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

    1 OF 11

    MANAGEMENT OF PANCREATICOPLEURAL FISTULAS SECONDARY TO CHRONIC PANCREATITIS.
    Arq Bras Cir Dig 2017 Jul-Sep;30(3):225-228
    Department of Surgery, Faculty of Medical Sciences, State University of Campinas.
    Introduction: Pancreaticopleural fistula is a rare complication of chronic pancreatitis.

    Objective: To describe pancreaticopleural fistula due to chronic pancreatitis and perform an extensive review of literature on this topic.

    Methods: Comprehensive narrative review through online research on the databases Medline and Lilacs for articles published over the last 20 years. Read More

    PREOPERATIVE MANOMETRY FOR THE SELECTION OF OBESE PEOPLE CANDIDATE TO SLEEVE GASTRECTOMY.
    Arq Bras Cir Dig 2017 Jul-Sep;30(3):222-224
    Digestive System Surgery, Department of Surgery, State University of Londrina, Londrina, PR, Brazil.
    Background: Sleeve gastrectomy may alter esophageal motility and lower esophageal sphincter pressure.

    Aim: To detect manometric changings in the esophagus and lower esophageal sphincter before and after sleeve gastrectomy in order to select patients who could develop postoperative esophageal motilitity disorders and lower esophageal sphincter pressure modifications.

    Methods: Seventy-three patients were selected. Read More

    SLEEVE GASTRECTOMY AND FUNDOPLICATION AS A SINGLE PROCEDURE IN PATIENTS WITH OBESITY AND GASTROESOPHAGEAL REFLUX.
    Arq Bras Cir Dig 2017 Jul-Sep;30(3):216-221
    Department of Surgery, Faculty of Medicine, University Hospital Dr José J. Aguirre, Santiago, Chile.
    Background: Bariatric surgery in Chile has seen an exponential increase in recent years, especially in sleeve gastrectomy. Its use is currently discussed in patients suffering from gastroesophageal reflux disease. Different options have been considered for the management of these patients but up to now laparoscopic Roux-en-Y gastric bypass seems to be the best option. Read More

    THE IMPACT OF THE USE OF SYMBIOTICS IN THE PROGRESSION OF NONALCOHOLIC FATTY LIVER DISEASE IN A RAT MODEL.
    Arq Bras Cir Dig 2017 Jul-Sep;30(3):211-215
    Department of Industrial Biotechnology Graduate, Positivo University, Curitiba, PR.
    Background: Non-alcoholic fatty liver disease (NAFLD) is characterized by accumulation of intrahepatic lipid. The use of live microorganisms promotes beneficial effects; however, the use of symbiotic and its role in NAFLD is not yet fully understood.

    Aim: Verify if the symbiotic administration influences the occurrence and progression of NAFLD in rats, after induction of hepatic steatosis by high calorie diet. Read More

    CRITICAL EVALUATION OF LONG-TERM RESULTS OF MALIGNANT HEPATIC TUMORS TREATED BY MEANS CURATIVE LAPAROSCOPIC HEPATECTOMY.
    Arq Bras Cir Dig 2017 Jul-Sep;30(3):205-210
    Hospital Santa Lucia.
    Background: Laparoscopic hepatectomy has presented great importance for treating malignant hepatic lesions.

    Aim: To evaluate its impact in relation to overall survival or disease free of the patients operated due different hepatic malignant tumors.

    Methods: Thirty-four laparoscopic hepatectomies were performed in 31 patients with malignant neoplasm. Read More

    TWELVE YEARS OF EXPERIENCE USING CHOLECYSTOJEJUNAL BY-PASS FOR PALLIATIVE TREATMENT OF ADVANCED PANCREATIC CANCER.
    Arq Bras Cir Dig 2017 Jul-Sep;30(3):201-204
    Department of Pancreatic and Bile Duct Surgery, Santa Casa de São Paulo.
    Background: The cholecistojejunal bypass is an important resource to treat obstructive jaundice due to advanced pancreatic cancer.

    Aim: To assess the early morbidity and mortality of patients with pancreatic cancer who underwent cholecystojejunal derivation, and to assess the success of this procedure in relieving jaundice.

    Method: This retrospective study examined the medical records of patients who underwent surgery. Read More

    ATORVASTATIN CAN PREVENT HEPATIC REMOTE REPERFUSION INJURY.
    Arq Bras Cir Dig 2017 Jul-Sep;30(3):197-200
    Medicine Course, University Anhanguera-Uniderp, Campo Grande, MS.
    Background: Some studies have shown that statins have a promising effect on protection against reperfusion injury.

    Aim: To evaluate the ability of ischemic postconditioning, statins and both associated to prevent or minimize reperfusion injury in the liver of rats subjected to ischemia and reperfusion by abdominal aorta clamping.

    Method: Were used 41 Wistar rats, which were distributed into five groups: ischemia and reperfusion (I/R), ischemic postcondictioning (IPC), postconditioning + statin (IPC+S), statin (S) and Sham. Read More

    PANCREATODUODENECTOMY: BRAZILIAN PRACTICE PATTERNS.
    Arq Bras Cir Dig 2017 Jul-Sep;30(3):190-196
    University of São Paulo Medical School, São Paulo, SP, Brazil.
    Background: Pancreatoduodenectomy is a technically challenging surgical procedure with an incidence of postoperative complications ranging from 30% to 61%. The procedure requires a high level of experience, and to minimize surgery-related complications and mortality, a high-quality standard surgery is imperative.

    Aim: To understand the Brazilian practice patterns for pancreatoduodenectomy. Read More

    COMPARISON BETWEEN INGUINAL HERNIOTOMIES WITH AND WITHOUT INCISING EXTERNAL OBLIQUE APONEUROSIS: A RANDOMIZED CLINICAL TRIAL.
    Arq Bras Cir Dig 2017 Jul-Sep;30(3):187-189
    Ahvaz Jundishapur University of Medical Sciences, Department of Pediatric Surgery, Imam Khomeini Hospital, Ahvaz, Khouzestan, Iran.
    Background: Inguinal herniotomy is the most common surgery performed by pediatric surgeons.

    Aim: To compare the results and complications between two conventional methods of pediatric inguinal herniotomy with and without incising external oblique aponeurosis in terms of recurrence of hernia and other complications.

    Methods: This one blinded clinical trial study was conducted on 800 patients with indirect inguinal hernia. Read More

    LATE EVALUATION OF DYSPHAGIA AFTER HELLER ESOPHAGEAL MYOTOMY WITH DOR FUNDOPLICATION FOR ACHALASIA.
    Arq Bras Cir Dig 2017 Jul-Sep;30(3):182-186
    General Surgery, Gaffrée and Guinle University Hospital, Federal University of the State of Rio de Janeiro.
    Background: All available treatments for achalasia are palliative and aimed to eliminate the flow resistance caused by a hypertensive lower esophageal sphincter.

    Aim: To analyze the positive and negative prognostic factors in the improvement of dysphagia and to evaluate quality of life in patients undergoing surgery to treat esophageal achalasia by comparing findings before, immediately after, and in long follow-up.

    Methods: A total of 84 patients who underwent surgery for achalasia between 2001 and 2014 were retrospectively studied. Read More

    COLONOSCOPY: RANDOMIZED COMPARATIVE STUDY OF INSUFFLATION WITH CARBON DIOXIDE VERSUS AIR.
    Arq Bras Cir Dig 2017 Jul-Sep;30(3):177-181
    Kaiser Clinic and Hospital, Colonoscopy and Endoscopy Service, São José do Rio Preto, SP, Brazil.
    Background: In Brazil, an increasing number of people are submitted to colonoscopy, either for screening or for therapeutic purposes.

    Aim: To evaluate whether there are advantages of using carbon dioxide (CO2) over air for insufflation.

    Methods: Two hundred and ten of 219 patients were considered eligible for this study and were randomized into two groups according to the gas insufflation used: Air Group (n=104) and CO2 Group (n=97). Read More

    COMPARATIVE STUDY OF POSTOPERATIVE PAIN BETWEEN THE LICHTENSTEIN AND LAPAROSCOPY SURGICAL TECHNIQUES FOR THE TREATMENT OF UNILATERAL PRIMARY INGUINAL HERNIA.
    Arq Bras Cir Dig 2017 Jul-Sep;30(3):173-176
    Medical, Pharmaceutical and Biomedical Sciences School, Pontifical Catholic University of Goiás (PUC-GO), Goiânia, Goiás, Brazil.
    Background: There are several surgical treatment options for inguinal hernia; however, there is no consensus on the literature identifying which surgical technique promotes less postoperative pain.

    Aim: To compare the intensity of postoperative pain between the surgical techniques Lichtenstein and transabdominal pre-peritoneal laparoscopy for the treatment of unilateral primary inguinal hernia.

    Methods: Were included 60 patients, of which 30 were operated through the Lichtenstein technique and 30 patients through the transabdominal pre-peritoneal laparoscopy. Read More

    IMPACT OF OBESITY AND SURGICAL SKILLS IN LAPAROSCOPIC TOTALLY EXTRAPERITONEAL HERNIOPLASTY.
    Arq Bras Cir Dig 2017 Jul-Sep;30(3):169-172
    Liver and Gastrointestinal Transplant Division, Department of Gastroenterology, University of São Paulo Medical School.
    Background: Laparoscopic totally extraperitoneal (TEP) hernia repair is a technically demanding procedure. Recent studies have identified BMI as an independent factor for technical difficulty in the learning period.

    Aim: To analyze the effect of overweight and obesity on the technical difficulties of TEP. Read More

    TENSIOMETRIC ANALYSIS OF MESHES USED IN ABDOMINAL VENTRAL WALL DEFECTS IN RATS.
    Arq Bras Cir Dig 2017 Jul-Sep;30(3):165-168
    Postgraduate Program in Principles of Surgery, Evangelic Faculty of Paraná, Curitiba, PR.
    Background: Among the various strategies to avoid exaggerated foreign body reaction in the treatment of hernias is the limitation of the amount of polypropylene or the use of absorbable material.

    Aim: To evaluate the healing of defects in the abdominal wall of rats, comparing microporous polypropylene, macroporous polypropylene and polypropylene/polyglecaprone at the 30º, 60º and 120º postoperative day.

    Methods: Wistar rats were submitted to defect production in the ventral abdominal wall, with integrity of the parietal peritoneum. Read More

    A PICTORIAL PRESENTATION OF ESOPHAGEAL HIGH RESOLUTION MANOMETRY CURRENT PARAMETERS.
    Arq Bras Cir Dig 2017 Jan-Mar;30(1):69-71
    Department of Surgery, University of North Carolina at Chapel Hill, Chapel Hill, USA.
    Introduction:: High resolution manometry is the current technology used to the study of esophageal motility and is replacing conventional manometry in important centers for esophageal motility with parameters used on esophageal motility, following the Chicago Classification. This classification unifies high resolution manometry interpretation and classifies esophageal disorders.

    Objective:: This review shows, in a pictorial presentation, the new parameters established by the Chicago Classification, version 3. Read More

    THE IMPACT OF THE MELD SCORE ON LIVER TRANSPLANT ALLOCATION AND RESULTS: AN INTEGRATIVE REVIEW.
    Arq Bras Cir Dig 2017 Jan-Mar;30(1):65-68
    Instituto Israelita Albert Einstein, São Paulo, SP, Brazil.
    Introduction:: Liver transplantation is intended to increase the survival of patients with chronic liver disease in terminal phase, as well as improved quality of life. Since the first transplant until today many changes have occurred in the organ allocation system.

    Objective:: To review the literature on the Model for End-stage Liver Disease (MELD) and analyze its correlation with survival after liver transplantation. Read More

    NEW TECHNIQUE FOR OBESITY SURGERY: INTERNAL GASTRIC PLICATION TECHNIQUE USING INTRAGASTRIC SINGLE-PORT (IGS-IGP) IN EXPERIMENTAL MODEL.
    Arq Bras Cir Dig 2017 Jan-Mar;30(1):60-64
    Center for Innovative Surgery (ZIC), Center for Bariatric and Metabolic Surgery, Department of General, Visceral and Transplant Surgery, Campus Virchow Klinikum and Department of General, Visceral, Vascular and Thoracic Surgery, Campus Mitte, Charité-Universitätsmedizin, Berlin, Germany.
    Background:: Bariatric surgery is currently the most effective method to ameliorate co-morbidities as consequence of morbidly obese patients with BMI over 35 kg/m2. Endoscopic techniques have been developed to treat patients with mild obesity and ameliorate comorbidities, but endoscopic skills are needed, beside the costs of the devices.

    Aim:: To report a new technique for internal gastric plication using an intragastric single port device in an experimental swine model. Read More

    LAPAROSCOPIC REPAIR OF LUMBAR HERNIA (GRYNFELT): TECHNICAL DESCRIPTION.
    Arq Bras Cir Dig 2017 Jan-Mar;30(1):56-59
    Nossa Senhora das Graças Hospital.
    Background:: Lumbar hernias are rare. Usually manifest with reducible volume increase in the post-lateral region of the abdomen and may occur in two specific anatomic defects: the triangles of Grynfelt (upper) and Petit (lower). Despite controversies with better repair, laparoscopic approach, following the same principle of the treatment of inguinal hernias, seems to present significant advantages compared to conventional/open surgeries. Read More

    ALTERNATIVE TECHNIQUE FOR CHOLECYSTECTOMY COMPARABLE TO SINGLE PORT.
    Arq Bras Cir Dig 2017 Jan-Mar;30(1):53-55
    Hospital Santa Cruz, Hospital Vita Batel and Clínica Los Angeles (Santa Cruz Hospital, Vita Batel Hospital and Los Angeles Clinic), Curitiba, PR, Brazil.
    Background:: With the advancement of laparoscopic surgery, new techniques have been proposed and disseminated in order to reduce the surgical aggression and get better cosmetic results.

    Aim:: To present alternative technique for videocholecystectomy comparable to single port technique using conventional material for laparoscopic surgery.

    Method:: Introduction of laparoscopic devices using two incisions; gallbladder traction with thread, exposition of Calot triangle, and ligature of cystic pedicle with polymer clips. Read More

    MODIFIED ALVARADO SCORE IN CHILDREN WITH DIAGNOSIS OF APPENDICITIS.
    Arq Bras Cir Dig 2017 Jan-Mar;30(1):51-52
    Department of Pediatric Surgery, Imam Khomeini Hospital.
    Background:: Appendicitis is one of the most common abdominal emergency. Some predictive scoring systems are recommended to decrease the rate of negative appendectomy.

    Aim:: To evaluate sensitivity, specificity, positive predictive value, and negative predictive value of modified Alvarado score in children who underwent appendectomy. Read More

    MORTALITY OF URGENCY VERSUS ELECTIVE VIDEOLAPAROSCOPIC CHOLECYSTECTOMY FOR ACUTE CHOLECYSTITIS.
    Arq Bras Cir Dig 2017 Jan-Mar;30(1):47-50
    Bahiana Medical School and Public Health, Salvador, BA, Brazil.
    Background:: Surgical approach is still controversial in patients with acute cholecystitis: to treat clinically the inflammatory process and operate electively later or to operate immediately on an emergency basis?

    Aim:: To test the hypothesis that urgent laparoscopic cholecystectomy in acute cholecystitis has a higher mortality than elective laparoscopic cholecystectomy.

    Methods:: From the data available in Datasus, mortality was compared between patients undergoing elective laparoscopic cholecystectomy for cholelithiasis and in urgency. Calculations were made of the relative reduction in risk of death, absolute reduction of risk of death and number needed to treat. Read More

    Angiolymphatic invasion as a prognostic fator in resected N0 pancreatic adenocarcinoma.
    Arq Bras Cir Dig 2017 Jan-Mar;30(1):42-46
    Discipline of Surgery of the Pancreas and Biliary System, Department of Surgery, Brotherhood of Santa Casa de São Paulo, São Paulo, SP, Brasil.
    Background:: Pancreatic adenocarcinoma remains one of the worst digestive cancers. Surgical resection is the main target when treating a patient with curative intent.

    Aim:: To assess angiolymphatic invasion as a prognostic factor in resected pN0 pancreatic cancer. Read More

    PREOPERATIVE COMPUTED TOMOGRAPHY VOLUMETRY AND GRAFT WEIGHT ESTIMATION IN ADULT LIVING DONOR LIVER TRANSPLANTATION.
    Arq Bras Cir Dig 2017 Jan-Mar;30(1):38-41
    Digestive Organ Transplantation Division, Department of Gastroenterology, Faculty of Medicine, University of São Paulo, São Paulo, SP, Brazil.
    Background:: Computed tomography volumetry (CTV) is a useful tool for predicting graft weights (GW) for living donor liver transplantation (LDLT). Few studies have examined the correlation between CTV and GW in normal liver parenchyma.

    Aim:: To analyze the correlation between CTV and GW in an adult LDLT population and provide a systematic review of the existing mathematical models to calculate partial liver graft weight. Read More

    ANATOMIC VARIATIONS OF HEPATIC ARTERY: A STUDY IN 479 LIVER TRANSPLANTATIONS.
    Arq Bras Cir Dig 2017 Jan-Mar;30(1):35-37
    University Hospital Oswaldo Cruz, Faculty of Medical Sciences of Pernambuco University, Recife, PE, Brazil.
    Background:: The incidence of anatomic variations of hepatic artery ranges from 20-50% in different series. Variations are especially important in the context of liver orthotopic transplantation, since, besides being an ideal opportunity for surgical anatomical study, their precise identification is crucial to the success of the procedure.

    Aim:: To identify the anatomical variations in the hepatic arterial system in hepatic transplantation. Read More

    DETECTION OF OCCULT LYMPH NODE TUMOR CELLS IN NODE-NEGATIVE GASTRIC CANCER PATIENTS.
    Arq Bras Cir Dig 2017 Jan-Mar;30(1):30-34
    Hospital das Clínicas.
    Background:: The presence of lymph nodes metastasis is one of the most important prognostic indicators in gastric cancer. The micrometastases have been studied as prognostic factor in gastric cancer, which are related to decrease overall survival and increased risk of recurrence. However, their identification is limited by conventional methodology, since they can be overlooked after routine staining. Read More

    DIFFERENT PROTOCOLS OF POSTCONDITIONING DOES NOT ATTENUATE MESENTERIC ISCHEMIA-REPERFUSION INJURY AFTER SHORT-TERM REPERFUSION.
    Arq Bras Cir Dig 2017 Jan-Mar;30(1):27-29
    Laboratory of Experimental Surgery, Faculty of Medicine, State University of Pará - UEPA, Belém, PA, Brazil.
    Background:: Mesenteric ischemia is a challenging diagnosis. Delay in diagnosis can lead to extent bowel necrosis and poor outcomes. Ischemia and reperfusion syndrome plays an important role in this scenario. Read More

    HYPERVASCULAR LIVER LESIONS IN RADIOLOGICALLY NORMAL LIVER.
    Arq Bras Cir Dig 2017 Jan-Mar;30(1):21-26
    Gastrocentro Clinic and Clinic for Digestive Tract Surgery and Hepato-biliary-pancreatic Surgery, Onofre Lopes University Hospital, Federal University of Rio Grande do Norte, Natal, RN, Brazil.
    Background:: The hypervascular liver lesions represent a diagnostic challenge.

    Aim:: To identify risk factors for cancer in patients with non-hemangiomatous hypervascular hepatic lesions in radiologically normal liver.

    Method:: This prospective study included patients with hypervascular liver lesions in radiologically normal liver. Read More

    ENDOSCOPIC SLEEVE GASTROPLASTY FOR OBESITY TREATMENT: TWO YEARS OF EXPERIENCE.
    Arq Bras Cir Dig 2017 Jan-Mar;30(1):18-20
    Bariatric Endoscopy Unit, Madrid Sanchinarro University Hospital, Madrid, Spain.
    Background:: Bariatric endoscopic techniques are minimally invasive and induce gastric volume reduction to treat obesity. Aim : To evaluate endoscopic sleeve gastroplasty (Apollo method) using a suturing method directed at the greater curvature, as well as the perioperative care, two year safety and weight loss.

    Method:: Prospective single-center study over 154 patients (108 females) using the endoscopic sleeve gastroplasty procedure under general anesthesia with overnight inpatient observation. Read More

    QUALITY OF LIFE AFTER VERTICAL GASTRECTOMY EVALUATED BY THE BAROS QUESTIONNAIRE.
    Arq Bras Cir Dig 2017 Jan-Mar;30(1):14-17
    Department of Medicine, Regional University of Blumenau.
    Background:: The satisfactory outcome in the surgical treatment of obesity must include, in addition to weight loss, a significant change in the pre-existing comorbidities and in the quality of life.

    Aim:: To evaluate the quality of life in the late postoperative period in patients that underwent videolaparoscopic sleeve gastrectomy.

    Methods:: It was applied the questionnaire "Bariatric Analysis and Reporting Outcome System" (BAROS) in patients that underwent videolaparoscopic sleeve gastrectomy. Read More

    NUTRITIONAL ASPECTS AND THE USE OF NUTRITIONAL SUPPLEMENTS BY WOMEN WHO UNDERWENT GASTRIC BYPASS.
    Arq Bras Cir Dig 2017 Jan-Mar;30(1):11-13
    Clínica Baretta, Curitiba, PR, Brazil.
    Background:: Bariatric surgery is deemed one of the most effective procedures for the treatment of obesity and it aims at the reduction and maintenance of weight loss in long term, as the control of the related comorbidities.

    Aim:: Quantify the occurrence of alterations of the gastrointestinal tract, suggestive signs of nutritional deficiencies and the use of supplements in a group of women undergoing bariatric surgery.

    Methods:: The sample consisted of women aged 20-65 years submitted to Roux-en-Y gastric bypass with monitoring equal to or higher than 24 months. Read More

    CHANGING PARADIGMS IN PREOPERATIVE FASTING: RESULTS OF A JOINT EFFORT IN PEDIATRIC SURGERY.
    Arq Bras Cir Dig 2017 Jan-Mar;30(1):7-10
    Faculty of Medicine, University Center of Varzea Grande, Várzea Grande, MT, Brazil.
    Background:: Current researches associate long fasting periods to several adverse consequences. The fasting abbreviation to 2 h to clear liquids associated with the use of drinks containing carbohydrates attenuates endocrinometabolic response to surgical trauma, but often is observed children advised to not intake food from 00:00 h till the scheduled surgical time, regardless of what it is.

    Aim:: To evaluate the safety of a protocol of preoperative fasting abbreviation with a beverage containing carbohydrates, and early postoperative feeding in children underwent elective small/mid-size surgical procedures during a national task-force on pediatric surgery. Read More

    PREVALENCE AND PREDICTORS OF CHANGES IN BOWEL HABITS AFTER LAPAROSCOPIC CHOLECYSTECTOMY.
    Arq Bras Cir Dig 2017 Jan-Mar;30(1):3-6
    Edmundo Vasconcelos Hospital Complex, São Paulo, SP, Brazil.
    Background:: The incidence of cholecystolithiasis is approximately 15% of the population. It is believed that between 30-40% of cholecystectomy patients have symptoms after surgery, being changes in bowel habits the most common among them.

    Aim:: 1) Defining the prevalence, and 2) identifying predictors of changes in bowel habits after laparoscopic cholecystectomy. Read More


    ROBOTIC SURGERY: BIOETHICAL ASPECTS.
    Arq Bras Cir Dig 2016 Nov-Dec;29(4):287-290
    Nucleus of Medical Sciences Studies, Dynamics Faculty of Piranga Valley, Ponte Nova, MG, Brazil.
    Introduction:: The use of robots in surgery has been increasingly common today, allowing the emergence of numerous bioethical issues in this area.

    Objective:: To present review of the ethical aspects of robot use in surgery.

    Method:: Search in Pubmed, SciELO and Lilacs crossing the headings "bioethics", "surgery", "ethics", "laparoscopy" and "robotic". Read More

    USE OF TRANEXAMIC ACID IN TRAUMA PATIENTS: AN ANALYSIS OF COST-EFFECTIVENESS FOR USE IN BRAZIL.
    Arq Bras Cir Dig 2016 Nov-Dec;29(4):282-286
    Division of Gastrointestinal Surgery and Liver and Pancreas Transplantation, Hospital de Clínicas de Porto Alegre, Federal University of Rio Grande do Sul.
    Introduction:: Use of tranexamic acid (TXA) in trauma has been the subject of growing interest by researchers and health professionals. However, there are still several open questions regarding its use. In some aspects medical literature is controversial. Read More

    TECHNOLOGICAL INFORMATION REGARDING PREBIOTICS AND PROBIOTICS NUTRITION VERSUS THE PATENT REGISTERS: WHAT IS NEW?
    Arq Bras Cir Dig 2016 Nov-Dec;29(4):279-281
    Master of Surgery and Experimental Research, State University of Pará - UEPA, Belém, PA, Brazil.
    Introduction:: Food is a key factor both in prevention and in promoting human health. Among the functional food are highlighted probiotics and prebiotics. Patent databases are the main source of technological information about innovation worldwide, providing extensive library for research sector. Read More

    SERUM LEPTIN LEVENS AND HEPATOCELLULAR CARCINOMA: REVIEW ARTICLE.
    Arq Bras Cir Dig 2016 Nov-Dec;29(4):276-278
    Postgraduate Program in Science in Gastroenterology and Hepatology, Federal University of Rio Grande do Sul, Porto Alegre, RS, Brazil.
    Introduction:: Hepatocellular carcinoma is one of the most frequent types of malignant tumors in the world. There is growing evidence of the relationship between it development and obesity. The mechanism that links obesity to cancer is still not fully understood; however, it is essential to the understanding the adipose tissue in metabolic changes related to obesity and hepatocellular carcinoma. Read More

    GLP-2: A POORLY UNDERSTOOD MEDIATOR ENROLLED IN VARIOUS BARIATRIC/METABOLIC SURGERY-RELATED PATHOPHYSIOLOGIC MECHANISMS.
    Arq Bras Cir Dig 2016 Nov-Dec;29(4):272-275
    Department of Surgery.
    Introduction:: Glucagon-like peptide-2 (GLP-2) is a gastrointestinal hormone whose effects are predominantly trophic on the intestinal mucosa.

    Aim:: Critically evaluate the current literature on the influence of bariatric/metabolic surgery on the levels of GLP-2 and its potential clinical implications.

    Method: s: Narrative review through online research on the databases Medline and Lilacs. Read More

    AN INNOVATIVE EX-VIVO MODEL FOR RAPID CHANGE OF THE PAPILLA FOR TEACHING ADVANCED ENDOSCOPIC RETROGRADE CHOLANGIOPANCREATOGRAPHY PROCEDURES.
    Arq Bras Cir Dig 2016 Nov-Dec;29(4):269-271
    Postgraduate Program, Departament of Surgery, University of São Paulo, São Paulo, SP, Brazi.
    Background:: Models for endoscopic retrograde cholangiopancreatography training allow practice with an expert feedback and without risks. A method to rapidly exchange the papilla can be time saving and accelerate the learning curve.

    Aim:: To demonstrate a newly method of rapid exchange papilla in ex-vivo models to teach retrograde cholangiopancreatography advanced procedures. Read More

    SEDATION IN COLONOSCOPY BY USING THREE DIFFERENT PROPOFOL INFUSION METHODS AND ANALYSIS OF PLASMA CONCENTRATION LEVELS: A PROSPECTIVE COMPARATIVE STUDY.
    Arq Bras Cir Dig 2016 Nov-Dec;29(4):264-268
    Department of Surgery.
    Background:: The propofolemia becomes directly linked to the clinical effects of this anesthetic and is the focus for studies comparing propofol clinical use, in different administration methods routinely used in endoscopy units where sedation is widely administered to patients.

    Aim:: To evaluate the effects of three different regimens of intravenous propofol infusion in colonoscopies.

    Methods:: A total of 50 patients that underwent colonoscopies were consecutively assigned to three groups: 1) intermittent bolus infusion; 2) continuous manually controlled infusion; 3) continuous automatic infusion. Read More

    CORRELATION OF NON-ALCOHOLIC FATTY LIVER DISEASE AND FEATURES OF METABOLIC SYNDROME IN MORBIDLY OBESE PATIENTS IN THE PREOPERATIVE ASSESSMENT FOR BARIATRIC SURGERY.
    Arq Bras Cir Dig 2016 Nov-Dec;29(4):260-263
    Andarai Federal Hospital, Department of Bariatric and Metabolic Surgery, Rio de Janeiro.
    Background:: Obesity is an epidemic and chronic disease that can bring other comorbidities to the patient. Non-alcoholic fatty liver disease is present in up to 90% of these patients and can progress to hepatitis and hepatocarcinoma. The relationship of this liver disease and obesity is already well known; however, it is possible that some parameters of the comorbidities are more related than others in the pathophysiology of the disease. Read More

    CORRELATION BETWEEN PRE AND POSTOPERATIVE LEVELS OF GLP-1/GLP-2 AND WEIGHT LOSS AFTER ROUX-EN-Y GASTRIC BYPASS: A PROSPECTIVE STUDY.
    Arq Bras Cir Dig 2016 Nov-Dec;29(4):257-259
    Department of Surgery.
    Background:: The role of gut hormones in glucose homeostasis and weight loss achievement and maintenance after bariatric surgery appears to be a key point in the understanding of the beneficial effects observed following these procedures.

    Aim:: To determine whether there is a correlation between the pre and postoperative levels of both GLP-1 and GLP-2 and the excess weight loss after Roux-en-Y gastric bypass (RYGB).

    Methods:: An exploratory prospective study which enrolled 11 individuals who underwent RYGB and were followed-up for 12 months. Read More

    PRELIMINARY ANALYSIS OF INTERLEUKIN-6 CHANGES IN PRE- AND POSTOPERATIVE IN DIABETIC PATIENTS WITH BMI<35 SUBMITTED TO PARTIAL DUODENAL SWITCH.
    Arq Bras Cir Dig 2016 Nov-Dec;29(4):252-256
    Postgraduate Program in Principles of Surgery, Evangelic Faculty of Paraná/University Evangelic Hospital of Curitiba/Medical Research Institute, Curitiba, PR, Brazil.
    Background:: Studies related to obesity have shown association with metabolic syndrome. Data showing that obesity is capable to cause low grade chronic inflammation, without its classic signs and symptoms, call attention to researches to study different cells types and the mechanism of the inflammatory process.

    Aim:: To evaluate the variation of glycated hemoglobin (HbA1c) and the pro-inflammatory cytokine interleukin-6 (IL6) in diabetic patients with BMI <35 kg/m2 in the pre and postoperative of partial duodenal switch. Read More

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