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CONVERTING A SLEEVE GASTRECTOMY INTO ROUX-EN-Y GASTRIC BYPASS AFTER GASTRIC FIS...

Nogueiro, Jorge; Gomes, Fábio; Resende, Fernando; Pinho, André; Santos-Sousa, Hugo; Preto, John; Lima da Costa, Eduardo

Sleeve Gastrectomy (SG) is the most widely performed bariatric surgery worldwide. Despite being considered a relatively simple surgery compared with other metabolic choices, it has no negligible risk of postoperative complications. Gastric fistulas are one of the most feared complications and the most consensual explanation is the increased intraluminal pressure because of any cause of gastric emptying impairme...

Date: 2024   |   Origin: Revista Portuguesa de Cirurgia

Comparison between the open and the laparoscopic approach in the primary ventra...

Martins, Márcia Regina; Santos-Sousa, Hugo; do Vale, Miguel Alves; Bouça-Machado, Raquel; Barbosa, Elisabete; Sousa-Pinto, Bernardo

Background: Ventral hernia repair underwent various developments in the previous decade. Laparoscopic primary ventral hernia repair may be an alternative to open repair since it prevents large abdominal incisions. However, whether laparoscopy improves clinical outcomes has not been systematically assessed. Objectives: The aim is to compare the clinical outcomes of the laparoscopic versus open approach of primar...


Evidência Subclínica de Alterações Microvasculares na Retina em Doentes Obesos

Laiginhas, Rita; Guimarães, Marta; Cardoso, Pedro; Santos-Sousa, Hugo; Preto, John; Nora, Mário; Chibante, João; Falcão-Reis, Fernando; Falcão, Manuel

INTRODUÇÃO: Estudos de investigação não clínica suportam a evidência da associação direta entre a obesidade e o aumento de stress oxidativo, diminuição da disponibilidade de óxido nítrico e consequente disfunção endotelial. Contudo, o impacto destas alterações in vivo é difícil de avaliar devido à inacessibilidade destes microvasos. Com este estudo pretendeu-se avaliar o impacto da obesidade ...


Vitamin B complex deficiency after Roux-en-Y Gastric bypass and sleeve gastrect...

Nunes, Rita; Santos-Sousa, Hugo; Vieira, Sofia; Nogueiro, Jorge; Bouça-Machado, Raquel; Pereira, André; Carneiro, Silvestre; Costa-Pinho, André

Bariatric surgery, although an effective method, still has complications, like nutritional deficiencies. Our aim was to summarize the evidence on the frequency of complex B vitamin deficiencies in studies comparing Roux-en-Y gastric bypass (RYGB) and sleeve gastrectomy (SG). We included 25 studies for qualitative synthesis and 21 studies for quantitative synthesis. Relevant data was extracted, including proport...


The effect of an exercise intervention program on bone health after bariatric s...

Diniz-Sousa, Florêncio; Veras, Lucas; Boppre, Giorjines; Sá-Couto, Pedro; Devezas, Vítor; Santos-Sousa, Hugo; Preto, John; Vilas-Boas, João Paulo

Exercise has been suggested as a therapeutic approach to attenuate bone loss induced by bariatric surgery (BS), but its effectiveness remains unclear. Our aim was to determine if an exercise-training program could induce benefits on bone mass after BS. Eighty-four patients, submitted to gastric bypass or sleeve gastrectomy, were randomized to either exercise (EG) or control group (CG). One month post-BS, EG und...


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