8 +/- 20.0 and 10.2 +/- 16.0, respectively;

p = 0.042), financial difficulties (14.8 +/- 22.9 and 7.1 +/- 16.1, respectively; p = 0.002), reflux (16.7 +/- 17.7 and 10.1 +/- 17.0, respectively; p = 0.003), eating restrictions (13.6 +/- 15.2 and 6.6 +/- 10.2, respectively; p < 0.001) and body image (23.3 +/- 25.4 and 16.2 +/- 24.6, respectively; p = 0.023).

Conclusion

The QoL of long-term survivors after a distal subtotal gastrectomy is still influenced by the surgery itself even though they are considered to be free buy SRT2104 of disease.”
“A total of 194 enterococcal isolates were recovered from 198 fecal samples of pigs, cattle, and sheep obtained in a Portuguese slaughterhouse. The enterococcal species most prevalent were Enterococcus faecium and E. hirae. High percentages of resistance were detected for tetracycline in pig isolates (95.7%), sheep isolates (76.7%), and cattle isolates (49%); erythromycin resistance was higher in pig isolates than in cattle or sheep isolates. Intermediate level of resistance

was obtained to quinupristin/dalfopristin in all animal isolates (15.1-23.5%). High-level resistance KPT-8602 to aminoglycosides was detected, HLR-S and -K was higher in pig isolates (44.3 and 32.9%, respectively) compared with cattle or sheep isolates, and modest percentages of HLR-G were obtained in pig and cattle isolates (7.1 and 3.9%, respectively). The aac(6`)-aph(2″”), aph(3`)-IIIa, ant(6)-Ia, cat(A), erm(B), and tet(M) genes were demonstrated in most of the gentamycin-, kanamycin-, streptomycin-, chloramphenicol-, erythromycin- and tetracycline-resistant isolates, respectively. The association between the tet(M) gene and Tn916/Tn1545-like or Tn5397-like transposons was detected in 30.8 and 11.2% of the isolates, respectively. Food animals could be a reservoir for antibiotic resistance genes, and

slaughterhouse cross-contamination of animals carcasses may be a food safety risk.”
“Despite their current limitations, metabolic surgery and FK228 natural orifice transluminal endoscopic surgery (NOTES), set new horizons. In this article, the first three cases of adjustable gastric banding (AGB) through transvaginal access in obese women are described.

In the General and Vascular Surgery Department, Ceynowa Hospital, Poland, three cases of AGB through the transvaginal access in hybrid, laparoscopically assisted NOTES technique were performed. All patients were female with BMI range 35-37. A dual-channel endoscope and regular laparoscopic instruments were used.

The mean operating time was 110 min. Indometacin was given intravenously PRN for postoperative pain. None of the patients required more than 3 g of indometacin and for longer than 24 h postoperatively. None required opioids either. There was one major complication of iatrogenic damage to the ureter, which required subsequent hospitalisation and laparoscopic repair. Hospitalisation time was 2 days.