164mL, p=0 79), and positive tumor margin rates (1 2% vs 2 2%, p

164mL, p=0.79), and positive tumor margin rates (1.2% vs. 2.2%, p=1) did

not achieve significance. All patients are free of cancer recurrence after a mean follow up of 25.7 months in the laparoscopic probe group and of 10.2 months in the robotic probe group. Conclusions: Robotic ultrasound probes for tumor identification during RPN had comparable perioperative outcomes and surgical margin rates as a laparoscopic ultrasound probe, but with the advantage of surgeon autonomy.”
“In Finland, upper GI endoscopy (UGI) prior to bariatric surgery is routine in all but one hospital performing bariatric surgery. However, UGI is an unpleasant investigation for the patient and requires resources. Helicobacter pylori (HP) can be tested from blood and cannot be considered as an indication for UGI. We wanted to identify the most common findings in UGI and see if the findings influenced the decision to operate GF120918 order or if they even canceled the operation.

We evaluated retrospectively the data of 412 patients undergoing preoperative UGI in Vaasa Central Hospital in the years 2006-2010.

UGI was considered normal in 191 (55.8 %) patients. The most common findings GSK1838705A were hiatal hernia in 25.4 % (n = 87); gastritis, 13.7 % (n = 47); and esophagitis, 13.2 % (n

= 45). Also benign polyps, 6.7 % (n = 23), and ulcers, 2.9 % (n = 10), were detected. One 0.5-cm esophageal leiomyoma was found, but no malignant lesions. Histology was found normal in 185 Selleck S3I-201 (54.1 %) patients. HP was found in 12.0 % (n = 41) of patients.

In this study, all the findings were benign and mild. The findings did not influence the operative plan. The most common findings were hiatal hernia and esophagitis which may be considered contraindications for sleeve gastrectomy, but not for gastric bypass. Our results do not support

the performance of routine preoperative UGI prior to gastric bypass.”
“Objective. To evaluate the frequencies of various forms of inter-twin contact between monochorionic diamniotic (MD) and dichorionic diamniotic (DD) twins using four-dimensional (4D) sonography late in the first trimester of pregnancy.

Methods. Six MD and eight DD pregnancies were studied for 30 min with transabdominal 4D sonography at 10-11 and 12-13 weeks’ gestation. The position of one fetus relative to the other was ascertained. The frequencies of 10 types of inter-twin contact were evaluated.

Results. There was no significant difference in the position of one fetus relative to the other at 11-13 weeks’ gestation in MD and DD twins. There was a significant difference in the frequencies of head to arm contact between MD and DD twins at 12-13 weeks’ gestation (p < 0.05). There were also significant differences in head to arm, head to trunk, arm to arm, and arm to trunk contact between 10 and 11 and 12 and 13 weeks’ gestation in MD twins, respectively (p < 0.05).

Conclusions.

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