Publications by authors named "Angel Michael Ortiz-Zuniga"
The Impact of the Length of the Common Intestinal Loop on Metabolic and Nutritional Outcomes of Patients with Severe Obesity Who Undergo of Single Anastomosis Duodeno-Ileal Bypass with Sleeve Gastrectomy: 5-Year Follow-Up.
J Laparoendosc Adv Surg Tech A
September 2022
Single-anastomosis duodeno-ileal bypass with sleeve gastrectomy (SADI-S) is a recent bariatric surgery technique, highly effective in terms of weight loss. Nevertheless, data regarding the impact of SADI-S at mid-long term (after >5 years of follow-up) are scarce. To evaluate the effect of lengths of common intestinal loop on the evolution of patients with morbid obesity (MO), who undergo SADI-S.
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- Current guidelines suggest that individuals over 65 with type 2 diabetes should be screened annually for cognitive impairment, often using the mini-mental state evaluation (MMSE) as a primary tool.
- Researchers conducted a study to determine the effectiveness of retinal microperimetry for monitoring cognitive function over a year in these patients, finding that while MMSE scores decreased in those with mild cognitive impairment (MCI), retinal sensitivity remained stable but gaze fixation worsened.
- The study concludes that retinal microperimetry, particularly gaze fixation measurements, could be a useful method for tracking cognitive decline in older patients with type 2 diabetes.
Article Synopsis
- The Diabetes Specific Dementia Risk Score (DSDRS) was evaluated to see if it effectively screens for cognitive impairment in type 2 diabetes (T2D) patients aged over 65.
- A study involved 112 T2D patients, leading to 82 being referred for further assessment; however, many declined due to comorbidities or lack of interest.
- The results showed that the DSDRS is a valuable tool for identifying cognitive impairment, as a significant portion of referred patients were diagnosed with mild cognitive impairment or dementia.
Background: Laparoscopic single anastomosis duodenoileal bypass with sleeve gastrectomy (SADI-S) is a recently developed one- or two-stage operation based on biliopancreatic diversion that is used to treat morbid obesity. Some midterm outcomes suggest that malabsorption is a possible complication following the procedure. Therefore, conversion to a less malabsorptive procedure may be required.
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