We report the case of a 39-year-old male, BMI 39.2 kg/m2 and 57.6% excess weight (EW) submitted to laparoscopic sleeve gastrectomy (LSG). One month after surgery the patient returned in poor general condition and food vomiting associated with abdominal pain. Gastrografin swallow study showed the presence of a medium-gastric stenosis of about 2 cm long. Endoscopy confirmed the presence of stenos...

In 1931 there was admitted to Dr. Robert Hutchison's ward at The Hospital for Sick Children, Great Ormond Street, a dwarfed child of 2 years and 3 months. The colour of her skin was yellow like a faded leaf. The urine was albuminous and the blood pressure high. The peripheral arteries were hard and tortuous. Roentgenograms showed irregular, transverse bands of osteosclerosis and osteoporosis in...

Topical application of mitomycin C is best used as an adjunct in airway surgeries together with combination other modalities endoscopic techniques such excision, balloon dilatation and laser treatment treating subglottic stenosis. We present a case 12-year-old boy who acquired Cotton–Myer grade 3 stenosis 6 months post endotracheal intubation. The stenotic segment was treated cautery-assisted e...

Coronary artery perforation (CAP) represents a rare, but potentially fatal complication during percutaneous coronary intervention (PCI). however ,if diagnosed and managed promptly, the consequences were be minimized. we report case of perforation(Elis type II) left anterior descending (LAD) ,due to balloon post-dilatation at end revascularization non-ST elevation myocardial infarction (NSTEMI) ...

Mucopolysaccharidosis I (MPS I) and MPS VII are due to loss-of-function mutations within the genes that encode the lysosomal enzymes alpha-l-iduronidase and beta-glucuronidase, respectively, and result in accumulation of glycosaminoglycans and multisystemic disease. Both disorders are associated with elastin fragmentation and dilatation of the aorta. Here, the pathogenesis and effect of gene th...