Esophagectomy Complication Rate Higher with Low-volume Surgeons Even at the Same High-volume Center

Close up of two surgeons beginning thoracic surgery

A study conducted by Daniel Dolan, MD, MPH, Scott J. Swanson, MD, of the Division of Thoracic Surgery, and colleagues determined that even at the Brigham’s high-volume center, low individual esophagectomy volume was associated with a higher perioperative complication rate.

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Both Types of Liquid Human Milk Fortifier Promote Growth of Very-Low-Birthweight Infants

Newborn baby in NICU

Brigham researchers recently confirmed that administration of acidified human milk fortifier is associated with higher incidence of metabolic acidosis in the first weeks of life for very-low-birthweight infants, but the type of fortifier was not an important determinant of growth during the NICU stay.

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22q11.2 Deletion, Duplication Linked to Opposing Changes in White Matter

3D color medical concept of human brain white matter

Ofer Pasternak, PhD, and Johanna Seitz-Holland, MD, PhD, of the Department of Psychiatry at Brigham and Women’s Hospital, and colleagues conducted the first study to compare white matter in 22q-del and 22q-dup, and report finding opposing abnormalities that might indicate distinct pathologies.

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Typical Postoperative Opioid Requirement Quantified for “All-Inside” ACL Reconstruction

Prescription bottle of opioid pills spilled out onto table with black background

Eli T. Sayegh, MD, Elizabeth G. Matzkin, MD, and colleagues recently set out to define the opioid requirement for all-inside ACLR. They report pain control with a multimodal analgesia regimen that included a limited opioid taper of 15 tablets for five days, which had no negative effect on patient satisfaction.

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Survival Similar Whether Patients With Spinal Metastases Have Surgery or Not

X-ray highlighting spine metastasis

Researchers at Brigham and Women’s Hospital examined the two-year natural history of spinal metastases in cancer patients treated operatively or non-operatively and found that both types of treatment yielded improvements in health-related quality of life, but there was no survival advantage with surgery.

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Exenatide Mini-Pump Demonstrates Cardiovascular Safety in Type 2 Diabetes

3D rendering of exenatide drug molecule

The FREEDOM CVO trial investigated ITCA 650, an osmotic mini-pump that delivers a continuous subcutaneous infusion of exenatide. The primary efficacy outcome met the FDA’s prespecified criterion for noninferiority to placebo in a broad population of patients with T2D.

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Exploring the Role of Neurons in the Tumor Microenvironment that Drive Cancer Growth

Humsa Venkatesh, PhD, a cancer biologist, is studying the neural regulation of cancer and how nervous system cells found within the tumor microenvironment drive tumor growth. Her research has implications for primary brain tumors such as gliomas and for tumors that metastasize to the brain from other parts of the body.

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WEB Embolization: Transradial and Transfemoral Access Are Comparably Safe, Effective

CT Scan Axial View of Brain to Detect Aneurysm

Mahmoud Dibas, MD, and Adam A. Dmytriw, MD, MPH, MSc, at Brigham and Women’s Hospital, and colleagues used data from a large multicenter study to compare transradial access with transfemoral access for WEB embolization. They report the two approaches were associated with comparable radiologic and clinical outcomes.

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Study Explains Why Patients With Diabetes Are Prone to Thrombosis, Suggests New Therapeutic Target

Man puts on compression socks for thrombosis

An ion channel protein known as Piezo1 is known to facilitate thrombus formation, and researchers at Brigham and Women’s Hospital have shown it may represent a new target for therapies to prevent thrombosis in patients with type 2 diabetes mellitus who are at high risk.

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Novel Treatment May Improve Transplant Outcomes in Patients With Obesity

Bariatric surgery in operating room with surgeon looking at monitor

In a new study, Stefan G. Tullius, MD, PhD, of the Division of Transplant Surgery, Markus Quante, MD, of University Hospital Tuebingen, and colleagues present evidence that TDCA/valine may be a noninvasive alternative to bariatric surgery for improving transplant outcomes in patients with obesity.

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