528 research outputs found
Chirurgia bariatrică în tratamentul sindroamelor obstructive în somn. Bariatric surgery in the treatment of obstructive sleep apnea syndromes
No full textCAPITOL1-Elemente de fiziologie și fiziopatologie a somnului (Raluca Enache, Dorin Sarafoleanu),CAPITOL2-Etiologia tulburărilor respiratorii în somn(Raluca Enache, Dorin Sarafoleanu), CAPITOL3-Explorarea clinico-paraclinică a pacientului cu tulburări respiratorii în somn (Elena Pătrașcu, Ionuț Tănase), CAPITOL4-Tratamentul chirurgical ORL al tulburărilor respiratorii în somn (Codruț Sarafoleanu, Claudiu Manea), CAPITOL5-Particularități ale sindroamelor obstructive în somn la copii(Dan Cristian Gheorghe), CAPITOL6-Terapia prin ventilație non-nvazivă(Ionuț Tănase, Elena Pătrașcu), CAPITOL7-Dispozitive protetice și chirurgia maxilo-facială în tratamentul sindroamelor obstructive în somn(Codruț Sarafoleanu, Ion Nicolescu), CAPITOL8-Chirurgia bariatrică în tratamentul sindroamelor obstructive în somn(Cristian Boru), CAPITOL9-Aspecte anestezice la pacienții cu tulburări respiratorii în somn(Luminița Cociu)
INTERVENTIONAL THERAPIES FOR TYPE II DIABETES. SUMMARY OF THE LONDON 2015 INTERNATIONAL DIABETES SURGERY SUMMIT AND CONSENSUS CONFERENCE
No full textMetabolic or bariatric surgery may be more effective than standard medical treatments for the long-term control of type 2 diabetes in obese patients, according to recently published studies. Various studies have shown that bariatric surgery can result in dramatic improvement of type-2 diabetes in obese patients, usually on short-term follow-up. Recent studies, from which one randomized controlled trial, have shown same promising results on long-term control of type 2 diabetes. New research suggests that obese patients with type 2 diabetes, especially those with recent disease onset, should be prioritized for obesity surgery over those without type 2 diabetes, including considering overall costs of healthcare. Even if some patients see a reversal of diabetes after surgery, they need fewer expensive diabetes medications or treatment for complications in the future. Diabetes organizations recently developed guidelines that integrate medical and surgical therapies in a rational treatment algorithm for T2DM. Specific goals include providing guidance for the selection of surgical candidates and for the use of diabetes-specific measures in the preoperative work-up and follow-up of patients. An extensive review of the recent literature is analysed and presented
Mini gastric bypass with 4k technology as treatment of morbid obesity in patient with ventriculoperitoneal shunt
No full textVentriculoperitoneal (VP) shunt placement is used to treat idiopathic intracranial pressure. Obesity is a risk factor related to shunt migration, dislodgement, and subsequent failure due to increased intraabdominal pressure. Minigastric bypass consists in both restrictive and malabsorbative mechanisms, and indications to this procedure as an efficient primary and redo procedure are increasing lately. Technology can always improve the surgical act, and 4K vision is spreading in many operating rooms. Laparoscopic approach is subject to continuous change. Ultrahigh definition is the next development in video technology, it delivers fourfold more detail than full high definition resulting in improved fine detail, increased texture, and an almost photographic emulsion of smoothness of the image. New 4K ultrahigh-definition technology might remove the current need for the use of polarised glasses. We present the laparoscopic one anastomosis gastric bypass, done with the new 4K technology, as primary bariatric procedure for morbid obese patient with VP shunt
Pandora's box: unpredictable evolution of a 20-year history of a bariatric patient-report of small bowel migrated gastric band after redo banded gastric bypass
No full textIntroduction: morbid obesity is a chronic disease, with resistance to multiple therapies. Bariatric surgery is the most efficient nowadays treatment, but with a certain price when we speak of surgeon’s efforts, patient’s compliance and tolerance, available technology and long term evolution. Materials: we present the case of 20 years evolution of a female obese patient, with multiple, sequential bariatric minimally-invasive interventions: intragastric balloon, gastric banding, gastric bypass (GBP), banding positioning on GBP, all complicated. Last attempt to treat weight regain was laparoscopic positioning of an adjustable banding over a failed gastric bypass in 2015, complicated 12 months after by acute intestinal occlusion due to band migration, leading to open emergency band removal, wound dehiscence and finally incisional hernia. Results: after multiple interventions, the patient has a BMI of 38 kg/m2, large incisional hernia, depression, over a non-satisfactory gastric bypass. Conclusion: bariatric surgery has some limitations in case of patient’s non-compliance and bad-luck, even with persistent, experienced tailored bariatric treatment. Non-responsive obese patients should be considered as possible subcategory of long-term outcomes
IBC-Ox26 Concomitant hiatal hernia repair during bariatric surgery: is it the reinforcement making the difference?
No full text
Damla Sulamada Lateral ve Manifold Boru Çaplarmın Belirlenmesinde Grafiksel Yöntem
No full textBu çalışmada, damla sulama sistemlerinde, kabul edilebilir düzeyde e ş su dağı l ı m ı sağ lamak amacı yla, lateral ve manifold boru çaplar ı n ı n belirlenmesine yönelik grafiksel çözümler haz ı rlanmışt ı r. Christiansen eş dağı l ı m katsay ı s ı n ı n, lateral boru hatlar ı için Cu %98 ve manifold boru hatlar ı için C„ % 97.5 koşulları n ı sağ layan boru çapları n ı n seçilmesi önerilmiştir. Farkl ı boru çapian için Co eş dağı l ı m katsayı.s ı n ı n doğrudan bulunabileceği grafikleı. verilmiştir
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