Publications by authors named "S Strasberg"
A multi-institutional study designed by members of Tokyo Guidelines (TG) Core Meeting to elucidate the clinical characteristics and pathogenesis of acute cholangitis after bilioenteric anastomosis and biliary stent insertion with a focus on biliary obstruction: Role of transient hepatic attenuation difference (THAD) and pneumobilia in improving TG diagnostic performance.
J Hepatobiliary Pancreat Sci
January 2024
Article Synopsis
- The study aimed to analyze the clinical characteristics of acute cholangitis (AC) after biliary surgery and related to stents, involving a review of 1,079 AC patients from multiple institutions.
- Results showed that patients with post-biliary reconstruction associated AC (PBR-AC) had milder symptoms compared to common AC (C-AC), which affected the accuracy of diagnosis using Tokyo Guidelines 18 (TG18).
- Incorporating additional findings like transient hepatic attenuation difference (THAD) and pneumobilia into the TG18 criteria could enhance the diagnostic performance for PBR-AC.
Background: The preoperative period is an important target for interventions (eg Surgical Prehabilitation and Readiness [SPAR]) that can improve postoperative outcomes for older patients with comorbidities.
Study Design: To determine whether a preoperative multidisciplinary prehabilitation program (SPAR) reduces postoperative 30-day mortality and the need for non-home discharge in high-risk surgical patients, surgical patients enrolled in a prehabilitation program targeting physical activity, pulmonary function, nutrition, and mindfulness were compared with historical control patients from 1 institution's American College of Surgeons (ACS) NSQIP database. SPAR patients were propensity score-matched 1:3 to pre-SPAR NSQIP patients, and their outcomes were compared.