This pooled analysis does suggest a benefit in the centralisation of bariatric surgery to high volume institutions and surgeons with respect to mortality and morbidity. There were insufficient data for conclusive statistical analysis of length of hospital stay. 8.85 % pooled odds ratio = 0.52 P < 0.001) and with high volume surgeons (6.92 vs. Similarly, morbidity was reduced in high volume institutions (7.84 vs. 2.18 % pooled odds ratio = 0.26 P = 0.004) and by high volume surgeons (0.41 vs. Mortality was reduced following surgery at high volume institutions (0.24 vs. In total, 289,732 bariatric procedures were included in the institutional volume analysis, and 32,920 bariatric operations were included in the surgeon volume analysis. Fifteen publications were included in this analysis. Outcomes analysed were mortality, morbidity and length of hospital stay.
DR TRAVERSO HAND SURGEON TRIAL
Medical, Embase, trial registries, conference proceedings and reference lists were searched for trials comparing clinical outcome following bariatric surgery at high and low volume hospitals and by high and low volume surgeons. The aim of this pooled analysis is to evaluate the relationship between institutional and surgeon volume and outcomes following bariatric surgery. The dramatic rise in the prevalence of obesity worldwide has led to the rapid growth of bariatric surgery. Hashemi M et al., 2012, The impact of hospital and surgeon volume on clinical outcome following bariatric surgery., Obes Surg, Vol: 22, Pages: 1126-1134 This report demonstrates that the complications of stent migration can significantly impact upon surgical resection at multiple levels and provides a case for the routine removal of stents used in the neoadjuvant setting. Operative findings included an erosion of the stent-induced gastric ulcer into the body of the pancreas and showed that the ulcerated tumour had become adherent to the thoracic aorta. Surgery was delayed and, 10 weeks following the cessation of neoadjuvant chemoradiotherapy, this patient underwent a right thoracoabdominal oesophagogastrectomy. Repeat endoscopy 8 weeks later (for stent removal) showed that the stent had migrated and impacted upon the greater curvature of the stomach with a resultant ulcer. We present a 68-year old man with an oesophageal adenocarcinoma (T3N1M0) who had a fully covered oesophageal SEMS placed prior to neoadjuvant chemoradiotherapy.
Oesophageal, fully covered self-expanding metal stents (SEMS) allow palliation of dysphagia so as to support nutrition during neoadjuvant therapy. I have even had some customers call me from KS.Markar SR, Ross A, Low DE, 2012, Gastric ulceration following oesophageal stent migration complicating surgical management of oesophageal cancer., Interact Cardiovasc Thorac Surg, Vol: 15, Pages: 320-322 If you search "Locksmith Matthews, NC" I am nowhere to be found. You can search "locksmith Independence, KS" and I am now on second page (Was first) This is for my own business and I am literally OUT of business with this. If you have any suggestions or someone you could ask to help I would appreciate it very much. I do not understand if everything is correct in my city/area how I show up in Independence KS and nowhere in "Matthews, NC" They are saying to post pics and posts to help me rank in my city. I did notice before I contacted Google it had " Independence, KS" next to my listing.Īfter my emails/calls it says "Independence, NC" To add a screenshot with your feedback, follow the instructions.
I have had numerous emails with Google along with a phone call. Ĭlick to expand.Ben could you help me out. Now all of a sudden it Only shows up in a totally different state and with exact name search. Is there something I could do to send signals to Google to show that I am in Matthews, NC?Ģ months ago my listing quit showing up at all unless you typed exact business name What could possibly cause my listing or Google to do this? I have been without my listing for a few months now and have NO calls coming in from it. If you search Locksmith Independence, KS it shows up on the maps. If you search Locksmith Matthews, NC my listing does not show up at all. Keep in mind the GMB is in Matthews, NC All my service areas and the actual map show the correct areas. Now if I search my business name under the auto populate I see it with Independence, KS on the listing. I pretty much do not have any traffic, views or calls now. Posted about my SAB listing a few weeks ago about not showing up in search only when you entered the exact name.
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