Article
Medicine, General & Internal
Georgios-Ioannis Verras, Francesk Mulita, Sjaak Pouwels, Chetan Parmar, Nikolas Drakos, Konstantinos Bouchagier, Charalampos Kaplanis, George Skroubis
Summary: Morbid obesity is a chronic disease with a rising incidence, and surgical treatment has shown superior outcomes compared to conventional weight loss measures. This study evaluated the long-term weight loss outcomes, comorbidity reduction, and adverse effects of Roux-en-Y Gastric Bypass (RYGB), Biliopancreatic Diversion (BPD), and Sleeve Gastrectomy (SG) at 10 years. RYGB and BPD resulted in significant weight loss, with no observed differences in diabetes resolution and adverse outcomes. Longer follow-up reports are important for comparing the outcomes of different bariatric operations.
JOURNAL OF CLINICAL MEDICINE
(2023)
Article
Surgery
Javier Chinelli, Graciela Hernandez, Gustavo Rodriguez
Summary: This article presents a case of complications of gastro-gastric fistula treated with laparoscopic resolution. The presence of a local inflammatory environment posed a technical challenge.
Article
Surgery
Adam Peter Skidmore
Summary: Lumen apposing metal stents (LAMS) are a safe and effective method for managing post Roux-en-Y Gastric Bypass (RYGB) strictures, with a high rate of resolution and low immediate complication. Migration remains a concern, but does not seem to impact patient outcomes or increase morbidity. The insertion of LAMS is straightforward and does not require a long learning curve.
Article
Surgery
Jeremy Jen, Hau Phan, Brett Johnson, Corliann Blyn, Janet Lavrich, Krishna Mallem, Priya Kalsank Pai, Piotr Krecioch
Summary: Revisional surgery to convert sleeve gastrectomy (SG) to either Roux-en-Y gastric bypass (RYGB) or duodenal switch (DS) can lead to significant and sustained weight loss in the first 12 months. There was no significant difference in excess body weight loss between RYGB and DS patients at 6, 12, and 24 months, except for greater weight loss in RYGB patients at 3 months. Procedure length was significantly longer for DS compared to RYGB, with no significant differences in length of stay and 30-day readmission rates.
SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES
(2023)
Article
Surgery
Michael O'Laughlin, Jorge Cornejo, Alba Zevallos, Alisa Coker, Michael Schweitzer, Gina Adrales, Christina Li, Raul Sebastian
Summary: Background: The rates of secondary bariatric surgery have increased, with sleeve gastrectomy to gastric bypass conversion being the most common. This study evaluates the outcomes of this conversion compared to primary Roux-en-Y gastric bypass (RYGB) surgery using MBSAQIP data. Methods: The study analyzed the data of patients who underwent sleeve gastrectomy to RYGB conversion and primary laparoscopic RYGB, matching them based on preoperative characteristics. Results: The analysis showed that the conversion from sleeve gastrectomy to RYGB was associated with higher readmissions, interventions, conversion to open surgery, longer hospital stay, and longer operative time compared to primary RYGB. However, there were no significant differences in mortality or rates of bariatric complications. Conclusion: The study concludes that conversion from sleeve gastrectomy to RYGB is a safe and feasible procedure with reasonable outcomes compared to primary RYGB.
SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES
(2023)
Article
Medicine, General & Internal
Jean-Eric Tarride, Aristithes G. Doumouras, Dennis Hong, J. Michael Paterson, Semra Tibebu, Francis Nguyen, Richard Perez, Valerie H. Taylor, Feng Xie, Vanessa Boudreau, Eleanor Pullenayegum, David R. Urbach, Mehran Anvari
Summary: This study compared 4-year health care expenditures after RYGB and sleeve gastrectomy, finding no significant differences in all-cause mortality and number of hospital admissions between the two procedures, but more frequent nonelective hospitalizations with RYGB. Patients who underwent RYGB had a lower rate of subsequent bariatric procedures.
Article
Surgery
Marta Guimaraes, Catarina Osorio, Diogo Silva, Rui F. Almeida, Antonio Reis, Samuel Cardoso, Sofia S. Pereira, Mariana P. Monteiro, Mario Nora
Summary: The study evaluated the long-term efficacy of Roux-en-Y Gastric Bypass (RYGB) surgery by assessing weight loss and comorbidity improvement in patients 10 years or more after the surgery. Results showed a significant decrease in body mass index (BMI) and successful comorbidity remission. Although a small proportion of patients required revision surgery for weight loss failure, RYGB was confirmed as an effective primary bariatric intervention.
Review
Medicine, General & Internal
Marita Salame, Noura Jawhar, Amanda Belluzzi, Mohammad Al-Kordi, Andrew C. Storm, Barham K. Abu Dayyeh, Omar M. Ghanem
Summary: Marginal ulcers (MU) are a potential complication following Roux-en-Y gastric bypass (RYGB) surgery, with an average prevalence of 4.6%. Early identification and prompt intervention are crucial to prevent further complications. MU is a complex condition influenced by factors such as smoking, Helicobacter pylori infection, NSAID use, and pouch size. Diagnosis is typically made through endoscopy, and treatment involves modifying risk factors and medical therapy with proton pump inhibitors. Surgical intervention may be necessary for complicated ulcers, while endoscopic procedures and vagotomy may be considered for recurrent or challenging cases.
JOURNAL OF CLINICAL MEDICINE
(2023)
Article
Surgery
Yo-Seok Cho, Ji-Hyeon Park, JeeSun Kim, Sa-Hong Kim, Min Kyu Kang, Yeon-Ju Huh, Yun-Suhk Suh, Seong-Ho Kong, Do-Joong Park, Han-Kwang Yang, Minseon Park, Young Min Cho, Hyuk-Joon Lee
Summary: This study evaluated the efficacy and safety of RRYGB surgery and compared it with SG surgery. The study found that the RRYGB group had better postoperative outcomes for diabetes and dyslipidemia without increasing surgical complications compared to the SG group. Therefore, RRYGB can be considered a safe and effective alternative in areas where gastric cancer is prevalent.
Article
Medicine, General & Internal
Kyong Joo Lee, Se Woo Park, Hyun Joo Jang, Da Hae Park, Jung Hee Kim, Jang Han Jung, Dong Hee Koh, Jin Lee
Summary: The feasibility of using a cap-assisted colonoscope as the primary approach for ERCP in patients undergoing REY reconstruction was evaluated. The intubation success rate using a cap-assisted colonoscope was higher in the SS-JJ group compared to the SE-JJ group. SS-JJ was a predictive factor for successful intubation.
JOURNAL OF CLINICAL MEDICINE
(2023)
Article
Endocrinology & Metabolism
Antonella Santonicola, Luigi Ruggiero, Rossella Palma, Luigi Angrisani, Paola Iovino
Summary: Laparoscopic Roux-en-Y gastric bypass (RYGB) is the preferred surgical procedure for treating severe obesity and gastroesophageal reflux disease (GERD). It provides satisfactory weight loss and resolution of GERD symptoms in most patients, but about 24.4% of patients may experience GERD symptoms postoperatively.
INTERNATIONAL JOURNAL OF OBESITY
(2022)
Article
Surgery
Uri Kaplan, Hadar Aboody-Nevo, Ian M. Gralnek, Shiri Sherf-Dagan, Ron Dar, Shams-Eldin Mokary, Dan Hershko, Doron Kopelman, Nasser Sakran
Summary: This study compared the early outcomes and mid-term safety of One Anastomosis Gastric Bypass (OAGB) and primary Roux-en-Y Gastric Bypass (RYGB), finding comparable results in efficacy and adverse events. OAGB showed advantages in operative time and costs, while both procedures were similar in terms of weight outcomes and adverse events.
Review
Endocrinology & Metabolism
Maria Jose Luesma, Jose Fernando, Irene Cantarero, Pilar Lucea, Sonia Santander
Summary: The prevalence of obesity has been increasing rapidly in recent decades, making it one of the most impacting diseases on global health. It is a chronic disease associated with various comorbidities that result in a reduced life expectancy and quality of life. The treatment of obesity requires a multidisciplinary approach by a specialized medical team and can be done through conservative or surgical treatments. Vertical gastrectomy, mixed techniques, and gastric bypass are the most commonly used surgical techniques. The choice of technique should consider the characteristics of each patient and the surgical team's experience.
FRONTIERS IN ENDOCRINOLOGY
(2022)
Article
Gastroenterology & Hepatology
Samer AlMasri, Abdulrahman Y. Hammad, Amer H. Zureikat
Summary: Walled-off pancreatic necrosis (WON) is a delayed complication of necrotizing pancreatitis, which can be treated with endoscopic or surgical intervention. This case report demonstrates the successful use of robotic surgery for the management of complex WON.
JOURNAL OF GASTROINTESTINAL SURGERY
(2022)
Article
Pediatrics
H. van Braak, R. R. Gorter, M. P. van Wijk, J. R. de Jong
Summary: This study evaluated the outcomes of laparoscopic Roux-en-Y feeding jejunostomy (LRFJ) in children with gastric emptying disorders. The results showed that LRFJ is a safe and effective method of enteral feeding in these patients, with high parenteral satisfaction.
EUROPEAN JOURNAL OF PEDIATRICS
(2022)
Article
Surgery
William Watfa, Jerome Martineau, Salvatore Giordano, Gianluca Sapino, Russell J. Bramhall, Pietro G. di Summa
Summary: This study compared outcomes of breast reduction using the inferior pedicle (IFP) and superomedial pedicle (SMP) techniques. It found little difference between the two techniques in terms of sensory recovery, nipple-areolar complex enlargement, and scar hypertrophy over a 2-year follow-up.
JOURNAL OF PLASTIC RECONSTRUCTIVE AND AESTHETIC SURGERY
(2022)
Article
Surgery
Ginimol Mathew, Riaz Agha
Summary: The updated STROCSS 2021 guidelines, developed through a consensus exercise by an expert panel, received high levels of agreement from the participants, ensuring ongoing good reporting quality in observational studies in surgery.
INTERNATIONAL JOURNAL OF SURGERY
(2021)
Review
Medicine, General & Internal
Ginimol Mathew, Riaz Agha
Summary: The STROCSS 2021 guidelines were developed and approved by a Delphi consensus exercise with 89% participation rate, receiving high scores of 7 to 9, to ensure ongoing good reporting quality among observational studies in surgery.
ANNALS OF MEDICINE AND SURGERY
(2021)
Article
Orthopedics
Ginimol Mathew, Riaz Agha
Summary: The updated STROCSS 2021 guidelines were developed through a Delphi consensus exercise and expert evaluation, receiving high scores and consensus. The new guidelines aim to improve the reporting quality of observational studies in surgery.
INTERNATIONAL JOURNAL OF SURGERY OPEN
(2021)
Article
Surgery
Marko T. Ristola, Ilkka Koskivuo, Salvatore Giordano
Summary: This article presents a case of a 44-year-old woman who developed a unilateral pneumothorax after undergoing bilateral breast reduction mammoplasty, possibly caused by infiltration of a local anesthetic. The authors recommend a change in the direction of needle placement during local anesthetic infiltration to prevent pneumothorax.
CASE REPORTS IN PLASTIC SURGERY AND HAND SURGERY
(2022)
Article
Medicine, General & Internal
James C. Glasbey, Tom E. F. Abbott, Adesoji Ademuyiwa, Adewale Adisa, Ehab AlAmeer, Sattar Alshryda, Alexis P. Arnaud, Brittany Bankhead-Kendall, M. K. Abou Chaar, Daoud Chaudhry, Ainhoa Costas-Chavarri, Miguel F. Cunha, Justine I. Davies, Anant Desai, Muhammed Elhadi, Marco Fiore, J. Edward Fitzgerald, Maria Fourtounas, Alex James Fowler, Kay Futaba, Gaetano Gallo, Dhruva Ghosh, Rohan R. Gujjuri, Rebecca Hamilton, Parvez Haque, Ewen M. Harrison, Peter Hutchinson, Gabriella Hyman, Arda Isik, Umesh Jayarajah, Haytham M. A. Kaafarani, Bryar Kadir, Ismail Lawani, Hans Lederhuber, Elizabeth Li, Markus W. Loffler, Maria Aguilera Lorena, Harvinder Mann, Janet Martin, Dennis Mazingi, Craig D. McClain, Kenneth A. McLean, John G. Meara, Antonio Ramos-De La Medina, Mengistu Mengesha, Ana Minaya, Maria Marta Modolo, Rachel Moore, Dion Morton, Dmitri Nepogodiev, Faustin Ntirenganya, Francesco Pata, Rupert Pearse, Maria Picciochi, Thomas Pinkney, Peter Pockney, Gabrielle H. van Ramshorst, Toby Richards, April Camilla Roslani, Sohei Satoi, Raza Sayyed, Richard Shaw, Joana Filipa Ferreira Simoes, Neil Smart, Richard Sulliva, Malin Sund, Sudha Sundar, Stephen Tabiri, Elliott H. Taylor, Mary L. Venn, Dakshitha Wickramasinghe, Naomi Wright, Sebastian Bernardo Shu Yip, Aneel Bhangu
Summary: This study developed and validated a novel index (SPI) to support the strengthening of local elective surgical systems and address growing backlogs. The findings showed that hospitals with a higher SPI were associated with an increased planned surgical volume ratio, independent of income status, COVID-19 burden, and hospital type. Annual self-assessment of surgical preparedness is recommended to identify areas for improvement and enhance the resilience of local surgical systems.
Article
Medicine, General & Internal
Juho Aleksi Annaniemi, Juri Pere, Salvatore Giordano
Summary: PRP injections are effective in treating chronic epicondylitis, with better pain and functional outcomes compared to physiotherapy. They also require fewer surgical procedures and offer faster recovery. PRP should be considered before surgery when other treatments have failed.
JOURNAL OF CLINICAL MEDICINE
(2023)
Article
Medicine, General & Internal
Nora Holopainen, Carlo M. M. Oranges, Pietro G. G. di Summa, Francesca Toia, Salvatore Giordano
Summary: The aim of this study was to assess the return to work for women with breast hypertrophy after reduction mammaplasty. The occurrence of postoperative complications increased the patients' return to work time, while comorbidities and preoperative parameters did not affect the length of sick leave. Based on individual variations, a recovery period of approximately 3 weeks is suggested.
JOURNAL OF CLINICAL MEDICINE
(2023)
Article
Medicine, General & Internal
Oskari Repo, Carlo M. Oranges, Pietro G. di Summa, Panu Uusalo, Mikael Anttinen, Salvatore Giordano
Summary: Preserving Scarpa fascia can reduce the occurrence of seroma and shorten the duration of drainage in MWL patients.
JOURNAL OF CLINICAL MEDICINE
(2023)
Article
Oncology
Matteo Scampa, Vladimir Megevand, Juan A. Viscardi, Salvatore Giordano, Daniel F. Kalbermatten, Carlo M. Oranges
Summary: Male gender, tumor ulceration, high mitotic rate, or nodular subtype are negative prognostic factors for scalp melanoma survival. Margins over 2 cm do not provide survival benefit. For a Breslow thickness between 1.1 and 2 mm, there is no significant difference in overall survival between <1 cm margins and 1 to 2 cm margins.
Article
Oncology
Andre S. Alves, Matteo Scampa, Jerome Martineau, Salvatore Giordano, Daniel F. Kalbermatten, Carlo M. Oranges
Summary: Merkel Cell Carcinoma (MCC) is a neuroendocrine skin tumor that primarily affects the external ear, with higher incidence in older men. Surgical excision is the main treatment option, and gross and wide margins provide the best overall survival rates for patients.
Article
Medicine, General & Internal
Jerome Martineau, Solange N. Walz, Matteo Scampa, Salvatore Giordano, Daniel F. Kalbermatten, Carlo M. Oranges
Summary: This study analyzed the demographic and pathological characteristics, treatment patterns, and survival outcomes of patients with spiradenocarcinoma. The results showed that spiradenocarcinoma affects males and females equally, with low rates of regional and distant invasion. Surgical excision is the main treatment modality, and the overall and disease-specific survival rates are high for patients with spiradenocarcinoma.
JOURNAL OF CLINICAL MEDICINE
(2023)
Article
Surgery
Jarna Heikkinen, Christian Bonde, Carlo M. Oranges, Francesca Toia, Pietro G. di Summa, Salvatore Giordano
Summary: This study demonstrates that microsurgical breast reconstruction using DIEP is safe in elderly patients, achieving outcomes and complication rates comparable to those observed in a younger population.
JOURNAL OF PLASTIC RECONSTRUCTIVE AND AESTHETIC SURGERY
(2023)
Review
Surgery
Jerome Martineau, Matteo Scampa, Juan A. Viscardi, Salvatore Giordano, Daniel F. Kalbermatten, Carlo M. Oranges
Summary: This study conducted a systematic review and meta-analysis to validate the safety and efficacy of the inferior gluteal artery perforator (IGAP) flap in autologous breast reconstruction. The results showed that IGAP flap has overall good safety and can be considered as an effective option in breast reconstruction.
JOURNAL OF PLASTIC RECONSTRUCTIVE AND AESTHETIC SURGERY
(2023)
Article
Orthopedics
Juho Aleksi Annaniemi, Juri Pere, Salvatore Giordano
Summary: This study retrospectively analyzed the effects of subacromial platelet-rich plasma (PRP) injections and corticosteroid (CS) injections on patients with rotator cuff tendinopathy. The results showed that both treatments improved patient symptoms, but there were no significant differences in outcomes between the two groups during long-term follow-up.
CLINICS IN SHOULDER AND ELBOW
(2022)