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  1. Article ; Online: The "Hug" Technique-Roux-en-Y Gastric Bypass with Preservation of the Posterior Wrap in Patients with Previous Nissen Fundoplication: a Simple Solution for a Complex Problem.

    Bures, Claudia / Benzing, Christian / Marchesini, Joao Caetano / Sobottka, Wagner Herbert / Sadowski, Jose Alfredo / Marchesini, Joao Batista / Zorron, Ricardo

    Obesity surgery

    2020  Volume 30, Issue 11, Page(s) 4325–4330

    Abstract: Background: Laparoscopic conversion of Nissen Fundoplication to Roux-en-Y gastric bypass (RYGB) is a complex procedure due to increased operative time, morbidity, and length of hospital stay (LOS). In this study, a new simplified technique avoiding the ... ...

    Abstract Background: Laparoscopic conversion of Nissen Fundoplication to Roux-en-Y gastric bypass (RYGB) is a complex procedure due to increased operative time, morbidity, and length of hospital stay (LOS). In this study, a new simplified technique avoiding the total dismantling of the previous Nissen repair to construct the gastric pouch, the so-called hug technique is presented for the conversion of Nissen fundoplication to RYGB.
    Methods: The present study is a prospective single-center clinical series reporting on the feasibility and safety of the "hug" technique for the creation of laparoscopic RYGB. The major innovation of this approach is the fact that the posterior part of the fundoplication wrap is left in place without further dissection or manipulation. The anterior part is stapled and remains attached to the excluded stomach. Prospective data on intraoperative and postoperative morbidity and bariatric outcomes were collected.
    Results: A total of 44 consecutive patients with a mean body mass index (BMI) of 43.7 kg/m
    Conclusion: In contrast to current other techniques of bariatric surgery for patients having previously undergone a Nissen fundoplication, the "hug" procedure to create an RYGB is safe and simple to perform. This technique avoids the deconstruction of the previous repair and is still maintaining anti-reflux anatomy. Nevertheless, there is a need for further studies to evaluate the long-term outcomes of the procedure.
    MeSH term(s) Fundoplication ; Gastric Bypass ; Gastroesophageal Reflux/surgery ; Humans ; Laparoscopy ; Obesity, Morbid/surgery ; Prospective Studies ; Retrospective Studies ; Treatment Outcome
    Language English
    Publishing date 2020-07-14
    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/s11695-020-04793-w
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article: Liver resection: 10-year experience from a single institution.

    Coelho, Julio Cezar Uili / Claus, Christiano Marlo Paggi / Machuca, Tiago Noguchi / Sobottka, Wagner Herbert / Gonçalves, Carolina Gomes

    Arquivos de gastroenterologia

    2005  Volume 41, Issue 4, Page(s) 229–233

    Abstract: Background: Liver resection constitutes the main treatment of most liver primary neoplasms and selected cases of metastatic tumors. However, this procedure is associated with significant morbidity and mortality rates.: Aim: To analyze our experience ... ...

    Abstract Background: Liver resection constitutes the main treatment of most liver primary neoplasms and selected cases of metastatic tumors. However, this procedure is associated with significant morbidity and mortality rates.
    Aim: To analyze our experience with liver resections over a period of 10 years to determine the morbidity, mortality and risk factors of hepatectomy.
    Patients and methods: Retrospective review of medical records of patients who underwent liver resection from January 1994 to March 2003.
    Results: Eighty-three (41 women and 42 men) patients underwent liver resection during the study period, with a mean age of 52.7 years (range 13-82 years). Metastatic colorectal carcinoma and hepatocellular carcinoma were the main indications for hepatic resection, with 36 and 19 patients, respectively. Extended and major resections were performed in 20.4% and 40.9% of the patients, respectively. Blood transfusion was needed in 38.5% of the operations. Overall morbidity was 44.5%. Life-threatening complications occurred in 22.8% of cases and the most common were pneumonia, hepatic failure, intraabdominal collection and intraabdominal bleeding. Among minor complications (30%), the most common were biliary leakage and pleural effusion. Size of the tumor and blood transfusion were associated with major complications (P = 0.0185 and P = 0.0141, respectively). Operative mortality was 8.4% and risk factors related to mortality were increased age and use of vascular exclusion (P = 0.0395 and P = 0.0404, respectively). Median hospital stay was 6.7 days.
    Conclusion: Liver resections can be performed with low mortality and acceptable morbidity rates. Blood transfusion may be reduced by employing meticulous technique and, whenever indicated, vascular exclusion.
    MeSH term(s) Adolescent ; Adult ; Aged ; Aged, 80 and over ; Analysis of Variance ; Blood Transfusion/statistics & numerical data ; Female ; Hepatectomy/adverse effects ; Hepatectomy/mortality ; Humans ; Liver Diseases/mortality ; Liver Diseases/surgery ; Liver Neoplasms/mortality ; Liver Neoplasms/surgery ; Male ; Middle Aged ; Postoperative Complications ; Retrospective Studies ; Risk Factors
    Language English
    Publishing date 2005-03-29
    Publishing country Brazil
    Document type Journal Article
    ZDB-ID 137743-7
    ISSN 0004-2803
    ISSN 0004-2803
    DOI 10.1590/s0004-28032004000400006
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. 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

    Full text online

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