Publications by authors named "John de Csepel"
Article Synopsis
- Gastroparesis significantly impacts diabetic patients, leading to symptoms like nausea, early fullness, and weight loss, which can result in malnutrition and complications.
- For those who don't respond to dietary changes and medication, gastric electrical stimulation (GES) offers a promising treatment option.
- Two patients with diabetic gastroparesis were initially unfit for kidney transplants due to malnutrition, but after GES implantation, they both successfully received kidney transplants within two years.
Presented herein is a case report of a laparoscopic gastric electrical stimulator implantation for drug-refractory gastroparesis. Technical aspects of the procedure, as well as a review of the existing literature, are discussed. Gastric electrical stimulation offers a new alternative for the treatment of drug-refractory gastroparesis.
View Article and Find Full Text PDFBackground: Initial data indicate that long-term weight loss for patients who have undergone laparoscopic adjustable silicone gastric banding (LASGB) may be inadequate. It is anticipated that many of these patients will require revision in the next few years. The procedure of choice for such a revision is unknown.
View Article and Find Full Text PDFBackground: 10 to 25% of patients undergoing bariatric surgery will require a revision, either for unsatisfactory weight loss or for complications. Reoperation is associated with a higher morbidity and has traditionally been done in open fashion. The purpose of this study was to determine the safety and efficacy of reoperative surgery using a laparoscopic approach.
View Article and Find Full Text PDFObjective: To study the relationship of mammographic appearance of nonpalpable breast cancer to the pathologic characteristics.
Summary Background Data: The mammographic appearance of nonpalpable breast cancer may be associated with pathologic variables having prognostic significance, which could influence clinical management.
Methods: The authors correlated the mammographic appearance and pathologic characteristics of 543 nonpalpable malignancies diagnosed in a single institution between July 1993 and July 1999.