A study exploring the surgical treatment of resectable pancreatic adenocarcinoma in minority serving hospitals (MSH) revealed significant disparities. Patients at MSH were less likely to undergo surgical resection, facing unique barriers, and leading to increased mortality among those who did. These findings highlight the urgent need for targeted interventions to improve the care provided to […]
Author: STITCHES Newsletter
Malnutrition Negatively Impacts Post-Operative Outcomes in Crohn’s Disease Patients Undergoing Ileocecectomy
A nationwide study on Crohn’s disease patients undergoing elective ileocecectomy reveals the influence of malnutrition on post-operative outcomes. Of 1,464 patients, 22% were malnourished. Malnourished patients experienced more organ space surgical site infections (SSI), bleeding, longer hospital stays, and higher readmission rates compared to well-nourished counterparts. This study underscores the importance of assessing and optimizing […]
General Surgery Residents’ Views on the Role of Artificial Intelligence in Medicine
General surgery residents’ perspectives on artificial intelligence (AI) in medicine were explored through a survey. Among 31 participants, AI’s top applications were identified, with 24% favoring diagnostics and 12% supporting its role in identifying anatomical structures during surgeries. Residents expressed excitement about AI for repetitive tasks (70.97%) and believed it could enhance medical knowledge (67.74%). […]
Uncovering Barriers to Sustainable Practices in Operating Theatres
Operating theatres have a substantial environmental impact, contributing to greenhouse gas emissions and waste. This systematic review, involving 8,286 participants, investigated factors influencing sustainability in operating theatres. Barriers were identified in domains like knowledge, environmental resources, social influences, and beliefs about consequences. The most common facilitator was intention. While there’s a desire to adopt sustainable […]
Personalized Approaches to T1 Colorectal Cancer Treatment
This study explored the optimal management of T1 colorectal cancers (CRCs) in the Western hemisphere. Analyzing a significant dataset from 2004 to 2018, including 28,430 T1 CRC patients, researchers compared endoscopic therapy (ET) and surgical resection (SR) outcomes. They found that ET was safe and effective for left-sided T1N0M0 colon cancers with tumors 2 cm […]
MRE Model Predicts Hepatic Decompensation in NAFLD Patients
A multicenter study harnessed Magnetic Resonance Elastography (MRE) to create a prediction model for hepatic decompensation in Non-Alcoholic Fatty Liver Disease (NAFLD) patients. This model, which combines MRE data with clinical factors like age, albumin, aspartate aminotransferase, and platelets, demonstrated excellent accuracy in forecasting the risk of hepatic decompensation over 3- and 5-year periods. The […]
Modified Rutgeerts Score Predicts Recurrence in Crohn’s Disease Patients
In a study involving 652 patients who underwent primary ileocecal resection for Crohn’s disease, the Modified Rutgeerts Score (MRS) proved to be a valuable predictor of long-term outcomes. Patients with higher MRS values were more likely to experience surgical and clinical recurrence, as well as progression to severe endoscopic recurrence. Specifically, an MRS of i2b […]
Neoadjuvant Therapy Benefits Esophageal Adenocarcinoma Patients
In a study involving 3,413 patients with cT2N0M0 esophageal adenocarcinoma, researchers investigated the impact of neoadjuvant chemoradiotherapy (NT) on surgical outcomes and oncological benefits for those with clinical stage IIA disease. The study found that NT did not adversely affect perioperative outcomes compared to upfront surgery. Moreover, minimally invasive esophagectomy after NT was feasible, and […]
Noninvasive Approach Accurately Detects Crohn’s Disease Recurrence
A study conducted in three Italian referral centers assessed the accuracy of a noninvasive approach for detecting postoperative recurrence (POR) in Crohn’s disease. Colonoscopy, the standard method for POR assessment, can be invasive and poorly tolerated. The study found that a combination of bowel ultrasound and fecal calprotectin levels reliably detected POR without the need […]
Marking Small Liver Tumors Before Surgery: Will It Improve Resection?
To enhance the precision of small liver tumor removal, a phase II study in Japan will evaluate preoperative marking’s effectiveness. Patients with liver tumors ≤15 mm requiring hepatectomy will undergo microcoil placement near the tumor using either the percutaneous or transvascular approach. The study aims to determine the successful resection rate, with secondary endpoints including […]