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G F Adami

Publications and source records attributed to G F Adami.

82 records · Page 5Linked to original sources

[A new approach to gastric restriction surgery in treatment of obesity. Preliminary data].

Following gastric surgery for obesity, a satisfactory weight loss and, above all, long-term weight maintenance can only be achieved in patients who have succeeded in radically changing their preoperative eating habits. In this preliminary study gastric banding is associated with rehabilitative training which was carried out using similar methods to the programs used for eating disorders. One year after surgery the results were substantially the same as those reported in the literature, with an overall weight loss of approximately 50%. The lack of correlation between weight loss and the degree of gastric banding underlines, even after a short interval, the efficacy and importance of postoperative re-educational training. The utility of this integrated approach will only be more fully evaluated after a longer period.

Adolescent↗

[Body composition in chronic renal insufficiency in the primary anuric phase and after dialysis].

Bioelectric impedance was analysed before and after dialysis to assess the body composition of 36 patients suffering from chronic kidney failure in fair nutritional condition: resistance values were used to quantify total body water and reactance values as dimensional indices of the intracellular spaces and cell mass. Before dialysis, total body water was significantly higher than that of healthy subjects comparable for height, sex, age and weight, while it was not possible to obtain direct data on the dimensions of the cell mass. After dialysis, total body water values normalised and the dimensions of the intracellular spaces and cell mass became almost comparable to those of the controls: data analysis shows that during treatment, weight loss occurs almost exclusively in the extracellular compartments of the organism. Notwithstanding the fact that the absolute values are similar to those of the controls, body composition did not normalise as relationships between the dimensions of the various sectors remain altered.

Adult↗

[Behavior of serum proteins and lipids after jejuno-ileal bypass for obesity].

Variations in body weight, behaviour of lipidaemic fractions proteinaemia, uricaemia and uricuria, and lipid and protein absorption were studied preoperatively and at varying times following operation in five subjects who had undergone jejuno-ileal bypass for obesity. The results showed high serous NEFA and a definite, early and persistent reduction in all lipidaemic fractions after operation. The post-operative levels of serous proteins, particularly albumin, which were reduced in all subjects, reached pathological levels in two patients where proteic malnutrition following on the operation was associated with serious liver disease. The results agree with reported data. The variations in lipidic and proteic malabsorption proved to be in agreement with weight drop and the serous parameters considered. The reduction in uricaemia encountered in the five patients studied failed to agree with data reported in the Anglo-Saxon literature. This may be explained by alimentary and racial differences between the two populations of patients.

Adult↗

[Antibiotic preparation in operations on the large intestine. Experimental study].

A controlled study was mounted to assess the possible benefit of a single phlebo administration of 600 mg lincomycin 1 hr prior to colon surgery, in addition to the erythromycin + neomycin combination proposed by Nichols, as a means of constituting a further pharmacological barrier to the spread of anaerobic bacteria. The study currently comprises two groups of 15 patients fully comparable with regard to pathology distribution and randomly assigned to the E.N. and the E.N.L. protocol respectively. Six instances of septic complication have been observed, five in the group prepared with E.N. and 1 prepared with E.N.L. No significance can be attached to the different incidence of complications in the two arms of the study, owing to the small number of cases examined.

Adult↗