Needle-knife sphincterotomy e rischio di pancreatite post-ERCP

Needle-knife sphincterotomy: factors predicting its use and the relationship with post-ERCP pancreatitis . Bailey AA, Bourke MJ, Kaffes AJ, Byth K, Lee EY, Williams SJ. Gastrointest Endosc. 2010 Feb;71(2):266-71. Epub 2009 Dec 8.BACKGROUND: In the absence of precut needle-knife sphincterotomy (NKS), failure of biliary cannulation may occur in up to 10% of cases. There are…

Introduzione linee guida riduce utilizzo dei PPI

Proton pump inhibitors for prophylaxis of nosocomial upper gastrointestinal tract bleeding: effect of standardized guidelines on prescribing practice.Yachimski PS, Farrell EA, Hunt DP, Reid AE. Arch Intern Med. 2010 May 10;170(9):779-83.  BACKGROUND: Proton pump inhibitors (PPIs) are frequently prescribed for prophylaxis of nosocomial upper gastrointestinal tract bleeding. Some inpatients receiving PPIs may have no risk factors…

Probiotici : confermata l’efficacia nel prevenire l’enterocolite necrotizzante nei pretermine

Updated meta-analysis of probiotics for preventing necrotizing enterocolitis in preterm neonates. Deshpande G, Rao S, Patole S, Bulsara M. Pediatrics. 2010 May;125(5):921-30.  OBJECTIVE: Systematic reviews of randomized, controlled trials (RCTs) indicate lower mortality and necrotizing enterocolitis (NEC) and shorter time to full feeds after probiotic supplementation in preterm (<34 weeks’ gestation) very low birth weight…

Review sistematica sulle allergie alimentari

Diagnosing and managing common food allergies: a systematic review.Chafen JJ, Newberry SJ, Riedl MA, Bravata DM, Maglione M, Suttorp MJ, Sundaram V, Paige NM, Towfigh A, Hulley BJ, Shekelle PG. JAMA. 2010 May 12;303(18):1848-56. CONTEXT: There is heightened interest in food allergies but no clear consensus exists regarding the prevalence or most effective diagnostic and management…

Sindrome dell’elevatore dell’ano : biofeedback superiore all’elettrostimolazione galvanica

Biofeedback is superior to electrogalvanic stimulation and massage for treatment of levator ani syndrome.Chiarioni G, Nardo A, Vantini I, Romito A, Whitehead WE. Gastroenterology. 2010 Apr;138(4):1321-9. Epub 2010 Jan 4.  BACKGROUND & AIMS: Levator ani syndrome (LAS) might be treated using biofeedback to teach pelvic floor relaxation, electrogalvanic stimulation (EGS), or massage of levator muscles. We…