The British journal of surgery
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Alcohol and substance abuse, depression and suicide attempts after Roux-en-Y gastric bypass surgery.
Small studies suggest that subjects who have undergone bariatric surgery are at increased risk of suicide, alcohol and substance use disorders. This population-based cohort study aimed to assess the incidence of treatment for alcohol and substance use disorders, depression and attempted suicide after primary Roux-en-Y gastric bypass (RYGB). ⋯ Patients who have undergone RYGB are at an increased risk of being diagnosed with alcohol and substance use, with an increased rate of attempted suicide compared with a non-obese general population cohort.
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Randomized Controlled Trial
Two-year results from a randomized clinical trial of revascularization in patients with intermittent claudication.
Intermittent claudication is associated with significant impairment of health-related quality of life. The use of revascularization techniques to improve health-related quality of life remains controversial. ⋯ NCT01219842 (http://www.clinicaltrials.gov).
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Case series are an important and common study type. No guideline exists for reporting case series and there is evidence of key data being missed from such reports. The first step in the process of developing a methodologically sound reporting guideline is a systematic review of literature relevant to the reporting deficiencies of case series. ⋯ The methodological and reporting quality of surgical case series needs improvement. The data indicate that evidence-based guidelines for the conduct and reporting of case series may be useful.
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Comparative Study
Propensity score-matched analysis of robotic versus open surgical enucleation for small pancreatic neuroendocrine tumours.
Enucleation of pancreatic neuroendocrine tumours (pNETs) via robotic surgery has rarely been described. This study sought to assess the safety and efficiency of robotic surgery for the enucleation of small pNETs. ⋯ NCT02125929 ( https://www.clinicaltrials.gov/).