Post-polypectomy colorectal cancer risk prediction was more accurate with a model including patient age, diabetes diagnosis, and baseline colonoscopy indication and polyp findings compared to a polyp-only model. The comprehensive model demonstrated superior performance in predicting colorectal cancer diagnosis in both the development and validation cohorts, with an area under the curve of 0.71 and […]
Author: STITCHES Newsletter
EUS-Guided Gallbladder Drainage Outshines Cholecystostomy Tubes
EUS-guided gallbladder drainage using lumen-apposing metal stents (EUS-GBD-LAMS) is safer and associated with shorter hospital stays compared to percutaneous cholecystostomy tubes in nonsurgical candidates with acute cholecystitis. A systematic review and meta-analysis showed EUS-GBD-LAMS had lower rates of delayed and overall adverse events, making it a preferred option for high-risk surgical patients. Journal Article by […]
Which method is most effective in reducing polyp recurrence after EMR of large nonpedunculated colorectal polyps?
Researchers compared different methods of EMR for large nonpedunculated colorectal polyps and found that EMR combined with snare tip soft coagulation (stsc) had the highest reduction in polyp recurrence rates (82% reduced odds), followed by underwater EMR alone (77% reduced odds) and EMR combined with argon plasma coagulation (apc). These results suggest that EMR combined […]
Higher Severity and Costs of Scooter Injuries Compared to Bicycle Injuries in the US: 2016 to 2020
Researchers found that scooter-related injuries have significantly increased, with patients more likely to be under 18 and require major operations compared to bicycle-related injuries. Scooter injuries were associated with higher risks of long bone fractures and paralysis. Both types of injuries had similar hospitalization durations and costs. These findings highlight the need for targeted interventions […]
Mesh type does not significantly impact long-term hernia recurrence after laparoscopic cruroplasty
Among 2170 patients undergoing laparoscopic hiatal hernia repair with follow-up, objective recurrence rates were 20.8% with suture repair, 20.6% with absorbable mesh, 13.7% with non-absorbable mesh, and 0% with partially absorbable mesh. Despite initial favor for non-absorbable mesh in the mid-term, all mesh types showed similar long-term recurrence rates (≥48 months). Mesh type did not […]
Early-onset adenocarcinoma of esophagogastric junction shows significantly better postoperative survival compared to late-onset adenocarcinoma
Results from a population-based study comparing early-onset and late-onset adenocarcinoma of esophagogastric junction demonstrated significantly better overall and cancer-specific survival in early-onset cases. Kaplan-Meier curves, multivariate Cox regression analyses, propensity score matching, and competing risk models all consistently showed a more favorable prognosis in early-onset adenocarcinoma patients. Journal Article by Chen L, Jin T (…) […]
Optimizing Long-Term Outcomes: Flap-Based Perineal Reconstruction Analysis
High-risk patients undergoing abdominoperineal resection and pelvic exenteration may benefit from immediate flap reconstruction using pedicled gracilis flaps. A total of 101 patients underwent unilateral gracilis flap reconstruction, with 7.9% developing early major complications and 12.9% developing late major complications. Minor complications occurred in 32.7% of patients, mainly minor wound breakdowns. Donor site complications were […]
Crucial Prognostic Factors in Ampullary Cancer: Nodal Staging and Lymph Node Examination
Patients with ampullary cancer benefit from examination of a minimum of 20 lymph nodes to accurately predict prognosis and minimize stage migration. The log odds transformation nodal classification scheme showed the highest accuracy in differentiating survival outcomes. Additionally, nodal metastasis in regional lymph nodes is linked to poorer outcomes post-surgery. Journal Article by Resende V, […]
Surgery Prevails in Second Primary Esophageal Cancer
Survival benefit of surgery for second primary esophageal cancer following gastrointestinal cancer is significant. Surgery, year of diagnosis, regional lymph node surgery scope, tumor differentiation grade, SEER historic stage, and triple therapy are independent prognostic factors. In a cohort study of 582 patients, surgery significantly improved survival outcomes compared to no surgery or chemoradiotherapy. These […]
Increased Risk of Postoperative Bleeding in Adrenalectomy for Secondary Adrenal Malignancy
Adrenalectomy for secondary adrenal malignancy (SM) poses an elevated risk of postoperative bleeding compared to benign nonfunctional (BNF) adrenal neoplasms. Among 3496 patients, those with SM were older and had higher rates of comorbidities. Laparoscopic adrenalectomy was common for both groups, with comparable mortality and morbidity rates. However, SM patients exhibited significantly higher postoperative bleeding […]