Citation PIROLLA, Eduardo Henrique, Felipe Piccarone Gonçalves RIBEIRO, and Fernanda Junqueira Cesar PIROLLA. 2016. “Laparoscopic re-sleeve gastrectomy for weight regain after modified laparoscopic sleeve gastrectomy: first case report and surgery in South America.” Arquivos Brasileiros de Cirurgia Digestiva : ABCD 29 (Suppl 1): 135-136. doi:10.1590/01026720201600S10033. http://dx.doi.org/10.15...

OBJECTIVE To evaluate the effects of two bariatric procedures versus intensive medical therapy (IMT) on β-cell function and body composition. RESEARCH DESIGN AND METHODS This was a prospective, randomized, controlled trial of 60 subjects with uncontrolled type 2 diabetes (HbA1c 9.7 ± 1%) and moderate obesity (BMI 36 ± 2 kg/m(2)) randomized to IMT alone, IMT plus Roux-en-Y gastric bypass, or I...

OBJECTIVE Sleeve resections were introduced to preserve lung function in patients with limited pulmonary reserve. Ischaemia and infection of the distal part of the anastomosis is the leading cause of bronchial anastomotic leakage. We have learned from our experience in lung transplantation that inhalation with Tobramycin helps prevent anastomotic insufficiency. We would like to present our expe...

BACKGROUND Therapeutic bronchoscopy is used for endobronchial staging of lung cancer and symptomatic relief of central airway obstruction or postobstructive pneumonia. The aim of this study was to assess the utility of therapeutic bronchoscopy as a complementary tool in the combined bronchoscopic and surgical management of malignant airway lesions before curative lung surgery. METHODS Seventy...

Background: Sleeve gastrectomy is emerging as a popular option in bariatric surgery. Sleeve leak is a known complication of this procedure and many propose the use of endoluminal stents in the management of sleeve leaks. Stents also carry their own set of risks and complications. Methods: This is a case of a patient who underwent a sleeve gastrectomy and developed a postoperative leak. An attem...

OBJECTIVE To report the experience with laparoscopic sleeve gastrectomy as a bariatric surgery in our center. METHODS Twenty obese patients were followed up for 1 year after receiving laparoscopic sleeve gastrectomy as a bariatric surgery in our center from January 2009 to October 2010, during which their general conditions, complications, and improvement of obesity-related diseases were asse...

INTRODUCTION Management of severe reflux after sleeve gastrectomy (SG) usually requires converting to Roux-en-y gastric bypass (RYGB). We present a case of managing this problem using the LINX® system. PRESENTATION OF CASE In February 2015, we performed a laparoscopic placement of LINX® system to treat severe reflux after sleeve gastrectomy on a 25-year-old female. The operative time was 47mi...

BACKGROUND Recent data show that some patients will have insufficient weight loss or experience weight regain after sleeve gastrectomy. Dilation of the sleeve over time or use of an inadequate technique may contribute to relapse of morbid obesity. Repeat sleeve gastrectomy is the most obvious option but requires stapling of scarred tissue, has a higher risk of leakage, and is prone to re-enlarg...

BACKGROUND After an acute attack of pancreatitis, walled-off pancreatic fluid collections (PFC) occur in approximately 10 % of cases. Drainage of the cavity is recommended when specific indications are met. Endoscopic drainage has been adopted as the main intervention for symptomatic walled-off PFC. Altered gastric anatomy in these patients poses an interesting challenge. We present the first c...

Bariatric surgery improves non-alcoholic fatty liver disease (NAFLD). Our aim was to investigate the potential role of ghrelin isoforms in the resolution of hepatic steatosis after sleeve gastrectomy, a restrictive bariatric surgery procedure, in diet-induced obese rats. Male Wistar rats (n = 161) were subjected to surgical (sham operation and sleeve gastrectomy) or dietary interventions [fed a...