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Home IV fluid protocol significantly improves outcomes in ileostomy patients

Implementation of a novel protocol involving home intravenous fluids and structured daily follow-ups markedly reduced hospital stay, readmission rates, complication rates, and overall care costs for ileostomy patients across two academic centers. In a cohort study of 600 patients, post-protocol outcomes included a decrease in length of stay from 8 to 3 days and readmission rates from 56% to 9%, demonstrating significant improvements in quality of care and patient safety.

Video-Audio Media by Iqbal A, Rojas-Khalil Y (…) Read TE et 7 al. in Dis Colon Rectum

Copyright © The ASCRS 2025.

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EUS-PD shows high success rates and manageable adverse events

A systematic review and meta-analysis of endoscopic ultrasound-guided pancreatic duct drainage (EUS-PD) revealed significant effectiveness, with technical success at 89% and clinical success at 88%. Examining 27 trials involving 902 patients, the study also noted a 17% rate of adverse events, primarily post-EUS-PD acute pancreatitis at 3%. Other complications like bleeding, perforation, pancreatic leak, and infection were minimal, each below 3%, underscoring EUS-PD’s safety and efficacy as a therapeutic option.

Journal Article by Wang R, Su T (…) Zhao S et 4 al. in Surg Laparosc Endosc Percutan Tech

Copyright © 2025 Wolters Kluwer Health, Inc. All rights reserved.

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Liver transplant with sleeve gastrectomy sustains weight loss and reduces obesity-related complications

The study demonstrates that simultaneous liver transplant and sleeve gastrectomy leads to significant long-term weight loss, improved diabetes and hypertension outcomes, and lower rates of allograft steatosis compared to liver transplant alone. Over a follow-up period, ltsg patients, starting with a higher average BMI, showed remarkable post-operative results, including a decrease in diabetes prevalence and significant weight loss lasting over nine years. Importantly, no increase in mortality or graft loss was observed between the two groups.

Journal Article by Larson EL, Ellias SD (…) Heimbach JK et 20 al. in J Hepatol

Published by Elsevier B.V.

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Hospital frailty risk score predicts surgical outcomes most effectively

Multi-frailty instrument analysis involving 1,385,505 emergency general surgery patients revealed that the hospital frailty risk score significantly outperformed other indices in predicting in-hospital mortality and complications. Notably, patients characterized as frail by this score bore the highest risk of mortality (adjusted odds ratio 7.8) and complications (adjusted odds ratio 8.4). These findings underscore the importance of prioritizing the hospital frailty risk score for effective risk stratification and clinical decision-making in this vulnerable patient cohort.

Journal Article by Yalzadeh D, Cho NY (…) Benharash P et 6 al. in BMC Surg

Copyright © 2025 The Authors. Published by Elsevier Inc. All rights reserved.

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Incident food insecurity affects post-surgical trauma patients significantly.

A multicenter study found that 21% of previously food-secure surgical trauma patients experienced new food insecurity within six months post-operation. Key risk factors included prolonged hospital stays, ICU admissions, and reliance on daily wage employment. Conversely, higher household income correlated with greater food security. The findings stress the importance of assessing food insecurity after discharge and targeting high-risk patients for interventions like food prescriptions and financial support to mitigate risks effectively.

Journal Article by Jones A, Ehsan AN (…) Ranganathan K et 11 al. in J Surg Res

Copyright © 2025. Published by Elsevier Inc.

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New model predicts post-hospital care for injured adults

A sophisticated stacked ensemble model has been developed to predict discharge outcomes for injured adults aged 35-70 within 24 hours of hospital admission. Utilizing data from over 2.3 million patients, the model evaluates factors such as demographics and early resource utilization. Its performance metrics, with AUCs ranging from 0.73 to 0.97, indicate strong generalizability, enhancing the ability to counsel and plan for post-hospital care options like home placement or rehabilitation.

Journal Article by Lu L, Silver D (…) Brown JB et 3 al. in J Surg Res

Copyright © 2025 The Author(s). Published by Elsevier Inc. All rights reserved.

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Controlled hyperventilation alleviates shoulder pain after surgery

In a controlled trial involving 150 patients, intraoperative controlled hyperventilation significantly reduced the incidence of shoulder pain after laparoscopic cholecystectomy, with pain rates dropping from 60% to 36%. The group experienced shorter pain duration and intensity, along with improved surgical conditions, reflected by reduced operation time and lower pneumoperitoneum pressure. Patient satisfaction also increased from 42.67% to 73.33%. Overall, controlled hyperventilation emerged as a safe and cost-effective method to enhance postoperative recovery.

Randomized Controlled Trial by Li J, Zhao H (…) Zhan R et 2 al. in Langenbecks Arch Surg

© 2025. The Author(s).

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Intraoperative blood loss correlates with local recurrence rates.

Intraoperative blood loss (IBL) ratios were found to predict local recurrence after curative resection in stage I-III colorectal cancer patients. Higher IBL ratios correlated with a greater risk of early local recurrence within two years post-surgery. Multivariate analysis indicated that factors such as anastomotic leakage and tumor characteristics, including rectal cancer and poorly differentiated histology, were significant predictors. Clinicians may improve prognosis by reducing IBL and addressing complications like anastomotic leakage.

Journal Article by Imaoka K, Shimomura M (…) Ohdan H et 20 al. in World J Surg

© 2025 The Author(s). World Journal of Surgery published by John Wiley & Sons Ltd on behalf of International Society of Surgery/Société Internationale de Chirurgie (ISS/SIC).

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Iwate scoring system effectively stratifies laparoscopic liver resections

An international multicenter study validated the Iwate difficulty scoring system (DSS) for laparoscopic liver resections (LLR) across both its four difficulty levels and 12-point difficulty index. Analyzing 14,759 patients, researchers found that intraoperative and postoperative outcomes—such as operation time, blood loss, and complications—worsened significantly with higher difficulty levels (p < 0.001). These findings, derived from various perioperative measures, confirm the correlations between the Iwate DSS and LLR difficulty.

Journal Article by Peng Y, Liu F (…) Goh BKP et 72 al. in Eur J Surg Oncol

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Nomogram effectively predicts intra-abdominal infection risk post-gastrectomy

A nutrition-based nomogram has been developed to predict the risk of intra-abdominal infection (IAI) after D2 radical gastrectomy for gastric cancer. An analysis of 404 patients identified key indicators, including the NRS2002 score, fasting blood glucose, and multi-visceral resection, associating them with IAI risk. The nomogram demonstrated good predictive capacity (AUROC 0.744) and excellent calibration, providing clinicians a valuable tool for assessing postoperative complications effectively.

Journal Article by Ma X, Jiang X (…) Lu X et 3 al. in Langenbecks Arch Surg

© 2025. The Author(s).

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