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  • Indications - Dr Shillingford - Lap Band Florida
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  • In patients with acute cholecystitis, surgery should be performed immediately

    Source: Medical Xpress

    There are no advantages to delaying surgery until antibiotic therapy has been administered for several weeks. After undergoing surgery performed within 24 hours of diagnosis, the patients have fewer complications, are back on their feet earlier, and can leave the hospital more quickly.

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  • GERD prevalence raised even in mild–moderate COPD, bronchiectasis

    Source: News Medical

    Researchers from Australia have found that the rate of gastroesophageal reflux disease (GERD) is twice as high in patients with chronic obstructive pulmonary disease (COPD) or bronchiectasis as in people without lung disease.

    Furthermore, the researchers found evidence for pulmonary aspiration of gastric contents among these patients which, if confirmed in future studies, could support the hypothesis that this contributes to lung disease severity. The study participants were 27 patients with mild or moderate COPD and 27 with moderate or severe bronchiectasis as well as 17 controls.

    Ambulatory 24-hour esophageal pH monitoring showed that 37% of COPD patients and 40% of bronchiectasis patients had reflux compared with 18% of controls. All controls with GERD had asymptomatic distal reflux, while eight COPD patients had distal reflux only and two had proximal and distal reflux. In bronchiectasis, seven patients had distal reflux only, three had proximal and distal reflux, and two had proximal reflux only.

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  • No Major Complications in Most Teens Undergoing Weight-Loss Bariatric Surgery, Study Suggests

    Source: Science Daily

    Most severely obese teenagers who underwent bariatric weight-loss surgery (WLS) experienced no major complications, according to a study published by JAMA Pediatrics, a JAMA Network publication.

    WLS is being used to treat severely obese adolescents but there are limited data about the surgical safety of these procedures. The volume of adolescent WLS in the United States tripled from the late 1990s to 2003 and shows no decline, according to the study background.

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  • Obesity may be caused by ‘hunger gene’

    Source: Medical News Today

    Some people are able to tuck into chocolate every day and not gain weight, while others struggle to keep their weight down regardless of what they eat. Exactly why this is has been unclear, but now researchers point to a genetic mutation as the cause.

    Researchers from the University of Cambridge in the UK say that mutation of a gene called KSR2 may cause continued hunger pangs in patients who are obese, as well as slow their metabolism – the rate at which the body burns calories.

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  • Ventral Hernia Repair: State of the Art, Current Challenges, and Future Directions

    Source: General Surgery News

    In May 2013, LifeCell Corporation sponsored a summit to discuss the evolution of ventral herniorrhaphy since the publication of the Ventral Hernia Working Group’s recommendations on techniques for repair of ventral hernia and grading of risk for surgical site occurrences. This monograph presents key points identified by the summit’s panel of leading surgeons and reviews the challenges and salient questions in ventral hernia repair faced by surgeons today.

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  • Techniques for Using Biologic Mesh in Hernia Repair: Clinical Experience With VERITAS Collagen Matrix

    Source: General Surgery News

    Despite some benefits over synthetic meshes, some biologic meshes possess features, such as a high elastin content or crosslinked rigidity, that make them a less optimal choice for specific procedures. VERITAS is a non-crosslinked biologic mesh comprised of bovine pericardium intended for use in reconstruction of the pelvic floor excluding transvaginal pelvic organ prolapse, the repair of rectal prolapse excluding rectocele, and for use as an implant for the surgical repair of soft tissue deficiencies. VERITAS is designed to provide surgeons an additional option that aims to further reduce operative and postoperative complications related to biologic mesh use. This report describes the use of VERITAS in 3 overall procedure types: hiatal hernia repair; incisional and parastomal hernia repair, and abdominal wall and breast reconstruction including discussion on effective techniques in employing VERITAS mesh.

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  • Tackling abdominal obesity with exercise and nutrition

    Source: Medical News Today

    Lifestyle programs focused on high-intensity interval training combined with nutritional counselling on the Mediterranean diet have shown dramatic results for improving the heart health of people with abdominal obesity, finds a study released at the Canadian Cardiovascular Congress.

    "Each of these lifestyle interventions alone is known to have an impact, but no one has studied them together in a longer term," says Dr. Mathieu Gayda, one of the study’s authors and an exercise physiologist at the Montreal Heart Institute. "Our results show that the combination of the two interventions supersized the benefits to heart health."

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