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  • Kakoulidis, Thanos P., et al. (författare)
  • Reduced Need for In-hospital Care After Sleeve Gastrectomy a Single Center Observational Study
  • 2019
  • Ingår i: Obesity Surgery. - 0960-8923 .- 1708-0428. ; 29:10, s. 3228-3231
  • Tidskriftsartikel (refereegranskat)abstract
    • <p><strong>Setting</strong></p><p>Private clinic, Stockholm, and nation-wide in-hospital care, Sweden.</p><p><strong>Objectives</strong></p><p>The use of sleeve gastrectomy (SG) for treatment of morbid obesity has increased worldwide, but information about long-term outcome is still limited. Our objective was to evaluate the need for additional in-hospital care after SG for obesity (body mass index [BMI] &gt;30) in 862 patients, all operated at a single center.</p><p><strong>Methods</strong></p><p>Two national registries, the Inpatient Registry and the Death Registry, were used to collect long-term data on in-hospital care, grouped by the International Statistical Classification of Diseases and Related Health Problems (ICD-10) and mortality, respectively.</p><p><strong>Results</strong></p><p>In-hospital care for SG-operated females was decreased for four groups of obesity-related ICD-10 diagnoses: endocrine and metabolic diseases and circulatory, digestive, and genitourinary diseases, as well as injuries and poisoning (p&lt;0.001 for all). However, female SG patients still required in-hospital care above the national level for women of corresponding ages.</p><p><strong>Conclusions</strong></p><p>Although a significant reduction in in-hospital care was observed, SG patients did not reach national levels.</p>
  • Krause, Johan, et al. (författare)
  • Ultrasonography findings and tumour quantification in patients with pseudomyxoma peritonei
  • 2012
  • Ingår i: European Journal of Radiology. - 0720-048X .- 1872-7727. ; 81:4, s. 648-651
  • Tidskriftsartikel (refereegranskat)abstract
    • <p>Pseudomyxoma peritonei (PMP) is a disease with various clinical presentations and the diagnostic value of ultrasonography (US) is under investigated. The purpose of this study was to identify the most common US finding in PMP and to investigate US sensitivity, specificity, positive and negative predictive value in quantifying tumour burden in different abdomino-pelvic regions in PMP patients. Between February 2006 and December 2008, 54 patients were treated with cytoreductive surgery (CRS) and hyperthermic intraperitoneal chemotherapy (HIPEC) due to PMP. The results from preoperative US examination with and without intravenously administrated contrast (SonoVue) were compared to surgical findings. The mean US peritoneal cancer index (PCI) was 6 (range 0-25) and the surgical PCI was 18 (range 3-27) p&lt;0.0001. The histo-pathological subtypes did not influence the US findings. Ascites, bowel loops adhesions and omental cake were mostly visualised correctly by US. The sensitivity of US in quantification of tumour nodules was 91.5% (range 74-100%) and specificity was 33.8% (range 18-55%). The positive predictive value of US examination in PMP was 22% (range 11-44%) and the negative predictive value was 93% (range 77-100%). US can detect the most common PMP findings (ascites and omental cake). The sensitivity of US to quantify PMP tumour burden in different abdominio-pelvic region was relatively high, however, this imaging tool had low specificity.</p>
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