King Fahd Medical City (KFMC) is a medical facility in Riyadh, Saudi Arabia. The complex consists of four hospitals: The Obstetrics & Gynecology Hospital, The Specialist Hospital, The Rehabilitation Hospital, and The Pediatric Hospital. It was built at a cost of $633 million. KFMC’s yearly operating budget is estimated at $150 million.
To evaluate whether routine omentectomy improves outcomes during laparoscopic placement of peritoneal dialysis (PD) catheters in children. This multicenter retrospective study included children ≤ 5 years who underwent laparoscopic PD catheter insertion (2022–2025). Patients were divided into non-omentectomy (Group A, n = 169) and omentectomy (Group B, n = 182). The primary outcome was catheter survival at 12 months. Secondary outcomes included complications, operative time, and hospital stay. A total of 351 patients were analyzed. Catheter survival at 12 months was similar between Group A and Group B (84.0
Background and Aims: Endoscopic full-thickness resection (EFTR) using the Full-Thickness Resection Device (FTRD; Ovesco Endoscopy, Tübingen, Germany) enables en bloc removal of complex gastrointestinal lesions unsuitable for conventional resection. International registries support its safety and efficacy, but real-world Middle East data remain scarce. This study evaluated technical and clinical outcomes of FTRD-assisted EFTR across multiple Saudi tertiary centers. Methods This multicenter retrospective cohort study enrolled consecutive adults who underwent EFTR with the colonic or gastroduodenal FTRD at participating Saudi centers between 2024 and 2026. Outcomes included technical success, R0 resection, and adverse events graded per the ASGE lexicon. Results Eighteen patients (median age 52.5 years; 50.0% female) underwent EFTR. Lesions were predominantly upper GI (66.7%), median size 15 mm (88.9% under 20 mm). Technical success and en bloc resection were each achieved in 88.9% (16/18) of cases. R0 resection was achieved in 93.8% (15/16) of technically successful resections. Full-thickness resection was confirmed histologically in 94.4% (17/18) of all resected specimens. Adverse events occurred in three patients (16.7%), managed endoscopically or conservatively; no patient required emergency surgery or died. At median follow-up of 7.5 months, no residual or recurrent lesions were detected. Both technical failures occurred in gastric lesions 20 mm or larger due to failed clip deployment. Conclusions This first multicenter Saudi experience shows FTRD-assisted EFTR is feasible, effective, and safe for selected gastrointestinal lesions, with outcomes comparable to major international registries. A 20 mm size threshold and reliable clip deployment appear key to procedural success.
The simultaneous occurrence of HIV and syphilis poses an increasing difficulty due to the dynamic interplay between these two diseases. In recent years, the worldwide prevalence of co-infection between these two major global health issues has increased, partly because each infection can facilitate the acquisition of the other. We report a case of a 36-year-old diabetic male presenting to our clinic with scattered erythematous papules and plaques with a collarette of scale on the palms, soles, and genital area. The patient had geographic tongue with linear white plaques and fissuring. Virology showed positive herpes simplex virus IgG antibodies for types 1 and 2, and skin biopsy demonstrated vacuolar interface dermatitis, acanthosis, lymphocyte exocytosis, and thinning of the rete ridges. Additionally, the HIV serology test was positive. A diagnosis of secondary syphilis on top of HIV was established. Given the significant consequences that the co-infection of syphilis and HIV has on impacted individuals, it is crucial to allocate more time, effort, and resources to investigate this condition.
Background Despite the increasing use of artificial intelligence (AI) platforms in healthcare communication, their efficacy in producing patient-facing materials for pediatric surgeries is still unexplored. The readability, understandability, and actionability of postoperative instructions generated by three AI platforms (ChatGPT, Gemini, and DeepSeek) for common pediatric otorhinolaryngology (ORL) surgeries were compared in this study. Methods Postoperative instructions were generated from each AI platform using a standardized prompt. Readability was assessed using the Flesch-Kincaid Reading Ease (FKRE) and Grade Level (FKGL). Understandability and actionability were evaluated using the Patient Education Materials Assessment Tool for Printable Materials (PEMAT-P). Comparative statistical analyses and Pearson correlation coefficients were calculated. Results ChatGPT showed the highest readability with FKRE 64.57 (±7.20) and the lowest FKGL 7.40 (±1.54), significantly outperforming others in FKRE (p = 0.030). The Gemini had the highest understandability (83.20% ± 1.56; p = 0.027), while the DeepSeek led in actionability (71.10% ± 3.81; p = 0.140). No AI platform met all the adequacy thresholds (FKGL <6, FKRE >60, PEMAT-P > 80%) at one time. Across the procedures, the differences in the readability, understandability, and the actionability were not statistically significant (all p > 0.5). The correlation analysis showed that there is significant inverse relationships of FKRE with FKGL (r = −0.711, p = 0.032) and FKRE with understandability (r = −0.669, p = 0.049). The actionability was not significantly correlated with any metric. Conclusion Although each AI platform shown strengths in some domains, none consistently fulfilled the criteria for optimal patient education. These findings underscore the necessity for enhanced AI training utilizing pediatric and caregiver-specific data to improve the quality of postoperative guidance in pediatric ORL care.
