Introduction Obesity and the associated metabolic syndrome are global health problems. Significant weight loss after bariatric surgery can cause a substantial difference in those comorbidities in obese patients. In this case, we described a rare complication of a patient who developed acute liver failure after an uneventful one anastomosis gastric bypass treated conservatively and revision of the one anastomosis gastric bypass to normal anatomy. Case presentation We present a 52-year-old female known to have hypothyroidism and morbid obesity with a BMI of 45. For that, she underwent uneventful one anastomosis gastric bypass. Later, she developed liver failure and hepatic encephalopathy, which was managed conservatively and revision surgery to normal anatomy. Discussion Bariatric surgery plays an integral role in treating obese patients for its associated impacts, like facilitating weight loss and related metabolic syndrome improvement. The effects of bariatric surgery on liver functioning are controversial. Some malabsorptive procedures are linked to postoperative hepatic complications. However, it is uncommon in a recent new technique in bariatric surgery. Liver transplant and revision of the bariatric surgery have been described as management. However, optimal nutrition support without a liver transplant along with revision surgery is possible in experienced hands. Conclusion Early detection of liver impairment and early intervention by a revision to normal anatomy by an experienced surgeon is considered the safest and most effective procedure for such patients. However, late detection where liver failure occurs, liver transplantation is the only effective treatment for preventing fatal outcomes.
This study aims to identify the current status of publishing special education researches in Saudi scientific journals in the period of (2015 - 2021) and provides an analysis of research trends concerning the topics published. The study also sheds light on the variation of topics tackled in the published researches, according to specific criteria which include the research methodology, disabilities categories covered by the studies, samples, academic stages, where studies were geographically conducted, type of participation in publishing, study levels, and research financing. The analysis includes (359) researches from (32) Saudi scientific journals, which are analyzed by using the bibliometric approach. The study arrives at that the percentage of publishing the special education researches has reached (6.97%) of the total studies published in (2015 – 2021). The results indicated the top scientific journals that publishing researches in special education in the targeted period, determining the most studied disability categories, and type of research methods that used in these studies. The findings show the most special education researches have been applied in the main cities in the Kingdom. In terms of the types of authorship, it has been found that researchers are considerably inclined to the individual publication, and only a small number of studies have received financial support. Based on the results of the analysis, recommendations were made to direct scientific research in the field of special education in the future.
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