Jejunal diverticula are quite rare. Furthermore, small bowel diverticular disease resulting in enteroliths can lead to complications necessitating surgical intervention. In this manuscript, we report two presentations of jejunal diverticulum with complications from enteroliths followed by a review of the literature. The first case was that of a 79-year-old male who presented with abdominal pain and was found, on computed tomography (CT) scan, to have evidence of intestinal perforation. A laparotomy showed that he had perforated jejunal diverticulitis. The second case was that of an 89-year-old female who presented with recurrent episodes of bowel obstruction. A laparotomy showed that she had an enterolith impacted in her jejunum in the presence of significant diverticular disease. Although a rare entity, familiarity with jejunal diverticular disease, its complications, and its management, should be part of every surgeon's base of knowledge when considering abdominal pathology.

Introduction: Despite efforts on the part of patients, some are not able to achieve significant weight loss because of poor compliance with balanced diets and exercise programs. The tongue patch is a means of ensuring that the patient abides by a strict low-calorie diet plan to achieve maximal weight loss, while engaging in a moderate exercise regimen. Materials and Methods: A retrospective chart review was performed on patients who underwent the tongue patch procedure from 2009 to 2013. All patients had a piece of marlex mesh affixed to the tongue using prolene sutures. At the 30-day mark, each patient's weight was recorded. Data were then tabulated. Complications were also identified from the patient charts and analyzed. Results: A total of 81 patients received the tongue patch. Mean weight loss was 7.26 kg (16.0 lb; range = 0–16.8 kg/0–37 lb). The total weight lost by all participants was 501 kg (1104.5 lb). The average starting body mass index was 32.4 kg/m2 (range = 24.3–45.3 kg/m2) and average change in body mass index was 2.9 kg/m2 (range = 0–5.1 kg/m2). No serious complications were noted. Conclusions: While maintaining a strict low-calorie diet plan and adhering to a regular exercise regimen, patients using a tongue patch can achieve significant weight loss over a 30-day period with relatively minimal procedural risk.

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Objective: Reality, documentary, and makeover programs have all helped to eliminate certain taboos previously associated with cosmetic surgical procedures. As a direct result of this phenomenon, men have expressed greater interest in cosmetic surgery. Over the past 5 years, Dr Chugay and colleagues have been working to promote the use of a bicipital prosthesis for aesthetic augmentation of the biceps muscle. This article is designed to further elucidate the complications that have been encountered with the procedure to date and changes in technique that have made this a viable option for male muscular enhancement. Methods: A retrospective review of prospectively collected data on 94 patients was undertaken to determine the cosmetic improvements and complications seen in the patient population. Silicone prostheses were placed below the biceps muscle in each case to provide greater definition and fullness in the region of the biceps. Results: Over a 5-year period, 94 patients underwent bicipital augmentation. Of those cases, there were 3 major complications. One patient developed a large seroma due to poor compliance with postoperative instructions for compressive garment use. A second patient suffered a dislodgement of the implant with protrusion of the implant from beneath the muscle. The third complication encountered was that of compartment syndrome in a patient who underwent both biceps and triceps augmentation. Conclusion: Despite the risks inherent in performing surgery in the upper extremity, the bicipital augmentation procedure is a means by which the male physique can be enhanced with minimal risk of complication when performed using our technique.

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