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Arquivos Brasileiros de Cirurgia Digestiva: ABCD, Brazilian Archives of Digestive Surgery

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https://www.readbyqxmd.com/read/29947696/trunk-body-mass-index-a-new-reference-for-the-assessment-of-body-mass-distribution
#1
Mariane Takesian, Marco Aurelio Santo, Alexandre Vieira Gadducci, Gabriela Correia de Faria Santarém, Julia Greve, Paulo Roberto Silva, Roberto de Cleva
BACKGROUND: Body mass index (BMI) has some limitations for nutritional diagnosis since it does not represent an accurate measure of body fat and it is unable to identify predominant fat distribution. AIM: To develop a BMI based on the ratio of trunk mass and height. METHODS: Fifty-seven patients in preoperative evaluation to bariatric surgery were evaluated. The preoperative anthropometric evaluation assessed weight, height and BMI. The body composition was evaluated by bioimpedance, obtaining the trunk fat free mass and fat mass, and trunk height...
June 21, 2018: Arquivos Brasileiros de Cirurgia Digestiva: ABCD, Brazilian Archives of Digestive Surgery
https://www.readbyqxmd.com/read/29947695/non-invasive-preventive-ventilation-with-two-pressure-levels-in-the-postoperative-period-of-roux-en-y-gastric-bypass-randomized-trial
#2
Mabelle Gomes de Oliveira Cavalcanti, Lívia Barboza Andrade, Patrícia Clara Pereira Dos Santos, Leandro Ricardo Rodrigues Lucena
BACKGROUND: Obesity is characterized by excessive accumulation of body fat, which causes damage to the health of individuals, such as breathing difficulties. AIM: To verify the results of non-invasive ventilation as a preventive strategy on the decline of respiratory function and postoperative complications in patients undergoing Roux-en-Y gastric bypass. METHODS: This is a randomized trial, according to CONSORT standards, with obese adults aged 18-40 years...
June 21, 2018: Arquivos Brasileiros de Cirurgia Digestiva: ABCD, Brazilian Archives of Digestive Surgery
https://www.readbyqxmd.com/read/29947694/higher-values-in-liver-elastography-and-meld-score-are-mortality-predictors-on-liver-transplant-waiting-list
#3
Lucas Souto Nacif, Denise C Paranagua-Vezozzo, Alina Matsuda, Venancio Avancini Ferreira Alves, Flair J Carrilho, Alberto Queiroz Farias, Luiz Carneiro D'Albuquerque, Wellington Andraus
BACKGROUND: Liver elastography have been reported in hepatocellular carcinoma (HCC) with higher values; however, it is unclear to identify morbimortality risk on liver transplantation waiting list. AIM: To assess liver stiffness, ultrasound and clinical findings in cirrhotic patients with and without HCC on screening for liver transplant and compare the morbimortality risk with elastography and MELD score. METHOD: Patients with cirrhosis and HCC on screening for liver transplant were enrolled with clinical, radiological and laboratory assessments, and transient elastography...
June 21, 2018: Arquivos Brasileiros de Cirurgia Digestiva: ABCD, Brazilian Archives of Digestive Surgery
https://www.readbyqxmd.com/read/29947693/early-oral-feeding-post-upper-gastrointestinal-tract-resection-and-primary-anastomosis-in-oncology
#4
Lilian Pinheiro Lopes, Taysa Machado Menezes, Diogo Oliveira Toledo, Antônio Talvane Torres DE-Oliveira, Adhemar Longatto-Filho, José Eduardo de Aguilar Nascimento
BACKGROUND: The practice of starving patients in the immediate period after upper gastrointestinal surgery is widespread. Early oral intake has been shown to be feasible and may result in faster recovery and decrease length of hospital. AIM: To evaluate the feasibility and safety of oral nutrition on postoperative early feeding after upper gastrointestinal surgeries. METHODS: Observational cohort design study with convenience retrospective data in both genders, over 18 years, undergoing to total gastrectomy and/or elective esophagectomy...
June 21, 2018: Arquivos Brasileiros de Cirurgia Digestiva: ABCD, Brazilian Archives of Digestive Surgery
https://www.readbyqxmd.com/read/29947692/prognostic-value-of-carcinoembryonic-antigen-levels-in-transoperative-peritoneal-lavage-in-patients-with-gastric-cancer
#5
Letícia Biscaino Alves, Maria Teresa Tsukazan, Ana Elisa Serafim, Rolando Mendoza, Alexandre Vontobel Padoin, Plínio Carlos Baú, Luis Fernando Moreira
BACKGROUND: The carcinoembryonic antigen level in peritoneal lavage has been showing to be a reliable prognostic factor in gastric cancer. AIM: To identify any association between carcinoembryonic antigen level in peritoneal lavage, in gastric cancer patients, with mortality, peritoneal recurrence, tumor relapse or other prognostic factors. METHODS: In total, 30 patients (22 men, 8 women; median age 66 years) with resectable gastric cancer (mainly stage III and IV) were studied...
June 21, 2018: Arquivos Brasileiros de Cirurgia Digestiva: ABCD, Brazilian Archives of Digestive Surgery
https://www.readbyqxmd.com/read/29947691/prevalence-and-risk-factors-of-hyperkalemia-after-liver-transplantation
#6
Helem Sena Ribeiro, Michelle Carvalho Oliveira, Lucilene Rezende Anastácio, Simone Vasconcelos Generoso, Agnaldo Soares Lima, Maria Isabel Correia
BACKGROUND: There is a lack of data regarding hyperkalemia after liver transplantation. AIM: To evaluate the prevalence of hyperkalemia after liver transplantation and its associated factors. METHODS: This retrospective cohort study evaluated 147 consecutive post-transplant patients who had at least one year of outpatient medical follow up. The data collection included gender, age, potassium values, urea, creatinine, sodium and medication use at 1, 6 and 12 months after...
June 21, 2018: Arquivos Brasileiros de Cirurgia Digestiva: ABCD, Brazilian Archives of Digestive Surgery
https://www.readbyqxmd.com/read/29947690/depression-anxiety-and-binge-eating-before-and-after-bariatric-surgery-problems-that-remain
#7
Graziela Aparecida Nogueira de Almeida Ribeiro, Helenice Brizolla Giapietro, Lídia Barbieri Belarmino, Wilson Salgado-Junior
BACKGROUND: As the number of surgeries increases and the elapsed time of the realization increases as well, the postoperative evaluations would become increasingly necessary. AIM: To assess the psychological profile before and after surgery. METHODS: Were evaluated 281 patients from the public service of bariatric surgery. In this study, 109 patients completed the evaluations before surgery (T0) and up to 23 months after surgery (T1); 128 completed the evaluations in T0 and between 24 months and 59 months after surgery (T2); and 44 completed the evaluations in T0 and 60 months after surgery (T3)...
June 21, 2018: Arquivos Brasileiros de Cirurgia Digestiva: ABCD, Brazilian Archives of Digestive Surgery
https://www.readbyqxmd.com/read/29947689/liver-resection-in-brazil-a-national-survey
#8
Gilton Marques Fonseca, Vagner Birk Jeismann, Jaime Arthur Pirola Kruger, Fabricio Ferreira Coelho, Andre Luis Montagnini, Paulo Herman
BACKGROUND: Liver surgery has developed significantly in the past decades. In Brazil, the interest on it has grown significantly, but there is no study regarding its clinical practice. Despite intrinsic limitations, surveys are well suited to descriptive studies and allow understanding the current scenario. AIM: To provide an overview on the current spread of liver surgery in Brazil, focusing on groups´ profile, operative techniques and availability of resources...
June 21, 2018: Arquivos Brasileiros de Cirurgia Digestiva: ABCD, Brazilian Archives of Digestive Surgery
https://www.readbyqxmd.com/read/29947688/comparison-between-incidence-of-incisional-hernia-in-laparoscopic-cholecystectomy-and-by-single-port
#9
Fernando Athayde Madureira, Cristiane Luzia Teixeira Gomez, Eduardo Monteiro Almeida
BACKGROUND: Surgeries with single port access have been gaining ground among surgeons who seek minimally invasive procedures. Although this technique uses only one access, the incision is larger when compared to laparoscopic cholecystectomy and this fact can lead to a higher incidence of incisional hernias. AIM: To compare the incidence of incisional hernia after laparoscopic cholecystectomy and by single port. METHODS: A total of 57 patients were randomly divided into two groups and submitted to conventional laparoscopic cholecystectomy (n=29) and laparoscopic cholecystectomy by single access (n=28)...
June 21, 2018: Arquivos Brasileiros de Cirurgia Digestiva: ABCD, Brazilian Archives of Digestive Surgery
https://www.readbyqxmd.com/read/29947687/functionality-of-upper-gastrointestinal-cancer-patients-which-have-undertaken-surgery-in-hospital-phase
#10
Epamela Sulamita Vitor de Carvalho, Ana Cristina Machado Leão, Anke Bergmann
BACKGROUND: Cancer patients present various physiological, metabolic, social and emotional changes as a consequence of the disease's own catabolism, and may be potentiated in the gastrointestinal tract cancer by their interference with food intake, digestion and absorption. AIM: o evaluate the functionality of upper gastrointestinal cancer patients which have undertaken surgery and analyze the factors associated with changes in strength and functionality during hospitalization time...
June 21, 2018: Arquivos Brasileiros de Cirurgia Digestiva: ABCD, Brazilian Archives of Digestive Surgery
https://www.readbyqxmd.com/read/29947686/the-m-rna-expression-of-serca2-and-ncx1-in-the-process-of-pharmacological-cell-protection-in-experimental-acute-pancreatitis-induced-by-taurocholate
#11
Enio Rodrigues Vasques, José Eduardo Monteiro Cunha, Marcia Saldanha Kubrusly, Ana Maria Coelho, Sandra N Sanpietri, Helena B Nader, Ivarne L S Tersariol, Marcelo A Lima, Eleazar Chaib, Luiz Augusto Carneiro D'Albuquerque
BACKGROUND: Intracellular calcium overload is known to be a precipitating factor of pancreatic cell injury in acute pancreatitis (AP). Intracellular calcium homeostasis depends of Plasmatic Membrane Calcium ATPase (PMCA), Sarcoplasmic Endothelial Reticulum Calcium ATPase 2 (SERCA 2) and the Sodium Calcium Exchanger (NCX1). The antioxidant melatonin (Mel) and Trisulfate Disaccharide (TD) that accelerates NCX1 action could reduce the cell damage determined by the AP. AIM: To evaluate m-RNA expressions of SERCA2 and NCX1 in acute pancreatitis induced by sodium taurocholate in Wistar rats pre-treated with melatonin and/or TD...
June 21, 2018: Arquivos Brasileiros de Cirurgia Digestiva: ABCD, Brazilian Archives of Digestive Surgery
https://www.readbyqxmd.com/read/29947685/salivary-cortisol-and-metabolic-syndrome-component-s-association
#12
Grasiane Izidorio Garbellotto, Fernanda Jardim Reis, Ana Maria Pandolfo Feoli, Carla Haas Piovesan, Andréia da Silva Gustavo, Margareth da Silva Oliveira, Fabrício Edler Macagnan, Carlos Alexandre Sanchez Ferreira, Moisés Evandro Bauer, Cácio Ricardo Wietzycoski
BACKGROUND: Actually the lifestyle exposes the population to several risk factors related to alimentary habits and less physical activity that contributes to chronic diseases appearance worldwide. AIM: To analyze the association between salivary cortisol and the components of metabolic syndrome. METHODS: This is a cross-sectional study. As part of it, 28 individuals aged 30-59 years presenting three or more of the following findings: CA: ≥88 cm for women and ≥102 cm for men; SBP>130 mmHg and DBP>85 mmHg; GL>100 mg/dl; TG>150 mg/dl; HDL<40 mg/dl for men and <50 mg/dl for women...
June 21, 2018: Arquivos Brasileiros de Cirurgia Digestiva: ABCD, Brazilian Archives of Digestive Surgery
https://www.readbyqxmd.com/read/29947684/eus-fna-with-19-or-22-gauges-needles-for-gastric-subepithelial-lesions-of-the-muscle-layer
#13
César Vivian Lopes, Antônio Atalíbio Hartmann, Everson Luiz de Almeida Artifon
BACKGROUND: Tissue diagnosis is required for gastric subepithelial lesions for differential diagnosis of GISTs. However, there has not been consensus about the best needle for EUS-guided sampling of these lesions. AIM: To evaluate the diagnostic yield of EUS-FNA for gastric subepithelial lesions of the proper muscle layer with large-bore 19 gauge needles. METHODS: A prospectively maintained database was retrospectively reviewed to identify consecutive patients who underwent EUS-FNA with 19 and 22 gauge needles for gastric subepithelial lesions of the fourth endosonographic layer in a tertiary care referral center...
June 21, 2018: Arquivos Brasileiros de Cirurgia Digestiva: ABCD, Brazilian Archives of Digestive Surgery
https://www.readbyqxmd.com/read/29947683/physical-activity-quality-of-life-and-body-image-of-candidates-to-bariatric-surgery
#14
Bruno Leandro de Melo Barreto, Jones Silva Lima, Diogo Barbosa de Albuquerque, Flavio Kreimer, Álvaro Antonio Bandeira Ferraz, Josemberg Marins Campos
BACKGROUND: Physical activity enhances quality of life and body image in obese. Behavioural changes are useful tools to increase life conditions of this population. AIM: To evaluate the physical activity level of candidates to bariatric surgery and its relation with quality of life and body image, when patients are encouraged weekly by personal trainers. ) Method: This is a prospective, interventional and longitudinal study with quantitative analysis. Patients were divided into two groups, control (n=28) and interventional (n= 10)...
June 21, 2018: Arquivos Brasileiros de Cirurgia Digestiva: ABCD, Brazilian Archives of Digestive Surgery
https://www.readbyqxmd.com/read/29947682/ercp-performance-in-a-tertiary-brazilian-center-focus-on-new-risk-factors-complications-and-quality-indicators
#15
Alana Costa Borges, Paulo César de Almeida, Stella Maria Torres Furlani, Marcelo de Sousa Cury, Douglas K Pleskow
BACKGROUND: ERCP can lead to complications, which can be prevented by the recognition of risk factors. AIM: To identify these risk factors, with quality evaluation. METHODS: Retrospective study in a Brazilian hospital in 194 patients, excluding surgically altered anatomy. RESULTS: 211 ERCPs were performed: 97.6% were therapeutic, 83.4% were started by trainees, with deep cannulation rate of 89.6%. Precut was needed in 16...
June 21, 2018: Arquivos Brasileiros de Cirurgia Digestiva: ABCD, Brazilian Archives of Digestive Surgery
https://www.readbyqxmd.com/read/29947681/outcome-of-laparoscopic-cholecystectomy-in-patients-with-gallstone-disease-at-a-secondary-level-care-hospital
#16
Ahmed Taki-Eldin, Abd-Elnaser Badawy
BACKGROUND: Laparoscopic cholecystectomy is the most commonly performed operation of the digestive tract. )It is considered as the gold standard treatment for cholelithiasis. AIM: To evaluate the outcome of it regarding length of hospital stay, complications, morbidity and mortality at a secondary hospital. METHODS: Data of 492 patients who underwent laparoscopic cholecystectomy were retrospectively reviewed. Patients' demographics, co-morbid diseases, previous abdominal surgery, conversion to open cholecystectomy, operative time, intra and postoperative complications, and hospital stay were collected and analyzed from patients' files...
June 21, 2018: Arquivos Brasileiros de Cirurgia Digestiva: ABCD, Brazilian Archives of Digestive Surgery
https://www.readbyqxmd.com/read/29513807/percutaneous-radiofrequency-assisted-liver-partition-with-portal-vein-embolization-for-staged-hepatectomy-pralpps
#17
Mariano E Giménez, Eduardo J Houghton, C Federico Davrieux, Edgardo Serra, Patrick Pessaux, Mariano Palermo, Pablo A Acquafresca, Caetano Finger, Bernard Dallemagne, Jacques Marescaux
BACKGROUND: When a major hepatic resection is necessary, sometimes the future liver remnant is not enough to maintain sufficient liver function and patients are more likely to develop liver failure after surgery. AIM: To test the hypothesis that performing a percutaneous radiofrecuency liver partition plus percutaneous portal vein embolization (PRALPPS) for stage hepatectomy in pigs is feasible. METHODS: Four pigs (Sus scrofa domesticus) both sexes with weights between 25 to 35 kg underwent percutaneous portal vein embolization with coils of the left portal vein...
March 1, 2018: Arquivos Brasileiros de Cirurgia Digestiva: ABCD, Brazilian Archives of Digestive Surgery
https://www.readbyqxmd.com/read/29513806/drain-amylase-on-the-first-postoperative-day-of-whipple-surgery-what-value-is-the-best-predictor-for-early-drain-removal
#18
Enio Campos Amico, Ítalo Medeiros de Azevedo, Marcos Vinicius de Lira Fernandes, Mariane Albuquerque Reis, Samir Assi João
BACKGROUND: The value of drain amylase on the first postoperative day after pancreatic resections has been described as an efficient predictor of pancreatic fistula. In spite of this, the cut-off point below which the drains can be removed early remains controversial. AIM: Validate the use of the amylase on the 1st postoperative day in the correlation with pancreatic fistula and define the value at which early drain removal is safe. METHOD: Were included patients undergoing Whipple surgery in the period of 2007 to 2016...
March 1, 2018: Arquivos Brasileiros de Cirurgia Digestiva: ABCD, Brazilian Archives of Digestive Surgery
https://www.readbyqxmd.com/read/29513805/prevalence-of-joint-pain-and-osteoarthritis-in-obese-brazilian-population
#19
Daniel Moreira Pacca, Gustavo Constantino DE-Campos, Alessandro Rozin Zorzi, Elinton Adami Chaim, Jõao Batista DE-Miranda
BACKGROUND: High body mass index, as well as maintaining this condition for a long period of time, are important risk factors for the development of osteoarthritis. AIM: To determine joint pain and osteoarthritis prevalence in patients referred to bariatric surgery. METHODS: Morbidly obese patients referred to bariatric surgery responded to the visual analogue pain scale (VAS) and the WOMAC questionnaire. X-rays of the hips and knees were evaluated...
March 1, 2018: Arquivos Brasileiros de Cirurgia Digestiva: ABCD, Brazilian Archives of Digestive Surgery
https://www.readbyqxmd.com/read/29513804/diabetes-remission-rate-in-different-bmi-grades-following-roux-en-y-gastric-bypass
#20
Daniel Coelho, Eudes Paiva de Godoy, Igor Marreiros, Vinicius Fernando da Luz, Antônio Manuel Gouveia de Oliveira, Josemberg Marins Campos, Silvio da Silva Caldas-Neto, Mirella Patrícia Cruz de Freitas
BACKGROUND: Type 2 diabetes mellitus has a high long-term remission rate after laparoscopic Roux-en-Y gastric bypass (LRYGB), but few studies have analyzed patients with BMI<35 kg/m2. AIM: To compare glycemic control after LRYGB between BMI 30-35 kg/m2 (intervention group or IG) and >35 kg/m2 patients (control group or CG) and to evaluate weight loss, comorbidities and surgical morbidity. METHODS: Sixty-six diabetic patients (30 in IG group and 36 in CG group) were submitted to LRYGB...
March 1, 2018: Arquivos Brasileiros de Cirurgia Digestiva: ABCD, Brazilian Archives of Digestive Surgery
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