A323 Repair of Post-Bariatric, de-novo Hiatal Hernias Improves Bloating, Abdominal pain, Regurgitation, and Food intolerance (BARF Syndrome).
Post-bariatric, de-novo hiatal hernias are associated with a cluster of symptoms including Bloating (nausea/vomiting), Abdominal pain, Regurgitation, and Food intolerance or dysphagia (BARF). Patients with this cluster are at risk mis-diagnosis, malnutrition and maladaptive eating.
teo D Abstract Background: Altered balance is a common and debilitating symptom of fibromyalgia. Previous studies have investigated balance under single-task conditions that do not reflect real-life situations. The present study evaluated the impact of a simultaneous cell-phone conversation on balance performance in a case-control cohort from Spain. Methods: A cross-sectional case-control study was performed in 34 women recruited from local self-help organizations and university facilities (n = 18 fibromyalgia cases; n = 16 healthy, pain-free controls). Participants performed the 3...
Journal Name: Clinical Chemistry and Laboratory Medicine (CCLM) Issue: Ahead of print
CONCLUSIONS Radiation can induce vasogenic edema and is associated with the RBI occurrence and development. VEGF protein is highly relevant to the induction of edema and thrombosis in the acute phase of RBI and in the early delayed phase of RBI, including vascular repair and regeneration, thrombus ablation and other events. Human recombinant endostatin can reduce the progression of cerebral edema during the early onset of RBI. PMID: 31816619 [PubMed - in process]
ConclusionWe present a case report of inguinal bladder hernia in a middle-aged man that presented as left lower quadrant pain, groin pain, and dysuria. Diagnosis was confirmed preoperatively with radiographic imaging. The hernia was surgically reduced and the defect repaired without complications.
ConclusionTransjejunal LAERCP is a feasible technique to deal with choledocholithiasis, and it allows at the same time to identify and treat concomitant conditions like internal hernias.
This study aims to describe the clinical experience in terms of efficacy and safety with laparoscopic ventral hernia repair using the ParietexTM Composite mesh (Covidien Sofradim Production, Trevoux, France) in severely obese patients (body mass index ≥35) compared with non-severe obese patients in a seven-year single-center cohort. MATERIAL AND METHODS: All patients with a primary ventral or incisional hernia admitted to our hospital from 2006 until December 2012 who underwent a laparoscopic repair with the Parietex Composite mesh were included in this study. Pain scores using a numeric rating were collected prospe...
Perforated duodenal ulcer after gastric bypass is rare. There have been less than 25 reported cases of duodenal perforation after Gastric bypass. Although most peptic ulcers after gastric bypass surgery occur in the roux limb as marginal ulcers, duodenal ulceration and perforated ulcers in the secretory limb can also present with acute abdominal pain with or without free air in the peritoneal cavity on imaging studies. Laparoscopy is recommended for post gastric bypass patients presenting with acute abdominal signs to rule out internal hernias and other pathology.
Question: A 64-year-old, obese women with a history of schizophrenia and multiple bariatric surgeries had been attending clinics for 4 years for assessment and adjustment of her gastric band. The patient had largely been unsuccessful in losing weight and had remained oscillating around a body mass index of 46 kg/m2. In November 2016, a computed tomography scan revealed 2 hernias, which were to be repaired after further weight loss (Figure A). Two months later, the patient presented to accident and emergency with vomiting and severe abdominal pain.
ConclusionsThe laparoscopic approach to IHR in obese patients has similar outcomes as an open approach with regard to 30-day wound events. Preoperative risk stratification of obese patients is important to determining the appropriate surgical approach to IHR. Further studies are needed to investigate the long-term effects of the open and laparoscopic approaches to IHR in the obese population.
Authors: Muresan M, Muresan S, Bara T, Brinzaniuc K, Sala D, Suciu B, Radu N Abstract AIM: Incisional hernias represent a late onset complication of any type of laparotomy, with a relatively high incidence, and reported in 2% to 11% of all laparotomies. MATERIAL AND METHODS: We performed a prospective longitudinal study that included a total number of 102 patients. The following parameters were monitored: patient history clinical findings, time of hospitalization, laboratory test results, types of surgery. Intra-abdominal pressure variations were measured using a specialized kit. RESULTS: Obesity was presen...