Roman Grinberg

Primary sarcomatoid carcinoma of the small intestine: very rare and aggressive tumour

Sarcomatoid carcinoma of the small intestine is a very rare and aggressive variant of small intestinal cancers with poor prognosis. The tumour primarily affects middle-aged and older patients with a mean age of 57 years at the time of presentation. We report a woman aged 58 years without any relevant medical history who presented with small intestinal obstruction. She underwent radiologic and endoscopy investigation with persistent features of small bowel obstruction. The patient was found to have a small bowel tumour causing the obstruction and underwent surgical excision of the tumour. Pathology revealed malignant neoplasm with sarcomatoid and epithelioid features involving the terminal ileum. The use of immunohistochemical markers helps in wide range of differential diagnoses. Surgical resection is still considered the best and first-line therapy with poor response to chemotherapy and radiotherapy.

Surgical Procedures to Achieve Weight Loss

Obesity is one of the leading medical problems facing our society today. At least two thirds of the U.S. adult population is considered overweight and approximately one-third of American adults are obese, creating an epidemic of obesity. Clearly, there has been an increase in the number of individuals struggling to lose weight. Additionally, obesity has become increasingly prevalent in the pediatric population and 30% of U.S. children have a BMI greater than the 85th percentile for their age.1 The relationship of childhood and adolescent obesity to adult obesity is a strong one with 20% of children who are obese at 4 years of age and 80% of adolescents who are obese will be obese as adults.2 The annual cost of managing obesity in the United States alone amounts to approximately

Perioperative risk factors for 30-day mortality after bariatric surgery: is functional status important?

100 billion, of which

Trends and Outcomes of Operatively Placed Feeding Tubes

52 billion are direct healthcare costs. Hypertension, sleep apnea, diabetes, stroke, myocardial infarction and malignancy is a short but representative list of problems associated with obesity. Approximately 300,000 U.S. deaths per year are related to obesity.