High Resected Gastric Volume and poorly controlled DM2 in laparoscopic sleeve gastrectomy
Publication date: Available online 3 November 2018Source: Annals of Medicine and SurgeryAuthor(s): Federico Sista, Valentina Abruzzese, Stefano Guadagni, Sergio Carandina, Marco Clementi
ConclusionComparing the 5-year success rate of these two techniques, LRYGB seems to be superior to LSG, with lower weight regain and higher weight loss. The short- and long-term effects of two procedures on remission of comorbidities were comparable.
ConclusionMLL remains to be underdiagnosed. Due to the obesity epidemic, clinicians must be aware of this once rare disease. The role of concurrent bariatric surgery with surgical resection of MLL warrants further studies.
This study evaluated the safety and feasibility of MBBT in patients undergoing TLDG. Thirty-three patients who underwent TLDG with MBBT were retrospectively evaluated. The mean operation time was 277.6±37.1 minutes, including 51.9±15.7 minutes for reconstruction. Two patients had anastomosis-related complications, one patient with stricture after leakage and 1 patient with stenosis. The former patient was treated with endoscopic balloon dilatation, and the latter was managed conservatively; neither required re-operation. MBBT is a safe and feasible technique, with acceptable surgical outcomes. It may be a goo...
Conclusions: The overlap method was superior to the HDST with respect to anastomotic complications, especially anastomosis stricture. PMID: 31598376 [PubMed]
Conclusions: Our procedure for hand-sewn purse-string suturing with the double ligation method is simple and safe. PMID: 31598372 [PubMed]
Purpose of review The aim of this study was to review studies published within the past year regarding management of gastric cancer. Recent findings Laparoscopic gastrectomy achieves equivalent survival compared with open gastrectomy in early stage and locally advanced gastric cancer. Adjuvant chemotherapy with 6 months of S-1 and oxaliplatin was superior to 12 months of S-1, and the addition of postoperative radiation therapy did not improve survival. The FLOT regimen is the new standard for preoperative chemotherapy. In metastatic gastric cancer, the addition of docetaxel to S-1 and cisplatin failed to improve overa...
This study aimed to explore the efficacy of delta-shaped Billroth I anastomosis in totally laparoscopic distal gastrectomy for digestive tract reconstruction, and provide clinical data for determining the most appropriate digestive tract reconstruction method after distal gastrectomy.MethodsThis was a prospective randomized controlled study. A total of 180 patients were randomly and prospectively selected from Renmin Hospital of Wuhan University by random number table. These patients were randomly divided into three groups: Billroth I group, Billroth II group, and Roux-en-Y (RY) group.ResultsThere were sig...
ConclusionThe LSG and RYGB both impart dramatic meaningful loss in excess body weight. In addition, both the LSG and RYGB impart dramatic reductions in fat mass. However, both procedures induce loss of lean mass and there appears to be no difference between the two procedures in this regard despite their anatomic and physiologic differences.
Obesity is associated with decreased brain gray- (GM)/white-matter (WM) volumes in regions. Laparoscopic-sleeve-gastrectomy (LSG) is an effective bariatric surgery associated with neuroplastic changes in patients with obesity at 1-month-post-LSG.
We have read with great interest this study (1) analyzing the perioperative outcomes of Roux-en Y gastric bypass (RYGB) and sleeve gastrectomy (SG) in super-obese patients (SO, body mass index (BMI) 50 - 59.9 kg/m2) and super-super obese patients (SSO, BMI ≥ 60 kg/m2). The authors investigated the Metabolic and Bariatric Surgery Accreditation and Quality Improvement Program (MBSAQIP) database and 356,621 patients met the inclusion criteria. Of these, 255,459 (71.6%) underwent SG and 101,162 (28.4%) underwent RYGB.