Bariatric surgery is usually considered when other weight loss efforts have failed. Eligibility criteria were established by the 1991 National Institutes of Health Consensus Development Conference Panel and continue to be the most widely accepted criteria.
Continue reading “Criteria for Bariatric Surgery”
Stereotactic radiosurgery is an appropriate form of therapy for patients who have one to four brain metastases, no larger than 4 cm in diameter, from metastatic cancer. It appears to be effective for all types of primary tumors, even those that have been considered to be resistant to conventional radiation therapy.
Continue reading “Advantages of Surgery and Stereotactic Radiosurgery for Brain Metastases”
- Recent history of acute biliary pancreatitis
- Recent history of jaundice
- Recent history of cholangitis
- Abnormal preoperative ultrasound demonstrating a dilated common bile duct or a defect (stone) in the common bile duct
- Evidence of common bile duct obstruction on hepatobiliary iminodiacetic acid scan (HIDA Scan)
- Increased serum bilirrubin
- Increased serum alkaline phophatase
- Increased serum amylase
Continue reading “Indications for Selective Operative Cholangiography”
Clinical Predictors of Increased Perioperative Cardiovascular Risk (Myocardial Infarction, Heart Failure, Death)
- Unstable coronary syndromes
Neurocysticercosis is the most common helminthic infection of the CNS but its diagnosis remains difficult. Clinical manifestations are nonspecific, most neuroimaging findings are not pathognomonic, and some serologic tests have low sensitivity and specificity. Continue reading “Diagnostic Criteria for Neurocysticercosis”