Review su MRCP nella sospetta coledocolitiasi
- Categoria: Pancreas e vie biliari
Utility of MRCP in clinical decision making of suspected choledocholithiasis: An institutional analysis and literature review. Badger WR, Borgert AJ, Kallies KJ, Kothari SN. Am J Surg. 2016 Dec 1. [Epub ahead of print]
BACKGROUND:The ideal treatment algorithm for suspected choledocholithiasis is not yet well defined. Imaging options include magnetic resonance cholangiopancreatography (MRCP), endoscopic retrograde cholangiopancreatography (ERCP), and intraoperative cholangiogram (IOC).
“Imaging Schedule” dopo trapianto epatico per HCC
- Categoria: Epatologia Oncologica
Evidence-Based Surveillance Imaging Schedule After Liver Transplantation for Hepatocellular Carcinoma Recurrence.Liu D1, Chan AC, Fong DY, Lo CM, Khong PL. Transplantation. 2017 Jan;101(1):107-111.
BACKGROUND:There is presently no evidence-based recommendation for surveillance of recurrent hepatocellular carcinoma after liver transplantation (LT). We aim to evaluate and develop evidence-based alternate surveillance imaging schedules for post-LT hepatocellular carcinoma patients.
Chemoprevenzione dopo K colon
- Categoria: Oncologia
Chemoprevention of colorectal cancer in individuals with previous colorectal neoplasia: systematic review and network meta-analysis.Dulai PS, Singh S, Marquez E, Khera R, Prokop LJ, Limburg PJ, Gupta S, Murad MH. BMJ. 2016 Dec 5;355:i6188.
OBJECTIVE: To assess the comparative efficacy and safety of candidate agents (low and high dose aspirin, non-aspirin non-steroidal anti-inflammatory drugs (NSAIDs), calcium, vitamin D, folic acid, alone or in combination) for prevention of advanced metachronous neoplasia (that is, occurring at different times after resection of initial neoplasia) in individuals with previous colorectal neoplasia, through a systematic review and network meta-analysis.DATA SOURCES: Medline, Embase, Web of Science, from inception to 15 October 2015; clinical trial registries.
E’ possibile predire recidiva dopo EMR : the Sydney EMR Recurrence Tool
- Categoria: Endoscopia
Adenoma recurrence after piecemeal colonic EMR is predictable; the Sydney EMR Recurrence Tool.Tate DJ, Desomer L, Klein A, Brown G, Hourigan LF, Lee EY, Moss A, Ormonde D, Raftopoulos S, Singh R, Williams SJ, Zanati S, Byth K, Bourke MJ. Gastrointest Endosc. 2016 Nov 28. [Epub ahead of print]
BACKGROUND AND AIMS:Endoscopic mucosal resection (EMR) is the primary treatment of large laterally spreading colonic lesions (LSL). Residual or recurrent adenoma (RRA) is a major limitation. We aimed to identify a robust method to stratify risk of RRA.METHODS:Prospective multicenter data on consecutive LSL ≥ 20mm removed by piecemeal EMR from eight Australian tertiary centers was included (September 2008 until May 2016).
Retroflessione nel colon prossimale migliora ADR
- Categoria: Endoscopia
Improved detection of right colon adenomas with additional retroflexion following two forward-view examinations: a prospective study.Lee HS, Jeon SW, Park HY, Yeo SJ. Endoscopy. 2016 Dec 8. [Epub ahead of print]
Background and study aims Colonoscopy in the right colon is less effective than in the left colon in screening for colorectal cancer. The aim of this study was to prospectively evaluate the diagnostic value of retroflexion in the right colon. Patients and methods A total of 1020 patients undergoing screening or surveillance colonoscopy were enrolled.