Publications by authors named "Saleh Al Nassar"
Article Synopsis
- Enhanced recovery after surgery (ERAS) protocols have been found to standardize patient care and improve outcomes, particularly in feeding after gastrostomy insertion with or without Nissen fundoplication.
- A retrospective study showed that implementing an ERAS feeding protocol significantly reduced the time until patients reached full feeds and shortened their hospital stay without increasing postoperative complications.
- The study, conducted at a single center with 224 patients over several years, has limitations such as being specific to one hospital and reliant on accurate medical record-keeping, which may affect the generalizability of the results.
We report the case of a child who presented with a subcutaneous mass on the left side of the chest wall of one month's duration. The mass was painful and increasing in size over time. He had a history of weight loss and a decrease in appetite, but no history of fever or trauma.
View Article and Find Full Text PDFBackground: Persistent hyperinsulinemic hypoglycemia of infancy (PHHI) is considered the most common cause of persistent neonatal hypoglycemia. Management of PHHI involves use of medical agents and its failure is an indication of surgical intervention. Traditionally, an open pancreatectomy was the standard of care but recently laparoscopic pancreatectomy was described.
View Article and Find Full Text PDFPediatric short bowel syndrome: adaptation after massive small bowel resection.
J Pediatr Gastroenterol Nutr
August 2007
Background: Short bowel syndrome (SBS) develops after massive small bowel resections. Patients with less than 12 cm of jejunoileum have a slim possibility of being weaned from parenteral nutrition (PN).
Patients And Methods: In a retrospective review of records of consecutive patients with SBS, 8 patients were evaluated for treatment by adaptation and weaning from PN.
Objective: To describe the clinical, surgical, biochemical, radiological and electrophysiological features of 43 Saudi children with persistent hyperinsulinaemic hypoglycaemia of infancy (PHHI) who have been followed since 1983.
Methods: Data from 43 patients were retrospectively analysed. PHHI was diagnosed on the basis of high intravenous glucose requirement, high insulin to glucose ratio, negative urinary ketones and normal tandem mass spectrometry.
Objective: This study represents the experience of a tertiary care center in the Kingdom of Saudi Arabia (KSA) on the long-term effect on the lungs of esophageal atresia (EA) and tracheoesophageal fistula repair (TEF), and to emphasize the magnitude of gastroesophageal reflux (GER) post-EA or post-TEF repair.
Methods: A retrospective review of all patients referred to the pulmonary clinic with EA/TEF or re-operative evaluations from the period 1993-2004 at King Faisal Specialist Hospital and Research Centre, Riyadh, KSA.
Results: Forty-one patients with confirmed EA/TEF (26 males and 15 females) were included in the study.