653 results match your criteria Arquivos brasileiros de cirurgia digestiva : ABCD = Brazilian archives of digestive surgery[Journal]


PANCREATIC NEUROENDOCRINE TUMORS: SURGICAL RESECTION.

Arq Bras Cir Dig 2019 Feb 7;32(1):e1428. Epub 2019 Feb 7.

Oncology Service, Nove de Julho University, São Paulo, SP, Brazil.

Introduction: Pancreatic neuroendocrine tumors (pNET) correspond to about 3% of all tumors in pancreas and could be presented as a difficult diagnosis and management.

Objective: To review the diagnosis and treatment of the pNET available in scientific literature.

Method: A bibliographic survey was performed by means of an online survey of MeSH terms in the Pubmed database. Read More

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http://dx.doi.org/10.1590/0102-672020180001e1428DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6368164PMC
February 2019
2 Reads

PRE-OPERATIVE GASTRIC GIST DOWNSIZING: THE IMPORTANCE OF NEOADJUVANT THERAPY.

Arq Bras Cir Dig 2019 Feb 7;32(1):e1427. Epub 2019 Feb 7.

Hospital das Clínicas, Universidade Federal de Minas Gerais, Alfa Institute of Gastroenterology, Belo Horizonte, MG, Brazil.

Introduction: Gastric gastrointestinal tumors (GIST) are a rare and usually asymptomatic neoplasm that can present as abdominal mass in more advanced scenarios. Since surgical resection is the main aspect of the treatment, locally advanced tumors require multivisceral resection and, therefore, higher postoperative morbidity and mortality.

Objective: To perform a review the literature on the topic, with emphasis on the neoadjuvant therapy. Read More

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http://dx.doi.org/10.1590/0102-672020180001e1427DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6368167PMC
February 2019
1 Read

SYSTEMIZATION OF LAPAROSCOPIC INGUINAL HERNIA REPAIR (TAPP) BASED ON A NEW ANATOMICAL CONCEPT: INVERTED Y AND FIVE TRIANGLES.

Arq Bras Cir Dig 2019 Feb 7;32(1):e1426. Epub 2019 Feb 7.

Department of Surgery, Hospital das Clínicas, Botucatu Medical School, Botucatu, SP, Brazil).

Background: Laparoscopic inguinal hernia repair has been shown to be superior than open repairs with faster return to daily activities and decrease in the occurrence of chronic pain. However, higher direct costs and mandatory use of general anesthesia are arguments against their use. In addition, increased complexity of surgery resulting from an anatomy that is unusual to general surgeons prevents the widespread adoption of laparoscopic approach. Read More

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http://dx.doi.org/10.1590/0102-672020180001e1426DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6368153PMC
February 2019
1 Read

TOTAL OMENTECTOMY IN GASTRIC CANCER SURGERY: IS IT ALWAYS NECESSARY?

Arq Bras Cir Dig 2019 Feb 7;32(1):e1425. Epub 2019 Feb 7.

Discipline of Digestive Surgery, Department of Gastroenterology, Faculty of Medicine, University of São Paulo, São Paulo, SP, Brazil.

Background: Traditionally, total omentectomy is performed along with gastric resection and extended lymphadenectomy in gastric cancer (GC) surgery. However, solid evidences regarding its oncologic benefit is still scarce.

Aim: To evaluate the incidence of metastatic omental lymph nodes (LN) in patients undergoing curative gastrectomy for GC, as well as its risk factors and patients' outcomes. Read More

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http://dx.doi.org/10.1590/0102-672020180001e1425DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6368152PMC
February 2019
1 Read

ENHANCED RECOVERY (ERAS) AFTER LIVER SURGERY:COMPARATIVE STUDY IN A BRAZILIAN TERCIARY CENTER.

Arq Bras Cir Dig 2019 Feb 7;32(1):e1424. Epub 2019 Feb 7.

Hepatobiliary and Pancreatic Surgical Division.

Background: After the publication of the first recommendations of ERAS Society regarding colonic surgery, the proposal of surgical stress reduction, maintenance of physiological functions and optimized recovery was expanded to other surgical specialties, with minimal variations.

Aim: To analyze the implementation of ERAS protocols for liver surgery in a tertiary center.

Methods: Fifty patients that underwent elective hepatic surgery were retrospectively evaluated, using medical records data, from June 2014 to August 2016. Read More

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http://dx.doi.org/10.1590/0102-672020180001e1424DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6368150PMC
February 2019

STAGES AND FACTORS OF THE "PERIOPERATIVE PROCESS": POINTS IN COMMON WITH THE AERONAUTICAL INDUSTRY.

Arq Bras Cir Dig 2019 Feb 7;32(1):e1423. Epub 2019 Feb 7.

Fundación DAICIM (Docencia, Asistencia e Investigación en Cirugía Invasiva Mínima, Buenos Aires, Argentina.

Background: The aeronautical industry is one of the disciplines that most use control systems. Its purpose is to avoid accidents and return safer flights. The flight of an airplane, from its takeoff to its landing is a process divided into stages under strict control. Read More

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http://dx.doi.org/10.1590/0102-672020180001e1423DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6368165PMC
February 2019
1 Read

ALVEOLAR BONE PATTERN AND SALIVARY LEPTIN LEVELS AMONG PREMENOPAUSAL OBESE WOMEN.

Arq Bras Cir Dig 2019 Feb 7;32(1):e1422. Epub 2019 Feb 7.

Department of Surgery, Faculty of Medical Sciences, University of Campinas, Campinas); Brazil.

Background: Systemic bone loss may lead to more severe periodontal destruction, decreasing local bone mineral density.

Aim: A cross-sectional designed was performed to study associations among alveolar bone pattern, salivary leptin concentrations, and clinical periodontal status in premenopausal obese and eutrophic women.

Methods: Thirty morbid obese (G1) and 30 normal-weight (G2) women were included. Read More

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http://dx.doi.org/10.1590/0102-672020180001e1422DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6368158PMC
February 2019
1 Read

COMPLICATIONS AFTER TRANSABDOMINAL SOAVE'S PROCEDURE IN CHILDREN WITH HIRSCHSPRUNG'S DISEASE.

Arq Bras Cir Dig 2019 Feb 7;32(1):e1421. Epub 2019 Feb 7.

Department of Biostatistics, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Khouzestan, Iran.

Background: Hirschsprung's disease is a congenital disorder that causes functional obstruction of large bowel.

Aim: To evaluate complication and bowel function score of children with Hirschsprung's disease who underwent transabdominal Soave's procedure.

Methods: In this study all the children with Hirschsprung's disease who underwent transabdominal Soave procedure were evaluated regarding bowel function and complication of trans-abdominal Soave's procedure. Read More

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http://dx.doi.org/10.1590/0102-672020180001e1421DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6368151PMC
February 2019
3 Reads

ANALYSIS OF THE CLINICAL CHARACTERISTICS OF PERIANAL FISTULISING CROHN'S DISEASE IN A SINGLE CENTER.

Arq Bras Cir Dig 2019 Feb 7;32(1):e1420. Epub 2019 Feb 7.

The First Clinical Medical College, Nanjing University of Chinese Medicine, Nanjing, Jiangsu, China.

Background: Clinical characteristics are keys to improve identification and treatment of Crohn´s disease (CD) so that large sample analysis is of great value.

Aim: To explore the clinical characteristics of perianal fistulising CD.

Methods: Analysis of 139 cases focused on their clinical data. Read More

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http://dx.doi.org/10.1590/0102-672020180001e1420DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6368168PMC
February 2019
2 Reads

IMPLEMENTATION OF ENHANCED RECOVERY AFTER COLORECTAL SURGERY (ERAS) PROTOCOL: INITIAL RESULTS OF THE FIRST BRAZILIAN EXPERIENCE.

Arq Bras Cir Dig 2019 Feb 7;32(1):e1419. Epub 2019 Feb 7.

Anesthesiology Service.

Background: Guidelines for enhanced recovery after surgery have their bases in colonic surgery, through the first protocols published in 2012. Since then, this practice has spread throughout the world, mainly due to improvements in surgical outcomes associated with resource savings.

Aim: To analyze the first prospective results after the implementation of the guidelines. Read More

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http://dx.doi.org/10.1590/0102-672020180001e1419DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6368157PMC
February 2019
2 Reads

PARIETAL PERITONEUM GRAFT FOR DUODENUM INJURIES IN AN ANIMAL MODEL.

Arq Bras Cir Dig 2019 Feb 7;32(1):e1418. Epub 2019 Feb 7.

Department of Surgery, Hospital de Alta Especialidad, Veracruz City, Mexico.

Background: Duodenal injuries and their surgical procedure cause a high morbidity and mortality.

Aim: To assess the overall effectiveness of the auto-graft of peritoneum in the treatment of the perforation of the duodenum, aiming to reduce surgery time, costs, complexity and mortality.

Methods: Twelve New Zealand rabbits, ages 4-6 months, both sexes, underwent designed surgical grade III duodenal injuries that were repaired 18 h after. Read More

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http://dx.doi.org/10.1590/0102-672020180001e1418DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6368166PMC
February 2019
11 Reads

THE EFFECT OF ILEOCECAL VALVE REMOVAL IN A MODEL OF SHORT BOWEL SYNDROME.

Arq Bras Cir Dig 2019 Jan 7;32(1):e1417. Epub 2019 Jan 7.

Laboratory of Medical Investigations 37 - LIM 37, Faculty of Medicine, University of São Paulo.

Background: Short bowel syndrome is a harmful condition that needs experimental research.

Aim: To assess the impact of the ileocecal valve removal in a model of short bowel syndrome, in order to investigate the evolution of the colon under this circumstance.

Method: Fifteen Wistar rats were equitable divided into: Control (Sham), Group I (70% enterectomy preserving ileocecal valve) and Group II (70% enterectomy excluding ileocecal valve). Read More

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http://dx.doi.org/10.1590/0102-672020180001e1417DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6323627PMC
January 2019
11 Reads

COMPARATIVE EVALUATION OF MAGNETIC RESONANCE CHOLANGIOPANCREATOGRAPHY AND PERIOPERATIVE CHOLANGIOGRAPHY IN PATIENTS WITH SUSPECT CHOLEDOCHOLITHIASIS.

Arq Bras Cir Dig 2019 Jan 7;32(1):e1416. Epub 2019 Jan 7.

Discipline of Digestive System Surgery.

Background: Cholelithiasis is a highly prevalent condition, and choledocholitiasis is a high morbidity complication and requires accurate methods for its diagnosis.

Aim: To evaluate the population of patients with suspected choledocholitiasis and check the statistical value of magnetic resonance cholangiopancreatography, ultrasonography, the laboratory and the clinic of these patients comparing them to the results obtained by perioperative cholangiography.

Methods: This is a retrospective cohort study, which were evaluated 76 patients with cholelithiasis and suspected choledocholithiasis. Read More

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http://dx.doi.org/10.1590/0102-672020180001e1416DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6323631PMC
January 2019
5 Reads

ASSOCIATION OF INTERLEUKIN-10 -592A>C AND -819T>C POLYMORPHISMS WITH GASTRIC CANCER RISK: A SYSTEMATIC REVIEW AND META-ANALYSIS OF 44 CASE-CONTROL STUDIES.

Arq Bras Cir Dig 2019 Jan 7;32(1):e1415. Epub 2019 Jan 7.

Shahid Sadoughi University of Medical Sciences, Medical Genetics, Yazd, Yazd.

Introduction: A series of studies have evaluated the association between -592A>C and -819T>C polymorphisms in the promoter regions of Interleukin-10 (IL-10) and gastric cancer (GC) risk. However, the results remain inconclusive.

Objective: To better understand the association of the polymorphisms with GC risk, we performed a comprehensive meta-analysis. Read More

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http://dx.doi.org/10.1590/0102-672020180001e1415DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6323628PMC
January 2019
1 Read

THE CANONICAL WNT PATHWAY IN GASTRIC CARCINOMA.

Arq Bras Cir Dig 2019 Jan 7;32(1):e1414. Epub 2019 Jan 7.

Interdisciplinar Program in Surgical Sciences.

Background: It is believed that the Wnt pathway is one of the most important signaling involved in gastric carcinogenesis.

Aim: To analyze the protein expression of canonical and non-canonical Wnt pathways in gastric carcinoma.

Method: The immunohistochemistry was performed in 72 specimens of gastric carcinomas for evaluating the expression of Wnt-5a, FZD5, GSK3β, axin, CK1, ubiquitin, cyclin D1 and c-myc. Read More

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http://dx.doi.org/10.1590/0102-672020180001e1414DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6323632PMC
January 2019
2 Reads

SURVIVAL AND PERIOPERATIVE MORBIDITY OF TOTALLY LAPAROSCOPIC VERSUS OPEN GASTRECTOMY FOR EARLY GASTRIC CANCER: ANALYSIS FROM A SINGLE LATIN AMERICAN CENTRE.

Arq Bras Cir Dig 2019 Jan 7;32(1):e1413. Epub 2019 Jan 7.

Esophagogastric Surgery Unit, Digestive Surgery Department, Hospital Dr. Sotero del Rio, Pontificia Universidad Católica de Chile, Santiago, Chile.

Background: Laparoscopic gastrectomy has numerous perioperative advantages, but the long-term survival of patients after this procedure has been less studied.

Aim: To compare survival, oncologic and perioperative outcomes between completely laparoscopic vs. open gastrectomy for early gastric cancer. Read More

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http://dx.doi.org/10.1590/0102-672020180001e1413DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6323630PMC
January 2019
2 Reads

PANCREATICODUODENECTOMY: IMPACT OF THE TECHNIQUE ON OPERATIVE OUTCOMES AND SURGICAL MORTALITY.

Arq Bras Cir Dig 2019 Jan 7;32(1):e1412. Epub 2019 Jan 7.

Department of Surgery, Faculty of Medical Sciences, State University of Campinas, Campinas, SP, Brazil.

Background: Pancreaticoduodenectomy (PD) is a procedure associated with significant morbidity and mortality. Initially described as gastropancreaticoduodenectomy (GPD), the possibility of preservation of the gastric antrum and pylorus was described in the 1970s.

Aim: To evaluate the mortality and operative variables of PD with or without pyloric preservation and to correlate them with the adopted technique and surgical indication. Read More

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http://dx.doi.org/10.1590/0102-672020180001e1412DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6323629PMC
January 2019
10 Reads

[RETRACTED ARTICLE]: EVALUATION OF ENEMAS CONTAINING SUCRALFATE IN TISSUE CONTENT OF MUC-2 PROTEIN IN EXPERIMENTAL MODEL OF DIVERSION COLITIS.

Authors:

Arq Bras Cir Dig 2018 12 10;31(3):e1396. Epub 2018 Dec 10.

[This retracts the article doi: 10.1590/0102-672020180001e1391]. Read More

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http://dx.doi.org/10.1590/0102-672020180001e1396DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6290376PMC
December 2018
1 Read

TIMING AND TREATMENT OPTIONS IN ADULT POLYCYSTIC LIVER DISEASE: A RARE FAMILIAR CASE AS EXAMPLE.

Arq Bras Cir Dig 2018 Dec 6;31(4):e1411. Epub 2018 Dec 6.

Sector Cirugía HPB y Trasplante Hepático, Clínica Pueyrredón, Mar del Plata, Buenos Aires, Argentina.

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http://dx.doi.org/10.1590/0102-672020180001e1411DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6287239PMC
December 2018
1 Read

INGUINAL REPAIR VIA ROBOTIC ASSISTED TECHNIQUE: LITERATURE REVIEW.

Arq Bras Cir Dig 2018 Dec 6;31(4):e1408. Epub 2018 Dec 6.

Hospital Sírio-Libanês, São Paulo, SP, Brazil.

Introduction: Inguinal hernia is one of the most frequent surgical diseases. Currently, with the advantages of minimally invasive surgery, new questions arise: what will be the best approach for correction of inguinal hernia? Is there real benefit to the robotic approach?

Objective: To compile results of the published studies that used the robot-assisted technique in the repair of inguinal hernia, analyzing its limitations, complications and comparing it with those of the pre-existing techniques.

Method: The review was performed from the Medline database with the following descriptors: (inguinal hernia repair OR hernioplasty OR hernia) AND (robot OR robotic OR robotic assisted) being retrieved 391 articles. Read More

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http://dx.doi.org/10.1590/0102-672020180001e1408DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6284374PMC
December 2018
22 Reads

VITAMIN D DEFICIENCY AND PARATOHOMMONIUM INCREASE IN LATE POSTOPERATIVE GASTRIC BYPASS IN ROUX-EN-Y.

Arq Bras Cir Dig 2018 Dec 6;31(4):e1407. Epub 2018 Dec 6.

Lane Clinic, Campinas, SP, Brazil.

Background : Roux-en-Y gastric bypass patients can experience changes in calcium metabolism and hyperparathyroidism secondary to vitamin D deficiency.

Aim : To evaluate nutritional deficiencies related to the calcium metabolism of patients undergoing gastric bypass with a 10-year follow-up.

Method : This is a longitudinal retrospective study of patients submitted to Roux-en-Y gastric bypass at a multidisciplinary clinic located in the Brazilian southeast region. Read More

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http://dx.doi.org/10.1590/0102-672020180001e1407DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6284378PMC
December 2018
2 Reads

LATE IMPACT OF THE LAPAROSCOPIC TREATMENT OF DEEP INFILTRATING ENDOMETRIOSIS WITH SEGMENTAL COLORECTAL RESECTION.

Arq Bras Cir Dig 2018 Dec 6;31(4):e1406. Epub 2018 Dec 6.

Medical School, University of Southern Santa Catarina, Palhoça.

Background: Deep infiltrating colorectal endometriosis may severely affect the quality of life and fertility of patients. Although segmental resection is a therapeutic option that provides positive outcomes in the management of symptoms, its functional effects are still unproven.

Aim: Assess the late impact of the laparoscopic approach in treating deep infiltrating endometriosis with segmental colorectal resection. Read More

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http://dx.doi.org/10.1590/0102-672020180001e1406DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6284382PMC
December 2018
2 Reads

PATHOLOGIC COMPLETE RESPONSE (YPT0 YPN0) AFTER CHEMOTHERAPY AND RADIOTHERAPY NEOADJUVANT FOLLOWED BY ESOPHAGECTOMY IN THE SQUAMOUS CELL CARCINOMA OF THE ESOPHAGUS.

Arq Bras Cir Dig 2018 Dec 6;31(4):e1405. Epub 2018 Dec 6.

Digestive Diseases Surgical Unit and Gastrocenter, Department of Surgery, School of Medical Sciences, State University of Campinas - UNICAMP , Campinas, SP, Brazil.

Background: Esophageal squamous cell carcinoma is an aggressive neoplasia that requires a multidisciplinary treatment in which survival and prognosis are still not satisfactory. The complete pathologic response to neoadjuvant chemotherapy and radiotherapy is considered a good prognosis factor, and esophagectomy is indicated.

Aim: Survival analysis of cases with pathologic complete response (ypT0 ypN0) to neoadjuvant chemotherapy and/or radiotherapy, submmitted to esophagectomy. Read More

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http://dx.doi.org/10.1590/0102-672020180001e1405DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6284395PMC
December 2018
1 Read

LONG-TERM OUTCOMES OF LIGATION OF INTERSPHINCTERIC FISTULA TRACT FOR COMPLEX FISTULA-IN-ANO: MODIFIED OPERATIVE PROCEDURE EXPERIENCE.

Arq Bras Cir Dig 2018 Dec 6;31(4):e1404. Epub 2018 Dec 6.

Suzhou Affiliated Hospital of Nanjing University of Chinese Medicine, Colorectal Surgery, Su zhou, Jiang su, China.

Background: It is important but difficult to treat complex fistula-in-ano due to the high recurrent rate and following incontinence. Ligation of the intersphincteric fistula tract (LIFT), a novel surgical procedure with the advantage of avoiding anal incontinence, has a variable success rate of 57-94.4 %. Read More

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http://dx.doi.org/10.1590/0102-672020180001e1404DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6284392PMC
December 2018
5 Reads

ANATOMICAL VARIATIONS OF THE CELIAC TRUNK: A SYSTEMATIC REVIEW.

Arq Bras Cir Dig 2018 Dec 6;31(4):e1403. Epub 2018 Dec 6.

University Center UNIFACISA), João Pessoa, PB.

Introduction: The celiac trunk (CT) is one of the abdominal portion branches of the aortic artery and, together with the superior mesenteric and inferior mesenteric arteries, participates in the abdominal viscera vascularization through a series of anastomoses. Absence of CT or variation in the number of terminal branches implies in varied abdominal arteries origins, which may have implication in surgical approaches.

Objective: To analyze the anatomical variations of the celiac trunk and possible associated surgical clinical implications. Read More

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http://dx.doi.org/10.1590/0102-672020180001e1403DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6284376PMC
December 2018
13 Reads

IMPACT OF BARIATRIC SURGERY ON THE INFLAMMATORY STATE BASED ON CPR VALUE.

Arq Bras Cir Dig 2018 Dec 6;31(4):e1402. Epub 2018 Dec 6.

Hospital of the Municipal Public Server, Technical Section of Digestive System Surgery, São Paulo, SP, Brazil.

Background: PCR (C-reactive protein), produced in the liver after stimuli of inflammatory mediators, is determined as a marker of inflammatory activity (adipocytokines) and is present within adipocyte cells; besides being an inflammatory product, many studies have shown to be a predictor of complications.

Aim: To determine if the inflammatory state of the obese patient decreases after bariatric surgery, based on pre and post-operative PCR.

Methods: A prospective, observational study in patients undergoing Roux-en-Y gastric by-pass surgery followed up for three months after surgery, with serum preoperative CRP in 30, 60 and 90 days after surgery. Read More

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http://dx.doi.org/10.1590/0102-672020180001e1402DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6284396PMC
December 2018
1 Read

THE ROLE OF SERUM CK-18, MMP-9 AND TIPM-1 LEVELS IN PREDICTING R0 RESECTION IN PATIENTS WITH GASTRIC CANCER.

Arq Bras Cir Dig 2018 Dec 6;31(4):e1401. Epub 2018 Dec 6.

Haseki Training and Research Hospital, Department of General Surgery.

Background: Gastric cancer is the 3rd most common cause of death in men and the 5th common in women worldwide. Today, surgery is the only curative therapy. Currently available advanced imaging modalities can predict R0 resection in most patients, but it can only be detected with certainty in the perioperative period. Read More

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http://dx.doi.org/10.1590/0102-672020180001e1401DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6284391PMC
December 2018
2 Reads

POSTOPERATIVE CHANGES IN INTESTINAL MICROBIOTA AND USE OF PROBIOTICS IN ROUX-EN-Y GASTRIC BYPASS AND SLEEVE VERTICAL GASTRECTOMY: AN INTEGRATIVE REVIEW.

Arq Bras Cir Dig 2018 Dec 6;31(4):e1400. Epub 2018 Dec 6.

Postgraduate Program in Food and Nutrition.

Introduction: Studies suggest that weight loss induced by bariatric surgery and the remission of some comorbidities may be related to changes in the microbiota profile of individuals undergoing this procedure. In addition, there is evidence that manipulation of the intestinal microbiota may prove to be a therapeutic approach against obesity and metabolic diseases.

Objective: To verify the changes that occur in the intestinal microbiota of patients undergoing bariatric surgery, and the impact of the usage of probiotics in this population. Read More

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http://dx.doi.org/10.1590/0102-672020180001e1400DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6284373PMC
December 2018
16 Reads

SUBCUTANEOUS ONLAY LAPAROSCOPIC APPROACH (SCOLA) FOR VENTRAL HERNIA AND RECTUS ABDOMINIS DIASTASIS REPAIR: TECHNICAL DESCRIPTION AND INITIAL RESULTS.

Arq Bras Cir Dig 2018 Dec 6;31(4):e1399. Epub 2018 Dec 6.

Department of Digestive System Surgery, Municipal Public Server Hospital, São Paulo, SP, Brazil.

Background: Diastasis of the rectus abdominis muscles (DMRA) is frequent and may be associated with abdominal wall hernias. For patients with redudant skin, dermolipectomy and plication of the diastasis is the most commonly used procedure. However, there is a significant group of patients who do not require skin resection or do not want large incisions. Read More

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http://dx.doi.org/10.1590/0102-672020180001e1399DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6284377PMC
December 2018
12 Reads

EFFECTS OF RENAL DYSFUNCTION ON HEALING OF COLONIC ANASTOMOSIS: EXPERIMENTAL STUDY IN WISTAR RATS.

Arq Bras Cir Dig 2018 Dec 6;31(4):e1398. Epub 2018 Dec 6.

Program of Post-Graduation in Surgical Clinic of the Federal University of Paraná, Curitiba, PR, Brazil.

Background: Chronic kidney disease affects more than 500 million people worldwide. In this context, the uremic toxins present are related to worsening in tissue healing.

Aim: Evaluate on healing of colonic anastomosis in uremic rats, serum and anatomopathological indicators, which may be related to the change tissue repair process. Read More

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http://dx.doi.org/10.1590/0102-672020180001e1398DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6284399PMC
December 2018
12 Reads

CAN VIRTUAL REALITY BE AS GOOD AS OPERATING ROOM TRAINING? EXPERIENCE FROM A RESIDENCY PROGRAM IN GENERAL SURGERY.

Arq Bras Cir Dig 2018 Dec 6;31(4):e1397. Epub 2018 Dec 6.

Department of Surgery, Hospital de Clínicas de Porto Alegre, Universidade Federal do Rio Grande do Sul, Porto Alegre, RS, Brazil.

Background: The increasingly intense usage of technology applied to videosurgery and the advent of robotic platforms accelerated the use of virtual models in training surgical skills.

Aim: To evaluate the performance of a general surgery department's residents in a video-simulated laparoscopic cholecystectomy in order to understand whether training with virtual reality is sufficient to provide the skills that are normally acquired in hands-on experience at the operating room.

Methods: An observational study with twenty-five first- and second-year general surgery residents. Read More

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http://dx.doi.org/10.1590/0102-672020180001e1397DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6284375PMC
December 2018
3 Reads

LAPAROSCOPIC DISTAL PANCREATECTOMY WITH SPLEEN PRESERVATION.

Arq Bras Cir Dig 2018 Aug 16;31(3):e1395. Epub 2018 Aug 16.

Hospital Santa Lúcia, Brasília, DF.

Background: Laparoscopic distal pancreatectomy has been the choice for resection of distal pancreas lesions due many advantages over open approach. Spleen preservation technique seems minimizes infectious complications in long-term outcome.

Aim: To present the results of laparoscopic distal pancreatectomies with spleen preservation by Kimura´s technique (preservation of spleen blood vessels) performed by single surgical team. Read More

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http://dx.doi.org/10.1590/0102-672020180001e1395DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6097029PMC
August 2018
4 Reads

HEPATECTOMY FOR PYOGENIC LIVER ABSCESS TREATMENT: EXCEPTION APPROACH?

Arq Bras Cir Dig 2018 Aug 16;31(3):e1394. Epub 2018 Aug 16.

Hospital Santa Lucia, Brasília, DF, Brazil.

Background: Percutaneous drainage for pyogenic liver abscess has been considered the gold-standard approach for the treatment on almost of the cases. However, when percutaneous drainage fails or even in some especial situations, as multiloculate abscess, lobe or segment surgical resection can solve infectious clinical condition.

Aim: To report a series of patients who underwent hepatectomy for pyogenic liver abscess performed by a single surgical team. Read More

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http://dx.doi.org/10.1590/0102-672020180001e1394DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6097179PMC
August 2018
6 Reads

NEW BOWEL PREPARATION TECHNIQUE FOR COLONOSCOPY: CLINICAL TRIAL COMPARING AQUANET AND MANNITOL.

Arq Bras Cir Dig 2018 Aug 16;31(3):e1393. Epub 2018 Aug 16.

Kaiser Clinic and Hospital, Endoscopy and Colonoscopy, São José do Rio Preto, SP.

Background: Fifty-five percent of Americans aged 50-65 are submitted to colonoscopy. For over 65-year, this number increases to 64%. In Brazil, it is forecast that the population submitted to colonoscopy will grow, even though inadequate preparation is still a major problem. Read More

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http://dx.doi.org/10.1590/0102-672020180001e1393DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6097177PMC
August 2018
3 Reads

PREVALENCE OF BACTERIOBILIA IN PATIENTS UNDERGOING ELECTIVE COLECYSTECTOMY.

Arq Bras Cir Dig 2018 Aug 16;31(3):e1392. Epub 2018 Aug 16.

Federal University of Triângulo Mineiro, Uberaba, MG, Brazil.

Background: Cholelithiasis is one of the diseases with greater surgical indication. Currently, laparoscopic cholecystectomy is the gold standard in the treatment of cholelithiasis.

Aim: To analyze the culture of bile from patients with cholelithiasis, mainly in the occurrence of brown and mixed stones. Read More

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http://dx.doi.org/10.1590/0102-672020180001e1392DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6097031PMC
August 2018
15 Reads

EVALUATION OF ENEMAS CONTAINING SUCRALFATE IN TISSUE CONTENT OF MUC-2 PROTEIN IN EXPERIMENTAL MODEL OF DIVERSION COLITIS.

Arq Bras Cir Dig 2018 08 16;31(3):e1391. Epub 2018 Aug 16.

Laboratório de Investigação Médica do Programa de Pós-Graduação em Ciências da Saúde, Universidade São Francisco, Bragança Paulista, SP, Brasil.

Background: The effects of topical application of sucralfate (SCF) on the tissue content of MUC-2 protein have not yet been evaluated in experimental models of diversion colitis.

Aim: To measure the tissue content of MUC-2 protein in the colonic mucosa diverted from fecal stream submitted to the SCF intervention.

Methods: Thirty-six rats underwent derivation of intestinal transit through proximal colostomy and distal mucous fistula. Read More

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http://dx.doi.org/10.1590/0102-672020180001e1391DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6097158PMC
August 2018
3 Reads

ACTIVITY OF ORBIGNYA PHALERATA AND EUTERPE EDULES IN THE PREVENTION AND TREATMENT OF PEPTIC ULCER IN RATS.

Arq Bras Cir Dig 2018 Aug 16;31(3):e1390. Epub 2018 Aug 16.

Department of Surgery, Hospital São Domingos of Maranhão, São Luís, MA, Brazil.

Background: Peptic ulcer is considered a public health problem associated with loss of quality of life. Does not exist optimal therapeutic regimen. The search for alternative treatments using foods or plants that may assist in gastric protection may become marked in this population because of their easy access and low cost. Read More

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http://dx.doi.org/10.1590/0102-672020180001e1390DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6097162PMC
August 2018
6 Reads

UPPER MIDLINE INCISION IN RECIPIENTS OF DECEASED-DONORS LIVER TRANSPLANTATION.

Arq Bras Cir Dig 2018 Aug 16;31(3):e1389. Epub 2018 Aug 16.

University Hospital Oswaldo Cruz, Faculty of Medical Sciences of Pernambuco, University of Pernambuco, Recife, PE, Brazil.

Background: Liver transplant (LT) is the only effective and long-lasting option for patients with end-stage liver disease. Innovations and refinements in surgical techniques occurred with the advent of transplants with partial grafts and laparoscopy. Despite these modifications, the abdominal incision remains with only few changes. Read More

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http://dx.doi.org/10.1590/0102-672020180001e1389DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6097113PMC
August 2018
3 Reads

SINGLE PORT LAPAROSCOPIC CHOLECYSTECTOMY: TECHNICAL ASPECTS AND RESULTS.

Arq Bras Cir Dig 2018 Aug 16;31(3):e1388. Epub 2018 Aug 16.

General Surgery Department, University of Santo Amaro.

Background: The search for less traumatic surgical procedures without compromising efficacy and safety, together with the technological advances and greater experience of the teams, led to the development of operative techniques with increasingly smaller incisions, the so-called "minimally invasive surgeries".

Aim: To evaluate the technical aspects and results of single port cholecystectomy.

Method: Were analyzed 170 patients between 18-74 years submitted to videolaparoscopic cholecystectomies by single port, regardless of elective or urgent indication, without restriction of patient selection. Read More

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http://dx.doi.org/10.1590/0102-672020180001e1388DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6097110PMC
August 2018
4 Reads

PROGRAM OF INTESTINAL REHABILITATION AND EARLY POSTOPERATIVE ENTERAL NUTRITION: A PROSPECTIVE COHORT STUDY.

Arq Bras Cir Dig 2018 Aug 16;31(3):e1387. Epub 2018 Aug 16.

Department of Intensive Care, Institute of Oncology and Radiobiology, Havana, Cuba.

Background: Some factors can act on nutritional status of patients operated for a gastrointestinal cancer. A timely and appropriate nutritional intervention could have a positive effect on postoperative outcomes.

Aim: To determine the effect of a program of intestinal rehabilitation and early postoperative enteral nutrition on complications and clinical outcomes of patients underwent gastrointestinal surgery for cancer. Read More

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http://dx.doi.org/10.1590/0102-672020180001e1387DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6097030PMC
August 2018
6 Reads

FULL-THICKNESS ENDOSCOPIC GASTRIC RESECTION USING A STAPLER AND GASTROSTOMY: A FEASIBILITY STUDY.

Arq Bras Cir Dig 2018 Aug 16;31(3):e1386. Epub 2018 Aug 16.

Department of Surgery, University of São Paulo.

Background: Laparoscopic sleeve gastrectomy (LSG) is currently the most frequently performed bariatric procedure in Turkey. The goal of weight reduction surgery is not only to decrease excess weight, but also to improve obesity related comorbidities and quality of life (QoL).

Aim: To evaluate the impact of LSG on patient quality of life, weight loss, and comorbidities associated with morbid obesity according to the updated BAROS criteria. Read More

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http://dx.doi.org/10.1590/0102-672020180001e1386DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6097028PMC
August 2018
3 Reads

QUALITY OF LIFE AFTER LAPAROSCOPIC SLEEVE GASTRECTOMY USİNG BAROS SYSTEM.

Arq Bras Cir Dig 2018 Aug 16;31(3):e1385. Epub 2018 Aug 16.

Department of Surgery, Turkish Ministry of Health Medical Sciences University, Elazig Training and Research Hospital, Elazig, Turkey.

Background: Laparoscopic sleeve gastrectomy (LSG) is currently the most frequently performed bariatric procedure in Turkey. The goal of weight reduction surgery is not only to decrease excess weight, but also to improve obesity related comorbidities and quality of life (QoL).

Aim: To evaluate the impact of LSG on patient quality of life, weight loss, and comorbidities associated with morbid obesity according to the updated BAROS criteria. Read More

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http://dx.doi.org/10.1590/0102-672020180001e1385DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6097161PMC
August 2018
3 Reads

LOW-COST SIMULATOR ASSEMBLY FOR 3-DIMENSIONAL VIDEOSURGERY TRAINING.

Arq Bras Cir Dig 2018 Aug 16;31(3):e1384. Epub 2018 Aug 16.

Laboratory of Medical Skills, University of Fortaleza, Fortaleza, CE, Brazil.

Background: Three-dimensional videosurgery is already a reality worldwide. The trainee program for this procedure should be done initially and preferably in simulators.

Aim: Assemble low-cost simulator for three-dimensional videosurgery training. Read More

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http://dx.doi.org/10.1590/0102-672020180001e1384DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6097163PMC
August 2018
2 Reads

INVOLVEMENT OF CATECHOLAMINES IN THE MYOCARDIUM OF RATS SUBMITTED TO EXPERIMENTAL MODEL OF PORTAL HYPERTENSION.

Arq Bras Cir Dig 2018 Aug 16;31(3):e1383. Epub 2018 Aug 16.

Department of Physiology, Universidade Federal do Paraná.

Background: The role of autonomic nervous system in the development and maintenance of portal hypertension is not fully elucidated. It is known that the gene expression of norepinephrine in the superior mesenteric artery varies with time, and it may contribute for splanchnic vasodilation and its consequent hemodynamic repercussions. It is still not known exactly how the adrenergic expression behaves at the heart level in the initial stages of this process. Read More

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http://dx.doi.org/10.1590/0102-672020180001e1383DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6097112PMC
August 2018
16 Reads

MINIMALLY INVASIVE LAPAROSCOPIC ESOPHAGECTOMY VS. TRANSHIATAL OPEN ESOPHAGECTOMY IN ACHALASIA: A RANDOMIZED STUDY.

Arq Bras Cir Dig 2018 Aug 16;31(3):e1382. Epub 2018 Aug 16.

Group of Esophageal, Stomach, Duodenum and Bariatric Surgery, Service of Digestive Surgery, University Hospital Prof. Alberto Antunes, Faculty of Medicine, Federal University of Alagoas, Maceió, AL, Brazil.

Background: Open and laparoscopic trans-hiatal esophagectomy has been successfully performed in the treatment of megaesophagus. However, there are no randomized studies to differentiate them in their results.

Aim: To compare the results of minimally invasive laparoscopic esophagectomy (EMIL) vs. Read More

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http://dx.doi.org/10.1590/0102-672020180001e1382DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6097114PMC
August 2018
6 Reads

PHARYNGO-ILEO-COLO-ANASTOMOSIS WITH MICRO-VASCULAR BLOOD SUPPLY AUGMENTATION FOR ESOPHAGO-GASTRIC REPLACEMENT DUE TO ESOPHAGO-GASTRIC NECROSIS AFTER CAUSTIC INGESTION.

Arq Bras Cir Dig 2018 2;31(2):e1381. Epub 2018 Jul 2.

Microsurgery Unit, Department of Surgery, University Hospital Dr José J. Aguirre, Faculty of Medicine, University of Chile, Santiago, Chile.

Background: Complete esophago-gastric necrosis after caustic ingestion is a challenging surgical scenario for reconstruction of the upper digestive transit.

Aim: To present a surgical technique for reconstruction of the upper digestive tract after total esophagectomy and gastrectomy due to esophageal and gastric necrosis.

Method: The transit was re-established by means of a pharyngo-ileo-colic interposition with microsurgical arterial and venous anastomosis for augmentation of blood supply. Read More

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http://dx.doi.org/10.1590/0102-672020180001e1381DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6044192PMC
February 2019
14 Reads