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  1. Artikel ; Online: Clinical outcomes of single-stage versus two-stage laparoscopic Roux-en-y gastric bypass in the management of obesity (BMI ≥ 50 kg/m

    Fadel, Michael G / Fehervari, Matyas / Lairy, Ali / Das, Bibek / Alyaqout, Khaled / Ashrafian, Hutan / Khwaja, Haris / Efthimiou, Evangelos

    Langenbeck's archives of surgery

    2022  Band 407, Heft 8, Seite(n) 3349–3356

    Abstract: Background: Laparoscopic Roux-en-Y gastric bypass (LRYGB) in patients with obesity, BMI ≥ 50 kg/m: Methods: Between June 2000 and June 2020, patients with a BMI ≥ 50 kg/m: Results: A total of 155 (mean age 42.9 years ± 10.60; mean BMI 54.6 kg/m: ...

    Abstract Background: Laparoscopic Roux-en-Y gastric bypass (LRYGB) in patients with obesity, BMI ≥ 50 kg/m
    Methods: Between June 2000 and June 2020, patients with a BMI ≥ 50 kg/m
    Results: A total of 155 (mean age 42.9 years ± 10.60; mean BMI 54.6 kg/m
    Conclusions: There was no difference in weight loss after one or two-stage procedures in the treatment of patients with a BMI ≥ 50 kg/m
    Sprache Englisch
    Erscheinungsdatum 2022-09-02
    Erscheinungsland Germany
    Dokumenttyp Journal Article
    ZDB-ID 1423681-3
    ISSN 1435-2451 ; 1435-2443
    ISSN (online) 1435-2451
    ISSN 1435-2443
    DOI 10.1007/s00423-022-02664-9
    Datenquelle MEDical Literature Analysis and Retrieval System OnLINE

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  2. Artikel ; Online: GASTROGASTRIC FISTULA AFTER ROUX-EN-Y GASTRIC BYPASS: A CASE REPORT AND REVIEW OF LITERATURE.

    Alyaqout, Khaled / Almazeedi, Sulaiman / Alhaddad, Mohanned / Efthimiou, Evangelos / Loureiro, Marcelo de Paula

    Arquivos brasileiros de cirurgia digestiva : ABCD = Brazilian archives of digestive surgery

    2020  Band 33, Heft 2, Seite(n) e1509

    Mesh-Begriff(e) Abdominal Pain/etiology ; Adult ; Anastomosis, Roux-en-Y/adverse effects ; Female ; Gastric Bypass/adverse effects ; Gastric Fistula/diagnostic imaging ; Gastric Fistula/surgery ; Gastroscopy/methods ; Humans ; Laparoscopy/methods ; Obesity, Morbid/surgery ; Postoperative Complications/diagnosis ; Postoperative Complications/etiology ; Postoperative Complications/therapy ; Reoperation ; Treatment Outcome ; Vomiting/etiology
    Sprache Portugiesisch
    Erscheinungsdatum 2020-08-24
    Erscheinungsland Brazil
    Dokumenttyp Case Reports ; Letter ; Review
    ISSN 2317-6326
    ISSN (online) 2317-6326
    DOI 10.1590/0102-672020190001e1509
    Datenquelle MEDical Literature Analysis and Retrieval System OnLINE

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  3. Artikel ; Online: Gastrojejunal Anastomotic Technique. Does It Matter? Weight Loss and Weight Regain 5 Years After Laparoscopic Roux-en-Y Gastric Bypass.

    Fehervari, Matyas / Alyaqout, Khaled / Lairy, Ali / Khwaja, Haris / Bonanomi, Gianluca / Efthimiou, Evangelos

    Obesity surgery

    2020  Band 31, Heft 1, Seite(n) 267–273

    Abstract: Purpose: The gastrojejunostomy during laparoscopic Roux-en-Y gastric bypass (LRYGB) can be constructed by hand sewn (HSA), linear (LSA) and circular (CSA) stapler technique. They are all considered safe; however, it is not known which the best technique ...

    Abstract Purpose: The gastrojejunostomy during laparoscopic Roux-en-Y gastric bypass (LRYGB) can be constructed by hand sewn (HSA), linear (LSA) and circular (CSA) stapler technique. They are all considered safe; however, it is not known which the best technique is. Short-term follow-up suggest no difference in weight loss or weight regain between them. However, there is no information on these parameters in the long term. Theatre time and cost are other important factors defining the best way to form gastrojejunostomy.
    Materials and methods: In a prospective longitudinal cohort study consecutive patients following primary LRYGB were recruited to a bariatric database in a tertiary care centre. Anastomotic technique, diameter, the length of operations and associated costs, weight loss and weight regain were recorded. Patients were followed up for 5 years.
    Results: A total of 385 patients with an initial body mass index of 47.1 kg/m
    Conclusion: Mid-term weight loss and weight regain are not related to anastomotic technique, and there is no difference in operative time associated to them. Circular stapler technique has a higher material cost due to the additional stapler.
    Mesh-Begriff(e) Gastric Bypass ; Humans ; Laparoscopy ; Longitudinal Studies ; Obesity, Morbid/surgery ; Prospective Studies ; Weight Gain ; Weight Loss
    Sprache Englisch
    Erscheinungsdatum 2020-08-26
    Erscheinungsland United States
    Dokumenttyp Journal Article
    ZDB-ID 1070827-3
    ISSN 1708-0428 ; 0960-8923
    ISSN (online) 1708-0428
    ISSN 0960-8923
    DOI 10.1007/s11695-020-04932-3
    Datenquelle MEDical Literature Analysis and Retrieval System OnLINE

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  4. Artikel: Applying augmented reality to treat Fournier's gangrene in COVID-19 positive patients whilst safeguarding the multi-disciplinary surgical team: A case series.

    Alyaqout, Khaled / AlQinai, Shamlan / Almazeedi, Sulaiman / Karim, Jamila S / Al-Youha, Sarah / Al-Sabah, Salman

    International journal of surgery case reports

    2021  Band 79, Seite(n) 335–338

    Abstract: Introduction: COVID-19 has presented the surgical community with a multitude of challenges. Patients requiring surgical intervention who are positive for COVID-19 are not only more likely to develop complications post-operatively, but also pose an ... ...

    Abstract Introduction: COVID-19 has presented the surgical community with a multitude of challenges. Patients requiring surgical intervention who are positive for COVID-19 are not only more likely to develop complications post-operatively, but also pose an increased infection risk to the surgical team involved in their care. The infection control concerns raised at the peak of the pandemic persist in the post-pandemic era as patients continue to test positive for COVID-19 and the risk of a 'second wave' looms.
    Methods: We present a case series (compliant with SCARE [4] and PROCESS [5] criteria) to demonstrate the effective use of an AR technology platform during the intraoperative treatment of two complex COVID positive patients diagnosed with Fournier's gangrene.Retrospective review of prospectively collected data of all patients that required surgery involving multiple specialties during the COVID-19 pandemic at Jaber AlAhmad hospital in Kuwait between March 2020 to October 2020.
    Presentation of case: We present two cases to highlight the use of an augmented reality (AR) platform during the treatment of COVID-19 positive patients with Fournier's gangrene in order to safeguard surgical teams whilst simultaneously enabling these complex cases to benefit from multi-specialty input intraoperatively.
    Outcome: Augmented reality is a feasible option to minimize surgeons' exposure during surgery without compromising the patients safety.
    Discussion: This case series demonstrates how AR solutions can be employed to bolster infection control measures and may be useful in the treatment of surgical patients who test positive for COVID-19.
    Conclusion: AR solutions could be considered as an infection control strategy to safeguard surgical teams operating on COVID-19 positive patients.
    Sprache Englisch
    Erscheinungsdatum 2021-01-19
    Erscheinungsland Netherlands
    Dokumenttyp Journal Article ; Review
    ISSN 2210-2612
    ISSN 2210-2612
    DOI 10.1016/j.ijscr.2021.01.055
    Datenquelle MEDical Literature Analysis and Retrieval System OnLINE

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  5. Artikel: Prevalence, predictors and outcomes of bleeding events in patients with COVID-19 infection on anticoagulation: Retrospective cohort study.

    Alkhamis, Ahmed / Alshamali, Yousef / Alyaqout, Khaled / Lari, Eisa / Alkhamis, Moh A / Althuwaini, Saad / Lari, Ali / Alfili, Maryam / Alkhayat, Ali / Jamal, Mohammad H / Alsabah, Salman

    Annals of medicine and surgery (2012)

    2021  Band 68, Seite(n) 102567

    Abstract: Background: This study aims to examine risk factors and complications associated with bleeding events in patients with COVID-19 who are on anticoagulation.: Material and methods: We conducted retrospective review of all patients who were admitted ... ...

    Abstract Background: This study aims to examine risk factors and complications associated with bleeding events in patients with COVID-19 who are on anticoagulation.
    Material and methods: We conducted retrospective review of all patients who were admitted with COVID-19 and developed bleeding events between March and June 2020. Data were analyzed in accordance with three major outcomes. Mortality within 30 days of bleeding episode, resolution of the bleeding event, and the type of bleeding event.
    Results: Of 122 bleeds, there was 55 (28 %) gastrointestinal (GI) bleeds. Overall mortality was 59 % (n = 72). The prevalence of therapeutic invasive interventions was 11.5 % (n = 14) all were successful in resolving the bleeding event. We found that having a GI bleeds was associated with higher risk of mortality compared to non-GI bleeds (p = 0.04) and having occult bleeds to be associated with 15 times increased risk of mortality (OR 15, 95%CI 1.97-29.1, p = 0.01). Furthermore, patients who were on no anticoagulation (none) (OR 0.1, 95%CI 0.01-0.86, p < 0.00), on prophylactic dose anticoagulation (OR 0.07, 95%CI 0.02-0.28, p = 0.03) or intermediate dose anticoagulation (OR 0.36, 95%CI 0.09-1.34, p = 0.13) were less likely to die than patients on therapeutic dose.
    Conclusions: The best approach to manage COVID-19 bleeding patients is to prioritize therapies that manage sepsis induce coagulopathy and shock over other approaches. In COVID-19 patients' routine prescription of supra-prophylactic dose anticoagulation should be revisited and more individualized approach to prescription should be the norm. Regardless of the cause of bleeding event it appears that the majority of bleeding events resolve with noninvasive interventions and when invasive interventions were necessary, they were associated with high success rate despite the delay.
    Sprache Englisch
    Erscheinungsdatum 2021-07-21
    Erscheinungsland England
    Dokumenttyp Journal Article
    ZDB-ID 2745440-X
    ISSN 2049-0801
    ISSN 2049-0801
    DOI 10.1016/j.amsu.2021.102567
    Datenquelle MEDical Literature Analysis and Retrieval System OnLINE

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