Author(s): Papamichail M; Department of Hepato-Pancreato-Biliary Surgery, Royal Blackburn Hospital; Pizanias M; Department of General Surgery, Whittington Hospital, London; Heaton ND; Department of Liver Transplant and Hepato-Pancreato-Biliary Surgery, Institute of Liver Studies, Kings Health Partners at King's College Hospital NHS Trust, London.
Source: Hepatobiliary & pancreatic diseases international : HBPD INT, 2022 Apr; Vol. 21 (2).
Abstract: Primary and secondary liver tumors are not always amenable to resection due to location and size. Inadequate future liver remnant (FLR) may prevent patients from having a curative resection or may result in increased postoperative morbidity and mortality from complications related to small-for-size syndrome (SFSS).

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Author(s): Haque, Adam; Al-Khaffaf, Haytham; Cumbria and Lancashire Vascular and Endovascular Centre, East Lancashire Hospitals NHS Trust, Blackburn.Source: Annals of vascular surgery 2022 Apr; Vol. 81, pp. 267-272. Abstract: High output cardiac failure is a serious complication of arteriovenous fistulae•Re-do surgery aims to reduce flow rate through the AVF whilst maintaining access•The Secondary Extension Technique (SET) is an effective surgical technique•Evaluating the success of re-do surgery is thus far limited to clinical observation•Reductions in Pro-BNP correlate with flow rate and resolution of symptoms post SET.

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Author(s): Ali M; School of Medicine, The University of Manchester: Shiwani HA; Burnley General Hospital.
Source: The Egyptian heart journal : (EHJ) : official bulletin of the Egyptian Society of Cardiology, 2022 Apr 05; Vol. 74 (1), pp. 23. 
Abstract: Myocarditis has been discovered to be a significant complication of coronavirus disease 2019 (COVID-19), a condition caused by the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) virus. COVID-19 myocarditis seems to have distinct inflammatory characteristics, which make it unique to other viral etiologies. The incidence of COVID-19 myocarditis is still not clear as a wide range of figures have been quoted in the literature; however, it seems that the risk of developing myocarditis increases with more severe infection. Furthermore, the administration of the mRNA COVID-19 vaccine has been associated with the development of myocarditis, particularly after the second dose. COVID-19 myocarditis has a wide variety of presentations, ranging from dyspnea and chest pain to acute heart failure and possibly death. 

• Available here https://tehj.springeropen.com/track/pdf/10.1186/s43044-022-00260-2.pdf

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Author(s): Taylor AK; School of Medicine, Leeds Institute of Health Sciences, Faculty of Medicine and Health, University of Leeds; Kausar A & Chang D; Department of General Surgery, Royal Blackburn Hospital et al. 
Source: BJGP open, 2022 Apr 06. 
Abstract: Ten per cent of patients diagnosed with pancreatic cancer undergo pancreaticoduodenectomy. It is known that these patients have unmet psychological support needs, and GPs are key in enabling effective coordination of care for people living with life-shortening conditions.

• Available here: https://bjgpopen.org/content/early/2022/04/05/BJGPO.2021.0154.long

Author(s): Serruys, P.; Gao, C.; Garg, S et al.
Source: Journal of the American College of Cardiology, 2022 Supplement; 79(15)
Abstract: To compare the observed and individual predicted mortalities according to the SYNTAX score II 2020 (SSII-2020) in the all-comers SYNTAX population, and retrospectively assess the appropriateness of revascularization with percutaneous coronary intervention (PCI) and coronary artery bypass grafting (CABG) in patients with three vessel disease (3VD) and/or left main disease (LMCAD).

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Author(s): Lead Nurse Endoscopist, Burnley General Hospital.
Source: Nursing Standard; 37(4)
Abstract: Colonoscopy is an invasive, endoscopic procedure undertaken to visualise the inner lumen of the colon and is used for a variety of diagnostic purposes. The procedure is increasingly performed by nurse endoscopists. This article provides an overview of the indications and contraindications for colonoscopy and describes various elements of the procedure, including consent, sedation and bowel preparation within the context of the evidence base. The article also discusses patient care before, during and after the procedure.

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Author(s): Newton, Laura: Department of Rheumatology, Burnley General Teaching Hospital et al. 
Source: Rheumatology, Volume 61, Issue 4, April 2022, Pages 1645–1650.
Abstract: Diagnosing the idiopathic inflammatory myopathies (IIMs) can be challenging as several conditions, including genetic myopathies such as limb girdle muscular dystrophy type R12 (LGMD 2 l, anoctaminopathy) mimic the presentation. Here we describe learning points identified from review of four patients with LGMD 2 l who were initially incorrectly diagnosed with IIM. Our aim is to provide clinicians working in adult rheumatology services with a toolkit to help identify non-inflammatory presentations of myopathy.

• Available here https://doi.org/10.1093/rheumatology/keab553