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  1. Book: The SAGES Manual Operating Through the Endoscope

    Kroh, Matthew / Docimo Jr., Salvatore / Reavis, Kevin M. / Shada, Amber / El Djouzi, Sofiane

    2023  

    Author's details Matthew Kroh, MD, FACS, FASGE, FASMBS Vice Chair, Innovation Digestive Disease and Surgery Institute Division Chief, Foregut Surgery and Surgical Endoscopy Department of General Surgery Cleveland Clinic Professor of SurgeryCleveland Clinic Lerner College of Medicine Cleveland Clinic 9500 Euclid Avenue, A100 Cleveland, OH, 44195 krohm@ccf.org § Salvatore Docimo, Jr., DO, MBA, FACS, FASBMS Associate Professor of Surgery Associate Director, Bariatric & Foregut Fellowship Associate Program Director for Innovation Division of Gastrointestinal Surgery Department of Surgery University of South Florida + Tampa General Hospital Docimo@USF.edu 5 Tampa General Circle Suite 410 Tampa, FL 33606 docimo@usf.edu § Sofiane El Djouzi, MD, MS, MBA, FRCS, FACS Director of Bariatric and Gastrointestinal Surgery BariJuve Surgical 1555 Barrington RdBuilding 3, Suite 2500 Hoffman Estates, IL 60169 sofiane.eldjouzi@barijuve.com § Amber L. Shada, MD, FACS Assistant Professor of Surgery University of Wisco
    Keywords EndoscopicTools ; Barrett¿sEsophagusTreatment ; endoscopicmucosalresection ; IntramuralSurgery ; Cholecystoduodenostomy ; ArtificialIntelligence ; Endoscopic Tools ; Barrett’s Esophagus Treatment ; Endoscopic Mucosal Resection ; Intramural Surgery ; Artificial Intelligence
    Language English
    Size 1028 p.
    Edition 2
    Publisher Springer International Publishing
    Document type Book
    Note PDA Manuell_19
    Format 127 x 203 x 51
    ISBN 9783031210433 ; 3031210433
    Database PDA

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  2. Article ; Online: Is there a role for voice therapy in the treatment of laryngopharyngeal reflux? A pilot study.

    Barillari, Maria Rosaria / Nacci, Andrea / Bastiani, Luca / Mirra, Giuseppina / Costa, Giuseppe / Maniaci, Antonino / Docimo, Ludovico / Tolone, Salvatore / Giumello, Federica / Minichilli, Fabrizio / Chiesa Estomba, Carlos M / Lechien, Jerome R / Carroll, Thomas L

    Acta otorhinolaryngologica Italica : organo ufficiale della Societa italiana di otorinolaringologia e chirurgia cervico-facciale

    2024  Volume 44, Issue 1, Page(s) 27–35

    Abstract: Objective: The aim of this study was to compare the efficacy of voice therapy combined with standard anti-reflux therapy in reducing symptoms and signs of laryngopharyngeal reflux (LPR).: Methods: A randomised clinical trial was conducted. Fifty-two ... ...

    Abstract Objective: The aim of this study was to compare the efficacy of voice therapy combined with standard anti-reflux therapy in reducing symptoms and signs of laryngopharyngeal reflux (LPR).
    Methods: A randomised clinical trial was conducted. Fifty-two patients with LPR diagnosed by 24 h multichannel intraluminal impedance-pH monitoring were randomly allocated in two groups: medical treatment (MT) and medical plus voice therapy (VT). Clinical symptoms and laryngeal signs were assessed at baseline and after 3 months of treatment with the Reflux Symptom Index (RSI), Reflux Finding Score (RFS), Voice Handicap Index (VHI) and GRBAS scales.
    Results: Groups had similar scores at baseline. At 3-month follow-up, a significant decrease in RSI and RFS total scores were found in both groups although it appeared to be more robust in the VT group. G and R scores of the GRBAS scale significantly improved after treatment in both groups, with better results in the VT group. The VHI total score at 3 months improved more in the VT group (VHI delta 9.54) than in the MT group (VHI delta 5.38) (p < 0.001).
    Conclusions: The addition of voice therapy to medications and diet appears to be more effective in improving treatment outcomes in subjects with LPR. Voice therapy warrants consideration in addition to medication and diet when treating patients with LPR.
    MeSH term(s) Humans ; Laryngopharyngeal Reflux/diagnosis ; Laryngopharyngeal Reflux/drug therapy ; Pilot Projects ; Proton Pump Inhibitors/therapeutic use ; Voice Quality ; Voice
    Chemical Substances Proton Pump Inhibitors
    Language English
    Publishing date 2024-02-14
    Publishing country Italy
    Document type Randomized Controlled Trial ; Journal Article
    ZDB-ID 604898-5
    ISSN 1827-675X ; 0392-100X
    ISSN (online) 1827-675X
    ISSN 0392-100X
    DOI 10.14639/0392-100X-N2742
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: Laparoscopic gastric bypass to robotic gastric bypass: time and cost commitment involved in training and transitioning an academic surgical practice.

    Lyn-Sue, Jerome R / Winder, Josh S / Kotch, Shannon / Colello, Jacob / Docimo, Salvatore

    Journal of robotic surgery

    2016  Volume 10, Issue 2, Page(s) 111–115

    Abstract: The Roux-en-Y gastric bypass is the gold standard procedure for weight loss. This relatively complex procedure has excellent outcomes when performed via laparoscopy. The advent of the DaVinci robotic platform has been a technological advancement. Our ... ...

    Abstract The Roux-en-Y gastric bypass is the gold standard procedure for weight loss. This relatively complex procedure has excellent outcomes when performed via laparoscopy. The advent of the DaVinci robotic platform has been a technological advancement. Our goal is to provide information regarding the cost, time commitment, and advantages of transitioning an LRYGB program to an RRYGB program in an academic setting. We retrospectively reviewed the last 25 laparoscopic gastric bypass procedures and the first 25 robotic gastric bypass procedures performed by a single surgeon. We compared clinical outcomes and focused on time and hospital cost during this transition phase. There was no significant demographic difference between the groups. The mean age was 41.7 (RRYGB) years vs 43.4 (LRYGM) years. The mean BMI were similar between groups, 45.3 vs 46.5 kg/m(2) for RRYGB and LRYGB. No anastomotic leaks or mortalities were noted. There was one anastomotic stricture in both groups. Excess weight loss was similar in both groups at 1 year. There was a significant increase in operative time with RRYGB, mean 241 min vs mean 174 min (p = 0.0005). Operative time fell by 25 min after the first 10 cases. The hospital cost was also increased with RRYGB mean $5922 vs $4395 (p = 0.03). Transitioning from a laparoscopic to a robotic practice can be done safely, however, the initial operative times were longer and the hospital cost was higher for robotic gastric bypass. We hope in the future that these will decrease after overcoming the learning and as the technology becomes widespread.
    MeSH term(s) Adult ; Body Mass Index ; Costs and Cost Analysis ; Education, Medical, Graduate/economics ; Gastric Bypass/economics ; Gastric Bypass/methods ; Hospital Costs ; Humans ; Laparoscopy/economics ; Laparoscopy/education ; Laparoscopy/methods ; Obesity, Morbid/economics ; Obesity, Morbid/surgery ; Retrospective Studies ; Robotic Surgical Procedures/economics ; Robotic Surgical Procedures/education ; Robotic Surgical Procedures/methods ; Treatment Outcome ; Weight Loss
    Language English
    Publishing date 2016-06
    Publishing country England
    Document type Comparative Study ; Evaluation Studies ; Journal Article
    ZDB-ID 2268283-1
    ISSN 1863-2491 ; 1863-2483
    ISSN (online) 1863-2491
    ISSN 1863-2483
    DOI 10.1007/s11701-016-0567-y
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: Pathology-Dependent Histological Changes of the Left Stellate Ganglia

    Salvatore Docimo, Jr. / Carmen Piccolo / Daniel Van Arsdale / David E. Elkowitz

    Clinical Medicine Insights : Pathology, Vol 1, Pp 105-

    A Cadaveric Study

    2008  Volume 113

    Abstract: Sympathetic hyperinnervation due to nerve sprouting generated by the left stellate ganglion has been noted following cardiopulmonary disease processes. Sympathetic hyperinnervation seems to be limited to cardiopulmonary diseases in the experimental and ... ...

    Abstract Sympathetic hyperinnervation due to nerve sprouting generated by the left stellate ganglion has been noted following cardiopulmonary disease processes. Sympathetic hyperinnervation seems to be limited to cardiopulmonary diseases in the experimental and clinical settings. However, histological changes of the left stellate ganglion following cardiopulmonary diseases in humans have yet to be observed. This study intends to investigate the histological changes of cadaveric sympathetic nervous tissue of left stellate ganglia (n = 32) and their relationship to noted pathology. Our study found fibrotic changes of the left stellate ganglion are not significantly dependent upon pathological processes, however, changes in the number of nerve cell bodies seems to be pathology dependent. A relationship between respiratory (mean = 33.3; P = 0.023) and cardiovascular pathologies (mean = 29.6; P = 0.199) and an increase in nerve cell bodies of the left stellate ganglion was noted when compared to other pathologies (mean = 25.7). The link between cardiopulmonary disease and sympathetic hyperinnervation may be the increase in the number of nerve cell bodies of the left stellate ganglion. Our results are clinically significant considering sympathetic hyperinnervation is associated with arrythmogenesis and an increase in morbidity and mortality in patients with pulmonary disease. Such findings may warrant investigation into the use of ganglion blockade in cardiopulmonary diseases.
    Keywords stellate ganglion ; sympathetic hyperinnervation ; nerve sprouting ; cardiopulmonary ; Pathology ; RB1-214 ; Medicine ; R ; DOAJ:Pathology ; DOAJ:Medicine (General) ; DOAJ:Health Sciences
    Subject code 610
    Language English
    Publishing date 2008-01-01T00:00:00Z
    Publisher Libertas Academica
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  5. Article ; Online: Advice of General Practitioner, of Surgeon, of Endocrinologist, and Self-determination: the Italian Road to Bariatric Surgery.

    Pontiroli, Antonio E / Mingrone, Geltrude / Colao, Annamaria / Barrea, Luigi / Cannavale, Giulia / Pinna, Ferdinando / Ceriani, Valerio / De Carli, Stefano Maria / Cesana, Giovanni / Olmi, Stefano / Scolari, Gloria / Sarro, Simonetta / Sarro, Giuliano / Procopio, Claudia / Giovanelli, Alessandro / Morricone, Lelio / Micheletto, Giancarlo / Malavazos, Alexis / Panizzo, Valerio /
    Plebani, Laura / Zappa, Marco Antonio / Tubazio, Igor / Foschi, Diego / Capogrossi, Silvia / Conte, Caterina / Saibene, Alessandro / Socci, Carlo / Gozza, Martina / Testa, Sara / Marinari, Giuseppe / Maccatrozzo, Stefano / Croci, Marina / Mozzi, Enrico / Verrastro, Ornella / Capristo, Esmeralda / Raffaelli, Marco / Bruni, Vincenzo / Soare, Andrea / Spagnolo, Giuseppe / Manfrini, Silvia / Gallo, Ida / Casella, Giovanni / Castagneto-Gissey, Lidia / Watanabe, Mikiko / Frontoni, Simona / Di Paola, Massimiliano / Russo, Benedetta / Bigarelli, Patrizia / Casella-Mariolo, James R / Filippi, Franca / Leonetti, Frida / Di Biasio, Alberto / Silecchia, Gianfranco / Guglielmi, Valeria / Arcudi, Claudio / Vitiello, Antonio / Musella, Mario / Schiano, Rita / Giardiello, Cristiano / Iovino, Michele Giuseppe / De Palma, Maurizio / Tolone, Salvatore / Docimo, Ludovico / Renzulli, Michele / Pilone, Vincenzo / Police, Maria / Angrisani, Luigi / Tagliabue, Elena

    Obesity surgery

    2022  Volume 32, Issue 6, Page(s) 1996–2002

    Abstract: Purpose: Bariatric surgery (BS) is considered the most efficient treatment for severe obesity. International guidelines recommend multidisciplinary approach to BS (general practitioners, endocrinologists, surgeons, psychologists, or psychiatrists), and ... ...

    Abstract Purpose: Bariatric surgery (BS) is considered the most efficient treatment for severe obesity. International guidelines recommend multidisciplinary approach to BS (general practitioners, endocrinologists, surgeons, psychologists, or psychiatrists), and access to BS should be the final part of a protocol of treatment of obesity. However, there are indications that general practitioners (GPs) are not fully aware of the possible benefits of BS, that specialty physicians are reluctant to refer their patients to surgeons, and that patients with obesity choose self-management of their own obesity, including internet-based choices. There are no data on the pathways chosen by physicians and patients to undergo BS in the real world in Italy.
    Methods: An exploratory exam was performed for 6 months in three pilot regions (Lombardy, Lazio, Campania) in twenty-three tertiary centers for the treatment of morbid obesity, to describe the real pathways to BS in Italy.
    Results: Charts of 2686 patients (788 men and 1895 women, 75.5% in the age range 30-59 years) were evaluated by physicians and surgeons of the participating centers. A chronic condition of obesity was evident for the majority of patients, as indicated by duration of obesity, by presence of several associated medical problems, and by frequency of previous dietary attempts to weight loss. The vast majority (75.8%) patients were self-presenting or referred by bariatric surgeons, 24.2% patients referred by GPs and other specialists. Self-presenting patients were younger, more educated, more professional, and more mobile than patients referred by other physicians. Patients above the age of 40 years or with a duration of obesity greater than 10 years had a higher prevalence of all associated medical problems.
    Conclusions: The majority of patients referred to a tertiary center for the treatment of morbid obesity have a valid indication for BS. Most patients self-refer to the centers, with a minority referred by a GP or by specialists. Self-presenting patients are younger, more educated, more professional, and more mobile than patients referred by other physicians. Older patients and with a longer duration of obesity are probably representative of the conservative approach to BS, often regarded as the last resort in an endless story.
    MeSH term(s) Adult ; Bariatric Surgery ; Endocrinologists ; Female ; General Practitioners ; Humans ; Male ; Middle Aged ; Obesity, Morbid/surgery ; Surgeons
    Language English
    Publishing date 2022-04-06
    Publishing country United States
    Document type Journal Article
    ZDB-ID 1070827-3
    ISSN 1708-0428 ; 0960-8923
    ISSN (online) 1708-0428
    ISSN 0960-8923
    DOI 10.1007/s11695-022-06042-8
    Database MEDical Literature Analysis and Retrieval System OnLINE

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