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 SM ISO690:2012CONAU, G., REVENCU, Sergiu, CONAU, G., REVENCU, Dan, BESCHIERU, Eugeniu. Hemoragia digestivă după roux-en-y gastric bypass. In: Chirurgia (București, Romania), 2018, nr. S1(113), pp. 13-14. ISSN 1221-9118. |
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  Chirurgia (București, Romania) |
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| Numărul S1(113) / 2018 / ISSN 1221-9118 | ||||||
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Introducere: Roux-en-Y gastric bypass (RYGB) este unul dintre cele mai utilizate procedee la nivel mondial în tratamentul obezitãåii. Acest Introduction: Among bariatric procedures, Roux-en-Y gastric bypass (RYGB) is the most performed surgical method worldwide |
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| Cuvinte-cheie gastric bypass, hemoragie gastricã, dilatare acutã gastricã, gastric bypass, gastric bleeding, acute gastric dilatation |
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DataCite XML Export
<?xml version='1.0' encoding='utf-8'?> <resource xmlns:xsi='http://www.w3.org/2001/XMLSchema-instance' xmlns='http://datacite.org/schema/kernel-3' xsi:schemaLocation='http://datacite.org/schema/kernel-3 http://schema.datacite.org/meta/kernel-3/metadata.xsd'> <creators> <creator> <creatorName>Conau, G.</creatorName> <affiliation>Universitatea de Stat de Medicină şi Farmacie „Nicolae Testemiţanu“, Moldova, Republica</affiliation> </creator> <creator> <creatorName>Revencu, S.L.</creatorName> <affiliation>Universitatea de Stat de Medicină şi Farmacie „Nicolae Testemiţanu“, Moldova, Republica</affiliation> </creator> <creator> <creatorName>Conau, G.</creatorName> <affiliation>Universitatea de Stat de Medicină şi Farmacie „Nicolae Testemiţanu“, Moldova, Republica</affiliation> </creator> <creator> <creatorName>Revencu, D.</creatorName> <affiliation>Universitatea de Stat de Medicină şi Farmacie „Nicolae Testemiţanu“, Moldova, Republica</affiliation> </creator> <creator> <creatorName>Beschieru, E.T.</creatorName> <affiliation>Universitatea de Stat de Medicină şi Farmacie „Nicolae Testemiţanu“, Moldova, Republica</affiliation> </creator> </creators> <titles> <title xml:lang='ro,en'>Hemoragia digestivă după roux-en-y gastric bypass</title> </titles> <publisher>Instrumentul Bibliometric National</publisher> <publicationYear>2018</publicationYear> <relatedIdentifier relatedIdentifierType='ISSN' relationType='IsPartOf'>1221-9118</relatedIdentifier> <subjects> <subject>gastric bypass</subject> <subject>hemoragie gastricã</subject> <subject>dilatare acutã gastricã</subject> <subject>gastric bypass</subject> <subject>gastric bleeding</subject> <subject>acute gastric dilatation</subject> </subjects> <dates> <date dateType='Issued'>2018-07-09</date> </dates> <resourceType resourceTypeGeneral='Text'>Journal article</resourceType> <descriptions> <description xml:lang='ro' descriptionType='Abstract'><p>Introducere: Roux-en-Y gastric bypass (RYGB) este unul dintre cele mai utilizate procedee la nivel mondial în tratamentul obezitãåii. Acest<br />procedeu implicã alterarea anatomiei digestive. Hemoragia postoperatorie din stomacul exclus din tranzit, o complicaåie rarã, specificã<br />acestui procedeu comportã o ratã majorã de morbiditate æi mortalitate. Diagnosticul æi strategia curativã rãmân a fi nerezolvate.<br />Obiectivul: Stabilirea unui algoritm diagnostico-curativ la pacienåii cu hemoragie digestivã acutã în perioada postoperatorie precoce<br />dupã RYGB.<br />Material æi metode: Sunt relatate 12 cazuri (4,9%) clinice din 246 pacienåi supuæi RYGB pe perioada 2009-2018, care au dezvoltat<br />în perioada postoperatorie precoce hemoragie acutã digestivã. Vârsta a oscilat în limitele 32-58 ani, masa corporalã medie 105±7,4<br />kg, indicele masei corporale (IMC) a fost în limitele 39,9 ±1,8 kg/m2.<br />Rezultate: În 4 cazuri pe fundal de hemoragie a survenit dilatarea acutã gastricã, ce a necesitat intervenåie chirurgicalã cu montarea<br />gastrostomei parietale. În trei cazuri s-a dezvoltat o avalanæã de complicaåii consecutive dilatãrii acute gastrice, care au necesitat<br />intervenåii repetate.<br />Concluzii: Hemoragia acutã gastricã poate declanæa o serie de complicaåii consecutive, potenåial letale. Hemoragia din tranæa de<br />suturã mecanicã pare a fi factorul determinant în iniåierea dilatãrii acute gastrice.</p></description> <description xml:lang='en' descriptionType='Abstract'><p>Introduction: Among bariatric procedures, Roux-en-Y gastric bypass (RYGB) is the most performed surgical method worldwide<br />for the treatment of morbid obesity. This procedure implies alterations of the digestive system. Acute gastric bleeding, a rare<br />complication specific to this procedure, is a major risk of mortality. The diagnosis and curative strategy remain unsolved.<br />Purpose: Establishment of an algorithm for diagnosis and treatment for patients with acute gastric bleeding in the early postoperative<br />period after RYGB.<br />Materials and methods: We report on 12 cases (4,9%) from 246 patients undergoing RYGB during 2009-2018, that have developed<br />an acute gastric bleeding in the early postoperative period. Age was situated between 38 and 58 years, the mean body weight was<br />105±7,4 kg, and the average body mass index (BMI) prior to the surgery was 39,9±1,8 kg/m2.<br />Results: In 4 cases, acute gastric dilatation occurred after bleeding, requiring surgical intervention in form of percutaneous<br />gastrostomy. In 3 cases, a set of complications in addition to acute gastric dilatation required repeated interventions.<br />Conclusions: Acute gastric bleeding may trigger a set of consecutive complications, potentially deadly. Bleeding from the mechanical<br />suture trance seems to be the main factor in acute gastric dilatation initiation.</p></description> </descriptions> <formats> <format>application/pdf</format> </formats> </resource>
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