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L'ecografia Doppler nella diagnostica della stenosi arteriosa del rene trapiantato. Confronto con la scintigrafia
No full textPouch diverticula after vertical-banded gastroplasty.
No full textPURPOSE: Diverticula of the proximal gastric pouch are rare after vertical-banded
gastroplasty (VBG) for morbid obesity. We report the radiographic findings
observed in a series of 12 patients with pouch diverticula.
MATERIALS AND METHODS: Lesions were found along the posteromedial wall of the
proximal gastric pouch and ranged in size from 10 to 25 mm. Only two patients
were symptomatic at the time of diagnosis; in most cases, diverticula were
discovered during studies performed as part of the standard follow-up protocol.
Diverticula were followed up in 7/12 cases, and four showed slight enlargement
over a period ranging from 14 to 53 months.
RESULTS: The presence of diverticula was not correlated with symptoms,
postoperative weight loss, or clinical history, and no differences in long-term
complications were demonstrated between VBG patients with diverticula and those
without them.
CONCLUSIONS: We do not believe these lesions to be clinically important; at
present, our patients are no longer followed up for this problem and undergo
diagnostic examinations only if and when they develop symptoms
Crohn disease obstruction of the biliopancreatic limb in a patient operated for biliopancreatic diversion for morbid obesity.
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