Searched for: person:zielig01
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Use of intraluminal indocyanine green to detect anastomotic leak after laparoscopic gastrojejunostomy (with video)
Pacheco, Tulio Brasileiro Silva; Zielinski, Gregory; Levine, Jun
PMID: 38519339
ISSN: 1878-7886
CID: 5640982
Predictors of Length of Hospital Stay After Reduction of Internal Hernia in Patients With a History of Roux-en-Y Gastric Bypass
Sohail, Amir H; Hurwitz, Joshua C; Silverstein, Jeffrey; Hakmi, Hazim; Sajan, Abin; Ye, Ivan B; Pacheco, Tulio Brasileiro Silva; Zielinski, Gregory R; Gangwani, Manesh Kumar; Petrone, Patrizio; Levine, Jun; Kella, Venkata; Brathwaite, Collin E M; Goparaju, Anirudha
BACKGROUND:Postoperative internal hernias after Roux-en-Y gastric bypass (RYGB) have an incidence of 2%-9% and are a surgical emergency. Evidence on factors associated with length of stay (LOS) after emergent internal hernia reduction in RYGB patients is limited. METHODS:This is a retrospective review of patients who underwent internal hernia reduction after RYGB at our tertiary care center over a 5 year period from 2015 to 2020. Demographics, comorbidities, and intra- and postoperative hospital course were collected. Univariate and multivariate linear regressions were used to investigate factors associated with LOS. RESULTS:< .001) were independent risk factors for increased LOS. CONCLUSION/CONCLUSIONS:The most common location of IH after RYGB is Petersen's defect, followed by jejuno-jejunal mesenteric defect. LOS was significantly associated with male sex, exploratory laparotomy, and resection of small bowel.
PMID: 38227350
ISSN: 1555-9823
CID: 5655492
Complications 18Â years after polyacrylamide hydrogel augmentation mammoplasty: a case report and histopathological analysis [Case Report]
DeLuca, Matthew; Shapiro, Alexandra; Banayan, Elliot; Zielinski, Gregory; Karanetz, Irena; Asarian, Armand; Xiao, Philip
Polyacrylamide hydrogel (PAAG) is a synthetic substance previously used as an injectable material for augmentation mammoplasty. Current literature has demonstrated that the average time from PAAG injection to the onset of complication ranges from 6 to 39Â months. We present a unique case report describing the onset of complications 18Â years after PAAG augmentation mammoplasty. To the best of our knowledge, the presentation of a healthy female who experienced unprovoked expansion of breast tissue >15Â years after polyacrylamide injection has not been previously reported in surgical literature. This suggests that serious complications of PAAG injection may occur later than the literature has previously described. Importantly, this case is the first demonstration of the successful surgical removal of polyacrylamide 18Â years after injection. Additionally, this case also provides a histopathological analysis of breast capsules which showed evidence of an extensive chronic inflammatory reaction to polyacrylamide, consistent with previous reports.
PMCID:8219398
PMID: 34168861
ISSN: 2042-8812
CID: 5044402
A rare case of percutaneous endoscopic gastrostomy causing a small bowel obstruction and subsequent bowel erosion
Lee, Young; Zielinski, Gregory; Bhinder, Jasmine; Sirsi, Sandeep; Asarian, Armand
Gastrostomy tubes can be used to provide long-term nutrition and feeding when oral intake is not adequate. A rare but serious complication includes iatrogenic small bowel injury. The incidence of this is infrequent due to its position of the small bowel beneath the omentum, however, injury leading to obstruction and volvulus has been previously described in the literature. We present an unusual case of gastrostomy tube transection into omental fat causing a kink in the small bowel allowing for a transition point of obstruction and subsequent erosion of the gastrostomy tube into the small bowel.
PMID: 30018759
ISSN: 2042-8812
CID: 3373242