Laparoscopic Gastric Plication: Appropriate Option in Times of Crisis?

Hammadieh, Abdul Rahman; Safadi, Mhd Firas; Shaheen, Osama

doi:10.9734/bjmmr/2017/30714

Cited by 3 publications

(4 citation statements)

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“…These results are in agreement with the third International summit on the status of LSG by Deitel et al (20) and with Hammadieh et al (21) who found that LGP is an effective and safe bariatric operation for reducing weight and improving obesity-related comorbidities in the long term, even in times of crisis. Patients achieved an excess weight loss of 65% over a follow-up period of three years.…”

Section: Discussionsupporting

confidence: 91%

Laparoscopic Sleeve Gastrectomy versus Greater Curve Plication in Management of Morbid Obese Patients with Hiatus Hernia

Kandel

Deabes

Mera

2022

SJMS

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Introduction and Aim: Laparoscopic sleeve gastrectomy (LSG) considered the gold standard for management of morbid obesity, but, it has serious complications. Laparoscopic greater curvature plication (LGCP) is a restrictive procedure to lower the complications of LSG with the advantage of being a reversible procedure. The current work was designed to compare between Laparoscopic sleeve gastrectomy and greater curve plication in management of morbid obese patients with hiatus hernia. Methodology: This study included 40 morbidly obese patients with hiatal hernia, who underwent laparoscopic Nissen Fundoplication with Greater Curvature Plication (Group A) or Laparoscopic Crural Repair with Sleeve Gastrectomy (Group B). Results: Vomiting was the most common postoperative complaint. Two out of 20 patients (10%) In cases of LGCP developed prolonged nausea, vomiting and sialorrhea for 5 and 7 days but subsided subsequently with antiemetics, proton pump inhibitors, and prokinetics. Intraoperative hemorrhage in two cases of LGCP, Two out of 20 patients (10%) In cases of LGCP developed prolonged nausea, vomiting and sialorrhea for 5 and 7 days but subsided subsequently with antiemetics, proton pump inhibitors, and prokinetics. Four patients of 20 patients (20%) In cases of LGCP developed weight regain and sleeve gastrectomy revision was obtained by performing re-laparoscopy. Conclusion: LSG is a better procedure than LGCP as the most important disadvantage of Laparoscopic gastric plication are that it causes a high rate of recurrence and occurrence of early postoperative complaints.

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Section: Discussionsupporting

confidence: 91%

Laparoscopic Sleeve Gastrectomy versus Greater Curve Plication in Management of Morbid Obese Patients with Hiatus Hernia

Kandel

Deabes

Mera

2022

SJMS

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“…This also deprived thousands of people of access to health care and urged them to flee to other regions. Low followup rates due to rapid changes in demographics were already reported in other studies on Syrian patients during the crisis [24].…”

Section: Impact Of the Crisis On The Medical Practicementioning

confidence: 66%

“…On the other hand, it is estimated that about 70% of healthcare providers migrated to other countries, which caused them to lose contact with their previous patients or workplaces [24]. Many of the physicians who reported the cases in this study no longer live in Syria.…”

Section: Impact Of the Crisis On The Medical Practicementioning

confidence: 78%

Eight Patients With Pilonidal Carcinoma in One Decade—Is the Incidence Rising?

Safadi¹,

Ghareb²,

Daher³

et al. 2022

Cureus

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Introduction: Carcinoma secondary to pilonidal disease is very rare with fewer than 130 reported cases so far. It is presumed that underreporting and underpublishing contribute to the low reported incidence.Methods: A post was published on a closed Facebook group with about 30,000 Syrian doctors asking if anyone had ever seen a patient with pilonidal carcinoma before. The patients' data were collected retrospectively from the treating physicians.Results: Between 2010 and 2019, we identified eight patients with pilonidal carcinoma. All patients were males with a mean age of 55.5 years. The mean interval between diagnosis of pilonidal disease and diagnosis of carcinoma was 6.9 years. A growing ulcer on the background of a pilonidal sinus disease was the presenting complaint in 50% of cases. Three patients were lost from follow-up after the diagnosis due to referral. All other five patients underwent surgical resection and three of them received postoperative chemoradiation. Four patients were followed for six months or longer: two died of metastases, one survived after recurrence and re-excision, and one survived with no recurrence.Conclusion: This paper presents the largest cohort of pilonidal carcinoma so far and the first that describes the disease in the Syrian population. Due to underreporting, the real incidence of pilonidal carcinoma exceeds what is reported so far in the literature.

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“…The results of the study showed that the mortality rate was lower than the mortality rate in other LSG studies, 0.5% [8] and 0.3% [11]; However, surgery-related mortality decreases as doctors' experience in treating obesity increases.…”

Section: Discussionmentioning

confidence: 78%

Results of Longitudinal gastrectomy in treating diseases associated with obesity

Hammadieh,

Oudeh,

AlAttar

2024

Preprint

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Background & Objective: Laparoscopic gastric bypass surgery is one of the modern obesity operations that relies on the principle of size reduction. The doctors’ motivation behind performing this operation was to obtain better results than other operations, taking into account the costs. The goal of this study is to present the doctors’ experience in this operation. The surgical technique used, and the results they obtained while performing this operation to treat obese patients in Syria. Methods & Material A prospective study was carried out, following a laparoscopic gastric plication technique and was applied on 84 morbidly obese patients between February 2019 and September 2023. There were 14 men and70 women, with a mean age of 29.7 years (range18–65 years) and a mean body mass index of 39.5kg/m2 (range 32–49 kg/m2) superscripted. Results All operations were performed laparoscopically, The average surgical time was 82 minutes (53–175 minutes), and the average hospital stay was 35 hours (30 hours - four days), The average rate of return to usual activity after surgery 7 days (4–25 days), the leading weight loss rates were: 70%, 75%, 80%. 77%, 71%, 78% after: After 6, 12, 18, 24, 30, and 36 months, respectively, weight gain occurred in 4%, 7%, and 7.9% of patients after: 12, 24, and 36 months, respectively. Complications of surgery were: pneumonia, minor bleeding during surgery, vomiting, acute renal failure, pulmonary embolism, leakage, and infection. Conclusion Longitudinal sleeve gastrectomy is effective, safe, and acceptable to patients. It is a procedure with a higher rate of major medical problems than others. Its leading weight loss rate is higher than other size reduction operations. The cost of this operation is very high.

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Laparoscopic Gastric Plication: Appropriate Option in Times of Crisis?

Cited by 3 publications

References 0 publications

Laparoscopic Sleeve Gastrectomy versus Greater Curve Plication in Management of Morbid Obese Patients with Hiatus Hernia

Laparoscopic Sleeve Gastrectomy versus Greater Curve Plication in Management of Morbid Obese Patients with Hiatus Hernia

Eight Patients With Pilonidal Carcinoma in One Decade—Is the Incidence Rising?

Results of Longitudinal gastrectomy in treating diseases associated with obesity

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