We read with interest two meta-analyses recently published in this journal on the risk of postoperative complications following preoperative anti-TNF therapy in patients with Crohn's disease (CD).1,2 In the firstmeta-analysis,1 six studies assessing overall postoperative complications in CD patients (n = 1316) and seven studies assessing infectious postoperative complications in CD patients (n ...

BACKGROUND The role of preoperative ADT for localized prostate cancer is controversial; prospective assessments have yielded varying results. We sought to define a subset of patients with a higher likelihood of benefit from preoperative ADT. PATIENTS AND METHODS An institutional database including consecutive patients receiving definitive surgery for localized prostate cancer was interrogated...

diabetic mellitus (dm) is a major risk factor of morbidity, mortality and economic cost to society. diabetic patients are at risk of having microvascular or macrovascular disorders of diabetes. postoperative anemia have wide spectrum of some early complications that require more care in hospitalization stays. therefore, this study was designed to evaluate effect of preoperative anemia on short-...

BACKGROUND Postoperative dysphagia is common after antireflux surgery and generally runs a self-limiting course. Nevertheless, part of these patients report long-term dysphagia. Inadequate surgical technique is a well documented cause of this result. AIM This retrospective study evaluated the preoperative risk factors not surgery-related for persistent dysphagia after primary laparoscopic ant...

BACKGROUND Preoperative coronary angiography (CA) is recommended in patients with acute aortic valve infective endocarditis (AV-IE) and high cardiovascular risk profile but the level of evidence is low and its potential interest may be counterbalanced by the risk of dislodgement of vegetations and contrast-induced nephropathy. OBJECTIVE To review the use, indications and complication of preop...

OBJECTIVE To describe the use of symptom-relieving drugs (antimuscarinic drugs or duloxetine) before and after surgery for urinary incontinence (UI); and for those with use of antimuscarinic drugs or duloxetine before surgery, to estimate the risk of being a postoperative user, relative to those without use before surgery. DESIGN A historical population-based cohort study. SETTING Denmark. ...

THE anticipated value of the preoperative electrocardiogram for the assessment of perioperative cardiac risk has changed over the past decades. Initial risk scores included preoperative electrocardiogram variables as a prognostic factor for the occurrence of perioperative cardiac events; in recent years, however, the value of a routine preoperative electrocardiogram has been questioned. The cur...

Preoperative testing (e.g., chest radiography, electrocardiography, laboratory testing, urinalysis) is often performed before surgical procedures. These investigations can be helpful to stratify risk, direct anesthetic choices, and guide postoperative management, but often are obtained because of protocol rather than medical necessity. The decision to order preoperative tests should be guided b...

The partial pressure of oxygen decreases as altitude increases, the preoperative chronic hypoxemia (CH) may have a plausible clinical impact. Risk factors for postoperative serious adverse events (pSAEs) in patients living in high altitudes during primary hip arthroplasty (HA) are not clear.This is an observational study embracing patients from January 1, 2011 to December 31, 2015 at Yan'an Hos...

BACKGROUND Preoperative brain injury is common in neonates with transposition of the great arteries (TGA). The objective of this study is to determine risk factors for preoperative brain injury in neonates with TGA. METHODS AND RESULTS Twenty-nine term neonates with TGA were studied with MRI before cardiac surgery in a prospective cohort study. Twelve patients (41%) had brain injury on preope...