Simultaneous laparoscopic sleeve gastrectomy, hiatal hernia repair, hepatic cavernous hemangioma resection and umbilical hernia repair

We are presenting a 53 year old female with a BMI of 57.   Past medical history includes OSA on CPAP, HTN, CHF, low back pain, osteoarthritis, IBS, bipolar disorder, seizure disorder and a left hepatic hemangioma that is relevant for this case. The patient had prior abdominal surgeries including laparoscopic cholecystectomy, appendectomy and 2 C-section s. She was evaluated for her morbid obesity and comorbidities and was deemed to be a good candidate for bariatric surgery.  Her preoperative workout included an upper endoscopy that was normal without esophagitis.  As a work up for an episode of epigastric and left upper quadrant pain, a CT scan was performed and revealed a 6 cm exophytic mass in the left hepatic lobe in the gastro-hepatic space.  This prompted a MRI that confirmed that the mass was a 6.5 cm hemangioma that was overlying the gastro esophageal junction.
Source: Surgery for Obesity and Related Diseases - Category: Surgery Authors: Source Type: research

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Conclusion: For the first time, para-aminobenzoic acid was well determined by incorporating it as an organic solid compound, 4(4-Benzophenylazo)pyrogallol, through coupling pyrogallol with diazotized para-aminobenzoic acid in regulated pH medium, ranging between 5.0 to 6.0. The existence of common excipients in the dietary supplement did not produce any significant interference. F- and ttest data analysis were used for statistical comparison of the suggested techniques with that of reference method, demonstrating excellent agreement with no significant difference in the associated precision and accuracy.
Source: Current Nutrition and Food Science - Category: Nutrition Source Type: research
This study confirmed the weight control effect of chitosan in the context of high-fat diet consumption. Interestingly, chitosan increased the serum leptin level in the high-fat diet groups and increased the oral glucose tolerance in the low-fat diet groups. Chitosan reduced the chronic inflammation caused by high-fat diet consumption. Moreover, the intestinal microbiome was influenced by the chitosan intervention as the feeding time increased. Chitosan supplementation increased the anti-obesity-related species, such as Coprobacillus cateniformis and Clostridium leptum, and significantly decreased Clostridium lactatiferment...
Source: Journal of Functional Foods - Category: Nutrition Source Type: research
CONCLUSIONS: The practice of self-medication with analgesics is frequent among patients with chronic pain, which may be due to the underprescription of more potent analgesics, such as opioids. It can also be said that, given the data presented, there is no crisis of recreational opioid use in the studied population. PMID: 31703816 [PubMed - as supplied by publisher]
Source: Revista Brasileira de Anestesiologia - Category: Anesthesiology Tags: Rev Bras Anestesiol Source Type: research
ABSTRACT The replacement of natural teeth that have extreme external apical root resorption, induced by orthodontic treatment, with osseointegrated implants is not justifiable biologically or clinically. These teeth should be preserved and keep their normal functions, as there is no greater mobility, pain or color change. They may undergo usual procedures, such as bleaching, restorations with veneers and other esthetic procedures that may be necessary along life. The pulp of these teeth is normal. If mobility of a tooth with extreme resorption is identified, the cause of mobility should be investigated, as it is not associ...
Source: Dental Press Journal of Orthodontics - Category: Dentistry Source Type: research
Conclusions: RME promotes a significant gain in the surface area of the palate and an increase in intermolar width. The Hyrax appliance was effective for the treatment of maxillary atresia in growing patients. There was no vertical alteration of the palate . After a 6-month retention period, the maxilla transverse dimension and the surface area of the palate remained stable.RESUMO Objetivo: o objetivo do presente estudo foi estimar a altera ção na área do palato após expansão rápida da maxila (ERM) com o expansor Hyrax em indivíduos em crescimento, utilizando tomografia comp...
Source: Dental Press Journal of Orthodontics - Category: Dentistry Source Type: research
ABSTRACT Objective: To assess the volume and morphology of the middle region of the pharynx (MRP) in adolescents with different anteroposterior craniofacial skeletal patterns. Methods: One hundred twenty-six patients (56 male and 70 female), who had cone-beam computed tomography (CBCT) within their records, were selected for this cross-sectional study. Participants were classified, according to their ANB angle value, in Class I (1o ≤ ANB ≤ 3o), Class II (ANB> 3o) and Class III (ANB 3o) e Classe III (ANB
Source: Dental Press Journal of Orthodontics - Category: Dentistry Source Type: research
Publication date: Available online 10 November 2019Source: Materials Research BulletinAuthor(s): Wei Zhang, Ruodong Zhang, Shudan Yang, Ru Wang, Liyan Na, Ruinian HuaAbstractThe preparation of Eu3+-doped NaGd(WO4)2 (NGW) nanophosphors was conducted by using a coprecipitation method. The characterization of the final products was performed in this work. The X-ray diffraction (XRD) results presented that our prepared NGW:Eu3+ phosphors are single-phase and belong to the tetragonal system, and the field emission scanning electron microscopy (FE-SEM) study showed that our synthesized samples consist of many irregular rod-like ...
Source: Materials Research Bulletin - Category: Materials Science Source Type: research
Publication date: Available online 10 November 2019Source: Journal of Materials Research and TechnologyAuthor(s): Michelle Souza Oliveira, Fabio da Costa Garcia Filho, Fernanda Santos da Luz, Artur Camposo Pereira, Luana Cristyne da Cruz Demosthenes, Lucio Fabio Cassiano Nascimento, Henry Alonso Colorado Lopera, Sergio Neves MonteiroAbstractReinforcement of polymer matrices with natural lignocellulosic fibers (NLFs) is today presenting great potential for the reduction of both product weight and cost in many industrial sectors as well as the advantage of being renewable and eco-friendly materials. For some industrial appli...
Source: Journal of Materials Research and Technology - Category: Materials Science Source Type: research
Authors: Basavaraju R, Mehta UM, Thirthalli J PMID: 31707102 [PubMed - as supplied by publisher]
Source: Asian Journal of Psychiatry - Category: Psychiatry Tags: Asian J Psychiatr Source Type: research
The objective of the study was to assess the levels of neural cell adhesion molecule 1 (NCAM 1) and interleukin-10 and their association with disease severity in bipolar disorder. 40 bipolar disorder I patients with acute manic symptoms and 40 age matched controls were enrolled in the study. Neural cell adhesion molecule 1 and interleukin-10 (IL-10) levels were assessed in both the groups. NCAM 1 and interleukin-10 levels were significantly increased in bipolar disorder when compared with controls. There was significant positive correlation of Young Mania Rating score with NCAM 1 (r = 0.538, p =
Source: Asian Journal of Psychiatry - Category: Psychiatry Tags: Asian J Psychiatr Source Type: research
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