[en] Objective: To investigate the effectiveness of re-sleeve gastrectomy (LRSG) in patients who had insufficient weight loss or weight regain after laparoscopic sleeve gastrectomy (LSG). Study Design: Descriptive study. Place and Duration of Study: Ortadogu Private Hospital, Turkey, between March 2013 and January 2017. Methodology: Patients who underwent LRSG following LSG due to inadequate weight loss or weight regain retrospectively evaluated. Patients' demographics, comorbidities, and bariatric surgery outcomes, as well as hospitalisation rate, excess weight loss percentage (EWL%), and body mass index (BMI ) were recorded. Scheduled follow-up visits after surgery at 1, 3, 6, and 12 months post-surgery and every six months subsequently were done. Results: A total of 21 patients that underwent LRSG after LRG due to inadequate weight loss or a regain in weight. Of them, 7 (33.3%) were males, and 14 (66.7%) were females. The mean body weight index (BMI) before primary LSG was 52.3 ±4.7 Kg/m² and EWL% was 32.7 ±4.6. After an average follow-up of 24 months. BMI of patients before LRSG was 46.1 ±4.3 Kg/m². Following a 1-year observation, there was a substantial (p<0.001) improvement in BMI (21.6 ±3.1 Kg/m2) and excess weight loss percentage (86.82% of EWL). (author)

[en] This report summarizes the most important aspects of the new German S3 guidelines for the diagnostics and treatment of peripheral arterial occlusive disease (PAOD) from March 2009. The guidelines include definitions and epidemiology of peripheral arterial occlusive disease, diagnostic methods including clinical and technical procedures as well as imaging methods, treatment by non-invasive, interventional and surgical methods and patient care during follow-up. In key messages recommendations are given which are graded corresponding to the scientific evidence concluded from the literature. (orig.)

[en] The results achieved on the clinical assay, which took place on the 'Miguel Enrique' Surgical and Clinical Hospital, are presented. The main objective is to evaluate the therapeutic efficacy of the equipment for laser physiotherapy Fisser 21, over the healing of dehiscent wounds after the aesthetic surgery, comparing them with the most common treatment with antibiotics. All data obtained between two groups were analyzed, the first one with laser therapy (21 patients), and the other one with conventional treatment (18 patients). Taking into account such comparison, the dependence of the speed of reduction of the dehiscence width from the time of healing of this kind of wounds is proposed. (Author)

[en] Authors experienced 214 percutaneous nephrostomies at 182 patients from July 1982 to April 1987 at the Department of Diagnostic Radiology, Seoul National University Hospital. There were satisfactory results in view of success rate, change of BUN/Creatinine values after the procedure and the complications associated with the procedure. So the future tasks seem to be the prevention of complications, alleviation of discomfort from carrying the nephrostomy tube and adequate follow-up after the procedure

[en] The rapid growth of social media over the last decade soon convinced businesses including medical practices and academic medical centers to enter the social media fray—for profit, education, and expanding access. Launched in 2010, Pinterest (San Francisco, CA, USA) differed from many of the established social media platforms by presenting collection and curation features based on the sharing of images rather than text. Thus, Pinterest allows users to categorize website links using photos, GIFs, and videos, and catalog them for future consideration, saved on a virtual folder or “pinboard.” Facebook, Twitter, and LinkedIn are text-heavy social media platforms that do not allow for significant curating activities. Instagram, the other of the two primary photo-oriented social media giants, was launched the same year as Pinterest. Owned by Facebook, Instagram caters to a more personal experience and mostly relies on mobile technology. Because Pinterest users are mainly focused on finding and collecting other users’ content, Pinterest is thought to generate website traffic and is more conducive to use on larger screens. It further distinguishes itself by encouraging appreciation/learning over self-promotion and its range of categories exceeds that of other such sites. Some of the more visually oriented medical specialties (i.e., dermatology, plastic surgery, and radiology) have begun to consider what role, if any, the popular site Pinterest, with more than 250 million monthly users, might play in disseminating healthy messages, reaching patients, and contributing to medical education. We investigated how Pinterest could work for our radiology education mission and then decided to establish a presence on the site to ascertain if creating our own board would have any practical benefits.

[en] 

Purpose

Autoantibody to 14-3-3 zeta was identified in gastric cancer (GC) by serological proteome analysis (SERPA) in our previous study. We comprehensively evaluated its ability to detect GC, determined its association with clinical characteristics, and explored its temporal change in GC patients before and after gastrectomy resection in this study.

Methods

Anti-14-3-3 zeta antibody was examined by immunoassay in sera from 465 GC patients and 465 normal individuals, and also in 69 serial sera from 26 GC patients before and after resection.

Results

The frequency of anti-14-3-3 zeta were significantly higher in GC group than in control group, with AUC of 0.627. The appearance of anti-14-3-3 zeta showed no difference in different tumor stage, tumor size, tumor differentiation, and lymphatic metastasis, but was higher in GC patients with family tumor history than without family tumor history. When anti-14-3-3 zeta was combined with clinical markers (CEA, CA199 and CA724), the sensitivity increased to 52.7%. In the follow-up analysis, the titer of anti-14-3-3 zeta was higher in post-resection sera than pre-resection sera, and no difference was observed in CEA, CA199 and CA724. Anti-14-3-3 zeta showed an increase from negative status to positive status in six patients after resection, while other three clinical markers presented different change in GC patients after resection.

Conclusions

Autoantibody against 14-3-3 zeta could be a potential diagnostic biomarker and improve the sensitivity of CEA, CA199 and CA724 in diagnosis of GC. Further largescale studies will be needed to validate its performance in GC patients after resection.

[en] To establish upper limit of normal splenic length of Korean adults on ultrasonography and to determice the degree of interobserver and intraobserver variation. Ultrasonographic scans were performed to measure the maximum length of spleen in 105 of 150 adults selected by convenience sampling. Remained 45 cases with any conditions that could alter splenic size were excluded from this study. The maximum length of spleen was measured and correlated with body surface area, patient height, weight, age and sex. In 31 of the 105 adults we evaluated the interobserver and intraobserver variations in sonographic measurements of splenic length obtained by three radiologists in blind fashion. The mean splenic length in 105 adults was 8.56cm (± 0.95). The splenic length positively correlated with body surface area, patient height and weight (P <0.001), and negatively correlated with patient age (P < 0.01). Male spleen (8.87 cm ± 1.07) was longer than female spleen (8.35 cm ± 0.81) (P < 0.05). The following guidelines are proposed for the upper limit of normal splenic length at different groups of body surface area: no longer than 10 cm at 1.20∼1.59 m², 11 cm at1.60∼1.79 m², and 12 cm at 1.80∼1.99 m². The mean interobserver variation between any two radiologists ranged from 0.32 cm (± 0.29) to 0.39 cm (± 0.33) and interobserver variations were within 1 cm in 96%. The mean intraobserver variations were within 0.5 cm in 91%. The splenic length closely correlated with body surface area, patient height, weight and age. Particularly the upper limit of normal splenic length changed according to body surface area. Interobserver variation about 1 cm and intraobserver variation about 0.5 cm should be considered in the measurement of the splenic length on ultrasonography

[en] To investigate whether restless leg syndrome (RLS) symptoms improved and treatment requirement decreased through weight loss on postoperative follow-ups of the patients who underwent laparoscopic sleave gastrectomy (LSG) due to obesity and who were started medical therapy due to RLS. Study Design: A descriptive study. Place and Duration of Study: General Surgery Outpatient Clinics of Research and Training Hospital of Medical School, Adiyaman, Turkey, from May 2014 to December 2017. Methodology: A total of 14 patients who underwent LSG due to morbid obesity and who received medical treatment due to RLS were retrospectively included in the study. The improvement of the symptoms and no need for medical treatment were considered as treatment or recovery criterion. Those who were not diagnosed with RLS before the operation or who did not receive medical treatment due to RLS were excluded. Results: The study subjects comprised 6 females (42.9%) and 8 males (57.1%). Mean BMI was 46.50 ±3.43 Kg/m2 before LSG and 28.28 ±2.26 Kg/m2 on months 12 after LSG. Mean BMI values 12 months after LSG were significantly reduced compared to preoperative BMI (p=0.001). Out of the 14 patients who had been receiving medical therapy before LSG, 12 patients (85.7%) had discontinued medical therapy 12 months after LSG. A statistically significant difference was detected between the number of the patients who were receiving medical therapy due to RLS on month 12 after LSG and the number of the patients who were receiving medical therapy before LSG (p=0.001). Conclusion: Treatment requirements of morbid obese patients who were receiving medical therapy due to RLS significantly decreased through weight loss following RLS. (author)

No abstract available

[en] Wandering spleen is a rare condition which if uncorrected, can result in torsion and infarction. Clinical presentation of a wandering spleen can vary from asymptomatic abdominal mass to acute abdominal pain. Radiological investigations play a pivotal role in diagnosis as the clinical diagnosis is usually impossible. We present a case of wandering spleen with torsion and complete infarction that occurred in a 32-year-old multiparous female. The diagnosis was established preoperatively on colour Doppler and CT of the abdomen with subsequent confirmation on surgery. Wandering spleen is a rare clinical condition which can present as acute abdomen. An increased awareness of this entity together with the timely use of ultrasound and CT of the abdomen can play an important role in preoperative diagnosis and surgical management