keyword
https://read.qxmd.com/read/38537228/intestinal-intussusception-as-a-postoperative-complication-of-gastric-bypass
#1
JOURNAL ARTICLE
Perla X López-Almanza, Daniel González-Hermosillo-Cornejo, Gerardo A Montalvo-Domínguez, Enrique Reyes-Rodríguez, Pablo Andrade-Martínez-Garza
The gold standard for bariatric surgery is the laparoscopic gastric bypass, which consists in forming a small gastric pouch and a Roux-en-Y anastomosis. We present the case of a 41-year-old female who underwent a laparoscopic gastric bypass 8 years prior to her admission to the emergency room, where she arrived complaining of severe and colicky epigastric abdominal pain. The abdominal computed tomography showed a jejuno-jejunal intussusception, for which the patient underwent urgent exploratory laparotomy with intussusception reduction...
2024: Cirugia y Cirujanos
https://read.qxmd.com/read/38537227/presentation-of-wernicke-encephalopathy-in-patient-secondary-to-one-anastomosis-gastric-bypass-case-report-and-literature-review
#2
JOURNAL ARTICLE
Luis F Zorrilla-Núñez, Luis Tamez-Pedroza, Patricio Durán-Moreno, Gerardo E Muñoz-Maldonado
Wernicke encephalopathy, which is caused by a thiamine deficiency, occurs in 0.8-2% of the population. Only 16% present the typical triad of this disease: nystagmus, confusion and ataxia. We present the case of a postoperative patient with a one anastomosis gastric bypass with reoperation undergoing a Roux-en-Y gastric bypass that begins with confusion and nystagmus on her third postoperative day. The diagnosis of Wernicke encephalopathy is made by imaging, and vitamin B1 is administered with total improvement of nystagmus and altered state of consciousness (lethargy, bradypsychia, bradylalia)...
2024: Cirugia y Cirujanos
https://read.qxmd.com/read/38535982/feasibility-of-liver-transplantation-after-90y-radioembolization-lessons-from-a-radiation-protection-incident
#3
JOURNAL ARTICLE
Marine Soret, Jacques-Antoine Maisonobe, Philippe Maksud, Stéphane Payen, Manon Allaire, Eric Savier, Charles Roux, Charlotte Lussey-Lepoutre, Aurélie Kas
Radioembolization using 90Y is a growing procedure in nuclear medicine for treating hepatocellular carcinoma. Current guidelines suggest postponing liver transplantation or surgical resection for a period of 14 to 30 d after radioembolization to minimize surgeons' exposure to ionizing radiation. In light of a radiation protection incident, we reevaluated the minimum delay required between radioembolization and subsequent liver transplantation. A patient with a hepatocellular carcinoma underwent a liver transplantation 44 h after undergoing radioembolization using 90Y (860 MBq SIR-Spheres)...
March 27, 2024: Health Physics
https://read.qxmd.com/read/38533810/impaired-endochondral-ossification-in-a-skeletally-immature-dog-implications-for-femoral-cleft-formation-and-suspected-incomplete-femoral-ossification
#4
JOURNAL ARTICLE
P Guy, C Le Roux
Historically, knowledge regarding congenital skeletal malformations in canines is poor. The Nomina Embryologica Veterinaria does not currently list any dysmorphia related to distal femoral fusion, and there is a significant absence of comprehensive descriptions of congenital defects in the veterinary literature. This paper reports on the radiographic and computed tomography (CT) characteristics of a skeletal abnormality in a seven-month-old crossbreed dog that presented for chronic right pelvic limb lameness as a result of secondary developmental patella luxation...
March 26, 2024: Journal of the South African Veterinary Association
https://read.qxmd.com/read/38533785/gut-motility-and-hormone-changes-after-bariatric-procedures
#5
JOURNAL ARTICLE
Khushboo Gala, Wissam Ghusn, Barham K Abu Dayyeh
PURPOSE OF REVIEW: Metabolic and bariatric surgery (MBS) and endoscopic bariatric therapies (EBT) are being increasingly utilized for the management of obesity. They work through multiple mechanisms, including restriction, malabsorption, and changes in the gastrointestinal hormonal and motility. RECENT FINDINGS: Roux-en-Y gastric bypass (RYGB) and laparoscopic sleeve gastrectomy (LSG) cause decrease in leptin, increase in GLP-1 and PYY, and variable changes in ghrelin (generally thought to decrease)...
March 28, 2024: Current Opinion in Endocrinology, Diabetes, and Obesity
https://read.qxmd.com/read/38532050/five-year-outcomes-of-revisional-bariatric-surgery-gastric-band-to-sleeve-gastrectomy-or-to-roux-en-y-gastric-bypass
#6
JOURNAL ARTICLE
Joseph Carbonaro, Tara McLaughlin, Richard Seip, Ilene Staff, Yin Wu, Connie Santana, Dale Bond, Darren Tishler, Aziz Benbrahim, Pavlos Papasavas
BACKGROUND: Revisional bariatric surgery after an index adjustable gastric band (AGB) may be indicated to remedy weight relapse or band-related complications. We examined outcomes five years following revision from AGB to laparoscopic sleeve gastrectomy (AGB-LSG) or to Roux-en-Y gastric bypass (AGB-RYGB). METHODS: We conducted a retrospective review to identify patients (men and women, age 18-80) who underwent one revisional bariatric procedure with AGB as the index procedure at two medical centers in our healthcare system between January 2012 and February 2017...
March 26, 2024: Surgical Endoscopy
https://read.qxmd.com/read/38531761/from-database-to-practice-the-mbsaqip-in-the-surgical-literature
#7
JOURNAL ARTICLE
Kamal Abi Mosleh, Noura Jawhar, Omar M Ghanem, Benjamin Clapp
BACKGROUND: The Metabolic and Bariatric Surgery Accreditation and Quality Improvement Program (MBSAQIP) has been a game changer for metabolic and bariatric surgery (MBS), with continuous improvements in safety and outcomes throughout the years of its usage. It allows in-depth evaluations of MBS procedures, presenting practitioners and researchers with unparalleled opportunities for quality assessment, research and clinical advancement. OBJECTIVES: To offer an updated overview of MBSAQIP-related publications...
March 3, 2024: Surgery for Obesity and Related Diseases
https://read.qxmd.com/read/38531483/fxr-menin-mediated-epigenetic-regulation-of-e2f3-expression-controls-%C3%AE-cell-proliferation-and-is-increased-in-islets-from-diabetic-gk-rats-after-rygb
#8
JOURNAL ARTICLE
Xiangchen Kong, Chenxi Yang, Bingfeng Li, Dan Yan, Yanhui Yang, Cuihua Cao, Bowen Xing, Xiaosong Ma
Farnesoid X receptor (FXR) improves the function of islets, especially in the setting of Roux-en-Y gastric bypass (RYGB). Here we investigated how FXR activation regulates β-cell proliferation and explored the potential link between FXR signaling and the menin pathway in controlling E2F3 expression, a key transcription factor for controlling adult β-cell proliferation. Stimulation with the FXR agonist GW4064 or chenodeoxycholic acid (CDCA) increased E2F3 expression and β-cell proliferation...
March 24, 2024: Biochimica et Biophysica Acta. Molecular Basis of Disease
https://read.qxmd.com/read/38531046/experience-with-laparoscopic-and-robotic-colon-surgery-together-with-other-major-minimally-invasive-procedures-for-unrelated-pathologies
#9
JOURNAL ARTICLE
Hugo J R Bonatti
Background: Indications for combined colon surgery together with other procedures include oncologic multivisceral resections and abdominal trauma. It is unclear if combining minimally invasive (MI) colon surgery with unrelated other procedures increases the risk for complications. Patients and Methods: The surgical database from two institutions during a 10-year period was queried for combined colon surgeries together with other interventions. All open cases, combined cases performed for one pathology and MI colectomies together with a minor procedure, were excluded...
March 27, 2024: Journal of Laparoendoscopic & Advanced Surgical Techniques. Part A
https://read.qxmd.com/read/38530552/protein-supplements-with-short-peptides-are-better-than-complex-protein-based-supplements-on-improving-early-fat-free-mass-loss-following-bariatric-surgery-a-retrospective-cohort-study
#10
JOURNAL ARTICLE
Dafang Zhan, Zhiwen Long, Huawu Yang, Han Wang, Chengyuan He, Jun Yin, Jiahui Yu, Luo Fu, Yanjun Liu
INTRODUCTION: Bariatric surgery (BS) patients are advised to consume protein supplements to prevent fat-free mass (FFM) loss. However, limited research has explored the efficacy of diverse protein presentations on FFM preservation. This study assesses if short peptide-based (SPB) supplements surpass complex protein-based (CPB) supplements in reducing early FFM loss post-surgery. METHODS: In this retrospective cohort study, 138 patients who underwent BS other than Roux-en-Y-gastric bypass (RYGB) between January 2021 and March 2021 at the Department of Bariatric Surgery of the Third People's Hospital of Chengdu were included for analysis...
March 26, 2024: Obesity Surgery
https://read.qxmd.com/read/38530551/nutrition-to-enhance-metabolic-bariatric-surgery-outcomes
#11
JOURNAL ARTICLE
Kim B Knopp
BACKGROUND: Gender-specific post-surgical goals for 12-month percent body fat (%BF) based on World Health Organization (WHO) obesity thresholds and for lean mass-sparing were published as preliminary body composition (BC) guidelines to address a knowledge gap in metabolic-bariatric surgery (MBS). Other studies' %BF outcomes inconsistently fell below obesity thresholds; none described nutrition practices. To help practitioners positively influence patients' BC and weight changes, this study describes the team-supported process of conducting serial body composition analysis (sBCA) concomitantly with the evidence-based nutrition practices applied to generate the preliminary guidelines...
March 26, 2024: Obesity Surgery
https://read.qxmd.com/read/38528196/nonocclusive-mesenteric-ischemia-nomi-on-roux-limb-after-biliary-reconstruction-successfully-treated-by-interventional-radiology-ivr
#12
JOURNAL ARTICLE
Makoto Kawamoto, Yoshihiro Miyasaka, Nobuhiko Koreeda, Yousuke Hirano, Ryotaro Yamamoto, Masato Watanabe
Nonocclusive mesenteric ischemia (NOMI) is a life-threatening disorder. Early diagnosis is challenging because NOMI lacks specific symptoms. A 52-year-old man who received extended cholecystectomy with Roux-en-Y hepaticojejunostomy for gallbladder cancer (GBC) presented to our hospital with nausea and vomiting. Neither tender nor peritoneal irritation sign was present on abdominal examination. Blood test exhibited marked leukocytosis (WBC:19,800/mm3). A contrast-enhanced abdominal computed tomography (CT) scan revealed remarkable wall thickening and lower contrast enhancement effect localized to Roux limb...
March 25, 2024: Clinical Journal of Gastroenterology
https://read.qxmd.com/read/38525565/obesity-is-south-africa-s-new-hiv-epidemic
#13
JOURNAL ARTICLE
Nomathemba Chandiwana, Willem Venter, Jennifer Manne-Goehler, Alisha Wade, Carel Le Roux, Nzama Mbalati, Angelika Grimbeek, Petronell Kruger, Eunice Montsho, Zukiswa Zimela, Anele Yawa, Sibongile Tshabalala, Ndivhuwo Rambau, Ngqabutho Mpofu, Sasha Stevenson, Bridget McNulty, Ntobeko Ntusi, Yogan Pillay, Joel Dave, Angela Murphy, Sue Goldstein, Karen Hfman, Sameera Mahomedy, Elizabeth Thomas, Busi Mrara, Jeff Wing, Jeanne Lubbe, Zack Koto, Marli Conradie-Smit, Sean Wharton, Wayne May, Ian Marr, Hilton Kaplan, Mariam Forgan, Graham Alexander, John Turner, V R Fourie, Jocelyn Hellig, Mandy Banks, Kim Ragsdale, Marisa Noeth, Farzahna Mohamed, Landon Myer, Limakatso Lebina, Salome Maswime, Yunus Moosa, Sumy Thomas, Mzamo Mbelle, Phumla Sinxadi, Linda-Gail Bekker, Sindeep Bhana, June Fabian, Eric Decloedt, Zaheer Bayat, Reyna Daya, Bilal Bobat, Fiona Storie, Julia Goedecke, Kathleen Kahn, Stephen Tollman, Brett Mansfield, Mark Siedner, Vincent Marconi, Aaloke Mody, Ntombifikile Mtshali, Elvin Geng, Suman Srinivasa, Mohammed Ali, Samanta Lalla-Edwards, Alison Bentley, Gustaaf Wolvaardt, Andrew Hill, Jeremy Nel
No abstract text is available yet for this article.
March 18, 2024: South African Medical Journal
https://read.qxmd.com/read/38524590/evaluating-bank-technical-efficiency-in-sadc-region
#14
JOURNAL ARTICLE
Sanderson Abel, Julius Mukarati, Robson Manenge, Pierre Le Roux
Efficiency is generally defined as the capacity to deliver desirable results with little effort or input. A bank cannot afford to allocate limited resources at random in a competitive market. Only once the efficiency factors have been identified can resources be allocated in a conscious and effective manner. The study investigates the determinants of technical efficiency of banks in the SADC region. The study is significant in the SADC region as the block is trying to create a robust and stable banking system...
March 30, 2024: Heliyon
https://read.qxmd.com/read/38523888/diabetic-markers-five-years-after-bariatric-surgery
#15
JOURNAL ARTICLE
Zahra Behrooznia, Ali Jangjoo, Farid Qoorchi Moheb Seraj, Majid Khadem-Rezaiyan, Tooraj Zandbaf, Solmaz Hassani
Background: Bariatric surgery delivers substantial weight loss for obese patients with comorbidities like diabetes mellitus. We aimed to investigate the impacts of bariatric surgery on diabetic markers after 5 years of follow-up. Methods: This is a retrospective study on patients with diabetes and a history of bariatric surgery between 2016-2017. The diabetic markers before and 5 years following surgery, including a lipid profile, glucose level, and the required antidiabetic medications, were evaluated. Results: 34 consecutive patients were included, 30 (88...
October 2023: Middle East Journal of Digestive Diseases
https://read.qxmd.com/read/38523172/effects-of-bariatric-surgery-on-sarcopenic-obesity-outcomes-a-one-year-prospective-study-in-middle-aged-women
#16
JOURNAL ARTICLE
Pietra S Rodrigues, Fernando M Mendonça, João S Neves, Carla Luís, Ilda Rodrigues, Telma Moreno, Diana Festas, Jorge Pedro, Ana Varela, Ana Fernandes, Eduardo L Costa, Paula Freitas
INTRODUCTION: Sarcopenic obesity (SO) is characterised by the confluence of muscle deterioration and high adiposity. When non-surgical interventions prove insufficient, bariatric surgery (BS) becomes the primary approach. This study aimed to address BS effects on SO outcomes 1 year post-surgery among middle-aged women, also considering physical exercise's impact. METHODS: Prospective single-centre study of 140 patients who underwent Roux-en-Y gastric bypass or sleeve gastrectomy between November 2019 and December 2022...
March 25, 2024: Obesity Surgery
https://read.qxmd.com/read/38522842/a-prospective-multicenter-evaluation-of-biofire%C3%A2-joint-infection-panel-for-the-rapid-microbiological-documentation-of-acute-arthritis
#17
JOURNAL ARTICLE
Gaillard Tiphaine, Dupieux-Chabert Céline, Roux Anne-Laure, Tessier Eve, Boutet-Dubois Adeline, Courboules Camille, Corvec Stéphane, Bémer Pascale, Lavigne Jean-Philippe, El Sayed Faten, Marchandin Hélène, Munier Clément, Chanard Emmanuel, Gazzano Vincent, Loiez Caroline, Laurent Frédéric
OBJECTIVES: To assess the performance of the rapid syndromic BioFire® Joint Infection panel (BF-JIP) to detect bacterial and fungal pathogens, as well as antibiotic resistance genes, directly in synovial fluid specimens collected in patients with acute arthritis. METHODS: The study was conducted in six French bacteriological laboratories. To assess the performances of BF-JIP, results were compared with those of synovial fluid 14-day culture, and in case of discrepancy, with those of complementary molecular methods and intraoperative samples...
March 22, 2024: Clinical Microbiology and Infection
https://read.qxmd.com/read/38520946/evidence-of-disease-activity-during-pregnancy-and-post-partum-in-ms-patients-treated-with-high-efficacy-therapies
#18
JOURNAL ARTICLE
Oussama Sahloul, Céline Louapre, Ysoline Beigneux, Catherine Lubetzki, Elisabeth Maillart, Thomas Roux
BACKGROUND: Multiple sclerosis (MS) predominantly affects women of childbearing age. Due to the risk of teratogenicity, women with active multiple sclerosis (MS) who require high-efficacy therapies (HET) may need to discontinue treatment during pregnancy. Fingolimod and Natalizumab withdrawal increases the risk of disease reactivation, a risk not commonly associated with anti-CD20 therapies. However, comparative data are limited during pregnancy and post-partum. Our aim was to compare evidence of disease activity during pregnancy and post-partum in women treated with HET (anti-CD20 therapies, Natalizumab or Fingolimod) before conception, whether or not exposed during pregnancy...
March 19, 2024: Multiple Sclerosis and related Disorders
https://read.qxmd.com/read/38520815/vitamin-deficiencies-in-children-lessons-from-clinical-and-neuroimaging-findings
#19
JOURNAL ARTICLE
Gabrielle Dupuy, Charles-Joris Roux, Rémi Barrois, Apolline Imbard, Clément Pontoizeau, Marie Thérèse Dangles, Mélodie Aubart, Jean-Baptiste Arnoux, Diane Margoses, Anaïs Brassier, Clothilde Marbach, Claire-Marine Bérat, Eugénie Sarda, Cyril Gitiaux, Pascale de Lonlay, Nathalie Boddaert, Manuel Schiff, Isabelle Desguerre
BACKGROUND AND AIMS: Water-soluble vitamins play an essential coenzyme role in the nervous system. Acquired vitamin deficiencies are easily treatable, however, without treatment, they can lead to irreversible complications. This study aimed to provide clinical, laboratory parameters and neuroimaging data on vitamin deficiencies in an attempt to facilitate early diagnosis and prompt supplementation. METHODS: From July 1998 to July 2023, patients at Necker-Enfants-Malades Hospital presenting with acute neurological symptoms attributed to acquired vitamin deficiency were included...
February 26, 2024: European Journal of Paediatric Neurology: EJPN
https://read.qxmd.com/read/38520505/the-relationship-between-bone-strain-index-bone-mass-microarchitecture-and-mechanical-behavior-in-human-vertebrae-an-ex-vivo-study
#20
JOURNAL ARTICLE
Jean-Paul Roux, François Duboeuf, Elisabeth Sornay-Rendu, Luca Rinaudo, Fabio Massimo Ulivieri, Julien Wegrzyn, Roland Chapurlat
UNLABELLED: The aim of this study was to determine whether the Bone Strain Index (BSI), a recent DXA-based bone index, is related to bone mechanical behavior, microarchitecture and finally, to determine whether BSI improves the prediction of bone strength and the predictive role of BMD in clinical practice. PURPOSE: Bone Strain Index (BSI) is a new DXA-based bone index that represents the finite element analysis of the bone deformation under load. The current study aimed to assess whether the BSI is associated with 3D microarchitecture and the mechanical behavior of human lumbar vertebrae...
March 23, 2024: Osteoporosis International
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