Editor's Note Early surgical intervention should be prioritized over endoscopy-first treatment in managing chronic pancreatitis with dilated pancreatic ducts, according to the results of a follow-up study of the ESCAPE randomized clinical trial. Published November 20 in JAMA Surgery, the findings specifically highlight pain relief, patient satisfaction, and need for…

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Editor's Note Patients using GLP-1 receptor agonists (GLP-1 RAs) have a higher risk of food retention during esophagogastroduodenoscopy (EGD) when performed alone, but not when combined with a colonoscopy, according to a retrospective study from Cedars-Sinai Medical Center. MedPage Today reported the news October 1. The study included 70 patients…

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Editor's Note Evidence is mounting for the use of antibiotics as a valid alternative to surgery for acute appendicitis, including in pediatric cases, the Washington Post reported August 17. The article details how this treatment—described as a “dark secret” by one expert testifying to its use in the 1950s, prior…

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Editor's Note New findings from health consultant Sg2’s 2024 Impact of Change report projects a 21% increase in ambulatory surgery center (ASC) volume, to reach 44 million by 2034, ASC Focus July 8 reports. An aging population, better diagnostics, and epidemiological factors are driving this demand, Tori Richie, senior consulting…

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Editor's Note Roux-en-Y gastric bypass (RYGB) reduces cardiovascular risk factors independent of calorie restriction and weight loss, according to a recent study published in JAMA Surgery. News-Medical.Net reported on the study July 4. Bariatric surgery, particularly RYGB, is more effective than non-surgical treatments for significant weight reduction and lowering cardiovascular…

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Editor's Note Research shows perioperative weight loss does not consistently improve outcomes or OR times in patients undergoing primary bariatric procedures, including laparoscopic sleeve gastrectomy (LSG) and laparoscopic Roux-en-Y gastric bypass (RYGB). The findings were published in the June issue of the Journal of the American College of Surgeons. Using…

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Editor's Note Liver resection provides a significant survival benefit over percutaneous radiofrequency ablation (PRFA) or transarterial chemoembolization (TACE) in patients with early multinodular hepatocellular carcinoma (HCC), according to findings published May 15 in JAMA Surgery. Thus, liver resection should be considered the first therapeutic option in patients with early multinodular…

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Editor's Note Although robotic-assisted laparoscopic surgery (RLS) and conventional laparoscopic surgery (CLS) offer similar survival outcomes for sigmoid colon cancer, RLS harvests comparatively more lymph nodes, according to a study published May 10 in the Journal of Robotic Surgery. According to a May 15 report on the study in The…

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Editor's Note With the goal of helping patients choose if outpatient care is right for them and identify the right ambulatory surgery center (ASC) for their needs, US News & World Report unveiled on May 14 its inaugural ranking of the best ASCs in the US. Reportedly, “fewer than 15%…

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Editor's Note Patients with biliary symptoms can benefit from laparoscopic cholecystectomy even with a normal ejection fraction (greater than 35%), according to a study published November 30 in the American Journal of Surgery. Although previous data have shown the surgery to improve biliary symptoms (such as abdominal pain) in patients…

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