Blog

Identified risk factors for inadequate bowel preparation in colonoscopy

A meta-analysis of 154 studies involving 358,257 participants identified 48 unique risk factors for inadequate bowel preparation (IBP) before colonoscopy. Key sociodemographic predictors included Medicaid insurance, obesity, and male sex, while comorbidities such as psychiatric disease and diabetes also played significant roles. Medication use, particularly tricyclic antidepressants and opioids, exacerbated risk. These findings aim to inform the development of a validated prediction model to enhance colonoscopy outcomes and minimize healthcare costs.

Journal Article by Beran A, Aboursheid T (…) Guardiola JJ et 7 al. in Am J Gastroenterol

Copyright © 2024 by The American College of Gastroenterology.

read the whole article in Am J Gastroenterol

open it in PubMed

Enhanced Recovery After Surgery Program Lowers Hospital Stays

A multidisciplinary Enhanced Recovery After Surgery (ERAS) program significantly improved compliance and reduced hospital stays for patients undergoing cytoreductive surgery with hyperthermic intraperitoneal chemotherapy (CRS/HIPEC). Compliance with ERAS protocols rose from 32.8% to 70.8%. Concurrently, the median length of stay decreased from 14 to 9 days, with no significant difference in major morbidity or 30-day readmission rates between pre-ERAS and post-ERAS groups. These findings suggest a safe and effective implementation of the ERAS protocol.

Journal Article by Stockley C, Bouchard-Fortier A (…) Deban M et 5 al. in J Surg Oncol

© 2024 The Author(s). Journal of Surgical Oncology published by Wiley Periodicals LLC.

read the whole article in J Surg Oncol

open it in PubMed

Concomitant hernia and colorectal surgery increases complication risks

Analysis of 7,783 patients revealed that simultaneous incisional hernia repair and colorectal surgery significantly increases surgical site infections (55.4%) compared to isolated hernia repairs (30.7%). Multivariate assessments identified key risk factors, including BMI, smoking, and surgery type. Higher overall complication rates, including increased mortality and Clavien-Dindo grades, were observed in patients undergoing combined procedures, particularly among those with complex hernias and comorbidities, although recurrence rates were not significantly different.

Journal Article by Verdaguer-Tremolosa M, Rodrigues-Gonçalves V (…) López-Cano M et 2 al. in Hernia

© 2024. The Author(s).

read the whole article in Hernia

open it in PubMed

Single-port laparoscopic method proves effective for Hartmann’s reversal

A single-port laparoscopic technique for Hartmann’s reversal was successfully implemented in 85.1% of patients, significantly enhancing postoperative recovery. The procedure showed a median operation time of 92 minutes and limited blood loss of 100 ml. Postoperative complications were noted in 21.7% of cases, with the most severe classified as grade 3a. Notably, no anastomotic leaks or mortality occurred, and patients experienced a swift recovery, leading to a median hospital stay of just four days.

Journal Article by Akmercan A, Akmercan T and Uprak TK in ANZ J Surg

© 2024 Royal Australasian College of Surgeons.

read the whole article in ANZ J Surg

open it in PubMed

Postoperative hyperlipasemia predicts risk of pancreatic fistula

A study of 471 patients undergoing pancreaticoduodenectomy and distal pancreatectomy revealed that postoperative hyperlipasemia and hyperamylasemia on the first day post-surgery are significant independent risk factors for developing postoperative pancreatic fistula. In multivariate analysis, hyperlipasemia was identified as a notable predictor of this complication, suggesting that its absence may assist in identifying low-risk patients. Integrating serum lipase and amylase into clinical practice could improve patient management and facilitate earlier discharges.

Journal Article by Aghamaliyev U, Cepele G (…) Werner J et 7 al. in BMC Surg

Copyright © 2024 The Authors. Published by Elsevier Inc. All rights reserved.

read the whole article in BMC Surg

open it in PubMed

Predictive Factors for Postoperative Bleeding Identified

Analysis of nearly 1 million patients revealed specific factors predicting postoperative bleeding after minimally invasive bariatric surgeries. Key predictors identified include preoperative anticoagulation, renal insufficiency, history of deep vein thrombosis (DVT) and pulmonary embolism (PE), presence of a cardiac stent, and a BMI of 40 or less. These associations were consistently observed across both laparoscopic and robotic techniques for sleeve gastrectomy and Roux-en-Y gastric bypass. The findings underscore the need for careful patient evaluation prior to surgery.

Journal Article by Sebastian R, Zevallos A (…) Adrales GL et 4 al. in Surg Endosc

© 2024. The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature.

read the whole article in Surg Endosc

open it in PubMed

Successfully improved trauma care training in conflict-ridden Ukraine

A collaborative initiative significantly enhanced trauma care in Ukraine through the implementation of advanced trauma life support (ATLS) courses amid ongoing conflict. Over three months, 213 healthcare providers participated in ten courses, showing measurable improvements in knowledge and self-reported confidence in trauma management. The program operated safely despite the war, with no casualties recorded among participants or instructors, demonstrating a successful model for trauma education in challenging environments.

Journal Article by Dzhemiliev A, Lienau B (…) Anderson GA et 23 al. in World J Surg

© 2024 International Society of Surgery/Société Internationale de Chirurgie (ISS/SIC).

read the whole article in World J Surg

open it in PubMed

Minimally invasive approach effectively treats appendicitis

Endoscopic retrograde appendicitis therapy (ERAT) emerges as a promising alternative for managing acute or chronic appendicitis, allowing effective elimination of obstructions through endoscopic techniques. Compared to antibiotic therapy, patients undergoing ERAT showed lower rates of recurrence and avoided the need for appendectomy. Innovations like the “mother-baby” endoscopic system and microbubble contrast agents have broadened its applicability, offering options for patients, especially those with comorbidities. Overall, ERAT appears to enhance treatment efficacy and patient recovery.

Review by Zhang A, Fan N (…) Jiang X et 5 al. in Therap Adv Gastroenterol

© The Author(s), 2024.
© The Author(s), 2024.

read the whole article in Therap Adv Gastroenterol

open it in PubMed

Predictive tool for early detection of anastomotic leakage

A novel predictive tool combining early warning scores and C-reactive protein levels has been developed to detect anastomotic leakage after colon cancer surgery. Analysis of 1,855 patient records revealed that mean CRP levels exceeded 200 mg/l and early warning scores above 2 indicated leakage. Specifically, postoperative day 3 emerged as critical for detection, with cutoffs of 2.4 for the early warning score and 180 mg/l for CRP offering a sensitivity of 90% and specificity of 70%.

Journal Article by Rajabaleyan P, Jootun R (…) Lindsey I et 4 al. in Ann Coloproctol

read the whole article in Ann Coloproctol

open it in PubMed

Machine learning enhances assessment of colorectal liver metastases response

A machine learning model utilizing CT-based radiomics significantly surpassed traditional radiologist assessments in estimating pathologic response of colorectal liver metastases after neoadjuvant therapy. In a study involving 85 patients, the model achieved an area under the curve (AUC) of 0.87, contrasting sharply with the AUCs of 0.53 for RECIST assessments and 0.56 for morphologic evaluation. Subjective imaging characteristics showed no correlation with pathologic response, emphasizing the effectiveness of radiomics.

Journal Article by Karagkounis G, Horvat N (…) D’Angelica MI et 14 al. in Ann Surg Oncol

© 2024. Society of Surgical Oncology.

read the whole article in Ann Surg Oncol

open it in PubMed