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Journal of Gastrointestinal Surgery
Erschienen in:

10.01.2022 | Review Article

Building a Center for Abdominal Core Health: The Importance of a Holistic Multidisciplinary Approach

verfasst von: Austin P. Seaman, Kathryn A. Schlosser, Daniel Eiferman, Vimal Narula, Benjamin K. Poulose, Jeffrey E. Janis

Erschienen in: Journal of Gastrointestinal Surgery | Ausgabe 3/2022

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Abstract

Background

This article seeks to be a collection of evidence and experience-based information for health care providers around the country and world looking to build or improve an abdominal core health center. Abdominal core health has proven to be a chronic condition despite advancements in surgical technique, technology, and equipment. The need for a holistic approach has been discussed and thought to be necessary to improve the care of this complex patient population.

Methods

Literature relevant to the key aspects of building an abdominal core health center was thoroughly reviewed by multiple members of our abdominal core health center. This information was combined with our authors’ experiences to gather relevant information for those looking to build or improve a holistic abdominal core health center.

Results

An abundance of publications have been combined with multiple members of our abdominal core health centers members experience’s culminating in a wide breadth of information relevant to those looking to build or improve a holistic abdominal core health center.

Conclusions

Evidence- and experience-based information has been collected to assist those looking to build or grow an abdominal core health center.
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Metadaten
Titel
Building a Center for Abdominal Core Health: The Importance of a Holistic Multidisciplinary Approach
verfasst von
Austin P. Seaman
Kathryn A. Schlosser
Daniel Eiferman
Vimal Narula
Benjamin K. Poulose
Jeffrey E. Janis
Publikationsdatum
10.01.2022
Verlag
Springer US
Erschienen in
Journal of Gastrointestinal Surgery / Ausgabe 3/2022
Print ISSN: 1091-255X
Elektronische ISSN: 1873-4626
DOI
https://doi.org/10.1007/s11605-021-05241-5

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Neu im Fachgebiet Chirurgie

Mit Lidocain kommt der Darm nicht schneller in Schwung

Verzögertes Wiederanspringen der Darmfunktion ist ein Hauptfaktor dafür, wenn Patientinnen und Patienten nach einer Kolonresektion länger als geplant im Krankenhaus bleiben müssen. Ob man diesem Problem mit Lidocain vorbeugen kann, war Thema einer Studie.

Kein Unterschied bei inadäquaten Schocks zwischen ICD-Typen

Inadäquate Schockabgaben sind ein unerwünschter Effekt der Therapie mit implantierbaren Kardioverter-Defibrillatoren. Subkutanen Geräten haftet dabei der Ruf an, dafür besonders anfällig zu sein. Die PRAETORIAN-Forschungsgruppe ist dem nachgegangen.

DCIS: Ist ein Verzicht auf eine Operation möglich?

Die COMET-Studie zeigt, dass aktives Monitoring bei Patientinnen mit duktalem Carcinoma in situ (DCIS) hinsichtlich der kumulativen Zwei-Jahres-Rate an ipsilateralen invasiven Karzinomen der leitliniengerechten Standardbehandlung nicht unterlegen ist. Dennoch wird von einem Verzicht auf eine Operation abgeraten, wie in einem begleitenden Editorial betont wird.

Soll man bei Cholezystektomie routinemäßig cholangiografieren?

Eine US-Studie scheint den Befürwortern einer routinemäßigen intraoperativen Cholangiografie im Rahmen einer Cholezystektomie Recht zu geben. Die Studienkommentatoren in JAMA Surgery sparen jedoch nicht mit Kritik.

Update Chirurgie

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