American journal of surgery最新文献_第2页

The incidence of “de-novo” diabetes mellitus in patients with acute pancreatitis and its association with outcome and severity 急性胰腺炎患者“再发”糖尿病的发生率及其与预后和严重程度的关系

IF 2.7 3区医学

American journal of surgery Pub Date : 2025-10-10 DOI: 10.1016/j.amjsurg.2025.116663

Prishita Banerji, Yajjat Garg

{"title":"The incidence of “de-novo” diabetes mellitus in patients with acute pancreatitis and its association with outcome and severity","authors":"Prishita Banerji, Yajjat Garg","doi":"10.1016/j.amjsurg.2025.116663","DOIUrl":"10.1016/j.amjsurg.2025.116663","url":null,"abstract":"<div><h3>Introduction</h3><div>Acute pancreatitis (AP) may lead to the development of de-novo diabetes mellitus (DM) due to pancreatic endocrine dysfunction. The incidence and risk factors for this complication remain under-investigated.</div></div><div><h3>Aim</h3><div>To evaluate the incidence of de-novo DM in patients with AP and its association with disease severity.</div></div><div><h3>Methods</h3><div>A retrospective cohort study of 91 patients hospitalised with AP from January 2022 to December 2023 was conducted. Follow-up from January to November 2024 evaluated the development of de-novo DM.</div></div><div><h3>Results</h3><div>De-novo DM occurred in 39 patients (42 %), with a median age of 54 years. Severe AP was observed in 43 %, 31 % of whom required ICU care and 6.5 % underwent necrosectomy. Four patients died. Among DM cases, 67 % required insulin, 28 % oral medication, and 5 % discontinued treatment.</div></div><div><h3>Conclusion</h3><div>De-novo DM is a common and serious consequence of AP. Disease severity strongly correlates with diabetes development and outcomes.</div></div>","PeriodicalId":7771,"journal":{"name":"American journal of surgery","volume":"250 ","pages":"Article 116663"},"PeriodicalIF":2.7,"publicationDate":"2025-10-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145312108","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

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Spaced repetition in surgical education: Understanding the barriers and opportunities for broader adoption through a plastic surgery lens. 外科教育中的间隔重复：通过整形外科镜头了解更广泛采用的障碍和机会。

IF 2.7 3区医学

American journal of surgery Pub Date : 2025-10-10 DOI: 10.1016/j.amjsurg.2025.116655

Zachary A Koenig, Joshua T Henderson, Iraj Hasan, Sebastian M Brooke

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Emeritus Editorial Board 名誉编辑委员会

IF 2.7 3区医学

American journal of surgery Pub Date : 2025-10-09 DOI: 10.1016/S0002-9610(25)00459-3

引用次数: 0

Lessons for the surgeon from the early history of the Zollinger Ellison syndrome: The 6th Alexander Walt Historical Lecture Presented at the Midwest Surgical Association 68th Annual Meeting Delavan, Wisconsin July 27, 2025. 从佐林格·埃里森综合征的早期历史给外科医生的教训：第六届亚历山大·沃尔特历史讲座在中西部外科协会第68届年会上提出，威斯康星州德拉万，2025年7月27日。

IF 2.7 3区医学

American journal of surgery Pub Date : 2025-10-09 DOI: 10.1016/j.amjsurg.2025.116654

E Christopher Ellison

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When equal incidence isn't equal: Mortality gaps in breast cancer under 40. 当发病率不相等时：40岁以下乳腺癌的死亡率差距。

IF 2.7 3区医学

American journal of surgery Pub Date : 2025-10-06 DOI: 10.1016/j.amjsurg.2025.116649

Margaux Powell, Kathie-Ann Joseph

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Women in surgical innovation (part II): Getting to know yourself, your customer, and your product. 外科创新中的女性（第二部分）：了解你自己、你的客户和你的产品。

IF 2.7 3区医学

American journal of surgery Pub Date : 2025-10-04 DOI: 10.1016/j.amjsurg.2025.116653

Rachel M Russo, Janine F Elliott, Tandis Soltani, Asanthi Ratnasekera, Mecker G Möller, Pauline K Park

引用次数: 0

Pancreaticojejunostomy with duct-to-mucosa versus invagination techniques: a propensity-score matching analysis based on pancreatic duct size and gland texture 胰空肠吻合术与导管到粘膜的内陷技术：基于胰管大小和腺体结构的倾向评分匹配分析

IF 2.7 3区医学

American journal of surgery Pub Date : 2025-10-03 DOI: 10.1016/j.amjsurg.2025.116646

Apostolos Gaitanidis , Winifred M. Lo , Rachel A. Burke , Eric C. Feliberti , Elexa P. Rallos , Ashley M. May , Adam N. Akari , Marybeth S. Hughes , Peter J. Fagenholz

{"title":"Pancreaticojejunostomy with duct-to-mucosa versus invagination techniques: a propensity-score matching analysis based on pancreatic duct size and gland texture","authors":"Apostolos Gaitanidis , Winifred M. Lo , Rachel A. Burke , Eric C. Feliberti , Elexa P. Rallos , Ashley M. May , Adam N. Akari , Marybeth S. Hughes , Peter J. Fagenholz","doi":"10.1016/j.amjsurg.2025.116646","DOIUrl":"10.1016/j.amjsurg.2025.116646","url":null,"abstract":"<div><h3>Background</h3><div>The superiority of duct-to-mucosa (DTM) and invagination (IVG) techniques for pancreaticoduodenectomy has not been established. This is the largest study to compare their outcomes with granular data regarding parenchymal texture and duct size.</div></div><div><h3>Methods</h3><div>The NSQIP database for patients undergoing open pancreaticoduodenectomy was investigated. Subgroups were based on pancreatic duct size (<3 mm, 3–6 mm, >6 mm) and gland texture (soft, intermediate, hard). Propensity score matching (PSM) was used. The primary outcome was postoperative pancreatic fistula (POPF).</div></div><div><h3>Results</h3><div>After PSM, there were no differences in the rates of POPF in any subgroup by duct size or gland texture. When examining secondary outcomes, the IVG group was associated with shorter duration of postoperative drain presence among patients with 3–6 mm ducts.</div></div><div><h3>Conclusions</h3><div>No differences exist in POPF rates between DTM and IVG techniques in subgroups of patients with similar pancreatic duct size and parenchymal texture. The IVG technique may be associated with earlier drain removal in some patients.</div></div>","PeriodicalId":7771,"journal":{"name":"American journal of surgery","volume":"250 ","pages":"Article 116646"},"PeriodicalIF":2.7,"publicationDate":"2025-10-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145262620","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Deconstructing racial disparities in timely treatment of triple-negative breast cancer: A causal mediation analysis 解构三阴性乳腺癌及时治疗中的种族差异：因果中介分析

IF 2.7 3区医学

American journal of surgery Pub Date : 2025-10-03 DOI: 10.1016/j.amjsurg.2025.116651

Trisha Lal , Richard S. Hoehn , Alberto J. Montero , Amanda L. Amin

{"title":"Deconstructing racial disparities in timely treatment of triple-negative breast cancer: A causal mediation analysis","authors":"Trisha Lal , Richard S. Hoehn , Alberto J. Montero , Amanda L. Amin","doi":"10.1016/j.amjsurg.2025.116651","DOIUrl":"10.1016/j.amjsurg.2025.116651","url":null,"abstract":"<div><h3>Purpose</h3><div>Racial disparities in cancer care are often attributed to race rather than the structural factors through which they emerge. This study quantified how socioeconomic and institutional factors mediate treatment delays in triple-negative breast cancer (TNBC).</div></div><div><h3>Methods</h3><div>Using the National Cancer Database (2004–2022), we identified patients with stage I-III TNBC who initiated definitive treatment. Race/ethnicity was categorized as non-Hispanic White (NHW), non-Hispanic Black (NHB), Hispanic, or Other. Treatment delay was defined as >30 days from diagnosis to first treatment. Causal mediation analysis estimated the contribution of education, income, comorbidities, insurance status, and facility, stratified by treatment sequence.</div></div><div><h3>Results</h3><div>Delays were most pronounced among patients receiving chemotherapy first. Mediators explained 40 %, 46 %, and 23 % of the treatment delays among NHB, Hispanic, and Other patients, respectively. Education was the strongest mediator.</div></div><div><h3>Conclusions</h3><div>Targeting chemotherapy-first patients, particularly through educational interventions, may be key to reducing disparities in timely treatment for TNBC.</div></div>","PeriodicalId":7771,"journal":{"name":"American journal of surgery","volume":"250 ","pages":"Article 116651"},"PeriodicalIF":2.7,"publicationDate":"2025-10-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145262618","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

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Beyond the OR: Building your niche and brand as a path to career growth in academic surgery. 超越手术室：建立你的利基和品牌，作为学术外科职业发展的道路。

IF 2.7 3区医学

American journal of surgery Pub Date : 2025-10-03 DOI: 10.1016/j.amjsurg.2025.116652

Isabella Faria, Lisa K Cannada

引用次数: 0

Redrawing the surgical line: The role of female surgeon mentorship in shaping female medical students’ perceptions of surgery 重新绘制外科线：女外科医生指导在塑造女医学生对外科的看法中的作用

IF 2.7 3区医学

American journal of surgery Pub Date : 2025-10-03 DOI: 10.1016/j.amjsurg.2025.116650

Meghan Lemons , Dylan T. Vance , Allianna Mitchell , Hannah G. Geoffroy , Ellie M. Helton , Lyndsey J. Kilgore

{"title":"Redrawing the surgical line: The role of female surgeon mentorship in shaping female medical students’ perceptions of surgery","authors":"Meghan Lemons , Dylan T. Vance , Allianna Mitchell , Hannah G. Geoffroy , Ellie M. Helton , Lyndsey J. Kilgore","doi":"10.1016/j.amjsurg.2025.116650","DOIUrl":"10.1016/j.amjsurg.2025.116650","url":null,"abstract":"<div><h3>Background</h3><div>Although females comprise the majority of medical students in the United States, they remain underrepresented in surgical specialties.</div></div><div><h3>Methods</h3><div>A medical student chapter of the Association of Women Surgeons (AWS) organized shadowing experiences with female surgeons for preclinical students. Pre- and post-surveys were administered assessing perceptions of surgery, confidence in finding a mentor, and interest in surgical careers.</div></div><div><h3>Results</h3><div>Twenty-six female students participated. After shadowing, they felt more comfortable with surgeons (p = 0.011), more supported by surgeons (p = 0.031), and more confident in finding a surgical mentor (p = 0.037). Comments about the experience were positive and they looked forward to exploring surgery further with female surgeons.</div></div><div><h3>Conclusions</h3><div>Early exposure to female surgeon role models positively affects female medical students’ perceptions of surgery and access to mentorship. Expanding such shadowing opportunities across all medical schools would further support female medical students considering pursuing a surgical specialty.</div></div>","PeriodicalId":7771,"journal":{"name":"American journal of surgery","volume":"250 ","pages":"Article 116650"},"PeriodicalIF":2.7,"publicationDate":"2025-10-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145262619","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0