE: This multicenter study sought to prospectively evaluate a drain management protocol for pancreatoduodenectomy (PD). BACKGROUND: Recent evidence suggests value for both selective drain placement and early drain removal for PD. Both strategies have been associated with reduced rates of clinically relevant pancreatic fistula (CR-POPF)-the most common and morbid complication after PD. METHODS: The protocol was applied to 260 consecutive PDs performed at two institutions over 17 months...
June 24, 2016: Annals of Surgery
https://www.readbyqxmd.com/read/24070704/impact-of-perfusion-strategy-on-outcome-after-repair-for-acute-type-a-aortic-dissection
#19
Christian D Etz, Konstantin von Aspern, Jaqueline da Rocha E Silva, Felix F Girrbach, Sergey Leontyev, Maximilian Luehr, Martin Misfeld, Michael A Borger, Friedrich W Mohr
BACKGROUND: The impact of antegrade versus retrograde perfusion during cardiopulmonary bypass on short- and long-term outcome after repair for acute type A aortic dissection is controversial. METHODS: We reviewed 401 consecutive patients (age, 59.2 ± 14 years) with acute type A aortic dissection who underwent aggressive resection of the intimal tear and aortic replacement (March 1995 through July 2011). Arterial perfusion was antegrade in 78% (n = 311), either by means of the right axillary artery (n = 297) or through direct aortic cannulation (n = 15)...
January 2014: Annals of Thoracic Surgery
https://www.readbyqxmd.com/read/27022822/development-and-validation-of-a-prediction-rule-for-benefit-and-harm-of-dual-antiplatelet-therapy-beyond-1-year-after-percutaneous-coronary-intervention
#20
RANDOMIZED CONTROLLED TRIAL
Robert W Yeh, Eric A Secemsky, Dean J Kereiakes, Sharon-Lise T Normand, Anthony H Gershlick, David J Cohen, John A Spertus, Philippe Gabriel Steg, Donald E Cutlip, Michael J Rinaldi, Edoardo Camenzind, William Wijns, Patricia K Apruzzese, Yang Song, Joseph M Massaro, Laura Mauri
IMPORTANCE: Dual antiplatelet therapy after percutaneous coronary intervention (PCI) reduces ischemia but increases bleeding. OBJECTIVE: To develop a clinical decision tool to identify patients expected to derive benefit vs harm from continuing thienopyridine beyond 1 year after PCI. DESIGN, SETTING, AND PARTICIPANTS: Among 11,648 randomized DAPT Study patients from 11 countries (August 2009-May 2014), a prediction rule was derived stratifying patients into groups to distinguish ischemic and bleeding risk 12 to 30 months after PCI...
April 26, 2016: JAMA: the Journal of the American Medical Association
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