keyword
https://read.qxmd.com/read/34075550/the-effect-of-helicobacter-pylori-eradication-on-gastric-wall-thickness-in-patients-undergoing-laparoscopic-sleeve-gastrectomy
#21
JOURNAL ARTICLE
Anıl Ergin, Hüseyin Çiyiltepe, Aziz Bora Karip, Mehmet Mahir Fersahoğlu, Nuriye Esen Bulut, Ahmet Çakmak, Berk Topaloğlu, Ali Cihan Bilgili, Adnan Somay, İksan Taşdelen, Ümit Akyüz, Kemal Memişoğlu
PURPOSE: The most important cause affecting the thickness of the gastric wall other than the tumor is chronic gastritis caused by Helicobacter pylori (Hp), which is most frequently detected in the antrum. This study aims to investigate the effect of bismuth-based treatment (BBT) combined with proton pump inhibitor (PPI) on wall thicknesses measured in the postoperative gastric specimen and early postoperative complications in patients with Hp-positive pre-LSG endoscopic gastric biopsies...
June 1, 2021: Obesity Surgery
https://read.qxmd.com/read/33817769/computational-evaluation-of-laparoscopic-sleeve-gastrectomy
#22
JOURNAL ARTICLE
Ilaria Toniolo, Chiara Giulia Fontanella, Michel Gagner, Cesare Stefanini, Mirto Foletto, Emanuele Luigi Carniel
LSG is one of the most performed bariatric procedures worldwide. It is a safe and effective operation with a low complication rate. Unsatisfactory weight loss/regain may occur, suggesting that the operation design could be improved. A bioengineering approach might significantly help in avoiding the most common complications. Computational models of the sleeved stomach after LSG were developed according to bougie size (range 27-54 Fr). The endoluminal pressure and the basal volume were computed at different intragastric pressures...
April 4, 2021: Updates in Surgery
https://read.qxmd.com/read/33664885/importance-of-the-length-of-the-myocardial-sleeve-in-the-superior-vena-cava-in-patients-with-atrial-fibrillation
#23
JOURNAL ARTICLE
Eiji Nyuta, Masao Takemoto, Togo Sakai, Takahiro Mito, Akihiro Masumoto, Wataru Todoroki, Keishiro Yagyu, Jiro Ueno, Yoshibumi Antoku, Tokushi Koga, Takafumi Ueno, Takuya Tsuchihashi
Background: Pulmonary vein (PV) antrum isolation (PVAI) has proven to be a useful strategy for radiofrequency catheter ablation (RFCA) of atrial fibrillation (AF) worldwide. However, non-PV foci, especially from the superior vena cava (SVC), play an important role in initiating and maintaining AF. Methods: In all, 427 consecutive patients with non-valvular AF who were admitted to our hospitals to undergo RFCA of AF using an EnSite™ system were evaluated. The length from the top of the sinus node to the top of the myocardial sleeve of SVC (L-SVC), longer and shorter diameter of SVC of 1 cm above of junction of right atrium and SVC, and local activation time (LAT) of SVC were measured...
February 2021: Journal of Arrhythmia
https://read.qxmd.com/read/33566731/relationship-of-motor-mechanisms-to-gastroparesis-symptoms-toward-individualized-treatment
#24
JOURNAL ARTICLE
Michael Camilleri
Following a classical paper by Dr. Keith A. Kelly published in this journal, and over the past 40 years, there has been increased understanding of the functions of different regions of the stomach, specifically the fundus, antrum, and pylorus. Several of the important physiological principles were based on in vivo animal studies that led to the appreciation of regional function and control mechanisms. These include the roles of the extrinsic parasympathetic vagal innervation, the gastric enteric nervous system and electrical syncytium consisting of pacemaker cells and smooth muscle cells, and duodenogastric reflexes providing feedback regulation following the arrival of food and hydrogen ions stimulating the release of hormones and vagal afferent mechanisms that inhibit gastric motility and stimulate pyloric contractility...
April 1, 2021: American Journal of Physiology. Gastrointestinal and Liver Physiology
https://read.qxmd.com/read/33338253/ghrelin-gastric-tissue-expression-in-patients-with-morbid-obesity-and-type-2-diabetes-submitted-to-laparoscopic-sleeve-gastrectomy-immunohistochemical-and-biochemical-study
#25
JOURNAL ARTICLE
Khlood Mohammed Mehdar, Aziza Rashed Al-Rafiah, Saeed Ali Alsareii, Abdurahman M Alamri, Sabah Elshafie Mohammed Alshafie
INTRODUCTION: Obesity and type 2 diabetes mellitus (T2D) are leading causes of morbidity and mortality worldwide. Ghrelin is implicated in the pathophysiology of both disease states. Laparoscopic sleeve gastrectomy is an emerging safe therapeutic technique for patients with morbid obesity. Since the removal of ghrelin-secreting cells by sleeve gastrectomy may be associated with diminished hunger sensation the aim of the study was to: (i) compare body weight and body mass index (BMI) in both obese non-diabetic and obese diabetic patient groups, (ii) determine the ghrelin expression in the resected gastric tissue in both groups, (iii) evaluate relationships between ghrelin cell expression and pre- and post-operative serum ghrelin concentration and glucose levels, and (iv) assess the influence of sleeve gastrectomy on serum glycaemic parameters in this patient population...
December 18, 2020: Folia Histochemica et Cytobiologica
https://read.qxmd.com/read/33292433/the-role-of-the-surgical-resection-distance-from-the-pylorus-after-laparoscopic-sleeve-gastrectomy-a-prospective-cohort-study-from-an-academic-medical-center-in-egypt
#26
JOURNAL ARTICLE
Ahmed H Hussein, Islam Khaled, Mohammed Faisal
BACKGROUND: Laparoscopic sleeve gastrectomy was recently described as an effective approach for the operative treatment of obesity, but the ideal procedure remains controversial. One of the most debated issues is the resection distance from the pylorus. We conducted this study to elucidate any potential differences in the short-term outcomes between 2 and 6 cm distance from the pylorus in laparoscopic sleeve gastrectomy. METHODS: A prospective observational cohort study in a selected cohort of 96 patients was conducted from January 2018 to March 2019 in morbidly obese patients who had laparoscopic sleeve gastrectomy performed at Suez Canal University Hospital...
November 18, 2020: Patient Safety in Surgery
https://read.qxmd.com/read/33261823/increased-staple-loading-pressures-and-reduced-staple-heights-in-laparoscopic-sleeve-gastrectomy-reduce-intraoperative-bleeding
#27
JOURNAL ARTICLE
Eujin Yeo, Jonathan Thompson, Dennis Hanseman, Adam Dunki-Jacobs, Ben Thompson, Michael Goodman, Tayyab Diwan
BACKGROUND: In laparoscopic sleeve gastrectomy, tissue thickness and closed staple height of the staple cartridge determine the pressure applied to the tissue. Prior studies have suggested 8 g/mm2 to be ideal to minimize leaks or bleeding. METHODS: We evaluated the relationship between staple loading pressure applied to gastric tissue and bleeding rate prospectively with a novel tissue measuring device and video-recorded operative findings for 116 patients undergoing laparoscopic sleeve gastrectomy performed by 2 surgeons at a single institution...
May 2021: Surgery
https://read.qxmd.com/read/33006030/evaluation-and-management-of-a-pancreatic-rest-noted-during-pre-bariatric-surgery-screening-endoscopy
#28
REVIEW
Galen Leung, John Mills, Juan Carlos Bucobo, Salvatore Docimo
INTRODUCTION: Pancreatic rest (PR) is an ectopic pancreatic lesion that is usually found incidentally on endoscopy or surgery. While most lesions do not have clinical significance, some patients are symptomatic and rarely, PR can predispose to malignancy. With the growing popularity of bariatric surgery, it has been unclear how to manage PR found on screening endoscopies, prior to bariatric surgery. Through review of the current literature, we propose an algorithm for clinicians to evaluate and manage PR found on screening endoscopies prior to bariatric surgery...
October 1, 2020: Surgical Endoscopy
https://read.qxmd.com/read/32884313/quantitative-and-topographic-analysis-by-immunohistochemical-expression-of-ghrelin-gastric-cells-in-patients-with-morbid-obesity
#29
JOURNAL ARTICLE
David Parada D, Karla B Peña G, Margarida Vives, Alicia Molina, Emilio Mayayo, Frances Riu, Fàtima Sabench, Daniel Del Castillo
Purpose: The cellular distribution of ghrelin positive cells is not well defined. The aim of the study is to quantify and determine the distribution of ghrelin cells in gastric mucosa in patients with morbid obesity and relate this finding to gender, comorbidities, gastritis, and plasmatic levels of acyl and desacylghrelin before and after laparoscopic sleeve gastrectomy. Patient and Methods: We performed a study on 61 patients with BMI≥50 kg/m2 operated by laparoscopic sleeve gastrectomy...
2020: Diabetes, Metabolic Syndrome and Obesity
https://read.qxmd.com/read/32771424/evaluating-the-impact-of-the-antrum-size-following-laparoscopic-sleeve-gastrectomy-a-randomized-multicenter-study
#30
JOURNAL ARTICLE
David Nocca, Marie-Christine Picot, Ion Donici, Olivier Emungania, Audrey Jaussent, Sandrine Akouete, Alexandrine Robert, Marius Nedelcu, Anamaria Nedelcu
BACKGROUND: The effect of laparoscopic sleeve gastrectomy (LSG) on gastroesophageal reflux disease (GERD) remains discordant and highly related to the surgical technique. GERD and weight regain are probably understudied by prospective clinical studies depending on different technical factors. OBJECTIVES: The purpose of this article is to evaluate the effect of extent to which the antrum is resected on GERD following LSG but also on early complications and short-term weight loss results...
July 2, 2020: Surgery for Obesity and Related Diseases
https://read.qxmd.com/read/32749614/correction-to-does-antrum-size-matter-in-sleeve-gastrectomy-a-prospective-randomized-study
#31
Francesco Pizza, Dario D'Antonio, Francesco Saverio Lucido, Claudio Gambardella, Juan Antonio Carbonell Asíns, Chiara Dell'Isola, Salvatore Tolone
This article was updated to correct Juan Antonio Carbonell Asíns' name in the author listing: Juan Antonio (given name) Carbonell Asíns (family name).
August 4, 2020: Surgical Endoscopy
https://read.qxmd.com/read/32749610/assessment-of-a-novel-stapler-performance-for-laparoscopic-sleeve-gastrectomy
#32
JOURNAL ARTICLE
Christen Salyer, Anthony Spuzzillo, Devin Wakefield, Dina Gomaa, Jonathan Thompson, Michael Goodman
BACKGROUND: Optimal stapler selection during laparoscopic sleeve gastrectomy requires careful balance between tissue compression, hemostasis, and mechanical integrity. Junctions along a staple line can further increase the risks of technical or mechanical staple line failures. The aim of this study was to compare two commonly utilized laparoscopic linear gastrointestinal staplers (Ethicon, Medtronic) with a novel linear stapler (Titan) designed to perform a sleeve gastrectomy with a single stapler firing...
July 2021: Surgical Endoscopy
https://read.qxmd.com/read/32691207/does-antrum-size-matter-in-sleeve-gastrectomy-a-prospective-randomized-study
#33
JOURNAL ARTICLE
Francesco Pizza, Dario D'Antonio, Francesco Saverio Lucido, Claudio Gambardella, Carbonell Asíns Juan Antonio, Chiara Dell'Isola, Salvatore Tolone
BACKGROUND: Laparoscopic sleeve gastrectomy (LSG) is a safe and effective bariatric procedure in terms of excess weight loss. Nevertheless, controversies still exist on several technical and operative aspects of LSG. The aim of this study is to evaluate variations in anthropometric features in subjects with a LSG gastric resection starting from 2 cm or 6 cm from the pylorus. Secondary aim was the evaluation of differences in morbidity, food tolerance, and GERD incidence studied with upper endoscopy (UE) and GERD Health-Related Quality-of-Life score...
July 20, 2020: Surgical Endoscopy
https://read.qxmd.com/read/32062844/measurement-of-stomach-wall-thickness-to-guide-staple-selection-during-sleeve-gastrectomy
#34
JOURNAL ARTICLE
Yoo Jin Lee, You Na Kim, Sungsoo Park
BACKGROUND: Sleeve gastrectomy has been considered a primary bariatric surgery; however, surgeons concerned with staple line leakage often query whether staples selected during stomach resection are of an appropriate size. This study aimed to measure gastric wall thickness using pathology laboratory measurements and to identify variables correlated with stomach wall thickness in patients who had undergone laparoscopic sleeve gastrectomy. METHODS: We obtained fresh resected stomach wall specimens from 30 patients...
June 2020: Obesity Surgery
https://read.qxmd.com/read/32004902/heterotopic-pancreatic-tissue-in-the-gastric-antrum-an-incidental-finding-during-bariatric-surgery-a-case-report-and-literature-review
#35
Awadh Alqahtani, Emad Aljohani, Fahad Almadi, Srikar Billa, Mohammad Alqahtani, Hisham Alkhaldi
INTRODUCTION: Heterotopic pancreas, also known as ectopic pancreas, is defined as the presence of pancreatic tissue outside its normal location and without anatomic and vascular continuity with the main body of the pancreas. The incidence of heterotopic pancreas has been reported as 0.5 % during laparotomies and at autopsy ranging from 0.6-14 %. PRESENTATION OF CASE: A 28 years old obese male, medically free electively admitted for laparoscopic sleeve gastrectomy...
2020: International Journal of Surgery Case Reports
https://read.qxmd.com/read/31907830/plicated-sleeve-gastrectomy-with-combined-mesocolon-and-greater-omentum-fixation-after-t-shaped-omentoplasty-how-to-do-it
#36
JOURNAL ARTICLE
Emad Abdallah, Mohamed Fikry, Omar Rady, Hossam Elfeki
INTRODUCTION: This technique aims to evaluate fixation of the sleeved distal part of the stomach to the root of the transverse mesocolon and greater omentum after its shortening in a T-shaped design. METHODS: Sleeve gastrectomy is done in a standard five-port technique. Then, we fix the distal end of the staple line using an inverting interrupted 2/0 Ticron suture. We plicate the anterior and posterior walls to invert the staple line and then fix it to the mesocolic fat below the pancreas and to the edge of the disconnected distal omentum close to the antrum...
January 6, 2020: Obesity Surgery
https://read.qxmd.com/read/31785274/endoscopic-balloon-dilation-for-treatment-of-sleeve-gastrectomy-stenosis-a-systematic-review-and-meta-analysis
#37
JOURNAL ARTICLE
Steven H Chang, Violeta B Popov, Christopher C Thompson
BACKGROUND AND AIMS: Gastric stenosis is a rare but potentially serious adverse event after sleeve gastrectomy. Despite current suboptimal treatments, endoscopic balloon dilatation (EBD) has emerged as a safe and efficacious approach. The purpose of this study is to assess the overall success of EBD for sleeve gastrectomy stenosis (SGS) as first-line therapy. METHODS: MEDLINE, Embase, Web of Science, Google Scholar, and Cochrane Database were searched from inception to July 2018...
May 2020: Gastrointestinal Endoscopy
https://read.qxmd.com/read/31499413/finding-carcinoid-tumor-before-bariatric-surgery-is-preoperative-endoscopy-necessary-case-report
#38
JOURNAL ARTICLE
Ozan Şen, Ahmet Gökhan Türkçapar
INTRODUCTION: Carcinoid tumors are endocrine system-related lesions and 4% of the gastrointestinal tract's neuroendocrine tumors (NET) originate from stomach. In recent years, gastric carcinoid tumors have been reported at increasing rates on endoscopies. In this article, we will present a case of gastric carcinoid tumor detected at the upper gastrointestinal (GI) endoscopy during preoperative bariatric surgery workup. CASE PRESENTATION: A 55 years old male patient with body mass index (BMI) 46 kg/m2 was scheduled for bariatric surgery...
2019: International Journal of Surgery Case Reports
https://read.qxmd.com/read/31381184/the-distance-between-the-pylorus-and-left-vagus-nerve-during-sleeve-gastrectomy
#39
JOURNAL ARTICLE
Guillaume Parpex, Marion Demouron, Konstantinos Arapis, Denis Chosidow, Lionel Rebibo, Simon Msika
The sleeve gastrectomy (SG) can be performed with or without antral preservation (distance from the pylorus <50 mm). The objective of this study was to evaluate the distance between the pylorus and the end of the left vagus nerve in order to determine whether it could be used as a constant anatomical landmark to start gastric transection. This was a prospective, nonrandomized study of 120 patients undergoing SG from January to October 2018. The distance measurement between pylorus and vagus nerve was performed at the beginning of the SG...
August 5, 2019: Clinical Anatomy
https://read.qxmd.com/read/31182413/duodenogastric-biliary-reflux-assessed-by-scintigraphic-scan-in-patients-with-reflux-symptoms-after-sleeve-gastrectomy-preliminary-results
#40
JOURNAL ARTICLE
Italo Braghetto, Patricio Gonzalez, Cesar Lovera, Manuel Figueroa-Giralt, Amy Piñeres
BACKGROUND: Bile reflux is a factor in the appearance of severe esophagitis and Barrett's esophagus, which have been reported after sleeve gastrectomy (SG). Incompetent lower esophageal sphincter and increased gastroesophageal acid reflux have been demonstrated after this operation. Some reports have shown bile content in the antrum during endoscopic control, but no investigations objectively confirm the presence of duodenogastric bile reflux in these patients. OBJECTIVES: To evaluate the presence of duodenogastric bile reflux (DGR) after SG in patients presenting reflux symptoms...
June 2019: Surgery for Obesity and Related Diseases
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