Impact of laparoscopic gastric bypass in a patient with myasthenia gravis and obesity.

We present the case of a 52-year-old woman with grade III obesity, type II diabetes, sleep apnea, and severe myasthenia gravis. Due to prolonged corticosteroid treatment, she had gained weight and experienced difficulty moving. To improve her condition, a laparoscopic gastric bypass was performed with good results.

Cytomegalovirus infection as a rare cause of colitis.

A 62 year-old-man with low anterior rectal resection and protective ileostomy, for low rectal neo and neoadjuvant QT +RT. Then ileostomy closure without incidences. On the 3rd postoperative day, he started with fever peaks and diarrhea.

Surgical acute abdomen and COVID-19 vaccination.

In response to the publication "Acute appendicitis, foreign bodies and COVID-19 vaccination: correspondence", we reviewed the association between acute surgical abdomen and COVID-19 vaccination.

Higher Adherence to ERAS Society® Recommendations is Associated with Shorter Hospital Stay Without an Increase in Postoperative Complications or Readmissions in Bariatric Surgery: the Association Between Use of Enhanced Recovery After Surgery Protocols and Postoperative Complications after Bariatric Surgery (POWER 3) Multicenter Observational Study.

Purpose: The effectiveness of enhanced recovery after surgery (ERAS) pathways in patients undergoing bariatric surgery remains unclear. Our objective was to determine the effect of the ERAS elements on patient outcomes following elective bariatric surgery.

Materials And Methods: Prospective cohort study in adult patients undergoing elective bariatric surgery.

Idiopathic myointimal hyperplasia of the mesenteric veins, an uncommon cause of intestinal ischemia.

Idiopathic myointimal hyperplasia of the mesenteric veins (IMHMV) is an uncommon cause of intestinal ischemia. It was firstly described by Genta and Haggit in 1991. Only a few cases have been reported and it is difficult to know the true incidence.

Uncommon causes of acute appendicitis: foreign bodies in the cecal appendix.

A 50-year-old woman with a history of hysterectomy for endometrial cancer in 2015 visited because of abdominal pain for 1 week and fever simultaneous with her third dose of the COVID-19 vaccine. Physical examination revealed a mobile mass in the right iliac fossa, and laboratory testing showed C-reactive protein at 3 mg/dL, with no further changes. Ultrasound results were consistent with an appendiceal inflammatory mass, and a CT scan revealed an appendicolith as likely cause.

Hernia del espacio de Petersen en paciente intervenido de bypass gástrico.

Petersen's space hernia is the most frequent location of internal hernia after a laparoscopic gastric bypass. The diagnosis or a high suspicion of internal herniation are indications for urgent surgery. We present the case of a patient who required an exploratory laparoscopy.

Safety of propofol sedation administered by an endoscopy team for outpatient colonoscopy.

Sedation during colonoscopy increases comfort and reduces unexpected patient movement. Colorectal cancer (CRC) screening colonoscopies performed under propofol sedation controlled by our endoscopy team (ET) were retrospectively studied for eight months.

Twisting of sleeve gastrectomy: two ways of clinic presentation.

Laparoscopic sleeve gastrectomy is an increasingly widespread bariatric surgical technique thanks to its good outcomes and apparent simplicity. However, complications may arise, including hemorrhage, gastric fistula, and stenosis, which can be either organic or functional. Functional stenosis is caused by gastric tube twisting.

Risk factors of anastomotic leakage in colon cancer.

Objective: To analyze the risk factors for anastomosis leak in colon cancer surgery (CCS) in our environment, and developed a predictive equation for that risk.

Method: We performed a case-control study nested in a cohort of 576 consecutive patients undergoing colon cancer surgery with primary anastomosis, univariate statistical tests and univariate logistic regression for statistical analysis of associated factors with anastomosis leak in colon cancer surgery, and multivariate logistic regression for predicting that risk using a predictive equation associated with a ROC curve.

Results: We obtained a higher risk of anastomosis leak in patients whose operative time was longer than 180 minutes.

Management of duodenal perforations after endoscopic retrograde cholangiopancreatography.

Objective: To describe our experience regarding post-endoscopic retrograde cholangio-pancreatography (ERCP) perforations and its conservative management.

Material And Methods: Retrospective study of the therapeutic management of post-ERCP perforations occurred over the period 2012-2017 in our hospital.

Results: There were 12 perforations after ERCP, with choledocholithiasis being the main indication for the test (66.

Intussusception After Bariatric Surgery.

A case of bowel intussusception in a 43-year-old woman with a history of Roux-en-Y gastric bypass surgery is presented.

Esophageal perforation by a Sengstaken balloon.

Iatrogenic esophageal perforations are rare but associated with a high morbidity and mortality. Secondary to placing a Sengstaken ballon are even more extraordinary because of the infrequency which this measure is used to control upper gastrointestinal bleeding. Therefore, we think it is of interest to communicate this complication, to remember the need to check the correct placement of the Sengstaken ballon before insufflation, since it would help further decrease this complication.

Small bowel mesenchymal tumors: description of two unusual cases.

We present two cases of intestinal ileal GIST who developed complications of nonspecific signs and required to be operated urgently, providing unusual images of tumors because of its characteristics.

Management of non-surgical pneumoperitoneum.

Percutaneous endoscopic gastrostomy (PEG) is the best approach to feeding patients not eligible for oral nutrition who have a functioning digestive system. Pneumoperitoneum after PEG is a relatively common complication. As regards management, the most important decision is whether conservative therapy or an exploratory laparotomy should be indicated.