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Roux-en-Y Gastric Bypass as Conversion Procedure of Failed Gastric Banding: Short-Term Outcomes of 1295 Patients in One Single Center Meise Botanic Garden

Karen Handojo, Aiman Ismaeil, Andries Van Huele, Christophe Van Neste, Isabelle Debergh, Bruno Dillemans

PURPOSE: Laparoscopic adjustable gastric band (LAGB) has high technical and weight loss failure rates. We evaluate here the 1-year morbidity, mortality, and weight loss of laparoscopic Roux-en-Y-gastric bypass (LRYGB) as a feasible conversion strategy.

METHODS: Patients with a failed primary LAGB who underwent LRYGB from July 2004 to December 2019 were selected from an electronic database at our center. Patients had a conversion to ...

Metabolic syndrome and the risk of postoperative delirium and postoperative cognitive dysfunction Vrije Universiteit Brussel

Insa Feinkohl, Jürgen Janke, Arjen Slooter, Georg Winterer, Claudia Spies, Tobias Pischon

BACKGROUND: Metabolic syndrome and its components are risk factors for cognitive impairment, but their contribution to perioperative neurocognitive disorders is unknown. We examined their associations with the risk of postoperative delirium (POD) and postoperative cognitive dysfunction (POCD) in older patients.

METHODS: In 765 male and female participants aged ≥65 years, we measured preoperative metabolic parameters and screened for ...

Implantation of cardiac electronic devices in active COVID-19 patients Vrije Universiteit Brussel

Oholi Tovia-Brodie, Moshe Rav Acha, Bernard Belhassen, Alessio Gasperetti, Marco Schiavone, Giovanni Battista Forleo, Milton E Guevara-Valdivia, David Valdeolivar Ruiz, Nicolas Lellouche, David Hamon, et al.

BACKGROUND: Cardiac implantable electronic device (CIED) implantation rates as well as the clinical and procedural characteristics and outcomes in patients with known active coronavirus disease 2019 (COVID-19) are unknown.

OBJECTIVE: The purpose of this study was to gather information regarding CIED procedures during active COVID-19, performed with personal protective equipment, based on an international survey.

METHODS: ...

Mid-term clinical and haemodynamic results after aortic valve replacement with the Trifecta bioprosthesis Ghent University

Augustijn Mortelé, Alexander Dereu, Thierry Bové, Katrien Francois
OBJECTIVES: The aim of this study was to evaluate the clinical and haemodynamic results after implantation of the Trifecta bioprosthesis. METHODS: This study is a retrospective analysis of all patients undergoing Trifecta aortic valve replacement between 01 January 2012 and 31 December 2017 at the Ghent University Hospital. Univariable and multivariable analyses were performed to identify predictors of valveand procedure-related complications ...

Intraoperative hypotension and delirium among older adults undergoing transcatheter aortic valve replacement Vrije Universiteit Brussel

Esther M Wesselink, Masieh Abawi, Nynke H M Kooistra, Teus H Kappen, Pierfrancesco Agostoni, Marielle Emmelot-Vonk, Wietze Pasma, Wilton A van Klei, Romy C van Jaarsveld, Charlotte S van Dongen, et al.

BACKGROUND: Postoperative delirium (POD) is a frequently observed complication after transcatheter aortic valve replacement (TAVR). The effects of intraoperative hypotension (IOH) on POD occurrence are currently unclear.

METHODS: A retrospective observational cohort study of patients who underwent TAVR was conducted. We predefined IOH as area under the threshold (AUT) of five mean arterial blood pressures (MBP), varying from <100 ...

Ventilation and outcomes following robotic-assisted abdominal surgery : an international, multicentre observational study Ghent University

Veronica N.F. Queiroz, Luis Guilherme V. da Costa, Marcelo Gama de Abreu, Marcus J. Schultz, R.P. Barbosa, J. Canet, J.P. Cata, D.S. Cesar, R.C.F. Chaves, U.C. DU+2019Orto, et al.
Background: International data on the epidemiology, ventilation practice, and outcomes in patients undergoing abdominal robotic-assisted surgery (RAS) are lacking. The aim of the study was to assess the incidence of postoperative pulmonary complications (PPCs), and to describe ventilator management after abdominal RAS. Methods: This was an international, multicentre, prospective study in 34 centres in nine countries. Patients >= 18 yr of age ...

Beta-trace protein as a potential marker of acute kidney injury: a pilot study University of Antwerp

Katrien Leyssens, Niels Van Regenmortel, Ella Roelant, Khadija Guerti, Marie Couttenye, Philippe Jorens, Amaryllis Van Craenenbroeck
Introduction: Acute kidney injury (AKI) is a frequent complication among patients in the intensive care unit (ICU). The limitations of serum Cr (sCr) in timely detecting AKI are well known. Beta-trace protein (BTP) is emerging as a novel endogenous glomerular filtration rate marker. The aim of this study was to explore the role of BTP as a marker of AKI. Methods: Patients admitted to the ICU undergoing surgery were included. BTP, sCr, Cystatin C ...

Fifteen years of IOL exchange Vrije Universiteit Brussel University of Antwerp KU Leuven

Jordy Goemaere, Céline Trigaux, Laurens Denissen, Diana Carmen Dragnea, Minh-Tri Hua, Marie José Tassignon, Sorcha Ní Dhubhghaill

PURPOSE: To report the indications, frequency, and outcomes regarding intraocular lens (IOL) exchange in 2 university hospital tertiary referral settings over a period of 15 years.

SETTING: Ophthalmology departments of the University Hospital Antwerp and the University Hospital Leuven, Belgium.

DESIGN: Retrospective cross-sectional study.

METHODS: In this retrospective study, included were patients who underwent an IOL ...

Hallucinations after Cardiac Surgery Vrije Universiteit Brussel

Thomas H Ottens, Iris E C Sommer, Marieke J Begemann, Maya J L Schutte, Maarten Jan Cramer, Willem J Suyker, Diederik van Dijk, Arjen Slooter

Background and Objective: Hallucinations after cardiac surgery can be a burden, but their prevalence and phenomenology have not been studied well. Risk factors for postoperative hallucinations, as well as their relation to delirium are unclear. We aimed to study the prevalence and phenomenology of hallucinations after cardiac surgery, and to study the association between hallucinations and delirium in this population. Materials and Methods: ...

Accelerated surgery versus standard care in hip fracture (HIP ATTACK) Vrije Universiteit Brussel

Maike Reul, Carol Clinckaert

BACKGROUND: Observational studies have suggested that accelerated surgery is associated with improved outcomes in patients with a hip fracture. The HIP ATTACK trial assessed whether accelerated surgery could reduce mortality and major complications.

METHODS: HIP ATTACK was an international, randomised, controlled trial done at 69 hospitals in 17 countries. Patients with a hip fracture that required surgery and were aged 45 years or ...