The British journal of surgery
-
Comparative Study
Variation in pancreatoduodenectomy as delivered in two national audits.
Nationwide audits facilitate quality and outcome assessment of pancreatoduodenectomy. Differences may exist between countries but studies comparing nationwide outcomes of pancreatoduodenectomy based on audits are lacking. This study aimed to compare the German and Dutch audits for external data validation. ⋯ This comparison of the German and Dutch audits showed variation in case mix, surgical technique and centralization for pancreatoduodenectomy, but no difference in mortality and pancreas-specific complications.
-
Oesophagectomy is associated with reduced appetite, weight loss and postprandial hypoglycaemia, the pathophysiological basis of which remains largely unexplored. This study aimed to investigate changes in enteroendocrine function after oesophagectomy. ⋯ Altered enteroendocrine physiology is associated with early satiety, weight loss and postprandial hypoglycaemia after oesophagectomy.
-
, Published online in Wiley Online Library (www.bjs.co.uk). DOI: 10.1002/bjs.10863 In times when art usually depicted perfection, Caravaggio (1571-1610) painted everyday reality. He used people walking the streets of Rome to represent holy figures. ⋯ Judith looks cruel, in mourning clothes, seeking revenge for the assassination of her lover. The maidservant, almost an evil spirit, has a voluminous thyroid goitre, and she seems to encourage the revenge of Fillide. Read more about Caravaggio and this painting in an essay online.
-
Observational Study
Prospective cohort study of ultrasound surveillance of regional lymph nodes in patients with intermediate-risk cutaneous melanoma.
For patients with intermediate-thickness melanoma, surveillance of regional lymph node basins by clinical examination alone has been reported to result in a larger number of lymph nodes involved by melanoma than if patients had initial sentinel node biopsy and completion dissection. This may result in worse regional control. A prospective study of both regular clinical examination and ultrasound surveillance was conducted to assess the effectiveness of these modalities. ⋯ This study suggests that ultrasound surveillance of regional lymph node basins is safe for patients with melanoma who undergo a policy of nodal surveillance.