Single-Anastomosis Procedures in Metabolic Surgery

2021 ◽  
Vol 05 (04) ◽  
pp. 338-345
Author(s):  
Yaqeen Qudah ◽  
Juan S. Barajas-Gamboa ◽  
Helen Sun ◽  
Gabriel Díaz Del Gobbo ◽  
Matthew Kroh ◽  
...  
Keyword(s):  
Gastric Bypass ◽  
Duodenal Switch ◽  
Severe Obesity ◽  
Surgical Techniques ◽  
Term Treatment ◽  
Long Term Outcomes ◽  
Single Anastomosis ◽  
Long Term Treatment ◽  
New Procedures

AbstractThe most effective long-term treatment for severe obesity is bariatric surgery with improvement or resolution of obesity-related comorbidities. Single-anastomosis procedures including single-anastomosis duodenoileal bypass and one-anastomosis gastric bypass are relatively new procedures that are gaining popularity worldwide. These surgical techniques are perceived to be less complex with a shorter learning curve in comparison to the standard biliopancreatic diversion with duodenal switch and Roux-en-Y gastric bypass; however, long-term outcomes and complications remain controversial. This article aims to review one-anastomosis procedures, evaluate their outcomes, and review potential complications.

The Role of Arthroscopy in the Treatment of Gouty Arthritis of the Knee Case presentation

2018 ◽  
Vol 69 (8) ◽  
pp. 2236-2239
Author(s):  
Marius Moga ◽  
Mark Edward Pogarasteanu ◽  
Dumitru Ferechide ◽  
Antoine Edu ◽  
Chen Feng Ifrim
Keyword(s):  
Gouty Arthritis ◽  
Surgical Techniques ◽  
Term Treatment ◽  
Clinical Aspects ◽  
Associated Lesions ◽  
Number Of Patients ◽  
Long Term Treatment ◽  
Functional Scores ◽  
Urate Crystals

Gout is a metabolic disease involving the impregnation of joints and other tissues with urate crystals. The onset is often brutal, and it manifests itself with pain and inflammation in the affected joint. The treatment usually involves rest, ice, NSAIDs and anti-gout medication. The long-term treatment involves medication and dietary changes. In the joint, urate crystals are deposited in the synovial, in the cartilage and in the menisci. In the arthroscopic practice, the gouty knee is a rare occurrence. We present a relevant case, that of a 57 years old patient without a prior gout diagnosis where we found urate crystal deposits covering the synovium, cartilage and meniscus, and we discuss the current and recent year Pub Med indexed literature in order to evaluate the possibilities for arthroscopic treatment of this pathology. We looked at the number of patients involved, their characteristics, and the surgical techniques used. We also looked at the temporal relation of the arthroscopic intervention to the recent gout attacks, and at the described lesions that were found. Also, we evaluated the papers for joint liquid analysis, gout drug treatment, and description of clinical aspects involved and associated lesions. Finally, we looked at the follow-up, at the functional scores used to monitor the patient�s evolution, at the associated medication and at the long-term outcomes, if described. We have found opinions to vary. In the end, we draw conclusions pertaining to the practical short-term and long-term use of knee arthroscopy in the treatment of gout.

scholarly journals Advances in the management of craniopharyngioma

F1000Research ◽  
2018 ◽  
Vol 7 ◽  
pp. 1632 ◽  
Author(s):  
Lillie O'steen ◽  
Daniel J. Indelicato
Keyword(s):  
Benign Tumor ◽  
Surgical Techniques ◽  
Term Treatment ◽  
Subtotal Resection ◽  
Temporal Lobes ◽  
Long Term Treatment ◽  
Central Brain ◽  
Treatment Morbidity ◽  
Intracranial Vasculature

Craniopharyngioma is a curable benign tumor, but owing to its intimate relationship to critical structures in the central brain—such as the optic apparatus, pituitary, hypothalamus, intracranial vasculature, brain stem, and temporal lobes—its management introduces the risk of long-term treatment morbidity. Today, the most common treatment approach is conservative subtotal resection followed by radiotherapy, and the goal is to limit long-term toxicity. Many recent advances in the treatment of craniopharyngioma are attributable to improved surgical techniques and radiotherapy technologies.

A209 Long-Term Outcomes of Conversion of Failed Roux-en-Y Gastric Bypass to Duodenal Switch

2019 ◽  
Vol 15 (10) ◽  
pp. S72
Author(s):  
Amit Surve ◽  
Daniel Cottam ◽  
Benjamin Horsley ◽  
Samuel Cottam ◽  
Walter Medlin ◽  
...  
Keyword(s):  
Gastric Bypass ◽  
Duodenal Switch ◽  
Long Term Outcomes

scholarly journals Bariatric Surgery in Adolescents: To Do or Not to Do?

Children ◽  
2021 ◽  
Vol 8 (6) ◽  
pp. 453
Author(s):  
Valeria Calcaterra ◽  
Hellas Cena ◽  
Gloria Pelizzo ◽  
Debora Porri ◽  
Corrado Regalbuto ◽  
...  
Keyword(s):  
Bariatric Surgery ◽  
Weight Loss ◽  
Severe Obesity ◽  
Treatment Options ◽  
Term Treatment ◽  
Physical And Mental Health ◽  
Long Term Treatment ◽  
Healthy Growth ◽  
Inadequate Weight Loss

Pediatric obesity is a multifaceted disease that can impact physical and mental health. It is a complex condition that interweaves biological, developmental, environmental, behavioral, and genetic factors. In most cases lifestyle and behavioral modification as well as medical treatment led to poor short-term weight reduction and long-term failure. Thus, bariatric surgery should be considered in adolescents with moderate to severe obesity who have previously participated in lifestyle interventions with unsuccessful outcomes. In particular, laparoscopic sleeve gastrectomy is considered the most commonly performed bariatric surgery worldwide. The procedure is safe and feasible. The efficacy of this weight loss surgical procedure has been demonstrated in pediatric age. Nevertheless, there are barriers at the patient, provider, and health system levels, to be removed. First and foremost, more efforts must be made to prevent decline in nutritional status that is frequent after bariatric surgery, and to avoid inadequate weight loss and weight regain, ensuring successful long-term treatment and allowing healthy growth. In this narrative review, we considered the rationale behind surgical treatment options, outcomes, and clinical indications in adolescents with severe obesity, focusing on LSG, nutritional management, and resolution of metabolic comorbidities.

Long-Term Treatment and Survival in Three Apparently Immunocompetent Dogs with Disseminated Fungal Infection Caused by Phialosimplex caninus

2018 ◽  
Vol 54 (6) ◽  
Author(s):  
Marlene Townsell ◽  
Alfred M. Legendre ◽  
David A. Bemis ◽  
Ellen Behrend ◽  
Stephanie Phillips
Keyword(s):  
Quality Of Life ◽  
Clinical Course ◽  
Fungal Infections ◽  
Case Reports ◽  
Term Treatment ◽  
Long Term Outcomes ◽  
Disease Remission ◽  
Long Term Treatment

ABSTRACT Disseminated fungal infections cause morbidity and mortality in dogs. The prognosis varies depending on the infecting agent. Phialosimplex caninus is a recently recognized type of hyalohyphomyces. Knowledge regarding the clinical course of P caninus infection in dogs is limited to two previous case reports. The clinical features, diagnostic findings, responses to medical therapy, and long-term outcomes of three dogs with disseminated P caninus are presented in this study. All dogs had improved quality of life once itraconazole administration, with or without terbinafine, was instituted. Long-term disease remission was maintained even after discontinuation of antifungal therapy in a single dog.

scholarly journals What do we know about long-term treatment outcomes for severe depressive disorders?

BJPsych Open ◽  
2020 ◽  
Vol 6 (2) ◽  
Author(s):  
Rebecca Strawbridge ◽  
Tanja Jaeckle ◽  
Anthony J. Cleare
Keyword(s):  
Treatment Outcomes ◽  
Depressive Disorders ◽  
Term Treatment ◽  
Routine Practice ◽  
Long Term Outcomes ◽  
Patient Response ◽  
Psychological Therapies ◽  
Long Term Treatment ◽  
Improve Patient

Summary In a recent issue of BJPsych Open, McPherson & Hengartner (see https://doi.org/10.1192/bjo.2019.65) reviewed 11 trials examining psychological and pharmacological treatment outcomes for chronic or treatment-resistant depression. They concluded that when assessed in the long term, antidepressants become less effective whereas psychological therapies become more effective. We argue that the evidence does not support this; indeed, most of the studies reviewed do not directly compare antidepressant with psychological therapy treatments and there is little consistency between them in terms of populations and interventions examined. The issue of long-term outcomes is key for optimising clinical guidelines and deserves more intensive research and scrutiny to improve patient response in routine practice.

Long-Term Outcomes After Single Anastomosis (Mini-) Gastric Bypass

2016 ◽  
Vol 12 (7) ◽  
pp. S87
Author(s):  
Wei-Jei Lee ◽  
Nawaf Alkhalifah ◽  
Yi-Chih Lee ◽  
Jung-Chien Chen ◽  
Kong-Han Ser ◽  
...  
Keyword(s):  
Gastric Bypass ◽  
Mini Gastric Bypass ◽  
Long Term Outcomes ◽  
Single Anastomosis
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