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Alcohol and substance abuse, depression and suicide attempts after Roux-en-Y gastric bypass surgery.

https://arctichealth.org/en/permalink/ahliterature281902
Source
Br J Surg. 2016 Sep;103(10):1336-42
Publication Type
Article
Date
Sep-2016
Author
O. Backman
D. Stockeld
F. Rasmussen
E. Näslund
R. Marsk
Source
Br J Surg. 2016 Sep;103(10):1336-42
Date
Sep-2016
Language
English
Publication Type
Article
Keywords
Adolescent
Adult
Aged
Aged, 80 and over
Alcohol-Related Disorders - diagnosis - epidemiology - etiology
Depression - diagnosis - epidemiology - etiology
Female
Follow-Up Studies
Gastric Bypass - psychology
Hospitalization - statistics & numerical data
Humans
Incidence
Male
Middle Aged
Obesity - psychology - surgery
Postoperative Complications - diagnosis - epidemiology - therapy
Registries
Substance-Related Disorders - diagnosis - epidemiology - etiology
Suicide, Attempted - statistics & numerical data
Sweden - epidemiology
Young Adult
Abstract
Small studies suggest that subjects who have undergone bariatric surgery are at increased risk of suicide, alcohol and substance use disorders. This population-based cohort study aimed to assess the incidence of treatment for alcohol and substance use disorders, depression and attempted suicide after primary Roux-en-Y gastric bypass (RYGB).
All patients who underwent primary RYGB in Sweden between 2001 and 2010 were included. Incidence of hospital admission for alcohol and substance use disorders, depression and suicide attempt was measured, along with the number of drugs prescribed. This cohort was compared with a large age-matched, non-obese reference cohort based on the Swedish population. Inpatient care and prescribed drugs registers were used.
Before RYGB surgery, women, but not men, were at higher risk of being diagnosed with alcohol and substance use disorder compared with the reference cohort. After surgery, this was the case for both sexes. The risk of being diagnosed and treated for depression remained raised after surgery. Suicide attempts were significantly increased after RYGB. The adjusted hazard ratio for attempted suicide in the RYGB cohort after surgery compared with the general non-obese population was 2·85 (95 per cent c.i. 2·40 to 3·39).
Patients who have undergone RYGB are at an increased risk of being diagnosed with alcohol and substance use, with an increased rate of attempted suicide compared with a non-obese general population cohort.
PubMed ID
27467694 View in PubMed
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[Occurrence of recurrent paralysis among cases referred for speech-phoniatric investigation at the county of Viborg during a 5-year period].

https://arctichealth.org/en/permalink/ahliterature177921
Source
Ugeskr Laeger. 2004 May 31;166(23):2251-4
Publication Type
Article
Date
May-31-2004

[Orthopedic inpatients--an afflicted and complex patient group].

https://arctichealth.org/en/permalink/ahliterature195228
Source
Lakartidningen. 2001 Jan 17;98(3):170-2
Publication Type
Article
Date
Jan-17-2001
Author
H. Gauffin
Author Affiliation
Ortopedkliniken, Kärnsjukhuset, Skövde. h.gauffin@skovde.mail.telia.com
Source
Lakartidningen. 2001 Jan 17;98(3):170-2
Date
Jan-17-2001
Language
Swedish
Publication Type
Article
Keywords
Aged
Aged, 80 and over
Emergencies
Hospital Departments - organization & administration - statistics & numerical data
Hospital Information Systems
Humans
Inpatients - psychology
Orthopedics
Patient Admission
Patient Discharge
Postoperative Complications - diagnosis - epidemiology - therapy
Registries
Sweden - epidemiology
Abstract
We studied all patients (n = 147) discharged from the orthopedic wards at Kärnsjukhuset, Skövde, during a four week period. Two thirds had been admitted via emergency rooms, were older, used more medicines and had more diagnoses than the elective patients, and they required a great deal of medical resources. 38% of the emergency patients did not require specific orthopedic care. 47% of these were more than 80 years of age, had several diagnoses, and had been in-patients in at least two departments during the past year. There is a need for enhanced cooperation and information between departments in order to better provide care for elderly patients with more than one diagnosis.
PubMed ID
11271578 View in PubMed
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[The outcomes of different pancreatodigestive anastomoses in pancreatoduodenectomy].

https://arctichealth.org/en/permalink/ahliterature275709
Source
Khirurgiia (Mosk). 2016;(6):43-6
Publication Type
Article
Date
2016
Author
O I Kit
Yu A Gevorkyan
A Yu Maksimov
A A Maslov
A V Snezhko
E N Kolesnikov
M A Kozhushko
R E Myagkov
Source
Khirurgiia (Mosk). 2016;(6):43-6
Date
2016
Language
Russian
Publication Type
Article
Keywords
Digestive System Neoplasms - mortality - pathology - surgery
Female
Humans
Length of Stay
Male
Middle Aged
Outcome Assessment (Health Care)
Pancreas - pathology - surgery
Pancreaticoduodenectomy - adverse effects - methods
Pancreaticojejunostomy - methods - mortality - statistics & numerical data
Postoperative Complications - diagnosis - epidemiology - therapy
Russia
Stomach - pathology - surgery
Survival Analysis
Abstract
To compare early results after pancreaticoduodenectomy depending on variant of pancreatico-digestive anastomosis.
It was analyzed early results of 207 pancreaticoduodenectomies for cancer which were performed for the period 2010-2014. Pancreatointestinal and pancreatogastric anastomoses were applied in 165 and 42 patients respectively.
Complications were observed in 73 (44.2%) and 18 (38.3%) patients after pancreatointestinal and pancreatogastric anastomoses respectively. Six patients died after pancreatointestinal anastomosis. At the same time there were no deaths in the group of pancreatogastric anastomosis. Differences were significant. Postoperative hospital-stay was similar in both groups.
PubMed ID
27296121 View in PubMed
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[Treatment of abscesses of the upper abdominal cavity after surgery on the liver].

https://arctichealth.org/en/permalink/ahliterature219991
Source
Khirurgiia (Mosk). 1993 Nov;(11):59-65
Publication Type
Article
Date
Nov-1993
Author
B I Al'perovich
N I Kazantsev
A P Koshel'
Source
Khirurgiia (Mosk). 1993 Nov;(11):59-65
Date
Nov-1993
Language
Russian
Publication Type
Article
Keywords
Abdomen
Abscess - diagnosis - epidemiology - therapy
Adolescent
Adult
Aged
Drainage - instrumentation - methods
Female
Humans
Incidence
Liver - surgery
Male
Middle Aged
Postoperative Complications - diagnosis - epidemiology - therapy
Siberia - epidemiology
Abstract
Complications after 454 various operations on the liver are analysed. Abscesses of the upper part of the abdominal cavity (subdiaphragmatic and subhepatic abscesses, suppuration of residual cavities after resection of the liver and echinococcotomy) developed in 18.5% of patients in the postoperative period. Inadequate drainage of the abdominal cavity was among the main causes of such complications. The authors suggest an original method for drainage of the abdominal cavity after operations on the liver. With its use the number of these complications was three times less. It was found that in 40.5% of cases abscesses of the upper abdominal cavity may be cured by nonoperative measures, by puncture of the purulent cavity under control of ultrasonic examination and introduction of drains for subsequent aspiration. A surgical intervention is still the main method for the treatment of abscesses of the upper abdominal cavity. The success of the operation is determined to a great measure by effective drainage. A drainage method is suggested which allowed the time needed for the treatment in cases with such complications to be reduced almost by half.
PubMed ID
8145469 View in PubMed
Less detail