Comment on: Laparoscopic sleeve gastrectomy as day-case ambulatory surgery

I read with interest the manuscript entitled "Laparoscopic sleeve gastrectomy as day-case ambulatory surgery", more so since I am the owner of such an ambulatory surgical centre in a major urban area in Canada.1 My main concern for patients is similar to when laparoscopic cholecystectomy went from less than 24 hours stay (the next day) to discharge the same day. What if bleeding occurs at home, how would the patient and family react, and would they survive a haemorrhagic shock episode? The possible liability that follows, and negative publicity, as it may make the main headlines in your local area.
Source: Surgery for Obesity and Related Diseases - Category: Surgery Authors: Source Type: research

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ConclusionWe believe this case demonstrates that endoscopic gastrojejunal revision (or EGJR) is an effective treatment option for postprandial hypoglycemia following Roux-en-Y gastric bypass.
Source: Obesity Surgery - Category: Surgery Source Type: research
We present the first documented case of candida colitis caused by Candida Glabrata in a 56-year-old man with a personal history of morbid obesity and bariatric surgery. The presenting symptoms were diarrhea, rectal bleeding and septic shock. Diagnosis was obtained by histological and microbiological study of the colonoscopy biopsies. Gastroenterologists should be aware of Candida as a cause of colonic infection. Fungal culture is the key to identify specific Candida species and lead to an appropriate antifungal therapy. PMID: 31317758 [PubMed - as supplied by publisher]
Source: Revista Espanola de Enfermedades Digestivas - Category: Gastroenterology Tags: Rev Esp Enferm Dig Source Type: research
If you’ve been diagnosed with kidney stones (urolithiasis), you may have several options for treatment. These include medical therapy, extracorporeal shock wave lithotripsy (ESWL), percutaneous nephrolithotripsy (PCNL), and ureteroscopy. A brief anatomy of the urinary tract The urinary tract includes kidneys (two organs that filter waste and extra water from the blood) ureters (two tubes bringing urine from each kidney to the bladder) bladder (organ that collects urine) urethra (a single tube through which urine in the bladder passes out of the body). The evaluation for kidney stones If your symptoms suggest kidney...
Source: Harvard Health Blog - Category: Consumer Health News Authors: Tags: Kidney and urinary tract Men's Health Women's Health Source Type: blogs
ConclusionNAFLD patients had lower mortality and complication rates following BS. A significant postsurgical weight loss should attenuate liver inflammation and fibrosis, and therefore has the potential to stop or even reverse progression of liver disease.
Source: Obesity Research and Clinical Practice - Category: Eating Disorders & Weight Management Source Type: research
ED Yalcin, E AraratNigerian Journal of Clinical Practice 2019 22(7):1026-1028 Bardet–Biedl syndrome (BBS) is a rare autosomal recessive genetic disorder. This syndrome is associated with 19 genes present, and 80% of the cases are determined as a clinical diagnosis result. A 15-year-old female presented with a complaint of gingival bleeding during brushing. As a result of received detailed history and the intraoral–extraoral examinations; retinal dystrophy, obesity, polydactyly, and renal defects of Caucasian female consistent with BBS were reported. Oral and dental findings were high-arched palate, crowdin...
Source: Nigerian Journal of Clinical Practice - Category: Rural Health Authors: Source Type: research
A 59 ‐year‐old obese Japanese man with poorly controlled type 2 diabetes mellitus presented with severe heartburn after inguinal cellulitis and exacerbated glycemic control. Emergent esophagogastroduodenoscopy showed acute esophageal necrosis, although signs of upper gastrointestinal bleeding were a bsent and a recent esophagogastroduodenoscopy was unremarkable. AbstractA 59 ‐year‐old obese Japanese man with poorly controlled type 2 diabetes mellitus presented with severe heartburn for 3 days after inguinal cellulitis and exacerbated glycemic control, without any signs of upper gastrointestinal bleed...
Source: Journal of Diabetes Investigation - Category: Endocrinology Authors: Tags: Case Report Source Type: research
The objective of this study was the assessment of readmission rate after bariatric surgery.MethodsThis is a retrospective observational study on a national administrative claims database, the Information Systems Medicalization Program, PMSI, which is a nationwide billing tool collecting information on all hospital discharges in France. All adult patients operated of bariatric surgery from January 1, 2013, through December 31, 2016, were included. The main outcome was unplanned 30-day readmission rate. Secondary outcome was the analysis of reasons for readmission.ResultsDuring the study period, out of 187,000 bariatric inte...
Source: Obesity Surgery - Category: Surgery Source Type: research
AbstractObjectivesPeriodontal disease and polycystic ovary syndrome (PCOS) share risk factors like obesity, insulin resistance, and dyslipidemia, along with evidence of chronic inflammation in the two conditions. Evaluating the influence of PCOS on periodontal health would, therefore, identify a possible association.Materials and methodsSixty women, divided into equal groups of PCOS and healthy patients, were clinically examined for periodontal parameters like probing depth (PD), plaque index (PI), modified gingival index (mGI), and bleeding on probing (BOP). Fasting blood sugar (FBS), insulin (FI), triglycerides (TG), and...
Source: Clinical Oral Investigations - Category: Dentistry Source Type: research
This study aims to assess the safety of bariatric surgery on these patients.MethodsData was extracted from 2015 to 2017 using the MBSAQIP database. Included patients were those who underwent a primary LSG or LRYGB. A multivariable regression analysis was performed looking at 30-day outcomes for pre-operatively anticoagulated patients. A secondary propensity-matched analysis was performed comparing outcomes among patients undergoing LSG vs LRYGB.ResultsA total of 430,396 patients were analyzed, 11,013 (2.56%) of which were taking anticoagulation medications pre-operatively. Absolute 30-day complication rates (8.73% vs 3.36%,p 
Source: Obesity Surgery - Category: Surgery Source Type: research
Publication date: Available online 2 July 2019Source: Annals of Medicine and SurgeryAuthor(s): Loo Guo Hou, Reynu Rajan, Nik Ritza KosaiAbstractThere is an increasing trend in the number of bariatric surgeries performed worldwide, partly because bariatric surgery is the most effective treatment for morbid obesity. Sleeve gastrectomy (SG) remains the most common bariatric surgery procedure performed, representing more than 50% of all primary bariatric interventions. Major surgical complications of SG include staple-line bleeding, leaking, and stenosis. A leak along the staple-line most commonly occurs at the gastroesophagea...
Source: Annals of Medicine and Surgery - Category: General Medicine Source Type: research
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