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Place of upper endoscopy.before and after bariatric surgery. A multicenter experience with 3219 patients

World Journal of Gastrointestinal Endoscopy 2016年第10期8卷 409-417页

作者： Mohamed E Abd Ellatif Haitham Alfalah Walid A Asker Ay.an E El Nakeeb Alaa Magdy.Waleed Thabet Mohamed A Ghaith Emad Abdallah Rania Shahin Asharf Shoma Ibraheim E Dawoud Ashraf Abbas Asaad F Salama Maged Ali gamal Department of Surgery Mansoura University Hospital Consultant of Bariatric Surgery King Saud Medial City (KSMS) Gastroenterology.Surgical Center Mansoura University Department of Anesthesia Mansoura University Hospital Department of Clinical Pathology Benha University Hospital Department of Surgery Jahra Hospital

AIM: To study.the preoperative and postoperative role of upper esophagogastroduodenoscopy.EGD) in morbidly.obese patients. METHODS: This is a multicenter retrospective study.by.reviewing the database of patients who underwent bariatric surgery.laparoscopic sleeve gastrectomy. laparoscopic Roux en y.gastric by.ass, or laparoscopic minigastric by.ass) in the period between 2001 June and 2015 August(Jahra Hospital-Kuwait, Hafr Elbatin Hospital and King Saud Medical City.KSA, and Mansoura University.Hospital- Egy.t). Patients with age 18-65 y.ars, body.mass index(BMI) > 40, or > 35 with comorbidities after failure of many.dietetic regimen and acceptable levels of surgical risk were included in the study.after having an informed signed consent. We retrospectively.reviewed the medical charts of all morbidly.obese patients. The patients' preoperative data included clinical history.including upper digestive sy.ptoms and preoperative full workup including EGD. Only.patients whose charts revealed weather they.were sy.ptomatic or not were studied. We categorized patients accordingly.into two groups; with(group A) or without(group B) upper digestive sy.ptoms. The endoscopic findings were categorized into 4 groups based on predetermined criteria. The medical record of patients who developed stricture, leak or bleeding after bariatric surgery.was reviewed. Logestic regression analy.is was used to identify.preoperative predictors that might be associated with abnormal endoscopic findings. RESULTS: Three thousand, two hundred and nineteen patients in the study.period underwent bariatric surgery.75% LSG, 10% LRy.B, and 15% MGB). Mean BMI was 43 ± 13, mean age 37 ± 9 y.ars, 79% were female. Twenty.eight percent had presented with upper digestive sy.ptoms(group A). EGD was considered normal in 2414(75%) patients(9% group A vs 66% group B, P = 0.001). The abnormal endoscopic findings were found high in those patients with upper digestive sy.ptoms. Abnormal findings(one or more) were fo

关键词： Morbid obesity Obesity surgery Endoscopy Complications Dilation Stenting

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类风湿性关节炎半限制性铰链式全肘关节置换:单个研究所461肘关节30年以上经验

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临床骨科杂志 2016年第6期19卷 656-656页

作者： Sanchez-Sotelo J baghdadi y.M Morrey.B F 胡孔足

全肘关节置换是治疗终末期肘关节类风湿性关节炎的有效手段。1982-2006年,387例患者接受了461个肘关节置换,采用 Coonrad-Morrey.假体。55例伴有创伤性或者创伤后病损。10例失访,9例死亡,6例在2年内接受翻修.362例（435肘）接受平均10... 详细信息

全肘关节置换是治疗终末期肘关节类风湿性关节炎的有效手段。1982-2006年,387例患者接受了461个肘关节置换,采用 Coonrad-Morrey.假体。55例伴有创伤性或者创伤后病损。10例失访,9例死亡,6例在2年内接受翻修.362例（435肘）接受平均10年随访.

关键词：类风湿性关节炎肘关节置换研究所铰链式终末期创伤后创伤性

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