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Gastrointestinal Surgery News

Surgical Safety Checklists May Shorten Hospital Stays, Save Lives

Posted 5 days ago by

WEDNESDAY, Feb. 3, 2016 – A surgical safety checklist reduced patients' risk of death over 90 days and shortened their hospital stay, a new study found. The findings suggest that surgical safety checklists can reduce health care costs by reducing the risk of complications or additional surgery to correct problems, said Dr. Matthias Bock, of Bolzano Central Hospital in Italy, and colleagues. The researchers examined outcomes for more than 10,700 surgery patient in the six months before and after a 17-to-24-item surgical safety checklist was introduced at a hospital in Italy. The study did not include heart surgery patients. The death rate within 90 days of surgery was 2.4 percent before and 2.2 percent after the checklist was introduced. The 30-day death rate fell from 1.4 percent to 1.3 percent. Average length of hospital stay was 10.4 days before and 9.6 days after the checklist was ... Read more

Related support groups: Surgery, Orthopedic Surgery, Neurosurgery, Surgical Prophylaxis, Vascular Surgery, Gastrointestinal Surgery, Cardiothoracic Surgery

Weight-Loss Surgery Lowered Risk of Heart Attack, Type 2 Diabetes in Study

Posted 22 Dec 2015 by

TUESDAY, Dec. 22, 2015 – Weight-loss surgery can reduce the risk of heart attack, type 2 diabetes and other obesity-related health problems, a new study says. "Bariatric surgery is safe and produces unrivaled health benefits that are life-changing for patients and cost-saving [for Britain's National Health Service]," said study co-author Rachel Batterham, head of the Bariatric Centre for Weight Management and Metabolic Surgery at University College London Hospital. She is also a professor at the Centre for Obesity Research at University College London in England. "Unfortunately, less than 1 percent of the patients who could benefit from this surgery currently receive surgery. This represents a major missed opportunity in terms of improving health and economic savings. Action is now needed to remedy this situation," she said in a news release from the London School of Hygiene & Tropical ... Read more

Related support groups: Surgery, Diabetes, Type 2, Gastric Bypass Surgery, Cardiovascular Risk Reduction, Gastrointestinal Surgery

Doctors Rally in Support of Fibroid Device Curbed by FDA

Posted 8 Dec 2015 by

TUESDAY, Dec. 8, 2015 – Dozens of gynecologists, cancer doctors and women's health experts are challenging a U.S. Food and Drug Administration warning on a power device used to remove fibroid growths from a woman's uterus. The tool – a laparoscopic power morcellator – grinds up fibroid growths during minimally invasive surgery. The group of experts claim that curbing its use may force patients to undergo riskier, more invasive procedures. The FDA issued a "boxed warning" label on the devices last year. The agency had concluded that in about one out of every 458 cases, the morcellator chews up an undiagnosed cancerous growth and floods the woman's abdomen with cancer cells. But a review group of 46 experts says the FDA got its facts wrong. The likelihood that power morcellation would grind up a cancerous growth is actually much lower, they contend. "The best case scenario would be for ... Read more

Related support groups: Surgery, Hysterectomy, Uterine Leiomyomata / Fibroids, Gastrointestinal Surgery, Genitourinary Surgical and Other Conditions

Weight-Loss Surgery May Bring Long-Term Benefits to Very Obese Teens

Posted 6 Nov 2015 by

FRIDAY, Nov. 6, 2015 – Weight-loss surgeries, long used by obese adults to drop excess pounds, may provide long-lasting health benefits to very obese teenagers, a new study finds. The study of extremely obese teens found that, three years after either gastric bypass surgery or a procedure called sleeve gastrectomy, the average patient had lost 27 percent of his or her original weight. What's more, many also showed remission of obesity-linked ills such as type 2 diabetes, high blood pressure and high cholesterol. "We found significant improvements in weight, cardiometabolic health and weight-related quality of life at three years after the [weight-loss] procedure," wrote a team led by Dr. Thomas Inge, of Cincinnati Children's Hospital Medical Center. His team published the findings online Nov. 6 in the New England Journal of Medicine, to coincide with a planned presentation of the ... Read more

Related support groups: Surgery, Obesity, Weight Loss, Gastric Bypass Surgery, Gastrointestinal Surgery

Weight-Loss Surgery May Trim Health Care Costs

Posted 4 Nov 2015 by

WEDNESDAY, Nov. 4, 2015 – Weight-loss surgery may save health care dollars down the road, a new study suggests. Researchers report that there was a sharp drop in medical spending by obese patients after they had the so-called "bariatric" procedure. "The main reduction in costs were related to fewer hospital admissions and clinic visits, and a reduction in the use of prescription drugs for diabetes, [high blood pressure] and heart disease," said study co-author Dr. John Morton, chief of bariatric and minimally invasive surgery at Stanford University School of Medicine, in Palo Alto, Calif. "Costs were higher across the board for [obese] patients who did not have bariatric surgery, showing there is an even higher cost to not treating obesity," added Morton, who is also president of the American Society for Metabolic and Bariatric Surgery (ASMBS). In the study, the researchers compared ... Read more

Related support groups: Obesity, Weight Loss, Gastric Bypass Surgery, Gastrointestinal Surgery

Antibiotics May Not Help After 'Complicated' Appendectomy

Posted 2 Nov 2015 by

MONDAY, Nov. 2, 2015 – Antibiotics may not reduce the risk of infections in patients who undergo what's known as a "complicated" appendix removal, a new study finds. "The traditional teaching is that all patients with complicated appendicitis receive post-operative antibiotics to reduce the risk of wound infection or deep organ space infection," study lead author Dennis Kim, of the Los Angeles Biomedical Research Institute, explained in an institute news release. But is that advisory warranted? To find out, Kim's team tracked five-year outcomes for 410 patients. All of the patients had complicated appendectomies, meaning that their appendix was found to be perforated or gangrenous. About two-thirds of the patients received antibiotics after surgery. Those who received antibiotics had no fewer infections, Kim's team said, and they stayed in hospital an average of one day longer than ... Read more

Related support groups: Amoxicillin, Doxycycline, Cephalexin, Bactrim, Azithromycin, Cipro, Ciprofloxacin, Levaquin, Keflex, Zithromax, Erythromycin, Sulfamethoxazole, Clarithromycin, Minocycline, Bactrim DS, Levofloxacin, Cefdinir, Vancomycin, Avelox, Tetracycline

Surgery May Raise Survival With Advanced Melanoma: Study

Posted 8 Oct 2015 by

THURSDAY, Oct. 8, 2015 – New research suggests that for patients with melanoma that has spread to the abdomen, surgical removal of the tumor can extend survival. The study was led by Dr. Gary Deutsch, now a surgical oncologist at North Shore-LIJ Health System in Great Neck, N.Y. His team tracked outcomes for 1,600 patients, treated at some point between 1969 and 2014. According to the study, nearly one in four patients had surgery to remove the mass from their abdomen. Patients who underwent the surgery lived more than twice as long as those who received drug treatment alone – 18 months versus seven months, on average, the researchers reported. The study was to be presented Thursday at the annual meeting of the American College of Surgeons (ACS) in Chicago. According to the researchers, in the past, a melanoma that had spread to the liver or another organ in the abdomen was considered ... Read more

Related support groups: Surgery, Melanoma, Melanoma - Metastatic, Gastrointestinal Surgery

Suicide Risk May Rise for Some After Weight-Loss Surgery

Posted 7 Oct 2015 by

WEDNESDAY, Oct. 7, 2015 – Troubled people who have weight-loss surgery are more likely to attempt suicide following the procedure, a new study suggests. These patients were about 50 percent more likely to try to take their own lives after they lost a lot of weight, while more than nine of 10 suicide attempts involved patients with a history of mental health problems, the Canadian researchers found. "While we are clear and confident about the medical benefits of weight loss, especially through weight-loss surgery, I think we're not as attentive to the potential psychological benefits or harms of it," said Dr. Amir Ghaferi, director of bariatric surgery at the Ann Arbor Veterans Administration Healthcare System in Michigan. Weight-loss surgery can cause a dramatic change in a person's life, and people struggling with mental illness or depression may not be able to cope, said Ghaferi, who ... Read more

Related support groups: Depression, Obesity, Major Depressive Disorder, Weight Loss, Dysthymia, Gastric Bypass Surgery, Seasonal Affective Disorder, Neurotic Depression, Gastrointestinal Surgery

Less-Invasive Surgery May Not Be Best Option for Rectal Cancer

Posted 6 Oct 2015 by

TUESDAY, Oct. 6, 2015 – Minimally invasive surgery does not match standard surgery for the treatment of rectal cancer, new research indicates. The finding is based on a pair of studies, one conducted in the United States and Canada, and the other conducted in Australia and New Zealand. "Back in 2000, research concluded that rectal cancer can be treated with a minimally invasive laparoscopic approach that uses small holes in the abdominal wall and guided cameras, and that it gave good outcomes and provided early recovery," explained Dr. James Fleshman, study author of the North American report. Fleshman is chairman of the department of surgery at Baylor University Medical Center in Dallas. "But what we found is that laparoscopic surgery is not equivalent to [standard] open surgery, based on our determination as to whether or not either operation achieved adequate success," Fleshman ... Read more

Related support groups: Colorectal Cancer, Diagnosis and Investigation, Gastrointestinal Surgery

With Liposuction, Weight Should Guide Fat Removal Limits: Study

Posted 25 Sep 2015 by

FRIDAY, Sept. 25, 2015 – Although there's no magic bullet for weight loss, new research suggests that surgeons may be able to safely remove more fat during liposuction surgery than previously believed. Right now, surgeons follow guidelines that set a maximum extraction limit of 5,000 milliliters of fat (11 pounds) for all patients, regardless of variations in weight or body fat status. But the new study suggests surgeons could use a patient's body mass index (BMI) to determine how much fat extraction is safe. BMI is a rough estimate of a person's body fat based on height and weight measurements. "The problem is that this guideline seems like it was picked out of a hat," said study co-author Dr. Karol Gutowski, a board-certified plastic surgeon and a clinical associate professor at the University of Illinois at Chicago. "And though the guideline itself is just a recommendation, not the ... Read more

Related support groups: Surgery, Obesity, Weight Loss, Gastric Bypass Surgery, Gastrointestinal Surgery

Diabetes Should Be a Factor in Weight-Loss Surgery Decision: Study

Posted 17 Sep 2015 by

THURSDAY, Sept. 17, 2015 – Obese patients with type 2 diabetes might reap greater health-care savings after weight-loss surgery than obese patients without diabetes, researchers say. Most health-care systems use a high body mass index (BMI) to prioritize patients for weight-loss ("bariatric") surgery. BMI is a measure of body fat based on height and weight. But researchers who tracked thousands of obese Swedes for 15 years concluded that if containing health costs is the goal, then type 2 diabetes, especially newly diagnosed cases, should be added to the reasons to consider weight-loss surgery. "In obese patients with type 2 diabetes, the costs of bariatric surgery are largely offset by prevention of future health care and drug use," said study researcher Dr. Lena Carlsson, a researcher at the University of Gothenburg, Sweden. "In contrast, obese patients without diabetes treated by ... Read more

Related support groups: Surgery, Diabetes, Type 2, Obesity, Weight Loss, Gastric Bypass Surgery, Gastrointestinal Surgery

Tuning Into Your Favorite Music May Boost Post-Op Recovery

Posted 12 Aug 2015 by

WEDNESDAY, Aug. 12, 2015 – Mozart, Madonna or Eminem: Whatever your taste, music may help you recover from a surgery, according to a new review of data on the subject. "More than 51 million operations are performed every year in the U.S.," lead author Dr. Catherine Meads, of Brunel University in the United Kingdom, said in a news release from The Lancet, which published the findings Aug. 12. "Music is a non-invasive, safe, cheap intervention that should be available to everyone undergoing surgery," she said. "Patients should be allowed to choose the type of music they would like to hear to maximize the benefit to their well-being." The only caveat: "Care needs to be taken that music does not interfere with the medical team's communication," Meads said. In their research, her team reviewed data from 72 studies that included nearly 7,000 patients. The investigators found that listening ... Read more

Related support groups: Surgery, Hip Replacement, Knee Joint Replacement, Orthopedic Surgery, Head & Neck Surgery, Surgical Prophylaxis, Vascular Surgery, Gastrointestinal Surgery, Cardiothoracic Surgery

Weight Loss Surgery May Boost Teens' Mental Health

Posted 5 Aug 2015 by

WEDNESDAY, Aug. 5, 2015 – Weight loss surgery may improve obese teens' mental health, a new study finds. The research included 88 severely obese Swedish teens who had the weight-loss surgery known as gastric bypass. They were between the ages of 13 and 18. Researchers followed up with the teens for two years after the procedure. "Most young people felt significantly better two years after surgery. On average, they felt like most other adolescents, so their mental health had been normalized," study author Kajsa Jarvholm, a researcher and psychologist at Lund University in Sweden, said in a university news release. "There is also a big difference in how weight affected them in various social situations. Two years after the operation, they experienced far fewer limitations than before," she added. "Another important discovery was that some did not feel better. Just under 20 percent of ... Read more

Related support groups: Depression, Anxiety and Stress, Psychiatric Disorders, Gastric Bypass Surgery, Gastrointestinal Surgery

Weight-Loss Surgery's Benefits May Fade With Time, Study Suggests

Posted 5 Aug 2015 by

WEDNESDAY, Aug. 5, 2015 – Although weight-loss surgery may produce initial dramatic weight loss and improve type 2 diabetes, a new study suggests that in the long run, many people regain weight and see their diabetes return. In fact, in the first year after an operation called sleeve gastrectomy, patients lost 77 percent their excess weight. But by the fifth year they regained weight, bringing their weight loss to only 56 percent. Also, 51 percent of patients saw type 2 diabetes disappear in the first year. By the fifth year, only 20 percent were still free of type 2 diabetes, researchers said. "Weight-loss surgery is not a panacea for weight loss over the long run," said lead researcher Dr. Andrei Keidar, of the Beilinson Hospital in Petah Tikva, Israel. Keidar said several reasons account for weight gain after surgery. "The main reason is that the stomach dilates, meaning you can eat ... Read more

Related support groups: Obesity, Weight Loss, Gastric Bypass Surgery, Gastrointestinal Surgery

Common Weight-Loss Surgery May Lower Tolerance for Alcohol

Posted 5 Aug 2015 by

WEDNESDAY, Aug. 5, 2015 – People who have the most popular type of weight-loss surgery are far less able to handle alcohol after their procedure, a small, new study suggests. "This surgery literally doubles the amount of alcohol that immediately enters your bloodstream," explained study author Dr. Samuel Klein, director of the Center for Human Nutrition at Washington University's School of Medicine in St Louis. "And it also increases the patient's long-term risk for alcoholism, because the risk for a binge episode of drinking goes up. And we know that binge drinking increases the risk for going on to develop alcoholism in the future," Klein said. The finding stems from an analysis involving 17 obese women. Eight had undergone Roux-en-Y gastric bypass surgery from one to five years before the study began, while the other nine women had not yet had the operation. Klein and his colleagues ... Read more

Related support groups: Obesity, Weight Loss, Alcohol Dependence, Gastric Bypass Surgery, Gastrointestinal Surgery

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