Brane Breznikar

Splošni bolnišnici Slovenj Gradec, Windischgraz, Slovenj Gradec, Slovenia

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Publications (7)5.52 Total impact

  • B. Breznikar · D. Dinevski

    No preview · Conference Paper · Aug 2014
  • Brane Breznikar · Dejan Dinevski · Gregor Kunst · B. Rožej
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    ABSTRACT: Introduction: We analyzed our first five years of performing gastric bandings. We monitored weight reduction in patients with regard to their participation in the support group. Based on our experience, gastric banding is successful only with thorough assessment and treatment before surgery, as well as methodical, professional support after it. Those who participated in the support group more often had a greater weight reduction than those who were present less frequently. Patients and methods: We performed 264 gastric bandings between May 2005 and May 2010 (66.5% of all bariatric procedures). On average, patients were 41.0 years old and had a BMI of 42.4 kg/m2. There were 224 female (84.8%) and 40 male patients (15.2%). We followed 192 patients for more than one year. 155 patients (80.7%) were evaluated with BAROS. We excluded patients with hormonal disorders and other pathologies preoperatively. Because gastric banding is not suitable for every patient, we made a thorough psychological evaluation of the patients before the procedure. We offered preoperative and postoperative psychological and dietary support when needed. Results: Patients lost on average 23.4 kg, 31.4 kg and 33.7 kg after the 1st, 2nd and 3rd year, respectively (EWL average of 50.3%, 65.6% and 69.8%, respectively). We monitored the resolution of comorbidities and complications. Both the "comorbidity" and "without comorbidity" groups achieved a grade of "good" on the BAROS quality of life scale (4.85 and 2.64 respectively). Given the Pearson coefficient of r = 0.58 (p < 0.001), we concluded that there is a "moderate to strong" correlation between the number of visits in the support group and EWL. Conclusions: Weight reduction is greater when patients participate in the support group after bariatric surgery.
    No preview · Article · Apr 2012 · Zdravniški vestnik
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    Brane Breznikar · Dejan Dinevski · Milan Zorman

    Full-text · Chapter · Feb 2012
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    Brane Breznikar · D Dinevski
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    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.
    Full-text · Article · Aug 2009 · The Journal of international medical research
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    Brane Breznikar · Mihael Zajc · Gregor Kunst
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    ABSTRACT: Background The number of morbidly obese patients in developed countries is rising. Long-term studies have shown that only bariatric surgery is effective in treatment of morbid obesity. this article presents the beginnings and development of bariatric surgery in Slovenj Gradec General Hospital. Methods Operations are performed laparoscopically on three ways: with adjustable gastric band (AGB), three-quarter longitudinal resection of stomach - "sleeve" gastrectomy (SG) and gastric bypass (GB). Results From May 2005 to September 2007 we operated 148 patients. We performed 120 adjustable gastric bandings, 21 'sleeve" gastrectomies, 7 gastric bypasses. Conclusions Reduction of body weight and co-morbidities, personal satisfaction and few complications are comparable with large studies.
    Preview · Article · Jan 2008 · Zdravniški vestnik
  • Brane Breznikar
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    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.
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    Igor Černi · Brane Breznikar · Matej Štante
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    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: 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.
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