Study Contextual: 15-20 % Of laparoscopic sleeve gastrectomy patients need revisional surgery after LSG, because of inadequate weight loss. Aim: The aim of our study is, primarily to analyze the relationship between liquid-phase gastric emptying rate and weight loss, to find a parameter that may be the harbinger of successful weight loss after LSG. Methods: Patient records who have undergone laparoscopic sleeve gastrectomy were examined retrospectively. 44 Patients were included in the study. Preoperative weight and BMI, postoperative weight loss at first, third, and sixth months, surgical operation reports, preoperative and postoperative liquid-phase gastric emptying study values were mainly collected. Results: The male/ female ratio was 18/82. Mean age 38 (19-60), mean body mass index 48,1(40-66) kg/m² and mean (EWL%) 63,17±13,94 were found. Mean pre and post-operative gastric emptying half times were found to be (T½) 41,86 minute(min), T½ 6,82 min (p<0.0001). Significant correlation was found between patients’ post-operative third and sixth month EWL% and post-operative T½ (p=0,020, p=0,032). Patients who have post-op gastric T½ above 10 min had decreased sixth-month EWL% significantly (p=0.03). Conclusion: Post-operative gastric emptying time (T½) may be a harbinger of weight loss after LSG.

Short and Intermittent fasting brings many structural and functional changes in the GI tract.Now it has been shown that changes are beneficial in terms of postponing the onset of NCDs prolonging the healthage,That might be the reason for Ancient Indian saints todo fasting. These benefits have been described in a series of research papers by us and others. Change in microbiota due to fasting is a recent addition which explains the mechanism of many physiological processes taking place during fasting.Two other parameters namely, effect of long and short term fasting and.sexual dimorphism on microbiota also dealt with in this review.

Spontaneous rupture of the common bile duct cyst is a rare cause of acute abdomen in children. In our case, we present a 3-year-old patient with no history of trauma, whose diagnosis was confirmed by laparotomy, with a possible suspected common bile duct cyst due to massive ascites and a cystic lesion in the portal area. Although common bile duct cysts are mostly asymptomatic, various studies have shown that malignant transformation can cause important complications such as pancreatitis.Numerous causes have been suggested in the etiopathogenesis of rupture, such as parietal necrosis associated with pancreatic reflux irritation.Since rupture of cysts may require urgent laparotomy such as biliary peritonitis, it is important to know imaging findings that may be warning for early diagnosis. Because of the increased risk of cholangiocarcinoma after cyst excision, cholecystectomy and Roux-en-Y hepaticojejunostomy are the most common treatment procedures.

Inflammatory Bowel Diseases (IBD), which starts with intestinal inflammation and mucosal tissue damage, progresses with an impaired immune response, causes intestinal and extraintestinal symptoms, whose etiology is unknown, and which systemic chronic diseases that significantly affect their quality of life. Diseases. The mainstay of treatment in IBD is the elimination of symptoms, remission is achieved by mucosal healing, maintenance of remission and prevention of recurrence.The aim of treatment in IBD is to improve clinical laboratory, mucosal and quality of life. Conventional treatment for the disease.It is not sufficient to correct related complications. Therefore, new treatment modalities should be initiated as early as possible. From a modern medical perspective, inflammatory bowel diseases are nowadays often referred to as autoimmune diseases.It is accepted. To find the right individual remedy, inflamed bowel It is also important to look at possible causes of the disease. Because In the Regulatory Medicine approach, holistic healing is by eliminating the causes, not by suppressing or treating the symptoms best done by removing.