Sleeve gastrectomy is one of the commonest bariatric procedures performed globally with an acceptable rate of reported complications. Splenic injury during this procedure is a rare but can be a serious complication. A 32-year-old male patient who had a spontaneous splenic rupture two weeks after an uneventful sleeve gastrectomy needed an emergency splenectomy.
View Article and Find Full Text PDFIntroduction: One anastomosis gastric bypass (OAGB) has gained popularity over the recent years; it appears to be an effective bariatric procedure with acceptable weight loss, co-morbidity resolution, and complication rates in the short and medium term. However, it still continues to have concerns in the bariatric community due to a spectrum of potential complications. To our knowledge, there are few published cases of internal hernia, but no published reports of gastric remnant perforation following OAGB.
View Article and Find Full Text PDFBackground: One anastomosis gastric bypass (OAGB) is an attractive bariatric procedure compared with the gold standard Roux-en-Y gastric bypass (RYGB) with one less anastomosis. Thousands of these procedures have now been performed by different surgeons who believe that it could hold fewer complications than RYGB. However, postoperative complications including the formation of anastomotic ulcers and possible perforation remain a main concern following OAGB.
View Article and Find Full Text PDFThe routine use of preoperative endoscopy for patients undergoing bariatric surgery is controversial. Although many surgeons find it unnecessary, others still consider it a mandatory tool in preoperative assessment. We reviewed the medical records of all patients who had undergone preoperative endoscopy before bariatric surgery in Rashid Hospital between January 2013 and June 2016.
View Article and Find Full Text PDFIntroduction: Routine use of preoperative abdominal ultrasound for patients undergoing bariatric surgery is controversial. Despite that some physicians routinely implement it, others consider it unnecessary and not cost effective because it does not have a clear clinical significance in the preparation of bariatric patients.
Aim Of The Study: To investigate whether routine abdominal ultrasound prior to bariatric surgery affects the surgical plan or not.
Background: An increasing number of surgeons worldwide are now performing one anastomosis/mini gastric bypass (OAGB/MGB). Lack of a published consensus amongst experts may be hindering progress and affecting outcomes. This paper reports results from the first modified Delphi consensus building exercise on this procedure.
View Article and Find Full Text PDFIntroduction: Meckel's diverticulum is the most common anomaly of the gastrointestinal tract, occurring in 1-3% of the general population. The most common complication of Meckel's diverticulum is intestinal obstruction. In this report, we describe a rare cause of intestinal obstruction due to Meckel's; the phytobezoar.
View Article and Find Full Text PDFIntroduction: Intramural jejunal hematoma is a very rare condition with only few cases reported in the literature. It rarely occurs spontaneously, and is mostly seen in hemophiliac patients and is also associated with abdominal trauma. It occurs more commonly in children than in adults and can present with features of intestinal obstruction.
View Article and Find Full Text PDFBackground: Obesity is a serious disease, with substantial morbidity and mortality. The endoscopic placement of an intragastric balloon (IGB) in association with a low-calorie diet is an option for the treatment of obesity. IGB complications include dislocation of the balloon causing intestinal obstruction, upper gastro-intestinal bleeding and perforation, especially during balloon insertion or removal.
View Article and Find Full Text PDFIntroduction: Traumatic diaphragmatic rupture (TDR) occurs in 0-5% of patients with major blunt thoraco-abdominal trauma, in most of them on the left side, and an early correct diagnosis is made in less than half of the cases (Meyers and McCabe, 1993; Ball et al., 1982).
Presentation Of The Case: We report a case of a forty-eight years old man who had a pericardio-diaphragmatic rupture after a high-velocity blunt abdominal trauma that was diagnosed and treated successfully.