Medical mystery: vierjarig jongetje met opgezette buik en pijnklachten

Een vierjarig jongetje wordt door de huisarts doorverwezen omwille van een opgezet abdomen. De moeder vermeldt dat hij reeds geruime tijd een ‘dik buikje’ heeft, maar recent zou hij hiervan ook last hebben onder de vorm van vage pijnklachten. Zijn medische voorgeschiedenis is blanco. Uit de familiale anamnese onthoudt men een schildklieringreep omwille van kwaadaardigheid bij de moeder.

Medical mystery: man met aneurysma van de aorta en terugkerende rugpijn

Een 66-jarige man met in de voorgeschiedenis een monoclonale gammopathie van onbepaalde betekenis (IgG-kappa) wordt verwezen wegens rugpijn. In het verleden werd hij reeds geëvalueerd omwille van pijn in de kuiten en aan de achillespezen. Onderzoek wees toen op de aanwezigheid van HLA-B27 met een positieve familiale anamnese van psoriasis artritis, maar klinisch en echografisch werden geen bijzonderheden vastgesteld en de botscan was negatief. Hij maakt regelmatig avontuurlijke reizen naar verschillende continenten en doet intensief aan wielersport. Als medicatie neemt hij enkel acetylsalicylzuur en solifenacine.

VATS-lobectomie voor longcarcinoom

Longcarcinoom blijft een van de meest voorkomende kwaadaardige tumoren. Indien gedetecteerd in een vroegtijdig stadium, zal de eerste stap in de behandeling bestaan uit heelkundige resectie door middel van een lobectomie. Tot voor kort verrichtten chirurgen deze ingreep via een klassieke thoracotomie. Vrij recent kent een nieuwe toegangsweg echter een sterke opmars, met name de thoracoscopische lobectomie. Na een initiële periode van terughoudendheid heeft deze techniek inmiddels haar nut bewezen als een zowel chirurgisch als oncologisch veilig alternatief.

Opstart van Wondklinieken op beide campussen

De wondzorg kende in de laatste decennia een exponentiële ontwikkeling. De vroeger gehanteerde principes van wondzorg beperkten zich meestal tot het droog houden en ontsmetten van de wonde. Ook de verbandkeuze bleef gelimiteerd: eenzelfde soort verband werd gebruikt voor een groot scala aan wonden, zonder rekening te houden met de identiteit van de wonde.

Rectale kankerzorg met PROCARE

Sinds enkele jaren neemt het AZ Sint-Jan Brugge-Oostende AV actief deel aan het “PROCARE” project, een nationaal multidisciplinair platform gericht op kwaliteitszorg voor de rectale kankerpatiënt, gestart eind 2003. De drijvende kracht achter het project in ons ziekenhuis is dr. Tom Feryn, chirurg met subspecialisatie in colorectale heelkunde. Naast het streven naar een optimale zorg gebaseerd op gestandaardiseerde richtlijnen werken we eveneens mee aan de registratie van gegevens in de PROCARE-databank. Deze gegevens dienen als basis voor benchmarking via de Stichting Kankerregister.

Ontwikkelingen in (bij)schildklierchirurgie – Beperkt litteken dankzij minimaal invasieve ingreep

Sinds kort kunnen patiënten met (bij)schildklieraandoeningen in het AZ Sint-Jan AV met een minimaal invasieve ingreep behandeld worden. Een primeur voor Vlaanderen. Deze techniek is veilig en geeft, met een beperkt litteken, een beter esthetisch resultaat. Er moet wel rekening gehouden worden met enkele contra-indicaties.

A One-step Conversion from Laparoscopic Gastric Banding to Laparoscopic Roux-en-Y Gastric Bypass is as Safe as a Two-step Conversion: a Comparative Analysis of 673 patients.

19th IFSO WORLD, Montréal Canada
26-30/08/2014

Vroegtijdig opsporen van darmkanker.

Oostende
07/05/2015

Best practices in OR: optimizing outcomes in hemostasis through specialty synergy

IFSO EC 2014, Brussels
30/04 - 03/05/2014

Laparoscopische heelkunde. Aandoeningen van colon en rectum.

Brugge
december 2014 en maart 2015

Laparoscopic Mini Gastric Bypass will kill the laparoscopic Roux-en-Y Gastric Bypass in the next 10 years.

19th IFSO WORLD, Montréal Canada
26-30/08/2014

Revisional surgery.

19th IFSO WORLD, Montréal Canada
26-30/08/2014

Laparoscopic Roux-en-Y Gastric Bypass in Adolescents: long-term follow-up in 57 cases.

19th IFSO WORLD, Montréal Canada
26-30/08/2014

Redo Bariatric Surgery for Weight Loss Failure.

19th IFSO WORLD, Montréal Canada
26-30/08/2014

Surgery and outcomes for the failed gastric bypass patient.

19th IFSO WORLD, Montréal Canada
26-30/08/2014

Adjustable Gastric Banding as Salvage Procedure after Failed Roux-en-Y Gastric Bypass: Mid-term Results on 70 Patients.

19th IFSO WORLD, Montréal Canada
26-30/08/2014

Laparoscopic Combined Pouch Reconstruction and Distalization for Failed Gastric Bypass in a Super‐Super obese patient.

19th IFSO WORLD, Montréal Canada
26-30/08/2014

Live transmission session III.

SICOB International Live Surgery Meeting, Naples, Italy
14-15/05/2014

Weight loss after laparoscopic Roux-en -Y gastric bypass in the young population is maintained on the long-term: results of a follow-up study on 51 operated adolescents.

15th Belgian Surgical Week, Spa
14-17/05/2014

Bariatric surgery in a 60+ population: a bridge too far?

15th Belgian Surgical Week, Spa
14-17/05/2014

Gastric Bypass – Part 1

IFSO EC 2014, Brussels
30/04 - 03/05/2014

Redo Surgery: banding the pouch.

IFSO EC 2014, Brussels
30/04 - 03/05/2014

Fast and simplified closing of the mesenteric defects whith an edoscopic stapler.

IFSO EC 2014, Brussels
30/04 - 03/05/2014

Laparoscopic surgical technique of an adjustable banded Roux-en-Y gastric bypass for super obese patients.

IFSO EC 2014, Brussels
30/04 - 03/05/2014

Revision surgery for the failed or complicated band: an Australasian perspective.

IFSO EC 2014, Brussels
30/04 - 03/05/2014

Match of the day: RNY GB or Sleeve: who will become the ultimate survivor?

IFSO EC 2014, Brussels
30/04 - 03/05/2014

How to increase awareness about obesity surgery amongst men?

IFSO EC 2014, Brussels
30/04 - 03/05/2014

Internal hernia after laparoscopic RNY gastric bypass: a correlation between radiological and operative findings.

IFSO EC 2014, Brussels
30/04 - 03/05/2014

Revisional surgery for gastro gastric fistula.

IFSO EC 2014, Brussels
30/04 - 03/05/2014

Paper session: Gastric Bypass and related techniques.

IFSO EC 2014, Brussels
30/04 - 03/05/2014

It happened nearby: disasters in bariatric surgery.

IFSO EC 2014, Brussels
30/04 - 03/05/2014

Band erosion after adjustable banded Roux-en Y gastric Bypass.

IFSO EC 2014, Brussels
30/04 - 03/05/2014

Gastric Bypass: circular. Deferred live surgery.

IFSO EC 2014, Brussels
30/04 - 03/05/2014

Standardisation of fully laparoscopic Roux-en Y gastric bypass: Experience of a high volume bariatric Centre.

14th MISTIC Congress, Tehran, Iran
28-31/01/2014

Single-step conversion of gastric banding to Roux-en Y gastric bypass is feasible and safe: a single centre study of 559 patients.

14th MISTIC Congress, Tehran, Iran
28-31/01/2014

Debate: Band/Bypass/Sleeve.

Royal Leamington Spa
23-24/01/2014

Avoiding complications in gastric bypass.

Royal Leamington Spa
23-24/01/2014

Adjustable Band placement after failed RNY Gastric Bypass.

Belgium, Bruges
09-10/12/2013

Course Director BEST Meeting 2013.

Belgium, Bruges
09-10/12/2013

Framing the problem of Revision surgery.

Sydney, Australie
29/11-02/12/2013

Defining failure and indications for re-intervention.

Sydney, Australie
29/11-02/12/2013

What is in the literature: results, safety and durability.

Sydney, Australie
29/11-02/12/2013

Who I offer it to & who I don’t: Band to Bypass.

Sydney, Australie
29/11-02/12/2013

Revision vs primary procedures: Band to Bypass.

Sydney, Australie
29/11-02/12/2013

One or two steps – band to bypass.

Sydney, Australie
29/11-02/12/2013

Band to Bypass: Hot. Revision Bariatric Surgery – The Failed or Complicated Band

Sydney, Australie
29/11-02/12/2013

When limb elongation in GBP.

Rome
24-26/10/2013

Lap RNY gastric bypass/lap sleeve in Type 1 diabetes patients: why and when.

Rome
24-26/10/2013

Banding the gastric bypass for severe weight regain.

Rome
24-26/10/2013

Laparoscopic revision of gastro-gastric fistula.

Rome
24-26/10/2013

Lap GBP in situs viscerum inversus.

Rome
24-26/10/2013

When limb elongation in GBP.

Rome
24-26/10/2013

Complex Bariatric Cases.

Rome
24-26/10/2013

Laparoscopy-assisted transgastric endoscopic retrograde cholangiopancreatography.

Berlin, Germany
12-16/10/2013

Pro-Con, Een geruptureerd Aneurysma Aortae Abdominalis wordt bij voorkeur endovasculair behandeld.

Noordwijk aan Zee
05/10/2013

Redo surgery after gastric banding.

Istanbul
30/08/2013

‘All bariatric and metabolic technical procedures revearsals, complications and rare situations’

Istanbul
29/08/2013

‘R&Y Gastric Bypass and Banded Gastric Bypass-technical tips and difference in outcomes’.

Istanbul
29/08/2013

‘Long-term results of Roux and Y Gastric Bypass: myths and facts from the experience of a single surgeon’.

Istanbul
29/08/2013

Roux-en-Y Gastric Bypass.

Istanbul
29/08/2013

‘Innovations in gastric bypass, banded gastric bypass, BPD/DS and OMEGA loop bypass surgery – tips, tricks and management of complications’.

Istanbul
28/08/2013

‘Short Term Evaluation of Laparoscopic Gastric Bypass in Elderly, Assesment of Comorbidities and Postoperative Complications’

Istanbul
28-31/08/2013

Weight loss after laparascopic Roux-en-Y gastric bypass in the young population is maitained on the long-term: results of a follow-up study on 51 operated adolescents.

Istanbul
28-31/08/2013

The radiological findings of an internal hernia after laparoscopic Roux-en-Y gastric bypass.

Istanbul
28-31/08/2013

Combined laparascopy-assisted ERCP and cholecystectomy after Roux-en-Y gastric bypass

Istanbul
28-31/08/2013

Closure of the mesenteric defects with V-loc© in case of internal hernation after Roux-en-Y gastric bypass: surgical technique

Istanbul
28-31/08/2013

Experimental surgery resulting in a devastating complication: Gastrogastric herniation after greater curvature plication. A Case presentation.

Istanbul
28-31/08/2013

Late gastro-gastric fistula after Roux-en-Y gastric bypass as a complication of a chronical marginal ulceration: Experience of a high-volume bariatric centre.

Istanbul
28-31/08/2013

Short term evaluation of laparascopic gastric bypass in elderly, assesment of comorbidities and postoperative complications.

Istanbul
28-31/08/2013

Laparascopic adjustable gastric band as a salvage procedure for failure of Roux-en-Y gastric bypass.

Istanbul
28-31/08/2013

Conversion of gastric banding to roux-en-y gastric bypass is feasible and safe in a single step procedure: a single centre study of 559 patients.

Istanbul
28-31/08/2013

‘Gastric Bypass: My Experience’.

Istanbul
28/08/2013

‘Surgical management of late gastrogastric fistula after divided Roux-en-Y gastric bypass’.

Vienna
19-22/06/2013

‘Clinical presentation of late gastrogastric fistula after Roux-en-Y gastric bypass: experience of a high-volume bariatric centre’.

Vienna
19-22/06/2013

‘Laparoscopic adjustable gastric banding after failed Roux-en-Y gastric bypass’.

Vienna
19-22/06/2013

‘Internal hernia after laparoscopic Roux-en-Y gastric bypass: a correlation between radiological and operative findings’.

Vienna
19-22/06/2013

‘Single-step conversion of gastric banding to roux-en-y gastric bypass is feasible and safe: a single centre study of 559 patients’.

Vienna
19-22/06/2013

‘Simultaneously combining the thoracic and abdominal phase in oesophageal cancer resection: results in 16 patients’.

Vienna
19-22/06/2013

‘Evaluation of laparascopic gastric bypass in 250 patients older than 60 years’.

Vienna
19-22/06/20136

Diagnosis of late gastrogastric fistula after Roux-en-Y gastric bypass: experience of a high-volume bariatric centre.

Vienna
19-22/06/2013

Management of late gastrogastric fistula after Roux-en-Y gastric bypass: experience of a high-volume bariatric centre.

Vienna
19-22/06/2013

‘Minimaal invasieve toegangswegen bij slokdarmchirurgie’.

Bruges
25/05/2013

Scarless umbilical hernia repair combined with a full abdominoplasty.

Gdansk, Poland
12-15/05/2013

‘Weight regain after RYGBP – Why I use an inflatable band?’

Ostend
03/05/2013

A new mesh deployment device: the future of laparoscopic ventral hernia repair?

Ostend
03/05/2013

‘Simultaneously combining the thoracic and abdominal phase in oesophageal cancer resection: results in 16 patients’.

Ostend
02/05/2013

‘Internal hernia after laparoscopic Roux-en-Y gastric bypass: a diagnostic and therapeutic challenge’.

Ostend
02/05/2013

Single-step conversion of gastric banding to Roux-en Y gastric bypass is feasible and safe: a single centre study of 559 patients’.

Ostend
02/05/2013

‘Gezondheidsaspecten’.

Tielt
28/03/2013

‘Gewichtstoename na bariatrische chirurgie: behandelingsalgoritme’.

Leuven
25/03/2013

‘How I perform GJA in redo surgery, tips and tricks & what’s different vs primary cases?’

Brussels
25/02/2013

‘Laparoscopic adjustable gastric banding after Roux-en-Y gastric bypass: “What if a Roux-en-Y bypass fails to maintain the weight loss?’

Brussels
28/01/2013

Round table conference, CCSVI

Frankfurt
14/01/2012

Toon meer

Laparoscopic Roux limb placement for the management of chronic proximal fistulas after sleeve gastrectomy: technical aspects.

Surg Endosc. 2015 Feb;29(2):414-6. doi: 10.1007/s00464-014-3684-6.
04/07/2014

» http://www.ncbi.nlm.nih.gov/pubmed/

Laparoscopic total gastrectomy with Roux-y esophagojejunostomy for chronic gastric fistula after laparoscopic sleeve gastrectomy.

Obes Surg. 2014 Mar;24(3):425-9.
01/03/2014

» http://www.ncbi.nlm.nih.gov/pubmed/

Endovenous Laser Ablation of the Great Saphenous Vein with a 1470nm wavelength laser with bare tip fiber, results of a non-randomized single centre prospective trial.

Acta Chir Belg 2014, 114 256-260
01/01/2014

» http://www.ncbi.nlm.nih.gov/pubmed/

Endovenous Laser Ablation of the Great Saphenous Vein with a 1470nm wavelength laser with bare tip fiber, results of a non-randomized single centre prospective trial.

Acta Chir Belg, 114, 256-260
01/01/2014

» http://www.ncbi.nlm.nih.gov/pubmed/

Prospective multicenter registry on the performance of a self-expandable nitinol stent at the below the knee level in severely symptomatic patients with peripheral arterial disease.

The Journal of Cardiovascular Surgery and registered under number J Cardiovasc Surg-8490
01/01/2014

» http://www.ncbi.nlm.nih.gov/pubmed/

Endovenous Laser Ablation of the Great Saphenous Vein with a 1470nm wavelength laser with bare tip fiber, results of a non-randomized single centre prospective trial.

Acta Chir Belg 2014, 114, 256-260
01/01/2014

» http://www.ncbi.nlm.nih.gov/pubmed/

Laparoscopic Roux-en-Y gastric bypass in the elderly: feasibility, short-term safety, and impact on comorbidity and weight in 250 cases.

Surgical Endoscopy (2014)
» http://www.ncbi.nlm.nih.gov/pubmed/

Bariatric Surgery Induces Weight Loss but Does Not Improve Glycemic Control in Patients With Type 1 Diabetes.

Diabetes Care 2014;37:e173–e174 | DOI: 10.2337/dc14-0583
01/01/2014

» http://www.ncbi.nlm.nih.gov/pubmed/

Internal Hernia after Laparoscopic Roux-en-Y Gastric Bypass: a correlation between radiological and operative findings.

Obes Surg DOI 10.1007/s11695-014-1433-5
01/01/2014

» http://www.ncbi.nlm.nih.gov/pubmed/

Endovenous Laser Ablation of the Great Saphenous Vein with a 1470nm wavelength laser with bare tip fiber, results of a non-randomized single centre prospective trial.

Acta Chir Belg 2014, 114, 256-260
01/01/2014

» http://www.ncbi.nlm.nih.gov/pubmed/

Status update and interim results from the asymptomatic carotid surgery trial-2 (ACST-2).

European Journal of Vascular and Endovascular Surgery 09/2013; 46(5):510. · 2.82 Impact Factor
01/09/2013

» http://dx.doi.org/10.1016/j.ejvs2013.07.020

Status update and interim results from the asymptomatic carotid surgery trial-2 (ACST-2).

European Journal of Vascular and Endovascular Surgery, http://dx.doi.org/10.1016/j.ejvs2013.07.020
02/07/2013

» http://www.ncbi.nlm.nih.gov/pubmed/

Pancreaticojejunostomy versus pancreaticogastrostomy reconstruction after pancreaticoduodenectomy for pancreatic or periampullary tumours: a multicentre randomised trial.

The Lancet Oncology - doi:10.1016/S1470-2045(13)70126-8
June 2013

» http://www.ncbi.nlm.nih.gov/pubmed/

BRAVISSIMO: 12 month Results from a Large Scale Prospective Trial.

The Journal of cardiovascular surgery 04/2013; 54(2):235-53. • 1.51 Impact Factor
01/04/2013

» http://www.ncbi.nlm.nih.gov/pubmed/

Status update and interim results from the asymptomatic carotid surgery trial-2 (ACST-2).

European Journal of Vascular and Endovascular Surgery - 2013, http://dx.doi.org/10.1016/j.ejvs2013.07.020
01/01/2013

» http://www.ncbi.nlm.nih.gov/pubmed/

one-year outcomes after implantation of the Misago self-expanding nitinol stent in the superficial femoral and popliteal arteries of 744 patients

19(6):774-84. doi: 10.1583/JEVT-12-3861MR.1.
01/12/2012

» http://www.ncbi.nlm.nih.gov/pubmed/

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