Impact of a procalcitonin-based algorithm on the quality of management of patients with uncomplicated adhesion-related small bowel obstruction assessed by a textbook outcome: a multicenter cluster-randomized open-label controlled trial.

Background: Acute adhesion-related small bowel obstruction (ASBO) is a common digestive emergency, accounting for 1 to 3% of all digestive emergencies. The efficacy of conservative management in this setting is a subject of debate, as it may delay the decision to perform surgery and increase the frequency of bowel resection (e.g.

Incidence, patterns of failure, and prognosis of perforated colorectal cancers in a well-defined population.

Introduction: Few population-based studies investigate perforated colorectal cancers. This study was designed to compare the epidemiologic characteristics of perforated CRC with those of uncomplicated CRC and to determine patterns of failure and prognosis in a well-defined French population.

Methods: Between 1976 and 2000, 89 patients who received an emergency operation caused by perforation and 5,462 who underwent elective surgery were registered in the digestive cancer registry of Burgundy (France).

[Incidence, prevalence and risk factors for a first infectious complication on a totally implantable venous-access port].

Background: Totally implantable venous-access ports (TIVAP) should present less risk of complications than central venous catheters over a long time period.

Aims: Firstly, the study's objective was to assess the prevalence and incidence of a first infectious complication on a TIVAP and secondly, to assess the risk factors associated with this first infection.

Methods: The authors made a longitudinal historical cohort study of patients with a TIVAP in 2003, in the Dijon University Hospital.