Predicting surgical site infections following laparoscopic bariatric surgery: development of the BariWound tool using the MBSAQIP database
This study included patients who underwent primary laparoscopic Roux-en-Y gastric bypass (LRYGB) or laparoscopic sleeve gastrectomy (LSG). The primary outcome of interest was incisional SSI occurring within 30 days. Surgeries performed in 2015 were used in a derivation cohort and the predictive tool was validated against the 2016 cohort. A forward selection algorithm was used to build a logistic regression model predicting probability of SSI.ResultsA total of 274,187 patients were included with 71.7% being LSG and 28.3% LRYGB. 0.7% of patients had a SSI in which 71.0% had an incisional SSI, and 29.9% had an organ/space SSI. Of patients who had an incisional SSI, 88.7% were superficial, 10.9% were deep, and 0.4% were both. A prediction model to assess for risk of incisional SSI,BariWound, was derived and validated.BariWound consists of procedure type, chronic steroid or immunosuppressant use, gastroesophageal reflux disease, obstructive sleep apnea, sex, type 2 diabetes, hypertension, operative time, and body mass index. It stratifies individuals into very high (> 10%), high (5–10%), medium (1–5%), and low risk (
Publication date: Available online 30 May 2020Source: Obesity Research &Clinical PracticeAuthor(s): Chiaki Tanaka, Mark S. Tremblay, Masayuki Okuda, Shigeru Inoue, Shigeho Tanaka
(American Association for Cancer Research) Among patients with both colorectal cancer and diabetes in Korea, those who had a high adherence to their oral diabetes medication had a significantly reduced risk of overall mortality compared with those with lower adherence.
This article discusses basic renal vascular anatomy, common imaging findings, and current and potential future imaging protocols for various renovascular pathologic conditions. PMID: 32471544 [PubMed - as supplied by publisher]
This article discusses pMRA techniques and artifacts; performance in commonly encountered pulmonary vascular diseases, specifically pulmonary embolism and pulmonary hypertension; and recent advances in both contrast-enhanced and noncontrast pMRA. PMID: 32471539 [PubMed - as supplied by publisher]
Publication date: Available online 30 May 2020Source: Chemico-Biological InteractionsAuthor(s): Saeed Alshahrani
Publication date: Available online 30 May 2020Source: Reproductive ToxicologyAuthor(s): Petcharat Chiangsaen, Putcharawipa Maneesai, Upa Kukongviriyapan, Terdthai Tong-un, Wannapa Ishida, Parichat Prachaney, Poungrat Pakdeechote
Publication date: September 2020Source: Safety Science, Volume 129Author(s): Takahiko Kudo, Michael H. Belzer
Publication date: Available online 28 May 2020Source: NeuroImage: ClinicalAuthor(s): Anson C.M. Chau, Eva Cheung, K.H. Chan, W.S. Chow, Y.F. Shea, Patrick K.C. Chiu, Henry K.F. Mak
ConclusionsSADI-S appears to be a safe bariatric surgical procedure with favorable outcomes at 2 years in the Australian population.
Abstract Sleeve gastrectomy (SG) has become one of the most commonly used bariatric procedures worldwide. However, data regarding long-term results remain insufficient. The aim of this study was to review the long-term results after SG. We conducted a comprehensive literature search of Medline and the Cochrane Library for articles published until May 2016 on the long-term results (>5 yr) after SG. Studies representing outcomes of SG were included if they reported≥5-year results that contained at least one outcome of interest-weight loss, co-morbidities, long-term complications, or quality of life-and SG was ...
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