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Effectiveness of Pancreatic Cancer Surveillance in High-Risk Individuals

Pancreatic cancer surveillance in high-risk individuals led to early diagnosis of pancreatic malignancies and premalignant lesions, with most cases found at baseline. Of the 156 participants with at least a 3-year follow-up or cancer-related events, 9 individuals had malignant or premalignant lesions, demonstrating the feasibility and safety of surveillance in a public healthcare system.

Journal Article by Paiella S, Capurso G (…) Falconi M et 46 al. in Am J Gastroenterol

Copyright © 2023 by The American College of Gastroenterology.

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Comparing Robot-assisted and Laparoscopic Pancreatoduodenectomy in a Pan-European Cohort

Robot-assisted and laparoscopic pancreatoduodenectomy showed similar major morbidity and mortality rates in a pan-European cohort. However, laparoscopic approach was associated with shorter operation time and lower rates of postoperative complications, while robot-assisted approach had lower conversion rates and higher lymph node retrieval. The study highlights the comparable outcomes of both techniques, each with its distinct advantages and limitations.

Journal Article by Emmen AMLH, Zwart MJW (…) Abu Hilal M et 35 al. in BMC Surg

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

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ABCD1 as a Highly Effective Diagnostic Marker for Solid Pseudopapillary Neoplasm of the Pancreas

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 specificity (100%) in distinguishing SPN from other pancreatic tumors, demonstrating its potential as a reliable diagnostic tool.

Journal Article by Liu YA, Liu Y (…) Wu W et 9 al. in Am J Surg Pathol

Copyright © 2024 The Author(s). Published by Wolters Kluwer Health, Inc.

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Long-term Weight Maintenance and Nutritional Complications After Biliopancreatic Diversion

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 30 years. Despite these complications, weight loss and glycaemic control were maintained throughout the follow-up period, highlighting the efficacy and durability of this surgical intervention.

Journal Article by Papadia FS, Adami G (…) Camerini G et 6 al. in Br J Surg

© The Author(s) 2024. Published by Oxford University Press on behalf of BJS Foundation Ltd. All rights reserved. For commercial re-use, please contact reprints@oup.com for reprints and translation rights for reprints. All other permissions can be obtained through our RightsLink service via the Permissions link on the article page on our site—for further information please contact journals.permissions@oup.com.

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Implications of Metabolic Bariatric Surgery Tourism

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 suggested to address the growing concerns of metabolic bariatric surgery tourism.

Journal Article by Zuberi S, Egiz A (…) Iqbal FM et 9 al. in Br J Surg

© The Author(s) 2024. Published by Oxford University Press on behalf of BJS Foundation Ltd. All rights reserved. For commercial re-use, please contact reprints@oup.com for reprints and translation rights for reprints. All other permissions can be obtained through our RightsLink service via the Permissions link on the article page on our site—for further information please contact journals.permissions@oup.com.

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Disparities in Mentorship Impacting US Surgical Resident Education and Wellness

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 of burnout, thoughts of attrition, and suicidality compared to those without. Efforts to improve mentorship for minority residents are crucial for optimizing education and wellness in residency training.

Journal Article by Silver CM, Yuce TK (…) Hu YY et 7 al. in JAMA Surg

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Care Fragmentation in Hepatopancreatic Surgery: Impact on Postoperative Outcomes

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. Treatment by surgeons with higher fragmented practice also led to higher healthcare expenditures.

Journal Article by Rashid Z, Munir MM (…) Pawlik TM et 7 al. in BMC Surg

Copyright © 2024 Elsevier Inc. All rights reserved.

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Predicting Postoperative Outcomes in Perforated Peptic Ulcers: Charlson’s Index Versus PULP Score

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 age, sex, comorbidities, and ASA score >2 were associated with mortality and morbidity. Early identification of high-risk patients allows for better triage and outcomes in postoperative care.

Journal Article by Lim RZM, Tan JH (…) Mahendran HA et 4 al. in World J Surg

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

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Limited Utility of Routine Upper Gastrointestinal Series Post-bariatric Surgery

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 value was low. Sleeve gastrectomy patients and males were less likely to undergo routine imaging. Clinical parameters should guide post-operative imaging decisions, with further research needed on this topic.

Journal Article by Dayma K, David A (…) Haddad D et 6 al. in Obes Surg

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

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Weight Loss Outcomes of Banded One-Anastomosis Gastric Bypass

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 to other procedures. All bariatric procedures led to significant excess weight loss, improved comorbidities, and enhanced quality of life postoperatively. Long-term research is needed to further evaluate the efficacy of these procedures.

Journal Article by Quint E, Perry ZH (…) Dukhno O et 5 al. in Obes Surg

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

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