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Factors Predicting Complications After Oesophagectomy

This study, analyzing over 2000 oesophagectomies across multiple countries, identifies predictors of anastomotic leak (AL) and conduit necrosis (CN). While AL remains challenging to predict using preoperative factors, a risk-scoring model for CN shows promise, with factors like BMI, performance status, myocardial infarction history, and smoking status contributing to its prediction. This model offers a valuable tool for estimating a patient’s risk of conduit necrosis preoperatively.

Journal Article by Griffiths EA; None None; None None; None None; None None; None None; None None; None None in Eur J Surg Oncol

© 2024 Elsevier Ltd, BASO ∼ The Association for Cancer Surgery, and the European Society of Surgical Oncology. All rights reserved.

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Need for Trauma Intervention and Cribari Indices for Triage in Injured Patients

Study compares the performance of Need for Trauma Intervention (NFTI) and Cribari Methods (CM) for triaging injured patients. Results show NFTI has higher sensitivity, specificity, PPV, and NPV compared to CM. However, both methods have poor sensitivity in identifying severely injured trauma patients. Under-triage increases with patient age. Further research is needed to enhance triage accuracy.

Journal Article by Lenart EK, Byerly SE (…) Filiberto DM et 7 al. in Am Surg

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Impact of Hazard Function Analysis on Prognosis After Colorectal Cancer Recurrence

Hazard function analysis provided new insights into patient prognosis post colorectal cancer recurrence, revealing a peak risk of death at 2.9 years post-recurrence. Factors like metastatic organs, treatment type, and recurrence interval influenced short-term survival. The method offers an alternative to mean survival time and helps predict mortality risk changes over time.

Journal Article by Ise I, Kawai K (…) Yamaguchi T et 6 al. in Langenbecks Arch Surg

© 2024. The Author(s).

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Role of High-Resolution Manometry in Antireflux Surgery: The Padova Consensus

High-resolution manometry (HRM) plays a crucial role in the diagnostic assessment of foregut symptoms before and after antireflux surgery (ARS). A collaborative initiative by surgeons and gastroenterologists developed a postoperative classification for interpreting HRM findings, providing key insights into patient management post-ARS.

Journal Article by Salvador R, Pandolfino JE (…) Yadlapati R et 13 al. in Ann Surg

Copyright © 2024 Wolters Kluwer Health, Inc. All rights reserved.

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Factors influencing treatment strategies for small pancreatic neuroendocrine neoplasms

Study evaluates optimal treatment strategies for nonfunctioning small pancreatic neuroendocrine neoplasms, highlighting the impact of tumor size and grade on lymph node metastasis, recurrence, and survival. Personalized treatment approaches considering tumor grading are recommended for heterogeneous nf-spnens. Tumor size >20 mm for net-g1 and >10 mm for net-g2 or higher are suggested thresholds for surgical resection.

Journal Article by Hijioka S, Yamashige D (…) Satoi S et 45 al. in Clin Gastroenterol Hepatol

Copyright © 2024. Published by Elsevier Inc.

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Guidelines for Cultural Competency and Ethical Behavior in Global Surgery Collaborations

Key concepts for cultural competency and ethical behavior were generated by the academic global surgery committee of the Society for University Surgeons in collaboration with the Association for Academic Global Surgery. The guidelines provide a framework for high-income country members when collaborating with low-middle income country partners, addressing preparation, standardization, community engagement, limits of practice, patient autonomy, trainees, pitfalls, and gray areas. This framework aids in addressing potential issues in global surgery collaborations.

Journal Article by Yang G, Bekele A (…) Jawa RS et 15 al. in BMC Surg

Copyright © 2024 Elsevier Inc. All rights reserved.

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Site-specific features of gastric neuroendocrine neoplasms

Gastric neuroendocrine neoplasms (GNENs) exhibit unique characteristics based on their type. Incidence is rising, with GNENs including carcinomas and tumors. Different types require distinct approaches, with type III often needing locoregional and systemic treatments. Treatment data is limited, but insights from other neuroendocrine tumors are used. Enhanced understanding of molecular and clinical aspects is crucial for improving patient outcomes.

Review by Lamberti G, Panzuto F (…) Campana D et 7 al. in Nat Rev Dis Primers

© 2024. Springer Nature Limited.

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Association Between Substance Abuse and Firearm-Related Injuries in US Emergency Departments

Study investigates the correlation between substance abuse and gun violence in US emergency departments. Among 25.2 million patients with substance use disorder, 0.14% had firearm-related diagnoses. Those with both substance abuse and firearm injuries were younger, primarily male, of lower income, and had higher mortality rates, longer hospital stays, and increased healthcare costs. Urgent need for improved screening and treatment identified.

Journal Article by Tennakoon L, Ko A (…) Knowlton LM et 4 al. in J Surg Res

Copyright © 2024 Elsevier Inc. All rights reserved.

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Geriatric Nutritional Risk Index in Esophageal Squamous Cell Carcinoma

Geriatric Nutritional Risk Index (GNRI) is independently associated with postoperative complications, pathological complete response prediction, and prognostication in neoadjuvant immunotherapy-treated esophageal squamous cell carcinoma. Higher GNRI correlates with increased pathological complete response rates, decreased severe morbidity, and improved 3-year overall and disease-free survival. GNRI, utilizing nutrition-related indicators, serves as a valuable tool for risk assessment and prognostic prediction in this patient population.

Journal Article by Feng J, Wang L (…) Cheng X et 2 al. in Eur J Surg Oncol

© 2024 Published by Elsevier Ltd.

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Diagnostic Performance of Short MRI Protocols for IPMN Surveillance

Short MRI protocols demonstrate suitability for surveillance of intraductal papillary mucinous neoplasms (IPMNs). In a retrospective study, protocols with T1-weighted, T2-weighted, MRCP, and DWI sequences show high concordance with clinical decisions for IPMN management. Inter-observer agreement is substantial across different protocols. Short MRI protocols offer efficient surveillance methods for IPMN, facilitating timely and accurate patient management decisions.

Journal Article by D’Onofrio M, Geraci L (…) Salvia R et 8 al. in Dig Liver Dis

Copyright © 2024 Editrice Gastroenterologica Italiana S.r.l. Published by Elsevier Ltd. All rights reserved.

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