Rischio di perforazione durante colonscopia aumentato nei pazienti in dialisi

High Incidence of Colonic Perforation During Colonoscopy in Hemodialysis Patients With End-Stage Renal Disease. Imai N, Takeda K, Kuzuya T, Utsunomiya S, Takahashi H, Kasuga H, Asai M, Yamada M, Tanikawa Y, Goto H. Clin Gastroenterol Hepatol. 2010 Jan;8(1):55-59.   BACKGROUND & AIMS: Colonic perforation is a rare but life-threatening complication of colonoscopy. We evaluated the…

Sopravvivenza in pz con HCC non trattati: una meta-analisi

A meta-analysis of survival rates of untreated patients in randomized clinical trials of hepatocellular carcinoma.Cabibbo G, Enea M, Attanasio M, Bruix J, Craxì A, Cammà C. Hepatology. 2009 Dec 4. [Epub ahead of print]  Knowing the spontaneous outcome of hepatocellular carcinoma (HCC) is important for designing randomized controlled trials (RCTs) of new therapeutic approaches; however, survival…

Outcome della pancreatite migliore nei centri di riefrimento

Admission volume determines outcome for patients with acute pancreatitis.Singla A, Simons J, Li Y, Csikesz NG, Ng SC, Tseng JF, Shah SA. Gastroenterology. 2009 Dec;137(6):1995-2001. Epub 2009 Sep 3. BACKGROUND & AIMS: There is controversy over the optimal management strategy for patients with acute pancreatitis (AP). Studies have shown a hospital volume benefit for in-hospital mortality…

Pazienti con IR più a rischio per emorragia digestiva e sue complicanze

Peptic ulcer bleeding outcomes adversely affected by end-stage renal disease.Cheung J, Yu A, LaBossiere J, Zhu Q, Fedorak RN. Gastrointest Endosc. 2010 Jan;71(1):44-9.  BACKGROUND: Patients with end-stage renal disease (ESRD) and peptic ulcer disease (PUD) bleeding may be at high risk of bleeding complications. OBJECTIVE: To investigate the outcomes of patients with ESRD and PUD…

Rischio di overdose e morte in pazienti che assumono oppioidi

Opioid prescriptions for chronic pain and overdose: a cohort study.Dunn KM, Saunders KW, Rutter CM, Banta-Green CJ, Merrill JO, Sullivan MD, Weisner CM, Silverberg MJ, Campbell CI, Psaty BM, Von Korff M. Ann Intern Med. 2010 Jan 19;152(2):85-92. BACKGROUND: Long-term opioid therapy for chronic noncancer pain is becoming increasingly common in community practice. Concomitant with this…

Sorveglianza endoscopica post-polipectomia: over /underuse

Utilization of surveillance colonoscopy in community practice. Schoen RE, Pinsky PF, Weissfeld JL, Yokochi LA, Reding DJ, Hayes RB, Church T, Yurgalevich S, Doria-Rose VP, Hickey T, Riley T, Berg CD. Gastroenterology. 2010 Jan;138(1):73-81. BACKGROUND & AIMS: The recommended timing of surveillance colonoscopy for individuals with adenomatous polyps is based on adenoma histology, size, and…