Dr Matthew Kroh, the Chief of the Digestive Disease Institute at Cleveland Clinic Abu Dhabi (CCAD), said Abdulla was transferred to the hospital needing an immediate reoperation. “I received a call from surgeons at the hospital where Abdulla had the surgery explaining that he had entered a life-threatening situation and that it would require multidisciplinary expertise to save him,” Dr Kroh added.
Injury to diaphragm
“This was a life threatening event and a very unusual complication, which led to a severe outcome for such a young patient,” he says.
“He recovered from that but had a major pulmonary aspiration event where his stomach contents went into his lungs and hardened them. This resulted in a severe lung infection and eventually a drop in his blood pressure and hypoxemia. He was immediately transferred to CCAD’s intensive care unit, where our team determined that his condition had deteriorated to such an extent that he would have to be placed on an extracorporeal membrane oxygenation (ECMO) machine,” Dr Kroh said.
“He then had a severe infection in his abdominal cavity that required several operations as an additional section of the colon needed to be resected. We had to wash his insides out and put his bowel back together. All this [was done] while he was still on the ECMO machine,” the doctor explained.
“Abdulla has done exceedingly well through these surgeries. It underscores his will and our commitment to provide integrated care to treat the sickest of the sick. Abdulla has a lot of life ahead of him and we will make sure he is back to doing all his daily tasks and activities that he enjoys with minimum discomfort soon,” Dr Kroh added.
What is bariatric surgery?
Some bariatric procedures limit how much a person can eat, while others work by reducing the body’s ability to absorb nutrients. Still others do both.
While bariatric surgeries can be beneficial, they are serious surgeries that can pose complications, according to the Mayo Clinic. In addition, patients also have to implement permanent healthy changes to their diet, and undertake regular exercise, to ensure the long-term success of the surgery.
Types of bariatric surgery
Sleeve gastrectomy: This involves the removal of approximately 80 per cent of the stomach. What is left is a tube-shaped pouch, or a sleeve. Now that the stomach is smaller, it cannot hold as much food. It also reduces the production of the hormone ghrelin, which regulates the appetite.
Gastric band: The adjustable gastric band involves placing an inflatable band around the top portion of the stomach, which creates a smaller pouch above. In this way, less food can be stored in the stomach, and patients achieve fullness faster. The band is reduced in size over time with repeated adjustments.
Duodenal switch: The biliopancreatic diversion with duodenal switch has two parts to it. First, a portion of the stomach is created to form a tube-shaped pouch. Second, a major portion of the small intestine is bypassed when connecting the stomach pouch. This helps restrict the amount of food the stomach can hold and promotes fullness faster. It also reduces the absorption of nutrients.
Who is eligible for bariatric surgery?
Physicians look at a number of factors when deciding on patient eligibility for bariatric surgery, including:
Comorbidities like diabetes, hypertension, hypercholesterolaemia, asthma, obesity, etc.
Phsychological profile to deal with changes required after bariatric surgery.
Previous weight-loss attempts.
Eligibility is decided by licensed physicians based on standards approved by health regulators.
Original news source Credit: gulfnews.com