Showing 5 results for shahab
Gholamreza Mohajeri, Mohsen Mahmoudieh, Behrouz Keleidari, Masoud Sayadi Shahraki, Elyas Mostafapour, Faranak Bahrami, Shahab Shahabi Shahmiri,
Volume 5, Issue 3 (7-2016)
Abstract
Background
Prospective studies evaluating outcome of laparoscopic Heller myotomy and Dor fundoplication for esophageal achalasia are less in Asian people.
Objectives
This study conducted to evaluate the results of laparoscopic cardiomyotomy and partial fundoplication for achalasia.
Patients and Methods
Thirty patients who underwent Heller myotomy for achalasia via laparoscopy in Alzahra hospital Isfahan, Iran were recorded prospectively (2009 - 2013). Median follow-up was 18 months. Symptoms including dysphagia, regurgitation, chest pain and weight loss were recorded before and after operation. Also, previous treatment for achalasia such as endoscopic pneumatic dilatations and intrasphincteric injection of botulinum toxin or other component, duration of symptoms and duration and complication of operation was recorded.
Results
Among 30 patients, there were 13 (43.3%) females and 17 (56.7%) males, and mean age was 40.8 years (range, 20 - 68 years). The operations were finished laparoscopically in all patients. Mean operative time was 137 ± 36.2 minutes. The patients were symptomatic for at least 30 months before referring for surgery. There are some difficulties in dissection in cases who received Ethanolamine or Botholinum Toxin injection as non-surgical treatment before that. Mean hospital stay was 2.45 days. Regurgitation, chest pain and heartburn relieved significantly in median follow up of 18 months, in 100%, 66.6% and 70%, respectively (P < 0.001, P < 0.01 and P < 0.01, respectively). At that time, except for two (6.6%) patients, all other patients had improvement in dysphagia (P < 0.001) .The mucosa in two (6.6%) of patients was perforated on the gastric end of the xylotomy. The perforations were repaired laparoscopically with single suture without postoperative leak.
Conclusions
Our study showed that laparascopic Helermyotomy with Dor fundoplication result in significant relief of dysphagia. Overall clinical symptoms indicate improvement in patient functional status during 18-month follow-up.
Shahab Shahabi, Mohsen Mahmoudieh, Behrouz Keleidari, Hamid Khodadadi, Erfan Sheikhbahaei, Reza Shokrani Foroushani,
Volume 8, Issue 2 (Annals of Bariatric Surgery 2019)
Abstract
Introduction: Bariatric surgery causes anatomical changes in the digestive system that can alter the distribution of gut microbes. We aim to evaluate the changes of Firmicutes after the laparoscopic one anastomosis gastric bypass/mini gastric bypass (OAGB/ MGB) surgery.
Methods: 50 patients with morbid obesity were operated on with OAGB/ MGB. Demographic data and Firmicutes counts in stool samples were obtained before, 6, and 12 months after the surgery. The logarithm of Firmicutes colony count based on 10 was used for analysis. Paired T-test, ANCOVA model, and Pearson correlation tests were used for statistical analysis.
Results: 70.6% of our patients were female. The percentage of Excess weight loss (%EWL) and excess BMI loss (%EBMIL) were 44.06%±9.84 and 42.56%±5.29 respectively at the 6-month follow-up and 67.55%±5.56 and 70.81%±7.25 respectively at the 12-month follow-up. The Firmicutes count was dropped from 1.57 to 1.44 at 6-month (p=0.01) and 1.32 at 12-month (p=0.02) follow-up. ANCOVA model after adjustment for age, sex, preoperative BMI, and delta-BMI did not show a significant difference for either the 6 or 12 months data (p=0.74 and 0.59, respectively). Pearson correlation test did not found any relationship between Firmicutes count change any weight-related variables.
Conclusion: The Firmicutes count was significantly decreased after OAGB/MGB. However, no significant relationship was found between weight loss and Firmicutes count.
Shahab Shahabi, Masoud Sayadi, Mohsen Mahnoudieh, Ramin Aghsaei, Erfan Sheikhbahaei, Reza Shokrani Foroushani,
Volume 8, Issue 2 (Annals of Bariatric Surgery 2019)
Abstract
Background: One of the therapeutic interventions after the onset of anastomotic leak is antibiotic administration, however, there is no clear evidence about the role of continued antibiotic administration after bariatric surgery in preventing wound infections and leak from the anastomosis, therefore, the purpose of this study was to examine this hypothesis.
Methods: 90 laparoscopic one anastomosis gastric bypass (OAGB) candidates were allocated into two equal groups. Both groups were matched regarding their age, sex, and preoperative body mass index (BMI). Group one received 1500 milligrams (mg) intravenous cefazolin and 750 mg metronidazole just before the surgery. The second group received the same cocktail before the surgery and continued for 48 hours after the surgery as follows: 1500 mg intravenous cefazolin every 6 hours and 750 mg metronidazole every 8 hours. Patients were followed for 30 days for detecting any early surgical wound infection and anastomose leakage. T-test, Chi-square, and ANCOVA model were used for statistical analysis.
Results: Wound infection was observed in 4.44% and 2.22% of the first and second groups, respectively (p=0.315). One leak was occurred in the second group (p=0.981). After the adjustment was made for confounding variables (age, sex, preoperative BMI, duration of the surgery, and length of hospital stay), anastomosis leak and wound infection rates were not significantly different between groups (0.64 and 0.49, respectively).
Conclusion: It seems that antibiotic therapy after the OAGB does not play a significant role in preventing leak or wound infection, and the surgical method is more important than antibiotic therapy.
Shahabi Shahab, Salemi Negin, Keleidari Behrooz,
Volume 9, Issue 1 (Annals of Bariatric Surgery 2020)
Abstract
Internal hernia after laparoscopic Roux-en-Y gastric bypass (LRYGB) surgery can lead to small bowel obstruction or chronic recurrent abdominal pain. We present internal hernia (IH) in a 31-year-old man who underwent RYGBP 4 years ago, presented with upper abdominal pain.
Other than that, a physical examination, upper gastrointestinal endoscopy, imaging and laboratory workout did not reveal any pathological finding. And an abdominal CT was inconclusive. Immediate diagnostic laparoscopy was performed and an internal intestinal herniation was diagnosed, where the common channel herniated through the mesojejunal space. The conversion to upper midline minilaparotomy was necessary for hernia reduction in our case. No bowel resection was required and both patients fully recovered.
Sadra Valiee, Babak Hosseini, Masood Amini, Neda Haghighat, Hamidreza Hosseinpour, Nader Moeinvaziri, Reza Shahriarirad, Ali Shahabinezhad, Sepehr Shahriarirad,
Volume 10, Issue 1 (6-2021)
Abstract
Background: The aim of this study was to evaluate the prevalence of H.pylori, before and one year after Roux-en Y gastric bypass surgery.
Method: The laparoscopic research center database from 2018 to 2020 was queried to identify patients undergoing laparoscopic Roux-en Y gastric bypass surgery(LRYGB). Retrospectively, the patients were evaluated for the presence of H.pylori infection via endoscopy or H. pylori Stool Ag before and 1 year after the surgery.
Results: Among the 106 patients, H.pylori was positive in 50 (47.2%) patients pre-operatively. Based on post-op evaluation among 54 patients, only 4 (7.4%) developed post-op H.pylori infection.
Conclusion:. eradicating H. pylori in patients under Roux-en Y gastric bypass surgery remains efficient. So, it is not recommended to re-checked H.pylori Ag in patients after Roux-en Y gastric bypass surgery in the short term; but, further studies are suggested to evaluate the need for re-screening patients for H.pylori Ag in the long term after Roux-en Y gastric bypass surgery
Keywords: Helicobacter Pylori; Iran;LRYGB;
