The emergence of tumor necrosis factor inhibitors (anti-TNF) has considerably changed the management inflammatory bowel disease (IBD) in patients who do not respond to traditional therapies. This study assesses prevalence anti-TNF drug levels (DLs) and antibodies (ATAbs) with IBD Saudi Arabia explores their associations type prior failure. cross-sectional included aged 14-75 years diagnosed Crohn's (CD) or ulcerative colitis (UC), treated medications at King Fahad Medical City over January...

Alternative medicine is defined as medical therapies that are not regarded orthodox by the profession. The teaching of complementary and alternative (CAM) in schools becoming prevalent worldwide. Only a few studies have been done to assess students' attitude toward CAM need for courses.An observational, descriptive, cross-sectional study was conducted on students two universities, King Saud (KSU) Majmaah (MU) colleges, between February April 2015. A survey developed validated pilot study....

There are no standard criteria to select patients for thoracoscopic repair of congenital diaphragmatic hernia (CDH). The objective this study was compare open laparotomy versus CDH in neonates.This retrospective included 41 who had from 2011 2019. Patients were divided into two groups according the surgical approach; (n = 30) and 11). Study endpoints duration post-operative mechanical ventilation, hospital stay return full enteral feeding.Patients significantly younger (3 [25th- 75th...

Congenital pancreatic cyst is very rare in infants and children. The majority of cysts children are pseudocysts resulting from trauma, acute pancreatitis or infection. Three with true congenital were treated. Their medical charts reviewed for age at presentation, sex, clinical features, diagnosis management. (1 male 2 females) a mean 23 months (4 months-4 years) treated cyst. One them presented an abdominal mass while another non-bile stained vomiting distension. third was diagnosed to have...

Background: The Al-Kharj colorectal cancer (CRC) screening program was implemented for five years (2017-2022) in a central urban area of Riyadh Province, Saudi Arabia, to assess the participation and impact average-risk individuals. Methods: high sensitivity-guaiac based-fecal occult blood test (HSgFOBT) used as first-line investigation identify asymptomatic patients, aged 45–75 years, requiring CRC using colonoscopy. run three tertiary hospitals area. Results: five-year rate 73%...

Abstract Background Morgagni hernia (MH) is a rare diaphragmatic with nonspecific symptoms and variable presentation. MH managed surgically via laparotomy or thoracotomy. Recently, laparoscopy was described for the repair of MH. The objective this study to report our institutional experience in laparoscopic infants children. Results Twenty-five patients were included; 17 them males (68%). Their median age at time diagnosis 18 months. Sixteen (64%) presented recurrent chest infection. on...

BACKGROUND Bleomycin sclerotherapy became a popular nonsurgical option for the management of lymphangiomas. However, its efficacy has not been thoroughly evaluated. The purpose this study was to assess clinical outcomes and effectiveness bleomycin injection treatment lymphangioma. METHODS This retrospective conducted in 4 centers included 47 infants children. All patients had between November 2005 September 2020. Men presented 53.2% sample ( n = 25), most common site head neck 29, 61.7%)....

Gaining vascular access in children is challenging. Ultrasound-guided central line insertion adults became the standard of care; however, its role not clear. Our objective was to evaluate ultrasound-guided Port-A-Cath or totally implanted long-term venous device pediatric patients compared traditional approach.This single-institution retrospective cohort study included 169 who had port-A-catheters between May 2016 and Oct 2019. The were divided into two groups; group A using landmark method...

Bilothorax or Cholethorax is the accumulation of bilious effusion in thorax. It a rare condition which bile passes into pleural space from abdominal cavity, necessitating urgent treatment. This article aims to present case bilothorax treated successfully our institute and review literature on this topic better understand medical problem best ways dealing with it. We presented after an attempt biliary drainage known pancreatic cancer patient way we managed concluded about importance early...

Percutaneous endoscopic gastrostomy (PEG) is a common procedure in children. The outcomes of PEG could be affected by the associated disease. We aimed to evaluate and safety tube placement tertiary care center with special attention patients cardiac disease, ventriculoperitoneal (VP) shunt, or peritoneal dialysis (PD) catheter.This retrospective study included 113 pediatric who had insertion from 2011 2021. Eighteen (15.93%) five (4.42%) PD catheters, three (2.65%) VP shunt.The median age...

<h3>Objectives:</h3> To present experiences of different specialties in the treatment thyroglossal duct cysts (TGDCs) and subsequent complications multiple centers. <h3>Methods:</h3> A retrospective cross-sectional study all cases TGDC for a period 11 years from 2008-2019 by departments 3 centers Jeddah, Kingdom Saudi Arabia (King Faisal Specialist Hospital &amp; Research Centre, Bakhsh International Medical Center). <h3>Results:</h3> Forty-nine patients were included. The type surgery...

Background: Non-alcoholic fatty liver disease (NAFLD) is a medical condition which commonly termed as liver. NAFLD can start from mild (grade 1) stage and may progress toward severe 3) stage. This study aimed to assess the level of awareness adult population in Riyadh, Saudi Arabia, explore relationship between different socio-demographic factors. Methodology: cross-sectional was conducted via an online pre-tested self-administered questionnaire on males females March August 2020. A total...

Abstract Background: Approximately 25% of individuals with inflammatory bowel disease (IBD) concurrently experience immune-mediated diseases (IMIDs), while the overall prevalence these conditions in general population is 5–7%. Individuals IBD and concurrent IMIDs tend to have a more aggressive profile. We aimed assess coexisting autoimmune disorders among patients their association type. Methods: In this cross-sectional study at tertiary care center Riyadh, Saudi Arabia, we examined 875 (530...

The increase in extended-spectrum β-lactamase (ESBL) producing microbes recent years represents a major challenge.To study the risk factors for urinary tract infections (UTIs) caused by ESBL-producing Escherichia coli patients requiring hospitalization treatment.Electronic health records were used to identify 616 inpatients over age of 18 who had UTI symptoms and/or signs and an E. strain cultured on urine culture between January 1 December 31, 2018. electronic care these searched those with...

Double gallbladder is a rare anomaly and an asymptomatic condition. However, it can sometimes present with abdominal pain. Gallbladder pathology requires precise diagnosis surgical procedure to relieve its symptoms. Here, we discuss case of child suffered from congenital heart disease who presented double having gallstones. The was resolved via intervention without postoperative complications.

Abstract Purpose: There is no national policy for colorectal cancer (CRC) screening in Saudi Arabia (SA) despite the increasingly early onset of CRC high-income countries. This study aims to assess participation and impact a program central area Arabia. Methods: The guaiac fecal occult blood test (g-FOBT) was used as first-line, non-invasive select patients colonoscopy. g-FOBT (+) Saudis, aged 45–76 years old (yo), were provided colonoscopies regardless their risk developing or presence...

<h3>Objectives:</h3> To evaluate the variability in perspectives between pediatric surgeons and urologists managing cryptorchidism. <h3>Methods:</h3> We conducted this survey among cryptorchidism Saudi Arabia October 2020. distributed a questionnaire to 187 consultants using Google forms platform. collected data related consultant’s experience, preoperative management, management of nonpalpable testes, palpable undescended special situations. <h3>Results:</h3> The response rate was 77% for...

Aims: The aim of the study was to examine experiences and outcomes frenotomy treatment in neonates children with ankyloglossia explore any subsequent complications. Patients Methods: This is a retrospective, cross-sectional all pediatric cases that initially underwent over period 5 years, 2015–2020, across number departments three tertiary centers Jeddah, Saudi Arabia. Results: most common indications were feeding difficulty infants under 4 months speech months. Following frenotomy,...

Abstract Background First branchial cleft fistula is a rare malformation of the neck and head. The purpose this report to showcase method treating first brachial while preserving facial nerve. Case presentation This case presents an 8-year-old female with type 2 fistula. treatment process follows multidisciplinary approach aid health professionals from different departments, pre-op magnetic resonance imaging (MRI) scanning map fistula, use nerve monitoring device (NIM). Conclusion procedure...

Congenital midline cervical cleft is an extremely rare anterior neck defect. We describe a case of male newborn with outlining aspects diagnosis and stressing the importance early surgical treatment.

Ureteric strictures are a relatively uncommon complication following renal transplant, which may be managed endoscopically or surgically by repairing the stricture. Extra-anatomical bypass is useful procedure in complex cases that bypasses ureter creating subcutaneous route, although it uncommonly used given its rare indication. We report case of transplant ureteric stricture, we utilized modified extra-anatomical stenting technique with Detour® stent to avoid fibrotic planes surrounding...

Congenital liver cyst is an uncommon disease in infancy and usually asymptomatic. However, even rarer are congenital giant cysts which by virtue of their size problematic. We discuss a case newborn with hepatic who was successfully treated surgically but experienced postoperative bile leak as complication. review the management this entity propose algorithm care.

To characterize patients who underwent simultaneous bilateral total knee arthroplasty (simBTKA) and study the outcomes of surgery along with complication rates.This is a retrospective carried out at King Faisal Specialist Hospital Research Center, Jeddah, Saudi Arabia. The included had undergone replacement from January 2010 until June 2021.The median age our was 64 (Q1-Q3: 59-70) years, 76 (13.2%) males 393 (83.8%) were females. Hypertension most common associated comorbidity (56.29%)...

BACKGROUND: The significance of hyoid bone approximation after the Sistrunk procedure is debatable. objective this study was to report outcomes compared classic approach for thyroglossal duct cyst excision.METHODS: Forty patients had excision cysts from 2012 2020. We grouped according into two groups. Group 1 (N.=17) included who without bone, and group 2 (N.=23) approximation.RESULTS: Patients in were significantly younger (P=0.002), there no difference other preoperative parameters between...