Annals of surgery
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In this study, we report long-term outcomes of high-risk, high-BMI (body mass index) patients who underwent laparoscopic sleeve gastrectomy (LSG). ⋯ This study reports the longest follow-up of LSG patients thus far and supports the effectiveness, safety, and durability of laparoscopic sleeve gastrectomy as a definitive therapeutic option for severe obesity, even in high-risk, high-BMI patients.
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To report experience with laparoscopic sleeve gastrectomy (LSG) in 108 severely obese children and adolescents. ⋯ LSG resulted in successful short-term weight loss in more than 90% of pediatric patients and 70% or more comorbidity resolution during up to 24 months of follow-up. Long-term data are necessary to evaluate persistence of weight loss and maturation to adulthood.
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The aim of this study was to evaluate existing management guidelines for branch-duct intraductal papillary mucinous neoplasms (IPMNs). ⋯ Although many branch-duct IPMNs are small and asymptomatic, they harbor a significant risk of malignancy. We believe that both main-duct and branch-duct IPMNs represent premalignant lesions. This should be taken into account for adequate therapeutic management. With regard to these results, the current Sendai criteria for branch-duct IPMNs need to be adjusted.
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There is limited data on the appropriate management of dysplasia in Crohn's colitis. An evidence-based surgical strategy is provided. ⋯ The findings confirm the risk of cancer in patients with CD dysplasia. Because of the multifocal nature of dysplasia in Crohn's colitis, TPC is recommended in good-risk patients. In specific circumstances, such as poor-risk patients especially in the setting of LGD, close endoscopic surveillance or alternatively segmental or STC with close postoperative endoscopic surveillance, depending upon the individual circumstance, may be discussed.
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The aim of this multinational study was to measure and describe the perceptions of medical students toward general surgery as a career choice with a particular emphasis on "lifestyle." ⋯ The negative influence of lifestyle is the most important reason why contemporary medical students from different parts of the world choose not to pursue general surgery. Strategies to counteract the perceived unfriendly nature of the lifestyle are essential to increase the interest of contemporary medical students toward general surgery.