The Experts below are selected from a list of 360 Experts worldwide ranked by ideXlab platform
Guilherme M Campos - One of the best experts on this subject based on the ideXlab platform.
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early and late Abdominal Bleeding after roux en y gastric bypass sources and tailored therapeutic strategies
Obesity Surgery, 2011Co-Authors: Charlotte Rabl, Sofia Peeva, Kris Prado, Aaron W James, Stanley J Rogers, Andrew M Posselt, Guilherme M CamposAbstract:Bleeding is a potentially serious complication after Roux-en-Y gastric bypass (RYGB). Preventive measures and therapeutic strategies have not been adequately defined. We reviewed data on 742 consecutive patients treated at the University of California San Francisco to identify cases of early and late Bleeding (less or greater than 30 days after surgery) after RYGB. Bleeding was defined as symptoms or signs of Bleeding, associated with blood transfusion. We recorded patient characteristics, details of the operative technique, diagnostic approach, therapeutic strategies, and outcomes. Twenty-six patients (3.5%) had postoperative Bleeding, which mostly occurred in the first 30 days postoperatively (N = 19). Hematocrit decreased significantly from preoperative values (−5.2 ± 3.1 without Bleeding vs. −14.8 ± 4.7 with, p < 0.01). Type 2 diabetes was more prevalent in patients who had Bleeding (58% vs. 32%, p = 0.03). No other patient characteristics or details of the operative technique were associated with different rates of Bleeding. Therapeutic intervention other than transfusion was needed for seven patients with early Bleeding (36.8%) and for all patients with late Bleeding. Four patients with early Bleeding required reoperation. Early Bleeding source was intraluminal in four patients, intraperitoneal in five, and self-limited and of unknown location in ten. Late Bleeding occurred on average at 62.6 months (range, 5 to 300 months) after index surgery, five patients required reoperation, and the source was always intraluminal. Bleeding after RYGB may be from various anatomic sites; details of the operative technique were not associated with different rates of Bleeding, and therapy should be tailored to suspected location of Bleeding.
Robert G Hahn - One of the best experts on this subject based on the ideXlab platform.
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early hemodynamic changes during uncontrolled intra Abdominal Bleeding
European Surgical Research, 1999Co-Authors: L Riddez, L Johnson, Robert G HahnAbstract:Central hemodynamics was studied in 32 pigs during the first 10 min after making a 5-mm laceration in the infrarenal aorta. Blood flow probes were placed proximally and distally to the site of the ble
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central and regional hemodynamics during crystalloid fluid therapy after uncontrolled intra Abdominal Bleeding
Journal of Trauma-injury Infection and Critical Care, 1998Co-Authors: L Riddez, L Johnson, Robert G HahnAbstract:ObjectiveTo study the effect of graded crystalloid fluid resuscitation on central hemodynamics and outcome after intra-Abdominal hemorrhage.MethodsTen minutes after a 5-mm long laceration was produced in the infrarenal aorta, 32 pigs were randomized to receive either no fluid or Ringer's solution in
Wlodzimierz Sawicki - One of the best experts on this subject based on the ideXlab platform.
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hemoperitoneum in a patient with spontaneous rupture of the posterior wall of an unscarred uterus in the second trimester of pregnancy
BMC Research Notes, 2015Co-Authors: Nabil Abdalla, Malgorzata Reinholzjaskolska, Michal Bachanek, Krzysztof Cendrowski, Ryszard Stanczak, Wlodzimierz SawickiAbstract:Background Hemoperitoneum resulting from a rupture of an unscarred uterus is a rare condition. Uterine rupture in patients without evident risk factors is associated with non-specific signs and symptoms that can delay the diagnosis. This is a report of spontaneous rupture of posterior wall of the uterus in the second trimester of pregnancy presented as intra-Abdominal Bleeding.
L Riddez - One of the best experts on this subject based on the ideXlab platform.
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early hemodynamic changes during uncontrolled intra Abdominal Bleeding
European Surgical Research, 1999Co-Authors: L Riddez, L Johnson, Robert G HahnAbstract:Central hemodynamics was studied in 32 pigs during the first 10 min after making a 5-mm laceration in the infrarenal aorta. Blood flow probes were placed proximally and distally to the site of the ble
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central and regional hemodynamics during crystalloid fluid therapy after uncontrolled intra Abdominal Bleeding
Journal of Trauma-injury Infection and Critical Care, 1998Co-Authors: L Riddez, L Johnson, Robert G HahnAbstract:ObjectiveTo study the effect of graded crystalloid fluid resuscitation on central hemodynamics and outcome after intra-Abdominal hemorrhage.MethodsTen minutes after a 5-mm long laceration was produced in the infrarenal aorta, 32 pigs were randomized to receive either no fluid or Ringer's solution in
Huajian Ren - One of the best experts on this subject based on the ideXlab platform.
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risk factor and outcome for intra Abdominal Bleeding in patients with enterocutaneous fistula
Medicine, 2016Co-Authors: Jianan Ren, Qinjie Liu, Gefei Wang, Kun Guo, Zhiwu Hong, Huajian RenAbstract:AbstractIntra-Abdominal Bleeding is a major and lethal complication in patients with enterocutaneous fistula (ECF) while few studies are involved in this aspect. In the present study, we aimed to investigate the risk factors and assessed the outcome for intra-Abdominal Bleeding in patients with ECF.