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Bowel perforation due to break and distal passage of the safety ring of an adjustable intra-gastric balloon: A potentially life threatening situation

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World Journal of Gastrointestinal Endoscopy 2015年第4期7卷 429-432页

作者： Ali m Al-zubaidi Hassan U Alghamdi Abdu H Alzobydi Irshad A dhiloon Laeeque A Qureshi King Khalid Hospital King Abdullah medical City

A 45-year-old man of middle Eastern origin, morbid obese, with a body mass index of 39 had an intragastric balloon, filled with 500 mL of saline/methylene blue and intended as definite therapy, inserted some8 wk previously. He was admitted to the emergency department with abdominal cramps. An ultrasound of the abdomen was performed in ER which confirmed the balloon to be in place without any *** was discharged home on symptomatic *** remains symptomatic therefore he reported back to ER 2 d later. Computed tomography scan was performed this time for further evaluation which revealed a metallic ring present in the small bowel while the intra-gastric balloon was in its proper *** was no clinical or radiological sign of intestinal obstruction. Patient was hospitalized for observation and conservative management. The following night,patient experienced sudden and severe abdominal pain, therefore an X-ray of the abdomen in erect position was done, which showed free air under the right dome of diaphragm. Patient was transferred to O.R for emergency laparotomy. There were two small perforations identified at the site of the metallic ring entrapment. The ring was removed and the perforations were repaired. due to increasing prevalence of obesity and advances in modalities for its management,physicians should be aware of treatment options, their benefits, complications and clinical presentation of the known complications. Physicians need to be updated to approach these complications within time, to avoid lifethreatening situations caused by these appliances.

关键词： Spatz adjustable balloon Intragastricballoon morbid obesity Safety ring Perforation

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Epidemiology and Clinical Characteristics of the First 500 Positive Cases of COVId-19. A multicenter Retrospective Study across the Najran Region of the Kingdom of Saudi Arabia (KSA)

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Open Journal of Epidemiology 2021年第3期11卷 222-236页

作者： Hadi J. Al Sulayyim mohammed Ch Al-Noaemi mohammed m. Alyami Shoab ahm.d mohammad H. Alyami Hamad S. Alyami Ali d. Al-Swedan Ibraheem S. Banihameem musallam A. Sedran Ali m. Al-zubaidi Obaid m. Al Abbas General directorate of Health Affairs Najran Ministry of Health Najran KSA Al-Ghad International College of Applied medical Sciences Najran KSA Batterjee medical College Jeddah KSA Najran University Najran KSA

Introduction: Coronavirus disease 2019 (COVId-19) is a viral infection that was first reported in Wuhan, China on 31 december 2019. This study aimed to clarify the epidemiology and clinical characteristics of 500 firs... 详细信息

dana;">Introduction: Coronavirus disease 2019 (COVId-19) is a viral infection that was first reported in Wuhan, China on 31 december 2019. This study aimed to clarify the epidemiology and clinical characteristics of 500 first COVId-19 in the Najran region, Saudi Arabia. material and methods: A multi-center retrospective study design was employed to study the first 500 confirmed COVId-19 positive cases in Najran province, Kingdom of Saudi Arabia (KSA). data were collected from 1 march 2020 until 1 July 2020 and provided by the Infection Prevention and Control (IPC) department from the hospitals. Included cases were confirmed using real-time reverse transcriptase-polymerase chain reaction (RT-PCR). demographic, vital signs, symptoms, incubation period, travel or exposure history medical history, and comorbidities were collected. Logistic regression analysis was used to explore the association between potential risk factors associated with symptoms occurrence of COVId-19. Results: The median age of 500 COVId-19 patients was 31 years;333 (66.6%) males. A total of 34 (6.8%) were Healthcare Workers (HCWs). Out of the 500 patients, 180 (36%) had at least one comorbid disease. The most common symptoms on admission were fever 281 (56.2%), cough 266 (53.2%), shortness of breath 166 (33.2%), and malaise 113 (22.6%). most of the patients presented with mild disease severity 310 (62%). Nationality, age, and diabetes miletus (dm) were independently and significantly associated with being symptomatic (P mpared to Saudi nationals, other nationality patients were most likely to have symptoms (m>βm> = 2.968, CI = 2.002 - 4.400, P = 0.0010). For every 1 year increase in age, the risk of being symptomatic increased by 5.8% (m>βm> = 1.045, CI = 1.033 - 1.058, P = 0.001). Compared with non-dm patients, dm patients had a 4.05 times higher risk (m>βm> = 4.05, CI = 2.188 - 7.507, P = 0.0

关键词： Epidemiology Characteristics COVId-19 Najran KSA

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