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Research Article
Department of Metabolic and Bariatric Surgery in the Era of Social Media
Jinglan Yang,
Xuguang Li,
Qiubi Tang,
Xiang Wu,
Xiaomei Chen,
Chunqun Li*
Issue:
Volume 14, Issue 4, August 2026
Pages:
66-75
Received:
21 July 2026
Accepted:
30 July 2026
Published:
6 August 2026
Abstract: Metabolic and bariatric surgery (MBS) is an effective treatment for obesity and associated metabolic disease, while social media has become an important environment in which patients encounter information, professional communication, peer experience, and commercial promotion. This narrative review examined the opportunities, risks, and governance implications of social media in MBS. Peer-reviewed literature was primarily identified through targeted searches of PubMed and the China National Knowledge Infrastructure (CNKI), supplemented by relevant professional, regulatory, and platform documents obtained from official sources. Publications were selected purposively according to their conceptual and clinical relevance and were synthesized thematically around information quality, patient decision-making, professional communication, social support, stigma, privacy, and regulation. Social media can expand access to health information, facilitate clinician-patient communication, and strengthen peer support; however, available evidence does not support treating social media exposure as a deterministic cause of health behavior. Its influence varies according to platform design, source credibility, health and digital literacy, demographic and cultural context, offline relationships, and access to clinical care. Important risks include misinformation, selective presentation of favorable outcomes, commercially driven promotion, weight stigma, and privacy breaches. MBS-specific governance should require credential verification, disclosure of commercial interests, balanced communication of benefits, risks, alternatives, and long-term follow-up requirements, and robust consent procedures for patient-related content. Future studies should evaluate causal pathways, population differences, and professionally led social media interventions.
Abstract: Metabolic and bariatric surgery (MBS) is an effective treatment for obesity and associated metabolic disease, while social media has become an important environment in which patients encounter information, professional communication, peer experience, and commercial promotion. This narrative review examined the opportunities, risks, and governance i...
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Research Article
Idiopathic Type I Giant Emphysematous Bulla in a
Non-Smoking Female Patient: The First Reported Case from Angola
Issue:
Volume 14, Issue 4, August 2026
Pages:
76-80
Received:
25 June 2026
Accepted:
14 July 2026
Published:
10 August 2026
Abstract: Introduction: Giant emphysematous bulla is defined as an intrapulmonary air collection occupying 30% or more of a hemithorax. Klingman's classification categorizes bullae according to the quality of the underlying lung parenchyma, with type 1 characterized by a giant bulla surrounded by normal lung. Case Report: Female patient, 54 years old, black woman, from an urban area, with no history of smoking, tuberculosis or chronic obstructive pulmonary disease, with a history of controlled arterial hypertension for approximately 10 years, who started about three months ago with slight progressive dyspnea associated with mild exertion, accompanied by chest discomfort. After normal cardiological examinations, chest radiography revealed increased hyperlucency in the right hemithorax. At the general surgery consultation, the respiratory physical examination demonstrated decreased chest expansion, decreased vocal vibrations and decreased vesicular breath sounds in the right hemithorax, with respiratory rate of 22 breaths/minute. Chest radiography confirmed a type 1 emphysematous bulla according to Klingman's classification, and chest computed tomography confirmed the radiological diagnosis. The patient underwent open bullectomy by the Naclerio and Langer technique (1947). The patient remained hospitalized for 14 days due to a postoperative pleural effusion that was promptly treated, with favorable post-operative course. Discussion: This case is particularly relevant as it represents an idiopathic giant emphysematous bulla in a non-smoker female patient, with no history of tuberculosis or chronic obstructive pulmonary disease, resulting inthe first case report of this pathology in Angola. The epidemiological literature review in Africa revealed few reported cases, predominantly associated with spontaneous pneumothorax or other pulmonary comorbidities. Conclusion: Bullectomy by the Naclerio and Langer technique constitutes an effective surgical approach for the treatment of type 1 giant emphysematous bullae, even in patients without classical risk factors. This case represents the first documented report of this pathology in Angola, contributing to the knowledge of the disease's epidemiology in Africa.
Abstract: Introduction: Giant emphysematous bulla is defined as an intrapulmonary air collection occupying 30% or more of a hemithorax. Klingman's classification categorizes bullae according to the quality of the underlying lung parenchyma, with type 1 characterized by a giant bulla surrounded by normal lung. Case Report: Female patient, 54 years old, black ...
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Research Article
Incidence and Risk Factors of Acute Kidney Injury After Spinal Tuberculosis Surgery: A Case-control Study with Propensity Score Analysis
Ruixue Li*
Issue:
Volume 14, Issue 4, August 2026
Pages:
81-88
Received:
3 August 2026
Accepted:
9 August 2026
Published:
22 August 2026
DOI:
10.11648/j.js.20261404.13
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Abstract: The aim of this study was to determine the incidence and risk factors of postoperative acute kidney injury (AKI) in patients with spinal tuberculosis surgery. And in this retrospective case-control study, patients were diagnosed with AKI after surgery according to kidney disease: improving global outcomes (KDIGO) guidelines. Multivariate logistic regression model was used to calculate the association between perioperative factors and AKI. A propensity score matching (PSM) evaluation was developed for adjustment and matching. The final result was that a total of 86 patients diagnosed AKI and 957 without AKI were selected from 1043 patients. After PSM analysis, preoperative anemia (OR, 3.57; 95%CI, 1.45-8.79; P=0.006), higher erythrocyte sedi-mentation rate (ESR) level (OR, 1.01; 95%CI, 1.00-1.03; P=0.029), intraoperative hypotension (OR, 3.42; 95%CI, 1.40-8.33; P=0.007) were predictors for postoperative AKI, and intraoperative dexmedetomidine (DEX) used (OR, 0.36; 95%CI, 0.14-0.91; P=0.030) was associated with a reduced risk for AKI. Patients with postoperative AKI were associated with increased rates of demanded for intensive care unit (ICU), and prolonged hospital length of stay (P<0.05). The final conclusion was that the postoperative AKI incidence was 8.25%. Moreover, Preoperative anemia, higher level of ESR and intraoperative hypotension can significantly increase the risk of AKI after spinal tuberculosis surgery. DEX infusion was associated with lower incidence of postoperative AKI.
Abstract: The aim of this study was to determine the incidence and risk factors of postoperative acute kidney injury (AKI) in patients with spinal tuberculosis surgery. And in this retrospective case-control study, patients were diagnosed with AKI after surgery according to kidney disease: improving global outcomes (KDIGO) guidelines. Multivariate logistic r...
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Anatomo-clinical Aspects and Management in the General Surgery Department of the Siguiri Prefectural Hospital
Keita Seydou*,
Diakite Sandaly,
Condé Amara,
Doumbouya Bakary,
Camara Ibrahima Sokona,
Soumaoro Labile Togba,
Fofana Houssein,
Touré Aboubacar
Issue:
Volume 14, Issue 4, August 2026
Pages:
89-95
Received:
8 June 2026
Accepted:
29 June 2026
Published:
24 August 2026
DOI:
10.11648/j.js.20261404.14
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Abstract: Introduction: The aim of this study was to describe abdominal wounds managed in the general surgery department of the Siguiri Prefecture Hospital. Methodology: This was a descriptive, mixed-method (retrospective and prospective) cross-sectional study spanning five years, from January 1, 2021, to December 31, 2025, covering all patients admitted to and treated in the department for abdominal wounds during the study period. Results: Abdominal wounds accounted for 7.50% of admissions to the department; penetrating wounds represented 82 cases (82.60%). The mean patient age was 31.5 years, ranging from 12 to 51 years. Men were the most represented group, with a male-to-female sex ratio of 3.18. Assaults were the leading cause of these injuries (48.91%), followed by fights (26.08%) and workplace accidents (10.86%); bladed weapons were the most commonly used by assailants (60.86%). Treatment was non-operative in 26 cases (28%) and operative in 66 cases (72%). The small intestine was the most frequently injured organ (40.90%). The most common surgical procedure was excision and suture (28.78%). Postoperative recovery was uncomplicated in 72.82% of cases, with a mortality rate of 8.69%. The average length of hospital stay was 8.5 days. Conclusion: Abdominal wounds are common and primarily affect young men. Challenges in patient management are linked to delayed presentation and a lack of medical and paramedical equipment.
Abstract: Introduction: The aim of this study was to describe abdominal wounds managed in the general surgery department of the Siguiri Prefecture Hospital. Methodology: This was a descriptive, mixed-method (retrospective and prospective) cross-sectional study spanning five years, from January 1, 2021, to December 31, 2025, covering all patients admitted to ...
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Case Report
Multiple Distal Ileal Perforations Following Blunt Abdominal Trauma in a Child: A Rare Case Report
Rajib Kumar Majumdar,
Diwakar Sharma*
Issue:
Volume 14, Issue 4, August 2026
Pages:
96-100
Received:
24 July 2026
Accepted:
6 August 2026
Published:
24 August 2026
DOI:
10.11648/j.js.20261404.15
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Abstract: Blunt abdominal trauma (BAT) is a significant cause of morbidity in the pediatric population, with injuries to solid organs occurring far more commonly than injuries to the hollow viscera. Small bowel perforation resulting from low-energy blunt abdominal trauma is rare and frequently presents with delayed or subtle clinical manifestations, posing a diagnostic challenge. Timely recognition, accurate diagnosis, and early surgical intervention are essential to minimize morbidity and improve clinical outcomes. We report the case of a 13-year-old boy presented with severe abdominal pain one day following a fall while drinking water, resulting in blunt abdominal trauma and a lacerated wound over the right iliac fossa. The wound had been sutured at a peripheral hospital. He subsequently developed progressively worsening diffuse abdominal pain associated with fever and hematuria. Contrast-enhanced computed tomography (CECT) revealed disruption of the anterior abdominal wall musculature, multiple distal ileal perforations, pneumoperitoneum, hemoperitoneum, and traumatic peritonitis without solid organ injury. Emergency exploratory laparotomy demonstrated seven perforations involving a 15-20 cm segment of distal ileum approximately 20-25 cm proximal to the ileocecal junction, associated with a large mesenteric tear. Segmental resection of approximately 20 cm distal ileum and Primary end-to-end ileoileal anastomosis was done. The postoperative recovery was uneventful. Persistent abdominal pain after even trivial blunt abdominal trauma should prompt evaluation for hollow viscus injury. This case emphasises that timely CT imaging and early surgical intervention are essential for preventing life-threatening complications and improving patient outcomes.
Abstract: Blunt abdominal trauma (BAT) is a significant cause of morbidity in the pediatric population, with injuries to solid organs occurring far more commonly than injuries to the hollow viscera. Small bowel perforation resulting from low-energy blunt abdominal trauma is rare and frequently presents with delayed or subtle clinical manifestations, posing a...
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