Comparison of complications associated with conservative and surgical treatment for stable cases of coronary artery disease: meta-analysis and systematic review

Coronary artery disease (CAD) is a severe public health issue. Genetic, environmental, and lifestyle factors affect the development of coronary artery disease. There are several medicinal and interventional treatments offered to treat CAD. This study aimed to compare the complications associated with conservative and surgical treatments of CAD. Data was taken from PubMed, where 679 clinic trials and randomised control trials were chosen after adding filters and 25 studies were added by hand search. Articles were then analysed, and only ten studies were taken for meta-analysis. A total of 41025 patients were added to these studies, out of which 12077 were treated surgically and 28948 were treated by conservative management either by monotherapy or combined medicinal therapy. Further, the meta-analysis done with the help of Revman concluded that 6% (CI 0.00–16.8%) complication cases were reported in conservative treatment and 2% (CI 0.00–23%) in surgical treatment, where the I2 was 100%. Considering the treatments separately, 901 patients given monotherapy and 354 given combined medicinal therapy were reported to have complications. As per the surgical treatments, 509 cases were reported when treated by SAG, and MAG, 216 with PCI, and CABG, 40 when treated by EVH and OVH, and 10 patients faced complications when treated with angioplasty, reported to suffer complications after treatment. So, the surgical treatments, as per this review, have been proven to have less complications than conservative treatment.

The critical role of diet and nutrition in managing inflammatory bowel disease

The persistent inflammation during inflammatory bowel disease (IBD) can severely harm the GI tract. There are several symptoms of IBD, which produce discomfort, frequent bowel movements, blood in stools, loss of weight, and tiredness, which have an impact on the lives of patients and their nutritional health. Managing IBD involves paying attention to diet and nutrition. It is important to identify trigger foods for each individual using methods like keeping food diaries or following plans recommended by dietitians that are low in residue or FODMAPs. Nutritional deficiencies, common in IBD, require attention to prevent malnutrition, muscle wasting, and complications. Having a proper dietary plan and accounting for disease characteristics and patient preferences is essential. Also, medication interactions are important during dietary monitoring. Dehydration, affecting many IBD patients, underscores the importance of maintaining fluid intake. An approach to managing IBD requires teamwork among healthcare professionals, dietitians, and patients. It involves customizing plans and combining them with medical treatments to achieve the best possible control over the disease.