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Gastrectomy complications

Yifei Lin, Youlin Long, Sike Lai, Yonggang Zhang, Qiong Guo, Jin Huang, Liang Du
BACKGROUND: Knotless barbed sutures can eliminate knot tying during the bariatric surgery (BS). Since effects reported on patients and surgeons are ambiguous, this study is determined to identify the effectiveness and safety of knotless barbed suture in BS. METHODS: PubMed, EMBASE, Cochrane Register of Clinical Studies, and were searched for randomized controlled trials (RCTs) and cohort studies comparing barbed sutures with conventional sutures in BS (until July 2, 2018)...
February 18, 2019: Obesity Surgery
Qing He, Ning-Ning Yang, Yong-Jiu Xie, Yong-Song Guan
INTRODUCTION: Presently, bariatric surgery is a widespread treatment for obesity and its co-morbidities. Comprehensive evidence from outcomes of bariatric surgery supported that the surgery is safe and effective. However, we should be aware of the multiple risks of bariatric surgery, especially the severe infection at the operation site. CASE PRESENTATION: A 30-year-old woman was hospitalized for anastomotic leakage with abscess after laparoscopic sleeve gastrectomy...
February 12, 2019: International Journal of Surgery Case Reports
Kei Hosoda, Hiroaki Mieno, Akira Ema, Hideki Ushiku, Marie Washio, Ildae Song, Masahiko Watanabe, Keishi Yamashita
BACKGROUND: Conventional laparoscopic and open distal gastrectomy procedures have inherent limitations such as restricted movement of straight forceps and tremor of the tip of the devices that can potentially be overcome using robotic distal gastrectomy (RDG). This single-institutional phase II trial aimed to evaluate the safety and feasibility of RDG with lymph node dissection for clinical stage IA gastric cancer. METHODS: The study included patients with clinical stage IA gastric cancer in the lower two-thirds of the stomach considered to be curatively resected via distal gastrectomy...
February 14, 2019: Journal of Surgical Research
Adam C Sheka, Scott Kizy, Keith Wirth, Jayleen Grams, Daniel Leslie, Sayeed Ikramuddin
BACKGROUND: NonHispanic black patients bear a disproportionate burden of the obesity epidemic and its related medical co-morbidities. While bariatric surgery is the most effective treatment for morbid obesity, black patients access bariatric surgery at lower rates than nonHispanic white patients. OBJECTIVES: To examine racial differences before bariatric surgery and in short-term perioperative outcomes and complications, and the extent to which race is independently associated with perioperative morbidity and mortality...
December 22, 2018: Surgery for Obesity and related Diseases: Official Journal of the American Society for Bariatric Surgery
César Ramírez-Cáceres, Estrella Uzcátegui-Paz, Ricardo Lozano-Hernández
Introduction: Peroperative treatment has required multimodal protocols that stimulate patient evolution and shorten hospital stay. Objective: Identify the type of pathology, intervention performed and evaluate the effectiveness of the Rapid Postoperative Improvement Protocol (RAMPO) in patients undergoing elective gastrointestinal surgery. Method: A total of 122 patients were evaluated, a group of 61 patients received the RAMPO protocol and the other group of equal number of patients were treated with traditional protocols (Controls)...
2019: Cirugia y Cirujanos
Sarah Pearlstein, Sarah A Sabrudin, Ali Shayesteh, Eric R Tecce, Mitchell Roslin
BACKGROUND: Inadequate weight loss following LAGB (laparoscopic adjusted gastric banding) requiring band removal and conversion to another bariatric procedure is common. There is a paucity of objective data to guide procedure selection. Single anastomosis modifications (SIPS, SADI, SADS) of the duodenal switch biliopancreatic division (DS-BPD) are being investigated. Laparoscopic sleeve gastrectomy (LSG) has become the most prevalent primary bariatric procedure and has been used for revision following LAGB...
February 14, 2019: Obesity Surgery
Maciej Walędziak, Anna M Różańska-Walędziak, Piotr K Kowalewski, Michal R Janik, Jakub Brągoszewski, Krzysztof Paśnik, Grzegorz Bednarczyk, Grzegorz Wallner, Maciej Matłok
Introduction: As obesity has become a major health problem in Poland and bariatric procedures are the best way of treatment, an increasing trend has been observed in Polish bariatric surgery for the last decade. Aim: Our purpose was to provide an updated overview of the bariatric surgical procedures performed in Polish institutions in comparison to the situation in Europe as well as to analyze the trends in Polish bariatric surgery over the last decades. Material and methods: A questionnaire about the number and type of bariatric procedures performed in 2016 was sent to all Polish surgical departments...
January 2019: Wideochirurgia i Inne Techniki Mało Inwazyjne, Videosurgery and Other Miniinvasive Techniques
Antonio Giuliani, Lucia Romano, Eleonora Papale, Ilaria Puccica, Marino Di Furia, Andrea Salvatorelli, Giovanni Cianca, Mario Schietroma, Gianfranco Amicucci
BACKGROUND: Laparoscopic Sleeve Gastrectomy (LSG) has become a very frequent procedure in bariatric surgery. Despite its simplicity, it can have serious complications. Among these, gastric leak is one of the most feared complications. Numerous intraoperative maneuvers have been suggested in an attempt to decrease the incidence of leak. In our center, we decided to study one of the intraoperative measure proposed, which consists in positioning the suture machine to 1.5 cm from His corner...
February 13, 2019: Minerva Chirurgica
Marcus J Adair, Samer Alharthi, Jorge Ortiz, Weikai Qu, Mohanad Baldawi, Munier Nazzal, Arunkumar Baskara
The aim of this study was to compare postoperative outcomes after robotic-assisted and laparoscopic bariatric sleeve gastrectomy (SG). Sleeve gastrectomy is traditionally performed using laparoscopic techniques. Robotic-assisted surgery enables surgeons to perform minimally invasive SG, but with unknown benefits. Using a national database, we compared postoperative outcomes after laparoscopic SG and robotic-assisted SG. National data from individuals undergoing elective SG in the National Inpatient Sample database between 2011 and 2013 were analyzed...
January 1, 2019: American Surgeon
Yusuke Watanabe, Masato Watanabe, Nobuhiro Suehara, Michiyo Saimura, Yusuke Mizuuchi, Kazuyoshi Nishihara, Toshimitsu Iwashita, Toru Nakano
BACKGROUND: Delta-shaped anastomosis is an established procedure for intracorporeal Billroth-I reconstruction (B-I). However, this procedure has several technical and economic problems. The aim of the current study was to present the technique of B-I using an overlap method (overlap B-I), which is a side-to-side intracorporeal gastroduodenostomy in laparoscopic distal gastrectomy (LDG), and to evaluate the short- and long-term outcomes of this overlap B-I procedure. METHODS: We retrospectively reviewed the medical records of 533 patients who underwent LDG with overlap B-I (n = 247) or Roux-en-Y reconstruction (R-Y) (n = 286)...
February 13, 2019: Surgical Endoscopy
Min Seo Kim, Yeongkeun Kwon, Eun Pyung Park, Liang An, Haeyeon Park, Sungsoo Park
BACKGROUND: In this modern era, laparoscopic distal gastrectomy (LDG) has largely replaced open distal gastrectomy for the treatment of gastric cancer; however, a quantitative review of reconstruction methods applied exclusively using LDG has not yet been published. Thereafter, we compared three reconstruction methods (Billroth I, Billroth II, and Roux-en Y) using the data derived solely from LDG patients. METHODS: A systematic search was conducted using electronic bibliographic databases (Google Scholar, PubMed, and Embase), for articles that compared reconstruction methods in LDG, published within the last decade...
February 12, 2019: World Journal of Surgery
Laurent Bailly, Luigi Schiavo, Lionel Sebastianelli, Roxane Fabre, Adeline Morisot, Christian Pradier, Antonio Iannelli
BACKGROUND: The association between bariatric surgery (BS) and the prevention of type 2 diabetes (T2D) and its complications in patients with obesity has been rarely addressed in large, nationwide database studies. OBJECTIVE: To estimate the preventive effect of BS against T2D and its vascular complications in patients with obesity without co-morbidity at baseline. SETTING: All French public and private hospitals. METHODS: Data were extracted from the French National Health Service database between 2008 and 2016...
January 8, 2019: Surgery for Obesity and related Diseases: Official Journal of the American Society for Bariatric Surgery
Farah Ladak, Jerry T Dang, Noah J Switzer, Valentin Mocanu, Daniel W Birch, Shahzeer Karmali
BACKGROUND: Complications arising from laparoscopic Roux-en-Y gastric bypass (LRYGB) and laparoscopic sleeve gastrectomy (LSG) are not insignificant and can necessitate additional invasive interventions or reoperations. OBJECTIVES: In this study, we identify early complications that result in nonoperative and operative interventions after LSG and LRYGB, the timeframe within which to expect them, and factors that influence the likelihood of their occurrence. SETTING: Multi-institutional database from across North America...
January 11, 2019: Surgery for Obesity and related Diseases: Official Journal of the American Society for Bariatric Surgery
Jianzhong Di, Chen Wang, Pin Zhang, Xiaodong Han, Weijie Liu, Hongwei Zhang
Background: The aim of this study was to evaluate the medium-term metabolic results of laparoscopic sleeve gastrectomy (LSG) in Chinese patients. Methods: We performed a retrospective study of our LSG results between February 2011 and February 2015, and conducted a literature review of stenosis after LSG during a recent 10-year period. Results: Of 142 patients in our study, the mean initial body mass index (BMI) was 38.34 kg/m2 , the mean age of the patients (44 males and 98 females) was 29...
December 2018: Annals of Translational Medicine
M Milone, M Manigrasso, M Burati, U Elmore, N Gennarelli, M Cesare Giglio, F Maione, M Musella, V Lo Conte, F Milone, G Domenico De Palma
AIM: To perform a systematic review and meta-analyses of studies comparing the totally laparoscopic procedures with intracorporeal anastomosis (IA) to laparoscopic-assisted surgery with extracorporeal anastomosis (EA) in gastric resections. METHODS: We performed a systematic search in the electronic databases. Outcomes analysed were: intraoperative (operative time and intraoperative blood loss), oncologic (harvested nodes, distance of the tumour from proximal and distal margin), postoperative complications (gastric stasis, intraluminal and extraluminal bleeding, leakage and wound infection) recovery (time to first flatus, time to first oral intake and hospital stay)...
February 5, 2019: Journal of Visceral Surgery
Mohammad Fathy, Mohamed Anwar Abdel-Razik, Ayman Elshobaky, Sameh Hany Emile, Ghada El-Rahmawy, Ahmed Farid, Hosam Ghazy Elbanna
BACKGROUND: One of the most common adverse effects of laparoscopic sleeve gastrectomy (LSG) is postoperative nausea and vomiting (PONV). The present study aimed to assess the impact of local injection of a mixture of magnesium sulfate and lidocaine into the pylorus on gastric intraluminal pressure (ILP) and PONV after LSG. METHODS: Patients with morbid obesity who underwent LSG were randomly allocated to one of two equal groups: treatment group (pyloric injection of a mixture of magnesium sulfate and lidocaine) and control group (pyloric injection of normal saline)...
February 8, 2019: Obesity Surgery
A T Billeter, B P Müller-Stich
In recent years the surgical treatment of metabolic diseases has become established as an effective alternative to conservative treatment. The new S3 guidelines address these changes and give clear indications for obesity surgery. One of the core points of the new guidelines is the differentiation between obesity surgery and metabolic surgery. In obesity surgery the primary aim of treatment is weight loss whereas for metabolic indications the aim is an improvement of comorbidities independent of the body mass index (BMI)...
February 2019: Der Chirurg; Zeitschrift Für Alle Gebiete der Operativen Medizen
Georges Bou Nassif, Chady Salloum, Luca Paolino, Daniel Azoulay, Andrea Lazzati
INTRODUCTION: The immunosuppressive therapy for life after liver transplantation (LT) is considered as a risk factor for obesity. Seven percent of the transplanted patients develop severe or morbid obesity. The obesity induces non-alcoholic steatohepatitis (NASH), which is a major risk factor for liver cirrhosis and hepatocellular carcinoma, without forgetting the cardiovascular risk and the devastating impact of obesity on quality of life of the transplanted patients. Consequently, obesity exposes these patients to future transplant loss...
February 6, 2019: Obesity Surgery
Suriya Punchai, Zubaidah Nor Hanipah, Gautam Sharma, Ali Aminian, Karen Steckner, Jacek Cywinski, James B Young, Stacy A Brethauer, Philip R Schauer
BACKGROUND: There is limited data in the literature evaluating outcomes of bariatric surgery in severely obese patients with left ventricular assist device (LVAD) as a bridge to make them acceptable candidates for heart transplantation. This study aims to assess the safety and effectiveness of laparoscopic sleeve gastrectomy (LSG) in patients with previously implanted LVAD at our institution. METHODS: All the patients with end-stage heart failure (ESHF) and implanted LVAD who underwent LSG from2013 to January 2017 were studied...
February 5, 2019: Obesity Surgery
Mohit Bhandari, Winni Mathur, Mathias Fobi, Susmit Kosta
BACKGROUND: Obesity is an epidemic with an increasing incidence in geriatric individuals also. The aim of the present study is to determine the outcomes in geriatric patients ≥ 65 years, who underwent Bariatric Surgery. MATERIAL AND METHODS: A retrospective review was performed of prospectively collected data on geriatric patients (age 65 to 80 years) who had undergone bariatric surgery at a single institution from Jan. 2010 to Dec. 2013. A cohort of adult patients (age 17 to 64 years) were matched for comparative evaluation who also underwent bariatric surgery in the same period...
February 5, 2019: Obesity Surgery
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