Pancreatic cancer has a dismal prognosis, but surgery offers a potential for cure in a minority of patients with localized disease. An in-depth review by Gudjonsson1 of 4100 patients with pancreatic… (More)
10.1056/nejmp0911199 nejm.org e12(1) parent reporting of quality, the application of these tools to health care is controversial, evoking fears of “cookbook medicine,” loss of professional autonomy,… (More)
This article tries to bring some clarity into the current confusion about the nature of nursing ethics. It distinguishes between the empirical, prescriptive and analytic dimensions of ethics. It then… (More)
BACKGROUND & AIMS
The nodal staging of esophageal cancer accounts for the absence or presence of metastatic lymph nodes (N0 or N1, respectively). Surgical data suggest that patients have worse… (More)
Question: A 37-yearold woman with history of stage IIA colon adenocarcinoma 4 years prior, underwent an unremarkable colonoscopy for intermittent abdominal pain and for surveillance. The next day,… (More)
An unusual cause of upper gastrointestinal bleeding is described in a previously healthy 45-year-old man who was admitted to hospital with weakness and fatigue, and had experienced an episode of… (More)
The article by Dellon et al,1 describing combined anterade and retrograde endoscopic dilation of radiationnduced esophageal strictures, is intriguing. At our institution, he combined endoscopic… (More)
BACKGROUND
The risk of developing pancreatic cancer is uncertain in patients with clinically suspected branch duct intraductal papillary mucinous neoplasm (BD-IPMN) based on the "high-risk stigmata"… (More)