Latest Updates

Diagnosis and Management of Acute Diverticulitis

    • Recent studies find that acute uncomplicated disease may not require antibiotics, suggesting diverticulitis is a primary inflammatory process.
    • Conflicting data emerge regarding necessity of colonoscopy after episode of acute diverticulitis.
    • Limited pneumoperitoneum without generalized peritonitis is not an indication for urgent surgery.

Antepartum and Intrapartum Fetal Assessment and Management

    • In growth-restricted fetuses, addition of Doppler velocimetry studies to standard antenatal surveillance improves outcomes.
    • There is standardized nomenclature for describing the features of electronic fetal monitoring aimed at improving communication of intermediate and abnormal tracings.
    • Fetal ST segment analysis is not a clinically useful adjunct to continuous electronic fetal monitoring.

Bipolar Disorders and Their Clinical Management, Part I: Epidemiology, Etiology, Genetics, and Neurobiology

    • Review of emerging genetics and etiologic theories of bipolar disorders
    • Correlation between recent neurobiologic findings and clinical manifestations of bipolar disorders
    • Discussion of the role of endocrine and immune alterations in metabolic derangements associated with bipolar disorders

Bipolar Disorders and Their Clinical Management, Part I: Epidemiology, Etiology, Genetics, and Neurobiology

    • Review of emerging genetics and etiologic theories of bipolar disorders
    • Correlation between recent neurobiologic findings and clinical manifestations of bipolar disorders
    • Discussion of the role of endocrine and immune alterations in metabolic derangements associated with bipolar disorders

Bipolar Disorders and Their Clinical Management, Part I: Epidemiology, Etiology, Genetics, and Neurobiology

    • Review of emerging genetics and etiologic theories of bipolar disorders
    • Correlation between recent neurobiologic findings and clinical manifestations of bipolar disorders
    • Discussion of the role of endocrine and immune alterations in metabolic derangements associated with bipolar disorders

Bipolar Disorders and Their Clinical Management, Part I: Epidemiology, Etiology, Genetics, and Neurobiology

    • Review of emerging genetics and etiologic theories of bipolar disorders
    • Correlation between recent neurobiologic findings and clinical manifestations of bipolar disorders
    • Discussion of the role of endocrine and immune alterations in metabolic derangements associated with bipolar disorders

Management of Borderline Resectable and Locally Advanced Pancreatic Adenocarcinoma

    • New International Association of Pancreatology definition of BRPC in 3 domains: anatomic, biological, and conditional.
    • Neoadjuvant chemotherapy is preferred in BRPC and may become a standard approach for resectable tumors.
    • FOLFIRINOX or gemcitabine/nab-paclitaxel are the two preferred regimens in BPRC and LAPC.
    • Due to neoadjuvant chemotherapy, increased number of patients is eligible for resection +/- vein reconstruction.
    • PV resection is a safe method for achieving R0 resection in BRPC and highly-selected LAPC.

Management of Borderline Resectable and Locally Advanced Pancreatic Adenocarcinoma

    • New International Association of Pancreatology definition of BRPC in 3 domains: anatomic, biological, and conditional.
    • Neoadjuvant chemotherapy is preferred in BRPC and may become a standard approach for resectable tumors.
    • FOLFIRINOX or gemcitabine/nab-paclitaxel are the two preferred regimens in BPRC and LAPC.
    • Due to neoadjuvant chemotherapy, increased number of patients is eligible for resection +/- vein reconstruction.
    • PV resection is a safe method for achieving R0 resection in BRPC and highly-selected LAPC.
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