Newsletter
Best Papers in General Surgery
The five that matter, every day.
ABCD1 is identified as a promising diagnostic marker for differentiating solid pseudopapillary neoplasm of the pancreas from other pancreatic neoplasms, including pancreatic neuroendocrine tumors, with exceptional efficacy in immunohistochemical staining. Through a large-scale patient cohort analysis, researchers found that ABCD1 shows high sensitivity (99.10%) and…
Biliopancreatic diversion for severe obesity leads to good and sustained weight maintenance up to 30 years with low perioperative risk. However, it is associated with a high long-term prevalence of nutritional complications, with 60% of patients experiencing nutritional issues at 20 years and 74% at…
Metabolic bariatric surgery tourism presents barriers such as availability, accessibility, cost, eligibility, reputation, and stigma. Despite limited literature, the study highlights the need for further understanding motivational insights, healthcare system challenges, cost, and long-term outcomes. An audit to explore clinical relationships and guide policy-making is…
A survey of 6956 US surgical residents found that 66.8% reported meaningful mentorship, with non-white or hispanic residents less likely to report it. Senior residents were more likely to have meaningful mentorship. Residents with meaningful mentorship had higher rates of operative autonomy and lower rates…
High rates of fragmented practice in hepatopancreatic surgery were associated with increased odds of postoperative complications, extended length of stay, 90-day mortality, and lower likelihood of achieving a textbook outcome. This negative impact persisted regardless of surgeon volume and was more pronounced among female surgeons.…
Comparing Charlson's Weighted Index of Comorbidity (WIC) and other predictive scores in patients with perforated peptic ulcers revealed WIC's valuable predictability for mortality. Both WIC and the Peptic Ulcer Perforation (PULP) score effectively predicted high comprehensive complication index (CCI) in these patients. Factors such as…
Routine upper gastrointestinal series post-bariatric surgery showed limited value in detecting leaks. Out of 135 patients, 23% underwent imaging, with gastric bypass patients having higher rates of complications. The sensitivity and specificity for leak detection in gastric bypass patients were high, but the positive predictive…
The study compared the weight loss outcomes and safety profiles of Banded One-Anastomosis Gastric Bypass (BOAGB) with other bariatric procedures. Despite a longer surgery duration, BOAGB showed favorable weight loss outcomes and weight maintenance at 1 year post-surgery, with no significant differences in complications compared…
Study identified risk factors for intraoperative and delayed perforations in gastric endoscopic submucosal dissection for early gastric cancer. Intraoperative perforation occurred in 2.2% of patients, necessitating emergency surgery in 0.04% of cases, while delayed perforation occurred in 0.4% of patients, with emergency surgery required in…
Direct percutaneous endoscopic jejunostomy (DPEJ) offers stable enteral access, especially for patients intolerant to gastric feeding. This article identifies risk factors for complications and provides top tips for successful DPEJ placement. Despite being less commonly taught, DPEJ demonstrates advantages over other feeding tube methods, including…
