Publications by authors named "D Stefanidis"

Background: The efficacy of Glucagon-Like Peptide-1 Receptor Agonists (GLP1RA) for the treatment of obesity has led to considerably increased demand for these medications. GLP1RA use prior to bariatric surgery may represent a novel approach to treating obesity. The objectives of this study were to (1) describe trends in pre-bariatric GLP1RA use, (2) investigate social and clinical factors associated with their use, and (3) evaluate differences in clinical outcomes based on preoperative GLP1RA use.

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Introduction: Patients with obesity seeking bariatric surgery undergo an extensive evaluation by a multidisciplinary team of healthcare professionals' (HCPs) to assess patient compliance among other factors and determine their eligibility for surgery. However, the HCPs' assessments are not devoid of bias that may affect eligibility and preoperative decisions. This study aimed to investigate team members' ability to predict patient outcomes following bariatric surgery.

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Background: The protective impact of the Critical View of Safety (CVS) approach on the vasculo-biliary injuries during laparoscopic cholecystectomy (LC) depends largely upon the understanding of the normal and variant anatomy. Structures exposed during the acquisition of the CVS can deviate from the typical dual configuration of the cystic duct and artery (gallbladder pedicle) representing either a third (supernumerary) or atypical in course (heterotopic) element. The aim of this study was to determine the identity and the frequency of these anatomical elements and to propose anatomic schemata that can guide the achievement of CVS by surgeons.

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Article Synopsis
  • The study examines the critical view of safety (CVS) in laparoscopic cholecystectomy (LC) and highlights that many surgeons struggle to achieve adequate CVS according to expert evaluations, indicating a need for improved teaching methods.
  • A comparison was made between surgeon self-assessments (SAs) of their own video performances and assessments made by trained expert raters, showing that surgeons consistently overestimated their skills.
  • The results indicated that out of 25 participating surgeons, those who submitted videos did not achieve adequate CVS and exhibited overconfidence in their self-ratings across multiple assessment scales.
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