varicose ulcer/obesity

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Application of radiofrequency ablation procedure on a morbidly obese patient with a venous ulcer and large saphenous vein.

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Venous ulcers that occur due to chronic venous insufficiency are seen on the upper medial malleol of the ankle. Treatment of venous ulcers is protracted and generally the success rate is low. Co-morbid factors play an important role in the success of treatment of venous ulcers. In this case report,

Venous stasis ulcers in the patient who is obese.

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Five-year survey of the treatment of varicose ulcers.

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Eighty-two consecutive women with varicose ulcers were treated by compression sclerotherapy; 73 (89%) of them were reviewed 46 to 69 months after treatment. The cure rate at follow-up for the whole group was 82%. In obese patients the cure rate was 76%, while in non-obese patients it was 89%. These

Role of routine pre-operative screening venous duplex ultrasound in morbidly obese patients undergoing bariatric surgery.

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OBJECTIVE It is well established that obesity is a strongly associated risk factor for post-operative deep vein thrombosis (DVT). Physical effects and pro-thrombotic, pro-inflammatory and hypofibrinolytic effects of severe obesity may predispose to idiopathic DVT (pre-operatively) because of which

The pluses and minuses of bariatric surgery for morbid obesity: An endocrinological perspective.

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Obesity both in adults and children has emerged as a worldwide epidemic. Obesity is associated with an increased risk of a number of comorbidities including type 2 diabetes mellitus, hypertension, dyslipidemia, obstructive sleep apnea, certain types of cancer, degenerative joint disease,

Management of patients with venous ulcers in the community setting.

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Venous ulcers, a chronic disabling condition, present a complex management challenge to the interdisciplinary team in the community setting. The incidence of venous ulcers is increasing as the population ages with such comorbidities as congestive heart failure (CHF), deep vein thrombosis (DVT),

Sarcoidosis mimicking a venous ulcer: a case report.

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Sarcoidosis--a chronic, multisystem disease of unknown etiology characterized by noncaseating granulomas--may cause ulcerative lesions, particularly in African American women. A case of ulcerative sarcoidosis mimicking a venous ulcer is presented. The patient is a 44-year-old African American

Mega-obese patients weighing more than 250 kg: a problematic group.

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OBJECTIVE The population with a BMI of 70kg/m2 or greater has been described and categorized as mega-obese. Mega-obese patients weighing more than 250kg constitute a special group of mega-obese patients that present more intra- and post-operative problems than other suprasuperobese. METHODS This is

Multivariate analysis of risk factors for death following gastric bypass for treatment of morbid obesity.

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OBJECTIVE To identify the factors that increase mortality for either open or laparoscopic Roux-en-Y gastric bypass. BACKGROUND Perioperative mortality is the most feared outcome of bariatric surgery, reported to occur in between 0.5% and 1.5% of patients. METHODS The bariatric database at Virginia

Risks and benefits of gastric bypass in morbidly obese patients with severe venous stasis disease.

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OBJECTIVE To determine the risks and benefits of gastric bypass-induced weight loss on severe venous stasis disease in morbid obesity. BACKGROUND Severe obesity is associated with a risk of lower extremity venous stasis disease, pretibial ulceration, cellulitis, and bronze edema. METHODS The GBP

Diagnosis and treatment of venous ulcers.

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Venous ulcer, also known as stasis ulcer, is the most common etiology of lower extremity ulceration, affecting approximately 1 percent of the U.S. population. Possible causes of venous ulcers include inflammatory processes resulting in leukocyte activation, endothelial damage, platelet aggregation,

Venous ulcer: clinical characteristics and risk factors.

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BACKGROUND Lower limb venous ulceration ranks among the 10 most common medical problems in Western countries and has significant socioeconomic impact. The aim of this study was to identify the risk factors for unhealed, recurrent, and large ulcers and to characterize patients with active or recently

A sociodemographic, clinical study of patients with venous ulcer.

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BACKGROUND Venous ulcer is the most serious consequence of chronic venous insufficiency and is responsible for almost 70% of chronic leg ulcers. The main purpose of this research was to describe social, demographic and clinical characteristics of patients with venous ulcers and to identify some

Inflammation in chronic venous ulcers.

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Chronic venous ulcers (CVUs) occur in approximately 1% of the general population. Risk factors for chronic venous disease (CVD) include heredity, age, female sex and obesity. Although not restricted to the elderly, the prevalence of CVD, especially leg ulcers, increases with age. CVD has a

Effects of increased intra-abdominal pressure in severe obesity.

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This article gives an overview, citing animal and clinical studies, of the effects of increased intra-abdominal pressure (IAP) in severe obesity. Animal studies demonstrate that increased IAP increases pleural pressure, cardiac filling pressures, femoral venous pressure, renal venous pressure,

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