Metabolic and Bariatric Surgery Outcomes in African American Patients: a Single Institution Experience.

Background: The incidence of obesity in African Americans (AAs) is higher than in non-AA in the USA. Previous studies using large national databases report that AA patients have worse outcomes than non-AA patients.

Objectives: To assess perioperative outcomes among AA patients after MBS at a center of excellence (COE) that serves a large, diverse patient population.

Safety of biliopancreatic diversion with duodenal switch in patients with body mass index less than 50 kg/m.

Introduction: Biliopancreatic diversion with duodenal switch (BPD-DS) has often been reserved for patients with BMI > 50 kg/m. We aim to assess the safety of BPD-DS in patients with morbid obesity (BMI 35 kg/m and < 50 kg/m) using a 150-cm common channel (CC), 150-cm Roux limb, and 60-fr bougie.

Methods: A retrospective review was performed on patients with a BMI < 50 mg/k who underwent a BPD-DS in 2016-2019 at a single institution.

The role of total alimentary limb length in Roux-en-Y gastric bypass: a systematic review.

Background: Roux-en-Y gastric bypass (RYGB) is an established surgical treatment for obesity. Variations in limb length during RYGB procedures have been investigated for optimizing weight loss while minimizing nutritional deficiencies. The role of the total alimentary limb length (TALL; Roux limb plus common channel [CC]), however, is poorly defined.

Safety of Primary Versus Revisional Biliopancreatic Diversion with Duodenal Switch in Patients with Super Obesity Using the MBSAQIP database.

Introduction: For patients with super obesity (BMI > 50 kg/m), biliopancreatic diversion/duodenal switch (BPD/DS) can be an effective bariatric operation. Technical challenges and patient safety concerns, however, have limited its use as a primary procedure. This study sought to assess the safety of primary versus revisional BPD/DS.

[Self-inflicted genital injury].

Self-inflicted injury to external genitalia in men is an uncommon type of trauma. The international and domestic literature report isolated cases of injury to the external genitalia, caused by a patient intending to harm himself. This type of injury often occurs in patients with mental disorders.

Adenocarcinoma arising at ileostomy sites: Two cases and a review of the literature.

Total colectomy with ileostomy placement is a treatment for patients with inflammatory bowel disease or familial adenomatous polyposis (FAP). A rare and late complication of this treatment is carcinoma arising at the ileostomy site. We describe two such cases: a 78-year-old male 30 years after subtotal colectomy and ileostomy for FAP, and an 85-year-old male 50 years after colectomy and ileostomy for ulcerative colitis.

[Cholelitiasis and age: tactic of surgical treatment].

We examined the resultants of treatment of 268 old patients. RESULTATES: The global demographic transition to an older population effects developing as well as developed coutries. Cganges in mitochondria with age, in body composition, in biliary tract gives to start for many diseases such as cholelitiasis.

[Laparoscopy in diagnosis and treatment of acute abdominal diseases in children].

2765 children with abdominal pains were observed in the clinic of pediatric surgery from 1995 to 1999. During the observation period the abdominal pains persisted in 85 children. As it was not possible to resect the acute abdominal diseases, these children underwent diagnostic laparoscopy.

[The demonstration of specific Salmonella typhi antigens by the latex agglutination method].

The evaluation of the diagnostic importance of the method of latex agglutination with antibody diagnostica for the detection S.typhi O and Vi antigens in biosubstrates obtained from patients is presented. The clinical approbation of the method has made it possible to characterize its diagnostic specificity (whose indices varied from 95.

[Daily energy expenditure and factual nutritional status of boiler-turbine shop workers at electric stations].

Daily power consumption was evaluated by gas exchange in the staff managing boiler and turbine shops at electric stations. It was established that this profession needs 4312 Cal to maintain the performance status at normal levels. The diets of the examinees were found unbalanced by the basic nutrients, mineral elements and vitamins.

[The adsorption of pancreatic enzymes by the small intestine as one of the mechanisms coupling cavitary and parietal intestinal digestion].

Intraduodenal administration of inactivated intestinal mucus and erythrocytes abolished the inhibiting effect of pancreatine on the pancreatic secretion in dogs. The enzymes fixed by the duodenum mucose seem to inhibit the pancreatic secretion.

[The correction of pancreatic enzyme secretion depending on the properties of the duodenal contents].

Substrates both specific and unspecific for pancreatic enzymes abolish and modify the inhibition of pancreatic enzymes secretion induced by their intraduodenal administration. Enterosorbents and gastric mucus, depending on the strength of their sorption properties, abolish or decrease the inhibition of secretion of pancreatic enzymes induced by intraduodenal administration of pancreatic enzymes. The complicated mechanism of correction of pancreatic enzymes secretion seems to depend on duodenal chyme properties.

[Enterosorbent-induced halting of inverse inhibition of pancreatic enzyme secretion from the duodenum].

Three series of acute experiments were carried out on dogs. In the first series pancreatic enzyme secretion (PES) was stimulated by intravenous injection of secretin and pancreozymin and selectively inhibited by intraduodenal injection of amylase; in the second series PES was induced by intraduodenal injection of acidified hydrolysin and nonselectively inhibited by intraduodenal injection of PES from the same dog; in the third series of experiments PES was stimulated by intraduodenal injection of hydrolysin, and selectively inhibited by intraduodenal injection of amylase. Activated carbon and gastric mucus were used as enterosorbents of enzymes.

[The secretion of pancreatic enzymes during enterosorption].

Intraduodenal administration of pancreatic secret into the dog intestine inhibited the secretion of enzymes by the pancreas. This inhibitory effect is eliminated or diminished by simultaneous administration of the enzyme adsorbents: activated carbon and gastric mucus. Self-regulatory effects of solubilized and absorbed enzymes in duodenal chyme seem to differ from each other.