BackgroundOwing to its impact on weight loss, remission of diabetes mellitus and metabolic syndrome, bariatric surgery has offered hope for grossly obese individuals. In recent years, obesity has increased in the UAE and the use of bariatric surgery has increased in-line with this trend. However, data regarding bariatric surgery outcomes in diabetic Emirati people is scarce.ObjectiveTo evaluate the effect of bariatric surgery in patients with diabetes mellitus.MethodsThis is a retrospective analysis of diabetic patients treated with bariatric surgery with a minimal follow-up of 1 year and extended for some patients (21) to 2 years follow up. A total of 80 patients underwent bariatric surgery. Two surgical procedures were used; laparoscopic sleeve gastrectomy (n=53) or mini-gastric bypass between January 1, 2015, and July 20, 2017.ResultsMean baseline weight was 119.2±31.2 kg, this has significantly dropped to 100.1±23.1, 91.2±22.3, 82.3±17.5, and 81.3±15.3 kg at 3, 6, 12, and 24 months respectively, and this change was statistically significant P<0.001 at each time point. Mean baseline HbA1c was 8.6% ± 2.3% and this dropped significantly to 6.5±1.7, 5.9±1.2, 5.6±0.8, and 5.4±0.7 at 3, 6, 12, and 24 months respectively (P<0.000). In 49 (61.3%) we considered fatty liver based on ultrasound features either with or without elevation in alanine aminotransferase (ALT). We noticed a significant decrease in ALT at 3, 6, and 12 months after surgery. Furthermore, 11 patients (22.4%) showed sonographic features of improvement in fatty liver in addition to normalization of ALT.ConclusionsBariatric surgery was effective over a follow-up period of 2 years in achieving significant weight loss as well as resulting in improvements in glycemic control, blood pressure, and fatty liver.

Pancreatic pseudocyst is a fluid collection contained within a well-defined capsule of fibrous or granulation tissue or a combination of both. It does not possess an epithelial lining, persists for more than four weeks and may develop in the setting of acute or chronic pancreatitis. The cyst can present anywhere from mediastinum to scrotum and pelvis. We present a case of pseudocyst of the pancreas in the groin, which was treated successfully by percutaneous aspiration.

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Gallbladder disease is second to acute appendicitis in pregnancy, which would require surgical intervention. Twelve percent of all pregnancies are complicated by gallstones; 33%-40% fail to resolve by conservative management. Laparoscopic cholecystectomy which was considered to be technically difficult in advanced pregnancy is now the accepted treatment for failed conservative management.We present three cases, successfully managed by laparoscopic surgery in late pregnancy. Bahrain Med Bull 2014; 36(2):117-120CONCLUSION Laparoscopic cholecystectomy is safe in any trimester although second trimester remains the preferred choice for operative intervention. Laparoscopic cholecystectomy reduces morbidity of the mother and the fetus. Surgery in advanced pregnancy requires a team of experienced surgeon, anesthetist and monitoring by the obstetrician.Author contribution: All authors share equal effort contribution towards (1) substantial contributions to conception and design, acquisition, analysis and interpretation of data; (2) drafting the article and revising it critically for important intellectual content; and (3) final approval of the manuscript version to be published. Yes.