Prevalence and risk factors for gallstone disease in hail region

Aim of the work: this study was carried out to determine the prevalence and risk factors of the occurrence of gallstone disease among the Saudi Arabian population. Patients and methods: a retrospective survey was done among 100 patients with gallstone disease from November 2016 to March 2017 using a structured data collection tool

Results: The results showed that 60% of those with the disease were women, while only 40% were men and 29% belonged to age group 30-39 years old. Among the risk factors studied, there was a statistically significant association between the disease and fever and lipid profile, total cholesterol, LDL, and TAG [p-value, <.01]. In addition to fever, majority of the patients also complained for right upper quadrant pain. Perhaps primary health care physicians should consider fever with right upper quadrant pain as warning signs for gallstone disease which should warrant more sensitive procedures like ultrasonography for early detection of the disease. Fundamental knowledge of gallstone disease is essential for clinicians so as proper management be offered to ailing patients

Diagnosis and management of gastrointestinal stromal tumor in the upper gastrointestinal tract- case report

Aim of the work: gastrointestinal stromal tumours [GISTs] are a type of mesenchymal tumours of the gastrointestinal [GI] tract. The tumour can originate anywhere from the oesophagus to the rectum, but most often comes from the stomach or small intestine. Despite the fact that GISTs are the most common mesenchymal neoplasms of the GI tract, they remain a diagnostic challenge because of the overlapping clinicopathologic features with GIST. Large GISTs are usually associated with complications such as gastrointestinal [GI] haemorrhage, GI obstruction, and bowel perforation. GISTs are predominantly found in people in their 60s, but a small population can develop it a younger age

Patient and methods: this was a report the case of a 65-years old male presented to our hospital with upper gastrointestinal bleeding

Results: vomiting and severe anaemia findings were detected in diagnostic image studies which suggested a gastric GIST without evidence of metastatic disease; therefore, totally tumour excision was performed. Cytologic and inmuno-histochemistry analysis confirmed diagnosis of GISTs

Conclusion: the present case report highlighted the need of early recognition and appropriate investigation of gastrointestinal symptoms at all ages for ruling out potential malignancy

Association between stroke and hypertension and deep vein thrombosis in Northern Saudi Arabia: community-based study

Background: Deep venous thrombosis [DVT] is a serious complication of various medical conditions including acute stroke

Objectives: We aimed to analyze the association between stroke toward hypertension [HP] and deep vein thrombosis [DVT] in northern Saudi palpitations

Methods: Cross-sectional study was performed, all incident stroke events during follow?up were identified by searching the hospital discharge diagnosis registry, and previous patient's medical records. Also, we conducted a questionnaire survey among population of North Saudi Arabia including 15 cities

Results: Our study showed that HP, and DVT which is definitely associated with stroke occurs only in approximately 5% of patients and significantly affects mortality among population from northern Saudi

Conclusion: Severe HP events with no stroke incidence is associated with increased risk of DVT especially in Male and age group above 55 years. Therefore, it may be reasonable to provide this group of patients with additional care and proper DVT prophylaxis in order to minimize the risk of stroke. Also, those patients with HP should be managed and followed regularly especially elderly patients who are at risk