Journal of Visceral Surgery最新文献_第3页

Unplanned re-hospitalization after bariatric surgery 减肥手术后意外再次住院。

IF 2 4区医学

Journal of Visceral Surgery Pub Date : 2025-08-01 DOI: 10.1016/j.jviscsurg.2025.05.001

Claire Blanchard , Benjamin Menahem

{"title":"Unplanned re-hospitalization after bariatric surgery","authors":"Claire Blanchard , Benjamin Menahem","doi":"10.1016/j.jviscsurg.2025.05.001","DOIUrl":"10.1016/j.jviscsurg.2025.05.001","url":null,"abstract":"<div><div><span><span>Bariatric surgery is a standard treatment for obesity and a number of its complications. Although </span>surgical complications<span> are relatively rare, some patients must return to the emergency department<span> or to a facility far removed in place and time from the original surgery. The purpose of this update is to outline the main reasons for short, medium, and long-term emergency department visits and re-hospitalizations in patients who have undergone bariatric surgery. In the short term, patients may experience non-specific (pulmonary embolism, rhabdomyolysis) and specific (hemorrhage, fistula) complications. Their management is based on a multidisciplinary medical, nutritional, and interventional strategy, with an increasingly important role for surgical endoscopy. In the medium and long term, the reasons for emergency consultation and re-hospitalization are relatively non-specific (abdominal pain, vomiting, excessive or inadequate weight loss). In all cases, complete clinical, laboratory and </span></span></span>nutritional assessments<span> are essential. Some long-term postoperative complications are non-specific and require appropriate management: symptomatic gallstones<span><span><span><span><span>, trocar orifice hernia. Other complications are more specific to each type of bariatric surgery. For gastric banding, these are mainly intragastric band migration and tilting; for </span>sleeve gastrectomy, these are severe reflux, stricture, and delayed </span>fistula; finally, for </span>gastric bypass, these are </span>intestinal obstructions<span>, particularly due to mesenteric breaches, strictures, and anastomotic ulcers. The management of these complications also relies on a multidisciplinary strategy. In conclusion, re-hospitalizations after bariatric surgery are not infrequent and may occur for relatively non-specific reasons. Appropriate clinical, laboratory, and morphological assessments allow for an accurate diagnosis and appropriate management.</span></span></span></div></div>","PeriodicalId":49271,"journal":{"name":"Journal of Visceral Surgery","volume":"162 4","pages":"Pages S23-S33"},"PeriodicalIF":2.0,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144610154","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Unplanned re-hospitalizations in proctology. An update 直肠科意外再住院。一个更新。

IF 2 4区医学

Journal of Visceral Surgery Pub Date : 2025-08-01 DOI: 10.1016/j.jviscsurg.2025.07.006

Nadia Fathallah , Mathilde Aubert , Diane Mege

{"title":"Unplanned re-hospitalizations in proctology. An update","authors":"Nadia Fathallah , Mathilde Aubert , Diane Mege","doi":"10.1016/j.jviscsurg.2025.07.006","DOIUrl":"10.1016/j.jviscsurg.2025.07.006","url":null,"abstract":"<div><div>Proctological surgery is widely practiced in France, with over 100,000 procedures recorded in 2022. More than half of patients are treated as outpatients. Re-admissions or conversion from outpatient surgery to in-patient status are not uncommon and can occur in up to 18% of cases. The main reasons for early readmission are pain, acute urinary retention, bleeding, constipation, infection, anal fissure or hemorrhoid thrombosis. Later re-admissions can also occur due to anal stenosis, anal incontinence, and delayed healing. Prevention of complications is therefore essential to avoid these readmissions. This is based primarily on preoperative patient education regarding signs that may require emergency consultation, as well as on the identification of those patients at risk of bleeding, acute urinary retention, and infectious complications. Intraoperatively, adherence to the quality criteria of proctological surgery is essential, ranging from the choice of techniques to the control of hemostasis and certain technical details, such as respecting mucosal bridges in patients undergoing tripedicular hemorrhoidectomy, or chemical or surgical sphincterotomy in the case of fissurectomy. Pre- and postoperative therapeutic education is essential, as the systematic preparation of prescriptions preoperatively, and software-based patient support (e.g. text message reminders).</div></div>","PeriodicalId":49271,"journal":{"name":"Journal of Visceral Surgery","volume":"162 4","pages":"Pages S46-S52"},"PeriodicalIF":2.0,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144790489","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Press review 新闻评论

IF 2 4区医学

Journal of Visceral Surgery Pub Date : 2025-08-01 DOI: 10.1016/j.jviscsurg.2025.07.002

引用次数: 0

Palliative double biliary and gastric diversion surgery for stenosing periampullary tumor 姑息性双胆胃分流手术治疗壶腹周围狭窄性肿瘤。

IF 2 4区医学

Journal of Visceral Surgery Pub Date : 2025-08-01 DOI: 10.1016/j.jviscsurg.2025.04.005

Arthur Marichez , Mehdi Boubaddi , Benjamin Fernandez , Laurence Chiche

引用次数: 0

Non-programmed rehospitalizations after cholecystectomy 胆囊切除术后非程序性再住院。

IF 2 4区医学

Journal of Visceral Surgery Pub Date : 2025-08-01 DOI: 10.1016/j.jviscsurg.2025.02.009

Claire Goumard , Hadrien Tranchart

引用次数: 0

Intussusception after Roux-en-Y gastric bypass in Pregnancy 妊娠期Roux-en-Y胃旁路术后肠套叠。

IF 2 4区医学

Journal of Visceral Surgery Pub Date : 2025-08-01 DOI: 10.1016/j.jviscsurg.2025.04.007

Antoine Poirier, Laurent Brunaud, Claire Nominé Criqui

引用次数: 0

Lymphatic mapping using patent blue dye injection for colon cancer 使用未专利蓝色染料注射治疗结肠癌的淋巴管作图。

IF 2 4区医学

Journal of Visceral Surgery Pub Date : 2025-08-01 DOI: 10.1016/j.jviscsurg.2025.03.003

Marc Pocard , Jean-Jacques Tuech

引用次数: 0

Shared medical decision making 共享医疗决策。

IF 2 4区医学

Journal of Visceral Surgery Pub Date : 2025-08-01 DOI: 10.1016/j.jviscsurg.2025.03.004

Charles Sabbagh , Quentin Denost , Denis Blazquez , Constantin Zaranis , Muriel Mathonnet , Claude Rambaud , Chloé Carrière , Alain Deleuze , Jean-Michel Fabre , Federation of Visceral, Digestive Surgery (FCVD)

{"title":"Shared medical decision making","authors":"Charles Sabbagh , Quentin Denost , Denis Blazquez , Constantin Zaranis , Muriel Mathonnet , Claude Rambaud , Chloé Carrière , Alain Deleuze , Jean-Michel Fabre , Federation of Visceral, Digestive Surgery (FCVD)","doi":"10.1016/j.jviscsurg.2025.03.004","DOIUrl":"10.1016/j.jviscsurg.2025.03.004","url":null,"abstract":"<div><div>Involving the patient in medical decision-making is called shared medical decision-making (SMD). While the concept of SMD is nothing new, implementation has been slow to develop within current clinical practice, although there is growing interest in this topic in the scientific literature. SMD requires full agreement with the patient, who becomes an actor in their own care, and whose goals sometimes differ from those of the doctor. In a systematic review, it was reported that 75% of surgeons were in favor of SMD, while only 54% of patients favored it. The tools that support SMD can be extremely variable; they are not merely a document of information but must offer guidance to help the patients clarify their choices. They must allow for quality time for discussion, even though the time spent on SMD is perceived as a hindrance to its widespread adoption. The objectives of this work are to specify the essential steps in setting up SMD, and the assessment tools and applications for SMD in digestive surgery.</div></div>","PeriodicalId":49271,"journal":{"name":"Journal of Visceral Surgery","volume":"162 4","pages":"Pages 274-282"},"PeriodicalIF":2.0,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143774357","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Mobilization of the splenic flexure in laparoscopic colorectal surgery: Why and how? 腹腔镜结直肠手术中的脾曲移动：为什么？

IF 2 4区医学

Journal of Visceral Surgery Pub Date : 2025-08-01 DOI: 10.1016/j.jviscsurg.2025.03.006

Zaki Boudiaf , Kamel Bentabak

{"title":"Mobilization of the splenic flexure in laparoscopic colorectal surgery: Why and how?","authors":"Zaki Boudiaf , Kamel Bentabak","doi":"10.1016/j.jviscsurg.2025.03.006","DOIUrl":"10.1016/j.jviscsurg.2025.03.006","url":null,"abstract":"<div><div>Whether or not to mobilize the splenic flexure during laparoscopic colorectal surgery remains a subject of debate. Its usefulness in decreasing the rate of anastomotic leak has not been demonstrated. The difficulty of performing splenic flexure mobilization via laparoscopy and the increase in operative duration are its principal drawbacks. The splenic flexure is an anatomic threshhold zone with complex anatomy, particularly with numerous vascular variations. The laparoscopic approach to splenic flexure mobilization must take into account the embryologic planes while respecting its vascular supply. From the technical standpoint, laparoscopic splenic flexure mobilization can proceed from outside-in by a lateral or anterior approach or from inside-out by a medial approach immediately following the vascular transection. Splenic flexure mobilization can result in an average gain in length of 28cm (extremes: 10–65cm) as demonstrated by cadaver dissections, and allows a tension-free anastomosis in every case. The impact of splenic flexure mobilization on the rate of anastomotic leak has shown discordant results. Meta-analyses based on retrospective studies have not shown beneficial effects of SF mobilization. The only available randomized study demonstrated a statistically significant decrease of anastomotic leak in favor of SF mobilization (9.6% versus 17.9%, <em>P</em>   <!-->minutes, a statistically significant difference, in most studies, but without a significant impact on the rate of conversion to laparotomy or on the global rates of morbidity and mortality. Pre-operative imaging can allow the surgeon to better plan the procedure while predicting potential operative difficulties. In the future, robotic surgery should permit safe SF mobilization thanks to improved vision and more stable exposure.</div></div>","PeriodicalId":49271,"journal":{"name":"Journal of Visceral Surgery","volume":"162 4","pages":"Pages 283-295"},"PeriodicalIF":2.0,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143781866","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Unplanned rehospitalizations after abdominal wall surgery: Update according to a review of the literature 腹壁手术后意外再住院：根据文献综述更新。

IF 2 4区医学

Journal of Visceral Surgery Pub Date : 2025-08-01 DOI: 10.1016/j.jviscsurg.2025.03.009

Benoit Romain , Manon Viennet , Jean-François Gillion , Niki Christou

引用次数: 0