Screening CCR update linee guida

Guidelines for colorectal cancer screening and surveillance in moderate and high risk groups (update from 2002)Stuart R Cairns, John H Scholefield, Robert J Steele, Malcolm G Dunlop, Huw J W Thomas, Gareth D Evans, Jayne A Eaden, Matthew D Rutter, Wendy P Atkin, Brian P Saunders, Anneke Lucassen, Paul Jenkins, Peter D Fairclough, Christopher R…

LC+LCBDE o ERCP/S+LC: comparazione degli outcome nella calcolosi della VBP

Prospective randomized trial of LC+LCBDE vs ERCP/S+LC for common bile duct stone disease.Rogers SJ, Cello JP, Horn JK, Siperstein AE, Schecter WP, Campbell AR, Mackersie RC, Rodas A, Kreuwel HT, Harris HW. Arch Surg. 2010 Jan;145(1):28-33.  OBJECTIVE: To compare outcome parameters for good-risk patients with classic signs, symptoms, and laboratory and abdominal imaging features of cholecystolithiasis…

Necessario second-look dopo dissezione sottomucosa gastrica?

A second-look endoscopy after endoscopic submucosal dissection for gastric epithelial neoplasm may be unnecessary: a retrospective analysis of postendoscopic submucosal dissection bleeding.Goto O, Fujishiro M, Kodashima S, Ono S, Niimi K, Hirano K, Yamamichi N, Koike K. Gastrointest Endosc. 2010 Feb;71(2):241-8.  BACKGROUND: Endoscopic submucosal dissection (ESD) is one of the curative endoluminal surgical procedures for…

Modello sperimentale di training in Medicina Interna

Evaluation of a redesign initiative in an internal-medicine residency.McMahon GT, Katz JT, Thorndike ME, Levy BD, Loscalzo J. Engl J Med. 2010 Apr 8;362(14):1304-11.  BACKGROUND: Several organizations have advocated for comprehensive redesign of graduate medical training, but the effect that residency redesign will have on measures of patient satisfaction, resident and intern (trainee) satisfaction, and patient…