RESUMO
Background: bariatric surgery is one of the few effective treatments for morbid obesity, yet little information about weight outcomes after surgery in this demographic are available. We determined the effectiveness of bariatric surgery in reducing weight and body mass index [BMI] in adults
Materials and Methods: adults from 18 to 30 years old who had undertaken gastric bypass or adjustable gastric band surgery between May 2013 and November 2016 and who had complete follow-up data available were included in the present analysis. Mean weight and BMI before and one year after surgery were compared
Results: among 35 adults, Mean BMI and weight, and z-scores and percentile transformations were all significantly lower after surgery for the entire sample [P < 0.001]. Gastric bypass surgery presented significantly better weight loss outcomes for all anthropometric measures versus adjustable gastric band surgery [P < 0.05]. No perioperative complications were reported. Two patients who stopped taking supplements as prescribed experienced iron-deficiency anaemia within the year following surgery
Conclusions: our results show that bariatric surgery can markedly reduce weight among a predominantly adult patient's sample, and gastric bypass procedure in particular. These findings indicate that bariatric surgery has the potential to be safe and effective in substantially reducing weight in a group of adults who are at particularly high risk for obesity-related health consequences
RESUMO
Aim of the Study: to assess the merits and demerits of posterior pericardial drainage in patients undergoing heart surgery
Materials and Methods: a systematic review and meta-analysis of observational studies and randomized controlled trials was conducted. We searched for relevant trials in the Cochrane Library, MEDLINE [from 1980], Embase from 1970 the Transfusion Evidence Library from 1980, and ongoing trial databases; all searches current to 30 September 2017
Results: the search yielded sixteen randomized controlled trials which included 2755 patients. Results revealed that Posterior pericardial drainage was associated with a significant 90% reduction of the odds of cardiac tamponade versus the control group: [OR 95% confidence interval] 0.13; P < 0.001. The ORs of death or cardiac arrest were significantly decreased by approximately 50% in the posterior pericardial drainage group compared to controls: OR [95% CI]: 0.47, P = .028; I2 = 0%
Conclusion: posterior pericardial drainage has been reported in the literature to significantly reduce the prevalence of early pericardial effusion as well as cardiac tamponade. A significant enhanced survival rate was recorded postcardiac surgery