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Intragastric Balloon (BIB System) in the Treatment of Obesity and Preparation of Patients for Surgery - Own Experience and Literature Review

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Dąbrowiecki S., Szczęsny W., Popławski C., Sosnowski D.

Polish Journal of Surgery

2011

vol. 83

issue 4

181-187

Despite the recognition of bariatric surgery as the only effective method of weight reduction, we remain in search of minimally invasive methods, both for the treatment of obesity and preparation of patients for surgical procedures.The aim of the study was to determine intragastric balloon (Allergan) implantation results as the only method of treating obesity, and patient preparation for further stages of abdominal hernia operations, as well as other surgical procedures.Material and methods. The study presented own results considering the use of Bioenteric Intragastric Balloons (BIB system) in the treatment of pathological obesity, and preparation of patients for bariatric surgery and abdominal hernia operations. The study group comprised 18 female and 7 male patients. Average patient age amounted to 50.6 and 54 years, respectively. Indications for intragastric balloon insertion were as follows: preparation for hernia (10 cases) and bariatric (5 patients) operations, and weight reduction management (8 patients). In two cases the implantation of the intragastric balloon served the preparation for gynecological and orthopedic (vertebral column) operations. One female patient was prepared for both bariatric and hernial surgery. The procedure was performed under general anesthesia. Statistical analysis considered 22 patients (one female patient was excluded from analysis, due to death, two other were excluded because of lack of sufficient data).Results. In case of two patients the intragastric balloon system was removed before 6 months had elapsed because of intolerance. One female patient died during the observation period for reasons not related to the procedure. The obtained BMI reduction ranged between 2 and 6 kg/m2, which amounted to a maximum weight loss of 24 kg. In one patient a weight gain of 2 kg was observed. Considering patients prepared for abdominal hernia operations weight reduction was greater and better maintained after the removal of the BIB system.Conclusions. According to the authors of the presented study the intragastric balloon serves its role as a bridge to bariatric procedures and weight reduction, before planned extensive postoperative hernia operations. The use of the intragastric balloon only to reduce weight has no medical and economic justification.

The use of rifaximin in pre-operative period of patients with tumors of the gastrointestinal tract – a retrospective study (2013-2016)

100%

Moroz N., Sitarz R., Mruk A., Bakalarz R., Maciąg E., Litwiński J., Wierzbicki R.

Polish Journal of Surgery

2018

vol. 90(1)

35-40

Introduction: One of the most important goals of preparing a patient for elective gastrointestinal cancer surgery is to prevent postoperative complications. The literature presents many ways to prepare for surgery, but only few sources suggest that preoperative use of rifaximin provides benefits in the form of fewer perioperative complications and reduced severity of pain during this period. Objective: The presented project is a retrospective analysis of the effectiveness of rifaximin in the prevention of perioperative complications in patients treated at the Department of General Surgery with Orthopedics and Trauma Division and Urology Division of the Ministry of Interior and Administration Hospital in Lublin, and a review of international literature in this subject. Materials and methods: A retrospective analysis of the results of preoperative use of rifaximin was performed in patients scheduled for rectal and colorectal cancer surgeries at the Department of General Surgery with Orthopedics and Trauma Division and Urology Division of the Ministry of Interior and Administration Hospital in Lublin in the period between 2013 and 2016. Patients undergoing emergency surgeries were excluded from the study. Patients were divided into 2 groups, as follows: The first group consisted of 139 patients operated on for rectal and colorectal cancer in years 2013-2015, in whom rifaximin was not used in the preoperative period. The second group consisted of 42 patients operated on in 2016, in whom rifaximin was used in the preoperative period at the dose of 2 x 2 tablets (400 mg) per day at 12-hour intervals, for 7 days before the scheduled surgery. Additionally, a probiotic was administered for 7 days. Drugs were ordained at the Oncological Outpatient Clinic as part of pre-hospitalization checks. Results: The use of rifaximin in the preoperative period in patients with colorectal cancer shortened the time of postoperative hospitalization and reduced postsurgical pain in comparison with the control group. The analysis revealed no differences in the numbers and the intensity of surgical complications in both groups. Conclusions: No large studies have been published to date on the influence of rifaximin on the development of colorectal cancer. Suggestions that rifaximin has a positive effect on the perioperative period of patients treated for colorectal cancer had been presented in isolated reports; these observations are confirmed by our retrospective analysis.

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2 Polish Journal of Surgery

1 2018

1 2011

1 Bakalarz R.

1 Dąbrowiecki S.

1 Litwiński J.

1 Maciąg E.

1 Moroz N.

1 Mruk A.

1 Popławski C.

1 Sitarz R.

1 Sosnowski D.

1 Szczęsny W.

1 Wierzbicki R.

Search results

Intragastric Balloon (BIB System) in the Treatment of Obesity and Preparation of Patients for Surgery - Own Experience and Literature Review

The use of rifaximin in pre-operative period of patients with tumors of the gastrointestinal tract – a retrospective study (2013-2016)