ISCHEMIA MESENTERICA CRONICA: MEGLIO LE PROTESI COPERTE ! UN DIFFICILE GRANDE TRIAL OLANDESE DA “LANCET GASTROENTEROLOGY & HEPATOLOGY”

Covered versus bare-metal stenting of the mesenteric arteries in patients with chronic mesenteric ischaemia (CoBaGI): a multicentre, patient-blinded and investigator-blinded, randomised controlled trial Luke G Terlouw et al.† Summary Background Mesenteric artery stenting with a bare-metal stent is the current treatment for atherosclerotic chronic mesenteric ischaemia. Long-term patency of bare-metal stents is unsatisfactory due to…

EPATOCARCINOMA: LE NUOVE LINEE GUIDA INGLESI 2024. DA “GUT” (FREE)

British Society of Gastroenterology guidelines for the management of hepatocellular carcinoma in adults   Abid Suddle et al. Abstract Deaths from the majority of cancers are falling globally, but the incidence and mortality from hepatocellular carcinoma (HCC) is increasing in the United Kingdom and in other Western countries. HCC is a highly fatal cancer, often…

PANCREATECTOMIA DISTALE: MEGLIO NON INSERIRE DRENAGGIO PROFILATTICO ? UN TRAL RANDOMIZZATO MULTICENTRICO OLANDESE-ITALIANO. DA “LANCET GASTROENTEROLOGY&HEPATOLOGY”

Prophylactic abdominal drainage after distal pancreatectomy (PANDORINA): an international, multicentre, open-label, randomised controlled, non-inferiority trial Eduard A van Bodegraven et al Summary Background Prophylactic passive abdominal drainage is standard practice after distal pancreatectomy. This approach aims to mitigate the consequences of postoperative pancreatic fistula (POPF) but its added value, especially in patients at low risk…

GESTIONE DELLA DIVERTICOLITE ACUTA: UNA OTTIMA REVISIONE 2024 PER GASTROENTEROLOGI E CHIRURGHI. DA “JAMA SURGERY” (FREE).

Management of Diverticulitis. A Review Olivia A. Sacks, MD1,2; Jason Hall, MD, MPH3 Abstract Importance  Care of patients with diverticulitis is undergoing a paradigm shift. This narrative review summarizes the current evidence for left-sided uncomplicated and complicated diverticulitis. The latest pathophysiology, advances in diagnosis, and prevention strategies are also reviewed. Observations  Treatment is moving to the outpatient setting, physicians are forgoing antibiotics…

APPENDICITE ACUTA NON COMPLICATA. ANTIBIOTICI PER OS SONO EQUIVALENTI AD ANTIBIOTICI ENDOVENA. I DATI A 3 ANNI DI UN AMPIO TRIAL FINLANDESE. DA “JAMA SURGERY” (FREE)

Three-Year Outcomes of Oral Antibiotics vs Intravenous and Oral Antibiotics for Uncomplicated Acute AppendicitisA Secondary Analysis of the APPAC II Randomized Clinical Trial Liisa Selänne et al. Key PointsQuestion  What are the long-term treatment outcomes of oral antibiotics alone compared with a combination of intravenous (IV) and oral antibiotics for computed tomography–confirmed uncomplicated acute appendicitis? Findings  In this…

URCA! LA POSITIVITA’ ALL’HELICOBACTER PYLORI AUMENTA ANCHE L’INCIDENZA E LA MORTALITA’ DEL CANCRO DEL COLON! UNO STUDIO DI COORTE AMERICANO DA “J. OF CLINICAL ONCOLOGY”

Impact of Helicobacter pylori Infection and Treatment on Colorectal Cancer in a Large, Nationwide Cohort  Shailja C. Shah, et al. Abstract Purpose Helicobacter pylori is the most common cause of infection-associated cancer worldwide. We aimed to evaluate the impact of H. pylori infection and treatment on colorectal cancer (CRC) incidence and mortality. Patients US Veterans who…