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Article Synopsis
  • * Roux-en-Y gastric bypass (RYGB) is usually better for severe obesity linked to GERD, but it's not ideal for Japanese patients due to their higher gastric cancer risk and challenges with observing the stomach during endoscopies.
  • * A new method combining LSG and Toupet fundoplication (called T-sleeve) was tested and showed promising results in a patient, suggesting it could be a viable treatment for Japanese patients with severe obesity and GERD
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Atypical Acute Neuroborreliosis With Leg Paresis and Constipation.

In Vivo

March 2024

Department of Gynecology and Gynecological Oncology, Research Laboratories, University Hospital Bonn, Bonn, Germany

Background/aim: An 80-year-old male patient had complained of proximal paresis of the left leg, pain and sensory disturbances in the left abdomen, exanthema in the left lower abdomen, coprostasis, and severe abdominal pain, as well as a progressive deterioration of his general condition for weeks. The patient had already presented to three other medical centers. Colonoscopy and computed tomography of the abdomen could not explain the pronounced symptomatology.

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Superior mesenteric artery syndrome (SMAS) is a specific type of duodenal obstruction marked by a blockage of the inferior part of the duodenum as a result of compression between the superior mesenteric artery (SMA) and the aorta. Depletion of the mesenteric fatty pad causes this complication. In the current study, we describe a case of SMAS involving a 36-year-old lady who presented with postprandial pain, weight loss, and hematemesis.

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Background: Laparoscopic sleeve gastrectomy (LSG) has become the preferred bariatric procedure in many countries. However, new onset erosive esophagitis (EE) is a major shortcoming. Current recommendation is esophago-gastro-duodenoscopy (EGD) should be performed routinely at 1 year and subsequently every 2-3 years to enable the early detection of Barrett's or esophageal adenocarcinoma.

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Semaglutide, delayed gastric emptying, and intraoperative pulmonary aspiration: a case report.

Can J Anaesth

August 2023

The Department of Anesthesia, Critical Care and Pain Medicine, Massachusetts General Hospital, Boston, MA, USA.

Purpose: We report a case in which the use of semaglutide for weight loss was associated with delayed gastric emptying and intraoperative pulmonary aspiration of gastric contents.

Clinical Features: A 42-yr-old patient with Barrett's esophagus underwent repeat upper gastrointestinal endoscopy and ablation of dysplastic mucosa. Two months earlier, the patient had started weekly injections of semaglutide for weight loss.

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