Research Article

Hematological Changes post Bariatric Surgery in Saudi Arabia; Single Tertiary Care Center Experience

1. Abstract 1.1. Background: Bariatric surgery is considered a life-saving intervention for treating morbid obesity. The overall reduction in caloric intake accompanied by reduced intake of proteins and several key nutrients, such as iron and vitamin B12 can severely affect various hematological markers, including hemoglobin, hematocrit, and RBC count. This study aimed to investigate the …

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Measure Twice, Cut Once: Appraising The Safety of ERCP in IBD

1. Abstract 1.1. Background: Advanced endoscopy, namely endoscopic retrograde cholangiopancreatography (ERCP), has an integral role in the diagnosis and management of patients with Inflammatory Bowel Disease (IBD). ERCP is frequently performed in this population to diagnose Primary Sclerosing Cholangitis (PSC) or to manage strictures. This study aims to evaluate ERCP-related AEs in IBD patients using …

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Potential of Absorption, Capillary Effect and Sponge-Effect in Endoscopic-Assisted Therapy for Leaks and Fistulas

1. Abstract 1.1. Introduction: Anastomotic leaks and fistulas as well as perforations do lead to increased morbidity and mortality. Several interventional endoscopic techniques such as stents, clips, endoscopic suturing and endoscopic vacuum therapy, can help in reducing an unfavorable outcome of these patients, using a differentiated management of leakages. An important feature of these therapeutic …

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Primary Fistulotomy and Surgical Drainage Abscess is Associated with Low Fistula Recurrence Rate

1. Abstract 1.1. Background: Anorectal abscesses have become a common surgical problem, approximately one third of them also have anal fistulae; management can be conservative with antibiotics or needle aspiration and simple drainage with local anesthesia, considering them sufficient to remit the acute condition of this pathology. However, this line of treatment has been associated …

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In-Hospital Mortality of Patients with Liver Failure: A Propensity Score Matched Cohort Study

1. Abstract 1.1. Background: Model for End-stage Liver Disease (MELD) has been considered as a poor prognostic indicator for patients with liver failure in most previous studies, however, some studies suggest that MELD is not ideal in clinical application. Therefore, new studies on MELD and poor outcomes in patients with liver failure are still necessary. …

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Transjugular Intrahepatic Portosystemic Shunt Infection: A Case Study of Bacteraemia caused by Escherichia Coli

1. Abstract 1.1. Background It is widely believed that liver transplantation is the only way to cure hepatic cirrhosis. However, due to limited funds and liver donors, liver transplantation is seldom performed in Asia, especially in China. For patients who have experienced oesophageal and gastric varices bleeding and waiting for a liver transplant, transjugular intrahepatic …

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