scholarly journals Case of insulinoma detected in a patient after bariatric operation for morbid obesity

2019 ◽  
Vol 16 (1) ◽  
pp. 74-80
Author(s):  
Ekaterina S. Maloletkina ◽  
Olesya Y. Gurova ◽  
Valentin V. Fadeyev ◽  
Vyacheslav I. Egorov ◽  
Roman V. Petrov ◽  
...  
Keyword(s):  
Morbid Obesity ◽  
Weight Gain ◽  
Surgical Treatment ◽  
Successful Treatment ◽  
Clinical Case ◽  
Bariatric Operation ◽  
Malignant Insulinoma ◽  
Biliopancreatic Bypass ◽  
Longitudinal Gastrectomy

The prevalence of insulinomas is 13 cases per million population per year of which 414% tumor is malignant. Weight gain is one of the symptoms of the disease, often resulting in morbid obesity with indications for surgical treatment. The presented clinical case demonstrates the successful treatment of malignant insulinoma with the manifestation of hypoglycemic syndrome after carrying out biliopancreatic bypass with longitudinal gastrectomy for morbid obesity.

scholarly journals Laparoscopic Adjustable Gastric Banding and Hypoglycemia

2013 ◽  
Vol 2013 ◽  
pp. 1-4
Author(s):  
Sigrid Bairdain ◽  
Mark Cleary ◽  
Chueh Lien ◽  
Ashley H. Vernon ◽  
Bradley C. Linden ◽  
...  
Keyword(s):  
Weight Loss ◽  
Weight Gain ◽  
Surgical Treatment ◽  
Side Effects ◽  
Gastric Banding ◽  
Laparoscopic Adjustable Gastric Banding ◽  
Adjustable Gastric Banding ◽  
Bariatric Operation ◽  
Vitamin Deficiencies ◽  
Mean Time

Obesity is commonplace, and surgical treatment usually includes Roux-en-Y gastric bypasses (RYGBs). RYGBs have the most documented side effects including vitamin deficiencies, rebound weight gain, and symptomatic hypoglycemia; fewer series exist describing hypoglycemia following other bariatric operations. We reviewed all patients undergoing laparoscopic adjustable gastric banding (LAGB) at our institution between 2008 and 2012. Three patients were identified to have symptomatic hypoglycemia following LAGB. Mean time from surgery was 33 months (range 14–45 months), and mean weight loss was 32.7 kg (range 15.9–43.1 kg). None of the patients had preexisting diabetes. Therefore, symptomatic hypoglycemia should be investigated irrespective of bariatric operation.

scholarly journals Cancer of the descending colon, complicated by intestinal obstruction and left post-traumatic hernia of the diaphragm

2020 ◽  
Vol 24 (3) ◽  
pp. 409-412
Author(s):  
V. V. Kernychnyi ◽  
A. I. Sukhodolya
Keyword(s):  
Abdominal Pain ◽  
Surgical Treatment ◽  
Intestinal Obstruction ◽  
Diaphragmatic Hernia ◽  
Successful Treatment ◽  
Clinical Case ◽  
Acute Intestinal Obstruction ◽  
Post Traumatic ◽  
Descending Colon

Annotation. The article presented a rare clinical case of a successful treatment of cancer of the descending colon, that is complicated by acute obstructive intestinal obstruction on the background of post-traumatic left diaphragmatic hernia in a 68-year-old patient. The result of surgical treatment indicates some possible unexpected intraoperative difficulties that the surgeon might be facing with during the process of a surgery. It is noticed that in surgery for a cancer of the descending colon, had been complicated by an acute intestinal obstruction, it is still necessary to find the cause of abdominal pain, had been accompanied by bloating, lack of stool and gas, vomiting “feils”, one of which may be postpartum of left hernia of the diaphragm.

scholarly journals TROMBOSIS OF MESENTERIAL VESSELS IN ACUTE LYMPHOBLASTIC LEUKEMIA (CASE REPORT)

2019 ◽  
Vol 72 (1) ◽  
pp. 133-136
Author(s):  
Veronika M. Dudnyk ◽  
Irina I. Andrikevych ◽  
Hennadiy M. Rudenko ◽  
Tetiana G. Korol ◽  
Kateryna V. Khromykh
Keyword(s):  
Case Report ◽  
Surgical Treatment ◽  
Acute Lymphoblastic Leukemia ◽  
Thrombolytic Therapy ◽  
Successful Treatment ◽  
Clinical Case ◽  
Lymphoblastic Leukemia ◽  
Diagnostic Problems ◽  
Mesenteric Vessels ◽  
Leukemia In Children

The article presents data on classification, diagnostic problems, treatment of acute lymphoblastic leukemia in children. Remaining unresolved problems of protocol chemotherapy complications of acute lymphoblastic leukemia. The presented clinical case of successful treatment of thrombosis of mesenteric vessels in a child with acute lymphoblastic leukemia, which included the stages of thrombolytic therapy and surgical treatment for resection of necrotized part of the ileum.

scholarly journals Experience of surgical treatment of a patient with fractures of both necks of the femur on the background of severe osteoporosis

2021 ◽  
Vol 13 (2) ◽  
pp. 83-88
Author(s):  
Oleg N. Yamshchikov ◽  
Sergey А. Emelyanov ◽  
Sergey A. Mordovin ◽  
Anton N. Petrukhin ◽  
Ekaterina A. Kolobova ◽  
...  
Keyword(s):  
Surgical Treatment ◽  
Operating Room ◽  
Successful Treatment ◽  
Clinical Case ◽  
Severe Osteoporosis

The article shows the observation of the successful treatment of a patient with alternate fractures of the femoral necks against the background of osteoporotic lesions of the bone skeleton, examination of the patient and osteosynthesis with 3 AO screws in the operating room. The presented clinical case demonstrates the feasibility of osteosynthesis in a patient with severe osteoporosis.

Clinical case of successful treatment of compartment syndrome, complicated by fat embolism syndrome

2018 ◽  
Vol 16 (7(part 1)) ◽  
pp. 81-84
Author(s):  
I. O. Pankov ◽  
◽  
M. M. Gabdullin ◽  
S. D. Sirazitdinov ◽  
◽  
...  
Keyword(s):  
Compartment Syndrome ◽  
Successful Treatment ◽  
Clinical Case ◽  
Fat Embolism ◽  
Fat Embolism Syndrome ◽  
Embolism Syndrome

Experience of surgical treatment of false popliteal artery aneurysm and tibioperoneal stem. Clinical case

2019 ◽  
Vol 17 (6 (part 2)) ◽  
pp. 84-85
Author(s):  
M. V. Plotnikov ◽  
◽  
E. A. Gaysina ◽  
R. M. Nuretdinov ◽  
L. M. Muhametdinova ◽  
...  
Keyword(s):  
Surgical Treatment ◽  
Popliteal Artery ◽  
Clinical Case ◽  
Artery Aneurysm ◽  
Popliteal Artery Aneurysm

Thyroidectomy in a patient with a giant multinodular nontoxic cervical retrosternal goiter

2020 ◽  
pp. 97-99
Author(s):  
U. V. Kukhtenko ◽  
O. A. Kosivtsov ◽  
L. A. Ryaskov ◽  
E. I. Abramian
Keyword(s):  
Surgical Treatment ◽  
Clinical Case ◽  
Clinical Signs ◽  
Disease Relapse ◽  
Cardiac Pathology ◽  
Nontoxic Goiter ◽  
Retrosternal Goiter

A clinical case of successful surgical treatment of a patient with a giant cervical retrosternal nontoxic goiter with severe cardiac pathology is presented. Thyroidectomy from cervical access without sternotomy was performed. At the follow-up examination 5 months after the operation, instrumental and clinical signs of disease relapse were not detected.

TYPE 2 DIABETES MELLITUS REMISSION AND ITS PREDICTION AFTER TWO-STAGE SURGICAL TREATMENT OF PATIENTS WITH MORBID OBESITY

2019 ◽  
Vol 72 (5) ◽  
pp. 739-743
Author(s):  
Oleksandr Yu. Ioffe ◽  
Mykola S. Kryvopustov ◽  
Yuri A. Dibrova ◽  
Yuri P. Tsiura
Keyword(s):  
Diabetes Mellitus ◽  
Type 2 Diabetes ◽  
Morbid Obesity ◽  
Weight Loss ◽  
Type 2 Diabetes Mellitus ◽  
Surgical Treatment ◽  
Two Stage ◽  
C Peptide ◽  
Peptide Level

Introduction: Morbid obesity (MO) has a significant impact on mortality, health and quality of life of patients. Type 2 diabetes mellitus (T2DM) is a common comorbidity in patients with MO. The aim is to study T2DM remission and to develop a prediction model for T2DM remission after two-stage surgical treatment of patients with MO. Materials and methods: The study included 97 patients with MO. The mean BMI was 68.08 (95% CI: 66.45 - 69.71) kg/m2. 70 (72,2%) patients with MO were diagnosed with T2DM. The first stage of treatment for the main group (n=60) included the IGB placement, for the control group (n=37) - conservative therapy. In the second stage of treatment the patients underwent bariatric surgery. The study addresses such indicators as BMI, percentage of weight loss, percentage of excess weight loss, ASA physical status class, fasting glucose level, HbA1c, C-peptide. Results: Two-stage treatment of morbidly obese patients with T2DM promotes complete T2DM remission in 68.1% of patients. The risk prediction model for failure to achieve complete T2DM remission 12 months after LRYGB based on a baseline C-peptide level has a high predictive value, AUC = 0.84 (95% CI: 0.69-0.93), OR = 0.23 ( 95% CI: 0.08-0.67). Conclusions: Two-stage treatment of patients with MO promotes improvement of carbohydrate metabolism indicators. With a C-peptide level > 3.7 ng/ml, prediction of complete T2DM remission 12 months after Laparoscopic Roux-en-Y Gastric Bypass is favorable.

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