MORBO DI CROHN: PER LE STENOSI MEGLIO LA DILATAZIONE CON PALLONE O L’INSERIMENTO DI PROTESI? UN OTTIMO TRIAL.

Self-expandable metal stents versus endoscopic balloon dilation for the treatment of strictures in Crohn’s disease (ProtDilat study): an open-label, multicentre, randomised trial Carme Loras et al.   Background Endoscopic balloon dilation (EBD) is the established endoscopic treatment for short strictures in Crohn’s disease. Fully covered self-expandable metal stents (FCSEMS) have been used for endoscopic treatment…

COME COMUNICARE IL RISULTATO DI UN TEST DI DIAGNOSI AL PAZIENTE. E COME COMUNICARE L’INCERTEZZA DEL RISULTATO! DA “JAMA” (FREE)

Understanding and Communicating Uncertainty in Achieving Diagnostic Excellence Maria R. Dahm, MA, PhD1; Carmel Crock, MBBS, BLit Uncertainty pervades the diagnostic process. In health care, taxonomies of uncertainty have been developed to describe aspects such as personal (eg, individual knowledge gaps), scientific (eg, limits of biomedical knowledge), and probabilistic (eg, imprecise estimates of risk or prognosis) dimensions of uncertainty.1  …

LINEA GUIDA ESGE PER LA GESTIONE ENDOSCOPICA DELLE LESIONI SUBEPITELIALI: UN OTTIMO AVANZAMENTO (FREE).

Endoscopic management of subepithelial lesions including neuroendocrine neoplasms: European Society of Gastrointestinal Endoscopy (ESGE) Guideline Pierre H Deprez et al. 1: ESGE recommends endoscopic ultrasonography (EUS) as the best tool to characterize subepithelial lesion (SEL) features (size, location, originating layer, echogenicity, shape), but EUS alone is not able to distinguish among all types of SEL.Strong…

TERAPIA SISTEMICA CON ANTIBIOTICI. LA VANCOMICINA PREVIENE L’INFEZIONE DA CLOSTRIDIODES DIFFICILE. UNA OTTIMA META-ANALISI ITALIANA CON “TRIAL SEQUENTIAL ANALYSIS” (FREE)

Oral Vancomycin Prophylaxis for Primary and Secondary Prevention of Clostridioides difficile Infection in Patients Treated with Systemic Antibiotic Therapy: A Systematic Review, Meta-Analysis and Trial Sequential Analysis Alberto Enrico Maraolo et al. Abstract Background: Clostridioides difficile infection (CDI) is associated with substantial morbidity and mortality as well as high propensity of recurrence. Systemic antibiotic therapy (SAT) represents the top…

DIVERTICOLITE ACUTA DELL’ANZIANO: UNA LINEA GUIDA DELLE SOCIETA’ DI EMERGENZA (FREE)

The WSES/SICG/ACOI/SICUT/AcEMC/SIFIPAC guidelines for diagnosis and treatment of acute left colonic diverticulitis in the elderly Paola Fugazzola et al. Abstract Acute left colonic diverticulitis (ALCD) in the elderly presents with unique epidemiological features when compared with younger patients. The clinical presentation is more nuanced in the elderly population, having higher in-hospital and postoperative mortality. Furthermore,…

VARICI ESOFAGEE: UNA REVISIONE 2022 DAL “WORLD JOURNAL OF GE” (FREE)

Update on the management of gastrointestinal varices Umesha Boregowda et al. Abstract Cirrhosis of liver is a major problem in the western world. Portal hypertension is a complication of cirrhosis and can lead to a myriad of pathology of which include the development of porto-systemic collaterals. Gastrointestinal varices are dilated submucosal veins, which often develop…