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Gastrointestinal Surgery News

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

Posted 15 hours ago 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 12 days ago 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 19 days ago 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

Surgery May Beat Drugs for Ulcerative Colitis: Study

Posted 13 Jul 2015 by

MONDAY, July 13, 2015 – Surgery may extend the lives of older adults with the inflammatory bowel disease ulcerative colitis, new research suggests. A study of thousands of adults with the condition compared results of surgery to those of long-term drug treatment. It found that surgery's survival benefit was greatest for those 50 and older who had advanced disease. "Surgery has always been an option," said study leader Dr. Meenakshi Bewtra, but many experts look at it as a last resort. Bewtra, assistant professor of medicine and epidemiology at the University of Pennsylvania Perelman School of Medicine, used data from Medicare and Medicaid for the study. She and her colleagues followed 830 patients who had elective surgery – known as colectomy – and more than 7,500 who took medicine to manage the condition. Surgery involves removal of the colon, sometimes followed by additional ... Read more

Related support groups: Surgery, Ulcerative Colitis, Ulcerative Colitis - Active, Ulcerative Colitis - Maintenance, Gastrointestinal Surgery

Summer Danger: BBQ Grill Brush Wires Causing Big Health Woes

Posted 2 Jul 2015 by

THURSDAY, July 2, 2015 – Before you bite into that burger on Independence Day, you might want to ask the chef whether a rusty old grill brush was used to clean the barbecue. Wire bristles from grill brushes can snap off, land on the grate and find their way into grilled meats, public health experts warn. If ingested, these bristles can tear up a person's throat and digestive tract, causing potentially life-threatening injuries. "The worst are the bristles that make it all the way down to the intestines," said Dr. David Grand, an associate professor of diagnostic imaging with the Warren Alpert School of Medicine at Brown University in Providence, R.I. "It if gets to your intestine and then perforates through the wall of your intestine, that is scary. We saw one migrate into the liver and cause a liver infection that had to be treated, and we've had bristles that pierced the intestines ... Read more

Related support groups: Colonoscopy, Diagnosis and Investigation, Gastrointestinal Surgery

Using Same Hospital for Complications After Surgery Lowers Death Risk: Study

Posted 18 Jun 2015 by

THURSDAY, June 18, 2015 – Surgery patients who suffer complications after discharge from a hospital are more likely to die if they're readmitted to a different hospital than where they had their original operation, a new study finds. University of Utah researchers reviewed information on millions of Medicare patients who underwent one of 12 major surgical procedures between 2001 and 2011. They found that up to one-fifth of the patients were readmitted to a hospital within 30 days due to complications. Up to 83 percent of patients with complications were readmitted to the same hospital where they had their initial surgery. Overall, readmission to the same hospital was associated with a 26 percent lower risk of death within 90 days, the study revealed. For specific types of surgeries, the risk of death associated with readmission to the same hospital ranged from 44 percent lower for ... Read more

Related support groups: Surgery, Hip Replacement, Knee Joint Replacement, Orthopedic Surgery, Gastric Bypass Surgery, Head & Neck Surgery, Neurosurgery, Appendectomy, Spleen Removal, Ophthalmic Surgery, Gastrointestinal Surgery, Vascular Surgery, Cardiothoracic Surgery, Genitourinary Surgical and Other Conditions

Doctors Can Cut Back on Antibiotics After Abdominal Surgery: Study

Posted 11 Jun 2015 by

THURSDAY, June 11, 2015 – The length of antibiotic treatment for abdominal infections can be cut in half and still be equally effective, a new study suggests. Doing so could help efforts to battle the growing problem of antibiotic resistance, the study authors said. The study – led by researchers at the University of Virginia – included more than 500 patients in the United States and Canada with abdominal infections. First, the source of the infection was treated, such as the removal of an inflamed appendix. After surgery, half of the patients took antibiotics for eight days. The other half took antibiotics for only four days. Outcomes in both groups were similar, the study found. "It's important for physicians to realize the most important aspect of the management of these patients is controlling the source of infection," Dr. Robert Sawyer, from the departments of surgery and ... Read more

Related support groups: Surgery, Metronidazole, Bactrim, Flagyl, Bactrim DS, Polymyxin B, Xifaxan, Septra, Zyvox, Rifaximin, Sulfamethoxazole/Trimethoprim, Bacitracin, Septra DS, Metro, Chloramphenicol, Cotrimoxazole, Sulfatrim, SMZ-TMP DS, Flagyl IV, Flagyl IV RTU

'Wiser' Surgeries for Those With Terminal Cancers

Posted 11 May 2015 by

MONDAY, May 11, 2015 – While surgery rates for patients with late-stage, terminal cancers have stayed about the same in recent years, complications and deaths for these patients have fallen because surgeons are more selective about who has surgery, a new study finds. "Surgeons are becoming wiser," study author Dr. Sarah Bateni, a surgery resident at the University of California, Davis, said in a university news release. "Our research suggests that surgeons may be operating on healthier patients who are more likely to recover well from an operation," she said. "These are patients who can perform activities of daily living without assistance, for example." As Bateni explained, there are a number of reasons why surgeons might operate on late-stage cancer patients. "Some of it has to do with the patients and families," she said. "If the patient is uncomfortable, the family wants a ... Read more

Related support groups: Surgery, Cancer, Colorectal Cancer, Head & Neck Surgery, Neurosurgery, Surgical Prophylaxis, Gastrointestinal Surgery, Cardiothoracic Surgery, Solid Tumors, Biliary Tract Surgery

Patients Urged to Watch for Trouble After Colon Surgery

Posted 13 Feb 2013 by

WEDNESDAY, Feb. 13 – Patients who have had bowel surgery should be made aware that there are 12 important post-surgery signs of complications, a new study suggests. Researchers asked a panel of experts to develop a list of warning signs that colon or rectal surgery patients should watch for after they leave the hospital and what they should do if these problems occur. The panel advised that patients who have had bowel surgery to treat tumors, cancer or bowel obstruction, including those who have had an "ostomy" of any type – a surgically created opening in the body for the discharge of body waste – to watch for these 10 symptoms and contact their surgeons if these occur: Wound drainage, opening or redness: all three of these symptoms can indicate an infection. No bowel movement or a lack of gas/stool from an ostomy for more than 24 hours. High ostomy output and/or dark urine or no ... Read more

Related support groups: Gastrointestinal Surgery

Wound Infections From Colon Surgery May Raise Risk for Blood Clots

Posted 18 Jan 2013 by

FRIDAY, Jan. 18 – Colorectal surgery patients who develop surgical-site infections are at increased risk for potentially deadly blood clots, a new study says. Researchers examined the medical records of 615 adults who had colorectal surgery and found that 25 of them (4 percent) developed blood clots known as venous thromboembolisms within one month after surgery. Fourteen (56 percent) of those patients also had surgical-site infections, compared with 168 of patients (28.5 percent) without venous thromboembolism. In nine of the 14 patients with those blood clots (64 percent), the surgical site infection occurred before or on the same day. Patients with a surgical-site infection were four times more likely than infection-free patients to develop either a blood clot in the legs called deep-vein thrombosis or a potentially deadly pulmonary embolism, which occurs when a blood clot in ... Read more

Related support groups: Surgery, Gastrointestinal Surgery

Coffee May Speed Up Bowel Recovery From Colon Surgery

Posted 12 Oct 2012 by

FRIDAY, Oct. 12 – Drinking coffee instead of water may restore normal bowel function more quickly among people who have had surgery to remove part of their colon, a new study suggests. Researchers at University Hospital Heidelberg, in Germany, also found that these patients were able to tolerate solid food sooner after their operation than people who didn't drink coffee. The study was published in the November issue of the surgical journal BJS. "Postoperative bowel obstruction is a common problem after abdominal surgery, and the aim of this study was to test our theory that coffee would help to alleviate this," study lead author Dr. Sascha Muller, who is now based at Kantonsspital St. Gallen, in Switzerland, said in a journal news release. The researchers recruited 80 patients with colon cancer, diverticular disease (a structural problem in the wall of their colon), inflammatory bowel ... Read more

Related support groups: Gastrointestinal Surgery

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