0000000000544143
AUTHOR
Raquel Alfonso-ballester
Effectiveness and efficiency of a special program to reduce the bariatric surgery waiting list at a tertiary hospital
Graphical abstract
Eficacia y eficiencia de un programa especial para la disminución de la lista de espera de cirugía bariátrica en un hospital terciario
Resumen Introduccion La cirugia bariatrica es uno de los procedimientos quirurgicos mas realizados en Espana, sin embargo actualmente es la cirugia con mayor demora en la lista de espera quirurgica (LEQ). Para disminuir la LEQ se pone en marcha un programa especial de autoconcertacion, y se quiere valorar su utilidad, estudiando las repercusiones clinicas y economicas en una unidad de alto volumen de cirugia bariatrica. Metodos Se realizo un estudio prospectivo de 3 meses comparando evolucion, resultados y consumo de recursos perioperatorios de 45 pacientes operados de cirugia bariatrica, divididos en 2 grupos, pacientes operados en quirofano de forma estandar y pacientes operados en progra…
Roux-en-Y Gastric Bypass as an Effective Bariatric Revisional Surgery after Restrictive Procedures
<b><i>Introduction:</i></b> Revisional surgery must be considered when insufficient weight loss is attained or weight is subsequently regained. This study aimed to investigate the value of Roux-en-Y gastric bypass (RYGB) as a revisional procedure after restrictive surgery. <b><i>Materials and Methods:</i></b> An observational, retrospective study including patients initially operated on for morbid obesity with restrictive techniques (vertical-banded gastroplasty [VBG], adjustable gastric band [AGB], and sleeve gastrectomy) and reoperated with RYGB in our centre between December 1994 and January 2019. Demographic and anthropometric data, associ…
Intraoperative Scintigraphy With Portable Gamma Camera for the Localization of Interaortocaval Paraganglioma
A 15-year-old adolescent girl diagnosed of interaortocaval paraganglioma with a positive 123I-MIGB SPECT/CT and 1 unsuccessful prior surgery was operated on with the assistance of a handheld gamma camera. Once the lesion was located and removed, 2 images were taken, one of the surgical field (without 123I-MIGB uptake) and another of the tumor ex vivo (with high 123I-MIGB uptake), confirming that the lesion had been satisfactorily excised. This case highlights the use of a portable gamma camera as a useful tool to locate this rare tumor, with a SPECT/CT positive for 123I-MIGB and a difficult anatomical location suspected.