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  1. Article ; Online: Translation into portuguese of a set of questionnaires designed to evaluate the impact of using a telepresence robot during postoperative ward rounds.

    Kristem, Leonardo / Wietzycoski, Cacio Ricardo / Mazzini, Guilherme DA Silva

    Revista do Colegio Brasileiro de Cirurgioes

    2022  Volume 49, Page(s) e20223377

    Abstract: Introduction: the use of telepresence grows with the advancement of technology integration into medical practice. Regarding surgery, effective distance communication can translate into better perioperative care. Though, the patients' perception about ... ...

    Abstract Introduction: the use of telepresence grows with the advancement of technology integration into medical practice. Regarding surgery, effective distance communication can translate into better perioperative care. Though, the patients' perception about this modality needs to be critically evaluated. Structured questionnaires using objective scales are the instruments of choice for measuring subjective aspects. However, there are no such questionnaires available in Portuguese. Our objective was, thus, translate and adapt into Portuguese a specific questionnaire evaluating the use of telepresence robots during post-operatory ward rounds.
    Methods: search on PubMed and selection of a set of validated questionnaires in English, translation into Portuguese according to the principles of good practice for the translation and cultural adaptation process for patient-reported outcomes measures. The original author approved the final version.
    Results: three questionnaires that assess ward rounds assisted by a telepresence robot were translated. Questionnaires are directed to the patient who receives the visit via telepresence or face-to-face visit and to the medical team accompanying the visit. The questionnaires use the Likert scale and contain thirteen questions that address 5 spheres: Communication; Dignity and Confidentiality; Contents; Time; General Impressions.
    Conclusions: this is the first instrument in Portuguese designed to assess the impression of patients and professionals involved in ward rounds using a telepresence robot. It has the potential to be used in clinical studies involving the use of this technology in care.
    MeSH term(s) Brazil ; Hospitals ; Humans ; Portugal ; Reproducibility of Results ; Robotics ; Surveys and Questionnaires ; Translations
    Language Portuguese
    Publishing date 2022-10-07
    Publishing country Brazil
    Document type Journal Article
    ZDB-ID 2223714-8
    ISSN 1809-4546 ; 1809-4546
    ISSN (online) 1809-4546
    ISSN 1809-4546
    DOI 10.1590/0100-6991e-20223377-en
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Roux-en-Y Gastric Bypass Downregulates Angiotensin-Converting Enzyme 2 (ACE2) Gene Expression in Subcutaneous White Adipose Tissue: A Putative Protective Mechanism Against Severe COVID-19.

    Kristem, Leonardo / Recamonde-Mendoza, Mariana / Cigerza, Giuliano C / Khoraki, Jad / Campos, Guilherme M / Mazzini, Guilherme S

    Obesity surgery

    2021  Volume 31, Issue 6, Page(s) 2831–2834

    Abstract: The angiotensin-converting enzyme 2 (ACE2) is the receptor for the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). It is highly expressed in adipose tissue, possibly associated with progression to severe coronavirus disease 2019 (COVID-19) ... ...

    Abstract The angiotensin-converting enzyme 2 (ACE2) is the receptor for the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). It is highly expressed in adipose tissue, possibly associated with progression to severe coronavirus disease 2019 (COVID-19) in obese subjects. We searched the Gene Expression Omnibus (GEO) and reanalyzed the GSE59034 containing microarray data from subcutaneous white adipose tissue (sWAT) biopsies from 16 women before and 2 years after RYGB, and 16 controls matched by sex, age, and BMI. After RYGB, there was a significant decrease in sWAT ACE2 gene expression (logFC=-0.4175, P=0.0015). Interestingly, after RYGB the sWAT ACE2 gene expression was significantly lower than in non-obese matched controls (LogFC=-0.32875, P=0.0014). Our data adds to the well-known benefits of RYGB, a potential protective mechanism against COVID-19.
    MeSH term(s) Adipose Tissue ; Angiotensin-Converting Enzyme 2 ; COVID-19 ; Female ; Gastric Bypass ; Gene Expression ; Humans ; Obesity, Morbid/surgery ; Peptidyl-Dipeptidase A/genetics ; SARS-CoV-2
    Chemical Substances Peptidyl-Dipeptidase A (EC 3.4.15.1) ; Angiotensin-Converting Enzyme 2 (EC 3.4.17.23)
    Language English
    Publishing date 2021-02-21
    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/s11695-021-05271-7
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: Achalasia Treatment in Patients over 80 Years of Age: A Multicenter Survey.

    Zotti, Orlando R / Herbella, Fernando A M / Armijo, Priscila R / Oleynikov, Dmitry / Aquino, José L / Leandro-Merhi, Vania A / Velanovich, Vic / Salvador, Renato / Costantini, Mario / Low, Donald / Wirsching, Andrea / Boshier, Piers R / Kristem, Leonardo / Gurski, Richard R / Patti, Marco G

    Journal of laparoendoscopic & advanced surgical techniques. Part A

    2020  Volume 30, Issue 4, Page(s) 358–362

    Abstract: Background and Aims: ...

    Abstract Background and Aims:
    MeSH term(s) Age Factors ; Aged, 80 and over ; Dilatation ; Esophageal Achalasia/surgery ; Female ; Follow-Up Studies ; Health Care Surveys ; Heller Myotomy/statistics & numerical data ; Humans ; Laparoscopy/statistics & numerical data ; Male ; Patient Selection ; Practice Patterns, Physicians'/statistics & numerical data ; Retrospective Studies ; Treatment Outcome
    Language English
    Publishing date 2020-01-28
    Publishing country United States
    Document type Journal Article ; Multicenter Study
    ZDB-ID 1381909-4
    ISSN 1557-9034 ; 1092-6429
    ISSN (online) 1557-9034
    ISSN 1092-6429
    DOI 10.1089/lap.2019.0749
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: 30-Day Morbidity and Mortality of Bariatric Surgery During the COVID-19 Pandemic: a Multinational Cohort Study of 7704 Patients from 42 Countries.

    Singhal, Rishi / Ludwig, Christian / Rudge, Gavin / Gkoutos, Georgios V / Tahrani, Abd / Mahawar, Kamal / Pędziwiatr, Michał / Major, Piotr / Zarzycki, Piotr / Pantelis, Athanasios / Lapatsanis, Dimitris P / Stravodimos, Georgios / Matthys, Chris / Focquet, Marc / Vleeschouwers, Wouter / Spaventa, Antonio G / Zerrweck, Carlos / Vitiello, Antonio / Berardi, Giovanna /
    Musella, Mario / Sanchez-Meza, Alberto / Cantu, Felipe J / Mora, Fernando / Cantu, Marco A / Katakwar, Abhishek / Reddy, D Nageshwar / Elmaleh, Haitham / Hassan, Mohammad / Elghandour, Abdelrahman / Elbanna, Mohey / Osman, Ahmed / Khan, Athar / Layani, Laurent / Kiran, Nalini / Velikorechin, Andrey / Solovyeva, Maria / Melali, Hamid / Shahabi, Shahab / Agrawal, Ashish / Shrivastava, Apoorv / Sharma, Ankur / Narwaria, Bhavya / Narwaria, Mahendra / Raziel, Asnat / Sakran, Nasser / Susmallian, Sergio / Karagöz, Levent / Akbaba, Murat / Pişkin, Salih Zeki / Balta, Ahmet Ziya / Senol, Zafer / Manno, Emilio / Iovino, Michele Giuseppe / Qassem, Mohamed / Arana-Garza, Sebastián / Povoas, Heitor P / Vilas-Boas, Marcos Leão / Naumann, David / Super, Jonathan / Li, Alan / Ammori, Basil J / Balamoun, Hany / Salman, Mohammed / Nasta, Amrit Manik / Goel, Ramen / Sánchez-Aguilar, Hugo / Herrera, Miguel F / Abou-Mrad, Adel / Cloix, Lucie / Mazzini, Guilherme Silva / Kristem, Leonardo / Lazaro, Andre / Campos, Jose / Bernardo, Joaquín / González, Jesús / Trindade, Carlos / Viveiros, Octávio / Ribeiro, Rui / Goitein, David / Hazzan, David / Segev, Lior / Beck, Tamar / Reyes, Hernán / Monterrubio, Jerónimo / García, Paulina / Benois, Marine / Kassir, Radwan / Contine, Alessandro / Elshafei, Moustafa / Aktas, Sueleyman / Weiner, Sylvia / Heidsieck, Till / Level, Luis / Pinango, Silvia / Ortega, Patricia Martinez / Moncada, Rafael / Valenti, Victor / Vlahović, Ivan / Boras, Zdenko / Liagre, Arnaud / Martini, Francesco / Juglard, Gildas / Motwani, Manish / Saggu, Sukhvinder Singh / Al Moman, Hazem / López, Luis Adolfo Aceves / Cortez, María Angelina Contreras / Zavala, Rodrigo Aceves / D'Haese, Christine / Kempeneers, Ivo / Himpens, Jacques / Lazzati, Andrea / Paolino, Luca / Bathaei, Sarah / Bedirli, Abdulkadir / Yavuz, Aydın / Büyükkasap, Çağrı / Özaydın, Safa / Kwiatkowski, Andrzej / Bartosiak, Katarzyna / Walędziak, Maciej / Santonicola, Antonella / Angrisani, Luigi / Iovino, Paola / Palma, Rossella / Iossa, Angelo / Boru, Cristian Eugeniu / De Angelis, Francesco / Silecchia, Gianfranco / Hussain, Abdulzahra / Balchandra, Srivinasan / Coltell, Izaskun Balciscueta / Pérez, Javier Lorenzo / Bohra, Ashok / Awan, Altaf K / Madhok, Brijesh / Leeder, Paul C / Awad, Sherif / Al-Khyatt, Waleed / Shoma, Ashraf / Elghadban, Hosam / Ghareeb, Sameh / Mathews, Bryan / Kurian, Marina / Larentzakis, Andreas / Vrakopoulou, Gavriella Zoi / Albanopoulos, Konstantinos / Bozdag, Ahemt / Lale, Azmi / Kirkil, Cuneyt / Dincer, Mursid / Bashir, Ahmad / Haddad, Ashraf / Hijleh, Leen Abu / Zilberstein, Bruno / de Marchi, Danilo Dallago / Souza, Willy Petrini / Brodén, Carl Magnus / Gislason, Hjörtur / Shah, Kamran / Ambrosi, Antonio / Pavone, Giovanna / Tartaglia, Nicola / Kona, S Lakshmi Kumari / Kalyan, K / Perez, Cesar Ernesto Guevara / Botero, Miguel Alberto Forero / Covic, Adrian / Timofte, Daniel / Maxim, Madalina / Faraj, Dashti / Tseng, Larissa / Liem, Ronald / Ören, Gürdal / Dilektasli, Evren / Yalcin, Ilker / AlMukhtar, Hudhaifa / Al Hadad, Mohammed / Mohan, Rasmi / Arora, Naresh / Bedi, Digvijaysingh / Rives-Lange, Claire / Chevallier, Jean-Marc / Poghosyan, Tigran / Sebbag, Hugues / Zinaï, Lamia / Khaldi, Saadi / Mauchien, Charles / Mazza, Davide / Dinescu, Georgiana / Rea, Bernardo / Pérez-Galaz, Fernando / Zavala, Luis / Besa, Anais / Curell, Anna / Balibrea, Jose M / Vaz, Carlos / Galindo, Luis / Silva, Nelson / Caballero, José Luis Estrada / Sebastian, Sergio Ortiz / Marchesini, João Caetano Dallegrave / da Fonseca Pereira, Ricardo Arcanjo / Sobottka, Wagner Herbert / Fiolo, Felipe Eduardo / Turchi, Matias / Coelho, Antonio Claudio Jamel / Zacaron, Andre Luis / Barbosa, André / Quinino, Reynaldo / Menaldi, Gabriel / Paleari, Nicolás / Martinez-Duartez, Pedro / de Aragon Ramírez de Esparza, Gabriel Martínez / Esteban, Valentin Sierra / Torres, Antonio / Garcia-Galocha, Jose Luis / Josa, Miguel / Pacheco-Garcia, Jose Manuel / Mayo-Ossorio, Maria Angeles / Chowbey, Pradeep / Soni, Vandana / de Vasconcelos Cunha, Hercio Azevedo / Castilho, Michel Victor / Ferreira, Rafael Meneguzzi Alves / Barreiro, Thiago Alvim / Charalabopoulos, Alexandros / Sdralis, Elias / Davakis, Spyridon / Bomans, Benoit / Dapri, Giovanni / Van Belle, Koenraad / Takieddine, Mazen / Vaneukem, Pol / Karaca, Esma Seda Akalın / Karaca, Fatih Can / Sumer, Aziz / Peksen, Caghan / Savas, Osman Anil / Chousleb, Elias / Elmokayed, Fahad / Fakhereldin, Islam / Aboshanab, Hany Mohamed / Swelium, Talal / Gudal, Ahmad / Gamloo, Lamees / Ugale, Ayushka / Ugale, Surendra / Boeker, Clara / Reetz, Christian / Hakami, Ibrahim Ali / Mall, Julian / Alexandrou, Andreas / Baili, Efstratia / Bodnar, Zsolt / Maleckas, Almantas / Gudaityte, Rita / Guldogan, Cem Emir / Gundogdu, Emre / Ozmen, Mehmet Mahir / Thakkar, Deepti / Dukkipati, Nandakishore / Shah, Poonam Shashank / Shah, Shashank Subhashchandra / Shah, Simran Shashank / Adil, Md Tanveer / Jambulingam, Periyathambi / Mamidanna, Ravikrishna / Whitelaw, Douglas / Jain, Vigyan / Veetil, Deepa Kizhakke / Wadhawan, Randeep / Torres, Max / Tinoco, Tabata / Leclercq, Wouter / Romeijn, Marleen / van de Pas, Kelly / Alkhazraji, Ali K / Taha, Safwan A / Ustun, Murat / Yigit, Taner / Inam, Aatif / Burhanulhaq, Muhammad / Pazouki, Abdolreza / Eghbali, Foolad / Kermansaravi, Mohammad / Jazi, Amir Hosein Davarpanah / Mahmoudieh, Mohsen / Mogharehabed, Neda / Tsiotos, Gregory / Stamou, Konstantinos / Barrera Rodriguez, Francisco J / Rojas Navarro, Marco A / Torres, Omar MOhamed / Martinez, Sergio Lopez / Tamez, Elda Rocio Maltos / Millan Cornejo, Gustavo A / Flores, Jose Eduardo Garcia / Mohammed, Diya Aldeen / Elfawal, Mohamad Hayssam / Shabbir, Asim / Guowei, Kim / So, Jimmy By / Kaplan, Elif Tuğçe / Kaplan, Mehmet / Kaplan, Tuğba / Pham, DangTuan / Rana, Gurteshwar / Kappus, Mojdeh / Gadani, Riddish / Kahitan, Manish / Pokharel, Koshish / Osborne, Alan / Pournaras, Dimitri / Hewes, James / Napolitano, Errichetta / Chiappetta, Sonja / Bottino, Vincenzo / Dorado, Evelyn / Schoettler, Axel / Gaertner, Daniel / Fedtke, Katharina / Aguilar-Espinosa, Francisco / Aceves-Lozano, Saul / Balani, Alessandro / Nagliati, Carlo / Pennisi, Damiano / Rizzi, Andrea / Frattini, Francesco / Foschi, Diego / Benuzzi, Laura / Parikh, Chirag / Shah, Harshil / Pinotti, Enrico / Montuori, Mauro / Borrelli, Vincenzo / Dargent, Jerome / Copaescu, Catalin A / Hutopila, Ionut / Smeu, Bogdan / Witteman, Bart / Hazebroek, Eric / Deden, Laura / Heusschen, Laura / Okkema, Sietske / Aufenacker, Theo / den Hengst, Willem / Vening, Wouter / van der Burgh, Yonta / Ghazal, Ahmad / Ibrahim, Hamza / Niazi, Mourad / Alkhaffaf, Bilal / Altarawni, Mohammad / Cesana, Giovanni Carlo / Anselmino, Marco / Uccelli, Matteo / Olmi, Stefano / Stier, Christine / Akmanlar, Tahsin / Sonnenberg, Thomas / Schieferbein, Uwe / Marcolini, Alejandro / Awruch, Diego / Vicentin, Marco / de Souza Bastos, Eduardo Lemos / Gregorio, Samuel Azenha / Ahuja, Anmol / Mittal, Tarun / Bolckmans, Roel / Wiggins, Tom / Baratte, Clément / Wisnewsky, Judith Aron / Genser, Laurent / Chong, Lynn / Taylor, Lillian / Ward, Salena / Hi, Michael W / Heneghan, Helen / Fearon, Naomi / Plamper, Andreas / Rheinwalt, Karl / Geoghegan, Justin / Ng, Kin Cheung / Kaseja, Krzysztof / Kotowski, Maciej / Samarkandy, Tarig A / Leyva-Alvizo, Adolfo / Corzo-Culebro, Lourdes / Wang, Cunchuan / Yang, Wah / Dong, Zhiyong / Riera, Manel / Jain, Rajesh / Hamed, Hosam / Said, Mohammed / Zarzar, Katia / Garcia, Manuel / Türkçapar, Ahmet Gökhan / Şen, Ozan / Baldini, Edoardo / Conti, Luigi / Wietzycoski, Cacio / Lopes, Eduardo / Pintar, Tadeja / Salobir, Jure / Aydin, Cengiz / Atici, Semra Demirli / Ergin, Anıl / Ciyiltepe, Huseyin / Bozkurt, Mehmet Abdussamet / Kizilkaya, Mehmet Celal / Onalan, Nezihe Berrin Dodur / Zuber, Mariana Nabila Binti Ahmad / Wong, Wei Jin / Garcia, Amador / Vidal, Laura / Beisani, Marc / Pasquier, Jorge / Vilallonga, Ramon / Sharma, Sharad / Parmar, Chetan / Lee, Lyndcie / Sufi, Pratik / Sinan, Hüseyin / Saydam, Mehmet

    Obesity surgery

    2021  Volume 31, Issue 10, Page(s) 4272–4288

    Abstract: Background: There are data on the safety of cancer surgery and the efficacy of preventive strategies on the prevention of postoperative symptomatic COVID-19 in these patients. But there is little such data for any elective surgery. The main objectives ... ...

    Abstract Background: There are data on the safety of cancer surgery and the efficacy of preventive strategies on the prevention of postoperative symptomatic COVID-19 in these patients. But there is little such data for any elective surgery. The main objectives of this study were to examine the safety of bariatric surgery (BS) during the coronavirus disease 2019 (COVID-19) pandemic and to determine the efficacy of perioperative COVID-19 protective strategies on postoperative symptomatic COVID-19 rates.
    Methods: We conducted an international cohort study to determine all-cause and COVID-19-specific 30-day morbidity and mortality of BS performed between 01/05/2020 and 31/10/2020.
    Results: Four hundred ninety-nine surgeons from 185 centres in 42 countries provided data on 7704 patients. Elective primary BS (n = 7084) was associated with a 30-day morbidity of 6.76% (n = 479) and a 30-day mortality of 0.14% (n = 10). Emergency BS, revisional BS, insulin-treated type 2 diabetes, and untreated obstructive sleep apnoea were associated with increased complications on multivariable analysis. Forty-three patients developed symptomatic COVID-19 postoperatively, with a higher risk in non-whites. Preoperative self-isolation, preoperative testing for SARS-CoV-2, and surgery in institutions not concurrently treating COVID-19 patients did not reduce the incidence of postoperative COVID-19. Postoperative symptomatic COVID-19 was more likely if the surgery was performed during a COVID-19 peak in that country.
    Conclusions: BS can be performed safely during the COVID-19 pandemic with appropriate perioperative protocols. There was no relationship between preoperative testing for COVID-19 and self-isolation with symptomatic postoperative COVID-19. The risk of postoperative COVID-19 risk was greater in non-whites or if BS was performed during a local peak.
    MeSH term(s) Bariatric Surgery ; COVID-19 ; COVID-19 Testing ; Cohort Studies ; Diabetes Mellitus, Type 2 ; Humans ; Incidence ; Obesity, Morbid/surgery ; Pandemics ; Postoperative Complications/epidemiology ; SARS-CoV-2
    Language English
    Publishing date 2021-07-30
    Publishing country United States
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 1070827-3
    ISSN 1708-0428 ; 0960-8923
    ISSN (online) 1708-0428
    ISSN 0960-8923
    DOI 10.1007/s11695-021-05493-9
    Database MEDical Literature Analysis and Retrieval System OnLINE

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