Publications by authors named "R Corcelles"
Patients on chronic anticoagulation undergoing metabolic surgery represent an increased risk of complications, including both bleeding and thrombotic events, such as deep vein thrombosis (DVT) and pulmonary embolism (PE). The optimal perioperative management of patients who are receiving chronic anticoagulation therapy (CAT) is complex. In the colorectal surgery literature, patients on CAT have a 10% rate of peri-procedural bleeding and a 3% rate of thromboembolism.
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- Obesity significantly increases the risk of idiopathic intracranial hypertension (IIH), and this study investigates how bariatric surgery impacts clinical outcomes for patients with both conditions.
- The study analyzed data from 97 predominantly female patients (median age 46.7) who underwent various types of bariatric surgery, leading to a median weight loss of 24% and notable improvements in IIH symptoms, including headaches and visual issues.
- Results showed a significant reduction in mean lumbar opening pressure and a decrease in the usage of medications for IIH post-surgery, indicating that bariatric surgery can effectively alleviate IIH symptoms in obese patients.
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- One-Anastomosis Gastric Bypass (OAGB) conversions to Roux-en-Y Gastric Bypass (RYGB) are analyzed in a study focused on mid-term outcomes and reasons for conversion at a UAE center between 2016 and 2023.
- Out of 64 patients, the main reasons for conversion were acid reflux, intractable nausea, and malnutrition, with a surgical complication rate of about 4.6% and a mean follow-up of 26.2 months.
- The results indicate a high resolution rate of symptoms (96.8%) after conversion, highlighting the significance of addressing issues like acid reflux in patients experiencing difficulties with OAGB.
Obesity is a significant public health concern worldwide and a leading cause of preventable death and morbidity, but the management of this condition remains a challenge. Metabolic and bariatric surgery (MBS) is safe and currently has the most consistent and robust data among anti-obesity interventions for ameliorating obesity and its associated complications. Despite the benefits and safety of MBS, it is significantly underused.
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