Gastric Band Adjustment<br />Case Study <br />31/10/2009<br />1<br />Done by: ShathaJamal Al-Mushayt<br />Presented for: D...
Patient information<br />Gender: Female   <br />Age: 29 years old<br />Nationality: Saudi <br />Professional diagnosis: Mo...
Contrast Media (CM) <br />Type: Barium sulfate -340 g<br />Preparationof CM: <br />mixed with water<br />Poured in a cup <...
Patient preparation<br />Patient had nothing by mouth for 4 hours before exam<br />No pregnancy<br />the patient was free ...
Procedure Equipment <br />Fluoroscopic unit <br />Cotton pads<br />Antiseptic fluid<br />Needle & syringe<br />Saline<br /...
Gastric Band System<br />Gastric band (silicone ring)<br />tube<br />access port<br />6<br />
How was Gastric band inserted by surgeon?<br />The band was inserted around the upper part of the stomach<br />The access ...
Inserted Gastric Band <br />8<br />
Inserted Gastric Band <br />Inserted band forms a small stomach pouch  less food is stored in the stomach, feel full soon...
Inserted Gastric Band <br />The inner surface of the band ring is a balloon-like<br /> Injection  to tighten the band<br ...
Procedure’s Steps<br />Patient was lying down on the x-ray table <br />Palin radiograph was taken: AP supine, KV: 96<br />...
12<br />Procedure’s Steps<br /> - The radiologist located the access port under x-ray & marked it- he sterilized the place...
Procedure’s Steps<br /> the patient was instructed to collect the Barium sulfate in her mouth and swallow it at once<br />...
Procedure’s Steps<br />In this case, Saline was injected by the syringe & needle to tight the band<br />Remember! “she cou...
Procedure’s Steps<br />The tight level depends on<br /> the patient’s comfort,<br />displayed image and radiologist’s opin...
Result(finding)<br /> About 2 ml of saline was infused into the band<br />Re-evaluation after adjustment shows:<br /> Pass...
After Care<br />Since the patient was satisfied with the band size while swallowing, she could go home.<br />It was recomm...
My Comment<br />Patient felt little pain while inserting the needle.  So, I wondered why did they not use local anesthesia...
Morbid Obesity<br />19<br /> Obesity is an abnormal accumulation of fat.<br />20-40% over the ideal weight<br /> mild obe...
Morbid Obesity<br />Obesity considered morbid when it significantly increases the risk of obesity-related health condition...
Obesity In General<br />Is one of the most serious public health issues of the 21st century<br />Is a leading cause of dea...
Causes<br />Most commonly caused by a combination of:<br /> excessive dietary calories, <br />lack of physical activity<br...
Symptoms & Obesity-Related Health Conditions<br />Major symptoms:<br />Excessive weight gain & the large amounts of fatty ...
Treatment <br />Obesity is difficult to treat & weight may be regained. <br />Diet, exercises are primary treatments<br />...
Hope You Like It !<br />Thank You<br />25<br />
Reference <br /><ul><li>http://www.urmc.rochester.edu/hh/services-centers/bariatrics/morbid-obesity.cfm
Upcoming SlideShare
Loading in …5
×

Gastric Band Adjustment

1,339 views

Published on

Published in: Health & Medicine
  • Be the first to comment

Gastric Band Adjustment

  1. 1. Gastric Band Adjustment<br />Case Study <br />31/10/2009<br />1<br />Done by: ShathaJamal Al-Mushayt<br />Presented for: Dr. Abdullah Al-Huwaimel<br />
  2. 2. Patient information<br />Gender: Female <br />Age: 29 years old<br />Nationality: Saudi <br />Professional diagnosis: Morbid Obesity <br />Patient history: Gastric band surgery 5 years ago<br />Exam type: Gastric Band Adjustment <br />she could not reach the required weight..(still obese) <br />2<br />
  3. 3. Contrast Media (CM) <br />Type: Barium sulfate -340 g<br />Preparationof CM: <br />mixed with water<br />Poured in a cup <br />To be Swallowed by mouth<br />3<br />
  4. 4. Patient preparation<br />Patient had nothing by mouth for 4 hours before exam<br />No pregnancy<br />the patient was free of any object that may superimpose interested anatomic part under x-ray<br />4<br />
  5. 5. Procedure Equipment <br />Fluoroscopic unit <br />Cotton pads<br />Antiseptic fluid<br />Needle & syringe<br />Saline<br />Pen marker<br />Gastric band existed inside the patient body<br />5<br />
  6. 6. Gastric Band System<br />Gastric band (silicone ring)<br />tube<br />access port<br />6<br />
  7. 7. How was Gastric band inserted by surgeon?<br />The band was inserted around the upper part of the stomach<br />The access port was placed just under the skin<br />The tube connect between them<br />&gt;&gt; See image <br />7<br />
  8. 8. Inserted Gastric Band <br />8<br />
  9. 9. Inserted Gastric Band <br />Inserted band forms a small stomach pouch  less food is stored in the stomach, feel full sooner<br />Band size is controlled by <br />Injection or withdrawn of<br />Saline.<br />9<br />
  10. 10. Inserted Gastric Band <br />The inner surface of the band ring is a balloon-like<br /> Injection  to tighten the band<br /> Withdrawn  to loose the band<br />10<br />
  11. 11. Procedure’s Steps<br />Patient was lying down on the x-ray table <br />Palin radiograph was taken: AP supine, KV: 96<br />Table then was tilted up to 44 degrees –fowler&apos;s position<br />(to prevent the normal reflux while<br /> CM drinking)<br />11<br />
  12. 12. 12<br />Procedure’s Steps<br /> - The radiologist located the access port under x-ray & marked it- he sterilized the place by antiseptic cotton pad and inserted the needle into the port<br />“Plain film of this case patient”<br />The needle<br />
  13. 13. Procedure’s Steps<br /> the patient was instructed to collect the Barium sulfate in her mouth and swallow it at once<br />13<br />
  14. 14. Procedure’s Steps<br />In this case, Saline was injected by the syringe & needle to tight the band<br />Remember! “she could not reach the required weight..(still obese) “<br />14<br />
  15. 15. Procedure’s Steps<br />The tight level depends on<br /> the patient’s comfort,<br />displayed image and radiologist’s opinion<br />15<br />End of the procedure <br />
  16. 16. Result(finding)<br /> About 2 ml of saline was infused into the band<br />Re-evaluation after adjustment shows:<br /> Passage of contrast to the stomach and<br />Satisfaction of the patient<br />16<br />Dictating doctor, DimaJamjoom<br />Signing and approving doctor, Al bagerNaserElbagirNasir<br />
  17. 17. After Care<br />Since the patient was satisfied with the band size while swallowing, she could go home.<br />It was recommend to have a smooth meal the day of procedure<br />The following day, must be able to eat normally <br />17<br />
  18. 18. My Comment<br />Patient felt little pain while inserting the needle. So, I wondered why did they not use local anesthesia to numb the skin?!<br />The procedure was<br />interesting.<br />18<br />
  19. 19. Morbid Obesity<br />19<br /> Obesity is an abnormal accumulation of fat.<br />20-40% over the ideal weight<br /> mild obesity<br />40-100%moderate obesity<br />100%  morbid obesity <br />
  20. 20. Morbid Obesity<br />Obesity considered morbid when it significantly increases the risk of obesity-related health conditions or serious diseases<br />It is considered serious “chronic” disease: symptoms occur slowly over long period of time<br />20<br />
  21. 21. Obesity In General<br />Is one of the most serious public health issues of the 21st century<br />Is a leading cause of death worldwide with increasing prevalence in adults and kids;<br />21<br />
  22. 22. Causes<br />Most commonly caused by a combination of:<br /> excessive dietary calories, <br />lack of physical activity<br />If a person eats more calories than he/she burns ,the person gains weight as the body stores the excess energy as fat<br />Other causes: <br />genetic susceptibility<br />medical reasons. e.g. hypothyroidism<br />psychiatric illness<br />22<br />
  23. 23. Symptoms & Obesity-Related Health Conditions<br />Major symptoms:<br />Excessive weight gain & the large amounts of fatty tissue<br />Obesity-Related Health Conditions:<br />Hypertension<br />Type II Diabetes<br />Hypercholesterolemia<br />Decreased fertility & pregnancy complications<br />Gallstones<br />Sleeping disorders etc.<br />23<br />
  24. 24. Treatment <br />Obesity is difficult to treat & weight may be regained. <br />Diet, exercises are primary treatments<br />Surgeries for sever cases <br />24<br />
  25. 25. Hope You Like It !<br />Thank You<br />25<br />
  26. 26. Reference <br /><ul><li>http://www.urmc.rochester.edu/hh/services-centers/bariatrics/morbid-obesity.cfm
  27. 27. http://medicaldictionary.thefreedictionary.com/Obesity%2c+morbid
  28. 28. http://en.wikipedia.org/wiki/Obesity#Causes
  29. 29. http://www.medicinenet.com/obesity_weight_loss/article.htm</li></ul>26<br />

×