ABSTRACT
We report a two-year-old Indonesian female who presented with vomiting and weight loss for more than one month and was ultimately diagnosed with duodenal obstruction due to a windsock deformity. This is a rare and intrinsic congenital anomaly of the duodenum. The diagnosis as well as immediate and conclusive surgical management is discussed
Subject(s)
Child, Preschool , Female , Humans , Duodenal Obstruction/etiology , Duodenal Obstruction/surgery , Duodenal Obstruction/congenital , Vomiting , Weight LossABSTRACT
Background: Obesity is a health and economic risk; individuals with a BMI of >/-30 kg/m2 have 50%-100% increased risk of early death
Objective: To assess the outcomes of advance bariatric procedures namely: Biliopancreatic Diversion [BPD], Mini Gastric Bypass [MGB] and Sleeve Gastrectomy
Design: A Retrospective Study. Setting: King Hamad University Hospital, Bahrain
Method: Eighty-five patients operated for bariatric surgery between July 2012 and August 2013 were reviewed. The following vitals were monitored: excess weight loss, diabetes mellitus [DM], hypertension [HTN], hypercholesterolemia, degenerative joint disease and obstructive sleep apnea [OSA]
Result: Forty-one [95.34%] BPD patients had complete resolution of dyslipidemia, 22 [88%] of DM and 15 [78.94%] of HTN. MGB resulted in complete resolution of HTN in 7 [87.5%] patients and DM in 10 [83.33%]. Dyslipidemia had improved in 2 [66.66%] patients who had Sleeve Gastrectomy and 4 [66.66%] patients with degenerative joint disease
Conclusion: From our experience, bariatric surgery is a feasible and reliable modality for treating obesity and its associated comorbidities. Long-term results may help to enlighten us on the most appropriate procedure for the Arabian Gulf population
Subject(s)
Humans , Male , Female , Adult , Middle Aged , Laparoscopy , Outcome Assessment, Health Care , Biliopancreatic Diversion , Gastric Bypass , Gastrectomy , Retrospective Studies , ObesityABSTRACT
Necrotizing Enterocolitis [NEC] is a significant cause of in-hospital mortality. The pathogenesis remains unclear, but may be associated with Staphylococcus epidermidis related sepsis, hypertonic feeds or other stress. It is also associated with Abdominal Compartment Syndrome [ACS] as documented after complete closure of gastroschisis. While the incidence of NEC is rare, the associated mortality is significant. We report a case of NEC following the repair of a congenital diaphragmatic hernia [CDH]; an unusual yet serious complication. A literature search revealed only one similar case which resulted in mortality. The possibility of serious postoperative complications following the repair of CDH must be considered in any neonate who exhibits deterioration in their general condition