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Giant periscapular lipoma unmasked by post-bariatric surgery weight loss: a case report.
J Surg Case Rep
January 2025
Department of Surgery, Kuwait University, Kuwait City, Kuwait.
Giant lipomas, rare benign tumours composed of mature adipose tissue, represent only 1% of all lipomas, typically exceeding 10 cm in diameter or weighing over 1000 g. These tumours can cause nerve compression, discomfort, or functional impairment, necessitating surgical excision. We report a 52-year-old male with a giant intramuscular lipoma in the periscapular region, initially identified following significant weight loss after bariatric surgery.
View Article and Find Full Text PDFBackground: This study investigates multiple rapid swallows during high-resolution esophageal manometry (HREM) as an indicator of esophageal dysmotility following bariatric surgery. Gastrointestinal complications, including esophageal dysfunction, are common after bariatric surgery, and predictive markers are lacking.
Methods: Retrospective analysis of adult patients who underwent Roux-en-Y gastric bypass (RYGB) or sleeve gastrectomy (SG) between 2013 and 2023 and were subsequently evaluated by HREM.
Association Between Patient Portal Engagement and Weight Loss Outcomes in Patients After Bariatric Surgery: Longitudinal Observational Study Using Electronic Health Records.
J Med Internet Res
December 2024
Department of Computer Science, Vanderbilt University, Nashville, TN, United States.
Background: Bariatric surgery is an effective intervention for obesity, but comprehensive postoperative self-management is essential for optimal outcomes. While patient portals are generally seen as beneficial in engaging patients in health management, the link between their use and post-bariatric surgery weight loss remains unclear.
Objective: This study aimed to investigate the association between patient portal engagement and postoperative BMI reduction among patients after bariatric surgery.
In vivo mapping of postprandial hepatic glucose metabolism using dynamic magnetic resonance spectroscopy combined with stable isotope flux analysis in Roux-en-Y gastric bypass adults and non-operated controls: A case-control study.
Diabetes Obes Metab
January 2025
Department of Diabetes, Endocrinology, Nutritional Medicine and Metabolism, Inselspital, Bern University Hospital, University of Bern, Bern, Switzerland.
Article Synopsis
- Roux-en-Y gastric bypass (RYGB) surgery can cause post-bariatric hypoglycaemia (PBH) due to changes in glucose handling by the liver.
- A study compared RYGB patients with PBH to healthy controls by tracking glucose and hormone levels after consuming glucose, using advanced imaging techniques.
- Results showed that RYGB patients had distinct glucose and insulin responses, including a quicker rise and fall in glucose levels and lower sensitivity to insulin, but did not have impaired liver glucose uptake or output contributing to PBH.
The association between bariatric surgery and extensive portal vein thrombosis: A case report.
Int J Surg Case Rep
October 2024
General Surgery, BronxCare Health System, Bronx, NY, USA.
Article Synopsis
- The rise in obesity has led to an increased incidence of portal vein thrombosis (PVT) as a complication of bariatric surgery, with current estimates at about 0.4%, which can be severe due to its often subtle symptoms that make diagnosis difficult.* -
- A case study of a 45-year-old woman who experienced severe abdominal pain 16 days after robotic laparoscopic surgery for obesity showed that her symptoms were linked to PVT, confirmed by high D-dimer levels and a CT scan revealing a thrombus, requiring critical care and anticoagulation treatment.* -
- Effective management of PVT in post-bariatric patients depends on early detection and evidence-based treatments like anticoagulation, underscoring
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