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| 1 | Obesity and liver transplantation显示文摘The percentage of overweight and obese patients(OPs) waiting for a liver transplant continues to increase. Despite the significant advances occurred in bariatric medicine, obesity is still considered a relative contraindication to liver transplantation(LT). The main aim of this review is to appraise the literature on the outcomes of OPs undergoing LT, treatments that might reduce their weight before, during or after surgery, and discuss some of the controversies and limitations of the current knowledge with the intent of highlighting areas where future research is needed. | Subhashini Ayloo John Armstrong Scott Hurton Michele Molinari | 2015 | World Journal of Transplantation2015,5,3: | 3 |
| 2 | Robot-assisted hybrid laparo- scopic Roux-en-Y gastric bypass: surgical technique and early out- comes显示文摘 | Ayloo SM Addeo P Shah G | 2010 | J Laparoendosc Adv Surg Tech A2010,20,10: | 1 |
| 3 | Robot-assisted sleeve gas- trectomy for super-morbidly obese patients 显示文摘 | Ayloo S Buchs NC Addeo P | 2011 | J Laparoendosc Adv Surg Tech A2011,21,4: | 1 |
| 4 | Band erosion: laparoscopic removal of lap-band显示文摘 | Subhashini Ayloo Racquel Bueno | 2009 | Surgical Endoscopy2009,,3: | 1 |
| 5 | Outcomes of Robot-Assisted Pancreaticoduodenectomy in Patients Older Than 70?Years: A Comparative Study显示文摘 | Nicolas C. Buchs Pietro Addeo Francesco M. Bianco Antonio Gangemi Subhashini M. Ayloo Pier C. Giulianotti | 2010 | World Journal of Surgery2010,,9: | 1 |
| 6 | Robot-assisted hybrid laparo- scopic Roux-en-Y gastric bypass: surgical technique and early out- comes显示文摘 | Ayloo SM Addeo P Shah G | 2010 | J Laparoendosc Adv Surg Tech A2010,20,10: | 1 |
| 7 | Robotic Roux-en-Y duodenojejunostomy for superior mesenteric artery syndrome: operative technique显示文摘 | Ayloo SM Masrur MA Bianco FM | 2011 | J Laparoendosc Adv Surg Tcch A2011,21,9: | 1 |
| 8 | Trends of characteristics and outcomes of donors and recipients of deceased donor liver transplantation in the United States: 1990 to 2013显示文摘AIM To compare trends in donor/recipient characteristics and outcomes using four period cohorts of liver transplant recipients from 1990 to 2009. METHODS Seventy thousand three hundred and seventy-seven adult first-time recipients of whole-organ deceased-donor liver grafts from 1990 to 2009 were followed up until September 2013. Four periods based on transplantation dates were considered to account for developments in transplantation. Descriptive statistics were used to describe donor/recipient characteristics and transplant outcomes. Statistical comparisons between periods were performed using χ~2/Fischer's exact test(categorical variables) and t-tests/Mann-Whitney U test(continuous variables). Univariate descriptive statistics/survival data were generated using Kaplan-Meier curves. Cox Proportional Hazards models were used for regression analyses of patient and graft survival.RESULTS Mean age(years), body mass index(kg/m^2), and the proportion of males were, respectively, 39.1(± 17.4), 25.9(± 5.7) and 60.3 for donors, and 51.3(± 10.5), 27.7(± 5.6), and 64.4 for recipients. Donor and transplantation rates differed between racial/ethnic groups. Median(Q1-Q3) cold and warm ischemia, waitlist, and hospital stay times were 8(6.0-10.0) h and 45(35-59) min, 93(21-278) d, and 12(8-20) d. Total functional assistance was required by 8% of recipients at wait-listing and 13.4% at transplantation. Overall survival at 1, 3, 5, 10, 15, and 20 years was 87.3%, 79.4%, 73.6%, 59.8%, 46.7%, and 35.9%, respectively. The 2005-2009 cohort had better patient and graft survival than the 1990-1994 cohort overall [HR 0.67(0.62-0.72) and 0.66(0.62-0.71)] and at five years [HR 0.73(0.66-0.80) and 0.71(0.65-0.77)]. CONCLUSION Despite changes in donor quality, recipient characteristics, and declining functional status among transplant recipients, overall patient survival is superior and posttransplant outcomes continue to improve. | Subhashini Ayloo Sri Ram Pentakota Michele Molinari | 2018 | World Journal of Transplantation2018,8,5: | 0 |
| 9 | Impact of body mass index on outcomes of 48281 patients undergoing first time cadaveric liver transplantation显示文摘AIM: To investigate possible disparities in perioperative morbidity and mortality among different body mass index(BMI) groups and to simulate the impact that these differences might have had on the cohort of patients undergoing cadaveric liver transplantation(LT).METHODS: All adult recipients undergoing first time LT for benign conditions and receiving a whole graft from brain-dead donors were selected from the united network of organ sharing registry. From January 1994 to June 2013, 48281 patients satisfied the inclusion criteria and were stratified by their BMI. The hypothesis that abnormal BMIs were independent predictors of inferior outcomes was tested with univariate and multivariate regression analyses.RESULTS: In comparison to normal weight recipients, underweight and morbidly obese recipients had increased 90-d mortality(adjusted OR = 1.737; 95%CI: 1.185-2.548, P = 0.005)(adjusted OR = 1.956; 95%CI: 1.473-2.597, P = 0.000) respectively and inferior patients' survivals(adjusted HR = 1.265; 95%CI: 1.096-1.461, P = 0.000)(adjusted HR = 1.157; 95%CI: 1.031-1.299, P = 0.013) respectively. Overall, patients' 5-year survival were 73.9% for normal-weight, 71.1% for underweight, 74.0% for overweight, 74.4% for class Ⅰ obese, 75.0% for class Ⅱ obese and 71.5% for class Ⅲ obese recipients. Analysis of hypothetical exclusion of underweight and morbidly obese patients from the pool of potential LT candidates would have improved the overall survival of the entire cohort by2.7%(95%CI: 2.5%-3.6%).CONCLUSION: Selected morbidly obese patients undergoing LT for benign conditions had 5-year survival rates clinically comparable to normal weight recipients. Impact analysis showed that exclusion of high-risk recipients(underweight and morbid obese patients) would not significantly improve the overall survival of the entire cohort of patients requiring LT. | Subhashini Ayloo Scott Hurton Matthew Cwinn Michele Molinari | 2016 | World Journal of Transplantation2016,6,2: | 0 |