Symptomatic Biliary Lithiasis After Bariatric Surgery

Symptomatic Biliary Lithiasis After Bariatric Surgery
Author: Adrian Mancini
Publisher:
Total Pages: 0
Release: 2020
Genre:
ISBN:

Patients undergoing bariatric surgery are at high risk for both the prevalence of preoperative cholelithiasis as well as their postoperative development. The question of whether cholecystectomy should be performed during bariatric surgery remains controversial. The aim of this work is to study the results of the supra-selective approach for gallbladder management, involving concomitant cholecystectomy only in patients with gallstones-related symptoms. This is a retrospective review of a prospective database of all patients who underwent laparoscopic or robotic bariatric surgery between 2010 and 2018 in a single institution. Five hundred twenty patients were included with a median follow-up of 37.5 months. The procedure was Gastric Bypass in 328 patients (63.1%) and sleeve gastrectomy in 192 (36.9%). Seventy-one patients had a history of cholecystectomy (13.6%). Sixty-four patients had preoperative lithiasis (14.2%). Four patients underwent concomitant cholecystectomy. Fourteen (2.7%) patients required an intervention for symptomatic lithiasis: 12/445 (2.7%) patients required subsequent cholecystectomies without complication. Two patients (0.4%) required access to the biliary tree for the treatment of choledocolithiasis after RYGBP and were managed through percutaneous transhepatic approach with a success rate of 100% and no complication.The rate of symptomatic lithiasis after bariatric surgery is low. The need for a subsequent cholecystectomy in the setting of the supra-selective approach is rare, 2.7%.

Emergency Surgery in Obese Patients

Emergency Surgery in Obese Patients
Author: Diego Foschi
Publisher: Springer Nature
Total Pages: 201
Release: 2019-09-27
Genre: Medical
ISBN: 3030173054

This comprehensive, multi-authored book covers all aspects of surgery on obese patients in emergency conditions. Obesity is a metabolic disease affecting a high percentage of world population.. It involves marked anthropometric changes, affecting surgical practice and altering patients’ ability to react to surgical stress. The prevalent comorbidities also affect the rate of complications and mortality after surgery. The obesity paradox, the ability of obese patients to survive emergency operations in spite of an increased risk of complications, is an effect of the widespread development of “Obesity Science”. This volume discusses this science, examining the frailty of the obese patients and the main comorbidities that affect clinical practice, as well as the most frequent emergency situations after trauma, inflammatory diseases and the complications of bariatric surgery. With contributions from leading experts, it provides clinicians with detailed and updated information for better practice in this emerging field of surgery.

Biliary Tract Surgery, An Issue of Surgical Clinics

Biliary Tract Surgery, An Issue of Surgical Clinics
Author: Jessica A Wernberg
Publisher: Elsevier Health Sciences
Total Pages: 305
Release: 2014-04-28
Genre: Medical
ISBN: 0323290175

Editor Jessica Wernberg and authors review the current management and procedures in biliary tract surgery. Articles will cover: anatomy and embryology of the biliary tract, bile duct cysts, symptomatic cholelithiasis and functional disorders of the biliary tract, gallstone pancreatitis, technical aspects of bile duct evaluation and exploration, iatrogenic biliary injuries, proximal biliary malignancy, distal biliary malignancy, gallbladder cancer, bile duct metabolism and lithogenesis, unusual complications of gallstones, endoscopic management of biliary disorders, biliary issues in the bariatric population, technical aspects of cholecystectomy, cholecystitis, and more!

Biliary Lithiasis

Biliary Lithiasis
Author: Giuseppe Borzellino
Publisher: Springer Science & Business Media
Total Pages: 506
Release: 2008-11-27
Genre: Medical
ISBN: 8847007631

The first laparoscopic cholecystectomy, performed by Prof. Philippe Mouret in 1987 and described by himself in the first chapter of this book, was an event that revolutionized surgery in the past few decades. Although the majority of surgeons today are unfamiliar with the his- ry of early minimally invasive surgery developments, it is important to realize that the advent of laparoscopy led not only to new surgical te- niques, but also to a change in the doctrine of medical care, by streng- ening the concept of minimal invasiveness. This is particularly the case for biliary lithiasis, for which laparoscopy has provided major benefits in terms of both diagnosis and surgical tre- ment. However, our understanding of the etiology of this disease, as well as the availability of effective medical therapies, have remained subst- tially unchanged over time. The application of the innovative approach has not been, in routine practice, without problems: between 1990 and 2000, the rate of serious complications from laparoscopic cholecystectomy were four times higher than those observed with open surgery. Even initial attempts at lapa- scopic treatment of biliary common bile duct stones resulted in excessive complications and associated medico-legal problems. Nonetheless, today, most indications have been stated, techniques have been standardized, and a new aspect to the treatment of biliary lithiasis has appeared.

Geriatric Gastroenterology

Geriatric Gastroenterology
Author: C. S. Pitchumoni
Publisher: Springer Science & Business Media
Total Pages: 660
Release: 2012-07-26
Genre: Medical
ISBN: 1441916237

As aging trends in the United States and Europe in particular are strongly suggestive of increasingly older society, it would be prudent for health care providers to better prepare for such changes. By including physiology, disease, nutrition, pharmacology, pathology, radiology and other relevant associated topics, Geriatric Gastroenterology fills the void in the literature for a volume devoted specifically to gastrointestinal illness in the elderly. This unique volume includes provision of training for current and future generations of physicians to deal with the health problems of older adults. It will also serve as a comprehensive guide to practicing physicians for ease of reference. Relevant to the geriatric age group, the volume covers epidemiology, physiology of aging, gastrointestinal physiology, pharmacology, radiology, pathology, motility disorders, luminal disorders, hepato-biliary disease, systemic manifestations, neoplastic disorders, gastrointestinal bleeding, cancer and medication related interactions and adverse events, all extremely common in older adults; these are often hard to evaluate and judge, especially considering the complex aging physiology. All have become important components of modern medicine. Special emphasis is be given to nutrition and related disorders. Capsule endoscopy and its utility in the geriatric population is also covered. Presented in simple, easy to read style, the volume includes numerous tables, figures and key points enabling ease of understanding. Chapters on imaging and pathology are profusely illustrated. All chapters are written by specialists and include up to date scientific information. Geriatric Gastroenterology is of great utility to residents in internal medicine, fellows in gastroenterology and geriatric medicine as well as gastroenterologists, geriatricians and practicing physicians including primary care physicians caring for older adults.

Gallstones: New Insights for the Healthcare Professional: 2011 Edition

Gallstones: New Insights for the Healthcare Professional: 2011 Edition
Author:
Publisher: ScholarlyEditions
Total Pages: 37
Release: 2012-01-09
Genre: Medical
ISBN: 1464910286

Gallstones: New Insights for the Healthcare Professional: 2011 Edition is a ScholarlyPaper™ that delivers timely, authoritative, and intensively focused information about Gallstones in a compact format. The editors have built Gallstones: New Insights for the Healthcare Professional: 2011 Edition on the vast information databases of ScholarlyNews.™ You can expect the information about Gallstones in this eBook to be deeper than what you can access anywhere else, as well as consistently reliable, authoritative, informed, and relevant. The content of Gallstones: New Insights for the Healthcare Professional: 2011 Edition has been produced by the world’s leading scientists, engineers, analysts, research institutions, and companies. All of the content is from peer-reviewed sources, and all of it is written, assembled, and edited by the editors at ScholarlyEditions™ and available exclusively from us. You now have a source you can cite with authority, confidence, and credibility. More information is available at http://www.ScholarlyEditions.com/.

Foregut Surgery

Foregut Surgery
Author: Marco G. Patti
Publisher: Springer Nature
Total Pages: 317
Release: 2019-11-22
Genre: Medical
ISBN: 3030275922

​This book provides a state-of-the-art description of the clinical evaluation, diagnosis, management, and treatment of achalasia, gastroesophageal reflux disease, paraesophageal hernia, and morbid obesity. The prevalence of such diseases is increasing worldwide due to higher awareness and improved diagnosis rate. The text is divided in three different parts, each covering detailed surgical techniques of the main foregut operations: achalasia, gastroesophageal reflux disease (GERD), and obesity. Written by experts in the field, chapters focus on the preoperative work-up, indications, and technical aspects of each operation. Foregut Surgery proves to be an irreplaceable resource for surgeons, gastroenterologists, medical students, and surgical residents that care for patients with reflux, achalasia, and morbid obesity.

Global Bariatric Surgery

Global Bariatric Surgery
Author: Rami Lutfi
Publisher: Springer
Total Pages: 512
Release: 2018-09-07
Genre: Medical
ISBN: 3319935453

This text captures the global standards of bariatric surgery practice at a time of change, excitement, and lots of controversy. The text sheds the light on best practices globally by providing a reliable reference to guide the practicing physician anywhere in the world, and from whatever specialty (surgeon, gastroenterologist or endoscopist) to navigate through the many current options of therapy in this rapidly changing field. The text provides high definition illustrations of these techniques to go with the didactic chapters written by the thought leaders in the field. In addition to the technical part, an important part of the book focuses on quality and outcome measures. The rapid growth and innovations impose the need for strict guidelines and quality control. Thought leaders who created the concept of “Centers of Excellence” shed light on outcome measures and different ways to monitor quality. This will appeal to administrators and different ancillary service providers. The medical section plays a major role as combination therapy seems to be the future. An entire section is dedicated to medical weight management with discussions of the dietary and psychological component of care. The text also provides a dedicated discussion of the metabolic aspect of bariatric surgery, cosmetic surgery and issues of training future surgeons. Thease features differentiate the book from others that only discuss the surgical component, and will broaden the level of interest to all who are involved in the management of this complex disease.