1,721,090 research outputs found
Multi-Center European Experience With Intragastric Balloon In Overweight Populations: 13 Years Experience
No full textBACKGROUND:
The request to lose weight is expanding not only in obese and morbidly obese patients but also in overweight patients affected by co-morbidities as diabetes and hypertension and who do not tolerate diet regimen or lifestyle changes. The aim of this study is a multicenter evaluation of outcomes of intragastric balloon in overweight patients.
METHODS:
Patients (BMI 27-30 kg/m2) treated with a BioEnterics Intragastric Balloon (BIB) between 1996 and 2010 were extracted from the database of the participating centres in Rome (Italy), Liège (Belgium) and Madrid (Spain). Primary endpoints were the efficacy and safety at 6 and 42 months from balloon positioning. Secondary endpoints included resolution of co-morbidities.
RESULTS:
A total of 261 patients were included in this study. The most common indication for balloon placement was a psychological disorder (54%). Mean body mass index (BMI) fell from 28.6 ± 0.4 at baseline to 25.4 ± 2.6 kg/m2 at 6 months and to 27.0 ± 3.1 kg/m2 at 3 years from BIB removal. The mean %EWL was 55.6% at 6 months and 29.1% at 3 years. Forty-seven patients (18%) had complications associated with placement of the intragastric balloon (leak = 28, intolerance = 14, duodenal ulcer = 2, gastritis = 1, oesophagitis = 1, duodenal polyps = 1). The rate of patients with hypertension decreased from 29% at baseline to 16% at 3 years. Diabetes decreased from 15 to 10%, dyslipidaemia decreased from 20 to 18%, hypercholesterolaemia decreased from 32 to 21% and osteoarthropathy decreased from 25 to 13%.
CONCLUSIONS:
The intragastric balloon is safe and effective in overweight patients, helping to reduce progression to obesity and decreasing the prevalence of a number of important co-morbidities
Laparoscopic Sleeve Gastrectomy as Revisional Surgery in a Vertical Gastroplasty With Gastrogastric Fistula: A Simplified Technique
No full textGastrogastric fistula is one of the complications that can occur after vertical gastroplasty surgery for weight loss. We describe a novel sleeve gastrectomy technique to treat a proximal gastrogastric fistula after vertical gastroplasty
Going Beyond Counting First Authors in Author Co-citation Analysis
Full text linkThe present study examines one of the fundamental aspects of author co-citation analysis (ACA) - the way co-citation
counts are defined. Co-citation counting provides the data on which all subsequent statistical analyses and mappings
are based, and we compare ACA results based on two different types of co-citation counting - the traditional type that
only counts the first one among a cited work's authors on the one hand and a non-traditional type that takes into
account the first 5 authors of a cited work on the other hand. Results indicate that the picture produced through this non-traditional author co-citation counting contains more coherent author groups and is therefore considerably clearer. However, this picture represents fewer specialties in the research field being studied than that produced through the traditional first-author co-citation counting when the same number of top-ranked authors is selected and analyzed. Reasons for these effects are discussed
Polyps in Lynch syndrome. Differences in quality of colonoscopy between Western and Eastern endoscopists.
No full textSingle-session double-stent placement in concomitant malignant biliary and duodenal obstruction with a cautery-tipped lumen apposing metal stent
No full textSubmucosal endoscopic tumor resection for subepithelial tumors in the esophagus and cardia.
No full textLong-term results after laparoscopic sleeve gastrectomy in a large monocentric series
No full textBackground: Laparoscopic sleevegastrectomy(SG)hasgainedgreatpopularityasastand-alone
bariatric procedurebecauseshort-andmid-termoutcomesintermsofweightlossandresolutionof
co-morbidities havebeenverypositive.However,long-termresultsfromlargeseriesstillaresparse.
Objectives: To evaluatethelong-termclinicaloutcomesofSGinalargeseriesofpatients
undergoing SGasastand-aloneprocedure.
Setting: University hospitalinItaly.
Methods: A retrospectiveanalysisofprospectivelycollecteddatafrom182patientsundergoingSG
between 2006and2008intheauthors’ institution. Long-termoutcomesat6and7yearswere
analyzed intermsofweightlossandco-morbiditiesresolution.
Results: Mean initialbodymassindex(BMI)was45.9 7.3 kg/m2. Majorpostoperativecom-
plications occurredin8patients(5.4%):4leaks,2bleeding,1abdominalcollection,and1dys-
phagia. Allcomplicationsweremanagedconservatively.Onehundredforty-eightpatients(81.4%)
completed the72-month(6-year)follow-up.Thirty-sevenpatients(25%)reachedafollow-upof84
months. Atyear6follow-upthemeanBMIandthemeanpercentageofexcessweightloss(%EWL)
were 30.2kg/m2 and 67.3%,respectively.Meantotalbodyweightlosswas44.9kg,whilea%EWL
450 wasregisteredin123patients(83.1%).PreoperativeBMIdidnotsignificantly influence
postoperative %EWL.Remissionoftype2diabetesmellitus,arterialhypertension,obstructivesleep
apnea syndrome,andgastroesophagealreflux diseasesymptomsoccurredin83.8%,59.7%,75.6%,
and 64.7%ofpatients,respectively.
Conclusion: %EWL andresolutionofco-morbiditiesappeartobesustained6and7yearsafterSG.
Preoperative BMIisnotpredictiveforweightlossoutcome
Ten quality indicators for endoscopic submucosal dissection: what should be monitored and reported to improve quality
No full textIn the last decade, endoscopic submucosal dissection (ESD) has become more popular in Asia and, more recently, also in Europe and North America, however the issue of quality control has never been raised. Therefore, there is an urgent need to identify possible quality indicators to monitor as part of internal audit process. This is particularly compelling, since the diffusion of ESD outside Asian, super-expert, high-volume, tertiary referral centers. In the current review, we raised the issue of quality control for ESD and proposed a list of ten possible quality indicators that should be monitored by each endoscopist and reported in every study reporting results on ESD procedures. We feel that these quality indicators should be used in clinical practice by endoscopists to benchmark the data with the internationally recommended standards
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