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

    1 OF 12

    THE ROLE OF THE SLEEVE GASTRECTOMY AND THE MANAGEMENT OF TYPE 2 DIABETES.
    Arq Bras Cir Dig 2017 Oct-Dec;30(4):283-286
    Departament of Postgraduate in Industrial Biotechnology.
    Background: Currently, bariatric surgery has promoted weight loss and improved glycemic control in obese patients through different techniques, including vertical sleeve gastrectomy.

    Aim: Present and update the different vertical sleeve gastrectomy ways of action, both in the treatment of obesity and diabetes, approaching its potential effect on gastrointestinal physiology, as well as the benefits achieved by this manipulation.

    Methods: Pubmed database search was used crossing the headings: obesity, type 2 diabetes and sleeve gastrectomy. Read More

    FUNDOPLICATION CONVERSION IN ROUX-EN-Y GASTRIC BYPASS FOR CONTROL OF OBESITY AND GASTROESOPHAGEAL REFLUX: SYSTEMATIC REVIEW.
    Arq Bras Cir Dig 2017 Oct-Dec;30(4):279-282
    Post-Graduation Program in Surgery, Federal University of Pernambuco, Recife, PE.
    Introduction: Obesity is related with higher incidence of gastroesophageal reflux disease. Antireflux surgery has inadequate results when associated with obesity, due to migration and/or subsequent disruption of antireflux wrap. Gastric bypass, meanwhile, provides good control of gastroesophageal reflux. Read More

    HEPATOCELLULAR CARCINOMA: DIAGNOSIS AND OPERATIVE MANAGEMENT.
    Arq Bras Cir Dig 2017 Oct-Dec;30(4):272-278
    Unit of Hepatobiliary Surgery and Liver and Pancreas Transplantation, Division of Gastrointestinal Surgery.
    Introduction: Hepatocellular carcinoma is an aggressive malignant tumor with high lethality.

    Aim: To review diagnosis and management of hepatocellular carcinoma.

    Methods: Literature review using web databases Medline/PubMed. Read More

    SINGLE ANASTOMOSIS GASTRIC BYPASS (ONE ANASTOMOSIS GASTRIC BYPASS OR MINI GASTRIC BYPASS): THE EXPERIENCE WITH BILLROTH II MUST BE CONSIDERED AND IS A CHALLENGE FOR THE NEXT YEARS.
    Arq Bras Cir Dig 2017 Oct-Dec;30(4):267-271
    Department of Surgery, Faculty of Medicine, University of Chile, Hospital José Joaquin Aguirre, Santiago, Chile.
    Introduction: Single anastomosis gastric bypass (one anastomosis gastric bypass or mini-gastric bypass) has been presented as an option of surgical treatment for obese patients in order to reduce operation time and avoiding eventual postoperative complications after Roux-en-Y gastric bypass.The main late complication could be related to bile reflux.

    Aim: To report the experiences published after Billroth II anastomosis and its adverse effects regarding symptoms and damage on the gastric and esophageal mucosa . Read More

    MINI-GASTRIC BYPASS: DESCRIPTION OF THE TECHNIQUE AND PRELIMINARY RESULTS.
    Arq Bras Cir Dig 2017 Oct-Dec;30(4):264-266
    Department of Surgery, Faculty of Medical Sciences, State University of Campinas - UNICAMP, Campinas.
    Background: In recent years, a surgical technique known as single-anastomosis gastric bypass or mini-gastric bypass has been developed. Its frequency of performance has increased considerably in the current decade.

    Aim: To describe the mini-gastric bypass technique, its implementation and preliminary results in a university hospital. Read More

    MODIFIED HEIDELBERG TECHNIQUE FOR PANCREATIC ANASTOMOSIS.
    Arq Bras Cir Dig 2017 Oct-Dec;30(4):260-263
    Department of Surgical Oncology, Tata Memorial Centre Hospital, Mumbai, India.
    Background: Pancreatic fistula is a major cause of morbidity and mortality after pancreatoduodenectomy. To prevent this complication, many technical procedures have been described.

    Aim: To present a novel technique based on slight modifications of the original Heidelberg technique, as new pancreatojejunostomy technique for reconstruction of pancreatic stump after pancreatoduodenectomy and present initial results. Read More

    TEACHING MODEL FOR EVALUATION OF THE ABILITY AND COMPETENCE PROGRESS IN ENDOSUTURE IN SURGICAL SKILL LABORATORY.
    Arq Bras Cir Dig 2017 Oct-Dec;30(4):256-259
    Laboratory of Surgical Skills, Nucleus of Experimental Surgery, Hospital das Clínicas, Federal University of Pernambuco, Recife, PE, Brazil.
    Background: Laparoscopic manual suturing is probably the most difficult skill to be acquired in minimally invasive surgery. However, laparoscopic exercise endo-sutures can be learned with a simulator and are of great practical importance and clinical applicability, absorbing concepts that are immediately transferred to the operating room.

    Aim: To assess the progression of skills competence in endo-sutures through realistic simulation model of systematized education. Read More

    THE RELATION AMONG THE PHYSICAL ACTIVITY LEVEL DURING LEISURE TIME, ANTHROPOMETRY, BODY COMPOSITION, AND PHYSICAL FITNESS OF WOMEN UNDERWENT OF BARIATRIC SURGERY AND AN EQUIVALENT GROUP WITH NO SURGERY.
    Arq Bras Cir Dig 2017 Oct-Dec;30(4):252-255
    Physical Education Department, State University of Maringá, Maringá, PR.
    Background: Bariatric surgery is an alternative to the obesity treatment.

    Aim: To compare anthropometric variables such as body composition and physical fitness of those who performed Roux-en-Y gastric bypass.

    Methods: Were evaluated 108 women. Read More

    QUALITY OF LIFE AFTER VERTICAL GASTRECTOMY EVALUATED BY THE BAROS QUESTIONNAIRE.
    Arq Bras Cir Dig 2017 Oct-Dec;30(4):248-251
    Digestive System Surgery, Clinic VIDAR, Blumenau, SC, Brazil.
    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 of the patients.

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

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

    PRE AND POSTOPERATIVE PH MONITORING AND WEIGHT LOSS ANALYSIS IN PATIENTS UNDERGOING GASTRIC PLICATION IN ASSOCIATION WITH FUNDOPLICATION.
    Arq Bras Cir Dig 2017 Oct-Dec;30(4):244-247
    General Surgery and Obesity Service, Sugisawa Hospital, Curitiba, PR, Brazil.
    Background: Obese patients with gastroesophageal reflux disease with pathological pH monitoring result may benefit from surgical treatment which is based on the fundoplication technique in association with laparoscopic gastric plication. The Nissen surgery is the gold standard for surgical treatment of gastroesophageal reflux disease, whereas laparoscopic gastric plication is a restrictive surgery that consists of the invagination of the greater curvature, resulting in weight loss.

    Aim: To compare pre and postoperative pHmetry results and to evaluate weight loss in patients submitted to gastroplasty with fundoplication. Read More

    EFFECTS OF COLD ISCHEMIA TIME ON HEPATIC ALLOGRAFT FUNCTION.
    Arq Bras Cir Dig 2017 Oct-Dec;30(4):239-243
    Clinical Hospital Complex, Hepatic Transplantation Service.
    Background: Cold ischemia time is related to success of liver transplantation.

    Aim: To compare the impact of cold ischemia time on allografts locally collected to those collected distantly.

    Methods: Were evaluated 83 transplantations. Read More

    INTERESFINCTERIAL LIGATION OF FISTULA TRACT (LIFT) FOR PATIENTS WITH ANAL FISTULAS: A BRAZILIAN BI-INSTITUTIONAL EXPERIENCE.
    Arq Bras Cir Dig 2017 Oct-Dec;30(4):235-238
    Coloproctology, Hospital Israelita Albert Einstein, São Paulo, SP.
    Background: The best treatment for anal fistula should extirpate infection and promote healing of the tract, whilst preserving the anal sphincter complex and full continence.

    Aim: To analyze the success rate after a modified technique for ligation of the intersphincteric fistula tract (LIFT) for patients with anal fistulas.

    Methods: A prospective (observational cohort study) Brazilian bi-institutional experience with a modified (ligation of the intersphincteric fistula tract without excision) LIFT technique was undertaken. Read More

    COLOSTOMY CLOSURE: RISK FACTORS FOR COMPLICATIONS.
    Arq Bras Cir Dig 2017 Oct-Dec;30(4):231-234
    Department of Surgery, University of Santo Amaro, São Paulo, SP, Brazil.
    Background: : The restoration of intestinal continuity is an elective procedure that is not free of complications; on the contrary, many studies have proven a high level of morbidity and mortality. It is multifactorial, and has factors inherent to the patients and to the surgical technique.

    Aim: : To identify epidemiological features of patients that underwent ostomy closure analyzing the information about the surgical procedure and its arising complications. Read More

    OPEN, LAPAROSCOPIC, AND ROBOTIC-ASSISTED HEPATECTOMY IN RESECTION OF LIVER TUMORS: A NON-SYSTEMATIC REVIEW.
    Arq Bras Cir Dig 2017 Apr-Jun;30(2):155-160
    Department of Surgery, Gynecology, Obstetrics and Propedeutics, School of Medicine, Federal University of Ouro Preto, Ouro Preto, MG, Brazil.
    Introduction: Several factors have made hepatectomy an increasingly safe surgery and new drugs allowed surgical treatment for patients who initially were not candidates for resection. Lesions often require resection, which can be performed by open, laparoscopic, or robotic assisted hepatectomy.

    Aim: Compare the surgical techniques in open, laparoscopic, and robotic assisted hepatectomy for resection of liver tumors. Read More

    GASTRIC NEUROENDOCRINE TUMOR: REVIEW AND UPDATE.
    Arq Bras Cir Dig 2017 Apr-Jun;30(2):150-154
    School of Medicine, University of São Paulo, São Paulo, SP, Brazil.
    Introduction: The frequency of gastric neuroendocrine tumors is increasing. Reasons are the popularization of endoscopy and its technical refinements. Despite this, they are still poorly understood and have complex management. Read More

    LAPAROSCOPIC UNCINATECTOMY: A MORE CONSERVATIVE APPROACH TO THE UNCINATE PROCESS OF THE PANCREAS.
    Arq Bras Cir Dig 2017 Apr-Jun;30(2):147-149
    Department of Surgery, School of Medicine, University of São Paulo, São Paulo, SP, Brazil.
    Background: The isolate resection of the uncinate process of the pancreas is a rarely described procedure but is an adequate surgery to treat benign and low grade malignancies of the uncinate process of the pancreas.

    Aim: To detail laparoscopic uncinatectomy technique and present the initial results.

    Method: Patient is placed in supine position with the surgeon between legs. Read More

    LAPAROENDOSCOPIC TRANSGASTRIC RESECTION OF SUBEPITHELIAL JUXTACARDIAC TUMORS.
    Arq Bras Cir Dig 2017 Apr-Jun;30(2):143-146
    Kaiser Clinic and Hospital, Endoscopy, São José do Rio Preto, SP, Brazil.
    Background: With a prevalence of 0.4-3.5%, subepithelial lesions of the upper digestive tract are discovered during endoscopic procedures. Read More

    THE VULKAN TECHNIQUE: A NOVEL OSTOMY-CLOSURE TECHNIQUE THAT REDUCES COMPLICATIONS AND OPERATIVE TIMES.
    Arq Bras Cir Dig 2017 Apr-Jun;30(2):139-142
    Center of Innovative Surgery (ZIC), Department of Surgery, Campus Virchow Klinikum and Campus Mitte, Charité-Universitätsmedizin Berlin, Berlin, Germany.
    Background: Ostomy reversals remain at high risk for surgical complications. Indeed, surgical-side infections due to bacterial contamination of the stoma lead to revision surgery and prolonged hospital stay.

    Aim: To describe the novel vulkan technique of ostomy reversal that aims to reduce operative times, surgical complications, and readmission rates. Read More

    EVALUATION OF ENEMAS CONTAINING SUCRALFATE IN TISSUE CONTENT OF MUC-2 PROTEIN IN EXPERIMENTAL MODEL OF DIVERSION COLITIS.
    Arq Bras Cir Dig 2017 Apr-Jun;30(2):132-138
    Laboratory of Medical Research of the Post-Graduation Program in Health Sciences, São Francisco University, Bragança Paulista, SP, Brazil.
    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

    BILIARY COMPLICATIONS AFTER LIVER TRANSPLANTATION.
    Arq Bras Cir Dig 2017 Apr-Jun;30(2):127-131
    Department of Surgery, Clinics Hospital, Federal University of Paraná, Curitiba, PR, Brazil.
    Background: Biliary reconstitution has been considered the Achilles's heel of liver transplantations due to its high rate of postoperative complications.

    Aim: To evaluate the risk factors for occurrence of biliary strictures and leakages, and the most efficient methods for their treatment.

    Method: Of 310 patients who underwent liver transplantation between 2001 and 2015, 182 medical records were retrospectively analyzed. Read More

    FUNCTIONAL AND CELLULAR EVALUATION OF THE LIVER AFTER LOW-POWER LASER STIMULATION DURING SURGERY.
    Arq Bras Cir Dig 2017 Apr-Jun;30(2):122-126
    Methodist University Center - IPA, Laboratory of Toxicology and Mutagenesis, Porto Alegre, RS.
    Background: Partial hepatectomy is a surgical intervention of the liver that can trigger its regenerative process, where the residual lobes deflagrate a compensatory hyperplasia, causing its restoration almost to the original volume. Nevertheless, depending on the extent of liver damage its regeneration might be impaired. The low-power laser has been studied with beneficial results. Read More

    PPH AND BIOLOGICAL GLUE IN PATIENTS WITH HIGH RISK OF BLEEDING IN STAPLED HEMORRHOIDOPEXY.
    Arq Bras Cir Dig 2017 Apr-Jun;30(2):118-121
    Spaulding/Massachusetts General Hospital Labs of Harvard Medical School, Boston, USA.
    Background: Stapled hemorrhoidopexy is a common treatment for grade 3 hemorrhoids. Patients with conditions that increase the risk of bleeding, as cardiac stents usage with clopidogrel bissulfate and liver cirrhosis, should receive an extra care in surgical procedures due to the high risk of bleeding. For this reason and for patients with third degree hemorrhoids we propose the use of stapled hemorrhoidopexy followed by the use of biological glue. Read More

    POLYMORPHISM OF THE COX-2 GENE AND SUSCEPTIBILITY TO COLON AND RECTAL CANCER.
    Arq Bras Cir Dig 2017 Apr-Jun;30(2):114-117
    UNOPAR, Rehabilitation Sciences Center, Londrina, PR, Brazil.
    Background: The colorectal neoplasm is the fourth most common malignancy among males and the third among females. In the Western world is estimated that 5% of the population will develop it, making this disease a major public health problem.

    Aim: To analyze the prevalence of the polymorphism -765G / C region of the COX-2 gene in colorectal cancer patients compared to a control group, analyzing the possible association between this polymorphism and susceptibility to colorectal cancer. Read More

    STEM CELLS HEMATOPOIETIC NICHES AND INFLAMMATORY RESPONSE TO DIFFERENT SYNTHETIC PROSTHESIS IMPLANTED IN RAT WITH INCISIONAL HERNIAS.
    Arq Bras Cir Dig 2017 Apr-Jun;30(2):108-113
    Medical School, Nove de Julho University, São Paulo, SP, Brazil.
    Background: Extramedullary hematopoiesis depends on complex pathophysiological mechanisms linked to hematopoietic stem cells and the proteins considered mediators of the inflammation. The identification of hematopoietic cells outside bone marrow in the adult is an occurrence that can occasionally follows the inflammatory response, was considered a secondary occurrence, but current biomolecular studies have changed that concept.

    Aim: Describe the presence of clusters of precursor cells of platelets (megakaryocytes), and cells of the inflammatory response in the abdominal wall and spleen of rats with experimentally induced incisional hernias and repaired with different synthetic prostheses. Read More

    PROGNOSTIC FACTORS FOR LEFT COLECTOMY FOR COLON CANCER: A TEN YEARS EXPERIENCE OF A SINGLE UNIVERSITY INSTITUTION.
    Arq Bras Cir Dig 2017 Apr-Jun;30(2):103-107
    Gastroenterology Department, Clinic Hospital, University of São Paulo, São Paulo, SP, Brazil.
    Background: Colorectal cancer is the third most common cancer in the world. In Brazil, it is the leading cause of cancer in the gastrointestinal tract.

    Aim: To evaluate the preoperative, perioperative, and postoperative risk factors for recurrence and overall survival of patients with left colon cancer operated during a ten-year period. Read More

    TISSUE EXPRESION OF THE GENES MUTYH AND OGG1 IN PATIENTS WITH SPORADIC COLORECTAL CANCER.
    Arq Bras Cir Dig 2017 Apr-Jun;30(2):98-102
    Faculty of Medical Sciences of the State University of Campinas, Department of Surgery, Campinas, SP.
    Background: MTUYH and OGG1 genes have importance in the base excision repair systems of oxidized DNA bases. Modification of the tissue expression of these genes is related to the increased risk of developing colorectal cancer.

    Aim: To evaluate the tissue expression of MUTYH and OGG1 comparing normal and neoplastic tissues of patients with sporadic colorectal cancer and to correlate it with clinical and histopathological variables. Read More

    IMMUNOMODULATING EFFECTS OF THE PURIFIED HEV B 13 FRACTION ON SEPTIC RATS.
    Arq Bras Cir Dig 2017 Apr-Jun;30(2):93-97
    Laboratory of Experimental and Biotechnological Studies of the Post-Graduate Program in Environmental Sciences and Health, Area V, Campus I, Pontifical Catholic University of Goiás.
    Background: Sepsis is a potentially life-threatening complication of an infection that occurs when chemicals released into the bloodstream to fight the infection trigger inflammatory responses throughout the body, especially in the acute phase of the disease, producing excessive pro-inflammatory cytokines, leading to multiple organ injury and death. The Hev b 13 fraction has demonstrated biological activity capable of inducing IL-10 production and shrinking inflammatory disease lesions.

    Aim: To investigate the immunomodulating effects of the Hev b 13 fraction on septic rats. Read More

    DO THE RADIOLOGICAL CRITERIA WITH THE USE OF RISK FACTORS IMPACT THE FORECASTING OF ABDOMINAL NEUROBLASTIC TUMOR RESECTION IN CHILDREN?
    Arq Bras Cir Dig 2017 Apr-Jun;30(2):88-92
    Postgraduate Program in Interdisciplinary Surgical Science.
    Background: The treatment of neuroblastoma is dependent on exquisite staging; is performed postoperatively and is dependent on the surgeon's expertise. The use of risk factors through imaging on diagnosis appears as predictive of resectability, complications and homogeneity in staging.

    Aim: To evaluate the traditional resectability criteria with the risk factors for resectability, through the radiological images, in two moments: on diagnosis and in pre-surgical phase. Read More

    ANALYSIS OF DOUBLE BALLOON ENTEROSCOPY: INDICATIONS, FINDINGS, THERAPEUTIC AND COMPLICATIONS.
    Arq Bras Cir Dig 2017 Apr-Jun;30(2):83-87
    Serviço de Endoscopia, Hospital Sugisawa (Endoscopy Service, Sugisawa Hospital, Curitiba, PR, Brazil.
    Background: The double balloon enteroscopy is an important method for the endoscopic approach of the small bowel that provides diagnosis and therapy of this segment's disorders, with low complication rate.

    Aim: Analysis of patients undergoing double balloon enteroscopy. The specific objectives were to establish the indications for this method, evaluate the findings by the double balloon enteroscopy, analyze the therapeutic options and the complications of the procedure. Read More

    PERITONEAL ADHESIONS TYPE I, III AND TOTAL COLLAGEN ON POLYPROPYLENE AND COATED POLYPROPYLENE MESHES: EXPERIMENTAL STUDY IN RATS.
    Arq Bras Cir Dig 2017 Apr-Jun;30(2):77-82
    Center for Experimental Research, Hospital de Clínicas de Porto Alegre, Federal University of Rio Grande do Sul, Porto Alegre, RS, Brazil.
    Background: Hernia correction is a routinely performed treatment in surgical practice. The improvement of the operative technique and available materials certainly has been a great benefit to the quality of surgical results. The insertion of prostheses for hernia correction is well-founded in the literature, and has become the standard of treatment when this type of disease is discussed. Read More

    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

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