馃摑 Review: This review discusses current management for #IntrahepaticCholangiocarcinoma, including guidelines for chemoimmunotherapy, locoregional strategies, precision oncology approaches, and comprehensive genomic profiling. ja.ma/47zjuUt
After elective #GICancer surgery, #DaysAtHome at 90 days was a valid, clinically meaningful, and patient-centered outcome that reflected complications, health care use, and survival. ja.ma/4jtd0O5
Seasonal variation was observed in #Diverticulitis incidence but not in severity or the proportion of cases requiring an operation. Diverticulitis was more common in summer and autumn.
#colonhealth
馃摉 Read full article: ja.ma/4jpTIt0
馃挰 Editorial: Expanding #GraduateMedicalEducation positions may not by itself improve rural workforce distribution, which also depends on application patterns, training resources, rural definitions, and incentives for rural practice. ja.ma/4yj2Q6q
For refractory #SlowTransitConstipation, subtotal colectomy with cecorectal anastomosis and total colectomy with ileorectal anastomosis had similar 12-month outcomes, however patient-reported satisfaction at 1 year favored total colectomy.
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馃挰 Viewpoint: As #KidneyXenotransplant moves from early clinical trials toward broader use, benefit-risk assessment should include systematic measurement of patient risk tolerance alongside safety and effectiveness.
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馃挰 Editorial: For lung-limited stage IV #NSCLC, early outcomes after #LungTransplant are encouraging, but 1-year survival does not resolve questions about recurrence risk or long-term benefit. ja.ma/4yiMzOG
馃挰 Viewpoint: Individuals with #IntellectualAndDevelopmentalDisabilities continue to face barriers to #OrganTransplant despite existing disability protections, indicating persistent inequities in transplant evaluation and listing. ja.ma/4yfCiDb
Presented at #ANES26 from @JAMA_current: Among high-risk patients undergoing elective major abdominal surgery, individualized #CardiacIndex-guided hemodynamic therapy did not reduce postoperative organ injury, severe infection, cardiac arrest, or death.
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馃摑 JAMA Surgery #Review: In adhesive small-bowel obstruction, #Nasogastric tube decompression remains a standard component of nonoperative management when there are no signs of bowel compromise or peritonitis. ja.ma/47Pv5ib
馃┖ Among patients undergoing #CancerSurgery for 6 major nonmetastatic cancers, time from diagnosis to first-course therapy increased from 2012 to 2023 across all malignancies and among both up-front surgery and #NeoadjuvantTherapy pathways. ja.ma/4zzhJCL
In elective #DigestiveCancer surgery, preoperative high-dose #Corticosteroids did not improve postoperative complications, indicating that preoperative high-dose corticosteroids should not be recommended for postoperative risk reduction in this setting. ja.ma/4zw2Voq
Among Medicare beneficiaries undergoing minimally invasive #Cholecystectomy, key surgical outcomes showed significant improvement from 2011 to 2021 despite increasing patient complexity.
#gallbladder #gallbladdersurgery
Read full article to learn more: ja.ma/4eo7WHd
Among patients undergoing open rectal resection for #RectalCancer, a powdered #ChondroitinSulfate adhesion barrier system reduced postoperative adhesion incidence, severity, and extent vs no additional procedure.
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馃搳 Among individuals with obesity, #BariatricSurgery was associated with a lower long-term risk of obesity-related cancer, with similar associations across age groups and sexes.
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In rural US counties, #FamilyMedicine-#GeneralSurgery dyad access declined from 2010 to 2021, driven mainly by loss of general surgeons, and was not independently associated with mortality outcomes after adjustment.
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ALT Table 2 titled 'Which Specialty Changed in Counties That Gained or Lost a Dyad, 2010-2021'. It lists specialty changes and county counts: Lost general surgeon (129), Gained general surgeon (66), No change (56), Lost family physician (5), Lost both (1), Gained both (1), Gained family physician (1).
馃挰 Viewpoint: Preparing the US for large-scale combat operations requires both facility readiness and clinician training in #CombatCasualty care.
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Among women undergoing cardiac surgery, #AcuteNormovolemicHemodilution was not associated with reduced allogeneic packed red blood cell transfusion vs usual care and was associated with more intraoperative hypotension.
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馃挰 Viewpoint: Required transportation escorts after outpatient surgery may delay care and worsen access for patients with limited social support, transportation insecurity, or privacy concerns.
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Among patients with #GastricCancer and positive peritoneal lavage cytology or localized peritoneal metastasis, #chemotherapy plus #gastrectomy was associated with better survival than gastrectomy alone or chemotherapy alone.
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