Results of Laparoscopic Sleeve Gastrectomy—5-Year Follow-Up Study in an Eastern European Emerging Bariatric Center

Section: Immunohistochemistry Of CD 68 and Ghs-rmentioning

confidence: 99%

Immunohistochemical Expression of Growth Hormone Secretagogue Receptor (GSH-R) of Adipose Tissue Macrophagesin Obese Bariatric Patients

Timofte¹,

Mocanu²,

Eloae³

et al. 2019

“…In a recently published meta-analysis comparing surgery with PAIR in 1721 patients, the latter has been shown to have fewer major (25.1% vs 7.9%) and minor (33.0% vs 13.1%) complications and fewer recurrence rates (6.3% vs 1.6%) [31]. This could be also correlated in some small degree with others results, including the latest interest of our group in a multidisciplinary approach on laparoscopic surger y and metabolic dysfunctions associated deficits [37][38][39][40][41][42], especially considering that percutaneous aspiration-injection-reaspiration of hepatic cystic echinococcosis can be indeed associated with a multitude of other manifestations [43].…”

Section: Resultsmentioning

confidence: 82%

Percutaneous Aspiration-Injection-Reaspiration of Hepatic Cystic Echinococcosis

Papancea¹,

Georgescu²,

Vintila³

et al. 2019

Human echinococcosis is a zoonotic infection caused by larval forms (metacestodes)of the tapeworm of the genus echinococcus found in the small intestines of carnivores. Humans are only incidentally infected. The liver is the most frequent site for the cystic lesions seen in hydatid disease, followed by the lung, the brain, and other visceral. Surgery is the recommended treatment for hepatic hydatid cysts. However, drug therapy and percutaneousdrainage have recently been introduced as alternative treatments. We present the case of a 68 year old female pacient that admitted in our clinic for pain in the superior abdominal region. The ecography performed revealed a large cystic formation about 700 mL with a diameter of 10 cm in the right lobe of the liver. We performed a Percutaneous Aspiration-Injection-Reaspiration Drainage (PAIR) under Albendazol treatment before and after the procedure without any incidents. The histopathological examination concluded the diagnosis of hydatid hepatic cyst. Percutaneous drainage is minimally invasive and very effective in the treatment of hepatic hydatidosis. Percutaneous aspiration of a documented or suspected hydatid cyst was long considered to be contraindicated to avoid the risk of leakage of cyst contents, which can lead to anaphylaxis and seeding of intraperitoneal structures. In the our case report the hydatid hepatic cyst was a large univezicular cyst, with a approachable localization in the liver, on a pacient without any other medical problems that was suitable for PAIR, and after the procedure we didn�t identified any of the complication reported in literature. The effectiveness of PAIR method allowed a short period of hospitalization with ambulatory follow up with benefits on the both sides , the pacient social integration and medical system economy.

“…One of the possible mechanisms which might explain a link between obesity and periodontitis includes liver disorders [34,35], the fact that the adipose tissue secretes pro-inflammatory cytokine which can be molecules that engages the pathogenesis of these diseases. The association between IMC and the tumour necrosis factorα (TNF-α) in the fluid of the gingival portion suggests that the TNF-á in this fluid is derived from the adipose tissue in the obese patients [36,37]. Moreover, it has been suggested that there is an increase in the serous level of interleukin 6 and resistin, both secreted as adipocytes and associated with periodontitis.…”

Section: Resultsmentioning

confidence: 99%

Relationship Between Obesity and Periodontal Disease after Minimally Invasive Sleeve Gastrostomy

Bereşescu¹,

Sala²,

Ion³

et al. 2019

Obesity is a complex and multifactorial disease. Its relationship with periodontal disease and other chronic diseases is well documented but the underlying mechanism is under investigation. It is quite difficult to say whether obesity predisposes an individual to periodontal disease or periodontal disease affects lipid metabolism, or both. The purpose of the study consists in evaluating the periodontal clinical parameters in obese patients diagnosed with chronic periodontitis, before and after surgical treatment of obesity through the procedure called gastric sleeve Our study consists of a group of 38 patients diagnosed with morbid obesity who were surgically treated by gastric sleeve surgery at the Surgery Department II of the County Emergency Clinical Hospital Targu Mures. Patients with pre-operative and psot-operative examination at 3 months and 6 months respectively in which either periodontal index were index of plaque, index of probing depth and index of bleeding on probing. Correlations between parondontal clinical indexes (PD, PI, BOP) were calculated before and after gastric sleeve at 3 and 6 months respectively. The bleeding on probing index (BOP) reveals a complete decrease in postoperative bleeding time. Patients at 3 months experience minor bleeding during testing and no longer showing bleeding at 6 months. The results provide evidence that there is a link between obesity and periodontitis, however the risk factors that aggravate these diseases should be clarified to elucidate the direction of this association.