Showing 2 results for Rezaianzadeh
Seyed Vahid Hosseini, Ali Mohammad Bananzadeh, Abbas Rezaianzadeh, Leila Ghahramani,
Volume 1, Issue 1 (8-2012)
Abstract
Background: Familial adenomatous polyposis (FAP) is a well-known entity for specialist
and it has near 100% chance of malignant changes if does not managed surgically. In order
to reduce the disadvantages of laparatomy and diverting ileostomy we present our
results of laparoscopic total proctocolectomy without diverting ileostomy.
Objectives: The aim of this study was to present the results of laparoscopic total proctocolectomy
and J pouch ileoanal anastomosis without diverting ileostomy in managing
patients with familial adenomatous polyposis (FAP).
Patients and Methods: Hospital records of 19 patients who were diagnosed with FAP and underwent
laparoscopic restorative proctocolectomy without ileostomy were retrospectively
evaluated in this study. Early complications and demographic data were considered.
Results: The mean age of patients was 34 years, with a standard deviation of 4.3 years. The
most common presenting symptom was rectal bleeding. Two weeks after the operation,
no leakage was detected at the site of anastomosis, but some patients experienced temporary
diarrhea and fecal incontinence.
Conclusions: Laparoscopic total proctocolectomy and J Pouch ileoanal anastomosis without
diverting loop ileostomy seems to be a safe procedure in the management of FAP.
Seyed Hossein Hosseini, Ahmad Izadpanah, Seyed Vahid Hosseini, Hossein Shabahang, Elaheh Ashrafi, Ali Reza Safarpour, Abbas Rezaianzadeh, Zahra Zabangirfard,
Volume 3, Issue 1 (2-2014)
Abstract
Background
Since morbid obesity is known as a major cause of psychosocial problems beside its common adverse effects like cardiovascular and metabolic diseases, a lot of researches have been performed to find an effective treatment including surgery. Surgical methods were improved by invention of minimal invasive surgeries. Laparascopic Sleeve Gastrectomy (LSG) and Laparascopic Adjustable Gastric Banding (LAGB) are the methods which have become common in most of developed countries.
Objectives
Due to cultural, economic and social differences between our country and developed countries, we have designed this research to compare the efficacy and complication of these two methods six months after operation in hospitals affiliated to Shiraz University of Medical Sciences.
Patients and Methods
Documents of patients operated with one of these two methods were reviewed, and necessary information was inserted in prepared forms. We called patients if further information was needed. Then this data was analyzed with Chi Square 2Sample Independent T- test and Paired T Test by SPSS 16 software.
Results
Seventy patients were operated with LSG and 25 with LAGB. The Mean weight of LSG group was 120.73 and 120 for LAGB. The Mean weight loss in LSG was 29.99 and 19.60 in LAGB. There was no statistically significant difference regarding early complications between the two methods; although, long term complications such as gastric stenosis and band displacement were statistically more in LAGB.
Conclusions
It seems that both LSG and LAGB are efficient in weight loss but LSG can lead to more weight loss, better correction of blood pressure and less long term complications.