Journal of Surgery Research and Practice最新文献_第2页

Low Mass Low Beat: The Effect of Bariatric Surgery on Cardiac Rhythm 低质量低节拍：减肥手术对心律的影响

Journal of Surgery Research and Practice Pub Date : 2024-03-18 DOI: 10.46889/jsrp.2024.5103

Mohammad Haydar

{"title":"Low Mass Low Beat: The Effect of Bariatric Surgery on Cardiac Rhythm","authors":"Mohammad Haydar","doi":"10.46889/jsrp.2024.5103","DOIUrl":"https://doi.org/10.46889/jsrp.2024.5103","url":null,"abstract":"Obesity is a global health problem, associated with significant morbidity and mortality. It is a multifactorial disorder associated with serious complications including diabetes mellitus, dyslipidemia and Cardiovascular Disease (CVD). Its prevalence has been increasing over the last few decades and has become a modern-day epidemic.\u0000\u0000The management and the treatment of obesity include lifestyle modifications and increased physical activity. Patients with a BMI of greater than 35 kg/m2 with other comorbidities such as type two diabetes are considered eligible for bariatric surgery.\u0000\u0000There is a plethora of evidence about the effect of bariatric surgery on medical outcomes including reversal of metabolic disease and reduction of negative cardiovascular outcome. Based on the few reported cases in the medical literature, increased cholinergic tone manifesting as bradycardia and delayed chronotropic response on stress test have been reported in post-bariatric surgery patients with significant weight loss.\u0000\u0000We reported three cases of patients that underwent bariatric surgery and present with brady-arrythmias. While considering other complications of bariatric surgery, it is important to consider cardiac related sequalae such as bradyarrhythmias like sinus bradycardia, atrioventricular block, sick sinus syndrome due to delayed chronotropic response and irreversible atrioventricular defect could be helpful in clinical decision making. We recommend that an EKG and echocardiogram should be a performed as part as of a routine analysis in patients who had a bariatric surgery.","PeriodicalId":101514,"journal":{"name":"Journal of Surgery Research and Practice","volume":"43 27","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140231403","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Spontaneous Rupture of the Urinary Bladder: A Case Report 膀胱自发性破裂：病例报告

Journal of Surgery Research and Practice Pub Date : 2024-01-28 DOI: 10.46889/jsrp.2024.5102

Mohammad Haydar

{"title":"Spontaneous Rupture of the Urinary Bladder: A Case Report","authors":"Mohammad Haydar","doi":"10.46889/jsrp.2024.5102","DOIUrl":"https://doi.org/10.46889/jsrp.2024.5102","url":null,"abstract":"Spontaneous rupture of the bladder (SRUB) is a rare occurrence globally (<1%). The most common cause of bladder rupture is trauma (96%). We present a case of a 34-year-old man with a history of heavy alcohol consumption and significant smoking history. He presented with diffuse abdominal pain and urinary retention. On blood tests, he was found to have increased creatinine. A urinary catheter was inserted and there was improvement in his kidney function. However, on removal of the catheter, his creatinine function would elevate. This occurred two times before further investigations were performed. CT cystography was performed and there was a significant amount of free intraperitoneal fluid found in the pelvis. After retrograde filling of the bladder with contrast material, a tear in the dome of the bladder was discovered. The patient underwent a surgical repair of the tear and there were no complications during surgery. In summation, spontaneous urinary bladder rupture is a rare emergency which can cause acute abdomen, oliguria, peritoneal effusion and abnormal renal function. In patients with heavy alcohol consumption and especially without an associated trauma history, physicians should consider SRUB. CT scan can help in diagnosis. Diagnostic laparoscopy or explorative laparotomy should not be delayed.","PeriodicalId":101514,"journal":{"name":"Journal of Surgery Research and Practice","volume":"2 6","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139592079","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Review of Thyroid Cartilage Compression of the Vertebral Artery 甲状软骨压迫椎动脉回顾

Journal of Surgery Research and Practice Pub Date : 2024-01-15 DOI: 10.46889/jsrp.2024.5101

Leon Kong

引用次数: 0

Unmasking the Silent Menace: A Case Report of Aldosterone-Secreting Adrenal Cortical Adenoma 揭开无声威胁的面纱：醛固酮分泌型肾上腺皮质腺瘤病例报告

Journal of Surgery Research and Practice Pub Date : 2023-12-25 DOI: 10.46889/jsrp.2023.4313

Vinay Hg

引用次数: 0

Sub-Mucosal Lipoma a Rare Cause of Colonic Obstruction Managed Surgically: Case Series and Literature Review 粘膜下脂肪瘤是结肠阻塞手术治疗的罕见病因：病例系列和文献综述

Journal of Surgery Research and Practice Pub Date : 2023-12-19 DOI: 10.46889/jsrp.2023.4312

M. Khoury

{"title":"Sub-Mucosal Lipoma a Rare Cause of Colonic Obstruction Managed Surgically: Case Series and Literature Review","authors":"M. Khoury","doi":"10.46889/jsrp.2023.4312","DOIUrl":"https://doi.org/10.46889/jsrp.2023.4312","url":null,"abstract":"Sub-mucosal lipomas of the colon, as first described by Bauer in 1757 are fatty tumors, rarely greater than 2 cm in size and hence rarely symptomatic. The vast majority of these tumors are subjected to be found incidentally during a colonoscopy, Computed Tomography (CT) scan, surgery, or autopsy and are most often located in the ascending colon near the cecum. Referred to second most common benign tumour of the colon, sub-mucosal colonic lipomas are often difficult to diagnose because of their asymptomatic nature or the intermittent, non-specific nature of patients’ symptoms. In this domain, development of symptoms manifesting as abdominal pain, hemorrhage, diarrhea, or constipation are most commonly encountered with lipomas of size greater than 2 cm. Furthermore, obstruction secondary to colonic intra-luminal narrowing or intussusception is mostly reserved for larger lipomas, most commonly those growing more than 4 cm in size and hence requiring surgical or endoscopic resection.\u0000\u0000However, as such lesions are more often being exposed nowadays owing to the enhanced utilization of colonoscopy and CT and the fact that complications can prevail, both rises the need of settling well established guidelines advising the management of such polyps, on the road of preventing consequent complications.\u0000\u0000In this article and in trial of us addressing this rare entity, shedding the light on its importance and further elaborating on its significant consideration in working up bowel obstructive pathologies, we present a literature review of colonic sub-mucosal lipomas, along with our experience in obstructive colonic lipomas, in a retrospective case series constituted of 4 characteristically and demographically studied patients, along with the management after being admitted to our tertiary care center for obstructive symptoms.","PeriodicalId":101514,"journal":{"name":"Journal of Surgery Research and Practice","volume":" 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138961874","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Coronary Stent Infections: A Case of Pericardial Abscess and Stent Displacement After Repeated PTCA Procedures Which Required an Emergency Surgery 冠状动脉支架感染：一例反复进行 PTCA 手术后出现心包脓肿和支架移位并需要进行急诊手术的病例

Journal of Surgery Research and Practice Pub Date : 2023-12-09 DOI: 10.46889/jsrp.2023.4311

Riccardo Nania

引用次数: 0

Neonatal Crohn’s Disease Caused by Compound Homozygous Mutation in IL-10RA: A Case Report IL-10RA 复合同源突变导致的新生儿克罗恩病：病例报告

Journal of Surgery Research and Practice Pub Date : 2023-12-01 DOI: 10.46889/jsrp.2023.4309

Salma Abed Samamqa

引用次数: 0

Optimal Management of Perforated Appendicitis: Review of Articles and Observational Study 穿孔性阑尾炎的最佳治疗方法：文章回顾与观察研究

Journal of Surgery Research and Practice Pub Date : 2023-11-29 DOI: 10.46889/jsrp.2023.4308

M. Khoury

引用次数: 0

Retrograde Insertion of Inferior Vena Cava (IVC) Filter: A Bailout Plan 逆行插入下腔静脉 (IVC) 过滤器：救助计划

Journal of Surgery Research and Practice Pub Date : 2023-11-28 DOI: 10.46889/jsrp.2023.4307

Anthony Gikonyo

{"title":"Retrograde Insertion of Inferior Vena Cava (IVC) Filter: A Bailout Plan","authors":"Anthony Gikonyo","doi":"10.46889/jsrp.2023.4307","DOIUrl":"https://doi.org/10.46889/jsrp.2023.4307","url":null,"abstract":"Venous thromboembolism poses a significant threat to patient health and remains a leading cause of preventable morbidity and mortality. To mitigate the risk of pulmonary embolism resulting from deep vein thrombosis, the insertion of an Inferior Vena Cava (IVC) filter has become a critical intervention. While several approaches are available for IVC filter placement, the internal jugular approach has gained recognition for its unique advantages. This case study provides a comprehensive examination of an 85-year-old female patient who underwent IVC filter insertion through the internal jugular approach with an indication of extensive bilateral iliac venous thrombosis, secondary to femoral vein dialysis catheter. By exploring the clinical experience and outcomes associated with this specific technique, we aim to elucidate the benefits, considerations and potential implications for future practice. Through an in-depth analysis of this case, interventional radiologists, clinicians and healthcare professionals involved in venous thromboembolism management can gain valuable insights into the safety, efficacy and patient-centered outcomes of the internal jugular approach for IVC filter insertion.","PeriodicalId":101514,"journal":{"name":"Journal of Surgery Research and Practice","volume":"14 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-11-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139221893","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Bronchobiliary Fistula: A Challenging Opponent to Treat in Stage IV intrahepatic Cholangiocarcinoma (iCC) Patients 支气管胆管瘘：治疗 IV 期肝内胆管癌 (iCC) 患者的挑战性对手

Journal of Surgery Research and Practice Pub Date : 2023-11-27 DOI: 10.46889/jsrp.2023.4305

K. Kobryn

{"title":"Bronchobiliary Fistula: A Challenging Opponent to Treat in Stage IV intrahepatic Cholangiocarcinoma (iCC) Patients","authors":"K. Kobryn","doi":"10.46889/jsrp.2023.4305","DOIUrl":"https://doi.org/10.46889/jsrp.2023.4305","url":null,"abstract":"A 57-year-old female underwent a left hemihepatectomy due to intrahepatic cholangiocarcinoma (iCC) in 2017. Asymptomatic for two and a half years, in 2020, the patient was admitted to the department due to cholangitis and tumor recurrence. The patient underwent four Endoscopic Retrograde Cholangiopancreatography (ERCP) procedures in total and Percutaneous Transhepatic Biliary Drainage (PTCD). As for palliative oncological treatment she underwent radio-chemotherapy. Six months following PTCD, another ERCP was performed exchanging external biliary drainage to internal. Seven months following the last radiotherapy, a Bronchobiliary Fistula (BBF) was identified. Quality of life remained hugely impaired, with associating dyspnoea, fatigue and a persistent chronic cough with biliary sputum. The patient was treated symptomatically. BBF was treated throughout the next two years through consecutive ERCP’s with biliary stenting as well as continuous PTCD implementation until the patient’s death in 2022. Curative treatment of bronchobiliary fistulas in stage IV iCC is challenging and associated with major mortality risk. The most reasonable strategies available in treating such patients are through ERCP with biliary stenting and PTCD, thus, surgery and other treatment options remain limited.","PeriodicalId":101514,"journal":{"name":"Journal of Surgery Research and Practice","volume":"5 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-11-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139233649","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0