Research Article
Department of Metabolic and Bariatric Surgery in the Era of Social Media
Jinglan Yang,
Xuguang Li,
Qiubi Tang,
Xiang Wu,
Xiaomei Chen,
Chunqun Li*
Issue:
Volume 14, Issue 4, August 2026
Pages:
66-75
Received:
21 July 2026
Accepted:
30 July 2026
Published:
6 August 2026
DOI:
10.11648/j.js.20261404.11
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Abstract: Metabolic and bariatric surgery (MBS) is an effective treatment for obesity and associated metabolic disease, while social media has become an important environment in which patients encounter information, professional communication, peer experience, and commercial promotion. This narrative review examined the opportunities, risks, and governance implications of social media in MBS. Peer-reviewed literature was primarily identified through targeted searches of PubMed and the China National Knowledge Infrastructure (CNKI), supplemented by relevant professional, regulatory, and platform documents obtained from official sources. Publications were selected purposively according to their conceptual and clinical relevance and were synthesized thematically around information quality, patient decision-making, professional communication, social support, stigma, privacy, and regulation. Social media can expand access to health information, facilitate clinician-patient communication, and strengthen peer support; however, available evidence does not support treating social media exposure as a deterministic cause of health behavior. Its influence varies according to platform design, source credibility, health and digital literacy, demographic and cultural context, offline relationships, and access to clinical care. Important risks include misinformation, selective presentation of favorable outcomes, commercially driven promotion, weight stigma, and privacy breaches. MBS-specific governance should require credential verification, disclosure of commercial interests, balanced communication of benefits, risks, alternatives, and long-term follow-up requirements, and robust consent procedures for patient-related content. Future studies should evaluate causal pathways, population differences, and professionally led social media interventions.
Abstract: Metabolic and bariatric surgery (MBS) is an effective treatment for obesity and associated metabolic disease, while social media has become an important environment in which patients encounter information, professional communication, peer experience, and commercial promotion. This narrative review examined the opportunities, risks, and governance i...
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Research Article
Idiopathic Type I Giant Emphysematous Bulla in a
Non-Smoking Female Patient: The First Reported Case from Angola
Issue:
Volume 14, Issue 4, August 2026
Pages:
76-80
Received:
25 June 2026
Accepted:
14 July 2026
Published:
10 August 2026
DOI:
10.11648/j.js.20261404.12
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Views:
Abstract: Introduction: Giant emphysematous bulla is defined as an intrapulmonary air collection occupying 30% or more of a hemithorax. Klingman's classification categorizes bullae according to the quality of the underlying lung parenchyma, with type 1 characterized by a giant bulla surrounded by normal lung. Case Report: Female patient, 54 years old, black woman, from an urban area, with no history of smoking, tuberculosis or chronic obstructive pulmonary disease, with a history of controlled arterial hypertension for approximately 10 years, who started about three months ago with slight progressive dyspnea associated with mild exertion, accompanied by chest discomfort. After normal cardiological examinations, chest radiography revealed increased hyperlucency in the right hemithorax. At the general surgery consultation, the respiratory physical examination demonstrated decreased chest expansion, decreased vocal vibrations and decreased vesicular breath sounds in the right hemithorax, with respiratory rate of 22 breaths/minute. Chest radiography confirmed a type 1 emphysematous bulla according to Klingman's classification, and chest computed tomography confirmed the radiological diagnosis. The patient underwent open bullectomy by the Naclerio and Langer technique (1947). The patient remained hospitalized for 14 days due to a postoperative pleural effusion that was promptly treated, with favorable post-operative course. Discussion: This case is particularly relevant as it represents an idiopathic giant emphysematous bulla in a non-smoker female patient, with no history of tuberculosis or chronic obstructive pulmonary disease, resulting inthe first case report of this pathology in Angola. The epidemiological literature review in Africa revealed few reported cases, predominantly associated with spontaneous pneumothorax or other pulmonary comorbidities. Conclusion: Bullectomy by the Naclerio and Langer technique constitutes an effective surgical approach for the treatment of type 1 giant emphysematous bullae, even in patients without classical risk factors. This case represents the first documented report of this pathology in Angola, contributing to the knowledge of the disease's epidemiology in Africa.
Abstract: Introduction: Giant emphysematous bulla is defined as an intrapulmonary air collection occupying 30% or more of a hemithorax. Klingman's classification categorizes bullae according to the quality of the underlying lung parenchyma, with type 1 characterized by a giant bulla surrounded by normal lung. Case Report: Female patient, 54 years old, black ...
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,
Meloise Tchiloia
