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https://www.readbyqxmd.com/read/28623446/laparoscopic-sleeve-gastrectomy-investigation-of-fundus-wall-thickness-and-staple-height-an-observational-cohort-study-fundus-wall-thickness-and-leaks
#1
Clara Boeker, Julian Mall, Christian Reetz, Kamil Yamac, Ludwig Wilkens, Christine Stroh, Hinrich Koehler
BACKGROUND: Staple line leakage is a well-known complication after laparoscopic sleeve gastrectomy (LSG). Gastric wall thickness and the staple height may be determining factors for the occurrence of insufficiencies. To investigate this problem, an observational cohort study was carried out. Investigation concentrated on the gastroesophageal junction close to the angle of His, since this area is at highest risk for a leakage. METHODS: Fundus wall thickness of 141 specimens after LSG was measured by light microscopy at a predetermined location by a blinded pathologist...
June 16, 2017: Obesity Surgery
https://www.readbyqxmd.com/read/28623445/laparoscopic-sleeve-gastrectomy-resolves-low-ghrp-2-stimulated-growth-hormone-levels-in-obese-patients
#2
Emi Ohara, Hirotake Tokuyama, Takumi Kitamoto, Aya Kitahara, Aiko Hayashi, Hideki Hayashi, Minoru Takemoto, Koutaro Yokote
Because growth hormone (GH) secretion is reportedly decreased in obese patients, we examined not only the factors associated with the decreased GH secretion but also GH response to the GH-releasing peptide (GHRP)-2-load test before and after laparoscopic gastrectomy (LSG). The study comprised 28 individuals aged 19-65 years [mean body mass index (BMI), 39.4 ± 9.4 kg/m(2)]. In the univariate analysis, GH secretion peaks correlated negatively with BMI (r = -0.59, p = 0.001), visceral adipose tissue (r = -0...
June 16, 2017: Obesity Surgery
https://www.readbyqxmd.com/read/28622456/elevated-ccl25-and-ccr9-expressing-t-helper-cells-in-salivary-glands-of-primary-sj%C3%A3-gren-s-syndrome-patients-potential-new-axis-in-lymphoid-neogenesis
#3
Sofie L M Blokland, Maarten R Hillen, Aike A Kruize, Stephan Meller, Bernhard Homey, Glennda M Smithson, Timothy R D J Radstake, Joel A G van Roon
Introduction T follicular helper (Tfh)-cells play a critical role in germinal center formation and B-cell activation, both hallmarks of primary Sjögren's syndrome (pSS). CCR9-expressing Th-cells have "Tfh-like" characteristics and are increased at mucosa-associated sites in several inflammatory conditions. Because of their unique characteristics and limited evaluation we investigated the local and systemic CCL25/CCR9-axis in pSS. Methods CCL25 protein and mRNA levels and CCR9+ Th-cells were assessed in labial salivary glands (LSG) of pSS and non-Sjögren's sicca (nSS) patients and their correlation with inflammatory and clinical parameters was evaluated...
June 16, 2017: Arthritis & Rheumatology
https://www.readbyqxmd.com/read/28614170/implications-of-left-sided-gallbladder-in-the-emergency-setting-retrospective-review-and-top-tips-for-safe-laparoscopic-cholecystectomy
#4
Hariscine K Abongwa, Belinda De Simone, Laura Alberici, Maurizio Iaria, Gennaro Perrone, Antonio Tarasconi, Gianluca Baiocchi, Nazario Portolani, Salomone Di Saverio, Massimo Sartelli, Federico Coccolini, Jennifer E Manegold, Luca Ansaloni, Fausto Catena
BACKGROUND: Left-sided gallbladder without situs viscerum inversus (LSG-woSVI) is a rare congenital anomaly. Clinical features and routine presurgical imaging could miss the anomalous position, thereby producing complications during surgery. Laparoscopic cholecystectomy can be performed safely, but the risk of bile duct injury (BDI) is greater than in cholecystectomy of the orthotopic gallbladder. We present a retrospective review of all scientific literature for diagnosed cases of LSG-woSVI undergoing cholecystectomy from 1996 to 2014...
June 13, 2017: Surgical Laparoscopy, Endoscopy & Percutaneous Techniques
https://www.readbyqxmd.com/read/28604246/is-portomesenteric-vein-thrombosis-after-laparoscopic-sleeve-gastrectomy-related-to-short-course-prophylaxis-of-thromboembolism-a-monocentric-retrospective-analysis-about-an-infrequent-but-not-rare-complication-and-review-of-the-literature
#5
Francesco Caruso, Giovanni Cesana, Laura Lomaglio, Stefano Cioffi, Francesca Ciccarese, Matteo Uccelli, Stefano Olmi
BACKGROUND: Portomesenteric vein thrombosis (PMVT) is considered a rare and potentially fatal complication of bariatric surgery. Laparoscopic sleeve gastrectomy (LSG) is one of the most performed bariatric procedures in the world. PMVT in LSG was first reported in 2009 by Berthet et al. in a thrombophilic patient. No data exist regarding the real prevalence of this complication specifically after LSG. METHODS: We examined retrospectively all the clinical records of patients who underwent LSG for morbid obesity from January 2011 to December 2016...
June 12, 2017: Journal of Laparoendoscopic & Advanced Surgical Techniques. Part A
https://www.readbyqxmd.com/read/28597616/comparison-of-the-movement-patterns-between-small-and-large-side-games-training-and-competition-in-professional-soccer-players
#6
Jesús V Giménez, Juan Del-Coso, Anthony S Leicht, Miguel A Gomez
BACKGROUND: The purpose of this investigation was to compare the movement patterns of professional soccer players during a small-sided game (SSG), a large-sided game (LSG) and a competitive friendly match (FM). METHODS: Fourteen professional players participated in three training routines with a similar relative pitch area per player. The SSG and LSG consisted of 8 repetitions of 4-min game play, interspersed by 2-min of active recovery, and their data were compared to the first 32 minutes of a FM...
June 8, 2017: Journal of Sports Medicine and Physical Fitness
https://www.readbyqxmd.com/read/28593482/diagnostic-performance-of-c-reactive-protein-in-detecting-post-operative-infectious-complications-after-laparoscopic-sleeve-gastrectomy
#7
Fadia Dib, Lara Ribeiro Parenti, Anne Boutten, David Hajage, Jean-Pierre Marmuse
BACKGROUND: Gastric leak is the most common and dreaded post-operative infectious complication (PIC) after laparoscopic sleeve gastrectomy (LSG). Accurate identification of patients at risk postoperatively is of cardinal importance. OBJECTIVE: The aim of this study is to assess the diagnostic performance of C-reactive protein (CRP) in predicting PICs and the most optimal time to measure it. METHODS: CRP results were collected in patients undergoing LSG between 2011 and 2015...
June 7, 2017: Obesity Surgery
https://www.readbyqxmd.com/read/28590359/laparoscopic-sleeve-gastrectomy-then-and-now-an-updated-systematic-review-of-the-progress-and-short-term-outcomes-over-the-last-5-years
#8
Sameh H Emile, Hossam Elfeki, Khaled Elalfy, Emad Abdallah
INTRODUCTION AND AIM: Laparoscopic sleeve gastrectomy (LSG) is considered one of the most popular bariatric surgeries of the present time. This review aimed to evaluate the progress and short-term outcomes of LSG over the last 5 years. METHODS: The systematic review of electronic databases revealed 27 relevant articles, which were carefully assessed. The data extracted from the studies were analyzed and compared with data reported by a previous review published in 2010...
June 5, 2017: Surgical Laparoscopy, Endoscopy & Percutaneous Techniques
https://www.readbyqxmd.com/read/28589529/dietary-intake-and-weight-changes-5%C3%A2-years-after-laparoscopic-sleeve-gastrectomy
#9
Ju-Jun Chou, Wei-Jei Lee, Owaid Almalki, Jung-Chien Chen, Pei-Ling Tsai, Shwu-Huey Yang
BACKGROUND: Laparoscopic sleeve gastrectomy (LSG) is becoming a leading primary bariatric surgery but long-term outcome remains unclear. The amount of food eaten is drastically reduced after LSG and may lead to nutritional deficiencies potentially. The aim of this study is to investigate long-term dietary intake and weight status after LSG. METHODS: Forty patients underwent LSG had more than 5-year follow-up with complete clinical data and food frequency questionnaires were analyzed...
June 6, 2017: Obesity Surgery
https://www.readbyqxmd.com/read/28585487/improvement-of-nonalcoholic-fatty-liver-disease-in-morbidly-obese-patients-after-sleeve-gastrectomy-association-of-ultrasonographic-findings-with-lipid-profile-and-liver-enzymes
#10
Jaime Ruiz-Tovar, Maria Engracia Alsina, Maria Remedios Alpera
BACKGROUND: After bariatric surgery an improvement or even complete resolution of nonalcoholic fatty liver disease (NAFLD) in morbidly obese patients is achieved, but little is known about the effect of laparoscopic sleeve gastrectomy (LSG). PATIENTS AND METHODS: A prospective observational study of patients undergoing LSG was performed. An abdominal ultrasonography and blood sample extraction (investigating liver enzymes and lipid profile) were performed preoperatively and 12 months after surgery...
June 6, 2017: Acta Chirurgica Belgica
https://www.readbyqxmd.com/read/28570438/surgically-induced-changes-in-gut-microbiome-and-hedonic-eating-as-related-to-weight-loss-preliminary-findings-in-obese-women-undergoing-bariatric-surgery
#11
Claudia P Sanmiguel, Jonathan Jacobs, Arpana Gupta, Tiffany Ju, Jean Stains, Kristen Coveleskie, Venu Lagishetty, Anna Balioukova, Yijun Chen, Erik Dutson, Emeran Mayer, Jennifer S Labus
OBJECTIVE: Weight-loss surgery results in significant changes in the anatomy, function and intraluminal environment of the gastrointestinal tract affecting the gut microbiome. While bariatric surgery results in sustained weight loss, decreased appetite and hedonic eating; it is unknown if the surgery-induced alterations in gut microbiota play a role in the observed changes in hedonic eating. We explored the following hypotheses 1) Laparoscopic sleeve gastrectomy results in changes in gut microbial composition ; 2) Alterations in gut microbiota are related to weight loss; 3) Alterations in gut microbiome are associated with changes in appetite and hedonic eating...
May 30, 2017: Psychosomatic Medicine
https://www.readbyqxmd.com/read/28569359/early-effects-of-sleeve-gastrectomy-on-obesity-related-cytokines-and-bile-acid-metabolism-in-morbidly-obese-japanese-patients
#12
Hideharu Shimizu, Fumihiko Hatao, Kazuhiro Imamura, Kijuro Takanishi, Motoyoshi Tsujino
BACKGROUND: Laparoscopic sleeve gastrectomy (LSG) has wide-ranging positive effects on adipocytokine metabolism, bile acid profile, and chronic low-grade inflammation related to obesity. However, the early temporal changes in these markers following LSG have not been well investigated. This study aimed to evaluate the early effects of LSG on adipocytokines, bile acid profile, and inflammatory markers. METHODS: This was a nonrandomized prospective study examining morbidly obese Japanese patients undergoing LSG...
May 31, 2017: Obesity Surgery
https://www.readbyqxmd.com/read/28569358/revision-procedures-after-failed-adjustable-gastric-banding-comparison-of-efficacy-and-safety
#13
Pawan Chansaenroj, Lwin Aung, Wei-Jei Lee, Shu Chun Chen, Jung-Chien Chen, Kong-Han Ser
BACKGROUND: Laparoscopic adjustable gastric banding (LAGB) was one of the commonly performed bariatric operations; however, it carries a high revision rate. The aim of the present study was to report the long-term outcomes of LAGB and compare the outcomes between the different revision procedures. METHODS: All patients who underwent LAGB in a large bariatric center in Asia between May 2002 and April 2011 were included. Interval between primary LAGB to the revision operation, the reason and type of revision surgery were identified and analyzed...
May 31, 2017: Obesity Surgery
https://www.readbyqxmd.com/read/28569357/complications-following-the-mini-one-anastomosis-gastric-bypass-mgb-oagb-a-multi-institutional-survey-on-2678-patients-with-a-mid-term-5%C3%A2-years-follow-up
#14
Mario Musella, Antonio Susa, Emilio Manno, Maurizio De Luca, Francesco Greco, Marco Raffaelli, Stefano Cristiano, Marco Milone, Paolo Bianco, Antonio Vilardi, Ivana Damiano, Gianni Segato, Laura Pedretti, Piero Giustacchini, Domenico Fico, Gastone Veroux, Luigi Piazza
BACKGROUND: In recent years, several articles have reported considerable results with the Mini/One Anastomosis Gastric Bypass (MGB/OAGB) in terms of both weight loss and resolution of comorbidities. Despite those positive reports, some controversies still limit the widespread acceptance of this procedure. Therefore, a multicenter retrospective study, with the aim to investigate complications following this procedure, has been designed. PATIENTS AND METHODS: To report the complications rate following the MGB/OAGB and their management, and to assess the role of this approach in determining eventual complications related especially to the loop reconstruction, in the early and late postoperative periods, the clinical records of 2678 patients who underwent MGB/OAGB between 2006 and 2015 have been studied...
May 31, 2017: Obesity Surgery
https://www.readbyqxmd.com/read/28569356/effects-of-laparoscopic-sleeve-gastrectomy-on-parathyroid-hormone-vitamin-d-calcium-phosphorus-and-albumin%C3%A2-levels
#15
Mehmet Mihmanli, Riza Gurhan Isil, Canan Tulay Isil, Sinan Omeroglu, Pinar Sayin, Sibel Oba, Feyza Yener Ozturk, Yuksel Altuntas
BACKGROUND: Laparoscopic sleeve gastrectomy (LSG) reduces obesity-related co-morbidities, such as diabetes, hypertension, and hyperlipidemia. Endocrinological abnormalities may occur as undesired side effects. Most centers routinely prescribe folic acid, cyanocobalamin (vitB12), and protein replacement in the postoperative period, but 25-OH-vitamin-D3 (vitD) and intact parathyroid hormone (iPTH) levels are not routinely followed up. The aim of this study was to identify the effects of LSG on iPTH, vitD, calcium (Ca), phosphorus (P), alkaline phosphatase (ALP), and albumin levels...
May 31, 2017: Obesity Surgery
https://www.readbyqxmd.com/read/28560529/desire-for-core-tastes-decreases-after-sleeve-gastrectomy-a-single-center-longitudinal-observational-study-with-6-month-follow-up
#16
Daniel Gero, Fadia Dib, Lara Ribeiro-Parenti, Konstantinos Arapis, Denis Chosidow, Jean-Pierre Marmuse
INTRODUCTION: Laparoscopic sleeve gastrectomy (LSG) modifies gastrointestinal substances that control hunger and satiation via the brain-gut axis. A potential mechanism implicated in weight loss is the shift in food preferences. Our aim was to assess changes in taste preferences and their relationship to weight loss. METHODS: This is a prospective longitudinal observational study in 100 consecutive LSG patients. Questionnaire with photographs of tastes was administered before surgery, at postoperative (PO) day 6 and PO month 6...
May 30, 2017: Obesity Surgery
https://www.readbyqxmd.com/read/28547566/incidence-and-predictors-of-hypoglycemia-1-year-after-laparoscopic-sleeve-gastrectomy
#17
Anna Belligoli, Marta Sanna, Roberto Serra, Roberto Fabris, Chiara Dal Pra', Scilla Conci, Paola Fioretto, Luca Prevedello, Mirto Foletto, Roberto Vettor, Luca Busetto
INTRODUCTION: Hypoglycemia is a known adverse event following gastric bypass. The incidence of hypoglycemia after laparoscopic sleeve gastrectomy (LSG) is still under investigation. The aim of our study was to verify the presence of oral glucose tolerance test (OGTT)-related hypoglycemia after LSG and to identify any baseline predictors of its occurrence. METHODS: We analyzed 197 consecutive non-diabetic morbid obese patients that underwent LSG. All patients were studied before and 12 months after LSG...
May 25, 2017: Obesity Surgery
https://www.readbyqxmd.com/read/28545915/leaks-in-fixed-ring-banded-sleeve-gastrectomies-a-management-approach
#18
Jonathan W Foo, James Balshaw, Michael H L Tan, Jeremy T H Tan
BACKGROUND: The use of a Fobi ring to prevent pouch dilation is sometimes used in Roux-en-Y gastric bypass (RYGB). Recently, it has been extrapolated to laparoscopic sleeve gastrectomy (LSG) procedures by placing a fixed-ring band a few centimeters below the gastroesophageal junction (GEJ). OBJECTIVES: What is the consequence if a patient develops a leak? SETTING: Tertiary metropolitan referral center, Australia. METHODS: Over 18 months, all patients with either a conventional LSG or a fixed-ring banded sleeve gastrectomy (BLSG) who presented with a proven leak complication were included...
April 4, 2017: Surgery for Obesity and related Diseases: Official Journal of the American Society for Bariatric Surgery
https://www.readbyqxmd.com/read/28540622/the-impact-of-technical-surgical-aspects-on-morbidity-of-984-patients-after-sleeve-gastrectomy-for-morbid-obesity
#19
Ohad Guetta, Amnon Ovnat, David Czeiger, Alex Vakhrushev, Gal Tsaban, Gilbert Sebbag
BACKGROUND: To evaluate early complications after LSG in regard of staple line reinforcement (SLR), bougie size, previous bariatric surgery and surgeon experience. METHODS: A retrospective cohort study of LSG patients at the Soroka University Medical Center (SUMC). Data was collected from digitalized database. RESULTS: Nine hundred eighty-four LSG cases were performed by three surgeons. Seventy-eight complications were observed (7.9%): 44 mild (4...
May 24, 2017: Obesity Surgery
https://www.readbyqxmd.com/read/28533573/comparison-of-early-results-and-complications-between-multi-and-single-port-sleeve-gastrectomy-a-randomized-clinical-study
#20
Seyed Vahid Hosseini, Seyed Ali Hosseini, Ahmed Mohammed Ali Hussein Al-Hurry, Hajar Khazraei, Fatemeh Ganji, Fatemeh Sadeghi
BACKGROUND: In recent years, laparoscopic sleeve gastrectomy (LSG) has become more acceptable for obese patients. Single-port sleeve gastrectomy (SPSG) is more popular since each abdominal incision carries the risk of bleeding, hernia, and internal organ injury as well as exponentially affecting cosmesis. This cross-sectional study aimed at comparing multi-port sleeve gastrectomy (MPSG) and SPSG in terms of their early results and complications. METHODS: Out of129 obese patients candidated for LSG, 102 patients were assigned to 2 groups of SPSG and MPSG...
May 2017: Iranian Journal of Medical Sciences
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