29.11.10

Extra Vitamin D and Calcium Aren’t Needed, Report Says

Extra Vitamin D and Calcium Aren't Needed, Report Says

Experts convened by the Institute of Medicine said that most people do not need additional calcium or vitamin D, and that too much of the supplements could cause harm.

http://nyti.ms/f0ZI4Z

24.11.10

A Prescription for Abdominal Pain: Due Diligence

18 AND UNDER: A Prescription for Abdominal Pain: Due Diligence

Doctors can be too quick to dismiss complaints about belly troubles.

http://nyti.ms/a70Ksb

19.11.10

Smaller Staple Height for Circular Stapled Gastrojejunostomy in Laparoscopic Gastric Bypass: Early Results in 1,074 Morbidly Obese Patients.

Nog een gepubliceerd artikel!

Sakran N, Assalia A, Sternberg A, Kluger Y, Troitsa A, Brauner E, Van Cauwenberge S, De Visschere M, Dillemans B

BACKGROUND: Anastomotic leaks, stenosis, and bleeding from the gastrojejunal anastomosis (GJA) after gastric bypass may carry high morbidity and mortality. To date, the standard operation with the circular stapler (CS) used the 25 mm with a staple height of 4.8 mm. We present herein our experience with the 3.5-mm staple height. METHODS: A total of 1,074 morbidly obese patients who underwent fully stapled laparoscopic Roux-en-Y Gastric Bypass over a period of 18 months were included in the study. Mean body mass index was 41.9 (range 28.6-70.7). Mean age was 40.9 years (range 15-74 years). Mean operating time was 73 min (range 43-210 min) and the mean length of stay was 4.2 days (range 1-25 days). The 30-day complication rate associated with GJA was prospectively analyzed. RESULTS: Twenty patients (1.86%) developed postoperative bleeding. Four developed GJA bleeding (0.37%). One leak was recorded from the vertical staple line of the gastric pouch, but no leaks from the GJA were seen. Conversion to open approach was required in two patients (0.18%). Reoperation and readmission rates were 1.7% and 1.8%, respectively. Perioperative complications were observed in 34 patients (3.1%). One case of clinical GJA stenosis was detected in a mean follow-up of 10.5 months (range 5-20 months). There was no mortality in our series. CONCLUSION: Compared to our previous experience with 4.8 mm CS, creating the GJA using a smaller staple height significantly reduced the bleeding rate and seems to be a safe technique that potentially reduces other complications related to the GJA as reported in the literature.

PMID: 21082289
URL - http://www.ncbi.nlm.nih.gov/pubmed/21082289?dopt=Citation

13.11.10

Briton Loses Twitter Case, but Wins Following

Briton Loses Twitter Case, but Wins Following

Paul J. Chambers's joke on Twitter about blowing up an airport got him convicted, but he is now a cause célèbre.

http://nyti.ms/cgSHcX

12.11.10

Top 10 Must-Have Apps for the iPhone, and Some Runners-Up

A fistful of iPhone apps that will save you time, make your life easier and make you smile. This is a selected list by the New York Times. Check it out!

http://nyti.ms/cE1R25

9.11.10

Vlaming vindt oplossing voor hartstilstand

Een 34-jarige Oost-Vlaming haalt dezer dagen de internationale pers met een belangrijke doorbraak in de strijd tegen hartstilstanden. Hij ontrafelde aan een Canadese universiteit het eiwit dat jaarlijks talloze slachtoffers eist.

Lees verder...

7.11.10

While Warning About Fat, U.S. Pushes Cheese Sales

While Warning About Fat, U.S. Pushes Cheese Sales

When sales of Domino's Pizza were lagging, a government agency stepped in with advice: more cheese. This is the same government that, for health reasons, is advising less cheese.

http://nyti.ms/crOk7Z