subphrenic abscess/obezite

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The clinical spectrum of band erosion following laparoscopic adjustable silicone gastric banding for morbid obesity.

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BACKGROUND Morbid obesity is effectively treated by restrictive surgery. A severe complication associated with gastric banding is gastric erosion. We review here our experience over a 5-year period. METHODS A total of 1496 patients underwent gastric banding. Eighty-five percent of patients were

Complications after vertical gastroplasty with artificial pseudopylorus in the treatment of morbid obesity: a 7-year experience.

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BACKGROUND Vertical gastroplasty with artificial pseudopylorus (VGAP) was designed to reduce the complication rate of other forms of gastroplasty. The purpose of this study was to analyze the complications of this approach for 7 years of surgical practice. METHODS A total of 156 morbidly obese

High-dose ciprofloxacin for serious gram-negative infection in an obese, critically ill patient receiving continuous venovenous hemodiafiltration.

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OBJECTIVE To describe the pharmacokinetic profile and clinical outcome associated with high-dose ciprofloxacin therapy in a patient with the triad of extreme obesity, multiple organ failure, and deep-seated infection. METHODS A 45-year-old, class 3 obese (185 kg; body mass index 53.7), critically

The radiology of gastroplasty for morbid obesity.

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From experience with 101 patients, the radiologic features of gastroplasty for the surgical treatment of morbid obesity are described. Prompt recognition of surgical complications requires familiarity with expected postoperative appearances. Early complications are: (a) gastric leak with subphrenic

Resectional gastric bypass is a new alternative in morbid obesity.

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BACKGROUND Severe obesity is a common serious health problem in the United States. Medical therapy is often ineffective. A variety of surgical procedures have been employed for treatment of morbid obesity. Surgical therapy continues to evolve. METHODS Eighty-five patients have undergone subtotal

[Treatment of super super morbid obesity by sleeve gastrectomy].

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INTEREST OF WORK: The longitudinal or "sleeve" gastrectomy was recently introduced into the therapeutic arsenal of the bariatric surgeon. It is a restrictive procedure that reduces stomach capacity by 75%. We present here a preliminary experience with four patients. METHODS Four patients with super

Decreased bleeding after laparoscopic sleeve gastrectomy with or without duodenal switch for morbid obesity using a stapled buttressed absorbable polymer membrane.

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BACKGROUND Laparoscopically performed sleeve gastrectomy may be employed as an adjunct to biliopancreatic diversion with duodenal switch (BPD-DS), to induce early satiety and weight loss in morbidly obese patients. Complications from this gastric procedure include staple-line leakage or hemorrhage.

Band erosion following gastric banding: how to treat it.

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BACKGROUND Intragastric band migration is an unusual but major long-term complication of gastric banding: its frequency ranges from 0.5-3.8% and always requires removal of the band. Different laparoscopic, laparotomic or endoscopic methods are currently used for band removal. METHODS 571 morbidly

Routine gastrostomy tube placement in gastric bypass patients: impact on length of stay and 30-day readmission rate.

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BACKGROUND Laparoscopic Roux-en-Y gastric bypass (RYGB) is an effective treatment for morbid obesity. Current average length of hospital stay (LOS) after RYGB is 2-3 days and 30-day readmission rate is 8-13 %. The aim of our study is to evaluate the effect of routine gastrostomy tube placement in

Gastrogastric fistulas. A complication of divided gastric bypass surgery.

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OBJECTIVE This report warns that gastrogastric fistulas may follow the division of the stomach in bariatric surgery. BACKGROUND Although surgery is the most effective therapy for morbid obesity, the procedures are still undergoing evolution. One of the key elements in bariatric surgery is the

Effect of the learning curve on the early outcomes of laparoscopic Roux-en-Y gastric bypass.

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Open gastric bypass has been demonstrated to provide durable weight loss in morbidly obese patients. As laparoscopic techniques have evolved surgeons are offering patients such an approach for performance of gastric bypass. The purpose of this study was to evaluate the relationship between

Hand-assisted laparoscopic vertical banded gastroplasty: technique and analysis of the first 140 cases.

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BACKGROUND The use of laparoscopic surgery to perform bariatric operations offers advantages to morbidly obese patients. Between January 1999 and June 2001, 140 patients underwent hand-assisted laparoscopic VBG using the Handport System. METHODS In the 110 females (78.6%) and 30 males (21.4%), mean

Laparoscopic Roux-en-Y gastric bypass: initial 2-year experience.

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BACKGROUND Roux-en-Y gastric bypass (RYGBP)-essentially a restrictive bariatric procedure-is currently considered the gold standard for the surgical treatment of morbid obesity. Open surgery in obese patients is associated with a high risk of cardiopulmonary complications, wound infection, and late

Gastro-colo-bronchial fistula after laparoscopic sleeve gastrectomy; case report

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Obesity and its related comorbidities is a major health problem worldwide. Sleeve gastrectomy is regarded to be one of the most effective bariatric surgeries with a relatively low risks of complications. Gastrobronchial fistula is an extremely rare and a serious complication after bariatric

The new retained foreign body! Case report and review of the literature on retained foreign bodies in laparoscopic bariatric surgery.

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The advent of laparoscopic surgery has created a set of peculiar morbidities. As the laparoscopic devices, also the type of retained foreign bodies has changed. We present a case of unusual, apparently isolated and recurrent lung abscess, pleural effusion and poorly evident subphrenic abscess after

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