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135 results on '"Sarmiento-Cobos, Mauricio"'

16. Modified Frailty Index Predicts Postoperative Complications Following Parastomal Hernia Repair

Author

Khan, Mustafa, Patnaik, Ronit, Lue, Melinda, Dao Campi, Haisar, Montorfano, Lisandro, Sarmiento Cobos, Mauricio, Valera, Roberto J., Rosenthal, Raul J., and Wexner, Steven D.

Abstract

Background The 5-factor frailty index (5-mFI), validated frailty index with Spearmen rho correlation of .95 and C statistic >.7 for predicting postoperative complications, can be preoperatively used to stratify patients prior to parastomal hernia repairs.Methods Retrospective review of the American College of Surgeons National Surgical Quality Improvement Program (ACS-NSQIP) database identified patients from 2015 to 2020. 5-mFI scores were calculated by adding one point for each comorbidity present: diabetes mellitus, congestive heart failure (CHF), hypertension requiring medication, severe chronic obstructive pulmonary disease (COPD), non-independent functional status. Primary endpoint was 30-day overall complications; secondary endpoints were 30-day readmission, reoperation, and discharge to care facility.Results 2924 (52.2% female) patients underwent elective parastomal hernia repair. Univariate analysis showed 5-mFI >2 had higher rates of overall (P= .008), pulmonary (P= .002), cardiovascular (P= .003)), hematologic (P= .003), and renal (P= .002) complications and higher rates of readmission (P= .009), reoperation (P= .001), discharge to care facility (P< .001), and death (P< .001). Multivariate analysis identified a 5-mFI of 2 or more as an independent risk factor for overall complications [OR: 1.40, 1.03-1.78; P= .032], pulmonary complications [2.97, 1.63-5.39; P< .001], hematological complications [1.60, 1.03-2.47; P= .035], renal complications [2.04, 1.19-3.46; P= .009], readmission [1.54, 1.19-1.99; P <.001], and discharge to facility [2.50, 1.66-3.77; P< .001]. Reoperation was not signification on multivariate analysis.Conclusions Parastomal hernia repair patients with 5-mFI score of >2 had higher risk of renal, cardiovascular, pulmonary, and hematologic complications, readmissions, longer hospitalization, discharge to care facility, and mortality, and can be useful during preoperative risk stratification.

Published
2024
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18. Does bariatric surgery change the risk of acute ischemic stroke in patients with a history of transient ischemic attack? A nationwide analysis

Author

Valera, Roberto J., primary, Botero-Fonnegra, Cristina, additional, Cogollo, Vicente J., additional, Sarmiento-Cobos, Mauricio, additional, Montorfano, Lisandro, additional, Rivera, Carlos, additional, Hong, Liang, additional, Lo Menzo, Emanuele, additional, Szomstein, Samuel, additional, and Rosenthal, Raul J., additional

Published
2022
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21. Effects of Rapid Weight Loss after Bariatric Surgery on Prevention of Pulmonary Hypertension Measured by the Pulmonary Artery Diameter and Its Ratio to the Ascending Aorta Diameter

Author

Valera, Roberto J., primary, Sarmiento-Cobos, Mauricio, additional, Rivera, Carlos E., additional, Fonnegra, Cristina Botero, additional, Montorfano, Lisandro, additional, Lo Menzo, Emanuele, additional, Szomstein, Samuel, additional, and Rosenthal, Raul J., additional

Published
2021
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24. Cardiovascular Safety of Laparoscopic Roux En Y Gastric Bypass Vs. Laparoscopic Sleeve Gastrectomy: An Analysis of the Metabolic and Bariatric Surgery Accreditation and Quality Improvement Program (MBSAQIP) Data Registry

Author

Valera, Roberto J., primary, Fonnegra, Cristina Botero, additional, Sarmiento-Cobos, Mauricio, additional, Rivera, Carlos E., additional, Montorfano, Lisandro, additional, Lo Menzo, Emanuele, additional, Szomstein, Samuel, additional, and Rosenthal, Raul J., additional

Published
2021
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33. Rapid Weight Loss after Bariatric Surgery Decreases Interatrial Fat Formation Lowering the Risk of New Onset Atrial Fibrillation in Patients with Severe Obesity

Author

Sarmiento-Cobos, Mauricio, primary, Rivera, Carlos E., additional, Cogollo, Vicente Jose, additional, Fonnegra, Cristina Botero, additional, Montorfano, Lisandro, additional, Valera, Roberto Jose, additional, Wasser, Elliot, additional, Menzo, Emanuele Lo, additional, Szomstein, Samuel, additional, and Rosenthal, Raul Jacobo, additional

Published
2020
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37. The Relationship Between Bariatric Surgery, Weight Loss, and Non-Invasive Intracranial Pressure Measurement via the Optic Nerve Sheath Diameter

Author

Rivera, Carlos, primary, Sarmiento-Cobos, Mauricio, additional, Cogollo, Vicente J., additional, Montorfano, Lisandro, additional, Valera, Roberto J., additional, Sanchez, Andres Felipe, additional, Wasser, Elliot, additional, Menzo, Emanuele Lo, additional, Szomstein, Samuel, additional, and Rosenthal, Raul J., additional

Published
2020
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41. A183 Improvement of Left Ventricular Mass Index and Ventricular Contractility in patients with obesity following rapid weight loss after Bariatric Surgery

Author

Sarmiento-Cobos, Mauricio, primary, Rivera, Carlos, additional, Montorfano, Lisandro, additional, Cogollo, Vicente, additional, Okida, Luis Felipe, additional, Blanco, David Gutierrez, additional, Lo Menzo, Emanuele, additional, Szomstein, Samuel, additional, and Rosenthal, Raul, additional

Published
2019
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42. High failure rates following ligation of the intersphincteric fistula tract for transsphincteric anal fistulas: are preoperative MRI measurements of the fistula tract predictive of outcome?

Author

Sarmiento‐Cobos, Mauricio, Rosen, Lester, Wasser, Elliot, Yang, Feng, and Wexner, Steven D.

Subjects
*ANAL fistula, *FISTULA, *MAGNETIC resonance imaging, *INSTITUTIONAL review boards, *LENGTH measurement
Abstract

Aim: Treatment of transsphincteric fistulas (TSFs) with fistulotomy after an indwelling seton is tempered by risks of incontinence and litigation. Thus, ligation of the TSF tract has been popularized as an alternative option. We previously reported on 107 patients who underwent ligation of the intersphincteric fistula tract (LIFT), with a 46% failure rate. Posterior fistula was the only predictor of recurrence. The aim of the present work was to investigate whether the length, width or depth of the fistula measured on preoperative MRI was correlated with recurrence. Method: Following institutional review board approval, a retrospective analysis of our prospective Complex Anal Fistula Database from 1 January 2011 to 31 August 2019 was performed. Patients with TSF who underwent preoperative MRI and LIFT were included. Fistula location was classified as anterior, posterior or lateral. MRI measurements of fistula length, width and depth (in the intersphincteric groove) were performed. The type and rate of postoperative recurrence were analysed. Results: 173 patients underwent MRI for an anal fistula; of these 40 underwent LIFT and 22/40 (55%) had preoperative MRI. There was no difference in the length, width or depth of anterior (n = 9), posterior (n = 7) or lateral (n = 6) fistula tracts. The overall recurrence rate was 9/22 (41%). Posterior TSFs had the highest recurrence rate (5/7, 71%). Conclusion: The mean length, width, and depth of the fistula tract, measured at the preoperative site of LIFT in the intersphincteric groove, did not correlate with recurrence regardless of fistula location. [ABSTRACT FROM AUTHOR]

Published
2021
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49. Prevalencia de la adherencia y factores asociados a la terapeuta farmacológica y no farmacológica antihipertensiva en pacientes del área 2 de salud de Miraflores, Cuenca 2011

Author

Segarra Espinoza, Edgar Enrique, Encalada Torres, Lorena Esperanza, Salazar Adum, Juan Pablo, Sarmiento Cobos, Mauricio Fernando, Sarmiento Sarmiento, Paul Enrique, Segarra Espinoza, Edgar Enrique, Encalada Torres, Lorena Esperanza, Salazar Adum, Juan Pablo, Sarmiento Cobos, Mauricio Fernando, and Sarmiento Sarmiento, Paul Enrique

Abstract

Treatment of chronic diseases requires changes in lifestyle and proper adherence to therapy, which has been and remains a highly relevant clinical problem, especially in the management of hypertensive patients. Hypertension (HTA) is now an important public health problem worldwide and in Ecuador ranks third among the causes of mortality. Objetive: To determine the prevalence of adherence and factors associated with drug therapy and pharmacological antihypertensive in health center patients José Maria Astudillo Regalado area of Miraflores. Cuenca 2011. Methodology: A study of prevalence Cross in health center two of Cuenca for a period of 6 months, the universe were hypertensive patients attending the hypertension club health center two of Cuenca for the period 2010 to 2011. Detection was effected those that adhere to therapy, to determine their prevalence during this period. Results: The sample consisted of 191 people from a total of 229 hypertensive patients. The population is predominantly adherent to drug therapy, with 56%, while 44% was considered non-adherent, the majority (70.70%) of the study population were female, and 29.30% male; nonadherence in women is more marked than in males, represented 73.5% of the adherent population sample. They include a larger number of patients with controlled blood pressure. Conclusion: Over half of those under antihypertensive medication were considered adherent as outlined by the Review, together this is associated with a significant number of people well-controlled blood pressure, likewise through the comparative analysis between the results research and selected bibliography, reveals a variety of factors that are associated with adherence. KEY WORDS: HYPERTENSION-THERAPY, PREVALENCE, THERAPEUTIC ADHERENCE, RISK FACTORS, LIFESTYLE, PATIENTS, HEALTH CENTERS.

Published
2011

50. Contributors

Author

Floch, Martin H., Pitchumoni, C.S., Floch, Neil R., Rosenthal, Raul J., Scolapio, James S., Lim, Joseph K., Ahmad, Hira, Aleman, Rene, Fonseca, Maria C., Funes, David R., Gomez, Camila Ortiz, Kichler, Kandace, Kowdley, Kris V., Lange, Matthew, Lo Menzo, Emanuele, Milla Matute, Cristian Alejandro, Moon, Savannah, Oyefule, Mobola, Sarmiento-Cobos, Mauricio, Sasson, Morris, Shah, Rishabh, Szomstein, Samuel, Wegerif, Garrett, and Zorrilla-Nuñez, Luis F.

Published
2020
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