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1.
Egyptian Journal of Hospital Medicine [The]. 2018; 70 (1): 50-59
em Inglês | IMEMR | ID: emr-190701

RESUMO

Background: nephrolithiasis is an extremely common disorder in Saudi Arabia. Certain dietary changes and practices can influence the development of renal stones


Aim of the work: the aim of this study was to evaluate the awareness about the symptoms and proper diet of renal stones among general population of Albaha city in Saudi Arabia


Methods: a questionnaire was distributed among the general public in Albaha City, Saudi Arabia. The questionnaire was consisted of two sections: section 1 included personal data and section 2 explored the awareness and knowledge about the most common symptoms and complications of renal stones


Results: 417 participants were recruited. Most of the respondents were females, aged between 34 to 49 years, married and had high education. About one third of respondents had previous information about renal stones. Nearly half the respondents recognized only one risk factor and only one identified all the eight factors listed [0.2%]. There was lack of knowledge about some symptoms and false beliefs about some foods [fish and sea food, greens and spinach]


Conclusion: some misconceptions were revealed about risk factors and symptoms of renal stones. There was a lack of sufficient knowledge about the role of diet in medical management of renal stones. Educational programs should focus on these points of defect in knowledge and attitude. We recommended providing the health information concerning renal stone disease through the Internet [being the source of information used by most participants] and ensuring the inclusion of these information in the routine instructions and health education of patients

2.
Egyptian Journal of Hospital Medicine [The]. 2018; 72 (2): 3941-3945
em Inglês | IMEMR | ID: emr-197517

RESUMO

Background: Significant research papers have been published to assess the relation between rapid weight loss and the development of cholelithiasis, and the risk factors behind it. Assessment of cholelithiasis development after rapid weight loss as a result in most of bariatric surgery will help in reducing the admission rate to hospitals because of colic pain, and the complication related to stones formation


Objective: This study aimed at measuring the association of rapid weight loss with the development of gallbladder stones and identifying the role of prophylactic cholecystectomy


Methods: PubMed database was used for articles selection. All relevant articles to our review with the following topics: Bariatric Surgery, Gallbladder stones, bariatric surgery complication were included. We excluded other articles which are not related to this field. The data were extracted according to specific form in which it is going to be reviewed by group members to assess the relation between bariatric surgery and the development of stones, and weight loss as well as the benefits of prophylactic cholecystectomy against gallbladder stones


Conclusion: Bariatric surgery can lead to gallstone formation because of the rapid excess weight loss. Small percentage may become symptomatic and rarely cholecystectomy becomes needed during the first year of the bariatric surgery. So, it is not evidently recommended to be done as prophylaxis. However, Prophylactic medicinal therapy [Ursodeoxycholic acid] in the first 6 months can be used instead

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