keyword
https://read.qxmd.com/read/38512646/comparison-of-dynamic-measures-in-intraoperative-goal-directed-fluid-therapy-of-patients-with-morbid-obesity-undergoing-laparoscopic-sleeve-gastrectomy
#21
JOURNAL ARTICLE
Gökhan Urhan, İsmail Demirel, Ahmet Deniz, Ahmet Aksu, Aysun Yıldız Altun, Esef Bolat, Azize Beştaş, Gülsüm Altuntaş
INTRODUCTION: Obesity increases the risk of morbidity and mortality during surgical procedures. Goal-directed fluid therapy (GDFT) is a new concept for perioperative fluid management that has been shown to improve patient prognosis. This study aimed to investigate the role of the Pleth Variability Index (PVI), systolic pressure variation (SPV), and pulse pressure variation (PPV) in maintaining tissue perfusion and renal function during GDFT management in patients undergoing laparoscopic sleeve gastrectomy (LSG)...
March 21, 2024: Obesity Surgery
https://read.qxmd.com/read/38512349/robot-assisted-versus-laparoscopic-assisted-gastrectomy-among-malnourished-patients-with-gastric-cancer-based-on-textbook-outcome
#22
JOURNAL ARTICLE
Guang-Tan Lin, Jun-Yu Chen, Zhi-Xin Shang-Guan, Deng-Hui Fan, Qing Zhong, Dong Wu, Zhi-Yu Liu, Yi-Ming Jiang, Jia-Bin Wang, Jian-Xian Lin, Jun Lu, Qi-Yue Chen, Zhi-Hong Huang, Ju-Li Lin, Jian-Wei Xie, Ping Li, Chang-Ming Huang, Chao-Hui Zheng
BACKGROUND: Textbook outcome (TO) has been widely employed as a comprehensive indicator to assess the short-term prognosis of patients with cancer. Preoperative malnutrition is a potential risk factor for adverse surgical outcomes in patients with gastric cancer (GC). This study aimed to compare the TO between robotic-assisted gastrectomy (RAG) and laparoscopic-assisted gastrectomy (LAG) in malnourished patients with GC. METHODS: According to the diagnostic consensus of malnutrition proposed by Global Leadership Initiative on Malnutrition (GLIM) and Nutrition Risk Index (NRI), 895 malnourished patients with GC who underwent RAG (n = 115) or LAG (n = 780) at a tertiary referral hospital between January 2016 and May 2021 were included in the propensity score matching (PSM, 1:2) analysis...
March 21, 2024: Surgical Endoscopy
https://read.qxmd.com/read/38507149/effect-of-zusanli-acupoint-injection-with-anisodamine-on-postoperative-recovery-quality-of-patients-undergoing-bariatric-surgery
#23
JOURNAL ARTICLE
Jianxin Cheng, Xiaohan Wang, Rui Wang, Jingyi Sheng, Shanshan Guo, Tianya Liu, Zhiping Wang
PURPOSE: To evaluate the influence of anisodamine injection at the Zusanli (ST36) on early postoperative recovery quality in patients who have undergone laparoscopic sleeve gastrectomy. MATERIALS AND METHODS: 141 patients undergoing laparoscopic sleeve gastrectomy were randomly divided into the control group (group C), the normal saline group (group S) and the anisodamine group (group A). Acupuncture point injections were administered after induction of general anesthesia...
March 20, 2024: Obesity Surgery
https://read.qxmd.com/read/38506938/how-i-do-it-laparoscopic-intragastric-submucosal-dissection-lisd-for-gastric-and-gastro-oesophageal-junction-early-lesions
#24
JOURNAL ARTICLE
Maira Farrukh, Barbara Braden, Bruno Sgromo
PURPOSE: Laparoscopic intragastric submucosal dissection (LISD) is a novel approach to the resection of gastric lesion that are not amenable to conventional endoscopic approaches. The technique permits favourable access to lesions situated at the cardia and angular notch of the stomach, enables en-bloc resection of large areas of tissue, and can prevent the need of formal gastrectomy or oesophagectomy in selected patients. METHODS: All cases were deemed suitable for LISD by a multidisciplinary team panel following endoscopic assessment (using white light enhancement, chromoendoscopy and magnification endoscopy) that was integrated when needed with EUS, CT scan or PET scan...
March 20, 2024: Langenbeck's Archives of Surgery
https://read.qxmd.com/read/38503604/trends-in-gastric-surgery-operative-experience-among-general-surgery-residents-in-the-united-states-a-nationwide-retrospective-analysis
#25
JOURNAL ARTICLE
Amir Humza Sohail, Samuel L Flesner, Kevin A Martinez, Hoang Nguyen, Christian Martinez, Ivan B Ye, Bshara H Jreisat, Amal Rohail, Mohammed A Quazi, Tulio Brasileiro Silva Pacheco, Caroline Elizabeth Williams, Umar F Bhatti, Abu Baker Sheikh, Aman Goyal
BACKGROUND: Gastric surgery is a crucial component of general surgery training. However, there is a paucity of high-quality data on operative volume and the diversity of surgical procedures that general surgery residents are exposed to. METHODS: We conducted a retrospective analysis of operative case logs of all general surgery residents graduating from the American College of Graduate Medical Education-accredited program from 2009 to 2022. Data on the mean number of gastric procedures, including the mean in each subcategory, were retrieved...
March 18, 2024: Surgery
https://read.qxmd.com/read/38503558/successful-treatment-of-gastrosplenic-fistula-after-sleeve-gastrectomy
#26
JOURNAL ARTICLE
D Toman, A Foltýs, P Ostruszka, L Tulinský, L Martínek
INTRODUCTION: Laparoscopic sleeve gastrectomy (LSG) is one of the most performed bariatric procedures. But it is also associated with serious and potentially life-threatening staple line-related complications, such as stomach leak and bleeding. CASE REPORT: The article describes a case of surgical treatment of an early fistula between the stomach and the spleen 3 weeks after LSG. We have focused our attention on the diagnosis and possible treatment options for this potentially life-threatening complication...
2024: Rozhledy V Chirurgii: Měsíčník Československé Chirurgické Společnosti
https://read.qxmd.com/read/38502275/superior-lymph-node-harvest-by-fluorescent-lymphography-during-minimally-invasive-gastrectomy-for-gastric-cancer-patients-with-high-body-mass-index
#27
JOURNAL ARTICLE
Ki-Yoon Kim, Jawon Hwang, Sung Hyun Park, Minah Cho, Yoo Min Kim, Hyoung-Il Kim, Woo Jin Hyung
BACKGROUND: Fluorescent lymphography (FL) using indocyanine green (ICG) allows for the visualization of all draining lymph nodes (LNs), thereby increasing LN retrieval. However, no studies have assessed the efficacy of FL in high body mass index (BMI) gastric cancer patients, even as LN yield decreases with increasing BMI in gastrectomy. This study aimed to investigate the influence of FL on LN retrieval in high BMI gastric cancer patients. METHODS: Gastric cancer patients who underwent laparoscopic or robotic gastrectomies from 2013 to 2021 were included...
March 19, 2024: Gastric Cancer
https://read.qxmd.com/read/38500469/-medical-damage-identification-of-death-from-duodenal-stump-leakage-after-laparoscopic-radical-gastrectomy-for-gastric-cancer%C3%AF-a-case-report
#28
JOURNAL ARTICLE
达 曾, 杏 斌 郑
No abstract text is available yet for this article.
February 25, 2024: Fa Yi Xue za Zhi
https://read.qxmd.com/read/38500257/successful-anesthetic-management-for-obese-patients-with-interstitial-lung-disease-undergoing-laparoscopic-sleeve-gastrectomy-a-bridge-to-improved-lung-transplant-eligibility
#29
JOURNAL ARTICLE
Piotr Mieszczański, Marek Janiak, Paweł Ziemiański, Radosław Cylke, Wojciech Lisik, Janusz Trzebicki
BACKGROUND Patients with obesity with interstitial lung diseases (ILD) are encouraged to lose weight, as it improves lung function and lung transplant eligibility. As exercise tolerance in these patients is low and weight gain is a common adverse effect of corticosteroids, bariatric surgery can be an effective method for the management of obesity in this patient group. However, perioperative complications in such high-risk patients remain a concern. Therefore, we aimed to demonstrate successful anesthetic management for obese patients with ILD, which may be practically utilized to reduce perioperative pulmonary complications and improve outcomes...
March 19, 2024: American Journal of Case Reports
https://read.qxmd.com/read/38499943/ultrasound-guided-external-oblique-intercostal-plane-block-for-postoperative-analgesia-in-laparoscopic-sleeve-gastrectomy-a-prospective-randomized-controlled-patient-and-observer-blinded-study
#30
JOURNAL ARTICLE
Ali Sait Kavakli, Taylan Sahin, Umit Koc, Arzu Karaveli
PURPOSE: The external oblique intercostal plane (EOI) block is a novel block technique for anterolateral upper abdominal wall analgesia. The superficial nature of the external oblique intercostal plane allows it to be easily identified even in patients with obesity. The aim of this study was to test the hypothesis that EOI block would reduce IV morphine consumption within 24 h after laparoscopic sleeve gastrectomy. MATERIALS AND METHODS: Patients were randomly assigned to one of two groups: EOI block group and control group...
March 18, 2024: Obesity Surgery
https://read.qxmd.com/read/38499796/evaluation-study-of-single-anastomosis-duodenal-ileal-bypass-with-sleeve-gastrectomy-in-the-treatment-of-chinese-obese-patients-based-on-efficacy-and-nutrition
#31
JOURNAL ARTICLE
Lifu Hu, Lun Wang, Shixing Li, Yang Liu, Zheng Zhang, Minghao Xiao, Zhenhua Zhang, Zhiqiang Wei, Liang Cui, Tao Jiang
To evaluate the efficacy and nutrition of single-anastomosis duodenal-ileal bypass with sleeve gastrectomy (SADI-S) in Chinese obese patients in the first postoperative year. Clinical data of 66 obese patients who underwent SADI-S surgery at China-Japan Union Hospital of Jilin University from November 2018 to May 2022 were retrospectively collected. The weight, body mass index (BMI), percentage of excess weight loss (%EWL), and percentage of total weight loss (%TWL) were recorded at 3, 6, and 12 months after surgery...
March 19, 2024: Scientific Reports
https://read.qxmd.com/read/38496064/the-role-of-tranexamic-acid-in-sleeve-gastrectomy-a-systematic-review-and-meta-analysis
#32
REVIEW
Abdulkreem Al-Juhani, Galal F Sharaf, Saeed Aseri, Hadeel Alosaimi, Shaden A Alharkan, Joud K AlGhamdi, Faris S Hariri, Lojain Daak, Ikhlas Daak
Tranexamic acid (TXA) is an essential procoagulant drug used in various intra- and postoperative situations. Its efficacy and safety profile in obese cases undergoing laparoscopic sleeve gastrectomy (LSG) is still unresolved. Therefore, this meta-analysis evaluated and investigated the current intra- and postoperative effects and hazards of TXA on patients undergoing LSG. As for methodology, Web of Science, Cochrane Library, Scopus, and PubMed were thoroughly searched for relevant studies. Retrieved results were prepared for screening through Endnote, helping to identify eligible studies...
February 2024: Curēus
https://read.qxmd.com/read/38494813/-results-of-surgical-treatment-for-gastric-cancer-in-the-elderly-over-85-years-old
#33
JOURNAL ARTICLE
Yuto Kitano, Tomoya Tsukada, Masahide Kaji, Jungo Yoshida, Tatsuhiro Araki, Hiroaki Horio, Kenta Sukegawa, Toru Kurata, Atsushi Hirose, Masahiro Hada, Koji Amaya, Akemi Yoshikawa, Kiichi Maeda
Although the number of gastric cancers in elderly is increasing with the aging population, the indications of surgical treatment depend on the individual cases and the decisions of doctors. We investigated the outcomes of gastrectomy in elderly patients aged 85 years and older who underwent surgery at our hospital. From 2014 to 2022, 72 cases of gastrectomy were performed in the elderly. The approaches were laparotomy in 28 cases, laparoscopic in 42, and robot-assisted in 2. There were 57 cases of distal gastrectomy, 7 cases of proximal gastrectomy, and 8 cases of total gastrectomy...
March 2024: Gan to Kagaku Ryoho. Cancer & Chemotherapy
https://read.qxmd.com/read/38494184/ramadan-fasting-following-laparoscopic-sleeve-gastrectomy-a-prospective-online-survey-cohort-study-in-egypt
#34
JOURNAL ARTICLE
Tamer N Abdelbaki, Noureldin Ahmed, Mahmoud Ahmed Alhussini, Moustafa Elshafei
PURPOSE: This study aims to explore the feasibility and implications of Ramadan fasting for patients who have undergone laparoscopic sleeve gastrectomy (LSG), assessing impacts on hydration, nutrient intake, weight management, and gastrointestinal symptoms. METHODS: A prospective online survey was conducted among 218 LSG patients and 83 control individuals with obesity who had not undergone surgery. Participants were surveyed before and after Ramadan, providing data on fasting practices, hunger and satiety levels, fluid and nutrient intake, and the occurrence of gastrointestinal symptoms...
March 15, 2024: Journal of minimally invasive surgery
https://read.qxmd.com/read/38494181/comment-on-ramadan-fasting-following-laparoscopic-sleeve-gastrectomy-a-prospective-online-survey-cohort-study-in-egypt
#35
EDITORIAL
Su-Mi Kim, Sang Hyun Kim
No abstract text is available yet for this article.
March 15, 2024: Journal of minimally invasive surgery
https://read.qxmd.com/read/38493108/effect-of-deep-neuromuscular-block-on-the-quality-of-early-recovery-after-sleeve-gastrectomy-in-obese-patients-a-randomized-controlled-trial
#36
JOURNAL ARTICLE
Wan-Li Yang, Ya-Ling Wen, Wen-Mei Xu, Chi-Liang Xu, Wen-Qin Yin, Jing-Yan Lin
BACKGROUND: Deep neuromuscular block (NMB) has been shown to improve surgical conditions and alleviate post-operative pain in bariatric surgery compared with moderate NMB. We hypothesized that deep NMB could also improve the quality of early recovery after laparoscopic sleeve gastrectomy (LSG). METHODS: Eighty patients were randomized to receive either deep (post-tetanic count 1-3) or moderate (train-of-four count 1-3) NMB. The QoR-15 questionnaire was used to evaluate the quality of early recovery at 1 day before surgery (T0), 24 and 48 h after surgery (T2, T3)...
March 16, 2024: BMC Anesthesiology
https://read.qxmd.com/read/38489109/ectopic-bile-duct-concomitant-with-gastric-ulcer-hemorrhage-report-of-a-case
#37
JOURNAL ARTICLE
Yuiko Nagasawa, Masayuki Ohta, Yuki Shitomi, Hiroshi Satoh, Masanori Aramaki
BACKGROUND: An ectopic bile duct opening into the stomach is a rare congenital anomaly of the biliary system, and thus, there are few case reports with gastric ulcer hemorrhage. Herein, we presented a case of ectopic bile duct concomitant with gastric ulcer hemorrhage. CASE PRESENTATION: A 75-year-old woman was referred to our hospital because she repeatedly vomited blood and had melena. Endoscopic hemostasis was attempted for hemorrhage from a gastric ulcer located on the anterior wall of the antrum...
March 15, 2024: Surgical Case Reports
https://read.qxmd.com/read/38489003/effect-of-sarcopenic-obesity-on-weight-loss-outcomes-and-quality-of-life-after-laparoscopic-sleeve-gastrectomy-a-retrospective-cohort-study
#38
JOURNAL ARTICLE
Zhi-Xin Shang-Guan, Guang-Tan Lin, Zhi-Yu Liu, Qing Zhong, Qiang Huang, Ping Li, Jian-Wei Xie, Jia-Bin Wang, Jun Lu, Qi-Yue Chen, Long-Long Cao, Mi Lin, Hua-Long Zheng, Chao-Hui Zheng, Jian-Xian Lin, Chang-Ming Huang
BACKGROUND: Sarcopenic obesity may affect the health outcome of people with obesity after laparoscopic sleeve gastrectomy (LSG). To assess the impact of sarcopenic obesity (SO) on weight loss outcomes and improvement of quality of life after LSG. MATERIALS AND METHODS: This observational study included patients who underwent LSG with SO (99 patients) or without SO (146 patients) from a single center. The primary endpoint was weight loss and disease-specific quality of life in patients with or without SO after the operation...
March 15, 2024: Obesity Surgery
https://read.qxmd.com/read/38487395/iatrogenic-eventration-of-the-hemidiaphragm-in-a-post-bariatric-surgery-patient
#39
Leonora E Long, Sam Tharwat Alhayo, Michael Talbot
The aim of this report is to describe the management of an iatrogenic diaphragmatic eventration following surgery to relieve neurogenic symptoms of thoracic outlet syndrome in a patient with a prior history of sleeve gastrectomy. We discuss the case of a 46-year-old woman with a 6-month history of gastro-oesophageal reflux and dyspnoea. Imaging demonstrated a left hemidiaphragm eventration and hiatus hernia. The patient underwent laparoscopic plication of the left hemidiaphragm, repair of the hiatus hernia, and an omega loop gastric bypass, with satisfactory resolution of her symptoms...
March 2024: Journal of Surgical Case Reports
https://read.qxmd.com/read/38485577/long-term-outcomes-of-laparoscopic-sleeve-gastrectomy-in-denmark-from-2010-to-2016-a-nationwide-cohort-study
#40
JOURNAL ARTICLE
Johanne Gormsen, Inge Marie Poulsen, Anne Samsøe Engberg, Sune Brinch Erichsen, Cecilie Brandt Lassen, Frederik Helgstrand
BACKGROUND: Bariatric surgery is the most effective treatment of morbid obesity and obesity-related conditions. Laparoscopic sleeve gastrectomy (LSG) has become increasingly popular in Denmark and worldwide. OBJECTIVE: To evaluate long-term outcomes including postoperative complications after LSG. SETTING: University Hospitals, Denmark. METHODS: This was a nationwide multicenter cohort study including all patients who underwent LSG during 2010 to 2016 in Denmark...
February 2, 2024: Surgery for Obesity and Related Diseases
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