Publications by authors named "J Khamar"

Background: Intraoperative administration of dexmedetomidine has shown promise in improving postoperative gastrointestinal function. In the context of colorectal surgery, the results remain inconsistent. This review aims to provide a synthesis of studies assessing the effect of dexmedetomidine on postoperative gastrointestinal function in colorectal surgery patients.

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Article Synopsis
  • Recent guidelines on bariatric and metabolic surgery exist, but their quality is uncertain, prompting this study to assess them for perioperative care decisions.
  • A thorough search of medical databases identified 26 guidelines for evaluation using the AGREE II framework, which measures guideline quality across several domains.
  • Findings revealed mixed results: while guidelines were clear and targeted well, they often lacked stakeholder input, rigorous development, and attention to resource impacts, with only six guidelines scoring above 70%.*
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Background: Prolonged postoperative ileus (PPOI) contributes to morbidity and prolonged hospitalization. Prucalopride, a selective 5-hydroxytryptamine receptor agonist, may enhance bowel motility. This review assesses whether the perioperative use of prucalopride compared to placebo is associated with accelerated return of bowel function post gastrointestinal (GI) surgery.

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Purpose: Frailty has shown promise in predicting postoperative morbidity and mortality following hernia surgery. This study aims to evaluate the predictive capacity of the 11-item modified frailty index (mFI) in estimating postoperative outcomes following elective hernia surgery using the National Inpatient Sample (NIS) database.

Methods: A retrospective analysis of the NIS from 2015 to 2019 was performed including adult patients who underwent elective hernia repair.

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