- The study investigates the prevalence of acute cholangitis (AC) and cholecystitis (CC) among patients diagnosed with biliary acute pancreatitis (AP), using the 2018 Tokyo guidelines, highlighting a potential for overdiagnosis and overuse of medical interventions.
- Results show that around 70% of biliary AP patients met the criteria for AC/CC; antibiotic use was high (77.4%), with low mortality in mild cases but significantly higher rates in severe cases.
- The authors conclude that existing diagnostic criteria often overlap and may misclassify AP conditions, suggesting a need for clearer, disease-specific guidelines and randomized trials on antibiotic necessity in these patients.
- The study aimed to assess the risk of postoperative respiratory complications (PoRCs) in children undergoing adenotonsillar (AT) surgery, comparing those with and without obstructive sleep apnea (OSA) of varying severity.
- It analyzed 19 observational studies, revealing that children with moderate and severe OSA experienced more PoRCs than those without OSA, although there was no significant increase in major complications overall.
- The findings suggest a need for standardized guidelines and improved postoperative monitoring for children with moderate to severe OSA, while indicating that mild OSA does not carry a significantly higher risk of complications.