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Article ; Online: Is one anastomosis better than two in laparoscopic primary gastric bypass surgery?

Petrucciani, Niccolò / Silecchia, Gianfranco

2023 Volume 79, Issue 1, Page(s) 4–6

MeSH term(s)	Humans ; Gastric Bypass ; Obesity, Morbid/surgery ; Laparoscopy
Language	English
Publishing date	2023-08-04
Publishing country	Italy
Document type	Journal Article
ZDB-ID	3067899-7
ISSN	2724-5438
ISSN (online)	2724-5438
DOI	10.23736/S2724-5691.23.10037-2
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Article ; Online: Bariatric Surgery and New-Onset Substance Use Disorders: A Systematic review and Meta-analysis.

Martinelli, Silvia / Petrucciani, Niccolò / Regazzi, Luca / Gualano, Maria Rosaria

Obesity surgery

2024 Volume 34, Issue 4, Page(s) 1366–1375

Abstract: Increasing evidence suggests that bariatric surgery (BS) patients are at risk for substance abuse disorders (SUD). The purpose of this systematic review and meta-analysis was to determine the relationship between BS and the development of new-onset ... ...

Abstract	Increasing evidence suggests that bariatric surgery (BS) patients are at risk for substance abuse disorders (SUD). The purpose of this systematic review and meta-analysis was to determine the relationship between BS and the development of new-onset substance abuse disorder (SUDNO) in bariatric patients. On October 31, 2023, we reviewed the scientific literature following PRISMA guidelines. A total of 3242 studies were analyzed, 7 met the inclusion criteria. The pooled incidence of SUDNO was 4.28%. Patients' characteristics associated with SUDNO included preoperative mental disorders, high pre-BS BMI, and public health insurance. Surgical factors associated with new SUDNOs included severe complications in the peri- or postoperative period. The occurrence of SUDNOs is a non-negligeable complication after BS. Predisposing factors may be identified and preventive actions undertaken.
MeSH term(s)	Humans ; Obesity, Morbid/surgery ; Bariatric Surgery ; Substance-Related Disorders/complications ; Substance-Related Disorders/epidemiology ; Postoperative Period ; Preoperative Period
Language	English
Publishing date	2024-03-02
Publishing country	United States
Document type	Meta-Analysis ; Systematic Review ; Journal Article ; Review
ZDB-ID	1070827-3
ISSN	1708-0428 ; 0960-8923
ISSN (online)	1708-0428
ISSN	0960-8923
DOI	10.1007/s11695-024-07130-7
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Article ; Online: Perforated Ulcer of the Gastrojejunal Anastomosis and Concomitant Internal Hernia After One Anastomosis Gastric Bypass.

Liagre, Arnaud / Martini, Francesco / Petrucciani, Niccolo

Obesity surgery

2023 Volume 33, Issue 5, Page(s) 1629–1631

Abstract: Purpose: The management of concomitant complications after OAGB is challenging. We aim to show the surgical management of two concomitant complications after one anastomosis gastric bypass: internal hernia and anastomotic ulcer perforation.: Materials ...

Abstract	Purpose: The management of concomitant complications after OAGB is challenging. We aim to show the surgical management of two concomitant complications after one anastomosis gastric bypass: internal hernia and anastomotic ulcer perforation. Materials and methods: We present the case of a 32-year-old woman with BMI of 51 kg/m2, who underwent OAGB. Three years later, she presented with intense and brutal epigastric pain. She was a heavy smoker. Her weight and BMI were 75 kg and 26 kg/m Results: A generalized biliary peritonitis secondary to a perforated ulcer on the gastrojejunal anastomosis and internal hernia of the common loop into a large Petersen orifice were diagnosed. The internal hernia was reduced, and a perforation of the posterior surface of the gastrojejunal anastomosis was identified. Surgical treatment consisted in the placement of a Kehr's drain into the perforation, closure of the Petersen orifice, and lavage-drainage of the peritoneal cavity. The postoperative course was uneventful, and she was discharged on postoperative day 12. The Kehr's drain was removed 1 month after discharge. Conclusion: The combination of two different complications after OAGB can make the pre- and intra-operative judgment difficult and hamper the therapeutic approach. The initial reduction of the internal hernia made it possible to reduce the pressure in the surgical assembly and facilitated the treatment of the anastomotic perforation.
MeSH term(s)	Humans ; Female ; Adult ; Gastric Bypass/adverse effects ; Gastric Bypass/methods ; Obesity, Morbid/surgery ; Ulcer/complications ; Ulcer/surgery ; Laparoscopy/methods ; Hernia, Abdominal/surgery ; Internal Hernia/complications ; Internal Hernia/surgery ; Peritonitis/etiology
Language	English
Publishing date	2023-03-29
Publishing country	United States
Document type	Case Reports ; 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/s11695-023-06562-x
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Article ; Online: Low Molecular Weight Heparin in Liver Transplant Recipients After Sleeve Gastrectomy.

Iannelli, Antonio / Petrucciani, Niccolo'

Liver transplantation : official publication of the American Association for the Study of Liver Diseases and the International Liver Transplantation Society

2021 Volume 27, Issue 10, Page(s) 1505–1506

MeSH term(s)	Gastrectomy/adverse effects ; Heparin, Low-Molecular-Weight/adverse effects ; Humans ; Liver Transplantation/adverse effects ; Obesity, Morbid/surgery
Chemical Substances	Heparin, Low-Molecular-Weight
Language	English
Publishing date	2021-08-07
Publishing country	United States
Document type	Letter ; Comment
ZDB-ID	2006866-9
ISSN	1527-6473 ; 1527-6465
ISSN (online)	1527-6473
ISSN	1527-6465
DOI	10.1002/lt.26086
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Article: Roux en Y gastric bypass and iterative intussusception at the jejuno-jejunal anastomosis: Conversion into one anastomosis gastric bypass (with video) - A case report.

Liagre, Arnaud / Martini, Francesco / Debs, Tarek / Barone, Sara Claudia / Petrucciani, Niccolo

International journal of surgery case reports

2024 Volume 115, Page(s) 109244

Abstract: Introduction: The aim of this article is to describe a rare complication of Roux en Y gastric bypass (RYGB): recurrent intestinal intussusception of the biliary limb, and an original treatment: the removal of the jejuno-jejunal anastomosis with ... ...

Abstract	Introduction: The aim of this article is to describe a rare complication of Roux en Y gastric bypass (RYGB): recurrent intestinal intussusception of the biliary limb, and an original treatment: the removal of the jejuno-jejunal anastomosis with conversion into "short limb" one anastomosis gastric bypass (OAGB). Presentation of case: A 25-year-old patient underwent RYGB fashioned with a 50 cm-length biliary loop and a 150 cm-length alimentary loop. She was hospitalized other 3 times in the following months for episodes of acute abdominal pain and excessive weight loss, with CT scans showing intussusception at the jejuno-jejunal anastomosis. Conversion from RYGB to OAGB with "short biliary limb" was performed. The patient at 60-month follow-up has no bile reflux and regained weight. Discussion: Small bowel intussusception is a rare complication that can occur following Roux-en-Y gastric bypass (RYGB) surgery, leading to symptoms like acute or chronic abdominal pain. Treatment options reported in medical literature include resection and re-fashioning of the jejuno-jejunal anastomosis, simple reduction (with a risk of recurrence), and imbrication/plication of the jejuno-jejunal anastomosis. Given the rarity of this complication, there are no standardized recommendations, and the best treatment should be determined on a case-by-case basis, taking into consideration the patient's unique circumstances and the medical team's expertise. Conclusion: Intestinal intussusception at the jejuno-jejunal anastomosis responsible for chronic abdominal pain is a rare complication after RYGB. One of the possible treatments is conversion into OAGB.
Language	English
Publishing date	2024-01-10
Publishing country	Netherlands
Document type	Case Reports
ISSN	2210-2612
ISSN	2210-2612
DOI	10.1016/j.ijscr.2024.109244
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Article ; Online: Readmission and reoperation rates after laparoscopic bariatric surgery in an Italian center of excellence.

Boru, Cristian E / Petrucciani, Niccolò / Iossa, Angelo / DE Angelis, Francesco / Manella, Sara / Silecchia, Gianfranco

Minerva surgery

2024

Abstract: Background: The aim of this study was to analyze short-term outcomes focusing on readmissions after laparoscopic bariatric metabolic surgery (BMS) in an Italian academic Bariatric Center of Excellence IFSO-European Chapter (EC).: Methods: This is a ... ...

Abstract	Background: The aim of this study was to analyze short-term outcomes focusing on readmissions after laparoscopic bariatric metabolic surgery (BMS) in an Italian academic Bariatric Center of Excellence IFSO-European Chapter (EC). Methods: This is a retrospective study based on the analysis of a prospectively maintained institutional database. Patients aged between 18 and 65 years who underwent primary BMS and/or revisional BMS (RBMS) between 2012 and 2021 were included. Primary endpoint was to analyze the readmission rate at 30 postoperative days. The secondary endpoint involved assessing the causes of readmission within 30 days of discharge, the rates, and types of reoperations and/or additional procedures related to the first surgery, and the outcomes of readmitted patients. Results: A total of 2297 patients were included in the study. Among them, 2143 underwent primary surgery and 154 patients underwent RBMS. Eighty-two percent of the Enhanced Recovery after Surgery (ERAS) protocol items were applied starting from 2016. Within 30 days after discharge, 48 patients (2.09%) were readmitted. Overall readmission rate following primary and revisional BMS was 2.15%, respectively 1.30%. Ten readmitted patients (20.8%) had complications graded IIIb or more (Clavien-Dindo classification) and needed additional procedures. Mortality rate was 4.17% among readmitted patients. Conclusions: Only 2.09% of patients undergoing laparoscopic bariatric surgery were readmitted. Of these, 20.8% required additional procedures. Standardization of surgical techniques and perioperative protocols in a bariatric center of excellence resulted in a low readmission rate even in RBMS.
Language	English
Publishing date	2024-02-22
Publishing country	Italy
Document type	Journal Article
ZDB-ID	3067899-7
ISSN	2724-5438
ISSN (online)	2724-5438
DOI	10.23736/S2724-5691.24.10042-1
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Article ; Online: The multidisciplinary management of locally advanced rectal cancer.

De Felice, Francesca / Miccini, Michelangelo / Botticelli, Andrea / Roberto, Michela / Petrucciani, Niccolò

Expert review of anticancer therapy

2024 , Page(s) 1–7

Abstract: Introduction: The classic paradigm for the management of locally advanced rectal cancer (LARC) consists of (chemo)radiotherapy (C)RT), total mesorectal excision, and adjuvant chemotherapy (CHT). At present, due to the high rate of distant metastasis (up ...

Abstract	Introduction: The classic paradigm for the management of locally advanced rectal cancer (LARC) consists of (chemo)radiotherapy (C)RT), total mesorectal excision, and adjuvant chemotherapy (CHT). At present, due to the high rate of distant metastasis (up to 30%), the total neoadjuvant therapy (TNT) with the administration of systemic CHT in the neoadjuvant setting has gained acceptance as standard of care.Our aim is to critically review the current literature on LARC management and summarize the different approaches recently proposed to improve clinical outcomes. It represents a starting step to develop an effective strategy that ultimately could harmonize the standard of care in daily clinical practice. Areas covered: Studies reporting the impact of TNT approaches were deemed eligible. De-escalation strategies, including non-operative management (NOM) after TNT, as well as RT omission or systemic therapy alone, were also investigated. Expert opinion: The year 2020 has seen promising new data from randomized phase III trials in the field of LARC management. Nowadays, TNT strategy has been accepted as the primary treatment for LARC. The role of de-escalation strategies is still unknown. The goal is to achieve better survival outcomes with improving quality of life. Only selected patients are likely to benefit from NOM or immunotherapy alone.
Language	English
Publishing date	2024-04-30
Publishing country	England
Document type	Journal Article ; Review
ZDB-ID	2112544-2
ISSN	1744-8328 ; 1473-7140
ISSN (online)	1744-8328
ISSN	1473-7140
DOI	10.1080/14737140.2024.2349137
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Article ; Online: Artificial Intelligence and ChatGPT in Abdominopelvic Surgery: A Systematic Review of Applications and Impact.

Goglia, Marta / Pace, Marco / Yusef, Marco / Gallo, Gaetano / Pavone, Matteo / Petrucciani, Niccolò / Aurello, Paolo

In vivo (Athens, Greece)

2024 Volume 38, Issue 3, Page(s) 1009–1015

Abstract: Background/aim: The integration of AI and natural language processing technologies, such as ChatGPT, into surgical practice has shown promising potential in enhancing various aspects of abdominopelvic surgical procedures. This systematic review aims to ... ...

Abstract	Background/aim: The integration of AI and natural language processing technologies, such as ChatGPT, into surgical practice has shown promising potential in enhancing various aspects of abdominopelvic surgical procedures. This systematic review aims to comprehensively evaluate the current state of research on the applications and impact of artificial intelligence (AI) and ChatGPT in abdominopelvic surgery summarizing existing literature towards providing a comprehensive overview of the diverse applications, effectiveness, challenges, and future directions of these innovative technologies. Materials and methods: A systematic search of major electronic databases, including PubMed, Google Scholar, Cochrane Library, Web of Science, was conducted from October to November 2023, to identify relevant studies. Inclusion criteria encompassed studies that investigated the utilization of AI and ChatGPT in abdominopelvic surgical settings, including, but not limited to preoperative planning, intraoperative decision-making, postoperative care, and patient communication. Results: Fourteen studies met the inclusion criteria and were included in this review. The majority of the studies were analysing ChatGPT's data output and decision making while two studies reported patient and general surgery resident perception of the tool applied to clinical practice. Most studies reported a high accuracy of ChatGPT in data output and decision-making process, however with an unforgettable number of errors. Conclusion: This systematic review contributes to the current understanding of the role of AI and ChatGPT in abdominopelvic surgery, providing insight into their applications and impact on clinical practice. The synthesis of available evidence will inform future research directions, clinical guidelines, and development of these technologies to optimize their potential benefits in enhancing surgical care within the abdominopelvic domain.
MeSH term(s)	Humans ; Abdomen/surgery ; Artificial Intelligence ; Natural Language Processing ; Pelvis/surgery
Language	English
Publishing date	2024-04-30
Publishing country	Greece
Document type	Journal Article ; Meta-Analysis ; Systematic Review
ZDB-ID	807031-3
ISSN	1791-7549 ; 0258-851X
ISSN (online)	1791-7549
ISSN	0258-851X
DOI	10.21873/invivo.13534
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Article ; Online: One-anastomosis gastric bypass after failure of adjustable gastric band.

Liagre, Arnaud / Martini, Francesco / Petrucciani, Niccolo

Surgery for obesity and related diseases : official journal of the American Society for Bariatric Surgery

2022 Volume 18, Issue 7, Page(s) 997–998

MeSH term(s)	Bariatric Surgery ; Gastric Bypass/adverse effects ; Gastroplasty/adverse effects ; Humans ; Laparoscopy ; Obesity, Morbid/surgery ; Reoperation ; Retrospective Studies ; Treatment Outcome
Language	English
Publishing date	2022-04-01
Publishing country	United States
Document type	Letter ; Comment
ZDB-ID	2274243-8
ISSN	1878-7533 ; 1550-7289
ISSN (online)	1878-7533
ISSN	1550-7289
DOI	10.1016/j.soard.2022.03.015
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Article ; Online: Acute abdominal pain 5 years after right colectomy.

Petrucciani, Niccolò / Di Segni, Mattia / Silecchia, Gianfranco

ANZ journal of surgery

2022 Volume 93, Issue 3, Page(s) 702–703

MeSH term(s)	Humans ; Colectomy/adverse effects ; Abdomen, Acute ; Abdominal Pain/diagnosis ; Abdominal Pain/etiology ; Laparoscopy
Language	English
Publishing date	2022-07-05
Publishing country	Australia
Document type	Case Reports
ZDB-ID	2050749-5
ISSN	1445-2197 ; 1445-1433 ; 0004-8682
ISSN (online)	1445-2197
ISSN	1445-1433 ; 0004-8682
DOI	10.1111/ans.17898
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