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El Ansari, W., Suominen, S., El-Ansari, K. & Šebeňa, R. (2023). Are behavioural risk factors clusters associated with self-reported health complaints?: University students in Finland. Central European Journal of Public Health, 31(4), 248-255
Open this publication in new window or tab >>Are behavioural risk factors clusters associated with self-reported health complaints?: University students in Finland
2023 (English)In: Central European Journal of Public Health, ISSN 1210-7778, E-ISSN 1803-1048, Vol. 31, no 4, p. 248-255Article in journal (Refereed) Published
Abstract [en]

OBJECTIVES: No previous research of university students in Finland assessed lifestyle behavioural risk factors (BRFs) and categorized students into clusters, explored the associations of the clusters with self-reported health complaints (HCs), whilst controlling for potential confounders. The current study undertook this task. METHODS: Students at the University of Turku (1,177) completed an online well-being questionnaire that assessed socio-demographic variables, 5 BRFs - problematic alcohol consumption, smoking, illicit drug use, food consumption habits, moderate-to-vigorous physical activity (MVPA), and 22 HCs. A food frequency questionnaire assessed students' consumption of a range of foods, and a dietary guideline adherence score was computed based on WHO dietary recommendations for Europe. Three separate regression models appraised the associations between the cluster membership and HCs factors, adjusting for sex, income sufficiency and self-rated health. RESULTS: Mean age was 23 ± 5.2 years, 77% had never smoked and 79% never used illicit drug/s. Factor analysis of HCs resulted in four-factors (psychological, circulatory/breathing, gastro-intestinal, pains/aches); cluster analysis of BRFs identified two distinctive student clusters. Cluster 1 represented more healthy students who never smoked/used illicit drugs, had no problematic drinking, and undertook MVPA on 4.42 ± 3.36 days/week. As for cluster 2 students, half the cluster smoked occasionally/daily, used illicit drug/s, and > 50% had problematic drinking and students undertook MVPA on 4.02 ± 3.12 days/week. More cluster 2 students adhered to healthy eating recommendations, but the difference was not significant between clusters. Regression analysis revealed that females, those with sufficient income, and with excellent/very good self-rated general health were significantly less likely to report all four HCs. Cluster 2 students were significantly more likely to report psychological complaints, circulatory/breathing and gastro-intestinal complaints. There was no significant association between BRFs clusters and pains/aches factor. CONCLUSIONS: Risk taking students with less healthy lifestyles and behaviour were consistently associated with poorer psychological and somatic health.

Place, publisher, year, edition, pages
Prague: National Institute of Public Health, 2023
Keywords
behavioural risk factors, cluster analysis, complaints, psychological, somatic, university students, Adolescent, Adult, Female, Finland, Humans, Illicit Drugs, Pain, Risk Factors, Self Report, Students, Surveys and Questionnaires, Universities, Young Adult, illicit drug, epidemiology, human, psychology, questionnaire, risk factor, student, university
National Category
Public Health, Global Health, Social Medicine and Epidemiology Occupational Health and Environmental Health
Research subject
Research on Citizen Centered Health, University of Skövde (Reacch US)
Identifiers
urn:nbn:se:his:diva-23601 (URN)10.21101/cejph.a7916 (DOI)38309702 (PubMedID)2-s2.0-85184098354 (Scopus ID)
Note

The authors thank the University and students who participated in the survey. This work was supported by the Slovak Research and Development Agency under the contract No. APVV-19-0284

Available from: 2024-02-15 Created: 2024-02-15 Last updated: 2024-02-16Bibliographically approved
Elhag, W. & El Ansari, W. (2022). Effectiveness and Safety of Liraglutide in Managing Inadequate Weight Loss and Weight Regain after Primary and Revisional Bariatric Surgery: Anthropometric and Cardiometabolic Outcomes. Obesity Surgery, 32(4), 1005-1015
Open this publication in new window or tab >>Effectiveness and Safety of Liraglutide in Managing Inadequate Weight Loss and Weight Regain after Primary and Revisional Bariatric Surgery: Anthropometric and Cardiometabolic Outcomes
2022 (English)In: Obesity Surgery, ISSN 0960-8923, E-ISSN 1708-0428, Vol. 32, no 4, p. 1005-1015Article in journal (Refereed) Published
Abstract [en]

Background: No study appraised the effectiveness and safety of liraglutide in managing inadequate weight loss or weight regain (IWL/ WR) after primary versus revisional bariatric surgery (BS). Methods: Retrospective study of all eligible adults who completed liraglutide 3 mg therapy for IWL/WR after primary or revisional BS at our institution between May 2016 and June 2019 (N = 145; 119 primary, 82%; 26 revisional, 18%). Changes in anthropometric and cardiometabolic parameters were assessed before the start of liraglutide and at 6 and 12 months after treatment. Results: The mean age was 43.32 ± 10.49 years, and 83% were females. Patients received liraglutide at a mean of 54.10 ± 31.75 months after their BS, for WR (74.3%) or IWL (25.6%). Liraglutide significantly reduced weight and BMI among primary and revisional patients (P < 0.0001 for all) and was equally effective in these reductions for both groups. Primary patients achieved total weight loss percentage (TWL%) of 5.97% and 6.93% at 6 and 12 months. Additionally, 52.3% and 60% of the patients lost ≥ 5% of their total weight (TW) at 6 and 12 months after primary BS. Revisional patients achieved TWL% of 6.41% and 4.99% at 6 and 12 months, and 60% and 48% of patients lost ≥ 5% TW at the two time points. Liraglutide did not improve cardiometabolic outcome for primary patients; for revisional patients, only the systolic blood pressure decreased after treatment. Liraglutide was well tolerated, and the most common side effect was nausea. Conclusions: Liraglutide is useful as an adjunct weight loss medication for patients achieving unsatisfactory outcomes with BS. Graphical abstract: [Figure not available: see fulltext.] 

Place, publisher, year, edition, pages
Springer, 2022
Keywords
Bariatric surgery, Dyslipidemia, Hypertension, Insufficient weight loss, Liraglutide, Type 2 diabetes, Weigh regain, Weight loss medication
National Category
Surgery
Research subject
Research on Citizen Centered Health, University of Skövde (Reacch US)
Identifiers
urn:nbn:se:his:diva-20890 (URN)10.1007/s11695-021-05884-y (DOI)000744833000003 ()35060021 (PubMedID)2-s2.0-85123267213 (Scopus ID)
Note

© 2022, The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature.

Published: 20 January 2022

Available from: 2022-02-03 Created: 2022-02-03 Last updated: 2022-04-21Bibliographically approved
Alobaidy, A., Ibrahim, T., El Ansari, W., Tawfik, H., Al-Naimi, A., Hussain, S. & Al-Ansari, A. (2022). Grooved vs smooth ureteric stent before extracorporeal shockwave lithotripsy: Single-blind randomised clinical trial. Arab Journal of Urology, 20(1), 41-48
Open this publication in new window or tab >>Grooved vs smooth ureteric stent before extracorporeal shockwave lithotripsy: Single-blind randomised clinical trial
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2022 (English)In: Arab Journal of Urology, ISSN 2090-598X, Vol. 20, no 1, p. 41-48Article in journal (Refereed) Published
Abstract [en]

Objective: No study compared the grooved stent to the widely used standard smooth (nongrooved) stent in humans. We compared stone clearance, complications, and patient tolerance of the grooved stent vs standard JJ stent. Patients and Methods: Single-blinded randomised trial among patients planned for pre-extracorporeal shockwave lithotripsy (ESWL) stenting. Adult patients with unilateral ureteric/ renal stones planned for ESWL were randomly assigned to receive (Percuflex) smooth ureteric stent or (Visiostar) grooved lithotripsy stent and blinded to the stent type. We collected and compared the baseline data and outcomes (stone-free rate, complications, and stent-related symptoms) of both patient groups. Results: A total of 96 adults were included (48 per arm). There were no significant differences between the groups at baseline in terms of demographics, body mass index, comorbidities, renal function, number of ESWL sessions, and stone characteristics, including pre-ESWL stone volume (mean [SD] smooth 310.2 [301.6] vs grooved 270.7 [278.6] mm3, P = 0.5). Stone clearance was statistically insignificant between the groups, although clinically relevant (smooth stent 70.8% vs grooved stent 81.2%, P = 0.2). Grooved-stent patients reported comparable urinary symptoms score (P = 0.05) and operative complications (P = 0.6), but significantly more urinary tract infections (UTIs) not requiring hospitalisation (P = 0.003). Conclusions: Although statistically insignificant, the grooved stent exhibited higher stone clearance compared to the smooth stent, with similar complication rates excpet that patients with grooved stents reported more UTIs. A re-visit to the size of the outer diameter of the grooved stent could enhance its stone clearance properties, and further development of its coating material could lead to better patient satisfaction.

Place, publisher, year, edition, pages
Taylor & Francis Group, 2022
Keywords
Grooved stent, lithotripsy, randomised controlled trial, stone, ureteric stent
National Category
Medical and Health Sciences Clinical Medicine Surgery
Research subject
Research on Citizen Centered Health, University of Skövde (Reacch US)
Identifiers
urn:nbn:se:his:diva-20809 (URN)10.1080/2090598X.2021.2004502 (DOI)000728746500001 ()35223109 (PubMedID)2-s2.0-85121302742 (Scopus ID)
Note

CC BY 4.0

Contact Walid El Ansari Email iconwelansari9@gmail.com Department of Surgery, Hamad Medical Corporation, Doha 3050, Qatar

Published online: 07 Dec 2021

Available from: 2021-12-23 Created: 2021-12-23 Last updated: 2022-04-11Bibliographically approved
Ali, S. A. & El Ansari, W. (2022). Is tele-diagnosis of dental conditions reliable during COVID-19 pandemic?: Agreement between tentative diagnosis via synchronous audioconferencing and definitive clinical diagnosis. Journal of Dentistry, 122, Article ID 104144.
Open this publication in new window or tab >>Is tele-diagnosis of dental conditions reliable during COVID-19 pandemic?: Agreement between tentative diagnosis via synchronous audioconferencing and definitive clinical diagnosis
2022 (English)In: Journal of Dentistry, ISSN 0300-5712, E-ISSN 1879-176X, Vol. 122, article id 104144Article in journal (Refereed) Published
Abstract [en]

Objectives: To assess the reliability of synchronous audioconferencing teledentistry (TD) in making tentative diagnosis compared to definitive clinical face-to-face (CFTF) diagnosis; and whether agreement was influenced by dentist's experience, caller-patient relationship, and time of call. Methods: All patients calling the TD hotline during COVID-19 pandemic, triaged as emergency/ urgent and referred for CFTF care were included (N=191). Hotline dentists triaged the calls, made tentative audio-dentistry (AD) diagnosis, while dentists at point of referral made the definitive CFTF diagnosis. Cohen's weighted kappa (κ) assessed the extent of agreement between AD vs CFTF diagnosis. Results: There was significantly very good pair-wise agreement (κ = 0.853, P < 0.0001) between AD and CFTF diagnosis. AD diagnosis of pulpitis and periodontitis exhibited the most frequent disagreements. Tele-dentists with ≥ 20 years’ experience exhibited the highest level of agreement (κ =0.872, P < 0.0001). There was perfect agreement when mothers mediated the call (κ = 1, P < 0.0001), and very good agreement for calls received between 7 am-2 pm (κ = 0.880, P < 0.0001) compared to calls received between 2-10 pm (κ = 0.793, P < 0.0001). Conclusions: Remote tentative diagnosis using AD is safe and reliable. Reliability was generally very good but varied by dentist's experience, caller-patient relationship, and time of call. Clinical significance: The findings suggest that using AD in the home environment is safe and reliable, deploying providers with variable years of experience. The findings have generalizability potential to a variety of similar circumstances, healthcare settings and epi/pandemic situations. 

Place, publisher, year, edition, pages
Elsevier, 2022
Keywords
Audio-dentistry, Audio-diagnosis, Dental emergencies, Teleconsultation, Teledentistry, Teletriage
National Category
Public Health, Global Health, Social Medicine and Epidemiology
Research subject
Research on Citizen Centered Health, University of Skövde (Reacch US)
Identifiers
urn:nbn:se:his:diva-21199 (URN)10.1016/j.jdent.2022.104144 (DOI)000804944200003 ()35487287 (PubMedID)2-s2.0-85130378516 (Scopus ID)
Note

CC BY 4.0

Available from: 2022-06-02 Created: 2022-06-02 Last updated: 2022-07-13Bibliographically approved
Elhag, W. & El Ansari, W. (2022). Multiple nutritional deficiencies among adolescents undergoing bariatric surgery: who is at risk?. Surgery for Obesity and Related Diseases, 18(3), 413-424
Open this publication in new window or tab >>Multiple nutritional deficiencies among adolescents undergoing bariatric surgery: who is at risk?
2022 (English)In: Surgery for Obesity and Related Diseases, ISSN 1550-7289, E-ISSN 1878-7533, Vol. 18, no 3, p. 413-424Article in journal (Refereed) Published
Abstract [en]

Background: Nutritional deficiencies among adolescents undergoing bariatric surgery (BS) have not been evaluated a in relation to patient's sex. Objectives: We compared the preoperative nutritional profile of adolescents characterized by sex and single versus multiple deficiencies. Setting: University hospital. Methods: Cross-sectional retrospective chart review of 415 eligible adolescents who underwent primary BS between 2011 and 2020. Data included preoperative demographic, anthropometric information as well as three sets of nutritional variables: anemia-related, calcium-related, and other nutritional variables. Results: The sample comprised 247 males (59.5%) with a mean age of 15.89 ± 1.03 years and a mean body mass index (BMI) of 47.80 ± 6.57 kg/m2. Most common deficiencies were vitamin D (92.3%), albumin (51.8%), anemia (15.9%), zinc (11.1%), and vitamin B12 (8%); 21.7% had hyperparathyroidism. Females exhibited a significantly higher prevalence of low hemoglobin, low hematocrit, and iron deficiency. Multiple deficiencies were present among 97.6%, 73.2%, 23.6%, 15%, and 12.6% of adolescents, who had vitamin D, albumin, hemoglobin, zinc, and vitamin B12 deficiencies, respectively. Univariate analysis revealed that adolescents with a BMI of ≥50 kg/m2 were 1.24 times more likely to have multiple deficiencies (P = .004). Using multivariate log-binomial regression, BMI of ≥50 kg/m2 was a significant predictor of multiple nutritional deficiencies (P = .005, adjusted risk ratio = 1.23, 95% CI 1.06–1.42). Age and sex were not independent predictors of multiple nutritional deficiencies. Conclusion: To our knowledge, this study is the first to appraise single and multiple nutritional deficiencies in adolescents undergoing BS by sex. Multiple deficiencies were common. Females are at higher risk of anemia-related deficiencies. A BMI of ≥50 kg/m2 independently and significantly predicted multiple nutritional deficiencies. Correction before and monitoring after surgery are important. © 2021 American Society for Bariatric Surgery

Place, publisher, year, edition, pages
Elsevier, 2022
Keywords
Adolescents, Bariatric surgery candidates, Gender, Nutritional deficiency, Nutritional status, Obesity
National Category
Surgery Nutrition and Dietetics
Research subject
Research on Citizen Centered Health, University of Skövde (Reacch US)
Identifiers
urn:nbn:se:his:diva-20823 (URN)10.1016/j.soard.2021.10.024 (DOI)000767316500019 ()34930699 (PubMedID)2-s2.0-85121343089 (Scopus ID)
Note

© 2021 American Society for Bariatric Surgery. Published by Elsevier Inc. All rights reserved.

Correspondence Address: El Ansari, W.; Department of Surgery, Qatar; email: welansari9@gmail.com

Available from: 2021-12-30 Created: 2021-12-30 Last updated: 2022-04-11Bibliographically approved
Elhag, W. & El Ansari, W. (2022). Nutritional Deficiencies Among Adolescents Before and After Sleeve Gastrectomy: First Study with 9-Year Follow-up. Obesity Surgery, 32(2), 284-294
Open this publication in new window or tab >>Nutritional Deficiencies Among Adolescents Before and After Sleeve Gastrectomy: First Study with 9-Year Follow-up
2022 (English)In: Obesity Surgery, ISSN 0960-8923, E-ISSN 1708-0428, Vol. 32, no 2, p. 284-294Article in journal (Refereed) Published
Abstract [en]

Background: Globally, only two studies appraised the long-term nutritional status of adolescents after laparoscopic sleeve gastrectomy (LSG). Methods: Retrospective chart review of all adolescents aged ≤ 18 years who underwent LSG with ≥ 5 years follow-up and had no subsequent revisional surgery (N = 146). We assessed 15 nutritional parameters preoperatively and at 1, 3, 5, 7, and 9 years post surgery. Results: Mean age was 16.51 ± 1.29 years, 51% were males. We identified three patterns:1) Significant worsening of preoperative deficiencies: 4.7% and 0.8% of the sample exhibited zinc and vitamin B12 deficiencies, worsening to 20.8% and 12.8% at 1 year, respectively. Likewise, 0.7% of the sample had low total protein, worsening to 8.3% at year 3. A total of 32.4% of females had preoperative low hemoglobin worsening to 57.9% at year 5.2) Significant improvement: the percentage of males with preoperative low hemoglobin (5.6%) was reduced to 4.1% and 5.1% at years 1 and 3, respectively.3) Persistent deficiency: all (100%) of adolescents had preoperative vitamin D deficiency that persisted through years 3 and 9 at 90.5% and 100%, respectively. The most common complications were food intolerance (51%), vomiting (47.5%), gastritis/ esophagitis (35.7%), and gastroesophageal reflux disease (20.3%). We observed one case of Wernicke’s encephalopathy. Across the 9 years, 15.4% of the adolescents underwent intra-abdominal surgeries where 12.6% had cholecystectomy and one patient had appendectomy. Conclusion: Adolescents had several preoperative nutritional deficiencies, most of which worsened or persisted on the long term. This is the first study among adolescents to assess such deficiencies beyond 5 years. Graphical Abstract: [Figure not available: see fulltext.]. 

Place, publisher, year, edition, pages
Springer, 2022
Keywords
Adolescents, Bariatric surgery, Laparoscopic sleeve gastrectomy, Long-term outcomes, Micronutrients, Nutritional deficiencies, Vitamins deficiency
National Category
Surgery Gastroenterology and Hepatology Endocrinology and Diabetes
Research subject
Research on Citizen Centered Health, University of Skövde (Reacch US)
Identifiers
urn:nbn:se:his:diva-20764 (URN)10.1007/s11695-021-05767-2 (DOI)000718069300002 ()34773598 (PubMedID)2-s2.0-85119343134 (Scopus ID)
Note

© 2021, The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature.

Published: 13 November 2021

Available from: 2021-12-02 Created: 2021-12-02 Last updated: 2022-04-11Bibliographically approved
El Ansari, W. & Elhag, W. (2022). Preoperative Prediction of Body Mass Index of Patients with Type 2 Diabetes at 1 Year After Laparoscopic Sleeve Gastrectomy: Cross-Sectional Study. Metabolic Syndrome and Related Disorders, 20(6), 360-366
Open this publication in new window or tab >>Preoperative Prediction of Body Mass Index of Patients with Type 2 Diabetes at 1 Year After Laparoscopic Sleeve Gastrectomy: Cross-Sectional Study
2022 (English)In: Metabolic Syndrome and Related Disorders, ISSN 1540-4196, E-ISSN 1557-8518, Vol. 20, no 6, p. 360-366Article in journal (Refereed) Published
Abstract [en]

Background: Very few models predict weight loss among type 2 diabetes mellitus (T2D) patients after laparoscopic sleeve gastrectomy (LSG). This retrospective study undertook such a task. Materials and Methods: We identified all patients >18 years old with T2D who underwent primary LSG at our institution and had complete data. The training set comprised 107 patients operated upon during the period April 2011 to June 2014; the validation set comprised 134 patients operated upon during the successive chronological period, July 2014 to December 2015. Sex, age, presurgery BMI, T2D duration, number of T2D medications, insulin use, hypertension, and dyslipidemia were utilized as independent predictors of 1-year BMI. We employed regression analysis, and assessed the goodness of fit and "Residuals versus Fits" plot. Paired sample t-tests compared the observed and predicted BMI at 1 year. Results: The model comprised preoperative BMI (β = 0.757, P = 0.026) + age (β = 0.142, P < 0.0001) with adjusted R2 of 0.581 (P < 0.0001), and goodness of fit showed an unbiased model with accurate prediction. The equation was: BMI value 1 year after LSG = 1.777 + 0.614 × presurgery BMI (kg/m2) +0.106 × age (years). For validation, the equation exhibited an adjusted R2 0.550 (P < 0.0001), and the goodness of fit indicated an unbiased model. The BMI predicted by the model fell within -3.78 BMI points to +2.42 points of the observed 1-year BMI. Pairwise difference between the mean 1-year observed and predicted BMI was not significant (-0.41 kg/m2, P = 0.225). Conclusions: This predictive model estimates the BMI 1 year after LSG. The model comprises preoperative BMI and age. It allows the forecast of patients' BMI after surgery, hence setting realistic expectations which are critical for patient satisfaction after bariatric surgery. An attainable target motivates the patient to achieve it.

Place, publisher, year, edition, pages
Mary Ann Liebert, 2022
Keywords
body mass index, laparoscopic sleeve gastrectomy, model, prediction at 1 year, type 2 diabetes mellitus, weight loss
National Category
Surgery Health Care Service and Management, Health Policy and Services and Health Economy Bio Materials
Research subject
Research on Citizen Centered Health, University of Skövde (Reacch US)
Identifiers
urn:nbn:se:his:diva-21742 (URN)10.1089/met.2021.0153 (DOI)000876255500001 ()35506900 (PubMedID)2-s2.0-85136342905 (Scopus ID)
Available from: 2022-09-01 Created: 2022-09-01 Last updated: 2023-08-23Bibliographically approved
Ali, S. A., Al-Qahtani, A. M., Al Banai, S. R., Albaker, F. J., Almarri, A. E., Al-Haithami, K., . . . El Ansari, W. (2022). Role of Newly Introduced Teledentistry Service in the Management of Dental Emergencies During COVID-19 Pandemic in Qatar: A Cross-Sectional Analysis. Telemedicine journal and e-health, 28(11), 1623-1632
Open this publication in new window or tab >>Role of Newly Introduced Teledentistry Service in the Management of Dental Emergencies During COVID-19 Pandemic in Qatar: A Cross-Sectional Analysis
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2022 (English)In: Telemedicine journal and e-health, ISSN 1530-5627, E-ISSN 1556-3669, Vol. 28, no 11, p. 1623-1632Article in journal (Refereed) Published
Abstract [en]

Introduction: The lockdown imposed by the COVID-19 pandemic rendered teledentistry (TD) necessary to maintain the continuity of oral health services and avoid missing emergency dental conditions, while minimizing face-to-face visits. Our objective was to evaluate the ability of a newly introduced triage-based TD service to deliver its goals, by evaluating its processes and outcomes and assessing the demand for TD. Methods: This cross-sectional report assessed the triage processes and outcomes (triage category, referral to emergency/dental facility undertaken, remote medications prescribed, and procedures performed at the point of referral); and evaluated the demand for the newly introduced TD service during 5 months of the first wave of the pandemic. Results: Of 850 calls, about 70.6% of the samples were managed remotely; 29.4% were categorized as emergency/urgent and referred to the emergency/dental facility. Compared with other complaints, orofacial dental pain was the most common reason for the calls (41.6%, p < 0.0001). About 14.71% of callers received prescription for medications remotely. The most demanded disciplines were general dentistry, orthodontics, and oral surgery, respectively (p < 0.0001). Of those referred to a dental facility, 31.84% required no clinical intervention, 28.7% received orthodontic appliance repair, and 14.3% and 11.2% had urgent dental extractions or root canal treatments. Demand on the service fluctuated through various distinct stages of the lockdown. Conclusions: There has been continuous demand for the newly introduced TD service throughout the period of the current report despite the fluctuations, with most complaints managed remotely. TD was effective and suitable for triage, service delivery, and care during the pandemic.

Place, publisher, year, edition, pages
Mary Ann Liebert, 2022
Keywords
COVID-19, access to care, dental emergency, teledentistry, telemedicine, teletriage
National Category
Public Health, Global Health, Social Medicine and Epidemiology
Research subject
Research on Citizen Centered Health, University of Skövde (Reacch US)
Identifiers
urn:nbn:se:his:diva-21071 (URN)10.1089/tmj.2021.0584 (DOI)000774445700001 ()35333637 (PubMedID)2-s2.0-85140737703 (Scopus ID)
Note

CC BY 4.0

Address correspondence to: Shaymaa Abdulreda Ali, BDS, MClinDent Orth, MBA, PgCert Res, MOrth RCSED, FDS RCSED, Unit of Orthodontics/Hamad Dental Center, Hamad Medical Corporation, PO Box 3050, Doha, Qatar E-mail: shaymaabdulreda@gmail.com

Published online March 24, 2022

Available from: 2022-04-21 Created: 2022-04-21 Last updated: 2023-08-22Bibliographically approved
Salaheldin, Y., El Ansari, W., Aljaloudi, E. & Elhag, W. (2022). Third reported case of rare necrolytic migratory erythema associated with bacteraemia due to severe zinc deficiency after revisional Roux-En-Y gastric bypass: case report and literature review. Eating and Weight Disorders, 27(3), 1235-1241
Open this publication in new window or tab >>Third reported case of rare necrolytic migratory erythema associated with bacteraemia due to severe zinc deficiency after revisional Roux-En-Y gastric bypass: case report and literature review
2022 (English)In: Eating and Weight Disorders, ISSN 1124-4909, E-ISSN 1590-1262, Vol. 27, no 3, p. 1235-1241Article, review/survey (Refereed) Published
Abstract [en]

INTRODUCTION: Obesity is a risk factor for zinc deficiency. After bariatric surgery, non-compliance to diet/vitamin supplements, surgical complications leading to vomiting/diarrhea, poor follow-up and malabsorption can precipitate or exacerbate pre-existing zinc deficiency.

CASE REPORT: We report a patient with rare necrolytic migratory erythema associated with bacteraemia due to severe zinc deficiency after revisional Roux-en-Y gastric bypass (following primary laparoscopic sleeve gastrectomy).

CONCLUSION: Bariatric teams should screen patients before bariatric surgery for nutritional deficiencies and continue surveillance of their nutritional status after surgery. They should maintain a high index of suspicion for zinc deficiency in patients with skin rash after bariatric surgery.

LEVEL OF EVIDENCE: Level V, case report.

Place, publisher, year, edition, pages
Springer, 2022
Keywords
Bacteraemia, Necrolytic migratory erythema, Revisional Roux-En-Y gastric bypass, Zinc deficiency
National Category
Surgery
Research subject
Research on Citizen Centered Health, University of Skövde (Reacch US)
Identifiers
urn:nbn:se:his:diva-19774 (URN)10.1007/s40519-021-01154-z (DOI)000656764400001 ()34061321 (PubMedID)2-s2.0-85107384760 (Scopus ID)
Note

CC BY 4.0

Published: 01 June 2021 [ahead of print]

Correspondence to Walid El Ansari.

Open access funding provided by Qatar National Library.

Available from: 2021-06-10 Created: 2021-06-10 Last updated: 2022-04-19Bibliographically approved
Al Hassan, M. S., El Ansari, W., El Baba, H., Petkar, M. & Abdelaal, A. (2022). What you see might not be what you get: Analysis of 15 prospective cases of non-invasive follicular thyroid neoplasm with papillary-like nuclear features (NIFTP). International Journal of Surgery Case Reports, 91, Article ID 106751.
Open this publication in new window or tab >>What you see might not be what you get: Analysis of 15 prospective cases of non-invasive follicular thyroid neoplasm with papillary-like nuclear features (NIFTP)
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2022 (English)In: International Journal of Surgery Case Reports, E-ISSN 2210-2612, Vol. 91, article id 106751Article in journal (Refereed) Published
Abstract [en]

Introduction: Noninvasive follicular thyroid neoplasm with papillary-like nuclear (NIFTP) is a new entity. No previous study reported prospective cases, outlining using many quantitative and qualitative variables. Methods: Retrospective analysis of all (15) prospective NIFTP cases diagnosed between 2017 and 2021 at our institution. Statistical quantitative analysis outlined demographic, history, ultrasound, histopathology and treatment characteristics. Qualitative analysis examined the cases, with details provided on three cases to highlight the different possible presentations and configurations. Results: Mean age was 41.5 ± 9.91 years, 73.3% were females, and mean BMI was 29.49 ± 5.74 kg/m2. About 87% patients were symptomatic; 86.6% had neck swelling. Ultrasound (US) showed multiple nodules in 71.4% of cases. Fine-needle aspiration cytology (FNAC) showed that follicular lesion of undetermined significance (42.8%) was most common, followed by benign nodule (21.3%). Using the Bethesda System for Reporting Thyroid Cytopathology, 7 cases were category III, 3 category IV, 3 category II, and 1 category I. 60% of patients underwent total thyroidectomy. All cases were diagnosed postoperatively, 2 patients had additional papillary microcarcinoma. In 3 cases, the NIFTP site in the histopathology of resected specimen was different than the US-recommended site of the FNAC. Conclusion: We found discrepancies in the site and diagnosis of the preoperative US recommendation for the FNAC vs the postoperative histopathology of the specimen. These suggest that NIFTP might be incidentally and postoperatively diagnosed, irrespective of US or FNAC findings, hence its ‘true’ incidence might remain underestimated. As NIFTP cases higher BMI, Future research could predict preoperative diagnosis of NIFTP and explore associations with BMI. 

Place, publisher, year, edition, pages
Elsevier, 2022
Keywords
Follicular thyroid neoplasm, NIFTP, Nodule, Noninvasive, Papillary thyroid carcinoma, Papillary-like nuclear features, vitamin D, adult, autoimmune thyroiditis, benign neoplasm, blood vessel calcification, case report, cervical lymphadenopathy, clinical article, cytology, cytopathology, demographics, demography, dysphagia, dyspnea, Egyptian, epilepsy, female, fine needle aspiration biopsy, histopathology, human, human tissue, hypertension, incidence, male, medical history, middle aged, migraine, neck pain, neck swelling, obesity, oncocytoma, papillary carcinoma, Qatari, quantitative analysis, rare disease, retrospective study, Short Survey, thyroid cyst, thyroid hyperplasia, thyroid lobe, thyroid nodule, thyroid tumor, thyroidectomy, toxic goiter, ultrasound
National Category
Cancer and Oncology Surgery
Research subject
Research on Citizen Centered Health, University of Skövde (Reacch US)
Identifiers
urn:nbn:se:his:diva-20951 (URN)10.1016/j.ijscr.2021.106751 (DOI)000810725300002 ()35134690 (PubMedID)2-s2.0-85124211253 (Scopus ID)
Note

CC BY-NC-ND 4.0

© 2022 The Author(s)

Corresponding author at: Department of Surgery, Hamad General Hospital, Hamad Medical Corporation, Doha, Qatar. E-mail address: welansari9@gmail.com (W. El Ansari).

Available from: 2022-03-03 Created: 2022-03-03 Last updated: 2024-01-17Bibliographically approved
Organisations
Identifiers
ORCID iD: ORCID iD iconorcid.org/0000-0003-0961-1302

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