A medium-size RCT on the growing research question of efficacy of peroral myotomy for achalasia, with a 17% failure to improve symptoms in the peroral endoscopic myotomy (POEM) arm, is discussed in this article.
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Esophagus
November 26, 2019
A deep-learning computer aided detection (CAD) system was trained to recognize neoplasia using nearly 500,000 endoscopic images. In head-to-head testing against experienced gastroenterologists using additional images, the accuracy of CAD in diagnosing neoplasia was 88% vs 73% for the gastroenterologists.
October 17, 2019
Patients with proton-pump inhibitor refractory heartburn have a multitude of underlying causes. In this randomized trial of patients with refractory heartburn, only 21% had symptoms related to gastroesophageal reflux disease. Treatments included fundoplication vs omeprazole and baclofen vs omeprazole.
October 14, 2019
Interesting sizeable series, and a commentary that follows, on what is effectively a thoracic example of Natural Orifice Transluminal Endoscopic Surgery (NOTES).
August 5, 2019
This video demonstrates the drainage of a postesophagectomy subcarinal collection via mediastinoscopy for a patient in whom percutaneous drainage was unsuccessful.
August 4, 2019
The Throacic Surgery Residents Association (TSRA) Decision Algorithms in Cardiothoracic Surgery is a 100-chapter compendium with an individual algorithm for clinical decisions spanning the entire scope of cardiothoracic surgery.
July 25, 2019
In this Giants of Cardiothoracic Surgery interview, Vaibhav Gupta speaks with Gail Darling of the University of Toronto, Canada, about esophageal surgery as well as esophageal cancer research and thoracic surgery training.
April 26, 2019
Patient Care and General Interest
Uruguay’s fight against tobacco and Phillip Morris was highlighted at the recent Annual Meeting of the American College of Cardiology, and one physician shares her thoughts.
December 19, 2018
The authors present a surgical video of a right VATS esophageal diverticulectomy and myotomy, along with advice for carrying out this procedure.
October 26, 2018
Patient Care and General Interest
Earl Bakken, Medtronic co-founder and inventor of the pacemaker, has died at age 94.