[Show abstract][Hide abstract] ABSTRACT: This observational clinical analysis included 246 patients who underwent surgery for adjustable gastric banding (AGB), laparoscopic sleeve gastrectomy (LSG), or gastric bypass (GBP) between May 2005 and December 2008. The most frequent surgical procedure was for AGB (73.2% of patients). A thorough psychological evaluation of the patients was carried out, and pre- and post-operative psychological and dietary support was offered. A total of 111/120 (92.5%) AGB patients, 21/30 (70.0%) LSG patients and 8/36 (22.2%) GBP patients have been monitored for at least 1 year, and their mean weight losses (percentage excess weight loss) were 24.7 kg (52.4%), 46.0 kg (57.9%) and 40.5 kg (77.9%), respectively. The AGB procedure was associated with the fewest complications but is not appropriate for all patients. Good pre-operative psychological evaluation has been shown to be necessary for successful outcomes and, in the super-obese, we prefer to use LSG. Surgeons should learn the skills needed to perform laparoscopic Roux-en-Y GBP as it is likely to become the standard-of-care for the surgical treatment of obesity. The best outcomes following bariatric surgery are achieved with a multidisciplinary approach, including participation in a support group guided by a psychologist.
The Journal of international medical research 08/2009; 37(5):1632-45. · 1.10 Impact Factor
[Show abstract][Hide abstract] ABSTRACT: Background In the article we present a morbid obesity and treatment options. We describe instructions for patients before operation and our results for operation with adjustable band.
[Show abstract][Hide abstract] ABSTRACT: Oddelek za splošno in abdominalno kirurgijo, Splošna in učna bolnišnica Celje Avtor za dopisovanje (Correspondence to): asist. mag. Igor Černi, dr. med. specialist kirurg; Vransko 180, 3305 Vransko; tel: 0038651346455, 0038641428505; e-naslov: firstname.lastname@example.org Povzetek Mecklov divertikel je najpogostejša anomalija tankega črevesa. Pogostost pojavljanja je približno 2 %. Običajno leži na antimezenterialni strani terminalnega ileuma in je lahko dolg od 0,5 pa vse do 56 cm. Od drugih divertiklov se razlikuje po tem, da ima vse sloje črevesne stene in lastno prekrvitev. Vsebuje lahko heterotopno tkivo, najpogosteje sluznico želodca (62 %), redkeje trebušne slinavke (6 %) ali dvanajstnika. Pri moških se pojavlja tri-do štirikrat pogosteje kot pri ženskah. Najpogostejši zapleti so krvavitev, zapora črevesa in divertikulitisi. V prispevku prikazujemo 20-letnega bolnika, pri katerem smo po predhodni diagnostični obdelavi izvedli nujno laparoskopsko odstranitev tankega črevesa z divertiklom ter oblikovali znotrajtrebušno steplersko anastomozo. Ključne besede. Meckelov divertikel, krvavitev, laparoskopska resekcija. Abstract Meckel's diverticulum is the most common anomaly of the small intestine, with an incidence of approximately 2%. It is usually located on the antimesenteric side of the ileum and is 0.5 to 56 cm long. It is distinguished from other diverticula in being composed of all the layers of the intestinal walls and having its own circulation. Heterotopic tissue may be present in Meckel's diverticulum, most commonly including gastric mucosa (62%), and less frequently pancreatic (6%) or duodenal tissue. It is three to four times more common in men than in women. The most frequent complications include bleeding, intestinal obstruction and diverticulitis. We present a case of a 20-year-old patient who had an emergency laproscopic resection of the segment of small intestine containing a Meckel's diverticulum with intraabdominal anastomosis using a stapler.