Publications by authors named "Francisco Schlottmann"

Article Synopsis
  • GERD is a common digestive disorder with various symptoms, but there's no clear global guideline on which patients should get anti-reflux surgery.
  • The review looks at who might need surgery, what the surgery outcomes are, and the risks involved.
  • While medication works for many, surgery might be essential for some patients to alleviate symptoms and avoid serious complications, emphasizing the importance of proper patient selection and informing them about potential side effects.
View Article and Find Full Text PDF

This study aims to compare pHmetric characteristics of diurnal and nocturnal supine reflux. We studied 500 consecutive individuals with clinical suspicion of gastroesophageal reflux disease (GERD) who underwent esophageal high-resolution manometry and prolonged ambulatory pH monitoring. Patients were classified with supine GERD pattern when the percentage of acid reflux time in the supine position was equal to or greater than 2.

View Article and Find Full Text PDF

Background: The effectiveness of colonoscopy in preventing colorectal cancer (CRC) within opportunistic screening programs has not been clearly established. The aim of this study was to analyze the effectiveness of colonoscopy within an opportunistic screening program using nested case-control study.

Methods: Subjects who received a diagnosis of CRC (CG) between the ages of 50 and 90 years were included and matched by age and gender in a 1:5 ratio with patients without CRC diagnosis (COG) during the period 2015 to 2023.

View Article and Find Full Text PDF

Purpose: The success of metabolic and bariatric surgery (MBS) is impacted by significant pre-surgical attrition rates and poor postoperative follow-up. This study focused on geographic variations in attrition rates and surgical outcomes for MBS practice for which the patient population is drawn from nine Chicago neighborhoods, to examine whether suboptimal weight loss or reduced adherence to the program varied across neighborhoods.

Methods: Patients who presented for their initial MBS consultation at the University of Illinois (UI) Health's program between January 2019 and December 2020 were identified from electronic medical records.

View Article and Find Full Text PDF

Purpose: Given its potential advantages, open Transversus Abdominis Release (oTAR) has been proposed as a durable solution for complex AWR. However, its applicability in different scenarios remains uncertain. We aimed to analyze the current available evidence and determine surgical outcomes after oTAR.

View Article and Find Full Text PDF

Objective: Gastroesophageal reflux disease (GERD) is one of the most common gastrointestinal disorders in western countries. Endoscopic procedures have recently emerged as an alternative therapy to surgery for patients with GERD. The aim of this study was to determine outcomes after endoscopic antireflux mucosectomy (ARMS).

View Article and Find Full Text PDF

Gastric cancer (GC) is the 5 most common cancer and the 3 most common cause of cancer mortality worldwide. Two main endoscopic resective techniques exist for early GC (EGC): Endoscopic mucosal resection (EMR) and endoscopic submucosal dissection (ESD). ESD has been widely embraced in the last decade because it allows radical resections and is associated with better outcomes, as compared to EMR.

View Article and Find Full Text PDF

Background: Different diets have emerged as potential therapeutic options for patients with irritable bowel syndrome (IBS).

Objective: To identify predictors of improvement after a low-FODMAP, low-starch and low-sucrose diet among patients with IBS.

Methods: We performed a descriptive cross-sectional study including patients with IBS according to Rome IV criteria undertaking a social-media based program with a two-week dietary intervention.

View Article and Find Full Text PDF

Background: Irritable bowel syndrome (IBS) is a functional disorder commonly associated with extra-intestinal symptoms. However, the prevalence of these symptoms according to IBS subtype is not well established.

Aim: To compare the prevalence of extra-intestinal symptoms among patients with different subtypes of IBS.

View Article and Find Full Text PDF

Sleeve gastrectomy (SG) has become the most frequently performed bariatric operation in the United States. One of the main disadvantages of this procedure is the risk of developing gastroesophageal reflux disease (GERD) after the operation. We aimed to analyze different approaches for the treatment of GERD after SG.

View Article and Find Full Text PDF

Background: Magnetic ring (MSA) implantation in the esophagus is an alternative surgical procedure to fundoplication for the treatment of gastroesophageal reflux disease.

Aims: The aim of this study was to analyse the effectiveness and safety of magnetic sphincter augmentation (MSA) in patients with gastroesophageal reflux disease (GERD).

Methods: A systematic literature review of articles on MSA was performed using the Medical Literature Analysis and Retrieval System Online (Medline) database between 2008 and 2021, following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines.

View Article and Find Full Text PDF
Article Synopsis
  • - The study aimed to evaluate if an advanced language model (ChatGPT 3.5) could effectively provide colorectal cancer (CRC) screening and surveillance recommendations, addressing gaps in physician knowledge.
  • - ChatGPT scored an average of 45% on a quiz with questions related to CRC, demonstrating inconsistent accuracy across different sessions compared to a control group of physicians, who performed significantly better, especially when using a mobile app.
  • - Findings suggest that while AI language models show potential, they need further improvements to be reliable in clinical settings for making medical recommendations.
View Article and Find Full Text PDF

Patients with obesity are often affected by gastroesophageal reflux disease (GERD). Roux-en-Y gastric bypass (RYGB) is considered the ideal operation for patients with severe obesity and GERD. Although the majority of patients improve their reflux with the operation, some might persist symptomatic and others can even develop GERD.

View Article and Find Full Text PDF

Background: Despite Telemedicine being considered by most patients as the preferred follow-up method, bariatric surgery programs that include virtual consults still exhibit high attrition rates. This study analyzed the strengths and weaknesses of telemedicine in a single-center bariatric surgery program.

Methods: We developed a 5-minute, 10-question online survey via Qualtrics and examined the results between 108 patients under telehealth visits by the bariatric team at the University of Illinois at Chicago from August to November 2022.

View Article and Find Full Text PDF

Gastroesophageal reflux disease is a common gastrointestinal disorder with one of its most feared complications being Barrett's esophagus (BE). Currently, most of the recommendations of BE management are driven by the level of dysplasia. However, the length of BE might also be related to the risk of dysplasia/malignant transformation.

View Article and Find Full Text PDF

Background: Inadequate endoscopic assessment of disease activity might lead to suboptimal treatment of patients with inflammatory bowel disease (IBD).

Aims: We aimed to determine if the implementation of an educational mobile app could help improving the quality of colonoscopy reports in patients with IBD.

Methods: We retrospectively analyzed a consecutive series of colonoscopy reports in patients with IBD during the period 2016-2023.

View Article and Find Full Text PDF