Objectives: Human papillomavirus (HPV) is responsible for a multitude of lesions with high psychosocial burden. The "HPV Impact Profile" (HIP) questionnaire is one of the first and most specific tools evaluating the emotional impact of HPV. This study aimed to translate this questionnaire into Arabic and to validate it, in a sample of Lebanese female patients. Materials and Methods:The HIP questionnaire was translated to Arabic. It was then administered to 118 Lebanese women infected with HPV or screened for HPV-associated lesions, in parallel with the Hospital Anxiety and Depression Scale questionnaire. The psychometric properties of the questionnaire were studied in our sample population. Results:The internal consistency of the HIP questionnaire was weak as Cronbach α coefficients of most of the domains were low. The study of the composite matrix resulted in the improvement of the internal consistency after the elimination of some items. Moreover, the "adapted domains" were created by reverse-scoring items with positive implications. The composite reliability and the average variance extracted of all the domains were analyzed. Analysis of discriminate validity through heterotrait-monotrait ratio of correlation ratio analyses of corresponding Hospital Anxiety and Depression Scale domains was also performed along with reliability analysis. There results were satisfying for the adapted domains. Conclusions:The adapted domains of the 27 items questionnaire with reverse scoring of 8 items presented with good psychometric properties, allowing their use in clinical trials and in clinical practice.

Objective: The human papillomavirus (HPV) has been associated with an important psychosocial impact. This impact has been poorly evaluated in developing countries, mostly because of the lack of instruments to quantify it. The HIP questionnaire aims to measure HPV-associated affective burden. Our team has previously translated this questionnaire to Arabic and used it to assess the impact of HPV on Lebanese women.Materials and Methods: While the HIP is a specific tool to evaluate the emotional impact of HPV, the Hospital Anxiety and Depression Scale questionnaire consists of 2 scales, anxiety and depression, and assess the psychological distress in nonpsychiatric patients. The HPV impact profile and Hospital Anxiety and Depression Scale questionnaires were administered to 118 Lebanese women with an HPV-related presentation, aiming to determine which aspect of these women's lives was mostly affected. The association with different sociodemographic factors was also assessed.Results: Feelings of "concerns and worries" were mostly strongly felt in our population except for women with genital warts who were more concerned with the risk of transmission and the impact on their partners. All women had predominant feelings of anxiety. Religion was a statistically significant influencing factor and employment a protective factor. Muslim women demonstrated significant adverse affects on HPV impact profile domains that included: "sexual impact," "selfimage," "interaction with doctors," and "health control/life impact."Conclusions: Different women perceive the diagnosis of HPV and HPVrelated lesions differently. In this study, employment was found to play a protective role, but the biggest influencers were social and religious beliefs.

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Background: Bronchogenic cysts are exceptional congenital malformations, mostly diagnosed in children, rarely in adults. They are usually found in an intrathoracic region. We report a rare case of an intra-abdominal bronchogenic cyst located over the gastroesophageal junction identified incidentally during a laparoscopic sleeve gastrectomy.Case Presentation: A 37-year-old female with a BMI of 40 kg/m2 was admitted for a laparoscopic sleeve gastrectomy. During the procedure, a bulging lesion was incidentally identified adherent to the gastroesophageal junction. An intra-operative gastroscopy performed revealed signs of a mass effect above the GE junction and no signs of intra-gastric tumor. The decision of enucleation of the cystic lesion and abortion of the sleeve gastrectomy was taken. Approximation of the esophageal muscular layer was performed afterwards. The patient's post-operative hospital course was uneventful and imaging results showed no leaks or abnormalities. The final pathology results of the lesion revealed a bronchogenic cyst with no signs of malignancy. Discussion and Conclusion:Management of an incidental tumor at the GE junction can be very challenging. In our case, we opted for its resection while aborting the initial procedure to prevent further injuries to the esophagus. Excision of the tumor after an EUS would have been a valid option as well. Therefore, we highly recommend routine gastroesophageal endoscopy prior to any bariatric surgery.