Author: "Musella M" / Topic: medicine - Searchworks@Jio Institute Digital Library Search Results

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1. Contributions of American medicine during 1948.

Author: MUSELLA M
Subjects: United States, Medicine
Published: 1949

2. The critical view of safety during laparoscopic cholecystectomy: Strasberg Yes or No? An Italian Multicentre study

Author: Sgaramella, L. I., Gurrado, A., Pasculli, A., de Angelis, N., Memeo, R., Prete, F. P., Berti, S., Ceccarelli, G., Rigamonti, M., Badessi, F. G. A., Solari, N., Milone, M., Catena, F., Scabini, S., Vittore, F., Perrone, G., de Werra, C., Cafiero, F., Testini, M., Baiocchi, G. L., Baldazzi, G., Battocletti, M., Bertoglio, S., Bianco, P., Bugiantella, W., Ciaccio, G., Cobianchi, L., Conzo, G., Crespi, M., De Rosa, M., Di Meo, G., Docimo, L., Fabris, L., Feleppa, C., Ferraro, V., Fontana, T., Gambardella, C., Gennai, A., Guida, F., Invernizzi, L., Massobrio, A., Medas, F., Monaco, L., Muntoni, G., Musella, M., Palombo, D., Perinotti, R., Pertile, D., Pezzolla, A., Piccirillo, G., Polastri, R., Ruggiero, R., Scatizzi, M., Somaglino, C., Tolone, S., Traverso, E., Tutino, R., Valduga, C., Zuolo, M., Sgaramella, L. I., Gurrado, A., Pasculli, A., de Angelis, N., Memeo, R., Prete, F. P., Berti, S., Ceccarelli, G., Rigamonti, M., Badessi, F. G. A., Solari, N., Milone, M., Catena, F., Scabini, S., Vittore, F., Perrone, G., de Werra, C., Cafiero, F., Testini, M., Baiocchi, G. L., Baldazzi, G., Battocletti, M., Bertoglio, S., Bianco, P., Bugiantella, W., Ciaccio, G., Cobianchi, L., Conzo, G., Crespi, M., De Rosa, M., Di Meo, G., Docimo, L., Fabris, L., Feleppa, C., Ferraro, V., Fontana, T., Gambardella, C., Gennai, A., Guida, F., Invernizzi, L., Massobrio, A., Medas, F., Monaco, L., Muntoni, G., Musella, M., Palombo, D., Perinotti, R., Pertile, D., Pezzolla, A., Piccirillo, G., Polastri, R., Ruggiero, R., Scatizzi, M., Somaglino, C., Tolone, S., Traverso, E., Tutino, R., Valduga, C., Zuolo, M., Sgaramella L.I., Gurrado A., Pasculli A., de Angelis N., Memeo R., Prete F.P., Berti S., Ceccarelli G., Rigamonti M., Badessi F.G.A., Solari N., Milone M., Catena F., Scabini S., Vittore F., Perrone G., de Werra C., Cafiero F., Testini M., Baiocchi G.L., Baldazzi G., Battocletti M., Bertoglio S., Bianco P., Bugiantella W., Ciaccio G., Cobianchi L., Conzo G., Crespi M., De Rosa M., Di Meo G., Docimo L., Fabris L., Feleppa C., Ferraro V., Fontana T., Gambardella C., Gennai A., Guida F., Invernizzi L., Massobrio A., Medas F., Monaco L., Muntoni G., Musella M., Palombo D., Perinotti R., Pertile D., Pezzolla A., Piccirillo G., Polastri R., Ruggiero R., Scatizzi M., Somaglino C., Tolone S., Traverso E., Tutino R., Valduga C., and Zuolo M.
Subjects: medicine.medical_specialty, Critical view of safety, medicine.medical_treatment, Laparoscopic training, bBile duct injuries, Bile duct injuries, Cholecystectomy, Intraoperative bleeding, Laparoscopy, Bile Duct Diseases, Article, cholecystectomy, critical view of safety, intraoperative bleeding, laparoscopic training, laparoscopy, Medicine, Humans, Intraoperative Complications, medicine.diagnostic_test, business.industry, Bile duct, General surgery, Gallbladder, Incidence (epidemiology), Gold standard, Perioperative, medicine.anatomical_structure, Cholecystectomy, Laparoscopic, Italy, Surgery, Bile Ducts, business, Bile duct injurie, Abdominal surgery
Abstract: Background Laparoscopic cholecystectomy is considered the gold standard for the treatment of gallbladder lithiasis; nevertheless, the incidence of bile duct injuries (BDI) is still high (0.3–0.8%) compared to open cholecystectomy (0.2%). In 1995, Strasberg introduced the "Critical View of Safety" (CVS) to reduce the risk of BDI. Despite its widespread use, the scientific evidence supporting this technique to prevent BDI is controversial. Methods Between March 2017 and March 2019, the data of patients submitted to laparoscopic cholecystectomy in 30 Italian surgical departments were collected on a national database. A survey was submitted to all members of Italian Digestive Pathology Society to obtain data on the preoperative workup, the surgical and postoperative management of patients and to judge, at the end of the procedure, if the isolation of the elements was performed according to the CVS. In the case of a declared critical view, iconographic documentation was obtained, finally reviewed by an external auditor. Results Data from 604 patients were analysed. The study population was divided into two groups according to the evidence (Group A; n = 11) or absence (Group B; N = 593) of BDI and perioperative bleeding. The non-use of CVS was found in 54.6% of procedures in the Group A, and 25.8% in the Group B, and evaluating the operator-related variables the execution of CVS was associated with a significantly lower incidence of BDI and intraoperative bleeding. Conclusions The CVS confirmed to be the safest technique to recognize the elements of the Calot triangle and, if correctly performed, it significantly impacted on preventing intraoperative complications. Additional educational programs on the correct application of CVS in clinical practice would be desirable to avoid extreme conditions that may require additional procedures.
Published: 2020

3. 30-Day morbidity and mortality of bariatric metabolic surgery in adolescence during the COVID-19 pandemic – The GENEVA study

Author: Singhal R., Wiggins T., Super J., Alqahtani A., Nadler E. P., Ludwig C., Tahrani A., Mahawar K., Pedziwiatr M., Major P., Zarzycki P., Pantelis A., Lapatsanis D. P., Stravodimos G., Matthys C., Focquet M., Vleeschouwers W., Spaventa A. G., Zerrweck C., Vitiello A., Berardi G., Musella M., Sanchez-Meza A., Cantu F. J., Mora F., Cantu M. A., Katakwar A., Reddy D. N., Elmaleh H., Hassan M., Elghandour A., Elbanna M., Osman A., Khan A., Layani L., Kiran N., Velikorechin A., Solovyeva M., Melali H., Shahabi S., Agrawal A., Shrivastava A., Sharma A., Narwaria B., Narwaria M., Raziel A., Sakran N., Susmallian S., Karagoz L., Akbaba M., Piskin S. Z., Ziya A., Senol Z., Manno E., Iovino M. G., Qassem M., Arana-Garza S., Povoas H. P., Vilas-Boas M. L., Naumann D., Li A., Ammori B. J., Balamoun H., Salman M., Nasta A. M., Goel R., Sanchez-Aguilar H., Herrera M. F., Abou-Mrad A., Cloix L., Mazzini G. S., Kristem L., Lazaro A., Campos J., Bernardo J., Gonzalez J., Trindade C., Viveiros O., Ribeiro R., Goitein D., Hazzan D., Segev L., Beck T., Reyes H., Monterrubio J., Garcia P., Benois M., Kassir R., Contine A., Elshafei M., Aktas S., Weiner S., Heidsieck T., Level L., Pinango S., Ortega P. M., Moncada R., Valenti V., Vlahovic I., Boras Z., Liagre A., Martini F., Juglard G., Motwani M., Saggu S. S., Al Momani H., Lopez L. A. A., Cortez M. A. C., Zavala R. A., D'Haese C., Kempeneers I., Himpens J., Lazzati A., Paolino L., Bathaei S., Bedirli A., Yavuz A., Buyukkasap C., Ozaydin S., Kwiatkowski A., Bartosiak K., Waledziak M., Santonicola A., Angrisani L., Iovino P., Palma R., Iossa A., Boru C. E., De Angelis F., Silecchia G., Hussain A., Balchandra S., Coltell I. B., Perez J. L., Bohra A., Awan A. K., Madhok B., Leeder P. C., Awad S., Al-Khyatt W., Shoma A., Elghadban H., Ghareeb S., Mathews B., Kurian M., Larentzakis A., Vrakopoulou G. Z., Albanopoulos K., Bozdag A., Lale A., Kirkil C., Dincer M., Bashir A., Haddad A., Hijleh L. A., Zilberstein B., de Marchi D. D., Souza W. P., Broden C. M., Gislason H., Shah K., Ambrosi A., Pavone G., Tartaglia N., Kona S. L. K., Kalyan K., Perez C. E. G., Botero M. A. F., Covic A., Timofte D., Maxim M., Faraj D., Tseng L., Liem R., Oren G., Dilektasli E., Yalcin I., AlMukhtar H., Al Hadad M., Mohan R., Arora N., Bedi D., Rives-Lange C., Chevallier J. -M., Poghosyan T., Sebbag H., Zinai L., Khaldi S., Mauchien C., Mazza D., Dinescu G., Rea B., Perez-Galaz F., Zavala L., Besa A., Curell A., Balibrea J. M., Vaz C., Galindo L., Silva N., Caballero J. L. E., Sebastian S. O., Marchesini J. C. D., da Fonseca Pereira R. A., Sobottka W. H., Fiolo F. E., Turchi M., Coelho A. C. J., Zacaron A. L., Barbosa A., Quinino R., Menaldi G., Paleari N., Martinez-Duartez P., Aragon Ramirez de Esparza D. G. M., Esteban V. S., Torres A., Garcia-Galocha J. L., Josa M. I., Pacheco-Garcia J. M., Mayo-Ossorio M. A., Chowbey P., Soni V., de Vasconcelos Cunha H. A., Castilho M. V., Ferreira R. M. A., Barreiro T. A., Charalabopoulos A., Sdralis E., Davakis S., Bomans B., Dapri G., Van Belle K., MazenTakieddine, Vaneukem P., Karaca E. S. A., Karaca F. C., Sumer A., Peksen C., Savas O. A., Chousleb E., Elmokayed F., Fakhereldin I., Aboshanab H. M., Swelium T., Gudal A., Gamloo L., Ugale A., Ugale S., Boeker C., Reetz C., Hakami I. A., Mall J., Alexandrou A., Baili E., Bodnar Z., Maleckas A., Gudaityte R., Guldogan C. E., Gundogdu E., Ozmen M. M., Thakkar D., Dukkipati N., Shah P. S., Shah S. S., Adil M. T., Jambulingam P., Mamidanna R., Whitelaw D., Jain V., Veetil D. K., Wadhawan R., Torres M., Tinoco T., Leclercq W., Romeijn M., van de Pas K., Alkhazraji A. K., Taha S. A., Ustun M., Yigit T., Inam A., Burhanulhaq M., Pazouki A., Eghbali F., Kermansaravi M., Jazi A. H. D., Mahmoudieh M., Mogharehabed N., Tsiotos G., Stamou K., Barrera Rodriguez F. J., Rojas Navarro M. A., Torres O. M. O., Martinez S. L., Tamez E. R. M., Millan Cornejo G. A., Flores J. E. G., Mohammed D. A., Elfawal M. H., Shabbir A., Guowei K., So J. B. Y., Kaplan E. T., Kaplan M., Kaplan T., Pham D. T., Rana G., Kappus M., Gadani R., Kahitan M., Pokharel K., Osborne A., Pournaras D., Hewes J., Napolitano E., Chiappetta S., Bottino V., Dorado E., Schoettler A., Gaertner D., Fedtke K., Aguilar-Espinosa F., Aceves-Lozano S., Balani A., Nagliati C., Pennisi D., Rizzi A., Frattini F., Foschi D., Benuzzi L., Parikh C. H. I. R. A. G., Shah H. A. R. S. H. I. L., Pinotti E., Montuori M., Borrelli V., Dargent J., Copaescu C. A., Hutopila I., Smeu B., Witteman B., Hazebroek E., Deden L., Heusschen L., Okkema S., Aufenacker T., den Hengst W., Vening W., van der Burgh Y., Ghazal A., Ibrahim H., Niazi M., Alkhaffaf B., Altarawni M., Cesana G. C., Anselmino M., Uccelli M., Olmi S., Stier C., Akmanlar T., Sonnenberg T., Schieferbein U., Marcolini A., Awruch D., Vicentin M., de Souza Bastos E. L., Gregorio S. A., Ahuja A., Mittal T., Bolckmans R., Baratte C., Wisnewsky J. A., Genser L., Chong L., Taylor L., Ward S., Hi M. W., Heneghan H., Fearon N., Plamper A., Rheinwalt K., Geoghegan J., Ng K. C., Kaseja K., Kotowski M., Samarkandy T. A., Leyva-Alvizo A., Corzo-Culebro L., Wang C., Yang W., Dong Z., Riera M., Jain R., Hamed H., Said M., Zarzar K., Garcia M., Turkcapar A. G., Sen O., Baldini E., Conti L., Wietzycoski C., Lopes E., Pintar T., Salobir J., Aydin C., Atici S. D., Ergin A., Ciyiltepe H., Bozkurt M. A., Kizilkaya M. C., Onalan N. B. D., Zuber M. N. B. A., Wong W. J., Garcia A., Vidal L., Beisani M., Pasquier J., Vilallonga R., Sharma S., Parmar C., Lee L., Sufi P., Sinan H., Saydam M., Singhal, R., Wiggins, T., Super, J., Alqahtani, A., Nadler, E. P., Ludwig, C., Tahrani, A., Mahawar, K., Pedziwiatr, M., Major, P., Zarzycki, P., Pantelis, A., Lapatsanis, D. P., Stravodimos, G., Matthys, C., Focquet, M., Vleeschouwers, W., Spaventa, A. G., Zerrweck, C., Vitiello, A., Berardi, G., Musella, M., Sanchez-Meza, A., Cantu, F. J., Mora, F., Cantu, M. A., Katakwar, A., Reddy, D. N., Elmaleh, H., Hassan, M., Elghandour, A., Elbanna, M., Osman, A., Khan, A., Layani, L., Kiran, N., Velikorechin, A., Solovyeva, M., Melali, H., Shahabi, S., Agrawal, A., Shrivastava, A., Sharma, A., Narwaria, B., Narwaria, M., Raziel, A., Sakran, N., Susmallian, S., Karagoz, L., Akbaba, M., Piskin, S. Z., Ziya, A., Senol, Z., Manno, E., Iovino, M. G., Qassem, M., Arana-Garza, S., Povoas, H. P., Vilas-Boas, M. L., Naumann, D., Li, A., Ammori, B. J., Balamoun, H., Salman, M., Nasta, A. M., Goel, R., Sanchez-Aguilar, H., Herrera, M. F., Abou-Mrad, A., Cloix, L., Mazzini, G. S., Kristem, L., Lazaro, A., Campos, J., Bernardo, J., Gonzalez, J., Trindade, C., Viveiros, O., Ribeiro, R., Goitein, D., Hazzan, D., Segev, L., Beck, T., Reyes, H., Monterrubio, J., Garcia, P., Benois, M., Kassir, R., Contine, A., Elshafei, M., Aktas, S., Weiner, S., Heidsieck, T., Level, L., Pinango, S., Ortega, P. M., Moncada, R., Valenti, V., Vlahovic, I., Boras, Z., Liagre, A., Martini, F., Juglard, G., Motwani, M., Saggu, S. S., Al Momani, H., Lopez, L. A. A., Cortez, M. A. C., Zavala, R. A., D'Haese, C., Kempeneers, I., Himpens, J., Lazzati, A., Paolino, L., Bathaei, S., Bedirli, A., Yavuz, A., Buyukkasap, C., Ozaydin, S., Kwiatkowski, A., Bartosiak, K., Waledziak, M., Santonicola, A., Angrisani, L., Iovino, P., Palma, R., Iossa, A., Boru, C. E., De Angelis, F., Silecchia, G., Hussain, A., Balchandra, S., Coltell, I. B., Perez, J. L., Bohra, A., Awan, A. K., Madhok, B., Leeder, P. C., Awad, S., Al-Khyatt, W., Shoma, A., Elghadban, H., Ghareeb, S., Mathews, B., Kurian, M., Larentzakis, A., Vrakopoulou, G. Z., Albanopoulos, K., Bozdag, A., Lale, A., Kirkil, C., Dincer, M., Bashir, A., Haddad, A., Hijleh, L. A., Zilberstein, B., de Marchi, D. D., Souza, W. P., Broden, C. M., Gislason, H., Shah, K., Ambrosi, A., Pavone, G., Tartaglia, N., Kona, S. L. K., Kalyan, K., Perez, C. E. G., Botero, M. A. F., Covic, A., Timofte, D., Maxim, M., Faraj, D., Tseng, L., Liem, R., Oren, G., Dilektasli, E., Yalcin, I., Almukhtar, H., Al Hadad, M., Mohan, R., Arora, N., Bedi, D., Rives-Lange, C., Chevallier, J. -M., Poghosyan, T., Sebbag, H., Zinai, L., Khaldi, S., Mauchien, C., Mazza, D., Dinescu, G., Rea, B., Perez-Galaz, F., Zavala, L., Besa, A., Curell, A., Balibrea, J. M., Vaz, C., Galindo, L., Silva, N., Caballero, J. L. E., Sebastian, S. O., Marchesini, J. C. D., da Fonseca Pereira, R. A., Sobottka, W. H., Fiolo, F. E., Turchi, M., Coelho, A. C. J., Zacaron, A. L., Barbosa, A., Quinino, R., Menaldi, G., Paleari, N., Martinez-Duartez, P., Aragon Ramirez de Esparza, D. G. M., Esteban, V. S., Torres, A., Garcia-Galocha, J. L., Josa, M. I., Pacheco-Garcia, J. M., Mayo-Ossorio, M. A., Chowbey, P., Soni, V., de Vasconcelos Cunha, H. A., Castilho, M. V., Ferreira, R. M. A., Barreiro, T. A., Charalabopoulos, A., Sdralis, E., Davakis, S., Bomans, B., Dapri, G., Van Belle, K., Mazentakieddine, Vaneukem, P., Karaca, E. S. A., Karaca, F. C., Sumer, A., Peksen, C., Savas, O. A., Chousleb, E., Elmokayed, F., Fakhereldin, I., Aboshanab, H. M., Swelium, T., Gudal, A., Gamloo, L., Ugale, A., Ugale, S., Boeker, C., Reetz, C., Hakami, I. A., Mall, J., Alexandrou, A., Baili, E., Bodnar, Z., Maleckas, A., Gudaityte, R., Guldogan, C. E., Gundogdu, E., Ozmen, M. M., Thakkar, D., Dukkipati, N., Shah, P. S., Shah, S. S., Adil, M. T., Jambulingam, P., Mamidanna, R., Whitelaw, D., Jain, V., Veetil, D. K., Wadhawan, R., Torres, M., Tinoco, T., Leclercq, W., Romeijn, M., van de Pas, K., Alkhazraji, A. K., Taha, S. A., Ustun, M., Yigit, T., Inam, A., Burhanulhaq, M., Pazouki, A., Eghbali, F., Kermansaravi, M., Jazi, A. H. D., Mahmoudieh, M., Mogharehabed, N., Tsiotos, G., Stamou, K., Barrera Rodriguez, F. J., Rojas Navarro, M. A., Torres, O. M. O., Martinez, S. L., Tamez, E. R. M., Millan Cornejo, G. A., Flores, J. E. G., Mohammed, D. A., Elfawal, M. H., Shabbir, A., Guowei, K., So, J. B. Y., Kaplan, E. T., Kaplan, M., Kaplan, T., Pham, D. T., Rana, G., Kappus, M., Gadani, R., Kahitan, M., Pokharel, K., Osborne, A., Pournaras, D., Hewes, J., Napolitano, E., Chiappetta, S., Bottino, V., Dorado, E., Schoettler, A., Gaertner, D., Fedtke, K., Aguilar-Espinosa, F., Aceves-Lozano, S., Balani, A., Nagliati, C., Pennisi, D., Rizzi, A., Frattini, F., Foschi, D., Benuzzi, L., Parikh, C. H. I. R. A. G., Shah, H. A. R. S. H. I. L., Pinotti, E., Montuori, M., Borrelli, V., Dargent, J., Copaescu, C. A., Hutopila, I., Smeu, B., Witteman, B., Hazebroek, E., Deden, L., Heusschen, L., Okkema, S., Aufenacker, T., den Hengst, W., Vening, W., van der Burgh, Y., Ghazal, A., Ibrahim, H., Niazi, M., Alkhaffaf, B., Altarawni, M., Cesana, G. C., Anselmino, M., Uccelli, M., Olmi, S., Stier, C., Akmanlar, T., Sonnenberg, T., Schieferbein, U., Marcolini, A., Awruch, D., Vicentin, M., de Souza Bastos, E. L., Gregorio, S. A., Ahuja, A., Mittal, T., Bolckmans, R., Baratte, C., Wisnewsky, J. A., Genser, L., Chong, L., Taylor, L., Ward, S., Hi, M. W., Heneghan, H., Fearon, N., Plamper, A., Rheinwalt, K., Geoghegan, J., Ng, K. C., Kaseja, K., Kotowski, M., Samarkandy, T. A., Leyva-Alvizo, A., Corzo-Culebro, L., Wang, C., Yang, W., Dong, Z., Riera, M., Jain, R., Hamed, H., Said, M., Zarzar, K., Garcia, M., Turkcapar, A. G., Sen, O., Baldini, E., Conti, L., Wietzycoski, C., Lopes, E., Pintar, T., Salobir, J., Aydin, C., Atici, S. D., Ergin, A., Ciyiltepe, H., Bozkurt, M. A., Kizilkaya, M. C., Onalan, N. B. D., Zuber, M. N. B. A., Wong, W. J., Garcia, A., Vidal, L., Beisani, M., Pasquier, J., Vilallonga, R., Sharma, S., Parmar, C., Lee, L., Sufi, P., Sinan, H., and Saydam, M.
Subjects: Male, Pediatrics, medicine.medical_specialty, Coronavirus disease 2019 (COVID-19), Adolescent, Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), bariatric surgery, Context (language use), Pandemic, Medicine, Humans, Pandemics, COVID-19, pandemic, SARS-CoV-2, Nutrition and Dietetics, Manchester Cancer Research Centre, business.industry, Health Policy, ResearchInstitutes_Networks_Beacons/mcrc, Public Health, Environmental and Occupational Health, medicine.disease, Obesity, Obesity, Morbid, Treatment Outcome, Pediatrics, Perinatology and Child Health, Cohort, Female, Morbidity, business, Body mass index, Cohort study, Human
Abstract: Background: Metabolic and bariatric surgery (MBS) is an effective treatment for adolescents with severe obesity. Objectives: This study examined the safety of MBS in adolescents during the coronavirus disease 2019 (COVID-19) pandemic. Methods: This was a global, multicentre and observational cohort study of MBS performed between May 01, 2020, and October 10,2020, in 68 centres from 24 countries. Data collection included in-hospital and 30-day COVID-19 and surgery-specific morbidity/mortality. Results: One hundred and seventy adolescent patients (mean age: 17.75 ± 1.30 years), mostly females (n=122, 71.8%), underwent MBS during the study period. The mean pre-operative weight and body mass index were 122.16 ± 15.92 kg and 43.7± 7.11 kg/m2, respectively. Although majority of patients had pre-operative testing for severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (n=146; 85.9%), only 42.4% (n=72) of the patients were asked to self-isolate pre-operatively. Two patients developed symptomatic SARS-CoV-2 infection post-operatively (1.2%). The overall complication rate was 5.3% (n=9). There was no mortality in this cohort. Conclusions: MBS in adolescents with obesity is safe during the COVID-19 pandemic when performed within the context of local precautionary procedures (such as pre-operative testing). The 30-day morbidity rates were similar to those reported pre-pandemic. These data will help facilitate the safe re-introduction of MBS services for this group of patients.
Published: 2021

4. IFSO (International Federation for Surgery of Obesity and Metabolic Disorders) Consensus Conference Statement on One-Anastomosis Gastric Bypass (OAGB-MGB): Results of a Modified Delphi Study

Author: Ramos A. C., Chevallier J. -M., Mahawar K., Brown W., Kow L., White K. P., Shikora S., Zeid M. A., Al Sabah S., Antozzi P., Bashah M., Bashir A., Behrens E., Bhandari M., Bottino A., Carbajo M., da Silva L. E., De Luca M., DeMaria E., ElFawal M. H., Fobi M. A. L., Gari M. K. M., Hargroder D. E., Herrera G., Higa K., Himpens J., Jammu G. S., Khammas A., Kular K. S., Lakdawala M., Layani L., Luque-de-Leon E., Musella M., Pacheco F., Parmar C., Peraglie C., Prager G., Prasad A., Rheinwalt K. P., Ribeiro R., Robert M., Rosenthal R., Safadi B., Sakran N., Shabbir A., Small P. K., Suter M., Taha O., Taylor C., Verboonen S., Wang C., Weiner R., Williams N., Ramos, A. C., Chevallier, J. -M., Mahawar, K., Brown, W., Kow, L., White, K. P., Shikora, S., Zeid, M. A., Al Sabah, S., Antozzi, P., Bashah, M., Bashir, A., Behrens, E., Bhandari, M., Bottino, A., Carbajo, M., da Silva, L. E., De Luca, M., Demaria, E., Elfawal, M. H., Fobi, M. A. L., Gari, M. K. M., Hargroder, D. E., Herrera, G., Higa, K., Himpens, J., Jammu, G. S., Khammas, A., Kular, K. S., Lakdawala, M., Layani, L., Luque-de-Leon, E., Musella, M., Pacheco, F., Parmar, C., Peraglie, C., Prager, G., Prasad, A., Rheinwalt, K. P., Ribeiro, R., Robert, M., Rosenthal, R., Safadi, B., Sakran, N., Shabbir, A., Small, P. K., Suter, M., Taha, O., Taylor, C., Verboonen, S., Wang, C., Weiner, R., and Williams, N.
Subjects: medicine.medical_specialty, Empirical data, Statement (logic), Endocrinology, Diabetes and Metabolism, media_common.quotation_subject, education, Gastric bypass, Modified delphi, 030209 endocrinology & metabolism, Anastomosis, Delphi, One-anastomosis gastric bypass, 03 medical and health sciences, 0302 clinical medicine, Voting, medicine, Obesity, Mini-gastric bypa, media_common, Nutrition and Dietetics, business.industry, Consensus conference, medicine.disease, Surgery, Consensus statement, 030211 gastroenterology & hepatology, business
Abstract: Background: One-anastomosis gastric bypass (OAGB-MGB) is currently the third performed primary bariatric surgical procedure worldwide. However, the procedure is hampered by numerous controversies and there is considerable variability in surgical technique, patient selection, and pre- and postoperative care among the surgeons performing this procedure. This paper reports the results of a modified Delphi consensus study organized by the International Federation for Surgery of Obesity and Metabolic Disorders (IFSO). Methods: Fifty-two internationally recognized bariatric experts from 28 countries convened for voting on 90 consensus statements over two rounds to identify those on which consensus could be reached. Inter-voter agreement of ≥ 70% was considered consensus, with voting participation ≥ 80% considered a robust vote. Results: At least 70% consensus was achieved for 65 of the 90 questions (72.2% of the items), 61 during the first round of voting and an additional four in the second round. Where consensus was reached on a binary agree/disagree or yes/no item, there was agreement with the statement presented in 53 of 56 instances (94.6%). Where consensus was reached on a statement where options favorable versus unfavorable to OAGB-MGB were provided, including statements in which OAGB-MGB was compared to another procedure, the response option favorable to OAGB-MGB was selected in 13 of 23 instances (56.5%). Conclusion: Although there is general agreement that the OAGB-MGB is an effective and usually safe option for the management of patients with obesity or severe obesity, numerous areas of non-consensus remain in its use. Further empirical data are needed.
Published: 2020

5. Diagnostic Value of Abdominal Free Air Detection on a Plain Chest Radiograph in the Early Postoperative Period: a Prospective Study in 648 Consecutive Patients Who Have Undergone Abdominal Surgery

Author: MILONE, MARCO, DI MINNO, MATTEO, BIFULCO, GIUSEPPE, Maietta P, Sosa Fernandez LM, Musella M, IACCARINO, VITTORIO, BUCCELLI, CLAUDIO, NAPPI, CARMINE, MILONE, FRANCESCO, MUSELLA, MARIO, Milone, Marco, DI MINNO, Matteo, Bifulco, Giuseppe, Maietta, P, Sosa Fernandez, Lm, Musella, M, Iaccarino, Vittorio, Buccelli, Claudio, Nappi, Carmine, Milone, Francesco, and Musella, Mario
Subjects: Adult, Male, medicine.medical_specialty, Radiography, Perforation (oil well), Sensitivity and Specificity, Laparoscopic cholecystectomy, Postoperative Complications, Predictive Value of Tests, Gastrointestinal perforation, Pneumoperitoneum, Abdomen, CT Scan, medicine, Humans, Prospective Studies, Prospective cohort study, Aged, medicine.diagnostic_test, business.industry, Incidence, Hazard ratio, Gastroenterology, INTRAPERITONEAL GAS, Middle Aged, medicine.disease, Surgery, Intestinal Perforation, Predictive value of tests, Female, Radiology, Chest radiograph, business, Abdominal surgery
Abstract: BACKGRUOND: To the best of our knowledge, this is the first study to evaluate the predictive value of free air (on a plain radiograph) for bowel perforation in a large prospective cohort of surgical patients. METHODS:All consecutive patients undergoing abdominal surgery between January 2011 and June 2012 were screened for this study. We performed an upright chest radiograph on the second and third postoperative day. Thereafter, additional radiographic evaluations were performed every 2 days until the disappearance of abdominal free air. RESULTS:Of the 648 subjects enrolled in our study, free abdominal air was found in 65 subjects on the first radiographic evaluation (2 days after surgery), 51 on the second (3 days after surgery), three on the third (5 days after surgery), and none on the fourth (7 days after surgery). The presence of free abdominal air was associated with an increased risk of gastrointestinal perforation. The presence of free air was associated with a hazard ratio (HR) of 21.54 (95% CI 9.66-48.01, p
Published: 2013

6. Growth performance and oxidative status in piglets supplemented with verbascoside and teupolioside

Author: Corino, C., Rossi, R., Musella, M., Cannata, S., and Grazia Pastorelli
Subjects: 0301 basic medicine, medicine.medical_specialty, 030102 biochemistry & molecular biology, Reactive Oxygen Metabolite, Positive control, Piglet, Teupolioside, Verbascoside, Oxidative status, Oxidative phosphorylation, 030204 cardiovascular system & hematology, Body weight, Surgery, 03 medical and health sciences, chemistry.chemical_compound, 0302 clinical medicine, Animal science, Verbascoside, Anterior vena cava, chemistry, Teupolioside, medicine, Animal Science and Zoology, lcsh:Animal culture, lcsh:SF1-1100
Abstract: Two hundred forty piglets, half female and half barrows, 8.1 ± 1.40 kg LW, were divided into 6 experimental groups and fed ad libitum with a diet supplemented with the following levels of antioxidants: 0 (CON + = positive control added with 100 mg lincomicine/kg), 5 (LT = low teupolioside or LV = low verbascoside), 10 (HT = high teupolioside; HV = high verbascoside; LT+LV) mg/kg of diet for 56 days. Body weight and feed intake were recorded on d0, 14 and 56 of the trial. Ten piglets from each group were selected and blood collected by anterior vena cava puncture at 0, 14 and 56 d for reactive oxygen metabolite (ROMs) determination. HV showed final weight higher than the other groups (P
Published: 2007

7. Barbed suture and gastrointestinal surgery. A retrospective analysis

Author: Manigrasso Michele, Velotti Nunzio, Calculli Federica, Aprea Giovanni, Di Lauro Katia, Araimo Enrico, Elmore Ugo, Vertaldi Sara, Anoldo Pietro, Musella Mario, Milone Marco, Maria Sosa Fernandez Loredana, Milone Francesco, and Domenico De Palma Giovanni
Subjects: minimally invasive surgery, laparoscopy, intracorporeal anastomosis, barbed suture, Medicine
Abstract: Although minimally invasive surgery is recognized as the gold standard of many surgical procedures, laparoscopic suturing is still considered as the most difficult skill in laparoscopic surgery.
Published: 2019
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8. Minimally invasive pilonidal sinus treatment: A narrative review

Author: Velotti Nunzio, Manigrasso Michele, Di Lauro Katia, Araimo Enrico, Calculli Federica, Vertaldi Sara, Anoldo Pietro, Aprea Giovanni, Simone Giuseppe De, Vitiello Antonio, Musella Mario, Milone Marco, De Palma Giovanni Domenico, Milone Francesco, and Sosa Fernandez Loredana Maria
Subjects: pilonidal sinus disease, endoscopic treatment, minimally invasive surgery, Medicine
Abstract: The management of chronic pilonidal disease remains controversial, but recently, new minimal invasive approaches have been proposed. Whereas in the conventional surgical treatment an elliptical wedge of skin and subcutaneous tissue is created to remove the sinus and its lateral tracks, the basis for our new treatment is to create a minimal elliptical wedge of the subcutaneous tissue, including all the inflamed tissue and debris while leaving the overlying skin intact.
Published: 2019
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9. Changes in surgicaL behaviOrs dUring the CoviD-19 pandemic. The SICE CLOUD19 Study

Author: Bracale, U., Podda, Maria Vittoria, Castiglioni, S., Peltrini, R., Sartori, Alessandra, Arezzo, A., Corcione, F., Agresta, F., Antonucci, A., Zanframundo, C., Cavallo, F., Mazzarolo, G., Agrusa, A., Di Buono, G., Aldrighetti, L., Fiorentini, G., Lucianetti, A., Magnone, S., Alfieri, Sergio, Rosa, Fausto, Altomare, D. F., Picciariello, A., Parisi, Carmelo Maria Antonio, Di Cintio, A., Amisano, M. F., Cravero, F., Ammendola, M., Ammerata, G., Anastasi, A., Canonico, G., Gattolin, A., Travaglio, E., De Palma, M., Angelini, P., Galante, F., Benevento, A., Rausei, S., Serao, A., Abbatini, F., Annecchiarico, M., Varricchio, A., Annessi, V., Tumiati, D., Annicchiarico, A., Mirabella, A., Marino, M. V., Spinelli, A., Braun, A., Santi, H. T., Romano, L., Antoniutti, M., Armellino, M. F., Argenio, G., Verzelli, A., Budassi, A., Baiocchi, G., Alfano, M. S., Balani, A., Barone, M., Baldazzi, G., Cassini, D., Canger, R. C. B., Zabbialini, G., Belli, Andrea, Izzo, Filippo, Bertolino, F., Brunetti, Maria Mercede, Bianco, Flaviana, Cappiello, A., Boccia, L., Boffi, B., Perna, Francesco, Bonilauri, S., Frazzetta, G., Bordoni, P., Fleres, F., Borghi, F., Giraudo, G., Bottino, V., Canfora, A., Piccoli, F. B., Calligaris, L., Nipote, B., Nasti, A. G., Bufalari, A., Bettarini, F., Buononato, M., Greco, M., Calo, P. G., Medas, F., Cardamone, E., Castaldo, P., Carlini, M., Spoletini, D., De Nisco, C., Pulighe, F., Feo, C. V., Fabbri, N., Antropoli, C., Foroni, F., Carnazza, M., Ragazzi, S., Cassinotti, E., Boni, L., Catena, F., Giuffrida, M., Perrone, Giuseppe, Ccotsoglou, C., Granieri, S., Ceccarelli, G., Bugiantella, W., Cedolini, C., Seriau, L., Cesari, Matteo, Contine, A., Chiara, Osvaldo, Cimbanassi, S., Cocozza, E., Berselli, M., Fantini, C., Costi, R., Casali, L., Morini, A., Crafa, F., Vanela, S., Curro, G., Orsini, V., Da Lio, C., Biral, Maria Francesca, Danelli, P., Guerci, C., Scala, D., Marino, Giuseppe, De Carlis, L., Lauterio, A., De Giorgi, D., Sciannamea, G., De Manzini, N., Losurdo, P., Sangiuliano, N., Degiuli, M., Caterina, F., Del Rio, P., Bonati, E., Di Lernia, S., Ardizzone, M. V. R., Di Saverio, S., Franchi, C., Di Venere, B., Miglio, R., Cuccurullo, D., Sagnelli, C., Docimo, L., Tolone, S., Longoni, M., Faillace, G., Rondelli, F., Pennella, F. P., Colucci, V., Carfora, T., Muttillo, I. A., Picardi, B., Stefano, R., Campagnacci, R., Maurizi, A., Tricarico, F., Montagna, M., Amedeo, E., Scollica, M. C., Lauro, E., Laterza, E., Molinari, E., Berta, G., Bono, D., Fabozzi, Simone Michele, Romano, M., Facci, E., Parini, D., Farfaglia, R., Arizzi, V., Farsi, M., Miranda, E., Fei, L., Flavio, G., Pirozzi, F., Sciuto, A., Ferrero, A., Palisi, M., Filauro, M., Barberis, A., Azzinnaro, A., Fiscon, V., Vigna, S., D'Ambra, M., Pontecorvi, E., Anania, G., Bombardini, C., Galizia, G., Auricchio, Anna Maria, Cardella, F., Genna, M., Gentilli, S., Herald, N., Castagnoli, G., Bartoli, A., Gianotti, L., Garancini, M., Bellanova, G., Palazzo, P., De Palma, G., Milone, Maria, Ferrari, G., Magistro, C., Giuliani, Antonio, Di Natale, Maria Grazia, Brisinda, Giuseppe, Cavallaro, G., Sammarco, G., Gallo, Giuseppe, Goletti, O., Macchini, D., Greco, Viviana, Amoroso, V., Guercioni, G., Benedetti, M., Guzzo, G., Pata, F., Scandroglio, I., Roscio, F., Jovine, E., Lombardi, Roberto, La Rocca, F., Di Capua, F., Lanci, C., Leli, R., Borasi, A., Lepiane, P., Balla, A., Liberatore, E., Morelli, L., Di Franco, G., Lucchi, A., Vittori, L., Bonavina, L., Asti, Emilio Fabrizio, Maggioni, D., Martino, G., Manca, Gavina, Delvecchio, A., Tedesco, M., Gambardella, D., Marafioti, S., De Marco, M. L., Guicciardi, M. A., Motta, M., Calgaro, M., Adamo, V., Guerrieri, Maria Chiara, Coletta, P., Ortenzi, M., Martines, G., Lantone, G., Martinotti, M., Fassardi, G., Castriconi, M., Squillante, S., De Luca, M., Pavanello, M., Di Marco, C., Ronconi, M., Casiraghi, Maria Stella, Mazzaferro, V., Battiston, C., Perrotta, M., Ripa, C., Giancarlo, M., Panizzo, V., Millo, P., Contul, R. B., Ferraro, V., Molino, C., Crolla, E., Moretto, G., Bacchion, M., Morino, M., Allaix, M. E., Motterlini, E., Petracca, Martina, Muratore, A., Musella, Martina, Vitiello, A., Nardo, B., Crocco, V., Navarra, G., Lazzara, S., Navarra, G. G., Cuoghi, M., Olmi, S., Oldani, Alberto, Uccelli, M., Opocher, E., Giovenzana, M., De Paolis, P., Santarelli, M., Delrio, P., Carbone, F., Bianchi, P. P. G., Formisano, Capelli, P., Baldini, E., Festa, P., Mottola, Armando, Merola, G., Perrotta, N., Celiento, M., Personnettaz, E., Muzio, S., Petitti, T., Melchiorre, A., Piccoli, M., Pecchini, F., Frontali, A., Maffioli, A., Maida, P., Tammaro, P., Pignata, G., Andreuccetti, J., Pilone, V., Renzulli, M., Pintaldi, S., Ceretti, A. P., Mariani, N. M., Pisanu, A., Polastri, R., Maiello, F., Porcu, A., Perra, T., Mucilli, F., Troisi, R., Montalti, R., Scognamillo, F., Delogu, D., Galleano, R., Malerba, M., Salfi, R., Pisano, M., Sechi, R., Cillara, N., Ramuscello, S., De Leo, E., Restini, E., Tumolo, R., Cianci, P., Capuzzolo, S., Rizzo, M., Recordare, A., Santoro, Roberto, Amodio, P. M., Rocca, A., Cecere, G., Romito, R., Portigliotti, L., Rosati, R., Elmore, U., Russello, D., Latteri, S., Costarella, S. M., Massa, S., Capasso, L., Santangelo, M., Sodo, M., Sarro, G., Rivolta, U., Scabini, S., Pertile, D., Selvaggi, F., Rossi, S., Pellino, G., Sganga, Gabriele, Fransvea, P., Testa, S., De Rosa, Maria Cristina, Siquini, W., Trana, C., Solej, M., Bolzon, S., Guerra, Eliana, Stella, M., Ferrara, F., Stipa, F., Stringhi, E., Celotti, A., Taglietti, L., Del Giudice, R., Talarico, C. A., Ruggiero, Miriam, Tirone, G., Romario, U. F., Petz, W., Caracino, V., Rossetti, V., Verza, L. A., Vescovi, L., Marini, M., Vettoretto, N., Botteri, E., Vincenti, L., Giannandrea, G., Viora, T., Maganuco, L., Veronesi, P., Zani, B., Zanus, G., Brizzolari, M., Zanzi, F., Guariniello, A., Zappa, M. A., Galfrascoli, E., Zonta, S., Oragano, L., Zuliani, W., Chiari, D., Bracale, Umberto, Podda, Mauro, Castiglioni, Simone, Peltrini, Roberto, Sartori, Alberto, Arezzo, Alberto, Corcione, Francesco, Agresta, Ferdinando, Rosati, Riccardo, Umberto, Bracale, Mauro, Podda, Simone, Castiglioni, Roberto, Peltrini, Alberto, Sartori, Alberto, Arezzo, Francesco, Corcione, Ferdinando, Agresta, CLOUD-19 Collaborative Group Adelmo Antonucci, Claudia, Zanframundo, Fabio, Cavallo, Giorgio, Mazzarolo, Antonio, Agrusa, Giuseppe Di Buono, Luca, Aldrighetti, Guido, Fiorentini, Alessandro, Lucianetti, Stefano, Magnone, Sergio, Alfieri, Fausto, Rosa, Altomare, Donato F., Arcangelo, Picciariello, Amilcare, Parisi, Antonio Di Cintio, Marco Francesco Amisano, Francesca, Cravero, Michele, Ammendola, Giorgio, Ammerata, Alessandro, Anastasi, Giuseppe, Canonico, Andra, Gattolin, Elisabetta, Travaglio, Andrea, Sartori, Massimiliano De Palma, Pierluigi, Angelini, Francesco, Galante, Angelo, Benevento, Stefano, Rausei, Angelo, Serao, Francesca, Abbatini, Mario, Annecchiarico, Antonio, Varricchio, Valerio, Annessi, David, Tumiati, Alfredo, Annicchiarico, Antonello, Mirabella, Marino, Marco V., Antonino, Spinelli, Antonio, Braun, Hong Tham Santi, Lucia, Romano, Michele, Antoniutti, Mariano Fortunato Armellino, Giulio, Argenio, Augusto, Verzelli, Andrea, Budassi, Gianluca, Baiocchi, Marie Sophie Alfano, Alessandro, Balani, Marco, Barone, Gianandrea, Baldazzi, Diletta, Cassini, Ruben Carlo Balzarotti Canger, Gianpietro, Zabbialini, Andrea, Belli, Francesco, Izzo, Franco, Bertolino, Marco, Brunetti, Francesco, Bianco, Antonio, Cappiello, Luigi, Boccia, Bernardo, Boffi, Federico, Perna, Stefano, Bonilauri, Giuseppe, Frazzetta, Pierpaolo, Bordoni, Francesco, Flere, Felice, Borghi, Giorgio, Giraudo, Vincenzo, Bottino, Alfonso, Canfora, Fabrizio Briganti Piccoli, Luca, Calligari, Bruno, Nipote, Aniello Gennaro Nasti, Andrea, Bufalari, Francesca, Bettarini, Massimo, Buononato, Marco, Greco, Pietro Giorgio Calò, Fabio, Meda, Eugenia, Cardamone, Pasquale, Castaldo, Massimo, Carlini, Domenico, Spoletini, Carlo De Nisco, Fabio, Pulighe, Feo, Carlo V., Nicolò, Fabbri, Carmine, Antropoli, Fabrizio, Foroni, Maurizio, Carnazza, Salvatore, Ragazzi, Elisa, Cassinotti, Luigi, Boni, Fausto, Catena, Mario, Giuffrida, Gennaro, Perrone, Christian, Ccotsoglou, Stefano, Granieri, Graziano, Ceccarelli, Walter, Bugiantella, Carla, Cedolini, Luca, Seriau, Maurizio, Cesari, Alessandro, Contine, Osvaldo, Chiara, Stefania, Cimbanassi, Eugenio, Cocozza, Mattia, Berselli, Corrado, Fantini, Renato, Costi, Lorenzo, Casali, Andrea, Morini, Francesco, Crafa, Serafino, Vanela, Giuseppe, Currò, Vincenzo, Orsini, Corrado Da Lio, Mario, Biral, Piergiorgio, Danelli, Claudio, Guerci, Dario, Scala, Graziella, Marino, Luciano De Carlis, Andrea, Lauterio, Donato De Giorgi, Gianluca, Sciannamea, Nicolo De Manzini, Pasquale, Losurdo, Maurizio De Palma, Nicola, Sangiuliano, Maurizio, Degiuli, Franco, Caterina, Paolo Del Rio, Elena, Bonati, Stefano Di Lernia, Marco Vittorio Rossi Ardizzone, Salomone Di Saverio, Caterina, Franchi, Beatrice Di Venere, Rosanna, Miglio, Diego, Cuccurullo, Carlo, Sagnelli, Docimo, Ludovico, Tolone, Salvatore, Mauro, Longoni, Giuseppe, Faillace, Fabio, Rondelli, Francesca Pennetti Pennella, Vincenzo, Colucci, Teresa, Carfora, Irnerio Angelo Muttillo, Biagio, Picardi, Rossi, Stefano, Roberto, Campagnacci, Angela, Maurizi, Fausto, Tricarico, Marco, Montagna, Elio, Amedeo, Scollica, Michela C., Enrico, Lauro, Ernesto, Laterza, Enrico, Molinari, Berta, G., Dario, Bono, Massimiliano, Fabozzi, Mafalda, Romano, Enzo, Facci, Dario, Parini, Roberto, Farfaglia, Valeria, Arizzi, Marco, Farsi, Egidio, Miranda, Fei, Landino, Giordano, Flavio, Felice, Pirozzi, Antonio, Sciuto, Alessandro, Ferrero, Marco, Palisi, Marco, Filauro, Andrea, Barberi, Antonio, Azzinnaro, Valentino, Fiscon, Silvia, Vigna, Michele, D’Ambra, Emanuele, Pontecorvi, Gabriele, Anania, Cristina, Bombardini, Galizia, Gennaro, Auricchio, Annamaria, Cardella, Francesca, Michele, Genna, Sergio, Gentilli, Nikaj, Herald, Giampaolo, Castagnoli, Alberto, Bartoli, Luca, Gianotti, Mattia, Garancini, Giovanni, Bellanova, Paola, Palazzo, Giovanni De Palma, Marco, Milone, Giovanni, Ferrari, Carmelo, Magistro, Antonio, Giuliani, Giuseppe Di Natale, Giuseppe, Brisinda, Giuseppe, Cavallaro, Giuseppe, Sammarco, Gaetano, Gallo, Orlando, Goletti, Daniele, Macchini, Vincenzo, Greco, Vincenzo, Amoroso, Gianluca, Guercioni, Michele, Benedetti, Guglielmo, Guzzo, Francesco, Pata, Ildo, Scandroglio, Francesco, Roscio, Elio, Jovine, Raffaele, Lombardi, Francesco La Rocca, Francesca Di Capua, Carmine, Lanci, Renzo, Leli, Andrea, Borasi, Pasquale, Lepiane, Andrea, Balla, Edoardo, Liberatore, Luca, Morelli, Gregorio Di Franco, Andrea, Lucchi, Laura, Vittori, Luigi, Bonavina, Emanuele, Asti, Dario, Maggioni, Gerosa, Martino, Giuseppe, Manca, Antonella, Delvecchio, Manfredo, Tedesco, Denise, Gambardella, Salvatore, Marafioti, Maria Luisa De Marco, Marco Azzola Guicciardi, Massimo, Motta, Marco, Calgaro, Vincenzo, Adamo, Mario, Guerrieri, Pietro, Coletta, Monica, Ortenzi, Gennaro, Martine, Giuliano, Lantone, Mario, Martinotti, Giuseppe, Fassardi, Maurizio, Castriconi, Simone, Squillante, Maurizio De Luca, Maurizio, Pavanello, Carlo Di Marco, Maurizio, Ronconi, Silvia, Casiraghi, Vincenzo, Mazzaferro, Carlo, Battiston, Michele, Perrotta, Carmine, Ripa, Micheletto, Giancarlo, Valerio, Panizzo, Paolo, Millo, Riccardo Brachet Contul, Valentina, Ferraro, Carlo, Molino, Enrico, Crolla, Gianluigi, Moretto, Matilde, Bacchion, Mario, Morino, Marco Ettore Allaix, Enrico, Motterlini, Michele, Petracca, Andrea, Muratore, Mario, Musella, Antonio, Vitiello, Bruno, Nardo, Veronica, Crocco, Giuseppe, Navarra, Salvatore, Lazzara, Giuseppe Giovanni Navarra, Manuela, Cuoghi, Stefano, Olmi, Alberto, Oldani, Matteo, Uccelli, Enrico, Opocher, Marco, Giovenzana, Paolo De Paolis, Mauro, Santarelli, Paolo, Delrio, Fabio, Carbone, Paolo Pietro Giampaolo Bianchi, Formisano, Patrizio, Capelli, Edoardo, Baldini, Patrizio, Festa, Arianna, Mottola, Giovanni, Merola, Nicola, Perrotta, Marta, Celiento, Eraldo, Personnettaz, Stefania, Muzio, Tommaso, Petitti, Antonietta, Melchiorre, Micaela, Piccoli, Francesca, Pecchini, Alice, Frontali, Anna, Maffioli, Pietro, Maida, Pasquale, Tammaro, Giusto, Pignata, Jacopo, Andreuccetti, Vincenzo, Pilone, Michele, Renzulli, Salvatore, Pintaldi, Andrea Pisani Ceretti, Nicolò Maria Mariani, Adolfo, Pisanu, Roberto, Polastri, Fabio, Maiello, Alberto, Porcu, Teresa, Perra, Felice, Mucilli, Mirko, Barone, Roberto, Troisi, Roberto, Montalti, Fabrizio, Scognamillo, Daniele, Delogu, Raffaele, Galleano, Michele, Malerba, Raffaele, Salfi, Marcello, Pisano, Raffaele, Sechi, Nicola, Cillara, Salvatore, Ramuscello, Eugenio De Leo, Enrico, Restini, Rocco, Tumolo, Pasquale, Cianci, Sabino, Capuzzolo, Maurizio, Rizzo, Alfonso, Recordare, Roberto, Santoro, Pietro Maria Amodio, Aldo, Rocca, Giuseppe, Cecere, Raffaele, Romito, Luca, Portigliotti, Riccardo, Rosati, Ugo, Elmore, Domenico, Russello, Saverio, Latteri, Salvatore Maria Costarella, Salvatore, Massa, Lorenzo, Capasso, Michele, Santangelo, Maurizio, Sodo, Giuliano, Sarro, Umberto, Rivolta, Stefano, Scabini, Davide, Pertile, Federico, Selvaggi, Selene, Rossi, Selvaggi, Francesco, Pellino, Gianluca, Gabriele, Sganga, Pietro, Fransvea, Silvio, Testa, Clemente De Rosa, Walter, Siquini, Cristian, Tranà, Mario, Solej, Stefano, Bolzon, Enrico, Guerra, Marco, Stella, Francesco, Ferrara, Francesco, Stipa, Enrico, Stringhi, Andrea, Celotti, Lucio, Taglietti, Roberto Del Giudice, Carlo Alessandro Talarico, Michele, Ruggiero, Giuseppe, Tirone, Uberto Fumagalli Romario, Wanda, Petz, Valerio, Caracino, Valentina, Rossetti, Luca Andrea Verza, Lorenzo, Vescovi, Michele, Marini, Nereo, Vettoretto, Emanuele, Botteri, Leonardo, Vincenti, Giusy, Giannandrea, Tiziana, Viora, Lorenzo, Maganuco, Paolo, Veronesi, Bruno, Zani, Giacomo, Zanu, Marco, Brizzolari, Federico, Zanzi, Anna, Guariniello, Marco Antonio Zappa, Elisa, Galfrascoli, Sandro, Zonta, Luigi, Oragano, Walter Zuliani &amp, Damiano, Chiari, de Manzini, Nicolo', Agresta, Ferdinando, Agrusa, Antonino, Di Buono, Giuseppe, Bracale, U., Podda, M., Castiglioni, S., Peltrini, R., Sartori, A., Arezzo, A., Corcione, F., Agresta, F., Antonucci, A., Zanframundo, C., Cavallo, F., Mazzarolo, G., Agrusa, A., Di Buono, G., Aldrighetti, L., Fiorentini, G., Lucianetti, A., Magnone, S., Alfieri, S., Rosa, F., Altomare, D. F., Picciariello, A., Parisi, A., Di Cintio, A., Amisano, M. F., Cravero, F., Ammendola, M., Ammerata, G., Anastasi, A., Canonico, G., Gattolin, A., Travaglio, E., De Palma, M., Angelini, P., Galante, F., Benevento, A., Rausei, S., Serao, A., Abbatini, F., Annecchiarico, M., Varricchio, A., Annessi, V., Tumiati, D., Annicchiarico, A., Mirabella, A., Marino, M. V., Spinelli, A., Braun, A., Santi, H. T., Romano, L., Antoniutti, M., Armellino, M. F., Argenio, G., Verzelli, A., Budassi, A., Baiocchi, G., Alfano, M. S., Balani, A., Barone, M., Baldazzi, G., Cassini, D., Canger, R. C. B., Zabbialini, G., Belli, A., Izzo, F., Bertolino, F., Brunetti, M., Bianco, F., Cappiello, A., Boccia, L., Boffi, B., Perna, F., Bonilauri, S., Frazzetta, G., Bordoni, P., Fleres, F., Borghi, F., Giraudo, G., Bottino, V., Canfora, A., Piccoli, F. B., Calligaris, L., Nipote, B., Nasti, A. G., Bufalari, A., Bettarini, F., Buononato, M., Greco, M., Calo, P. G., Medas, F., Cardamone, E., Castaldo, P., Carlini, M., Spoletini, D., De Nisco, C., Pulighe, F., Feo, C. V., Fabbri, N., Antropoli, C., Foroni, F., Carnazza, M., Ragazzi, S., Cassinotti, E., Boni, L., Catena, F., Giuffrida, M., Perrone, G., Ccotsoglou, C., Granieri, S., Ceccarelli, G., Bugiantella, W., Cedolini, C., Seriau, L., Cesari, M., Contine, A., Chiara, O., Cimbanassi, S., Cocozza, E., Berselli, M., Fantini, C., Costi, R., Casali, L., Morini, A., Crafa, F., Vanela, S., Curro, G., Orsini, V., Da Lio, C., Biral, M., Danelli, P., Guerci, C., Scala, D., Marino, G., De Carlis, L., Lauterio, A., De Giorgi, D., Sciannamea, G., De Manzini, N., Losurdo, P., Sangiuliano, N., Degiuli, M., Caterina, F., Del Rio, P., Bonati, E., Di Lernia, S., Ardizzone, M. V. R., Di Saverio, S., Franchi, C., Di Venere, B., Miglio, R., Cuccurullo, D., Sagnelli, C., Docimo, L., Tolone, S., Longoni, M., Faillace, G., Rondelli, F., Pennella, F. P., Colucci, V., Carfora, T., Muttillo, I. A., Picardi, B., Stefano, R., Campagnacci, R., Maurizi, A., Tricarico, F., Montagna, M., Amedeo, E., Scollica, M. C., Lauro, E., Laterza, E., Molinari, E., Bono, D., Fabozzi, M., Romano, M., Facci, E., Parini, D., Farfaglia, R., Arizzi, V., Farsi, M., Miranda, E., Fei, L., Flavio, G., Pirozzi, F., Sciuto, A., Ferrero, A., Palisi, M., Filauro, M., Barberis, A., Azzinnaro, A., Fiscon, V., Vigna, S., D'Ambra, M., Pontecorvi, E., Anania, G., Bombardini, C., Galizia, G., Auricchio, A., Cardella, F., Genna, M., Gentilli, S., Herald, N., Castagnoli, G., Bartoli, A., Gianotti, L., Garancini, M., Bellanova, G., Palazzo, P., De Palma, G., Milone, M., Ferrari, G., Magistro, C., Giuliani, A., Di Natale, G., Brisinda, G., Cavallaro, G., Sammarco, G., Gallo, G., Goletti, O., Macchini, D., Greco, V., Amoroso, V., Guercioni, G., Benedetti, M., Guzzo, G., Pata, F., Scandroglio, I., Roscio, F., Jovine, E., Lombardi, R., La Rocca, F., Di Capua, F., Lanci, C., Leli, R., Borasi, A., Lepiane, P., Balla, A., Liberatore, E., Morelli, L., Di Franco, G., Lucchi, A., Vittori, L., Bonavina, L., Asti, E., Maggioni, D., Martino, G., Manca, G., Delvecchio, A., Tedesco, M., Gambardella, D., Marafioti, S., De Marco, M. L., Guicciardi, M. A., Motta, M., Calgaro, M., Adamo, V., Guerrieri, M., Coletta, P., Ortenzi, M., Martines, G., Lantone, G., Martinotti, M., Fassardi, G., Castriconi, M., Squillante, S., De Luca, M., Pavanello, M., Di Marco, C., Ronconi, M., Casiraghi, S., Mazzaferro, V., Battiston, C., Perrotta, M., Ripa, C., Giancarlo, M., Panizzo, V., Millo, P., Contul, R. B., Ferraro, V., Molino, C., Crolla, E., Moretto, G., Bacchion, M., Morino, M., Allaix, M. E., Motterlini, E., Petracca, M., Muratore, A., Musella, M., Vitiello, A., Nardo, B., Crocco, V., Navarra, G., Lazzara, S., Navarra, G. G., Cuoghi, M., Olmi, S., Oldani, A., Uccelli, M., Opocher, E., Giovenzana, M., De Paolis, P., Santarelli, M., Delrio, P., Carbone, F., Bianchi, P. P. G., Capelli, P., Baldini, E., Festa, P., Mottola, A., Merola, G., Perrotta, N., Celiento, M., Personnettaz, E., Muzio, S., Petitti, T., Melchiorre, A., Piccoli, M., Pecchini, F., Frontali, A., Maffioli, A., Maida, P., Tammaro, P., Pignata, G., Andreuccetti, J., Pilone, V., Renzulli, M., Pintaldi, S., Ceretti, A. P., Mariani, N. M., Pisanu, A., Polastri, R., Maiello, F., Porcu, A., Perra, T., Mucilli, F., Troisi, R., Montalti, R., Scognamillo, F., Delogu, D., Galleano, R., Malerba, M., Salfi, R., Pisano, M., Sechi, R., Cillara, N., Ramuscello, S., De Leo, E., Restini, E., Tumolo, R., Cianci, P., Capuzzolo, S., Rizzo, M., Recordare, A., Santoro, R., Amodio, P. M., Rocca, A., Cecere, G., Romito, R., Portigliotti, L., Rosati, R., Elmore, U., Russello, D., Latteri, S., Costarella, S. M., Massa, S., Capasso, L., Santangelo, M., Sodo, M., Sarro, G., Rivolta, U., Scabini, S., Pertile, D., Selvaggi, F., Rossi, S., Pellino, G., Sganga, G., Fransvea, P., Testa, S., De Rosa, C., Siquini, W., Trana, C., Solej, M., Bolzon, S., Guerra, E., Stella, M., Ferrara, F., Stipa, F., Stringhi, E., Celotti, A., Taglietti, L., Del Giudice, R., Talarico, C. A., Ruggiero, M., Tirone, G., Romario, U. F., Petz, W., Caracino, V., Rossetti, V., Verza, L. A., Vescovi, L., Marini, M., Vettoretto, N., Botteri, E., Vincenti, L., Giannandrea, G., Viora, T., Maganuco, L., Veronesi, P., Zani, B., Zanus, G., Brizzolari, M., Zanzi, F., Guariniello, A., Zappa, M. A., Galfrascoli, E., Zonta, S., Oragano, L., Zuliani, W., Chiari, D., Bracale, U, Podda, M, Castiglioni, S, Peltrini, R, Sartori, A, Arezzo, A, Corcione, F, Agresta, F, Antonucci, A, Zanframundo, C, Cavallo, F, Mazzarolo, G, Agrusa, A, Di Buono, G, Aldrighetti, L, Fiorentini, G, Lucianetti, A, Magnone, S, Alfieri, S, Rosa, F, Altomare, D, Picciariello, A, Parisi, A, Di Cintio, A, Amisano, M, Cravero, F, Ammendola, M, Ammerata, G, Anastasi, A, Canonico, G, Gattolin, A, Travaglio, E, De Palma, M, Angelini, P, Galante, F, Benevento, A, Rausei, S, Serao, A, Abbatini, F, Annecchiarico, M, Varricchio, A, Annessi, V, Tumiati, D, Annicchiarico, A, Mirabella, A, Marino, M, Spinelli, A, Braun, A, Santi, H, Romano, L, Antoniutti, M, Armellino, M, Argenio, G, Verzelli, A, Budassi, A, Baiocchi, G, Alfano, M, Balani, A, Barone, M, Baldazzi, G, Cassini, D, Canger, R, Zabbialini, G, Belli, A, Izzo, F, Bertolino, F, Brunetti, M, Bianco, F, Cappiello, A, Boccia, L, Boffi, B, Perna, F, Bonilauri, S, Frazzetta, G, Bordoni, P, Fleres, F, Borghi, F, Giraudo, G, Bottino, V, Canfora, A, Piccoli, F, Calligaris, L, Nipote, B, Nasti, A, Bufalari, A, Bettarini, F, Buononato, M, Greco, M, Calo, P, Medas, F, Cardamone, E, Castaldo, P, Carlini, M, Spoletini, D, De Nisco, C, Pulighe, F, Feo, C, Fabbri, N, Antropoli, C, Foroni, F, Carnazza, M, Ragazzi, S, Cassinotti, E, Boni, L, Catena, F, Giuffrida, M, Perrone, G, Ccotsoglou, C, Granieri, S, Ceccarelli, G, Bugiantella, W, Cedolini, C, Seriau, L, Cesari, M, Contine, A, Chiara, O, Cimbanassi, S, Cocozza, E, Berselli, M, Fantini, C, Costi, R, Casali, L, Morini, A, Crafa, F, Vanela, S, Curro, G, Orsini, V, Da Lio, C, Biral, M, Danelli, P, Guerci, C, Scala, D, Marino, G, De Carlis, L, Lauterio, A, De Giorgi, D, Sciannamea, G, De Manzini, N, Losurdo, P, Sangiuliano, N, Degiuli, M, Caterina, F, Del Rio, P, Bonati, E, Di Lernia, S, Ardizzone, M, Di Saverio, S, Franchi, C, Di Venere, B, Miglio, R, Cuccurullo, D, Sagnelli, C, Docimo, L, Tolone, S, Longoni, M, Faillace, G, Rondelli, F, Pennella, F, Colucci, V, Carfora, T, Muttillo, I, Picardi, B, Stefano, R, Campagnacci, R, Maurizi, A, Tricarico, F, Montagna, M, Amedeo, E, Scollica, M, Lauro, E, Laterza, E, Molinari, E, Berta, G, Bono, D, Fabozzi, M, Romano, M, Facci, E, Parini, D, Farfaglia, R, Arizzi, V, Farsi, M, Miranda, E, Fei, L, Flavio, G, Pirozzi, F, Sciuto, A, Ferrero, A, Palisi, M, Filauro, M, Barberis, A, Azzinnaro, A, Fiscon, V, Vigna, S, D'Ambra, M, Pontecorvi, E, Anania, G, Bombardini, C, Galizia, G, Auricchio, A, Cardella, F, Genna, M, Gentilli, S, Herald, N, Castagnoli, G, Bartoli, A, Gianotti, L, Garancini, M, Bellanova, G, Palazzo, P, De Palma, G, Milone, M, Ferrari, G, Magistro, C, Giuliani, A, Di Natale, G, Brisinda, G, Cavallaro, G, Sammarco, G, Gallo, G, Goletti, O, Macchini, D, Greco, V, Amoroso, V, Guercioni, G, Benedetti, M, Guzzo, G, Pata, F, Scandroglio, I, Roscio, F, Jovine, E, Lombardi, R, La Rocca, F, Di Capua, F, Lanci, C, Leli, R, Borasi, A, Lepiane, P, Balla, A, Liberatore, E, Morelli, L, Di Franco, G, Lucchi, A, Vittori, L, Bonavina, L, Asti, E, Maggioni, D, Martino, G, Manca, G, Delvecchio, A, Tedesco, M, Gambardella, D, Marafioti, S, De Marco, M, Guicciardi, M, Motta, M, Calgaro, M, Adamo, V, Guerrieri, M, Coletta, P, Ortenzi, M, Martines, G, Lantone, G, Martinotti, M, Fassardi, G, Castriconi, M, Squillante, S, De Luca, M, Pavanello, M, Di Marco, C, Ronconi, M, Casiraghi, S, Mazzaferro, V, Battiston, C, Perrotta, M, Ripa, C, Giancarlo, M, Panizzo, V, Millo, P, Contul, R, Ferraro, V, Molino, C, Crolla, E, Moretto, G, Bacchion, M, Morino, M, Allaix, M, Motterlini, E, Petracca, M, Muratore, A, Musella, M, Vitiello, A, Nardo, B, Crocco, V, Navarra, G, Lazzara, S, Cuoghi, M, Olmi, S, Oldani, A, Uccelli, M, Opocher, E, Giovenzana, M, De Paolis, P, Santarelli, M, Delrio, P, Carbone, F, Bianchi, P, Capelli, P, Baldini, E, Festa, P, Mottola, A, Merola, G, Perrotta, N, Celiento, M, Personnettaz, E, Muzio, S, Petitti, T, Melchiorre, A, Piccoli, M, Pecchini, F, Frontali, A, Maffioli, A, Maida, P, Tammaro, P, Pignata, G, Andreuccetti, J, Pilone, V, Renzulli, M, Pintaldi, S, Ceretti, A, Mariani, N, Pisanu, A, Polastri, R, Maiello, F, Porcu, A, Perra, T, Mucilli, F, Troisi, R, Montalti, R, Scognamillo, F, Delogu, D, Galleano, R, Malerba, M, Salfi, R, Pisano, M, Sechi, R, Cillara, N, Ramuscello, S, De Leo, E, Restini, E, Tumolo, R, Cianci, P, Capuzzolo, S, Rizzo, M, Recordare, A, Santoro, R, Amodio, P, Rocca, A, Cecere, G, Romito, R, Portigliotti, L, Rosati, R, Elmore, U, Russello, D, Latteri, S, Costarella, S, Massa, S, Capasso, L, Santangelo, M, Sodo, M, Sarro, G, Rivolta, U, Scabini, S, Pertile, D, Selvaggi, F, Rossi, S, Pellino, G, Sganga, G, Fransvea, P, Testa, S, De Rosa, C, Siquini, W, Trana, C, Solej, M, Bolzon, S, Guerra, E, Stella, M, Ferrara, F, Stipa, F, Stringhi, E, Celotti, A, Taglietti, L, Del Giudice, R, Talarico, C, Ruggiero, M, Tirone, G, Romario, U, Petz, W, Caracino, V, Rossetti, V, Verza, L, Vescovi, L, Marini, M, Vettoretto, N, Botteri, E, Vincenti, L, Giannandrea, G, Viora, T, Maganuco, L, Veronesi, P, Zani, B, Zanus, G, Brizzolari, M, Zanzi, F, Guariniello, A, Zappa, M, Galfrascoli, E, Zonta, S, Oragano, L, Zuliani, W, and Chiari, D
Subjects: Laparoscopic surgery, Settore MED/18 - CHIRURGIA GENERALE, medicine.medical_treatment, laparoscopy, COVID-19, Elective surgery, Emergency surgery, Survey, Oral Health, cross infection (MeSH), Surveys and Questionnaires, Epidemiology, Pandemic, Infection control, Practice Patterns, Physicians', emergency surgery, Laparoscopy, humans, medicine.diagnostic_test, General Commentary, laparoscopic surgery, infection control, Italy, physicians', Original Article, Elective Surgical Procedure, Human, heating ventilation air conditioning, medicine.medical_specialty, Coronavirus disease 2019 (COVID-19), fallow period, elective surgical procedures, pandemics, NO, aerosol generating procedures, elective surgery, survey, practice patterns, physicians', SARS-CoV-2, surveys and questionnaires, medicine, Infection Control, business.industry, General surgery, practice patterns, Surgery, business
Abstract: Background The spread of the SARS-CoV2 virus, which causes COVID-19 disease, profoundly impacted the surgical community. Recommendations have been published to manage patients needing surgery during the COVID-19 pandemic. This survey, under the aegis of the Italian Society of Endoscopic Surgery, aims to analyze how Italian surgeons have changed their practice during the pandemic. Methods The authors designed an online survey that was circulated for completion to the Italian departments of general surgery registered in the Italian Ministry of Health database in December 2020. Questions were divided into three sections: hospital organization, screening policies, and safety profile of the surgical operation. The investigation periods were divided into the Italian pandemic phases I (March–May 2020), II (June–September 2020), and III (October–December 2020). Results Of 447 invited departments, 226 answered the survey. Most hospitals were treating both COVID-19-positive and -negative patients. The reduction in effective beds dedicated to surgical activity was significant, affecting 59% of the responding units. 12.4% of the respondents in phase I, 2.6% in phase II, and 7.7% in phase III reported that their surgical unit had been closed. 51.4%, 23.5%, and 47.8% of the respondents had at least one colleague reassigned to non-surgical COVID-19 activities during the three phases. There has been a reduction in elective (> 200 procedures: 2.1%, 20.6% and 9.9% in the three phases, respectively) and emergency ( Conclusion This survey offers three faithful snapshots of how the surgical community has reacted to the COVID-19 pandemic during its three phases. The significant reduction in surgical activity indicates that better health policies and more evidence-based guidelines are needed to make up for lost time and surgery not performed during the pandemic.
Published: 2021

10. Esophageal and gastric malignancies after bariatric surgery: a retrospective global study

Author: Chetan Parmar, Roxanna Zakeri, Mohamed Abouelazayem, Thomas H. Shin, Ali Aminian, Tala Mahmoud, Barham K. Abu Dayyeh, Melissa Y. Wee, Laura Fischer, Freek Daams, Kamal Mahawar, Carlos Sosa Gallardo, Cataldo Agustin, Fernando Wright, Ignacio Fuente, Miguel Carbajo, Patricio Cal, Jacob Chisholm, Lilian Kow, Michael H.L. Tan, Philip Gan, Sivakumar Gananadha, Daniel M. Felsenreich, Gerhard Prager, Chris Matthys, Jacques M. Himpens, Marc A.M.R.M. Focquet, Almino Ramos, Manoel Galvano Nato, Thiago Vidal, Amin Andalib, Aya Siblini, Lorenzo Ferri, Lina Abdarabo, Yehonatan Nevo, Radu Pescarus, Wah Yang, Hosam Hamed, Arnaud Liagre, Damien Bergeat, De Montrichard Marie, Francesco Martini, François Regis, Laurent Genser, Mehdi Skalli, Marius Nedelcu, Milan Smejkal, Radwan Kassir, Regenet Nicolas, Christine Stier, Dan-Sebastian Nedelcut, Grigorios Christodoulidis, Amar Vennapusa, Mohammad Kermansaravi, Asnat Raziel, Nasser Sakran, Alberto Oldani, Cristian Eugeniu Boru, Fouzia Mécheri, Francesca Ciccarese, Giovanni Carlo Cesana, Mario Musella, Matteo Uccelli, Mirto Foletto, Pasquale Auricchio, Stefano Olmi, Yosuke Seki, Anne Kasteleijn, Gerhard Van 'T Hof, Jan A. Apers, Judith W.H. Hart, Justin S.L. Van De Sande, Marijn Takkenberg, Pierre B.G.M. Feskens, Rob Snoekx, Victor D. Plat, Jorunn Sandvik, Piotr Kalinowski, Celso Nabais, Ahmed Z. Al-Bahrani, Mohammad Al Zoubi, Carla Bettonica, Javier Osorio, Javier Tejedor-Tejada, Lourdes M. Sanz, Marta Cuadrado, Rajesh Gianchandani Moorjani, Fringeli Yannick, Michel Suter, Yves Borbély, Zehetner Joerg, Juan S. Barajas-Gamboa, Matthew Kroh, Aaron P. Kisiel, Anna Kamocka, Arul Immanuel, Bruno Sgromo, Bussa Gopinath, David Khoo, Samrat Mukherjee, Dimitrios Pournaras, Tim Underwood, Ewen A. Griffiths, Glenn V. Miller, Helen Jaretzke, Jan Dmitrewski, Martin S. Wadley, Ragad Al-Housni, Richard S. Gillies, Rishi Singhal, Shaun R. Preston, Steven John Robinson, William J. Hawkins, Marco Adamo, Mohamed El Kalaawy, James Gossage, Christopher B. Crawford, Veeravich Jaruvongvanich, Parmar, C., Zakeri, R., Abouelazayem, M., Shin, T. H., Aminian, A., Mahmoud, T., Abu Dayyeh, B. K., Wee, M. Y., Fischer, L., Daams, F., Mahawar, K., Gallardo, C. S., Agustin, C., Wright, F., Fuente, I., Carbajo, M., Cal, P., Chisholm, J., Kow, L., Tan, M. H. L., Gan, P., Gananadha, S., Felsenreich, D. M., Prager, G., Matthys, C., Himpens, J. M., Focquet, M. A. M. R. M., Ramos, A., Nato, M. G., Vidal, T., Andalib, A., Siblini, A., Ferri, L., Abdarabo, L., Nevo, Y., Pescarus, R., Yang, W., Hamed, H., Liagre, A., Bergeat, D., Marie, D. M., Martini, F., Regis, F., Genser, L., Skalli, M., Nedelcu, M., Smejkal, M., Kassir, R., Nicolas, R., Stier, C., Nedelcut, D. -S., Christodoulidis, G., Vennapusa, A., Kermansaravi, M., Raziel, A., Sakran, N., Oldani, A., Boru, C. E., Mecheri, F., Ciccarese, F., Cesana, G. C., Musella, M., Uccelli, M., Foletto, M., Auricchio, P., Olmi, S., Seki, Y., Kasteleijn, A., Van 'T Hof, G., Apers, J. A., Hart, J. W. H., Van De Sande, J. S. L., Takkenberg, M., Feskens, P. B. G. M., Snoekx, R., Plat, V. D., Sandvik, J., Kalinowski, P., Nabais, C., Al-Bahrani, A. Z., Al Zoubi, M., Bettonica, C., Osorio, J., Tejedor-Tejada, J., Sanz, L. M., Cuadrado, M., Moorjani, R. G., Yannick, F., Suter, M., Borbely, Y., Joerg, Z., Barajas-Gamboa, J. S., Kroh, M., Kisiel, A. P., Kamocka, A., Immanuel, A., Sgromo, B., Gopinath, B., Khoo, D., Mukherjee, S., Pournaras, D., Underwood, T., Griffiths, E. A., Miller, G. V., Jaretzke, H., Dmitrewski, J., Wadley, M. S., Al-Housni, R., Gillies, R. S., Singhal, R., Preston, S. R., Robinson, S. J., Hawkins, W. J., Adamo, M., El Kalaawy, M., Gossage, J., Crawford, C. B., Jaruvongvanich, V., Surgery, CCA - Cancer Treatment and quality of life, Amsterdam Gastroenterology Endocrinology Metabolism, and Plastic, Reconstructive and Hand Surgery
Subjects: Adult, obesity, Sleeve gastrectomy, medicine.medical_specialty, Palliative treatment, bariatric surgery, esophageal cancer, esophagogastric cancer, gtastric cancer, metabolic surgery, adult, female, gastrectomy, humans, middle aged, retrospective studies, treatment outcome, gastric bypass, morbid, stomach neoplasms, medicine.medical_treatment, Esophageal cancer, Esophagogastric cancer, Population, Gastric Bypass, Bariatric Surgery, Gastrectomy, Stomach Neoplasms, medicine, Humans, In patient, Adjustable gastric band, education, Retrospective Studies, Bariatric surgery, education.field_of_study, business.industry, Cancer, Middle Aged, medicine.disease, Obesity, Obesity, Morbid, Surgery, Treatment Outcome, Adenocarcinoma, Female, Metabolic surgery, Gastric cancer, business
Abstract: Background Bariatric surgery can influence the presentation, diagnosis, and management of gastrointestinal cancers. Oesophago-Gastric (OG) malignancies in patients who have had a prior bariatric procedure have not been fully characterised. Objective To characterise OG malignancies after bariatric procedures. Setting University Hospital, United Kingdom. Methods We performed a retrospective, multi-centre observational study of patients with OG malignancies after bariatric surgery to characterise this condition. Results This study includes 170 patients from 75 centres in 25 countries who underwent bariatric procedures between 1985 and 2020. At the time of the bariatric procedure, the mean age was 50.2 ± 10 years and the mean weight 128.8 ± 28.9 kg. Females comprised 57.3% (n=98) of the population. Most (n=64) patients underwent a Roux-en-Y Gastric Bypass (RYGB) followed by Adjustable Gastric Band (AGB) (n = 46) and Sleeve Gastrectomy (SG) (n = 43). Time to cancer diagnosis after bariatric surgery was 9.5 ± 7.4 years and mean weight at diagnosis was 87.4 ± 21.9 kg. The time lag was 5.9 ± 4.1 years after SG compared to 9.4 ± 7.1 years after RYGB and 10.5 ± 5.7 years after AGB. One-third of patients presented with metastatic disease. The majority of tumours were adenocarcinoma (82.9%). Approximately 1 in 5 patients underwent palliative treatment from the outset. Time from diagnosis to mortality was under one year for most patients who died over the intervening period. Conclusions The OGMOS (Oesophago-Gastric Malignancies after Obesity/ Bariatric Surgery) study presents the largest series to date of patients developing OG malignancies after bariatric surgery and attempts to characterise this condition.
Published: 2022

11. Barbed suture in gastro-intestinal surgery: A review with a meta-analysis

Author: Giovanni Domenico De Palma, Antonio Vitiello, Michele Manigrasso, Katia Di Lauro, Marco Milone, Francesco Milone, Sara Vertaldi, Nunzio Velotti, Mario Musella, Pietro Anoldo, Velotti, N., Manigrasso, M., Di Lauro, K., Vertaldi, S., Anoldo, P., Vitiello, A., Milone, F., Musella, M., De Palma, G. D., and Milone, M.
Subjects: medicine.medical_specialty, Gastric Bypass, Anastomosis, Intracorporeal anastomosi, 03 medical and health sciences, Laparoscopic, Postoperative Complications, 0302 clinical medicine, Suture (anatomy), Colorectal surgery, medicine, Humans, Bariatric surgery, Sutures, Intracorporeal anastomosis, business.industry, Suture Techniques, medicine.disease, Surgery, Stenosis, Barbed suture, 030220 oncology & carcinogenesis, Meta-analysis, Laparoscopy, 030211 gastroenterology & hepatology, business, Gastro intestinal
Abstract: Background The laparoscopic approach is a very popular technique for many gastrointestinal operations and barbed sutures may improve the difficulties of intracorporeal anastomosis by eliminating the need for knot tying. The aim of this systematic review with a meta-analysis is to explore literature to establish the security profile of barbed suture compared with conventional laparoscopic sutures. Materials and methods A systematic search was performed in all electronic databases (PubMed, Web of Science, Scopus, EMBASE) and 12 studies were included in the analysis, involving 27,133 patients, whereof 3372 cases (patients undergone barbed suture usage) and 23,761 controls (patients undergone conventional suture usage). We found 3 studies discussing differences between barbed and conventional sutures in colorectal surgery and 8 studies presenting results in bariatric surgery, both in Roux-en-y gastric bypass and Mini Gastric/One Anastomosis Gastric Bypass. Results We found comparable rate of leaks, bleedings and stenosis. The meta-regression analysis demonstrated that, both in case of bariatric and colorectal surgery, the demographic characteristic of patients and the oncological features of neoplasms did not impact of these findings. As expected, operative time is significantly shorter when barbed suture is used. Conclusion Our analysis on current literature define an acceptable security profile for barbed suture with effective results particularly in terms of shorter operative time.
Published: 2022

12. Role of preoperative adrenergic blockade with doxazosin on hemodynamic control during the surgical treatment of phechromocytoma. A retrospective study of 48 cases

Author: Antonio Agostino-Sinisi, Luigi Santini, Mario Musella, Marco Milone, Giovanni Conzo, Francesco Corcione, Fausto Ferraro, Daniela Pasquali, Salvatore Napolitano, Cristina Della-Pietra, Antonietta Palazzo, Maurizio Depalma, Francesco Stanzione, Conzo, G., Musella, M., Corcione, F., De Palma, M., Stanzione, F., Della Pietra, C., Palazzo, A., Napolitano, S., Pasquali, D., Milone, M., Sinisi, A. A., Ferraro, F., Santini, L., Conzo, G, Musella, Mario, Corcione, F, Depalma, M, Stanzione, F, Della Pietra, C, Palazzo, A, Napolitano, S, Pasquali, D, Milone, Marco, Agostino Sinisi, A, Ferraro, F, Conzo, Giovanni, Musella, M, Pasquali, Daniela, Milone, M, and Ferraro, Fausto
Subjects: Adult, Male, medicine.medical_specialty, medicine.medical_treatment, Premedication, Operative Time, Adrenal Gland Neoplasms, Hemodynamics, Preoperative care, Pheochromocytoma, Young Adult, Hemodynamic control, Preoperative Care, Doxazosin, Medicine, Humans, Aged, Retrospective Studies, business.industry, Adrenalectomy, Age Factors, Retrospective cohort study, General Medicine, Perioperative, Middle Aged, medicine.disease, pheochromocytoma, Surgery, Blood pressure, laparoscopic adrenalectomy, pheochromocytoma, doxazosin, Anesthesia, Hypertension, Preoperative adrenergic blockade, Adrenergic alpha-1 Receptor Antagonists, Female, business, medicine.drug
Abstract: Authors evaluated the effects of selective adrenergic blockade by means of doxazosin on blood pressure in 48 patients operated on for pheochromocytoma by a multicenter retrospective study. Age, tumor size, surgical approach, and operative time were analyzed as predictive factors of intraoperative hypertensive crises. Forty-eight patients underwent adrenalectomy—four open surgery and 44 laparoscopic surgery—for pheochromocytoma of adrenal glands from 1998 to 2008 after preoperative administration of doxazosin. Perioperative cardiovascular status modifications and surgical medium- and long-term outcomes were analyzed. There was no mortality, conversion rate was 4.5 per cent, and morbidity rate was 8.3 per cent. Intraoperative hypertensive crises (180/ 90 mmHg or higher) were observed in 14.5 per cent (seven of 48) of patients and were treated pharmacologically with no aftermath. None of the examined variables influenced the occurrence of intraoperative hypertensive episodes. Postoperative hypotension (lower than 90/60 mmHg) was observed in four of 48 patients (8.3%) and was treated by crystalloids and hydrocortisone. In the surgical treatment of pheochromocytoma, the preoperative adrenergic blockade by doxazosin does not prevent intraoperative hypertensive crises. Nevertheless, in our series, they were of short duration and were not associated with major cardiovascular complications. Perioperative hemodynamic instability was managed bypreoperative pharmacological treatment, allowing low morbidity.
Published: 2013

13. Colorectal cancer after bariatric surgery (Cric-Abs 2020): Sicob (Italian society of obesity surgery) endorsed national survey

Author: Ciccioriccio, Mc, Iossa, A, Boru, Ce, De Angelis, F, Termine, P, Giuffrè, M, Silecchia, G, Luigi, A, Alessandro, B, Fabrizio, B, Vincenzo, B, Marcello, B, Fabio Cesare Campanile, Giovanni, C, Franco, C, Maurizio De Luca, Marco Antonio De Paoli, Mirto, F, Diego, F, Gentileschi, P, Cristiano, G, Alessandro, G, Mario, G, Ezio, L, Marcello, L, Emilio, M, Giuseppe Maria Marinari, Gennaro, M, Bernardo, M, Paolo, M, Roberto, M, Mario, M, Giuseppe, N, Stefano, O, Natale, P, Andrea, P, Nicola, P, Vincenzo, P, Luigi, P, Marco, R, Giuliano, S, Angelo Michele Schettino, Socci, C, Giuseppe, V, Marco Antonio, Z, Ciccioriccio, M. C., Iossa, A., Boru, C. E., De Angelis, F., Termine, P., Giuffre, M., Silecchia, G., Angrisani, L., Balani, A., Bellini, F., Borrelli, V., Boni, M., Campanile, F. C., Cesana, G., Ciampaglia, F., De Luca, M., De Paoli, M. A., Foletto, M., Foschi, D., Gentileschi, P., Giardiello, C., Giovanelli, A., Godina, M., Lattuada, E., Lucchese, M., Manno, E., Marinari, G. M., Martines, G., Marzano, B., Millo, P., Moroni, R., Musella, M., Navarra, G., Olmi, S., Pellicano, N., Peri, A., Perrotta, N., Pilone, V., Piazza, L., Raffaelli, M., Sarro, G., Schettino, A. M., Carlo, S., Vuolo, G., and Zappa, M. A.
Subjects: Adult, medicine.medical_specialty, Referral, Colorectal cancer, bariatric surgery and cancer, Endocrinology, Diabetes and Metabolism, medicine.medical_treatment, Bariatric Surgery, Medicine (miscellaneous), Colorectal Neoplasm, Surveys and Questionnaires, medicine, Humans, colorectal cancer incidence, gastric bypass and colorectal cancer incidence, Nutrition and Dietetics, business.industry, Incidence (epidemiology), Cancer, Middle Aged, medicine.disease, Confidence interval, Settore MED/18, Surgery, sleeve gastrectomy and colorectal cancer incidence, Standardized mortality ratio, Italy, Cohort, Gastrectomy, Colorectal Neoplasms, business, Human
Abstract: Background: The published colorectal cancer (CRC) outcomes after bariatric surgery (BS) are conflicting, with some anecdotal studies reporting increased risks. The present nationwide survey CRIC-ABS 2020 (Colo-Rectal Cancer Incidence-After Bariatric Surgery-2020), endorsed by the Italian Society of Obesity Surgery (SICOB), aims to report its incidence in Italy after BS, comparing the two commonest laparoscopic procedures—Sleeve Gastrectomy (SG) and Roux-en-Y gastric bypass (GBP). Methods: Two online questionnaires—first having 11 questions on SG/GBP frequency with a follow-up of 5–10 years, and the second containing 15 questions on CRC incidence and management, were administered to 53 referral bariatric, high volume centers. A standardized incidence ratio (SIR—a ratio of the observed number of cases to the expected number) with 95% confidence intervals (CI) was calculated along with CRC incidence risk computation for baseline characteristics. Results: Data for 20,571 patients from 34 (63%) centers between 2010 and 2015 were collected, of which 14,431 had SG (70%) and 6140 GBP (30%). 22 patients (0.10%, mean age = 53 ± 12 years, 13 males), SG: 12 and GBP: 10, developed CRC after 4.3 ± 2.3 years. Overall incidence was higher among males for both groups (SG: 0.15% vs 0.05%; GBP: 0.35% vs 0.09%) and the GBP cohort having slightly older patients. The right colon was most affected (n = 13) and SIR categorized/sex had fewer values < 1, except for GBP males (SIR = 1.07). Conclusion: Low CRC incidence after BS at 10 years (0.10%), and no difference between procedures was seen, suggesting that BS does not trigger the neoplasm development.
Published: 2021

14. Impact of COVID-19 Lockdown on Short-term Weight Loss in a Single Italian Institution

Author: Giovanna Berardi, Mario Musella, Vincenzo Schiavone, Nunzio Velotti, Antonio Vitiello, Vitiello, A., Berardi, G., Velotti, N., Schiavone, V., and Musella, M.
Subjects: Sleeve gastrectomy, medicine.medical_specialty, Telemedicine, Coronavirus disease 2019 (COVID-19), Endocrinology, Diabetes and Metabolism, medicine.medical_treatment, Coronaviru, Gastric Bypass, 030209 endocrinology & metabolism, Brief Communication, One-anastomosis gastric bypass, 03 medical and health sciences, 0302 clinical medicine, Retrospective Studie, Gastrectomy, Weight loss, Weight Loss, medicine, Humans, Laparoscopy, Retrospective Studies, Bariatric surgery, Nutrition and Dietetics, medicine.diagnostic_test, SARS-CoV-2, business.industry, General surgery, Gastric Bypa, One-anastomosis gastric bypa, COVID-19, Retrospective cohort study, Weight Lo, Obesity, Morbid, Coronavirus, Europe, Treatment Outcome, Italy, Early results, Communicable Disease Control, 030211 gastroenterology & hepatology, Surgery, medicine.symptom, business, Human
Abstract: Italy was the first European country to have a major outbreak of COVID-19. Bariatric procedures were stopped and telemedicine had to be implemented. A large percentage of patients struggled to follow postoperative diet and to start physical activity due to social restrictions. We have compared short-term outcomes of patients who had bariatric procedures prior to lockdown with subjects that had undergone obesity surgery in the same period of the previous year at our institution. A total number of 63 patients were included in this study. Weight loss at 1, 3 and 6 postoperative months in the 2019 group was significantly higher at any point of follow-up when compared to 2020. Social limitations and nonattendance of clinical appointments may have compromised early results. Graphical Abstract: [Figure not available: see fulltext.].
Published: 2021

15. Evaluation of reflux following sleeve gastrectomy and one anastomosis gastric bypass: 1-year results from a randomized open-label controlled trial

Author: Giovanni Sarnelli, Nunzio Velotti, Antonio Vitiello, Mario Musella, Giovanna Berardi, Marcella Pesce, Musella, M., Vitiello, A., Berardi, G., Velotti, N., Pesce, M., and Sarnelli, G.
Subjects: One anastomosis gastric bypass, Sleeve gastrectomy, medicine.medical_specialty, medicine.medical_treatment, Population, Gastric Bypass, 030209 endocrinology & metabolism, Anastomosis, Gastroenterology, Article, law.invention, 03 medical and health sciences, Mini-bypa, 0302 clinical medicine, Randomized controlled trial, One anastomosis gastric bypa, Gastrectomy, law, Internal medicine, medicine, Humans, Prospective Studies, Esophagus, education, Retrospective Studies, education.field_of_study, business.industry, Mini-bypass, Reflux, GERD, medicine.disease, Obesity, Morbid, medicine.anatomical_structure, Gastroesophageal reflux, Laparoscopy, 030211 gastroenterology & hepatology, Surgery, business, Esophagitis
Abstract: Background Recent reports have demonstrated that de novo reflux and worsening of pre-existing symptoms occur after SG; concerns are still expressed about the risk of symptomatic biliary reflux gastritis and oesophagitis. The aim of our study was to investigate and compare the rate of postoperative acid and non-acid reflux following Mini-/One anastomosis gastric bypass (MGB/OAGB) and laparoscopic sleeve gastrectomy (LSG). Study design A prospective randomized open-label, controlled trial registered on clinicaltrial.gov (NCT number: NCT02987673) has been carried out to evaluate esophagogastric junction exposure to reflux in the first year after MGB/OAGB and LSG using high impedance manometry, endoscopy, and a validated questionnaire. Results A total of 58 individuals were eventually enrolled in this trial and represented the per-protocol population (n = 28 MGB/OAGB, n = 30 LSG). No difference was found between the two groups in terms of demographic characteristics, PAGI-SYM score, acid exposure time percent of the esophagus (AET%), esophagitis, and other HRiM and MII-pH data at baseline. Comparing MII-pH outcomes of the two groups, AET% resulted significantly higher after LSG at 12 months. Endoscopic findings showed a significant increase of esophagitis ≥ B in the LSG group after 1 year; postoperative esophagitis ≥ B resulted also significantly worsened after LSG when compared to MGB/OAGB. Conclusion Since AET% and rate of esophagitis are significantly higher after LSG when compared to MGB/OAGB, this procedure should be preferred in case of preoperative subclinical reflux or low grade (A) esophagitis.
Published: 2020

16. One Anastomosis/Mini-Gastric Bypass (OAGB/MGB) as Revisional Surgery Following Primary Restrictive Bariatric Procedures: a Systematic Review and Meta-Analysis

Author: Mario Musella, Shahab Shahabi Shahmiri, Antonio Vitiello, Giovanna Berardi, Amir Hossein DavarpanahJazi, Rohollah Valizadeh, Mohammad Kermansaravi, Miguel A. Carbajo, Kermansaravi, M., Shahmiri, S. S., Davarpanahjazi, A. H., Valizadeh, R., Berardi, G., Vitiello, A., Musella, M., and Carbajo, M.
Subjects: medicine.medical_specialty, Weight loss, Gastric bypass, Endocrinology, Diabetes and Metabolism, Review, Anastomosis, Weight regain, Weight lo, Gastric bypa, Diabetes mellitus, medicine, Humans, Retrospective Studies, Nutrition and Dietetics, Mini gastric bypass, business.industry, Reflux, Conversion, medicine.disease, One anastomosis gastric bypass (OAGB/MGB), Surgery, Obesity, Morbid, Meta-analysis, GERD, Gastroesophageal Reflux, medicine.symptom, business
Abstract: One anastomosis gastric bypass (OAGB/MGB) has gained popularity in the past decade. International databases were searched for articles published by September 10, 2020, on OAGB/MGB as a revisional procedure after restrictive procedures. Twenty-six studies examining a total of 1771 patients were included. The mean initial BMI was 45.70 kg/m2, which decreased to 31.52, 31.40, and 30.54 kg/m2 at 1, 3, and 5-year follow-ups, respectively. Remission of type-2 diabetes mellitus (T2DM) following OAGB/MGB at 1-, 3-, and 5-year follow-up was 65.16 ± 24.43, 65.37 ± 36.07, and 78.10 ± 14.19%, respectively. Remission/improvement rate from gastroesophageal reflux disease (GERD). Also, 7.4% of the patients developed de novo GERD following OAGB/MGB. Leakage was the most common major complication. OAGB/MGB appears to be feasible and effective as a revisional procedure after failed restrictive bariatric procedures. Supplementary Information The online version contains supplementary material available at 10.1007/s11695-020-05079-x.
Published: 2020

17. Is there an indication left for gastric band? A single center experience on 178 patients with a follow-up of 10 years

Author: Nunzio Velotti, Antonio Vitiello, Giovanni Domenico De Palma, Mario Musella, Giovanna Berardi, Vitiello, A., Berardi, G., Velotti, N., De Palma, G. D., and Musella, M.
Subjects: Reoperation, medicine.medical_specialty, Gastroplasty, 030209 endocrinology & metabolism, Band removal, Single Center, 03 medical and health sciences, 0302 clinical medicine, Postoperative Complications, Weight loss, Medicine, Humans, Retrospective Studies, Medical treatment, business.industry, University hospital, LAGB, Surgery, Obesity, Morbid, Gastric band, Treatment Outcome, Vomiting, 030211 gastroenterology & hepatology, Original Article, Laparoscopy, medicine.symptom, business, Laparoscopic adjustable gastric banding, Long term results, Follow-Up Studies
Abstract: Background Laparoscopic Adjustable Gastric Banding (LAGB) has been widely performed in the past at our university bariatric center. Aim of this study was to retrospectively assess long term outcomes of LAGB at our university hospital, with special regard to non-response (EWL Methods Retrospective search of prospectively maintained database of our university bariatric center was carried out to find all consecutive patients that had undergone LAGB at our department with a minimum follow-up of 10 years. Collected data were sex, age, body mass index (BMI), obesity related diseases remission, complications and weight loss. Results After 10 years, patients with the band (n = 144) in place had a BMI of 35.2 ± 7.5 kg/m2, while %EWL and % TWL were 40.8 ± 52.4 and 18.9 ± 20.7. Seventy-four (41.6%) achieved a success (%EWL > 50), while 38 (21.3%) were non-responders (%EWL Conclusion LAGB is a safe and moderately effective bariatric procedure but it showed disappointing rates of removal, non-response and remission from comorbidities. However, LAGB could still be proposed for selected/motivated patients.
Published: 2020

18. Impact of COVID-19 Lockdown on Short-Term Weight Loss in a Single Italian Institution: 1-Year Updated Data

Author: Giovanna Berardi, Mario Musella, Antonio Vitiello, Vitiello, A., Berardi, G., and Musella, M.
Subjects: 2019-20 coronavirus outbreak, Pediatrics, medicine.medical_specialty, Coronavirus disease 2019 (COVID-19), Endocrinology, Diabetes and Metabolism, Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), Gastric Bypass, Body Mass Index, Weight loss, Humans, Medicine, Letter to the Editor, Pandemics, Retrospective Studies, Nutrition and Dietetics, business.industry, SARS-CoV-2, COVID-19, Weight Lo, Term (time), Obesity, Morbid, Treatment Outcome, Italy, Case-Control Studies, Communicable Disease Control, Laparoscopy, Surgery, medicine.symptom, business, Follow-Up Studies, Human
Abstract: The COVID-19 pandemic caused a lockdown in many countries, which induced negative dietary habits and sedentary behavior. Studies suggest that weight loss of patients undergoing bariatric surgery was equally affected. The aim was to evaluate the impact of COVID-19 on weight loss, obesity-related comorbidities, and nutritional status at 1-year follow-up after gastric bypass (GB).Retrospective observational case-control study of patients undergoing primary GB in a tertiary referral Belgian center. COVID-19 period group was composed by those whose 1-year postoperative period was affected by the COVID-19 pandemic and lockdown: from October 1, 2019, to March 31, 2020. The control group was composed of patients operated from October 1, 2018, to March 31, 2019. Electronic clinical records were reviewed searching: baseline characteristics, weight and comorbidities evolution, and biochemical values.A total of 47 patients in the COVID-19 period group and 66 in the non-COVID-19 period group were analyzed. There were no significant differences in baseline characteristics. A reduced weight loss was observed at 1-year follow-up, in terms of percentage of excess weight loss (%EWL) (82.4% [SD: 21.6] vs. 82.4% [SD: 21.6]; p: 0.043) and body mass index (BMI) (27.8 kg/mThe COVID-19 pandemic and lockdown had an impact on weight loss at 1-year follow-up after gastric bypass.
Published: 2022

19. Roux-en-Y Gastric Bypass and Heller Myotomy: One-Step Surgical Treatment of Symptomatic Achalasia in a Morbid Obese Patient

Author: Mario Musella, Giovanna Berardi, Nunzio Velotti, Antonio Vitiello, Velotti, N., Vitiello, A., Berardi, G., and Musella, M.
Subjects: medicine.medical_specialty, Roux-en-Y gastric bypass, Endocrinology, Diabetes and Metabolism, Gastric bypass, Gastric Bypass, Achalasia, Multimedia Article, medicine, Humans, Surgical treatment, Bariatric surgery, Heller myotomy, Nutrition and Dietetics, business.industry, Gastric Bypa, medicine.disease, Roux-en-Y anastomosis, Obesity, Morbid, Surgery, Esophageal Achalasia, Treatment Outcome, Roux-en-Y gastric bypa, Laparoscopy, business, Human
Published: 2021

20. Characterization of gut microbiota in patients with metabolic syndrome candidates for bariatric/metabolic surgery: Preliminary findings of a multi-center prospective study

Author: M. Avallone, Cristian Eugeniu Boru, Nunzio Velotti, Brunella Capaldo, Frida Leonetti, Danila Capoccia, Flavio De Maio, Gloria Guarisco, Mario Musella, Manuela Nogara, Francesco Greco, Maurizio Sanguinetti, Marco Raffaelli, Delia Mercedes Bianco, Gianfranco Silecchia, Giovanni Delogu, Ornella Verrastro, De Maio, F., Boru, C. E., Avallone, M., Velotti, N., Bianco, D. M., Capoccia, D., Greco, F., Guarisco, G., Nogara, M., Sanguinetti, M., Verrastro, O., Capaldo, B., Musella, M., Raffaelli, M., Delogu, G., Silecchia, G., and Leonetti, F.
Subjects: Vitamin, medicine.medical_specialty, Gastric bypass, Endocrinology, Diabetes and Metabolism, Bariatric Surgery, Gut microbiota, Gut flora, ariatric/metabolic surgery, gastric bypass, gut microbiota, metabolic syndrome, obesity, Gastroenterology, Settore MED/07 - MICROBIOLOGIA E MICROBIOLOGIA CLINICA, Cohort Studies, chemistry.chemical_compound, Endocrinology, Gastric bypa, Diabetes mellitus, Internal medicine, Internal Medicine, medicine, Humans, Obesity, Prospective Studies, Prospective cohort study, Metabolic Syndrome, biology, business.industry, General Medicine, medicine.disease, biology.organism_classification, Bariatric/metabolic surgery, Gastrointestinal Microbiome, Prospective Studie, chemistry, Cohort, Metabolic syndrome, Cohort Studie, business, Cohort study, Human
Abstract: Introduction: gut microbiota (GM) seems to be involved in the pathophysiology and progression of both metabolic syndrome (MS) and obesity. The aim was to investigate GM's composition in patients with severe obesity, candidates for bariatric/metabolic surgery BMS. Materials and Methods: Multicentre, prospective, cohort study, enrolling 84 patients with BMI 40–55 kg/m2, divided by metabolic status (MS) in healthy (group A), pre-MS (B), or MS (C). Results: No differences were found regarding anthropometric, nutritional parameters, except for vitamin D. As a whole the alpha and beta diversity examinations showed no statistical differences in GM profile. A total of 5/7 phyla with relative frequencies were identified above 0.1% (Actinobacteria, Bacteroidetes, Firmicutes, Proteobacteria, Verrucomicrobia). Fusobacteria and Patescibacteria represented the less abundant. There were no significant differences in the top ten genera. Data on Bacteroidetes (inversely related to triglycerides and LDL and directly related to HDL levels) and on Firmicutes (opposite trend) relative abundances suggest no differences among the three conditions. No correlation between the relative abundance of the main phyla and plasmatic glucose levels was observed. Conclusions: In a selected cohort of patients with obesity, MS did not affect the preoperative GM's profile. Severe obesity, per se, seems to be an independent condition affecting GM.
Published: 2021

21. Prader-Willi Syndrome: Role of Bariatric Surgery in Two Adolescents with Obesity

Author: Giovanna Berardi, Enza Mozzillo, Mario Musella, Alberto Casertano, Marina Tripodi, Adriana Franzese, Martina Peluso, Tripodi, M., Casertano, A., Peluso, M., Musella, M., Berardi, G., Mozzillo, E., and Franzese, A.
Subjects: Pediatrics, medicine.medical_specialty, Nutrition and Dietetics, business.industry, Endocrinology, Diabetes and Metabolism, medicine, MEDLINE, Surgery, medicine.disease, business, Obesity
Published: 2020

22. One Anastomosis Gastric Bypass in Morbidly Obese Patients with BMI ≥ 50 kg/m2: a Systematic Review Comparing It with Roux-En-Y Gastric Bypass and Sleeve Gastrectomy

Author: Karl P. Rheinwalt, Catherine Bryant, Cesare Peraglie, Arun Prasad, Chetan Parmar, Mario Musella, Enrique Luque-de-León, Parmar, C. D., Bryant, C., Luque-de-Leon, E., Peraglie, C., Prasad, A., Rheinwalt, K., and Musella, M.
Subjects: medicine.medical_specialty, Sleeve gastrectomy, Mini gastric bypa, Endocrinology, Diabetes and Metabolism, medicine.medical_treatment, Gastric bypass, Super obese, 030209 endocrinology & metabolism, Morbidly obese, Anastomosis, 03 medical and health sciences, 0302 clinical medicine, Gastric bypa, One anastomosis gastric bypa, parasitic diseases, medicine, Leak rate, Bariatric surgery, Nutrition and Dietetics, business.industry, Roux-en-Y anastomosis, Surgery, +50+kg%2Fm%22">BMI > 50 kg/m, Operative time, 030211 gastroenterology & hepatology, business, Body mass index
Abstract: To explore the role of one anastomosis (Mini) gastric bypass (OAGB) for the super-obese patients. Literature review was performed in March 2019 as per PRISMA guidelines. A total of 318 patients were identified. Mean age was 31.8 years. Mean body mass index (BMI) was 57.4 kg/m2. The mean operative time was 93.1 min with median length of stay of 4.5 days. The biliopancreatic limb (BPL) varied from 190 to 350 cm(median 280 cm). Early mortality was 0.31% with seven complications (including 1 revisional surgery). Leak rate was 0%. Mean %excess weight loss (EWL) at 12, 18–24 and 60 months was 67.7%, 71.6% and 90.75%, respectively. OAGB is a safe and effective option for management of super and super-super obese patients with tailoring of the BPL. Larger comparison, follow-up and randomised trials are necessary to validate these findings.
Published: 2019

23. Esophagogastric Neoplasms Following Bariatric Surgery: an Updated Systematic Review

Author: Katia Di Lauro, Marco Milone, Antonio Vitiello, Nunzio Velotti, Giovanni Domenico De Palma, Roberta Green, Alessio Bocchetti, Valeria Cantoni, Domenico Manzolillo, Mario Musella, Giovanna Berardi, Musella, M., Berardi, G., Bocchetti, A., Green, R., Cantoni, V., Velotti, N., Di Lauro, K., Manzolillo, D., Vitiello, A., Milone, M., and De Palma, G. D.
Subjects: Bariatric surgery, medicine.medical_specialty, Nutrition and Dietetics, GiST, business.industry, Endocrinology, Diabetes and Metabolism, Esophageal cancer, Gastric bypass, Cancer, 030209 endocrinology & metabolism, medicine.disease, Malignancy, digestive system diseases, Surgery, One-anastomosis gastric bypass, 03 medical and health sciences, Mini-bypa, 0302 clinical medicine, Systematic review, medicine, 030211 gastroenterology & hepatology, Gastric cancer, business
Abstract: The risk of gastric and/or esophageal cancers after bariatric surgery has been previously discussed in literature. A systematic review was performed to identify articles published between June 2012 and December 2018 reporting new cases of esophageal or gastric cancer not included in previous systematic reviews. Ten gastric malignancies, 28 esophageal cancers, and 2 gastro-intestinal stromal tumors (GIST) were identified. Primary bariatric surgery was a restrictive procedure in 26 cases, a purely malabsorptive procedure in 1 subject, and a gastric bypass in 13 patients. Although the vast majority of bariatric procedures seem to present a negligible relationship with any esophagogastric (EG) malignancy, published data remain incomplete. It was however considered of interest to update the number of EG neoplasms arisen following bariatric surgery.
Published: 2019

24. Morbid Obesity and Thyroid Cancer Rate. A Review of Literature

Author: Vincenzo Schiavone, Giovanna Berardi, Mario Musella, Silvia Savastano, Antonio Vitiello, Emanuele Filice, Nunzio Velotti, Stefania Masone, Rossana Serao, Masone, S., Velotti, N., Savastano, S., Filice, E., Serao, R., Vitiello, A., Berardi, G., Schiavone, V., and Musella, M.
Subjects: Oncology, medicine.medical_specialty, obesity, chronic inflammation, Population, Adipokine, Review, Overweight, 03 medical and health sciences, 0302 clinical medicine, Internal medicine, medicine, Hyperinsulinemia, thyroid cancer, education, Thyroid cancer, Protein kinase B, adipokines, 030304 developmental biology, 0303 health sciences, education.field_of_study, business.industry, Cancer, General Medicine, medicine.disease, 030220 oncology & carcinogenesis, Medicine, medicine.symptom, business, Body mass index
Abstract: In the past three decades, several recent studies have analyzed the alarming increase of obesity worldwide, and it has been well established that the risk of many types of malignancies is increased in obese individuals; in the same period, thyroid cancer has become the fastest growing cancer of all malignancies. We investigated the current literature to underline the presence of a connection between excess body weight or Body Mass Index (BMI) and risk of thyroid cancer. Previous studies stated that the contraposition between adipocytes and adipose-resident immune cells enhances immune cell production of multiple pro-inflammatory factors with subsequent induction of hyperlipidemia and vascular injury; these factors are all associated with oxidative stress and cancer development and/or progression. Moreover, recent studies made clear the mitogenic and tumorigenic action of insulin, carried out through the stimulation of mitogen-activated protein kinase (MAPK) and phosphoinositide-3 kinase/AKT (PI3K/AKT) pathways, which is correlated to the hyperinsulinemia and hyperglycemia found in obese population. Our findings suggest that obesity and excess body weight are related to an increased risk of thyroid cancer and that the mechanisms that combine overweight with this cancer should be searched for in the adipokine pathways and chronic inflammation onset.
Published: 2021

25. Variability of metabolic, protective, antioxidant, and lysosomal gene transcriptional profiles and microbiota composition of Mytilus galloprovincialis farmed in the North Adriatic Sea (Italy)

Author: Rajapaksha Haddokara Gedara Rasika Wathsala, Silvia Franzellitti, Paola Valbonesi, Margherita Musella, Marco Candela, Wathsala R.H.G.R., Musella M., Valbonesi P., Candela M., and Franzellitti S.
Subjects: Mediterranean mussel, Male, Antioxidant, medicine.medical_treatment, Sexism, Zoology, Aquatic Science, Oceanography, Antioxidants, medicine, Animals, Humans, Microbiome, Gene, Mytilus, biology, Animal, Microbiota, Gender, Mussel, biology.organism_classification, Pollution, Lysosome, Salinity, Gene transcription, Italy, Gonadal cycle, Female, Season, Seasons, Development of the gonads, Lysosomes, Human, Environmental Monitoring
Abstract: This study evaluates the transcriptional profiles of genes related to physiological responses in digestive glands (DG) of Mytilus galloprovincialis under the influence of seasonal changes of environmental variables, gender bias, and gonadal development. Composition of the DG microbiome was also explored. Mussels were collected across 7 months encompassing 3 seasons from a farm in the Northwestern Adriatic Sea. All gene products showed complex transcriptional patterns across seasons. Salinity, surface oxygen and transparency significantly correlate with transcriptional profiles of males, whereas in females temperature and gonadal maturation mostly explained the observed transcriptional changes. Seasonal variations and gender-specific differences were observed in DG microbiome composition, with variations resembling metabolic accommodations likely facing season progression and reproductive cycle. Results provide baseline information to improve actual monitoring strategies of mussel farming conditions and forecast potential detrimental impacts of climatological/environmental changes in the study area.
Published: 2021

26. Effect of bariatric surgery on in vitro fertilization in infertile men with obesity

Author: Michele Manigrasso, Mario Musella, Loredana Maria Sosa Fernandez, Marco Milone, Giovanni Domenico De Palma, Fatima Domenica Elisa De Palma, Giovanna Berardi, Giuseppe Galloro, Antonio Vitiello, Nunzio Velotti, Velotti, N., Elisa De Palma, F. D., Sosa Fernandez, L. M., Manigrasso, M., Galloro, G., Vitiello, A., Berardi, G., Milone, M., De Palma, G. D., and Musella, M.
Subjects: Male, Sleeve gastrectomy, medicine.medical_specialty, Pregnancy Rate, medicine.medical_treatment, media_common.quotation_subject, Fertility, Fertilization in Vitro, Male infertility, Pregnancy, Retrospective Studie, medicine, media_common, Bariatric surgery, Assisted reproductive technology, In vitro fertilisation, business.industry, medicine.disease, Sperm, Surgery, Obesity, Morbid, Pregnancy rate, Infertility, Female, business, Human
Abstract: Background Obesity has previously been related to reduced female fertility, with prolonged waiting time to pregnancy among women with a body mass index (BMI) >35 kg/m2 but there are few studies investigating the relationship between high BMI, bariatric surgery, and male fertility. Objectives The primary objective of this article was to investigate the effect of bariatric surgery on in vitro fertilization (IVF) outcomes in a cohort of men with morbid obesity who underwent sleeve gastrectomy (SG). Setting University hospital, bariatric surgery unit. Methods Pre- and postsurgery data on patient age, body mass index (BMI), and variables related to male fertility (semen volume, concentration, progressively motile sperm count, and sperm morphology) were collected; assisted reproductive technology outcomes before and after bariatric surgery were measured by the number of metaphase II oocytes; the number of top-quality oocytes and embryos; the number of fertilized oocytes; the number of transferred embryo; the implantation rate; the pregnancy rate; the live birth rate and the miscarriage rate. Results Thirty-five men with obesity and idiopathic infertility were included in this study. We found a significant increase, after bariatric surgery, in semen volume, total sperm concentration, progressively motile sperm count, and sperm morphology. Considering IVF outcomes, mean number of top-quality oocytes, mean number of fertilized oocytes, mean number of embryos obtained, and top-quality embryos were significantly increased after bariatric procedure. Conclusion Bariatric surgery is confirmed to be safe and effective in increasing the outcomes of assisted reproductive technology treatment also in case of infertile men with obesity, both in terms of pregnancy and live birth rate.
Published: 2021

27. Should sleeve gastrectomy be considered only as a first step in super obese patients? 5-year results from a single center

Author: Mario Musella, Nunzio Velotti, Giovanna Berardi, Antonio Vitiello, Giovanni Domenico De Palma, Vitiello, A., Berardi, G., Velotti, N., De Palma, G. D., and Musella, M.
Subjects: Male, medicine.medical_specialty, Sleeve gastrectomy, Adolescent, medicine.medical_treatment, Super obese, Single Center, Gastroenterology, Hiatal hernia, 03 medical and health sciences, 0302 clinical medicine, Weight loss, Gastrectomy, Internal medicine, medicine, Humans, Obesity, Child, Retrospective Studies, Bariatric surgery, business.industry, Reflux, GERD, medicine.disease, Obesity, Morbid, Treatment Outcome, 030220 oncology & carcinogenesis, Child, Preschool, 030211 gastroenterology & hepatology, Female, Laparoscopy, medicine.symptom, business, Body mass index, Esophagitis
Abstract: Purpose Sleeve gastrectomy (SG) has been originally conceived as a first step procedure for super obese (SO) patients, but it is currently considered a stand-alone intervention. Medium-term to long-term studies have shown weight regain and risk of de novo gastroesophageal reflux (GERD). The aim of this study was to evaluate outcomes of SG in SO subjects. Materials and methods A retrospective analysis of a prospectively maintained database was carried out to find all SO patients who had undergone SG with a minimum follow-up of 5 years. Inclusion criteria were preoperative endoscopy negative for esophagitis and/or hiatal hernia, and no GERD or acid reduction medication before SG. Reflux symptoms were evaluated using a validated questionnaire and endoscopy. Remission rates from comorbidities and percentage of excess body mass index (BMI) loss were recorded. Results A total of 66 (45 male/21 female) patients were included in our study. Mean preoperative BMI and age were 57.4±5.8 kg/m and 32.7±11.2 years, respectively. After 5 years, mean percentage of excess BMI loss was 56.42±27.8, and remission rates from hypertension, diabetes, and dyslipidemia were 33.3%, 5.3%, and 20%, respectively. After 5 years, new-onset GERD occurred in 66.7% of patients and 33.3% were taking acid reduction medication. Endoscopy revealed 12 (18.2%) cases of esophagitis ≥grade A. Conclusions After 5 years, weight loss in SO patients is satisfactory, but the vast majority of patients is still in class II obesity, and resolution of comorbidities is disappointing. High rates of de novo GERD and esophagitis may occur.
Published: 2021

28. Ten-Year Results of Laparoscopic Sleeve Gastrectomy: Retrospective Matched Comparison with Laparoscopic Adjustable Gastric Banding—Is There a Significant Difference in Long Term?

Author: Antonio Vitiello, Vincenzo Schiavone, Giovanna Berardi, Nunzio Velotti, Mario Musella, Musella, M., Berardi, G., Velotti, N., Schiavone, V., and Vitiello, A.
Subjects: Reoperation, Sleeve gastrectomy, medicine.medical_specialty, Gastroplasty, Endocrinology, Diabetes and Metabolism, medicine.medical_treatment, Original Contributions, Gastric Bypass, Medium term, Weight loss, Gastrectomy, Laparoscopic adjustable gastric banding, Medicine, Humans, Retrospective Studies, Long-term results, Bariatric surgery, Laparoscopic sleeve gastrectomy, Nutrition and Dietetics, business.industry, Significant difference, Reflux, Long-term result, Surgery, Obesity, Morbid, Treatment Outcome, Matched group, Laparoscopy, medicine.symptom, business
Abstract: Background The laparoscopic sleeve gastrectomy (LSG) is the most common bariatric procedure performed worldwide while the laparoscopic adjustable gastric banding (LAGB) has been almost abandoned. Aim of this study was to retrospectively assess 10-year outcomes of LSG through a matched comparison with LAGB. Materials and Methods Retrospective search of prospectively maintained database of our university was carried out to find all patients that underwent LSG before December 2010. Each subject with LSG was matched one-to-one with a patient that had undergone LAGB in the same period with correspondent preoperative age, BMI, and sex. Results A total of 76 patients underwent LSG before 2010 and were all included in this study; a matched group of 76 out of 178 LAGB patients with 10-year follow-up was retrieved from our database. Comparison between the two groups showed better outcomes after LSG at 1 and 5 years but weight loss was comparable with the LAGB group at 10 years (%TWL 22.2 ± 13 vs 21.2 ± 16.1; p = 0.89). No significant difference was found in conversion/removal rate (15.8% vs 18.4%; p = 0.67). Conclusion LSG is an effective stand-alone bariatric procedure with better outcomes than LAGB in medium term, but results are comparable at 10 years. Subjects undergoing LSG should be informed that conversion to RYGB or OAGB may be necessary to achieve further weight loss or to treat reflux. Graphical abstract
Published: 2021

29. Flap fixation in preventing seroma formation after mastectomy: an updated meta-analysis

Author: Mario Musella, Nunzio Velotti, Giovanna Berardi, Antonio Vitiello, Gennaro Limite, Velotti, N., Limite, G., Vitiello, A., Berardi, G., and Musella, M.
Subjects: medicine.medical_specialty, medicine.medical_treatment, Breast Neoplasms, Review Article, Surgical Flaps, 03 medical and health sciences, 0302 clinical medicine, Breast cancer, Postoperative Complications, Flap fixation, medicine, Humans, 030212 general & internal medicine, Mastectomy, Fixation (histology), business.industry, Gold standard, Axillary Lymph Node Dissection, medicine.disease, Surgery, Surgical Flap, Seroma, 030220 oncology & carcinogenesis, Meta-analysis, Drainage, Lymph Node Excision, Flap quilting, Female, Postoperative Complication, business, Complication, Breast Neoplasm, Human
Abstract: Seroma formation following mastectomy is one of the most experienced complications, with a very variable incidence ranging from 3 to 90%. In recent years, many publications have been realized to define an effective technique to prevent its formation and several approaches have been proposed. Given the potential of flap fixation in reducing seroma formation, we performed a meta-analysis of the literature to investigate the role of this approach as definitive gold standard in mastectomy surgery. Inclusion criteria regarded all studies reporting on breast cancer patients undergoing mastectomy with or without axillary lymph node dissection; studies that compared mastectomy with flap fixation to mastectomy without flap fixation were selected. Papers were eligible for inclusion if outcome was described in terms of seroma formation. As secondary outcome, also surgical site infection (SSI) was evaluated. The included studies were 12, involving 1887 female patients: 221/986 (22.41%) patients experienced seroma formation after flap fixation and 393/901 (43.61%) patients had this complication not receiving flap fixation, with a significant statistical difference between the two groups (OR = 0.267, p = 0.001, 95% CI 0.153, 0.464). About, SSI 59/686 (8.6%) in flap fixation group and 67/686 (9.7%) in patients without flap fixation, with no statistical differences between groups (OR = 0.59, p = 0.056, 95% CI 0.344, 1.013).The heterogeneity between included studies does not allow us to reach definitive conclusions but only to suggest the strong evaluation of this approach after mastectomy in seroma preventing and SSI reduction.
Published: 2021

30. Learning curve and global benchmark values of laparoscopic sleeve gastrectomy: results of first 100 cases of a newly trained surgeon in an Italian center of excellence

Author: Vincenzo Schiavone, Giovanna Berardi, Mario Musella, Antonio Vitiello, Nunzio Velotti, Vitiello, A., Berardi, G., Velotti, N., Schiavone, V., and Musella, M.
Subjects: Adult, medicine.medical_specialty, Sleeve gastrectomy, Complications, medicine.medical_treatment, Center of excellence, Surgical training, Statistical difference, 030209 endocrinology & metabolism, CUSUM, 03 medical and health sciences, 0302 clinical medicine, Postoperative Complications, Global benchmark, Weight loss, Gastrectomy, Retrospective Studie, medicine, Humans, Learning curve, Retrospective Studies, Surgeons, Laparoscopic sleeve gastrectomy, business.industry, Perioperative, Middle Aged, Surgery, Obesity, Morbid, Global benchmarks, Benchmarking, Treatment Outcome, Italy, Operative time, 030211 gastroenterology & hepatology, Original Article, Laparoscopy, Postoperative Complication, medicine.symptom, business, Complication, Human
Abstract: To evaluate whether the learning curve for sleeve gastrectomy could be completed after 50 cases. First 100 patients undergoing LSG under a newly trained laparoscopic surgeon were included in this study and divided into two groups of 50 consecutive patients each. Perioperative outcomes were compared to recently introduced global benchmarks. Short-term weight loss was calculated as Total Weight Loss Percent (%TWL) and complications were classified in accordance with the Clavien–Dindo classification. CUSUM analysis was performed for operative time and hospital stay. Mean preoperative age and BMI were 41.8 ± 10.3 years and 42.9 ± 5.4 kg/m2, respectively. Demographics and rate of patients with previous surgery were comparable preoperatively in the two groups. Mean operative time was 92.1 ± 19.3 min and hospital stay was 3.4 ± 0.6 days as per our standard protocol of discharge. Uneventful postoperative course was recorded in 93% of patients and only one case of staple line leak was registered in the first 50 cases (group 1). No statistical difference in BMI and %TWL was found between the two groups at any time of follow-up. Comparison between two groups showed a significant reduction in hospital stay and operative time after the first 50 LSGs (p . At least 50 cases are needed to meet global benchmark cut-offs and few more cases may be required to reach the plateau of the learning curve.
Published: 2021

31. Global 30-day outcomes after bariatric surgery during the COVID-19 pandemic (GENEVA): an international cohort study

Author: Rishi Singhal, Abd A Tahrani, Christian Ludwig, Kamal Mahawar, A Abou-Mrad-Fricquegnon, A Alasfur, A Alexandrou, A Barbosa, A Bashir, A Bosco, A Charalabopoulos, A Curell, A Davarpanah Jazi, A Diego, A Elghandour, A Ergin, A Garcia, A Ghazal, A Haddad, A Ibarzábal, A Khazraji, A Lale, A Lázaro, A Leyva-Alvizo, A Liagre, A Maleckas, A Osman, A Pantelis, A Pazouki, A Plamper, A Raziel, A Rizzi, A Sanchez, A Sharma, A Spaventa, A Sumer, A Torres, A Türkçapar, A Ugale, A Velikorechin, A Vitiello, B Alkhaffaf, B Bomans, BJ Ammori, B Pares, B Smeu, B Zilberstein, C Boeker, C Brodén, C Copaescu, C Guevara, C Güldoğan, C Kirkil, C Matthys, C Nagliati, C Parmar, C Trindade, C Vaz, C Wietzycoski, C Zerrweck, D Bedi, D de Marchi, D Faraj, D Foschi, D Goitein, D Hazzan, D Lapatsanis, D Mazza, D Mohammed, D Padilla-Armendariz, D Pennisi, D Pham, D Pournaras, D Swank, D Thakkar, E Baena, E Baili, E Bastos, E Dilektasli, E Hazebroek, E Kaplan, E Lopes, E Manno, E Pinotti, E Sdralis, F Barrera-Rodriguez, F Cantu, F Frattini, F Martini, G Berardi, G Cesana, G Dapri, G Dinescu, G Juglard, G Martinez de Aragon, G Menaldi, G Ören, G Pavone, G Rana, G Vrakopoulou, H Aboshanab, H Al-Momani, H Balamoun, H Çiyiltepe, H de Vasconcelos Cunha, H Elghadban, H Gislason, H Hamed, H Heneghan, H Ibrahim, H Melali, H Reyes, H Sebbag, I Hakami, I Hutopila, J Balibrea, J Bernardo, J Campos, J Chevallier, J Dargent, J Estrada, J Gonzalez, J Hewes, J Himpens, J Mall, J Monterrubio, J Pasquier, K Albanopoulos, K Bartosiak, K Kaseja, K Kumar, K Rheinwalt, K Shah, K. van de Pas, L Angrisani, L Benuzzi, L Chong, L Layani, L Lee, L Level, L Taylor, L Zinai, M Akbaba, M Alejandro, M Altarawni, M Beisani, M Bertrand, M Cantu, M Dincer, M Elbanna, M Elfawal, M Focquet, M Forero, M Hadad, M Hii, M Iovino, M Islam, M Josa, M Kaplan, M Kermansaravi, M Khaitan, M Kizilkaya, M Kotowski, M Montouri, M Musella, M Narwaria, M Navarro, M Niazi, M Özmen, M Qassem, M Romeijn, M Said, M Salman, M Solovyeva, M Takieddine, M Uccelli, M Ustun, M Valeti, M Walędziak, N Arora, N Dukkipati, N Fearon, N Kiran, N Paleari, N Sakran, N Silva, N Tartaglia, O Savas, O Şen, O Viveiros, P Fabbri, P García, P Major, P Martinez, P Martinez Duartez, P Salminen, P Shah, R Gadani, R Gokay, R Gudaityte, R Kassir, R Liem, R Mohan, R Palma, R Quinino, R Ribeiro, R Vilallonga, S Arana-Garza, S Chiappetta, S Davakis, S Ghareeb, S Gregorio, S Khaldi, S Martinez, S Okkema, S Olmi, S Ortiz, S Pinango, S Shah, S Shahabi, S Taha, S Ugale, T Barreiro, T Beck, T Poghosyan, T Samarkandy, T Yigit, V Borrelli, V Bottino, V Marco, V Ormando, V Pol, V Sierra Esteban, V Valentí, W Leclercq, W Souza, W Vening, W Vleeschouwers, Y van der Burgh, Singhal, R., Tahrani, A. A., Ludwig, C., Mahawar, K., Abou-Mrad-Fricquegnon, A., Alasfur, A., Alexandrou, A., Barbosa, A., Bashir, A., Bosco, A., Charalabopoulos, A., Curell, A., Davarpanah Jazi, A., Diego, A., Elghandour, A., Ergin, A., Garcia, A., Ghazal, A., Haddad, A., Ibarzabal, A., Khazraji, A., Lale, A., Lazaro, A., Leyva-Alvizo, A., Liagre, A., Maleckas, A., Osman, A., Pantelis, A., Pazouki, A., Plamper, A., Raziel, A., Rizzi, A., Sanchez, A., Sharma, A., Spaventa, A., Sumer, A., Torres, A., Turkcapar, A., Ugale, A., Velikorechin, A., Vitiello, A., Alkhaffaf, B., Bomans, B., Ammori, B. J., Pares, B., Smeu, B., Zilberstein, B., Boeker, C., Broden, C., Copaescu, C., Guevara, C., Guldogan, C., Kirkil, C., Matthys, C., Nagliati, C., Parmar, C., Trindade, C., Vaz, C., Wietzycoski, C., Zerrweck, C., Bedi, D., de Marchi, D., Faraj, D., Foschi, D., Goitein, D., Hazzan, D., Lapatsanis, D., Mazza, D., Mohammed, D., Padilla-Armendariz, D., Pennisi, D., Pham, D., Pournaras, D., Swank, D., Thakkar, D., Baena, E., Baili, E., Bastos, E., Dilektasli, E., Hazebroek, E., Kaplan, E., Lopes, E., Manno, E., Pinotti, E., Sdralis, E., Barrera-Rodriguez, F., Cantu, F., Frattini, F., Martini, F., Berardi, G., Cesana, G., Dapri, G., Dinescu, G., Juglard, G., Martinez de Aragon, G., Menaldi, G., Oren, G., Pavone, G., Rana, G., Vrakopoulou, G., Aboshanab, H., Al-Momani, H., Balamoun, H., Ciyiltepe, H., de Vasconcelos Cunha, H., Elghadban, H., Gislason, H., Hamed, H., Heneghan, H., Ibrahim, H., Melali, H., Reyes, H., Sebbag, H., Hakami, I., Hutopila, I., Balibrea, J., Bernardo, J., Campos, J., Chevallier, J., Dargent, J., Estrada, J., Gonzalez, J., Hewes, J., Himpens, J., Mall, J., Monterrubio, J., Pasquier, J., Albanopoulos, K., Bartosiak, K., Kaseja, K., Kumar, K., Rheinwalt, K., Shah, K., van de Pas, K., Angrisani, L., Benuzzi, L., Chong, L., Layani, L., Lee, L., Level, L., Taylor, L., Zinai, L., Akbaba, M., Alejandro, M., Altarawni, M., Beisani, M., Bertrand, M., Cantu, M., Dincer, M., Elbanna, M., Elfawal, M., Focquet, M., Forero, M., Hadad, M., Hii, M., Iovino, M., Islam, M., Josa, M., Kaplan, M., Kermansaravi, M., Khaitan, M., Kizilkaya, M., Kotowski, M., Montouri, M., Musella, M., Narwaria, M., Navarro, M., Niazi, M., Ozmen, M., Qassem, M., Romeijn, M., Said, M., Salman, M., Solovyeva, M., Takieddine, M., Uccelli, M., Ustun, M., Valeti, M., Waledziak, M., Arora, N., Dukkipati, N., Fearon, N., Kiran, N., Paleari, N., Sakran, N., Silva, N., Tartaglia, N., Savas, O., Sen, O., Viveiros, O., Fabbri, P., Garcia, P., Major, P., Martinez, P., Martinez Duartez, P., Salminen, P., Shah, P., Gadani, R., Gokay, R., Gudaityte, R., Kassir, R., Liem, R., Mohan, R., Palma, R., Quinino, R., Ribeiro, R., Vilallonga, R., Arana-Garza, S., Chiappetta, S., Davakis, S., Ghareeb, S., Gregorio, S., Khaldi, S., Martinez, S., Okkema, S., Olmi, S., Ortiz, S., Pinango, S., Shah, S., Shahabi, S., Taha, S., Ugale, S., Barreiro, T., Beck, T., Poghosyan, T., Samarkandy, T., Yigit, T., Borrelli, V., Bottino, V., Marco, V., Ormando, V., Pol, V., Sierra Esteban, V., Valenti, V., Leclercq, W., Souza, W., Vening, W., Vleeschouwers, W., and van der Burgh, Y.
Subjects: 2019-20 coronavirus outbreak, medicine.medical_specialty, Internationality, Time Factors, Coronavirus disease 2019 (COVID-19), Time Factor, Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), Endocrinology, Diabetes and Metabolism, MEDLINE, Bariatric Surgery, Global Health, Cohort Studies, Endocrinology, Pandemic, Correspondence, medicine, Global health, Internal Medicine, Humans, Mortality, Mortality trends, Pandemics, Manchester Cancer Research Centre, business.industry, ResearchInstitutes_Networks_Beacons/mcrc, COVID-19, Treatment Outcome, Emergency medicine, Cohort Studie, business, Cohort study, Human
Published: 2021
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32. Comment on: Bariatric surgery in patients with previous COVID-19 infection

Author: Giovanna Berardi, Nunzio Velotti, Mario Musella, Antonio Vitiello, U Bardi, Vitiello, A., Berardi, G., Velotti, N., Bardi, U., and Musella, M.
Subjects: 2019-20 coronavirus outbreak, medicine.medical_specialty, Coronavirus disease 2019 (COVID-19), business.industry, SARS-CoV-2, Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), Bariatric Surgery, COVID-19, Surgery, Obesity, Morbid, Medicine, In patient, business, Letter to the Editor, Human
Published: 2021

33. Endoscopic Approach to Recurrent Pilonidal Sinus: A Retrospective Analysis

Author: Giovanni Domenico De Palma, Michele Manigrasso, Loredana Maria Sosa Fernandez, Sara Vertaldi, Nicola Gennarelli, Nunzio Velotti, Francesco Maione, Marco Milone, Mario Musella, Vincenza Paola Dinuzzi, Manigrasso, M., Velotti, N., Sosa Fernandez, L. M., Vertaldi, S., Maione, F., Gennarelli, N., Dinuzzi, V. P., Musella, M., De Palma, G. D., and Milone, M.
Subjects: Ablation Techniques, Adult, Male, medicine.medical_specialty, 2019-20 coronavirus outbreak, Coronavirus disease 2019 (COVID-19), medicine.medical_treatment, Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), pilonidal, Video-Assisted Surgery, 03 medical and health sciences, Pilonidal Sinus, 0302 clinical medicine, recurrent, Recurrence, Retrospective analysis, Humans, Medicine, VAAPS, Sinus (anatomy), Retrospective Studies, Wound Healing, business.industry, endoscopic approach, Endoscopy, Ablation, Surgery, Treatment Outcome, medicine.anatomical_structure, 030220 oncology & carcinogenesis, Female, 030211 gastroenterology & hepatology, business, Follow-Up Studies
Abstract: Background: The aim of this study is to report short-and long-term results using video-assisted ablation of pilonidal sinus (PS) technique to treat recurrent PS. Methods: We included all consecutive patients with a recurrent PS disease operated on with endoscopic approach since 1st January 2014 to 31st December 2018. Analyzed outcomes were recurrence rate at 1, 3, and 5 years, time off work, time to sitting on toilet and to walk without pain, time to wound healing, rate of incomplete wound healing and postoperative infection, postoperative pain at 6 hours, 1 day, and 1 week, and patients' satisfaction after 1 month. Demographic and sinuses' data were recorded. To adjust for all the variables, multivariate analyses were performed with outcomes as dependent variables, and with patients' and sinuses' characteristics as independent variables. Results: Sixty-three patients were included in the analysis. Recurrence rate at 1-year follow-up was 4.7% (3 patients on 63), at 3-year follow-up was 11.7% (4 on 34), and at 5-year follow-up was 23.07% (3 on 13). A 3-and 5-year follow-up was completed by 34 and 13 patients, respectively. The mean time off work was 3.5 ± 1.5 days, time to sitting on toilet without pain was 1.5 ± 1.1 days, and time to walk without pain was 1.3 ± 0.9 days. The mean time to wound healing was 27.9 ± 10.3 days, with a rate of incomplete wound healing of 4.7%. Postoperative infection rate was 7.9%. The mean postoperative pain was 1 ± 0.9 at 6 hours after the procedure, 0.6 ± 0.6 at 1 day and 0.1 ± 0.3 at 1 week. Patients' satisfaction was good in 98.5% of patients. After the multivariate analysis, no parameters showed an influence on the postoperative outcomes. Conclusions: Our results encouraged to adopt an endoscopic approach even in case of recurrent PS
Published: 2021

34. Biography: Prof. Mario Musella

Author: Mario Musella, Miguel A. Carbajo, Musella, M., and Carbajo, M. A.
Subjects: Nutrition and Dietetics, business.industry, Endocrinology, Diabetes and Metabolism, Humans, Art history, Medicine, Surgery, Biography, History, 20th Century, business, Human, Obesity, Morbid
Published: 2021

35. Early versus delayed endoscopic treatment of acute pilonidal abscess: a propensity score-matched analysis

Author: Marco Milone, Giovanni Domenico De Palma, Loredana Maria Sosa Fernandez, Michele Manigrasso, Nunzio Velotti, Francesco Maione, Pietro Schettino, Sara Vertaldi, Mario Musella, Nicola Gennarelli, Manigrasso, M., Velotti, N., Sosa Fernandez, L. M., Vertaldi, S., Maione, F., Gennarelli, N., Schettino, P., Musella, M., De Palma, G. D., and Milone, M.
Subjects: medicine.medical_specialty, Pilonidal abscess, medicine.medical_treatment, 030230 surgery, 03 medical and health sciences, 0302 clinical medicine, Pilonidal Sinus, Pilonidal, Recurrence, Internal medicine, Incision and drainage, medicine, Humans, Acute absce, Propensity Score, business.industry, Gastroenterology, Endoscopic treatment, Treatment options, Perioperative, Hepatology, Colorectal surgery, Abscess, Surgery, Treatment Outcome, Video-assisted ablation, 030220 oncology & carcinogenesis, Propensity score matching, Neoplasm Recurrence, Local, business
Abstract: Background: According to the Italian Society of Colorectal Surgery guidelines, the most effective approach to the pilonidal abscess is adequate surgical drainage, concerning incision and drainage of the pilonidal cavity. Few recent studies have demonstrated that endoscopic approach could be a valid treatment option even in the case of acute pilonidal abscess. The aim of our study is to assess if video-assisted ablation of pilonidal sinus (VAAPS) could be an alternative to treat an acute pilonidal abscess and to evaluate if an immediate endoscopic approach to the pilonidal abscess is preferable to a delayed procedure after incision and drainage. Methods: All consecutive patients with an acute pilonidal abscess since 1 January 2014 to 31 December 2018 were enrolled in our propensity score-matched analysis and divided into two groups: the early VAAPS group and the delayed VAAPS group. Primary outcomes were recurrence rate at 1-year, 3-year, and 5-year follow-up. Secondary outcomes were time off, time to wound healing, incomplete wound healing, perioperative infection, patients’ satisfaction 1 month after the complete wound healing, and their health status before surgery and 6 months after complete wound healing. Results: After the propensity score matching, 82 patients were included in the final analysis (41 in each group). No differences were found in terms of recurrence in the two groups. Early endoscopic approach was associated with a better patients’ satisfaction (8.17 ± 1.2 vs 6.06 ± 1.48, p = 0.001) and a better postoperative health status (86.27 ± 6.54 vs 77.32 ± 5.85, p = 0.001). Conclusions: Our results encouraged to perform an immediate endoscopic approach to an acute pilonidal abscess.
Published: 2020

36. Simultaneous Small/Medium Umbilical Hernia Repair With Laparoscopic Sleeve Gastrectomy (LSG): Results of a Retrospective Case-matched Study

Author: Mario Musella, Giovanna Berardi, Vincenzo Schiavone, Nunzio Velotti, Antonio Vitiello, Vitiello, A., Berardi, G., Velotti, N., Schiavone, V., and Musella, M.
Subjects: medicine.medical_specialty, Periumbilical hernia, Morbidly obese, Retrospective Studie, Weight loss, Gastrectomy, medicine, Umbilical hernia repair, Humans, Sleeve gastrectomy, Laparoscopic hernia repair, Retrospective Studies, Laparoscopic sleeve gastrectomy, Mesh repair, business.industry, medicine.disease, Surgery, Umbilical hernia, Obesity, Morbid, Ventral hernia, Treatment Outcome, Baseline characteristics, Operative time, Laparoscopy, medicine.symptom, business, Hernia, Umbilical, Human
Abstract: Purpose: Periumbilical hernias are a common finding in morbidly obese patients undergoing bariatric surgery; however, the timing of repair is still debated. The aim of this paper is to compare the outcomes of simultaneous versus delayed mesh repair of umbilical hernia in patients undergoing laparoscopic sleeve gastrectomy (LSG). Methods: We retrospectively compared 2 groups of morbidly obese patients with small/medium periumbilical hernia (up to 4 cm) in a casematched study: the first group underwent LSG with simultaneous periumbilical hernia repair; in the second, hernioplasty was performed after weight loss induced by LSG. Patients were matched at a 1:1 ratio according to age, comorbidities, defect size (
Published: 2020

37. Bariatric surgery and the COVID-19 pandemic: SICOB recommendations on how to perform surgery during the outbreak and when to resume the activities in phase 2 of lockdown

Author: Maurizio De Luca, Paolo Gentileschi, Mario Musella, Marco Raffaelli, Vincenzo Pilone, Antonio Vitiello, Luigi Piazza, Monica Nannipieri, Rosario Bellini, Giuseppe Navarra, Luigi Angrisani, Iman Komaei, Diego Foschi, Stefano Olmi, Marco Zappa, Nicola Di Lorenzo, Mirto Foletto, Maria Rosaria Cerbone, Giuliano Sarro, Giuseppe Currò, Navarra, G., Komaei, I., Curro, G., Angrisani, L., Bellini, R., Cerbone, M. R., Di Lorenzo, N., De Luca, M., Foletto, M., Gentileschi, P., Musella, M., Nannipieri, M., Piazza, L., Olmi, S., Pilone, V., Raffaelli, M., Sarro, G., Vitiello, A., Zappa, M. A., and Foschi, D.
Subjects: medicine.medical_specialty, Time Factors, Time Factor, Coronavirus disease 2019 (COVID-19), Settore MED/18 - CHIRURGIA GENERALE, Coronaviru, Decision Tree, Pneumonia, Viral, Disease, Phase (combat), Disease Outbreaks, 03 medical and health sciences, 0302 clinical medicine, Pandemic, medicine, Humans, Viral, Obesity, Pandemics, Bariatric surgery, Disease Outbreak, Elective Surgical Procedure, Coronavirus Infection, business.industry, SARS-CoV-2, Decision Trees, Outbreak, COVID-19, Pneumonia, Triage, Settore MED/18, Surgery, Coronavirus, Elective Surgical Procedures, 030220 oncology & carcinogenesis, Quarantine, 030211 gastroenterology & hepatology, Original Article, Personal experience, business, Pandemic. SARS-CoV-2, Coronavirus Infections, Bariatric surgery, COVID-19, Coronavirus, Obesity, Pandemic. SARS-CoV-2, Human
Abstract: The severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) and its related disease, coronavirus disease 2019 (COVID-19), has been rapidly spreading all over the world and is responsible for the current pandemic. The current pandemic has found the Italian national health system unprepared to provide an appropriate and prompt response, heavily affecting surgical activities. Based on the limited data available in the literature and personal experiences, the Società Italiana di Chirurgia dell’OBesità e Malattie Metaboliche (SICOB) provides recommendations regarding the triage of bariatric surgical procedures during the COVID-19 pandemic defining a dedicated path for surgery in morbidly obese patients with known or suspected COVID-19 who may require emergency operations. Finally, the current paper delineates a strategy to resume outpatient visits and elective bariatric surgery once the acute phase of the pandemic is over. Models developed during the COVID-19 crisis should be integrated into hospital practices for future use in similar scenarios. Surgeons are presented with a golden opportunity to embrace systemic change and to drive their professional future.
Published: 2020

38. Commentary: cancer after the OAGB-MGB

Author: Imran Abbas, Enrique Luque-de-León, Miroslav Ilić, Mario Musella, Robert Rutledge, Arun Prasad, Miguel A. Carbajo, Sonja Chiappetta, Mervyn Deitel, Yasser Hamza, Om Tantia, Murat Ustun, David E Hargroder, Adriana Rotundo, Vladimir Samoylov, Francesco Greco, Nasser Sakran, Recep Aktimur, Chetan Parmar, M. Mahir Ozmen, Aatif Inam, Marc Focquet, Francisco Barrera Rodriguez, Karl P. Rheinwalt, Gurvinder S. Jammu, António Albuquerque, Midhat Abu Sneineh, Amir Khan, Michael Van den Bossche, İstinye Üniversitesi, Tıp Fakültesi, Cerrahi Tıp Bilimleri Bölümü, Ozmen, Mehmet Mahir, Rutledge, R., Deitel, M., Carbajo, M. A., Luque-de-Leon, E., Chiappetta, S., Inam, A., Rheinwalt, K., Prasad, A., Hargroder, D. E., Samoylov, V., Ozmen, M. M., Parmar, C., Albuquerque, A., Jammu, G., Ustun, M., Sakran, N., Aktimur, R., Khan, A., Hamza, Y., Rotundo, A., Focquet, M., Van den Bossche, M., Tantia, O., Greco, F., Sneineh, M. A., Rodriguez, F. B., Musella, M., Ilic, M., and Abbas, I.
Subjects: Oncology, medicine.medical_specialty, Nutrition and Dietetics, business.industry, Endocrinology, Diabetes and Metabolism, Carcinoma, digestive, oral, and skin physiology, Gastric Bypass, MEDLINE, Cancer, Cardia, medicine.disease, digestive system diseases, Obesity, Morbid, Text mining, Internal medicine, Weight Loss, medicine, Humans, Surgery, business
Abstract: Invited response to “The first case report of a carcinoma of the gastric cardia (AEG II) after OAGB-MGB”. Gastric and esophageal cancers are common and obesity increases the risk. The mini gastric bypass-one anastomosis gastric bypass (OAGB-MGB) is growing popularity, now widely performed around the world. The confluence of these two common events is inevitable. WOS:000518429400002 31832935 Q1
Published: 2020

39. Laparoscopic conversion from mini gastric bypass/1 anastomosis gastric bypass to Roux-en-Y gastric bypass for perforated marginal ulcer: video case report

Author: Giovanna Berardi, Antonio Vitiello, Mario Musella, Musella, M., Berardi, G., and Vitiello, A.
Subjects: Peptic Ulcer, medicine.medical_specialty, Mini gastric bypass, business.industry, Gastric bypass, Revisional surgery, Gastric Bypass, Anastomosis, Roux-en-Y, Anastomosis, Roux-en-Y anastomosis, Marginal Ulcer, Obesity, Morbid, Surgery, Postoperative Complications, Mini-bypa, Humans, Medicine, Laparoscopy, 1 Anastomosis gastric bypa, business, Marginal ulcer
Published: 2020

40. Robotic Colorectal Cancer Surgery. How to Reach Expertise? A Single Surgeon-Experience

Author: Nicola D’Alesio, Michele Manigrasso, Alessandra Marello, Marco Milone, Sara Vertaldi, Salvatore Aprea, Pietro Anoldo, Giovanni Domenico De Palma, Antonio Vitiello, Alessia Chini, Carmen Sorrentino, Mario Musella, A. D'Amore, Salvatore D’Angelo, Manigrasso, M., Vertaldi, S., Anoldo, P., D'Amore, A., Marello, A., Sorrentino, C., Chini, A., Aprea, S., D'Angelo, S., D'Alesio, N., Musella, M., Vitiello, A., De Palma, G. D., and Milone, M.
Subjects: robotic, Laparoscopic surgery, medicine.medical_specialty, Colorectal cancer, medicine.medical_treatment, Medicine (miscellaneous), colorectal cancer, Article, laparoscopic, 03 medical and health sciences, 0302 clinical medicine, Colorectal cancer surgery, Medicine, Prospective cohort study, colorectal, business.industry, General surgery, Cancer, medicine.disease, Colorectal surgery, Single surgeon, learning curve, 030220 oncology & carcinogenesis, Operative time, 030211 gastroenterology & hepatology, business
Abstract: The complexity associated with laparoscopic colorectal surgery requires several skills to overcome the technical difficulties related to this procedure. To overcome the technical challenges of laparoscopic surgery, a robotic approach has been introduced. Our study reports the surgical outcomes obtained by the transition from laparoscopic to robotic approach in colorectal cancer surgery to establish in which type of approach the proficiency is easier to reach. Data about the first consecutive 15 laparoscopic and the first 15 consecutive robotic cases are extracted, adopting as a comparator of proficiency the last 15 laparoscopic colorectal resections for cancer. The variables studied are operative time, number of harvested nodes, conversion rate, postoperative complications, recovery outcomes. Our analysis includes 15 patients per group. Our results show that operative time is significantly longer in the first 15 laparoscopic cases (p = 0.001). A significantly lower number of harvested nodes was retrieved in the first 15 laparoscopic cases (p = 0.003). Clavien Dindo I complication rate was higher in the first laparoscopic group, but without a significant difference among the three groups (p = 0.09). Our results show that the surgeon needed no apparent learning curve to reach their laparoscopic standards. However, further multicentric prospective studies are needed to confirm this conclusion.
Published: 2021

41. The Eternal Dilemma of the Bile into the Gastric Pouch After OAGB: Do We Need to Worry?

Author: Mario Musella, Antonio Vitiello, Musella, M., and Vitiello, A.
Subjects: Gastric pouch, medicine.medical_specialty, Nutrition and Dietetics, business.industry, Endocrinology, Diabetes and Metabolism, media_common.quotation_subject, General surgery, MEDLINE, Dilemma, Medicine, Surgery, Worry, business, media_common
Published: 2020

42. Conversion from laparoscopic adjustable gastric banding (LAGB) and laparoscopic sleeve gastrectomy (LSG) to one anastomosis gastric bypass (OAGB): preliminary data from a multicenter retrospective study

Author: Emilio Manno, Andrea Tirone, Mario Musella, Vincenzo Bruni, Marcello Lucchese, Giuseppe Iovino, Gastone Veroux, Enrico Facchiano, Marco Raffaelli, Antonio Vitiello, Maurizio De Luca, Nunzio Velotti, Luigi Piazza, Antonio Susa, Rossella D’Alessio, Francesco Greco, Giuseppe Vuolo, Musella, M., Bruni, V., Greco, F., Raffaelli, M., Lucchese, M., Susa, A., De Luca, M., Vuolo, G., Manno, E., Vitiello, A., Velotti, N., D'Alessio, R., Facchiano, E., Tirone, A., Iovino, G., Veroux, G., and Piazza, L.
Subjects: Adult, Male, Reoperation, medicine.medical_specialty, Mini/one anastomosis gastric bypa, Settore MED/18 - CHIRURGIA GENERALE, Revisional surgery, Bariatric Surgery, 030209 endocrinology & metabolism, Type 2 diabetes, Comorbidity, Anastomosis, 03 medical and health sciences, 0302 clinical medicine, Weight loss, Gastrectomy, Diabetes mellitus, Weight Loss, Medicine, Humans, Retrospective Studies, business.industry, Reflux, Mini/one anastomosis gastric bypass, Retrospective cohort study, Middle Aged, medicine.disease, Surgery, Obesity, Morbid, Bariatric surgery, Redo surgery, 030211 gastroenterology & hepatology, Female, Laparoscopy, medicine.symptom, business, Body mass index, Dyslipidemia
Abstract: Background Laparoscopic sleeve gastrectomy (LSG) is the most commonly performed bariatric procedure, while laparoscopic adjustable gastric banding (LAGB) has been for a decade one of the most popular interventions for weight loss. After LSG and LAGB, some patients may require a second surgery due to weight regain or late complications. One anastomosis gastric bypass (OAGB) is a promising bariatric procedure, which provides effective long-term weight loss and has a favorable effect on type 2 diabetes. Objectives To retrospectively analyze data from 10 Italian centers on conversion from LAGB and LSG to OAGB. Setting High-volume centers for bariatric surgery. Methods Prospectively collected data from 10 high-volume centers were retrospectively reviewed. Body mass index (BMI), percentage of excess BMI loss, reasons for redo, remission from co-morbidities (hypertension, diabetes, gastroesophageal reflux, and dyslipidemia), and major complications were recorded. Results Three hundred patients were included in the study; 196 patients underwent conversion from LAGB to OAGB and 104 were converted from LSG. BMI was 45.1 ± 7 kg/m2 at the time of first intervention, 41.8 ± 6.3 kg/m2 at redo time, and 30.5 ± 5.5 kg/m2 at last follow-up appointment. Mean percentage of excess BMI loss was 13.2 ± 28.2 at conversion and 73.4 ± 27.5 after OAGB. Remission rates from hypertension, diabetes, gastroesophageal reflux, and dyslipidemia were 40%, 62.5%, 58.7% and 52%, respectively. Mean follow-up was 20.8 (range, 6–156) months and overall complications rate was 8.6%. Conclusion Our data show that OAGB is a safe and effective revisional procedure after failed restrictive bariatric surgery.
Published: 2019

43. Comment on: Rates of reoperation and intervention within 30 days of bariatric surgery

Author: Antonio Vitiello, Mario Musella, Musella, M., and Vitiello, A.
Subjects: Reoperation, medicine.medical_specialty, business.industry, Gastric bypass, MEDLINE, Gastric Bypass, Bariatric Surgery, medicine.disease, Obesity, Surgery, Obesity, Morbid, Second-Look Surgery, Intervention (counseling), Second Look Surgery, Medicine, Humans, business
Published: 2019

44. Barbed suture and gastrointestinal surgery. A retrospective analysis

Author: Loredana Maria Sosa Fernandez, Federica Calculli, Nunzio Velotti, Enrico Araimo, Michele Manigrasso, Pietro Anoldo, Sara Vertaldi, Katia Di Lauro, Giovanni Aprea, Marco Milone, Ugo Elmore, Mario Musella, Giovanni Domenico De Palma, Francesco Milone, Manigrasso, M., Velotti, N., Calculli, F., Aprea, G., Di Lauro, K., Araimo, E., Elmore, U., Vertaldi, S., Anoldo, P., Musella, M., Milone, M., Maria Sosa Fernandez, L., Milone, F., and De Palma, G. D.
Subjects: Laparoscopic surgery, medicine.medical_specialty, medicine.medical_treatment, Anastomosis, Intracorporeal anastomosi, 03 medical and health sciences, 0302 clinical medicine, Minimally invasive surgery, medicine, Retrospective analysis, Laparoscopy, Abscess, intracorporeal anastomosis, medicine.diagnostic_test, Intracorporeal anastomosis, business.industry, General Medicine, medicine.disease, Surgery, Barbed suture, 030220 oncology & carcinogenesis, Medicine, 030211 gastroenterology & hepatology, business, Surgical endoscopy, Research Article
Abstract: Although minimally invasive surgery is recognized as the gold standard of many surgical procedures, laparoscopic suturing is still considered as the most difficult skill in laparoscopic surgery. The introduction of barbed sutures facilitates laparoscopic suturing because it is not necessary to tie a knot. The efficacy of this method has been evaluated in different types of surgery; however, less is known about general surgery. We retrospectively analysed data from 378 patients who had undergone bariatric or surgical treatment for colic or gastric malignancy requiring a closure of gastroentero, entero-entero or enterocolotomy from January 2014 to January 2019, admitted to the General Surgery Unit and Operative Unit of Surgical Endoscopy of the University Federico II (Naples, Italy). We registered 12 anastomotic leaks (3.1%), 16 anastomotic intraluminal bleedings (4.2%) and 7 extraluminal bleedings. Other complications included 23 cases of postoperative nausea and vomit (6%), 14 cases of postoperative ileus (3.7%) and 3 cases of intra-abdominal abscess (0.8%). Overall complications rate was 19.8% (75/378). No postoperative death was registered. Thus, by pooling together 378 patients, we can assess that barbed suture could be considered safe and effective for closure of holes used for the introduction of a branch of mechanical stapler to perform intracorporeal anastomosis.
Published: 2019

45. Intracorporeal versus extracorporeal anastomosis after laparoscopic gastrectomy for gastric cancer. A systematic review with meta-analysis

Author: Morena Burati, Francesco Maione, V. Lo Conte, Michele Manigrasso, Marco Milone, G. Domenico De Palma, Ugo Elmore, Francesco Milone, Nicola Gennarelli, M. Cesare Giglio, Mario Musella, Milone, M., Manigrasso, M., Burati, M., Elmore, U., Gennarelli, N., Cesare Giglio, M., Maione, F., Musella, M., Lo Conte, V., Milone, F., and Domenico De Palma, G.
Subjects: Male, medicine.medical_specialty, Extracorporeal, Totally laparoscopic, medicine.medical_treatment, Operative Time, Blood Loss, Surgical, Statistical difference, Postoperative Hemorrhage, Anastomosis, 03 medical and health sciences, 0302 clinical medicine, Blood loss, Stomach Neoplasms, Gastrectomy, Humans, Medicine, Meta-analysi, Prospective Studies, Aged, Retrospective Studies, business.industry, Anastomosis, Surgical, Margins of Excision, Laparoscopic gastrectomy, General Medicine, Length of Stay, Middle Aged, Surgery, Treatment Outcome, 030220 oncology & carcinogenesis, Meta-analysis, Lymph Node Excision, Operative time, Female, Laparoscopy, 030211 gastroenterology & hepatology, Intracorporeal, business, Gastric cancer, Publication Bias
Abstract: Summary Aim To perform a systematic review and meta-analyses of studies comparing the totally laparoscopic procedures with intracorporeal anastomosis (IA) to laparoscopic-assisted surgery with extracorporeal anastomosis (EA) in gastric resections. Methods We performed a systematic search in the electronic databases. Outcomes analysed were: intraoperative (operative time and intraoperative blood loss), oncologic (harvested nodes, distance of the tumour from proximal and distal margin), postoperative complications (gastric stasis, intraluminal and extraluminal bleeding, leakage and wound infection) recovery (time to first flatus, time to first oral intake and hospital stay). We performed meta-regression analyses after implementing a regression model with the analysed outcomes as dependent variables (y) and the demographic and pathologic covariates as independent variables (x). Results A total of 26 studies (20 on distal gastrectomy and 6 on total gastrectomy) were included in the final analysis. Regarding distal gastrectomy, there was no statistical difference between the two groups in the above-mentioned outcomes, except for intraoperative blood loss (less in IA group, P = 0.003), number of harvested nodes (better in the IA group, P = 0.022) and length of hospital stay (shorter in the IA group, P = 0.037). Regarding total gastrectomy, there was no statistical difference for all outcomes, except for the distal margin (further in the EA group, P = 0.040). Meta-regression analysis showed that a lot of variables influenced results in distal gastric resections, but not in total gastric resections. Conclusion We can state laparoscopic gastric resections with IA are safe and feasible when performed by expert surgeons. However, new well-designed studies comparing the two techniques are needed to confirm the benefits of laparoscopic IA.
Published: 2019

46. Peptic Ulcer After Bariatric Surgery

Author: Mario Musella, Antonio Vitiello, Musella M, Vitiello A, Foschi D, Navarra G, Musella, Mario, and Vitiello, Antonio
Subjects: medicine.medical_specialty, Helicobacter pylori infection, medicine.diagnostic_test, biology, business.industry, Peptic, Ischemia, Helicobacter pylori, bacterial infections and mycoses, medicine.disease, biology.organism_classification, digestive system, digestive system diseases, Marginal Ulcer, Endoscopy, Surgery, Peptic disease, Peptic ulcer, medicine, business
Abstract: In the normal population, peptic disease is mainly caused by Helicobacter pylori infection and nonsteroidal anti-inflammatory drugs (NSAIDs); after bariatric surgery peptic ulcers (PUs) are generally due to ischemia, foreign bodies or hyperacidity caused by the anatomical rearrangement. Despite this difference, treatment of post-bariatric PUs does not differ from common peptic disease with medical therapy as the treatment of choice. Endoscopy is necessary for diagnosis and can be used for the treatment of bleedings. Surgery is nowadays indicated only in the emergency setting, or for recurrent or intractable ulcers.
Published: 2019

47. Completeness of total mesorectum excision of laparoscopic versus robotic surgery: a review with a meta-analysis

Author: Giovanni Sarnelli, Mario Musella, Nicola Gennarelli, Giovanni Aprea, Nunzio Velotti, Antonietta Vozza, Michele Manigrasso, Francesco Maione, Stefania Torino, Marco Milone, Giovanni Domenico De Palma, Milone, M., Manigrasso, M., Velotti, N., Torino, S., Vozza, A., Sarnelli, G., Aprea, G., Maione, F., Gennarelli, N., Musella, M., and De Palma, G. D.
Subjects: Laparoscopic surgery, medicine.medical_specialty, Colorectal cancer, medicine.medical_treatment, Mesorectum, law.invention, 03 medical and health sciences, 0302 clinical medicine, Robotic Surgical Procedures, Randomized controlled trial, law, medicine, Humans, Robotic surgery, Rectal resection, Total mesorectum excision, business.industry, Rectum, Gastroenterology, medicine.disease, Total mesorectal excision, Surgery, Treatment Outcome, 030220 oncology & carcinogenesis, Meta-analysis, Regression Analysis, Laparoscopy, 030211 gastroenterology & hepatology, sense organs, business, Publication Bias
Abstract: TME has revolutionized the surgical management of rectal cancer, and since the introduction of robotic TME (RTME), many reports have shown the feasibility and the safety of this approach. However, concerns persist regarding the advantages of robotic in surgery for the completeness of TME. The aim of this review is to compare robotic versus laparoscopic total mesorectal excision (TME) in rectal cancer, focusing on the completeness of TME. A systematic search was performed in the electronic databases for all available studies comparing RTME versus conventional laparoscopic LTME with declared grade of mesorectum excision. Data regarding sample size, clinical and demographic characteristics, number of complete, nearly complete, and incomplete TME were extracted. Primary outcome was the number of complete TME in robotic and laparoscopic procedures. Secondary outcomes were the numbers of nearly complete and incomplete TME in robotic and laparoscopic rectal resections. Twelve articles were included in the final analysis. Complete TME was reported by all authors, involving 1510 procedures, showing a significant difference in favor of robotic surgery (OR = 1.83, 95% CI 1.08–3.10, p = 0.03). Nearly complete and incomplete TME showed no significant difference between the procedures. Meta-regression analysis showed that none of patients’ and tumors’ characteristics significantly impacted on complete TME. Our results underline that the robotic approach to rectal resection is the better way to obtain a complete TME. However, it is mandatory that randomized clinical trials should be performed to assess definitively if robotic minimally invasive surgery is better than a laparoscopic resection.
Published: 2019

48. Comparison between LigaSure™ and Harmonic® in Laparoscopic Sleeve Gastrectomy: A Single-Center Experience on 422 Patients

Author: Domenico Manzolillo, Nunzio Velotti, Alessio Bocchetti, Marco Milone, K. Di Lauro, Giovanna Berardi, Michele Manigrasso, Francesco Milone, Antonio Vitiello, G.D. De Palma, Mario Musella, Pietro Anoldo, Velotti, N., Manigrasso, M., Di Lauro, K., Vitiello, A., Berardi, G., Manzolillo, Domenico, Anoldo, P., Bocchetti, A., Milone, F., Milone, M., De Palma, G. D., and Musella, M.
Subjects: Adult, Male, medicine.medical_specialty, lcsh:Internal medicine, Article Subject, Endocrinology, Diabetes and Metabolism, Operative Time, Blood Loss, Surgical, Single Center, 03 medical and health sciences, 0302 clinical medicine, Blood loss, Gastrectomy, Surgical Stapling, medicine, Humans, CLIPS, Laparoscopy, Abscess, lcsh:RC31-1245, Intraoperative Complications, computer.programming_language, Retrospective Studies, Hemostat, medicine.diagnostic_test, business.industry, Retrospective cohort study, Middle Aged, medicine.disease, Surgery, Obesity, Morbid, Treatment Outcome, 030220 oncology & carcinogenesis, Operative time, 030211 gastroenterology & hepatology, Female, business, computer, Research Article
Abstract: Background. New laparoscopic devices, such as electrothermal bipolar-activated devices (LigaSure™ (LS)) or ultrasonic systems (Harmonic® scalpel (HS)), have been applied recently to bariatric surgery allowing to reduce blood loss and surgical risks. The aim of this study was to retrospectively compare intraoperative performance of HS and LS, postoperative results, and clinical outcomes in a large cohort of patients undergoing LSG. Methods. Data from 422 morbidly obese patients undergoing LSG in our Bariatric Unit at the Advanced Biomedical Sciences Department of the “Federico II” University of Naples (Italy) between January 2009 and December 2017 were retrospectively analyzed. Subjects were divided into two groups (HS and LS), and operative time, intraoperative complications, and postoperative (within 30 days from surgery) complications were compared. Bleeding from the omentum or from the staple line, use of hemostatic clips, and absorbable hemostat were recorded as intraoperative complications; hemorrhages, abscess formation, gastric leaks, fever, and mortality were considered as postoperative complications. Results. Statistical analysis showed no difference in terms of baseline demographics between the two cohorts. Operative time (48 ± 9 vs 49 ± 6 min, p=0.646) and the rates of intraoperative and postoperative complications did not significantly differ between groups. Conclusion. Harmonic® and LigaSure™ are both useful tools in bariatric surgery, and these two advanced power devices are user-friendly and can facilitate surgeon work; from this point of view, the choice of the energy device should be based on the preference of the surgeon and on the hospital costs policy and availability.
Published: 2019

49. Dietary change associated with bariatric surgery. The winning approach. An Invited Commentary on 'Impact of sleeve gastrectomy and dietary change on metabolic and hepatic function in an obesity rat model - experimental research'

Author: Nunzio Velotti, Mario Musella, Musella, M., and Velotti, N.
Subjects: Bariatric surgery, medicine.medical_specialty, Sleeve gastrectomy, business.industry, medicine.medical_treatment, Rat model, General Medicine, medicine.disease, Gastroenterology, Obesity, Experimental research, Dietary change, Hepatic function, Internal medicine, Medicine, Surgery, business
Published: 2020

50. Esophagogastric junction function and gastric pressure profile after minigastric bypass compared with Billroth II

Author: Mervyn Deitel, Edoardo Savarino, Salvatore Tolone, Stefano Cristiano, Ludovico Docimo, Mario Musella, Tolone, S., Musella, M., Savarino, E., Cristiano, S., Docimo, L., and Deitel, M.
Subjects: Adult, Male, medicine.medical_specialty, Manometry, medicine.medical_treatment, Reflux, Gastric Bypass, 030209 endocrinology & metabolism, Regurgitation (circulation), Gastroenterology, Follow-Up Studie, Bile reflux, 03 medical and health sciences, 0302 clinical medicine, Postoperative Complications, Heartburn, Internal medicine, medicine, Electric Impedance, Humans, High-resolution manometry, Obesity, MGB, High resolution manometry, Billroth II, Bariatric surgery, MII-pH, business.industry, Bile Reflux, Impedance, GERD, Middle Aged, medicine.disease, Surgery, Gastroesophageal Reflux, 030211 gastroenterology & hepatology, Female, Postoperative Complication, Esophagogastric Junction, medicine.symptom, business, Esophagitis, Human, Follow-Up Studies
Abstract: Background: Minigastric bypass (MGB) is being performed widely with effective weight loss and improvement in co-morbidities. Because of similarity to Billroth II (BII), there are concerns about bile reflux. Objectives: To assess the esophagogastric junction (EGJ) function, esophageal peristalsis, and reflux exposure after MGB and BII. Setting: University Hospital, Italy; Public Hospital, Italy. Methods: Obese patients underwent symptom questioning, endoscopy, high-resolution impedance manometry, and impedance-pH monitoring, before and 1 year after MGB. Esophageal motor function, EGJ, EGJ–contractile integral, intragastric pressure (IGP), and gastroesophageal pressure gradient were determined. Acid exposure time, number of refluxes, and symptom-association probability were assessed. A group of patients who underwent BII were studied with the same protocol and served as controls. Results: Twenty-two MGB and 20 BII patients were studied. After surgery, none of the patients reported de novo heartburn or regurgitation. At endoscopic follow-up, esophagitis and bile findings were absent in all. High-resolution impedance manometry features did not vary significantly after MGB, whereas IGP and gastroesophageal pressure gradient statistically diminished (P < .01). BII patients had significantly lower values in IGP, sphincter pressure, and EGJ–contractile integral. In MGB patients, a marked decrease in number of refluxes (from median 41 to 7, P < .01) was observed, whereas BII patients had statistically significant higher acid exposure and number of refluxes (57, P < .001). Conclusions: In contrast to BII, MGB does not increase any kind of reflux. Also, the differences in IGP and gastroesophageal pressure gradient suggest that bile reflux occurs more readily after BII than after MGB, and that these 2 operations share more differences than similarities.
Published: 2018

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