Single stage aortic valve replacement and splenectomy in a patient with severe aortic stenosis

Splenomegaly-induced thrombocytopenia is fully described in hematological and surgical literature, but its association with severe aortic stenosis is rare. We present a case of severe aortic valve stenosis with severe splenomegaly-induced thrombocytopenia in which aortic valve replacement was done with a number 23 homograft and splenectomy was performed after the end of cardiopulmonary bypass. Platelet count turned to normal value post-operatively, and the patient spent an ordinary convalescence period and was discharged from the hospital without any complications

Does helicobacter pylori infection in chronic renal failure increase the risk of gastroduodenal lesions? A prospective study

Background: Helicobacter pylori [H. pylori] plays an important role in gastroduodenal disease. However, there are few data concerning the epidemiology of H. pylori in patients with chronic renal failure and on hemodialysis [HD] treatment

Aim of the Study: This study is aimed to determine the epidemiology of H. pylori infection in patients with end stage renal disease [ESRD] on Hemodialysis [HD]

Patients and Methods: Ninety-six patients with dyspeptic complaints were included in the study. They were divided into two groups; group one consisted of 46 patients with ESRD on HD and group two [control] of 50 patients without renal disease. All patients were subjected to upper gastrointestinal endoscopies, and gastric biopsies were obtained for histological evidence of H. pylori infection

Results: The mean age of both groups was similar. The prevalence of H. pylori among the two groups was not significantly different [45.7% Vs 48% = p>0.05]. The prevalence of duodenal ulcers was significantly higher in H. pylori positive than in H. pylori negative ESRD patients [p<0.05]. GERD was significantly lower in H. pylori positive patients in both groups [p<0.001 and p<0.01 respectively]

Conclusion: This study showed a similar prevalence of H. pylori infection in both groups. H. pylori infection in patients with ESRD is probably associated with increased risk of gastroduodenal lesions