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Hepatobiliary Evidence Update

30th August 2016

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          Leicester Publications                        

Pancreatic cancer tissue banks: where are we heading?
Balarajah V, Ambily A, Dayem Ullah AZ, Imrali A, Dowe T, Al-Sarireh B, Hilal MA, Davidson BR, Soonawalla Z, Metcalfe M, Aleong JC, Chelala C, Kocher HM.
Future Oncol. 2016 Aug 19.

 


Percutaneous Pancreatic Biopsies-Still an Effective Method for Histologic Confirmation of Malignancy.
Bhatti I1, Ojo D, Dennison AR, Rees Y, Elabassy M, Garcea G.Surg

Laparosc Endosc Percutan Tech. 2016 Aug;26(4):334-7.
Non-alcoholic fatty liver disease (NAFLD): assessment and management

Cirrhosis in over 16s: assessment and management

Cellvizio confocal endomicroscopy system for characterising pancreatic cysts

Sepsis: recognition, diagnosis and early management

Complicated intra-abdominal infections: ceftolozane/tazobactam
New and Updated Cochrane Systematic Reviews

Epidural local anaesthetics versus opioid-based analgesic regimens for postoperative gastrointestinal paralysis, vomiting and pain after abdominal surgery
Authors' conclusions: An epidural containing a local anaesthetic, with or without the addition of an opioid, accelerates the return of gastrointestinal transit (high quality of evidence). An epidural containing a local anaesthetic with an opioid decreases pain after abdominal surgery (moderate quality of evidence). We did not find a difference in the incidence of vomiting or anastomotic leak (low quality of evidence). For open surgery, an epidural containing a local anaesthetic would reduce the length of hospital stay (very low quality of evidence).

Diagnostic accuracy of laparoscopy following computed tomography (CT) scanning for assessing the resectability with curative intent in pancreatic and periampullary cancer
Authors' conclusions: Diagnostic laparoscopy may decrease the rate of unnecessary laparotomy in people with pancreatic and periampullary cancer found to have resectable disease on CT scan. On average, using diagnostic laparoscopy with biopsy and histopathological confirmation of suspicious lesions prior to laparotomy would avoid 21 unnecessary laparotomies in 100 people in whom resection of cancer with curative intent is planned.
Other Systematic Reviews

Guidelines for Perioperative Care for Liver Surgery: Enhanced Recovery After Surgery (ERAS) Society Recommendations.

Malignant pancreatic serous cystic neoplasms: systematic review with a new case.

Systemic treatment of hepatocellular carcinoma: why so many failures in the development of new drugs?

Evidence-Based Surgical Treatments for Chronic Pancreatitis.

Liberal versus restrictive fluid management in abdominal surgery: a meta-analysis.

Systematic review: pre- and post-operative prognostic value of cardiopulmonary exercise testing inliver transplant candidates.

Diagnostic Accuracy of Hepatic Vein Arrival Time Performed with Contrast-Enhanced Ultrasonography for Cirrhosis: A Systematic Review and Meta-Analysis.

Chemotherapy for advanced biliary tract carcinoma: A meta-analysis of randomized controlled trials.

MRI of paediatric liver tumours: How we review and report.

KRAS, GNAS, and RNF43 mutations in intraductal papillary mucinous neoplasm of the pancreas: a meta-analysis.

Undifferentiated Carcinoma With Osteoclastic Giant Cells of the Pancreas: Clinicopathologic Analysis of 38 Cases Highlights a More Protracted Clinical Course Than Currently Appreciated.

Adiponectin as a target for the treatment of nonalcoholic steatohepatitis with thiazolidinediones: A systematic review.

Combined liver and extrahepatic bile duct resection for biliary invasion of colorectal metastasis: a case-cohort analysis and systematic review.

Short and long-term outcomes of laparoscopic compared to open liver resection for colorectal liver metastases.

Graft versus Host Disease After Liver Transplantation in Adults: A Case series, Review of Literature, and an Approach to Management.

3D haptic modelling for preoperative planning of hepatic resection: A systematic review.

Systematic review of peri-operative prognostic biomarkers in pancreatic ductal adenocarcinoma.

Defining post-operative pancreatitis as a new pancreatic specific complication following pancreatic resection.

Autologous but not Fibrin Sealant Patches for Stump Coverage Reduce Clinically Relevant Pancreatic Fistula in Distal Pancreatectomy: A Systematic Review and Meta-analysis.

Other Sources

Treat the cause: a review of the quality of care provided to patients treated for acute pancreatitis


RAND Europe - Hepatitis CUnderstanding factors that influence the physicians' treatment decisions

NICE bites June/July Non-alcoholic Fatty Liver Disease and Cirrhosis
Do you participate in medical teaching?
Find out about the Teaching Improvement Course offered by UHL Clinical Education

Tables of Contents


Alimentary Pharmacology and Therapeutics
American Journal of Gastroenterology
Clinical Gastroenterology and Hepatology
Endoscopy
Gastroenterology
Gastrointestinal Endoscopy
Gut
Hepatology
Journal of Gastroenterology
Journal of Hepatology
Nature Reviews Gastroenterology and Hepatology
Seminars in Liver Disease
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