Hematemesis Case Study

Decent Essays
In our study, intraoperative complications occurred in only 1 (2.7%) patient in the form of liver tear which was managed by compression. On the other hand, in open RYGB Luján et al. (27) reported 3 (6%) cases of splenic injuries that leaded to splenectomies while in open classical D.S, Hess and Hess (13) reported splenic injury and splenectomy in 4 (0.9%) patients
In our study, Hematemesis occurred only in 1(2.7%) non compliant patient due to stomal ulceration following administration of intravenous acetyle salicylic acid. Gastric bleeding reported in 1 (1%) patient after loop D.S by Sánchez-Pernaute et al. (17), in 4 (0.5%) Patients after open classical D.S by Biertho et al. (28) and in 1 (0.6%) patient after open BPD by Gracia et
…show more content…
Both of them had with BMI ≥ 60 kg/m2, android built , sleep apnea syndrome and were previously treated from venous stasis disease; these are high risk factors for developing DVT (32-33) . In the series of open classical D.S , Hess and Hess (13) reported 3 (0.75%) cases of DVT and 2 (0.5%) cases of non fatal pulmonary embolism. Marceau et al. (35) reported DVT and PE in 9 (3.6%) patients. According to Podnos at al. (36), deep vein thrombosis after laparoscopic RYGB with thromboprophylaxis ranged from 0% to 1.3%, pulmonary embolism ranged from 0% to 1.1%. We recorded 1 (2.7%) case of mortality due to pulmonary embolism. Hess and Hess (13) reported also one (0.25%) case of fatal pulmonary embolism. Postoperative follow up revealed 2 (5.4%) cases that developed gallstones in the first year after surgery that required cholecystectomy. In a study on open classical D.S by Abd El-Razik et al. (25) he reported 1 (2.5%) case who developed cholilithiasis that needed cholycystectomy. Bowel obstruction was not reported in our study during the follow up period. Bowel obstruction by internal herniation was reported in 8 ( 2%) patients by Hess and Hess (13) after open classical DS and 3 (2.8 %) patients by Luján et al. (27) after Laparoscopic RYGB. As was stated before, SADI-S has no mesentric …show more content…
It was detected that the entire lipid profile consisting of total cholesterol, LDL, TG, and HDL had a statistically significant improvement one year after surgery. The mean total cholesterol decreased significantly from 277.15±59.57mg/dl to 143.41±18.15 mg/dl (P < 0.001), the mean LDL decreased significantly from 168.27±50.07mg/dl to 98.23±37.13mg/dl (P < 0.001), the mean TG decreased significantly from 177.83±15.23 mg/dl to 102.31±13.54 mg/dl (P < 0.001), and the mean HDL increased significantly from 34.35±6.70 mg/dl to 44.89±4.59 mg/dl (P < 0.001) during this time period. Our results were higher than those reported by Prachand et al. (41) after RYGB and Sudan and Jacobs (39) after DS who stated that the rate of resolution of dyslipidemia occurred in 26.3% and 72% of patients respectively. Our results regarding the resolution of hypertriglyceridemia were the same as those of Scopinaro et al. (30)

Related Documents

  • Decent Essays

    Lung Cancer Case Study

    • 1637 Words
    • 7 Pages

    The SATURN study included those who those with four cycles of platinum-based chemotherapy without progression in disease, and a negative pregnancy test were assigned either oral erlotinib (150 mg) or a placebo of chemotherapy until the progression of disease or death. Between December 2005 and May 2008, 1949 people were screened and received the first line of platinum-based chemotherapy. After the chemotherapy, 428 patients (22%) had shown disease progression, 162 (8%) had died and 89 (5%) withdrew consent. 381 patients (20%) were ineligible due to deteoriation greater than 1or no tumor samples were available (37 people). A total of 889 people were able to go forth and be assigned erlotinib (437 people) and placebo of chemotherapy (447 people).…

    • 1637 Words
    • 7 Pages
    Decent Essays
  • Decent Essays

    TEE is becoming a crucial instrument in earlier diagnosis and management of takotsubo syndrome. In a case study completed by Mantilla (2016), A 22-year-old female was just prepared for surgery on her mandible when her heart rate became bradycardic and then abruptly advanced into supraventricular tachycardia. She had hypotension, persistent ST changes, and bronchospasms. There was bloody substance coming out of the nasotracheal tube which suggested pulmonary edema. A chest X-ray displayed severe pulmonary edema on both sides.…

    • 1565 Words
    • 7 Pages
    Decent Essays
  • Decent Essays

    Subjects participated in a 12-week, double blind, randomized placebo-controlled study and were followed every 4 weeks for three months to assess clinical and laboratory findings such as ESR, CRP, consumption of analgesic drugs, and duration of morning stiffness and pain. It was found that there was a decrease in morning stiffness in the omega-3 group from 128 minutes to 40 minutes. In addition, the average tender joints were reduced from 21 to 5 joints and the number of swollen joints dropped from 10 to 3. The average ESR in the omega-3 group decreased from 39 to 16 and there was a significant reduction in pain for the overall assessment of the disease. When compared to the control group, there was a decrease in the use of analgesic drugs in the omega-3 group…

    • 1122 Words
    • 5 Pages
    Decent Essays
  • Decent Essays

    Florastor Case Studies

    • 966 Words
    • 4 Pages

    There were 71 patients who were unable to complete the study because of death during or after, transfer to another hospital, or discontinuation of the antibiotic treatment. This left 204 patients, whose average age was now 78.4 years old, who completed the study and were analyzed for occurrence of diarrhea. Of those 204, 98 received the placebo and 106 received S. boulardii capsules. There was no statistical difference in the occurrence of ADD (P=0.71) since 13 in the placebo group (13.3%) and 16 in the S. boulardii group (15.1%) developed diarrhea. The odds ratio (OR) was 1.16 with a 95% confidence interval (CI) of 0.53-2.56.…

    • 966 Words
    • 4 Pages
    Decent Essays
  • Decent Essays

    He had a renal ultrasound done in June 2013 that showed multiple simple cysts bilaterally of benign appearance with possible diagnosis of polycystic kidney disease. The patient was never diagnosed with autosomal dominant polycystic kidney disease in the past. No history of polycystic kidney disease in the family. His GFR was maintained around 22 for a couple of years, but recently, last year, he had a cardiac cath done in the setting of chest pain with deterioration of his…

    • 872 Words
    • 4 Pages
    Decent Essays
  • Decent Essays

    To further prove the rapid effects of ketamine in trial studies, Valentine et al. (2011) conducted a study in 10 patients with major depression, who were all given a single does of saline, and then a single does of ketamine in a fixed order, one week apart under a single-blind condition. Participants noted a significant improvement in depression after 1,2,3,5 hours, and 7 days later for ketamine compared to saline. Lastly, Ibrahim et al. (2011) investigated the effects of a single IV does of ketamine in an open label study of forty patients who suffer form TRD,…

    • 1073 Words
    • 4 Pages
    Decent Essays
  • Decent Essays

    Recent right thalamic infarct with small vessel ischemic disease. Glaucoma with laser surgery 15 years ago, slowly worsening. Appendectomy. Medications Plavix 75 mg, amlodipine 5 mg, losartan 50 mg, Lopressor 25 mg b.i.d., Crestor 10 mg, Ativan 0.5 mg every 6 hours p.r.n. anxiety, which he does not take, aspirin 81 mg, lysine 1000 mg b.i.d, Zantac 150 mg daily, Glynase 3 mg b.i.d., Levemir 24 units subcutaneous daily, Byetta 5 mcg b.i.d., vitamin D3 1000 units a day, folic acid one tablet a day.…

    • 944 Words
    • 4 Pages
    Decent Essays
  • Decent Essays

    Pancost Tumor Case Study

    • 707 Words
    • 3 Pages

    Again demonstrated 2 years survival of 55% and 3 years survival of 40%. Strikingly 61% of patients with N2 disease down staged to PN0/N1. Median survival was 26.7 months11. Surgery for superior sulcus tumor is generally undertaken five weeks following induction CRT, providing staging CT scan demonstrate operable disease . Surgery is generally complicated given the location of the superior sulcus tumour and the possible complications associated with this treatment for example; chylothorax, ulnar nerve paralysis secondary to resection of the C8 nerve root, Horner 's syndrome12.…

    • 707 Words
    • 3 Pages
    Decent Essays
  • Decent Essays

    Results This is observational prospective case-control , one center study, conducted at Benha University hospital, it included 100 patients admitted by ST segment elevation myocardial infarction for first time , divided into 2 groups of patients : without CHF (Killip class I ) and with CHF (Killip class ≥ II ) . Patient demographics: Table 5: Distribution of the studied patients regarding age, sex, height, weight, BMI, BSA and risk factors :- According to Table 5: •As regard age, the mean age of the studied patients group without CHF was (54.03±11.22) and that of the group with CHF was (57.31±6.06). There was no significant difference between two groups (P > 0.05). Figure 9: Age distribution in HF absent and HF present group. •As regard sex, among the patients group…

    • 1364 Words
    • 6 Pages
    Decent Essays
  • Decent Essays

    However, it induced that depression is linked to unhealthy lifestyles, a factor contributing to certain types of cancer. 89,491 individuals were hospitalized for depression, and studied over 12.5 years. The majority of the patients were diagnosed with a primary case of unipolar depression. 45 percent of patients had a second incident of another psychiatric disorder after the first diagnoses, with 17 percent of the patients diagnosed with alcoholic psychiatric disorders. As a result of the study, 9,922 cases of cancer were diagnosed, yielding a 1.05 SIR.…

    • 1392 Words
    • 6 Pages
    Decent Essays

Related Topics