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This Month in
July 1, 2004

This Month in Archives of Surgery

Author Affiliations
 

W. PESKINGERALDMD

Arch Surg. 2004;139(7):705. doi:10.1001/archsurg.139.7.705

The entire surgical world seems to be revolving around morbid obesity. We have come to understand the meaning of ghrelin and its potential role in the surgery of morbid obesity. Now we have, through Dr Lin and his associates, the first article dealing with the effects of dividing the stomach on reducing ghrelin levels in humans. This may explain, in part, the loss of hunger sensation and rapid weight loss following gastric bypass surgery.

Major pelvic fracture with bleeding is a problem faced periodically by trauma surgeons. Kimbrell et al have analyzed their data to note that among trauma patients with significant pelvic fractures, those who are 60 years and older have a very high likelihood of active retroperitoneal bleeding and may well require arteriographic embolization regardless of presumed hemodynamic stability.

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