Changes in comorbid diseases in morbidly obese patients treated by laparoscopic adjustable gastric banding

Morbid obesity is often accompanied by several comorbid diseases which reduce lifespan and impair quality of life. Laparoscopic adjustable gastric banding [LAGB] is a minimal invasive procedure effective in the treatment of morbid obesity. The aim of this study was to determine the change in comorbidities in patients treated by LAGB who achieved weight loss. Among 134 morbidly obese patients treated by LAGB, 127 patients who were followed regularly and evaluated regarding the change in comorbidities, and laboratory and clinical measurements were recorded. Excess weight loss [EWL] and the percent improvement in comorbid diseases [PICD] were calculated by using the Friedman's test. P value of <0.05 was considered statistically significant. Of 127 cases with a mean age of 29.51 +/- 6.7 years. Pre-operative BMI was 48.38 +/- 7.81 kg/m[2]. Comorbid disease was present in 62 [48.8%] patients. The mean follow-up duration was 23.83 +/- 8.78 months. The EWL was 52.6% [p<0.05] and the PICD was 74.8% [p<0.05]. Complications were noted in 34 patients [26.8%]. LAGB is a minimally invasive procedure which is effective in the treatment of morbid obesity, and reduces the length of hospital stay. Comorbid diseases are significantly improved in patients who achieve weight loss by the LAGB procedure

Development of two cancers in the same patient after ileorectal and ileal pouch anal anastomosis for familial adenomatous polyposis

To report a case of a patient with familial adenomatous polyposis. A 36-year-old male patient who suffered from rectal bleeding was treated with colectomy and ileorectal anastomosis for familial adenomatous polyposis [FAR] in 1974. After 19 years, in situ adenocarcinoma was detected in the rectal stump. Completion proctectomy, mucosectomy, and hand-sewn ileal pouch anal anastomosis with protective ileostomy were performed. In 2002, a metachronous cancer was detected at the anastomosis and abdominoperineal resection of the pouch and end ileostomy were performed. Later on, the perineum was excised locally because of cancer recurrence. This case shows that lifetime surveillance of the FAR patients after surgery is crucial