Slippage of Gastric Banding for Mobid Obesity: case report and review of literature

2021 ◽  
Vol 1 (1) ◽  
Author(s):  
Danilo Coco ◽  
Silvana Leanza

Background: laparoscopic adjustable gastric banding (LABG) remains the commonest and less invasive bariatric operation. It has many advantages in the treatment of obesity and is associated with low morbidity and mortality rates.When it happens a Gastric Band Slippage (GBS), part of the gastric fundus herniates through the band. Removal of GB is necessary to prevent necrosis of the herniated stomach.Case report: We present a case of a 40-year-old female patient who was admitted for a huge gastric pouch dilatation after 3 years of underwent LAGB.Conclusion: The LAGB is one of the most common procedures used for the treatment of morbid obesity. The complications are generally not mortal but it is necessary that complications have been recognized by general surgeon and physicians should be aware of the symptoms. Diagnosis of GBS can be made with signs or symptoms and patient’s medical history, with the use of oral contrast X-ray studies or CT Scan and surgical intervention is necessary.

2020 ◽  
Vol 21 (4) ◽  
pp. 360-362
Author(s):  
A.M. Efunshile ◽  
C.K. Ojide ◽  
C.C. Nwangwu ◽  
G. Emelobe ◽  
C. Akpa

Hookworm is estimated to infect about 500 million people worldwide. It is usually associated with diarrhoea, abdominal pain and iron deficiency anaemia, but diagnosis can be missed because it sometimes presents unusually or mimics other diseases. We present in this report the case of an 18-year-old asthmatic medical student who was referred to a general surgeon on account of abdominal pain of 8 days duration. His problem started initially with fever, chills and rigor which was managed as malaria but no improvement. The diagnosis shifted from enteric fever to peptic ulcer disease, and his worsening condition was later reviewed as acute abdomen. Abdominal X-ray and ultrasound were normal. Stool microscopy showed numerous ova of hookworm. He was then treated with albendazole leading to full recovery on subsequent follow up. Hookworm disease can mimic a lot of other clinical conditions. A careful review of literature is a reminder that the clinical presentation of hookworm can be diverse and misleading. The current report emphasizes the fact that hookworm should always be considered a possible differential in endemic regions when clinicians are confronted with acute non-malaria febrile illnesses or cases of acute surgical abdomen. Keywords: acute abdomen, fever, hookworm.


2013 ◽  
Vol 33 (1) ◽  
pp. 74-76
Author(s):  
S Basnet ◽  
A Eleena ◽  
AK Sharma

Many children are frequently brought to the paediatric clinic for evaluation of short stature. Evaluation for these children does not go beyond x-ray for bone age estimation and growth hormone analysis. Most of them are considered having constitutional or genetic cause for their short stature. However, shuttle dysmorphic features could be missed in many of them. Hence, many children might be having chromosomal anomaly as an underlying cause. We report a case of 40 months who had been evaluated several times in the past for pneumonia, otitis media and short stature is finally diagnosed to have Turner syndrome. DOI: http://dx.doi.org/10.3126/jnps.v33i1.8174 J Nepal Paediatr Soc. 2013;33(1):74-76


2018 ◽  
Vol 14 (11) ◽  
pp. S180
Author(s):  
Jacob Skeans ◽  
D. Roy Ferguson ◽  
Ronnie Fass ◽  
Eileen Seeholzer ◽  
Sergio Bardaro

2020 ◽  
Vol 21 (24) ◽  
pp. 9617
Author(s):  
Eglantina Idrizaj ◽  
Rachele Garella ◽  
Silvia Nistri ◽  
Alfonso Dell’Accio ◽  
Emanuele Cassioli ◽  
...  

Some adipokines, such as adiponectin (ADPN), other than being implicated in the central regulation of feeding behavior, may influence gastric motor responses, which are a source of peripheral signals that also influence food intake. The present study aims to elucidate the signaling pathways through which ADPN exerts its actions in the mouse gastric fundus. To this purpose, we used a multidisciplinary approach. The mechanical results showed that ADPN caused a decay of the strip basal tension, which was abolished by the nitric oxide (NO) synthesis inhibitor, L-NG-nitro arginine (L-NNA). The electrophysiological experiments confirmed that all ADPN effects were abolished by L-NNA, except for the reduction of Ca2+ current, which was instead prevented by the inhibitor of AMP-activated protein kinase (AMPK), dorsomorphin. The activation of the AMPK signaling by ADPN was confirmed by immunofluorescence analysis, which also revealed the ADPN R1 receptor (AdipoR1) expression in glial cells of the myenteric plexus. In conclusion, our results indicate that ADPN exerts an inhibitory action on the gastric smooth muscle by acting on AdipoR1 and involving the AMPK signaling pathway at the peripheral level. These findings provide novel bases for considering AMPK as a possible pharmacologic target for the potential treatment of obesity and eating disorders.


2000 ◽  
Vol 27 (9) ◽  
pp. 2008-2023 ◽  
Author(s):  
Simon D. Shpilfoygel ◽  
Robert A. Close ◽  
Daniel J. Valentino ◽  
Gary R. Duckwiler

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