"What Really Matters When Performing a Laparoscopic Roux-en Y Gastric Bypass?" Literature-Based Key Steps Towards Success and Standardization of the Procedure.

Lack of standardization in the Roux-en-Y gastric bypass (RY-GBP) is quite well established. We all learned the basics of the technique, but a lot of differences do exist in performing each step of the procedure. Based on scientific evidences, coming from an extensive and meticulous review of the literature of the last 20 years, we thus address the different technical steps of the procedure and their importance to try and propose a standardization of RYGBP. A lot of possibilities exist at each and every step of a RYGBP. They influence the postoperative complications, the end weight loss (EWL), weight regain, and resolution of obesity bounded comorbidities. Furthermore, lack of standardization leads to problems regarding comparison of scientific data in the related literature

Successful laparoscopic management of a hepatic abscess caused by a fish bone.

Hepatic abscess is a rare condition but comes with heavy consequences if not diagnosed and managed properly. Early detection of this pathology is challenging because of the variety and lack of specificity of symptoms but is necessary for accurate management. We report a case of pyogenic liver abscess secondary to the migration of an ingested fish bone in a 74-year-old female. We used laparoscopic surgery to drain the abscess, remove the foreign body responsible and look for the perforation site. Parenteral antibiotherapy was added to the surgical treatment. Early diagnosis of hepatic abscess caused by the migration of a foreign body remains a challenge. In our opinion, laparoscopic surgery associated with antibiotics is the safest and most effective therapeutic option

Présence au Congo-Brazzaville de Stictococcus vayssierei Richard, ravageur du manioc (Manihot esculenta Crantz) (Hem., Stictococcidae)

Bani Grégoire, Mapangou Divassa Stev, Dieudonné Nzemba Marcel, Magema Jean-Michel. Présence au Congo-Brazzaville de Stictococcus vayssierei Richard, ravageur du manioc (Manihot esculenta Crantz) (Hem., Stictococcidae). In: Bulletin de la Société entomologique de France, volume 108 (5), décembre 2003. pp. 529-530

Présence au Congo-Brazzaville de Stictococcus vayssierei Richard, ravageur du manioc (Manihot esculenta Crantz) (Hem., Stictococcidae)

Bani Grégoire, Mapangou Divassa Stev, Dieudonné Nzemba Marcel, Magema Jean-Michel. Présence au Congo-Brazzaville de Stictococcus vayssierei Richard, ravageur du manioc (Manihot esculenta Crantz) (Hem., Stictococcidae). In: Bulletin de la Société entomologique de France, volume 108 (5), décembre 2003. pp. 529-530

L'acide valérique attire le bousier Geotrupes stercorosus (Scriba, 1791) (Coleoptera Scaribeidae)

Dans le milieu forestier, Geotrupes stercorosus est un bousier inféodé aux excréments des Cervidés. Il est abondant notamment dans le Domaine des Épioux (Belgique, Luxembourg) (DESIÈRE, 1974) où nous avons entrepris une étude sur le comportement des Coléoptères coprophages et en particulier sur le rôle de Geotrupes stercorosus dans l'écosystème "Forêt"

Digital postoperative follow-up after colorectal resection: a multi-center preliminary qualitative study on a patient reporting and monitoring application.

The development of minimally invasive colorectal surgery in the last decades led to a decrease in length of hospital stay. However, readmission and postoperative complications were still observed. Several studies have shown that close postoperative follow-up is required to decrease postoperative morbidity through patient education and by detecting early signs of complications. To help in this task, multiple monitoring programs have been set up to follow patients at home, allowing detection of several complications at an early stage. To evaluate acceptance, satisfaction, usability, compliance and safety of a mobile application following postoperative colorectal patients during the first 15 days post-discharge from hospital. A mobile application enabling the communication between the patient and medical staff during the recovery phase was developed and tested in four hospitals. Patients who underwent a colorectal resection were included in this prospective qualitative study. Questionnaires to assess satisfaction and usability were handed out to patients at the end of the test period. Overall, 118 patients (52% females, median age 52.5 years) were included. Median adherence-rate during 15 days was 89.6%. Satisfaction-rate for the application was 76% and usability was high. Overall, 1220 notifications were collected, of which 722 were orange, 466 red and 32 purple, colours used to rate the severeness of complaints. We analyzed the most common notifications, showing trends in different subgroups of the study with higher risks of complications (pain (409 notifications), abnormal stools (196 notifications), and wound problems (118 notifications)). A mobile application could be used to follow patients at home after colorectal resection. Future studies should evaluate whether these applications can detect complications and prevent readmission