In this study, rule-based guidelines derived from in-hospital opioid consumption were compared to standard guidelines for postoperative opioid prescribing. Results showed that the rule-based guidelines, tailored to individual patient consumption, outperformed other approaches and were more effective in aligning prescribed opioids with actual post-discharge consumption. This suggests that utilizing in-hospital consumption data to guide opioid […]
Category: General Surgery
Impact of Neoadjuvant Immunotherapy on Perioperative Outcomes in Esophageal Adenocarcinoma
Patients with locally advanced esophageal adenocarcinoma who received neoadjuvant immunotherapy (io) combined with chemotherapy showed similar perioperative outcomes compared to those who received neoadjuvant chemotherapy alone. Rates of overall and major complications, anastomotic leak, respiratory complications, hospital stay length, and mortality were comparable between the two groups. The addition of immunotherapy did not significantly alter […]
Does Splenectomy Enhance Results of Distal Pancreatectomy for Body Pancreatic Ductal Adenocarcinoma?
After assessing spleen-preserving distal pancreatectomy (SPDP) and distal splenopancreatectomy (DSP) for body pancreatic ductal adenocarcinoma, it was found that SPDP is associated with less postoperative morbidity and does not impair oncological outcomes. Propensity score matching balanced patient characteristics, showing that SPDP is a viable option for b-PDAC patients located at least 5 cm from the […]
Factors Associated with Financial Toxicity After Upper Gastrointestinal Cancer Surgery
Patients younger than 50 years, of non-white race, with annual income
Frequency of size increase in gastric leiomyomas is low
Most gastric leiomyomas are benign subepithelial tumors, with few becoming symptomatic or increasing in size. A retrospective review of 231 cases showed that only 2.4% experienced size increase, one of which was leiomyosarcoma. The majority remained stable, with resections confirming leiomyoma. Close monitoring may be sufficient for asymptomatic cases, but resection could be considered for […]
Differentiating Risk Factors: FED vs. GERD
Patients with functional esophageal disorders (FED) are more likely to be non-Hispanic Asian, have an underweight BMI, chronic pain, insomnia, and allergic rhinitis. Conversely, patients with an overweight BMI and who use alcohol have a decreased risk for FED. These findings provide valuable information for clinicians to identify and screen patients with reflux symptoms for […]
Geriatric Nutritional Risk Index predicts postoperative infectious complications in older adults after emergency gastrointestinal surgery
The geriatric nutritional risk index (GNRI) was found to be a predictor of postoperative infectious complications in older adults after emergency gastrointestinal surgery. Low GNRI was associated with higher age, serum C-reactive protein levels, and sarcopenia proportion, as well as longer hospital stays. GNRI also had a positive correlation with skeletal mass index, suggesting its […]
Improved quality of life and successful outcomes in surgical management of right-sided colonic diverticulitis
Patients with right-sided colonic diverticulitis who underwent surgery showed satisfactory short and long-term outcomes, with no disease recurrence or colorectal cancer detected on colonoscopy. A significant improvement in quality of life (QOL) was observed at 24 months post-surgery. The study highlights the effectiveness of surgical management in improving QOL and achieving successful outcomes in patients […]
How Navigator Nurse Implementation Improves Healthcare Service and Perioperative Results in Liver Resections
Navigator nurse implementation in liver resections led to reduced length of stay, fewer emergency room visits, and readmissions. Patients receiving counseling and postoperative follow-up from navigator nurses had faster functional recovery and discharge, especially those with complications and undergoing open surgery. The presence of navigator nurses was an independent predictor of shorter length of stay, […]
Gender-specific Nutrition and Body Composition Guidelines Improve Metabolic-Bariatric Surgery Outcomes
Researchers developed preliminary body composition guidelines for post-surgical patients based on gender-specific goals, leading to significant fat mass reduction and lean mass-sparing outcomes below obesity thresholds. Serial body composition analysis and evidence-based nutrition practices consistently influenced patient outcomes, supporting the effectiveness of the guidelines in enhancing metabolic-bariatric surgery success. Journal Article by Knopp KB in […]