Perianal Mucinous Adenocarcinoma Found Incidentally From Perianal Mass.

Anal mucinous adenocarcinomas are very rare and usually arise from anal fistulas. We report a case of a 73-year-old man with a past medical history of hypertension admitted to our facility for evaluation of bleeding from a large, tender, left gluteal perianal mass. The patient reported the mass had been growing for over six years.

Incarcerated native orthotopic kidney through an inguinal hernia: a case report and literature review.

This is a case report of a 66-year-old male with an incarcerated inguinal hernia that contained native orthotopic kidney causing obstructive uropathy. The patient presented to the hospital due to intractable right groin pain, and CT imaging showed herniation of the right kidney in the right inguinal hernia with the upper pole squeezed in the inguinal canal. The patient underwent surgery to reduce the hernia contents and hernia repair with mesh.

5-year follow-up at an accredited community bariatric practice: what is an acceptable follow-up rate?

Background: Adequate long-term follow-up after metabolic and bariatric surgery (MBS) remains a challenge.

Objectives: To evaluate if type of insurance correlated with differences in the 5-year follow-up and outcomes of a cohort of bariatric surgery patients in a community-based accredited center.

Setting: Accredited private practice bariatric center in the United States.

New Onset Cardiac Arrhythmias after Metabolic and Bariatric Surgery.

Background: Metabolic and bariatric surgery (MBS) has been shown to improve medical problems; however, there are known arrhythmias that can occur after MBS (i.e., sick sinus syndrome [SSS] and sinus bradyarrhythmias).

Magnetic sphincter augmentation at the time of bariatric surgery: an analysis of the MBSAQIP.

Background: Magnetic sphincter augmentation (MSA) has gained popularity as a treatment for gastroesophageal reflux disease (GERD). The role of MSA in treating GERD in metabolic and bariatric surgery (MBS) patients at the time of primary MBS is unknown.

Objective: To determine the short-term outcomes of MSA placed at the time of MBS.

The MBSAQIP is going viral! 194 hits and still going strong.

Background: The Metabolic and Bariatric Surgery Accreditation and Quality Improvement Program (MBSAQIP) first released its Participant Use Data File in 2015. Since then, surgeons have eagerly evaluated data now available on >750,000 patients, and a yearly increase in the number of publications using the Participant Use File was anticipated.

Objective: To evaluate the impact of the MBSAQIP in surgical literature.

Disparities in Access to Bariatric Surgery in Texas 2013-2017.

Background: Access to bariatric care varies across regions, ethnic, and racial groups. Some of these variations may be due to insurance status or socioeconomic status. There are also regional and state variations in access to metabolic and bariatric surgery (MBS).

Trends in revisional bariatric surgery using the MBSAQIP database 2015-2017.

Background: The third most common bariatric surgery is revisional bariatric surgery. The American College of Surgeons tracks outcomes using the Metabolic and Bariatric Surgery Accreditation Quality Initiative Program database. We used this database to examine trends in revisional bariatric surgery.

Trends in bariatric surgery in Texas: an analysis of a statewide administrative database 2013-2017.

Background: The Metabolic and Bariatric Surgery Accreditation and Quality Improvement Program (MBSAQIP) tracks 30-day outcomes of bariatric patients, but only at accredited centers. Presently, these cases are not broken down by state. Administrative databases can be used to answer some of the questions that are not asked by clinical databases and also to validate those databases.

How many sleeve gastrectomies are done at nonaccredited centers in Texas?

Background: The American College of Surgeons created the Metabolic and Bariatric Surgery Accreditation and Quality Improvement Program (MBSAQIP) to improve the safety of surgery and track outcomes of patients undergoing metabolic and bariatric surgery. The MBSAQIP captures all surgical procedures performed at accredited centers (AC) but not all metabolic and bariatric surgery cases performed in the United States. Texas has a large statewide administrative database that tracks nearly all surgical procedures performed in the state and we proposed using this database to assess the number of sleeve gastrectomies (SG) and whether they were performed at an AC or not.

Late-term hiatal hernia after gastric bypass: an emerging problem.

Background: Gastric bypasses were the most common bariatric surgery for many years, and long-term complications after gastric bypass are known to be relatively common. Symptomatic hiatal hernia (HH) with pouch migration is a less-known complication. However, when these are symptomatic, they require surgical repair.

Utilization of Laparoscopic Colon Surgery in the Texas Inpatient Public Use Data File (PUDF).

Background: Laparoscopic surgery has become the standard of care for the most common surgical procedures performed. However, laparoscopic techniques have not reached this same penetrance in colorectal surgery. We wanted to determine the percentage of colon operations performed in Texas that were done via laparoscopic, robotic and open techniques.