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Branched-chain amino acids for people with hepatic encephalopathy Authors' conclusions: In this updated review, we included five additional trials. The analyses showed that BCAA had a beneficial effect on hepatic encephalopathy. We found no effect on mortality, quality of life, or nutritional parameters, but we need additional trials to evaluate these outcomes. Likewise, we need additional randomised clinical trials to determine the effect of BCAA compared with interventions such as non-absorbable disaccharides, rifaximin, or other antibiotics.
Prophylactic abdominal drainage for pancreatic surgery Authors' conclusions: It is not clear whether routine abdominal drainage has any effect on the reduction of mortality and postoperative complications after pancreatic surgery. In case of drain insertion, low-quality evidence suggests that early removal may be superior to late removal for patients with low risk of postoperative pancreatic fistula.
Hepatocellular carcinoma Updated 2015 Aug 28 09:00:00 AM: ACG clinical guideline on diagnosis and management of focal liver lesions (Am J Gastroenterol 2014 Sep) view update