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Histopathology Findings in Patients Undergoing Laparoscopic Sleeve Gastrectomy

ConclusionMost of the findings are non-significant and can be predicted if UGIE plus multiple biopsies is routinely included in the bariatric work-up with significant cost reduction. In those patients who had a significant finding prior to the surgery or intraoperatively, the pathological examination of the specimen is recommended.
Source: Obesity Surgery - Category: Surgery Source Type: research

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Authors: Roelofs K, Shaikh F, Astle W, Gallie BL, Soliman SE Abstract A child with bilateral familial retinoblastoma underwent staging MRI brain and orbit which identified subtle leptomeningeal enhancement, thus prompting an MRI whole body, which revealed a retroperitoneal mass, confirmed on laparoscopic biopsy to be neuroblastoma. This is the first reported case of these two rare embryonal non-central nervous system tumors occurring concurrently. The cause of this concurrence is unknown despite their pathogenic similarities with a chance of 4 cases per 10 billion children aged 1-4 years. Incidental neuroblast...
Source: Ophthalmic Genetics - Category: Opthalmology Tags: Ophthalmic Genet Source Type: research
Summary ObjectivesThe study aims to assess the effects of family‐based interventions targeted to parents only or to parents‐and‐child for the prevention and treatment of childhood obesity. MethodAn open‐label randomized study was conducted in 247 children (166 girls, 5–11 years) with body mass index (BMI) in the 85–98th percentile. Participants were allocated to three groups: parents‐only (n = 89), parents‐and‐child (n = 84) and follow‐up alone (n = 74). The intervention consisted of 12 once‐weekly meetings with a dietician and psychologist. All children were...
Source: Pediatric Obesity - Category: Eating Disorders & Weight Management Authors: Tags: Original Research Source Type: research
Summary Adolescent obesity is a risk factor for obesity and other chronic disease in adulthood. Evidence for the effectiveness of community‐based obesity treatment programs for adolescents is required to inform policy and clinical decisions. This systematic review aims to evaluate recent effective and scalable community‐based weight management programs for adolescents (13–17 years) who are overweight or obese. Eight databases (Medline, Embase, PsycINFO, CINAHL, Cochrane Central Register of Controlled Trials, Cochrane Database of Systematic Reviews, Informit, and Scopus) were searched for studies published be...
Source: Obesity Reviews - Category: Eating Disorders & Weight Management Authors: Tags: Pediatric Obesity/Management Source Type: research
A study explores proteins involved in longevity, which may help design treatments for a range of diseases, including obesity, some cancers, and diabetes.
Source: Health News from Medical News Today - Category: Consumer Health News Tags: Obesity / Weight Loss / Fitness Source Type: news
Alpha-amylase, α-glucosidase and lipase inhibiting activities of polyphenol-rich extracts from six common bean cultivars of Southern Italy, before and after cooking. Int J Food Sci Nutr. 2018 Jan 16;:1-11 Authors: Ombra MN, d'Acierno A, Nazzaro F, Spigno P, Riccardi R, Zaccardelli M, Pane C, Coppola R, Fratianni F Abstract Common beans (Phaseolus vulgaris) are a good source of nutrients and phenolic compounds with versatile health benefits. Polyphenol-rich extracts of six ecotypes of P. vulgaris were analysed to determine their phenolic profiles and assayed in vitro for inhibitory effects on dige...
Source: International Journal of Food Sciences and Nutrition - Category: Nutrition Tags: Int J Food Sci Nutr Source Type: research
AbstractIntroductionDuring laparoscopic cholecystectomy (LC), common bile duct (CBD) visualization either directly or with cholangiography (IOC) is less routine. Cholangiography can be used to identify and possibly prevent bile duct injury (BDI), which is a dreaded complication of cholecystectomy. The purpose of our study was to evaluate the trend of IOC/CBD exploration and BDI during LC for benign disease.MethodsA state-wide database (SPARCS) was used to identify all LC for benign biliary non-obstructive and obstructive disease between 2000 and 2014 in the state of New York. ICD-9 and CPT codes were used to identify IOC/C...
Source: Surgical Endoscopy - Category: Surgery Source Type: research
ConclusionIn our experience, the use of robotic technology for the creation of gastric bypass led to longer operative times, similar %EWL but decreased LOS and number and severity of complications compared with the laparoscopic approach. Since our findings may have been influenced by the type of anastomotic technique used with each approach they need confirmation by a controlled trial.
Source: Surgical Endoscopy - Category: Surgery Source Type: research
AbstractBackgroundLaparoscopic (laparoscopy-assisted) gastrectomy (LG) has several short-term benefits as compared with open distal gastrectomy (OG) in patients with advanced gastric cancer (AGC). Survival rates did not differ significantly between LG and OG in retrospective studies of AGC, although some studies included unmatched groups of patients or patients with AGC who had a preoperative diagnosis of early gastric cancer. The aim of present study was to compare the short- and long-term outcomes of patients with AGC who underwent LG with those of patients with AGC who underwent OG using a propensity-score matching anal...
Source: Surgical Endoscopy - Category: Surgery Source Type: research
DiscussionLLH was a safe and feasible procedure for selected patients. LLH required shorter hospital stay and resulted in less operative blood loss. Multivariate analysis revealed that LLH was associated with a lower risk of severe complications compared to OLH. The authors suggest that LLH could be a reasonable treatment option for selected patients.
Source: Surgical Endoscopy - Category: Surgery Source Type: research
AbstractBackgroundTransversus abdominis release (TAR) has evolved as an effective approach to complex abdominal wall reconstructions. Although the role of robotics in hernia surgery is rapidly expanding, the benefits of a robotic approach for abdominal wall reconstruction have not been established well. We aimed to compare the impact of the application of robotics to the TAR procedure on the perioperative outcomes when compared to the open TAR repairs.MethodsCase-matched comparison of patients undergoing robotic TAR (R-TAR) at two specialized hernia centers to a matched historic cohort of open TAR (O-TAR) patients was perf...
Source: Surgical Endoscopy - Category: Surgery Source Type: research
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