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Biomedical subjects

M Boumghar

Publications and source records attributed to M Boumghar.

At least 55 records · Page 3Linked to original sources

[Surgical treatment of hyperlipidemia by partial ileal by-pass].

This study is composed of 7 hyperlipidaemic patients (type II, n = 4; type IV, n = 3), aged 33 to 59 years. These patients underwent a partial ileal by-pass, and the immediate post-operative period was uneventful. Six months post-operatively, serum levels of cholesterol and triglycerides were 45 and 44% of the pre-operative values. Serum electrolytes remained unchanged as well as liver function tests. In the first few days post-operatively, diarrhoea was a frequent complaint; by the 6th post-operative month, the stools numbered 2-3 per day in patients not receiving any medical treatment. Average weight loss was 6 +/- 1.3%. These preliminary results may confirm that partial ileal by-pass produces favourable metabolic changes. However, screening for late complications is to be further investigated, and the effectiveness of the operative procedure must still be evaluated.

Adult↗

[Compression of the celiac trunk by the median arcuate ligament].

A relatively large series of 20 operated patients, aged 28 to 66 years, with median arcuate ligament syndrome is presented. There has been a change in the pattern of presentation of this condition in recent years. Early diagnosis can now be made with greater frequency than previously. The origin and the symptoms due to the intermittent, chronic abdominal ischaemia are discussed. The preliminary results suggest that surgical decompression is effective in inducing favourable changes in 60% of patients.

Abdomen↗

[Liver tumors and oral contraceptives].

Benign liver cell tumors in young women are reported with increasing frequency. An association between benign tumors and oral contraceptive use was first suggested in 1973 by Janet Baum. During the past ten years we have observed 15 benign liver cell tumors, all of the focal nodular hyperplasia type. Ten of the 15 women were taking or had taken oral contraceptives. This association was found not to be statistically significant (0.06 greater than p greater than 0.05). We also diagnosed 2 liver cell carcinomas in women who had taken contraceptives.

Adult↗

[Chordomas. Excision of a lumbar chordoma: 2 1/2 years survival without signs of recurrence and without functional complications].

In connection with surgical removal of a chordoma in the lumbar region by large excision, followed by 31-month survival of the patient without complications, personal experience of 8 chordomas operated on over the last 20 years is reported. The authors believe their observations show the value of active surgical treatment combined with radiotherapy, which has a palliative effect on the pain and slows the evolution of the tumor. The effectiveness of surgical treatment and radiotherapy leads the authors to challenge the negative attitude generally taken towards the treatment of this condition and to adopt a position of moderate optimism.

Abdominal Muscles↗

[Clinical and nutritional status after jejuno-ileal shunt operation for exogenous morbid obesity].

Eight patients were operated upon for morbid obesity using strict criteria for operation. The average age was 35 years and average Broca's index 1.76. One patient underwent the Scott operation and seven the Buchwald-Varco procedure. There were neither postoperative deaths nor wound or bowel complications. The weight loss was 9.6% at the end of the 3rd postoperative week, and 24.6% at the end of the 4th postoperative month. Glycaemia and lipidaemia showed an important decrease upto the 3rd week postoperatively after which period this decrease became less marked. Electrolytes did not show any variation. Hepatic function tests indicated a slight increase at the 3rd postoperative week but normal levels at the later control. The frequency of diarrhoea varied between 8 and 10 liquid stools daily in the immediate postoperative period and 2-6 at the 4th month, without any pharmacological control. However, small intestinal shunts seem to create some favourable metabolic changes. Patient selection is important to the outcome of the operation. Long-term follow-up is mandatory since patients may develop medical complications.

Adult↗