Saudi Journal of Laparoscopy最新文献_第2页

Addition of antireflux procedure to median arcuate ligament release: A significant difference? 加入抗反流手术治疗正中弓状韧带松解是否有显著差异?

Saudi Journal of Laparoscopy Pub Date : 2021-01-01 DOI: 10.4103/sjl.sjl_11_20

Rajkumar Sankaran, J. Aluru, R. Shreya, R. Anirudh

{"title":"Addition of antireflux procedure to median arcuate ligament release: A significant difference?","authors":"Rajkumar Sankaran, J. Aluru, R. Shreya, R. Anirudh","doi":"10.4103/sjl.sjl_11_20","DOIUrl":"https://doi.org/10.4103/sjl.sjl_11_20","url":null,"abstract":"Introduction: Median arcuate ligament syndrome (MALS) is a rare but debilitating gastrointestinal disorder. Division of the ligament (obstructing flow to the celiac artery) cures the symptoms, and a celiac ganglionectomy is also performed. Retroesophageal dissection causes dilatation of the hiatus. Severe gastroesophageal reflux disease (GERD) in the first six patients (Group A) led us to add an antireflux procedure in (Group B) 18 patients. Manometric and 24 h pH data support this. This article has been reported in line with SQUIRE guidelines. Materials and Methods: Over 7 years, we encountered 24 patients with MALS. The diagnosis was clinched by CT angiography, by the characteristic “Hook sign”. We have devised a standard operating strategy, involving retroesophageal mobilization, diaphragmatic crural exposure dividing the MAL, clearing out the perivascular neural tissue around the celiac axis, and exposing the celiac artery origin and its branches. The procedure was completed by crural approximation; Toupet fundoplication was performed in Group B patients. Relief from MALS symptomatology was obtained in all patients. Group A patients had severe reflux. Results: All patients were pain free within the 1st month of follow-up and regained normal weight by 6 months. Postoperative reflux symptoms initially were seen in four patients in Group B and all six patients in Group A. By the 6th month postprocedure, all Group B patients were symptom free and all Group A patients had persistent GERD. Conclusion: To our knowledge, there is no reported series in English literature with a formal protocol for MALS. Our approach provides an efficacious solution to a debilitating disorder. The addition of fundoplication has shown significant improvement in reflux symptoms.","PeriodicalId":388688,"journal":{"name":"Saudi Journal of Laparoscopy","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133358911","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

Comparison of laparoscopic sleeve gastrectomy outcomes between elderly and young patients 老年和青年腹腔镜袖式胃切除术的疗效比较

Saudi Journal of Laparoscopy Pub Date : 2020-01-01 DOI: 10.4103/SJL.SJL_18_19

S. Althuwaini, F. Bamehriz, A. Aldohayan, Maram Alaqel, Rasha Bassas, Rana Aljunidel

{"title":"Comparison of laparoscopic sleeve gastrectomy outcomes between elderly and young patients","authors":"S. Althuwaini, F. Bamehriz, A. Aldohayan, Maram Alaqel, Rasha Bassas, Rana Aljunidel","doi":"10.4103/SJL.SJL_18_19","DOIUrl":"https://doi.org/10.4103/SJL.SJL_18_19","url":null,"abstract":"Background and Aim: There are conflicting results in the literature regarding the percentage of excess weight loss (%EWL) and the resolution of comorbidities postlaparoscopic sleeve gastrectomy between the young and elderly patients. We compared the resolution of comorbidities and the %EWL and investigated for significant complications after surgery between the young and elderly patients. Methods: This was a retrospective case–control study which used the data collected from the electronic medical records at the Center of Excellence of Bariatric Surgery in King Saud University Medical City, Riyadh, Saudi Arabia, from 2011 to 2017. The variables collected included; length of hospital stay, resolution of comorbidities at 1, 6, and 12 months, complications postsurgery, and the %EWL. Results: We included 56 patients (35 males and 21 females) with a mean age of 58.8 years (55 to 75 years) and mean body mass index of 39.5 kg/m2 (42–60 kg/m2). The length of stay was significantly longer in the elderly group compared to the younger group (3.14 vs. 2.33 days). The proportion of comorbidities in the older population was higher compared to the younger population. The resolution of the comorbidities was significantly higher at the last patient's follow-up in both older and younger population. The %EWL was above 50% in both age groups. There was one incidence of bleeding in the elderly group. Conclusion: Bariatric surgery is relatively safe and effective in reducing the incidence of comorbid conditions even among elderly patients aged 60 years old and above. Therefore, we suggest that the age should not be a major impediment when considering bariatric surgery, particularly for the elderly patients. However, a meticulous assessment of other patient risk factors should also be considered prior to bariatric surgery.","PeriodicalId":388688,"journal":{"name":"Saudi Journal of Laparoscopy","volume":"226 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122480068","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: 1

Prevalence of Helicobacter pylori in gastric specimen following laparoscopic sleeve gastrectomy 腹腔镜袖胃切除术后胃标本中幽门螺杆菌的患病率

Saudi Journal of Laparoscopy Pub Date : 2020-01-01 DOI: 10.4103/SJL.SJL_2_20

F. Bamehriz

{"title":"Prevalence of Helicobacter pylori in gastric specimen following laparoscopic sleeve gastrectomy","authors":"F. Bamehriz","doi":"10.4103/SJL.SJL_2_20","DOIUrl":"https://doi.org/10.4103/SJL.SJL_2_20","url":null,"abstract":"Background: Laparoscopic sleeve gastrectomy (LSG) for obese patients can give more gastric tissue that can add more precise information about Helicobacter pylori (H. pylori) presence in relation to age, gender, and body mass index (BMI). Methodology: We retrospectively collected the computerized data and the pathology reports for all the patients who underwent LSG for obesity from 2008 to 2018 in King Khalid University Hospital, Riyadh, Saudi Arabia. Results: Of the total 1486 obese patients who underwent LSG, H. pylori was negative in 1025 patients (68.98%) and positive in 461 patients (31.02%). It was found that H. pylori positive was higher in females (53.15%) with lower BMI and was higher in males (58.82%) with higher BMI. H. pylori positive was present highly (45.16%) in the age group of more than 60 years. Conclusions: Data analysis showed that there is a relationship between increased BMI and the incidence of H. pylori. The contradiction of our results with other studies may be related to both small sample size and diagnostic test variability. Furthermore, our study found that maybe there is a relationship between BMI and the presence of H. pylori according to gender.","PeriodicalId":388688,"journal":{"name":"Saudi Journal of Laparoscopy","volume":"27 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121509265","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

Surgical considerations of combined laparoscopic cholecystectomy and cesarean delivery 腹腔镜胆囊切除术联合剖宫产的手术考虑

Saudi Journal of Laparoscopy Pub Date : 2020-01-01 DOI: 10.4103/SJL.SJL_6_20

K. Al-Khayal, Anwar Ahmed Baig, Christos Boustazastal, Shaheen Alaam, Talal Al Mukhlifi

引用次数: 0

Bariatric surgeries' complications in Saudi Arabia 沙特阿拉伯的减肥手术并发症

Saudi Journal of Laparoscopy Pub Date : 2020-01-01 DOI: 10.4103/SJL.SJL_4_20

Sultan Alwajeeh, Rawan Alasmari, Ibtihal Alattas, Razan Abu Hassan, Raged Alrawaji

引用次数: 1

Cystic duct identification in laparoscopic cholecystectomy review articles 腹腔镜胆囊切除术中的胆囊管识别综述文章

Saudi Journal of Laparoscopy Pub Date : 2020-01-01 DOI: 10.4103/SJL.SJL_5_20

Raafat Ahmed Alturfi, A. Hilmi

引用次数: 0

Fatal intestinal and abdominal wall ischemia post laparoscopic cholecystectomy 腹腔镜胆囊切除术后致死性肠和腹壁缺血

Saudi Journal of Laparoscopy Pub Date : 2020-01-01 DOI: 10.4103/SJL.SJL_3_20

Abdu Ayoub, Mohammed Fagihi, Gamal Matar, Mohammed Albasiouny, Mutaz Abdelmagid, Alaa Sadek Zidan, Raoom Ayoub, Yara Ajaybi, Bushra Meshn

引用次数: 0

Anesthetic technique for elective cesarean section in obese parturients: A cross-sectional study 肥胖产妇择期剖宫产的麻醉技术:一项横断面研究

Saudi Journal of Laparoscopy Pub Date : 2020-01-01 DOI: 10.4103/SJL.SJL_1_20

S. Malik, J. Anwari, Rashed Alotaibi

引用次数: 0

Establishment of research units: A perspectives/proposal towards enhancing the prospective research studies among general surgery trainees 研究单位的建立:加强普外科实习生前瞻性研究的观点/建议

Saudi Journal of Laparoscopy Pub Date : 2020-01-01 DOI: 10.4103/SJL.SJL_17_19

M. Aldossary, M. Alqahtani

{"title":"Establishment of research units: A perspectives/proposal towards enhancing the prospective research studies among general surgery trainees","authors":"M. Aldossary, M. Alqahtani","doi":"10.4103/SJL.SJL_17_19","DOIUrl":"https://doi.org/10.4103/SJL.SJL_17_19","url":null,"abstract":"Background: Education, clinical care, and research are the three main foundations of academic health centers in the world. The research environment has always been riddled with ebbs and flows, depending on the availability of funding resources. Prospective research studies are limited for the residents in Saudi Arabia because most of them are doing rotations outside the center or changing the surgical unit after 1–3 months and joining another team. Objectives: This article discusses the creation of research units to provide research support in prospective studies and presents the advantages and disadvantages of these units. The project is based on the acknowledged importance of establishing research facilities in general surgery training centers of the kingdom with the aim of helping regions move in the same pace with the rest of the world. Conclusion: This project proposes establishing research units and development of prospective research studies in all general surgical centers in the Kingdom of Saudi Arabia. The goal of the project is to provide data and research materials to general surgery residents so that they can improve their performance and also increase their satisfaction in the field.","PeriodicalId":388688,"journal":{"name":"Saudi Journal of Laparoscopy","volume":"5 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130046960","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

Veress needle injury in laparoscopy: A catastrophic complication 腹腔镜手术中Veress针损伤:一个灾难性的并发症

Saudi Journal of Laparoscopy Pub Date : 2020-01-01 DOI: 10.4103/SJL.SJL_16_19

Atul K. Jain, N. Mishra, S. Nurbhai, Mansoor Banday, G. Patel

引用次数: 0