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Effectiveness of Dietary Interventions for Ileal Pouch-Anal Anastomosis

Patients with an ileal pouch-anal anastomosis often experience complications like acute pouchitis. Studies on dietary interventions and supplements for pouch function improvement and pouchitis management have conflicting results. Concrete evidence-based recommendations are lacking, despite patient interest in maintaining pouch health through diet. This systematic review consolidates data on dietary patterns, interventions, and supplement effects in patients with an ileoanal pouch, highlighting the need for clear guidance and further research in this area.

Journal Article by Gold S, Levinson C (…) Kayal M et 3 al. in Inflamm Bowel Dis

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Improving Trauma Care Access and Equity in South Side Chicago

The study discusses the opening of a trauma center at University of Chicago Medicine and its impact on the south side of Chicago. Since its establishment in 2018, the trauma center has become one of the busiest in the country with a high penetrating trauma rate. Patient transport time on the south side has significantly decreased by up to 8.9 minutes, and the violence intervention program has engaged over 8000 patients, leading to improved trauma care for the community.

Journal Article by Strong BL, Cosey-Gay F, Wilson KL and Rogers SO in Ann Surg

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

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Spigelman Staging System: Predicting Duodenal and Papillary Cancer Risk in Familial Adenomatous Polyposis

Individuals with familial adenomatous polyposis (FAP) have a 25% risk of duodenal and papillary cancers once duodenal polyposis reaches Spigelman stage IV, although the sensitivity of this stage is low. Factors like polyp size, count, and dysplasia influence cancer risk. The Spigelman staging system lacks specific variables for papillary cancer, suggesting a need for updates to improve sensitivity in predicting these cancers.

Journal Article by Mannucci A, Puzzono M (…) Cavestro GM et 4 al. in Am J Gastroenterol

Copyright © 2024 by The American College of Gastroenterology.

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High FDG-Avidity in Pancreatic Cancer: 96.3% Tumors Detected, PET Utility in Initial Staging and Neoadjuvant Therapy Planning

Baseline fdg-pet imaging in treatment naïve pdac patients revealed 96.3% had fdg-avid tumors with median suvmax 6.4. fdg-pet identified suspicious extrapancreatic metastatic lesions in 50% of patients, with pet/mri being superior in detection. Ca19-9 elevation did not affect fdg-pet’s performance, highlighting its utility in initial staging and neoadjuvant therapy planning.

Journal Article by Carlson DM, Abdelrahman AM (…) Truty MJ et 7 al. in J Am Coll Surg

Copyright © 2024 The Author(s). Published by Wolters Kluwer Health, Inc. on behalf of the American College of Surgeons.

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Preoperative History and Physical Update Visits: Minimal Impact on Operative Management

Researchers evaluated the impact of preoperative history and physical update visits on 8,683 patients across different surgical specialties in 2019. They found that the majority of documented changes were in histories, with minimal impact on physical exams and operative plans. 99.2% of visits were suitable for telehealth, suggesting a potential alternative to in-person visits. The study highlights the substantial time and travel burden these visits impose on patients, calling for reconsideration of current regulatory requirements.

Journal Article by Soegaard Ballester JM, Ginzberg SP (…) Wachtel H et 7 al. in J Am Coll Surg

Copyright © 2024 by the American College of Surgeons. Published by Wolters Kluwer Health, Inc. All rights reserved.

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Radical resection favored for grade 2 rectal neuroendocrine tumors >1.5 cm

Comparing local excision and radical resection for grade 2 rectal neuroendocrine tumors showed no significant difference in survival for tumors ≤1.5 cm. However, tumors >1.5 cm had significantly lower relapse-free survival with local excision. Lymph node metastasis was present in 60% of patients who underwent radical resection. The study concluded that local excision is suitable for smaller tumors without metastasis, while radical resection is more beneficial for larger tumors.

Journal Article by Zeng X, Zhang R (…) Tao K et 16 al. in Dis Colon Rectum

Copyright © 2024 The Author(s). Published by Wolters Kluwer Health, Inc. on behalf of the American Society of Colon and Rectal Surgeons.

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Impact of Endoscopic Surveillance on Early Detection and Curative Resection of Gastric Cancer

Endoscopic surveillance at 3-year intervals significantly increases the likelihood of detecting early gastric cancer (EGC), with 98% of cases detected within this group. EGC lesions in the short-interval group were smaller, shallower, and had a higher curative resection rate compared to the unchecked group. This demonstrates the importance of regular endoscopic monitoring in improving the prognosis of gastric cancer patients.

Journal Article by Sun L, Shen Y (…) Lyu B et 4 al. in Surg Endosc

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

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Common Colorectal Procedures Can Be Safely Performed Using the Hugo™ RAS System with No Prior Robotic Surgery Experience

Colorectal procedures were successfully performed using the Hugo™ RAS system by a team inexperienced in robotic surgery after intensive training. Ten patients underwent procedures with no conversions, technical difficulties, or postoperative morbidity. Median total operative time was 185 minutes, and median docking time was 14 minutes. Hospital stays ranged from 2 to 4 days, and a median of 21 lymph nodes were yielded in operations for malignant conditions.

Journal Article by Romero-Marcos JM, Sampson-Dávila JG (…) Delgado-Rivilla S et 5 al. in Surg Endosc

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

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Dichotomous Thinking Mediates Weight Loss Post-Bariatric Surgery

Eating-specific dichotomous thinking fully mediates the relationship between dietary restraint and weight loss after weight-loss surgery, while generalised dichotomous thinking shows no mediation effect. This suggests that pre-surgical assessment of dichotomous thinking and psychological therapy to promote flexible thinking about food may be beneficial for weight loss maintenance in individuals who have undergone bariatric surgery.

Journal Article by Marshall C, Reay R and Bowman AR in Obes Surg

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

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Advancements in Surgical Visualization and Guidance Technologies

Recent advancements in surgical visualization and guidance, including fluorescence-guided surgery, contrast-enhanced ultrasound, and augmented reality, are shaping the future of general surgery. This narrative review explores cutting-edge technologies and their integration with artificial intelligence, promising enhanced intraoperative decision-making and surgical precision. While these innovations offer exciting prospects, further research and surgeon training in artificial intelligence are essential for their widespread adoption in clinical practice.

Review by Brollo PP and Bresadola V in J Gastrointest Surg

Copyright © 2023 Society for Surgery of the Alimentary Tract. Published by Elsevier Inc. All rights reserved.

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