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A repeat CT scan is not recommended unless there is a significant change in clinical findings or symptoms in a patient with functional abdominal pain syndrome (according to the Rome IV criteria).
Smarter medicine
Sociedad Suiza de Gastroenterología
X-ray exposure leads to a mediocre improvement in cancer risk. Abdominal computed tomography is one of the examinations with relatively high X-ray exposure, equivalent to very high natural radiation. Because of this risk and its high cost, CT scanning should only be done if it is likely to provide useful information that could change patient management.
ver más ... 2017No follow-up examination for three years is recommended in a patient diagnosed with Barrett's esophagus and whose biopsy at the end of a second endoscopy confirmed the absence of dysplasia
Smarter medicine
La Sociedad Suiza de Gastroenterología.
In patients with Barrett's esophagus without dysplasia (cell changes), the risk of cancer is very low. In such cases, it is appropriate and prudent to examine the esophagus and check whether there is dysplasia or not. However, these check-ups should not occur more frequently than every three years, because if these cellular changes occur, they do so very slowly.
ver más ... 2017Repeat screening for colorectal cancer (regardless of method) is recommended in individuals at medium risk for at least 10 years after a negative total colonoscopy.
Smarter medicine
La Sociedad Suiza de Gastroenterología
The recommended interval between each screening colonoscopy in adults without an increased risk of colorectal cancer is ten years from the age of 50. Published studies indicate that the risk of cancer is low for ten years if a total colonoscopy did not detect neoplasia in this population. Thus, following a total colonoscopy having given a normal result, the time to be observed before a new colorectal screening should be ten years.
ver más ... 2017It is recommended to adjust long-term antacid therapy (proton pump inhibitors or histamine 2 receptor antagonists) to the minimum effective dose necessary to achieve therapeutic goals.
Smarter medicine
La Sociedad Suiza de Gastroenterología
El principal identifiable risk associated with the reducción or suspension of the antiacid treatment is the empeoramiento de los síntomas. Hence it is deduced that the decision regarding the necessity (and dosificación) of the treatment of maintenance is based on the impact of these residual síntomas in the quality of vida del paciente and that this treatment is not considered as a medium of control of the confinement.
ver más ... 2017The use of invasive equipment placed (catheters, probes, drains) is not recommended if no benefit is expected in the intensive care patient. It is recommended to reassess the relevance of keeping ...
Smarter medicine
Sociedad Suiza de Medicina Intensiva
Invasive equipment in place (catheters, tubes, drains) should not be used if no benefit to the patient is expected. The correct course of action would be to reevaluate the relevance of maintaining them and withdrawing them when they are no longer necessary. The expected positive effects are the reduction of material consumption and associated costs and the reduction of associated complications (complications related to insertion, secondary infections, patient immobilization). The measures that ...
ver más ... 2017