1) Obesity is a growing global epidemic causing major health problems and costs. Only bariatric surgery has proven able to achieve substantial and durable weight loss.
2) Gastric banding and gastric bypass are the most common bariatric procedures. Choice depends on availability of long-term follow up support.
3) Bariatric surgery leads to 30-35kg weight loss on average, resolving many obesity-related diseases and improving quality of life. It is indicated for adults with BMI over 30 who have failed lifestyle methods.
As the rates of obesity increase, so do the medical problems caused and exacerbated by this physical state. For many, traditional methods of weight loss have proven ineffective for achieving and maintaining significant weight reduction. Bariatric surgery (ie, laparoscopic gastric banding, gastric bypass) offers these patients the opportunity to experience significant weight loss that can be maintained. The number of obese patients seeking bariatric surgery is steadily rising. But, unlike traditional diets for which risks are low and discontinuation can occur at any time, bariatric surgery has inherent risks and requires highly restrictive, long-term behavioral changes afterwards. Therefore, these patients typically are required to complete a thorough evaluation, including psychological assessment, to determine their appropriateness for surgery.
Bariatric surgery is the most effective treatment for obesity, resulting in greater weight loss than diet and exercise alone. The three most common bariatric surgery procedures are sleeve gastrectomy, Roux-en-Y gastric bypass, and adjustable gastric banding. Sleeve gastrectomy and Roux-en-Y gastric bypass typically result in 60-70% excess weight loss, while gastric banding results in less weight loss of around 50%. Bariatric surgery significantly improves or resolves obesity-related conditions like type 2 diabetes, hypertension, and sleep apnea. Complications can include leaks, strictures, nutritional deficiencies, and gallstones, but can often be managed endoscopically.
This document discusses the surgical management of obesity. It begins by describing the definition and prevalence of morbid obesity. It then outlines the medical complications associated with obesity and discusses the limitations of medical therapy and lifestyle changes in achieving durable weight loss for morbidly obese patients. The majority of the document focuses on various bariatric surgical procedures, including restrictive procedures like adjustable gastric banding and sleeve gastrectomy, and malabsorptive procedures like Roux-en-Y gastric bypass, biliopancreatic diversion, and duodenal switch. It provides details on how each procedure is performed and their typical outcomes and weight loss results. Throughout, it emphasizes that bariatric surgery is the most effective treatment for achieving long
The document discusses the rising problem of obesity in India, summarizing key statistics from NFHS surveys. It then covers the genetic, dietary, lifestyle, and environmental factors that contribute to obesity. The major sections discuss the medical management of obesity through diet, exercise and drugs, as well as the various bariatric surgery procedures like gastric bypass, gastric banding, and sleeve gastrectomy. Key details are provided on the indications, mechanisms, techniques and complications of different surgical options. Post-operative care and long-term follow up are also highlighted.
This is a presentation Dr. beck and Dr. Eakin give at the bariatric information sessions at Jordan Valley Medical Center, in Salt Lake City, Utah. It provides strategies fro medical weight loss, an it discusses the pros and cons of common bariatric operations.
Bariatric surgery is currently the only effective treatment for sustained weight loss in patients with morbid obesity. The document discusses various bariatric procedures including laparoscopic adjustable gastric banding, sleeve gastrectomy, Roux-en-Y gastric bypass, and biliopancreatic diversion. It covers the indications, contraindications, preoperative evaluation and preparation, types of procedures, postoperative care, advantages, disadvantages, and complications of different bariatric surgeries. The goal of bariatric surgery is to improve health in morbidly obese patients by achieving long-term weight loss through caloric intake reduction and malabsorption.
Bariatric Surgery: Options, Trends, and Latest InnovationsGeorge S. Ferzli
The document summarizes research on the rise of obesity in the United States and treatment options. It finds that over the last two decades, about two-thirds of Americans are overweight or obese. While diet and medication are often ineffective long-term, bariatric surgery has been shown to significantly help with weight loss and resolution of related health conditions like diabetes and hypertension. The risks and outcomes of different bariatric procedures like Roux-en-Y gastric bypass and sleeve gastrectomy are discussed.
Understant what is obesity and Bariatric Surgery, what are the risk factors and how to overcome on the it. For more information visit at http://gisurgery.info
As the rates of obesity increase, so do the medical problems caused and exacerbated by this physical state. For many, traditional methods of weight loss have proven ineffective for achieving and maintaining significant weight reduction. Bariatric surgery (ie, laparoscopic gastric banding, gastric bypass) offers these patients the opportunity to experience significant weight loss that can be maintained. The number of obese patients seeking bariatric surgery is steadily rising. But, unlike traditional diets for which risks are low and discontinuation can occur at any time, bariatric surgery has inherent risks and requires highly restrictive, long-term behavioral changes afterwards. Therefore, these patients typically are required to complete a thorough evaluation, including psychological assessment, to determine their appropriateness for surgery.
Bariatric surgery is the most effective treatment for obesity, resulting in greater weight loss than diet and exercise alone. The three most common bariatric surgery procedures are sleeve gastrectomy, Roux-en-Y gastric bypass, and adjustable gastric banding. Sleeve gastrectomy and Roux-en-Y gastric bypass typically result in 60-70% excess weight loss, while gastric banding results in less weight loss of around 50%. Bariatric surgery significantly improves or resolves obesity-related conditions like type 2 diabetes, hypertension, and sleep apnea. Complications can include leaks, strictures, nutritional deficiencies, and gallstones, but can often be managed endoscopically.
This document discusses the surgical management of obesity. It begins by describing the definition and prevalence of morbid obesity. It then outlines the medical complications associated with obesity and discusses the limitations of medical therapy and lifestyle changes in achieving durable weight loss for morbidly obese patients. The majority of the document focuses on various bariatric surgical procedures, including restrictive procedures like adjustable gastric banding and sleeve gastrectomy, and malabsorptive procedures like Roux-en-Y gastric bypass, biliopancreatic diversion, and duodenal switch. It provides details on how each procedure is performed and their typical outcomes and weight loss results. Throughout, it emphasizes that bariatric surgery is the most effective treatment for achieving long
The document discusses the rising problem of obesity in India, summarizing key statistics from NFHS surveys. It then covers the genetic, dietary, lifestyle, and environmental factors that contribute to obesity. The major sections discuss the medical management of obesity through diet, exercise and drugs, as well as the various bariatric surgery procedures like gastric bypass, gastric banding, and sleeve gastrectomy. Key details are provided on the indications, mechanisms, techniques and complications of different surgical options. Post-operative care and long-term follow up are also highlighted.
This is a presentation Dr. beck and Dr. Eakin give at the bariatric information sessions at Jordan Valley Medical Center, in Salt Lake City, Utah. It provides strategies fro medical weight loss, an it discusses the pros and cons of common bariatric operations.
Bariatric surgery is currently the only effective treatment for sustained weight loss in patients with morbid obesity. The document discusses various bariatric procedures including laparoscopic adjustable gastric banding, sleeve gastrectomy, Roux-en-Y gastric bypass, and biliopancreatic diversion. It covers the indications, contraindications, preoperative evaluation and preparation, types of procedures, postoperative care, advantages, disadvantages, and complications of different bariatric surgeries. The goal of bariatric surgery is to improve health in morbidly obese patients by achieving long-term weight loss through caloric intake reduction and malabsorption.
Bariatric Surgery: Options, Trends, and Latest InnovationsGeorge S. Ferzli
The document summarizes research on the rise of obesity in the United States and treatment options. It finds that over the last two decades, about two-thirds of Americans are overweight or obese. While diet and medication are often ineffective long-term, bariatric surgery has been shown to significantly help with weight loss and resolution of related health conditions like diabetes and hypertension. The risks and outcomes of different bariatric procedures like Roux-en-Y gastric bypass and sleeve gastrectomy are discussed.
Understant what is obesity and Bariatric Surgery, what are the risk factors and how to overcome on the it. For more information visit at http://gisurgery.info
The document discusses the Mini Nutritional Assessment (MNA), a screening tool used to assess nutritional status in elderly populations. The MNA contains 18 questions in two parts - the first part screens for malnutrition risk and the second part fully assesses nutritional status if needed. It identifies individuals at risk of malnutrition and allows for targeted intervention. Studies show the MNA has good reliability and validity in detecting malnutrition across various elderly care settings before other indicators appear. It is widely used internationally but may need adjustment for non-Western cultures. The MNA is considered an effective screening tool for nutritional assessment in older adults.
Nutritional management is important for patients with cancer cachexia. The goals of nutrition intervention are weight stabilization and improved quality of life and survival. Nutrition screening using a validated tool can identify patients in need of comprehensive assessment using the PG-SGA. A nutrition prescription including increased protein, energy, and eicosapentaenoic acid (EPA) can improve intake and attenuate weight loss. Regular nutrition counseling and high protein supplements are effective for implementation. Outcomes like intake and weight loss can be positively impacted, though effects on quality of life and survival require longer-term studies.
This document discusses the credentials and experience of Dr. Sreejoy Patnaik in various types of bariatric and metabolic surgery procedures over the years. It then provides details on the procedures, including sleeve gastrectomy, gastric bypass, and gastric banding. The risks, benefits, and resolution of comorbidities for various bariatric surgeries are outlined.
Frequency of bulimia nervosa and binge eating disorder in obese females and t...Alexander Decker
This study examined the prevalence of bulimia nervosa (BN) and binge eating disorder (BED) among obese females in Iraq and compared individual characteristics between obese females with and without eating disorders. The study found that 21% of 190 obese females met criteria for BN or BED, with 16.84% having BED and 4.23% having BN. Obese females with eating disorders tended to be younger, live in cities, be married, and have higher education levels compared to obese females without eating disorders. They also reported greater body shape stress, history of diabetes, preferring fatty/mixed meals, and regular meal/snack consumption. The study aimed to better understand the relationship between obesity and eating disorders
Food choices can help prevent cancer and, when cancer has been diagnosed, nutrition can improve survival. These links between diet and cancer are nothing short of dramatic. And now you can learn how certain dietary patterns help people diagnosed with cancer live longer, healthier lives.
The document provides details about a bariatric surgery case study involving a patient named J.B. It discusses J.B.'s medical history and history of weight loss attempts. It then outlines the steps J.B. took in preparation for Roux-en-Y gastric bypass surgery, including dietary changes, vitamin supplementation, and procedures. The document concludes with an overview of J.B.'s postoperative clinical condition, medications, labs, and initial nutrition care plan.
Preventing diabetes and obesity in mental health disordersHealthXn
This document summarizes a presentation on preventing diabetes and obesity in patients with mental health issues. It discusses how mental health disorders are associated with higher risks of diabetes and metabolic syndrome due to genetic and lifestyle factors as well as some medications used to treat mental health conditions. Treatment of diabetes and other vascular risk factors is essential for patients with mental health issues since premature death is often due to cardiovascular disease rather than suicide. The presentation emphasizes preventing and early identification of diabetes and metabolic syndrome through lifestyle counseling, monitoring weight and metabolic markers, and treating obesity and diabetes when present.
Gastroenterology for the internist. The Clinics 2019Manuel Chumacero
This document summarizes key points about proton pump inhibitors (PPIs):
1) PPIs are among the most commonly prescribed medications but have been associated with potential adverse effects in observational studies.
2) While evidence for adverse effects is weak, there is also insufficient evidence to dismiss the risks.
3) PPIs are often prescribed inappropriately or at higher than recommended doses.
4) Physicians should carefully consider the indication for PPIs and ensure appropriate dosing before prescribing, and regularly review whether continued PPI therapy is needed.
This document summarizes some of the key methodological challenges in studying the relationship between diet and cancer risk through epidemiological research. It discusses common study designs like case-control and cohort studies and their limitations, such as recall bias, confounding factors, and difficulties measuring long-term diet. Randomized controlled trials are difficult to conduct for dietary factors and cancer outcomes. Assessment of diet relies on self-reported measures that are prone to error. Overall, establishing causal links between specific foods and cancer risk is challenging due to these complexities.
Life Style and Nutritional profile of NIDDM patients.Runa La-Ela
Life Style and Nutritional profile of NIDDM patients.
Diabetes mellitus is one of the most burdensome chronic diseases that are increasing in epidemic proportion throughout the world.
Obesity and physical inactivity constitute part of the risk for NIDDM because of their propensity to induce insulin resistance.
Food and dietary pattern of an individual have an important role to play in the development, treatment or prevention of NIDDM
The document discusses the nutrition care process for oncology patients. It begins with an introduction to cancer and cancer-related malnutrition. It then covers the four steps of the nutrition care process: assessment, diagnosis, intervention, and monitoring and evaluation. For assessment, it describes how nutritional status should be assessed through comprehensive assessment including nutrition assessment, biochemical assessment, anthropometric assessment, functional assessment, and client history. It also discusses various nutrition screening tools and identifies the PG-SGA as the gold standard nutrition assessment tool for cancer patients.
This document discusses Helicobacter pylori (H. pylori), including its epidemiology, complications, diagnosis, and treatment. Some key points:
- H. pylori was first discovered in 1982 and linked to peptic ulcer disease and gastric cancer. It is acquired primarily in childhood and transmitted within families.
- Asia has a high prevalence of around 58%. Risk factors include poor hygiene and high population density.
- Complications include gastric cancer, ulcers, gastric MALT lymphoma, and intestinal metaplasia.
- Diagnosis involves tests like the urea breath test, stool antigen test, and endoscopy. Treatment guidelines recommend testing dyspepsia, ulcer,
Evolving diets in GI Disease 2019 Raymond/GallagherPatricia Raymond
As presented 09/2019 at RMSGNA: In the 50's , doctors recommended smoking for your health. More recently gastroenterologists told patients with ulcers to drink milk and eat bread to heal.
Are you using new science based dietary information for your patients? It's time to update your timeworn dietary strategies and handouts. Join us and review the science on recent advances in dietary management for gastrointestinal disorders: Fatty liver, IBS, IBD, Gastroparesis, Post gastric bypass, Diverticulosis, Cirrhosis, and more!
Examine historical misinformation in dietary management of gastrointestinal disorders
Describe the emerging evidence supporting the primary role of dietary therapies in digestive disease including Irritable Bowel Syndrome, Inflammatory Bowel Disease, Small Intestinal Bacterial Overgrowth, Non-Alcoholic Fatty Liver Disease, Gastroparesis, Pancreatitis, Post-Gastric Bypass, and Diverticulitis.
Identify the role of the Registered Dietitian and the importance of a multi-disciplinary approach to the management of digestives diseases
Does physical-activity-and-sport-practice-lead-to-a-healthier-lifestyle-and-e...Annex Publishers
The prevalence of childhood obesity has been increasing rapidly and there is general consensus that good nutritional practices and physical activity should be encouraged as early as possible in life. The aim of this study was to describe and to compare the current lifestyle and dietary pattern of normal weight (NW) and overweight + obese (OW+OB) male adolescents who are physically active.
Methods: This observational and retrospective study was based on clinical records analysis of male adolescents aged 11-18 years who had undergone a medical evaluation at a Medical Sport Centre (Pavia, Italy) during 2009, and had filled in a self-administered life style questionnaire.
Results: The results showed that out of 1423 clinical records 23.0% of subjects were OW, 5.4% OB and 71.6% NW. We invited all the overweight and obese subjects to participate in the study, 308 of them (75.8%) agreed. Then we randomly enrolled an equivalent number of NW participants (n=308) in the medical evaluation at the sports center with similar characteristics as for socio-economic status, physical activity and age for a whole sample of 616 subjects. We handled them a validated lifestyle questionnaire. The questionnaire analysis was used to compare OW+OB and NW participants, as far as eating habits, sedentary activities and time spent in sports. All the subjects frequently skipped breakfast, did not consume fruit and vegetables daily and had a high soft drinks intake. Inverse correlations were found between weight and physical activity (p=0.01). Sedentary activities were preferred by about 25% and 66 % of the NW and OW+OB groups respectively. The percentage of smokers was similar within the two groups (14%).
Conclusions: Adolescents eating habits are incorrect, despite BMI and sports practice. Sports practice seems contributing to lower spare time physical inactivity, but does not improve eating habits. Public health interventions should focus on the reinforcement of leisure time physical activity, besides nutrition education and behavioral education programs in order to prevent obesity in the adulthood.
This document discusses methods for assessing the nutritional status of a community. It describes direct methods like anthropometric measurements of height, weight, and body mass index (BMI). Indirect methods include analyzing economic, cultural, and social factors. The main goals of nutritional assessment are to identify malnutrition risks, current cases of malnutrition, and inform health programs and interventions. Assessment results can be used to take action by developing solutions based on the nutritional situation and available resources.
This document discusses various methods for assessing nutritional status, including direct methods like anthropometric measurements, biochemical tests, clinical exams, and dietary evaluations as well as indirect methods using community health data. It provides details on anthropometric indicators like BMI, waist circumference, and hip measurements. Clinical exams can identify signs of deficiencies in hair, mouth, eyes, nails, skin, thyroid, and bones. Biochemical tests of blood and urine are useful to detect early nutritional changes. Dietary assessments include 24-hour recalls, food frequency questionnaires, and food diaries.
1) The Mini Nutritional Assessment (MNA) is a screening tool developed to identify malnutrition in elderly aged 65+. It consists of 18 questions that assess anthropometric, dietary, and health factors.
2) Validation studies in the 1990s involving over 600 subjects found the MNA to have 96% sensitivity and 98% specificity in detecting malnutrition. It could classify nutritional status without invasive tests.
3) More recent studies have also found the MNA to be effective at predicting health outcomes like mortality and infection risk. However, some studies found other tools may better predict certain outcomes.
Nutritional assessment in chronic liver diseaseShaimaa Elkholy
Protein Energy Malnutrition (PEM) is highly prevalent among patients with chronic liver disease. One of the problems is how to assess these patients nutritionally. yet no standard golden rule for their nutritional assessment.
This review paper examines evidence on dietary and other factors that influence weight gain and obesity at the population level. It finds convincing evidence that regular physical activity and high fiber intake protect against obesity, while sedentary lifestyles and consumption of calorie-dense, nutrient-poor foods increase obesity risk. It recommends a range of strategies to address obesity, including making healthy foods more available, limiting marketing of unhealthy foods to children, promoting active transportation, and improving health services and messaging around nutrition and physical activity. Comprehensive programs are needed to reverse obesity epidemic trends affecting both rich and poor countries.
This document summarizes a seminar on bariatric surgery presented by several professors and doctors. It defines obesity and bariatric surgery. It discusses the prevalence of obesity, causes, medical risks, guidelines for treatment, and various bariatric procedures such as gastric bypass and gastric banding. The seminar provided an overview of obesity as a disease and the role of bariatric surgery as an effective treatment option.
The document discusses obesity, its causes, health risks, and current treatment options. It defines obesity as a BMI of 30 or higher and notes that obesity increases the risk of diseases like diabetes and heart disease. Several prescription drugs are available to treat obesity, but they often only result in 3-4% weight loss and have side effects. Research is ongoing to develop safer and more effective anti-obesity drugs, including from herbal sources, but outcomes have not been promising so far. Lifestyle changes like diet and exercise remain important for long-term obesity management.
The document discusses the Mini Nutritional Assessment (MNA), a screening tool used to assess nutritional status in elderly populations. The MNA contains 18 questions in two parts - the first part screens for malnutrition risk and the second part fully assesses nutritional status if needed. It identifies individuals at risk of malnutrition and allows for targeted intervention. Studies show the MNA has good reliability and validity in detecting malnutrition across various elderly care settings before other indicators appear. It is widely used internationally but may need adjustment for non-Western cultures. The MNA is considered an effective screening tool for nutritional assessment in older adults.
Nutritional management is important for patients with cancer cachexia. The goals of nutrition intervention are weight stabilization and improved quality of life and survival. Nutrition screening using a validated tool can identify patients in need of comprehensive assessment using the PG-SGA. A nutrition prescription including increased protein, energy, and eicosapentaenoic acid (EPA) can improve intake and attenuate weight loss. Regular nutrition counseling and high protein supplements are effective for implementation. Outcomes like intake and weight loss can be positively impacted, though effects on quality of life and survival require longer-term studies.
This document discusses the credentials and experience of Dr. Sreejoy Patnaik in various types of bariatric and metabolic surgery procedures over the years. It then provides details on the procedures, including sleeve gastrectomy, gastric bypass, and gastric banding. The risks, benefits, and resolution of comorbidities for various bariatric surgeries are outlined.
Frequency of bulimia nervosa and binge eating disorder in obese females and t...Alexander Decker
This study examined the prevalence of bulimia nervosa (BN) and binge eating disorder (BED) among obese females in Iraq and compared individual characteristics between obese females with and without eating disorders. The study found that 21% of 190 obese females met criteria for BN or BED, with 16.84% having BED and 4.23% having BN. Obese females with eating disorders tended to be younger, live in cities, be married, and have higher education levels compared to obese females without eating disorders. They also reported greater body shape stress, history of diabetes, preferring fatty/mixed meals, and regular meal/snack consumption. The study aimed to better understand the relationship between obesity and eating disorders
Food choices can help prevent cancer and, when cancer has been diagnosed, nutrition can improve survival. These links between diet and cancer are nothing short of dramatic. And now you can learn how certain dietary patterns help people diagnosed with cancer live longer, healthier lives.
The document provides details about a bariatric surgery case study involving a patient named J.B. It discusses J.B.'s medical history and history of weight loss attempts. It then outlines the steps J.B. took in preparation for Roux-en-Y gastric bypass surgery, including dietary changes, vitamin supplementation, and procedures. The document concludes with an overview of J.B.'s postoperative clinical condition, medications, labs, and initial nutrition care plan.
Preventing diabetes and obesity in mental health disordersHealthXn
This document summarizes a presentation on preventing diabetes and obesity in patients with mental health issues. It discusses how mental health disorders are associated with higher risks of diabetes and metabolic syndrome due to genetic and lifestyle factors as well as some medications used to treat mental health conditions. Treatment of diabetes and other vascular risk factors is essential for patients with mental health issues since premature death is often due to cardiovascular disease rather than suicide. The presentation emphasizes preventing and early identification of diabetes and metabolic syndrome through lifestyle counseling, monitoring weight and metabolic markers, and treating obesity and diabetes when present.
Gastroenterology for the internist. The Clinics 2019Manuel Chumacero
This document summarizes key points about proton pump inhibitors (PPIs):
1) PPIs are among the most commonly prescribed medications but have been associated with potential adverse effects in observational studies.
2) While evidence for adverse effects is weak, there is also insufficient evidence to dismiss the risks.
3) PPIs are often prescribed inappropriately or at higher than recommended doses.
4) Physicians should carefully consider the indication for PPIs and ensure appropriate dosing before prescribing, and regularly review whether continued PPI therapy is needed.
This document summarizes some of the key methodological challenges in studying the relationship between diet and cancer risk through epidemiological research. It discusses common study designs like case-control and cohort studies and their limitations, such as recall bias, confounding factors, and difficulties measuring long-term diet. Randomized controlled trials are difficult to conduct for dietary factors and cancer outcomes. Assessment of diet relies on self-reported measures that are prone to error. Overall, establishing causal links between specific foods and cancer risk is challenging due to these complexities.
Life Style and Nutritional profile of NIDDM patients.Runa La-Ela
Life Style and Nutritional profile of NIDDM patients.
Diabetes mellitus is one of the most burdensome chronic diseases that are increasing in epidemic proportion throughout the world.
Obesity and physical inactivity constitute part of the risk for NIDDM because of their propensity to induce insulin resistance.
Food and dietary pattern of an individual have an important role to play in the development, treatment or prevention of NIDDM
The document discusses the nutrition care process for oncology patients. It begins with an introduction to cancer and cancer-related malnutrition. It then covers the four steps of the nutrition care process: assessment, diagnosis, intervention, and monitoring and evaluation. For assessment, it describes how nutritional status should be assessed through comprehensive assessment including nutrition assessment, biochemical assessment, anthropometric assessment, functional assessment, and client history. It also discusses various nutrition screening tools and identifies the PG-SGA as the gold standard nutrition assessment tool for cancer patients.
This document discusses Helicobacter pylori (H. pylori), including its epidemiology, complications, diagnosis, and treatment. Some key points:
- H. pylori was first discovered in 1982 and linked to peptic ulcer disease and gastric cancer. It is acquired primarily in childhood and transmitted within families.
- Asia has a high prevalence of around 58%. Risk factors include poor hygiene and high population density.
- Complications include gastric cancer, ulcers, gastric MALT lymphoma, and intestinal metaplasia.
- Diagnosis involves tests like the urea breath test, stool antigen test, and endoscopy. Treatment guidelines recommend testing dyspepsia, ulcer,
Evolving diets in GI Disease 2019 Raymond/GallagherPatricia Raymond
As presented 09/2019 at RMSGNA: In the 50's , doctors recommended smoking for your health. More recently gastroenterologists told patients with ulcers to drink milk and eat bread to heal.
Are you using new science based dietary information for your patients? It's time to update your timeworn dietary strategies and handouts. Join us and review the science on recent advances in dietary management for gastrointestinal disorders: Fatty liver, IBS, IBD, Gastroparesis, Post gastric bypass, Diverticulosis, Cirrhosis, and more!
Examine historical misinformation in dietary management of gastrointestinal disorders
Describe the emerging evidence supporting the primary role of dietary therapies in digestive disease including Irritable Bowel Syndrome, Inflammatory Bowel Disease, Small Intestinal Bacterial Overgrowth, Non-Alcoholic Fatty Liver Disease, Gastroparesis, Pancreatitis, Post-Gastric Bypass, and Diverticulitis.
Identify the role of the Registered Dietitian and the importance of a multi-disciplinary approach to the management of digestives diseases
Does physical-activity-and-sport-practice-lead-to-a-healthier-lifestyle-and-e...Annex Publishers
The prevalence of childhood obesity has been increasing rapidly and there is general consensus that good nutritional practices and physical activity should be encouraged as early as possible in life. The aim of this study was to describe and to compare the current lifestyle and dietary pattern of normal weight (NW) and overweight + obese (OW+OB) male adolescents who are physically active.
Methods: This observational and retrospective study was based on clinical records analysis of male adolescents aged 11-18 years who had undergone a medical evaluation at a Medical Sport Centre (Pavia, Italy) during 2009, and had filled in a self-administered life style questionnaire.
Results: The results showed that out of 1423 clinical records 23.0% of subjects were OW, 5.4% OB and 71.6% NW. We invited all the overweight and obese subjects to participate in the study, 308 of them (75.8%) agreed. Then we randomly enrolled an equivalent number of NW participants (n=308) in the medical evaluation at the sports center with similar characteristics as for socio-economic status, physical activity and age for a whole sample of 616 subjects. We handled them a validated lifestyle questionnaire. The questionnaire analysis was used to compare OW+OB and NW participants, as far as eating habits, sedentary activities and time spent in sports. All the subjects frequently skipped breakfast, did not consume fruit and vegetables daily and had a high soft drinks intake. Inverse correlations were found between weight and physical activity (p=0.01). Sedentary activities were preferred by about 25% and 66 % of the NW and OW+OB groups respectively. The percentage of smokers was similar within the two groups (14%).
Conclusions: Adolescents eating habits are incorrect, despite BMI and sports practice. Sports practice seems contributing to lower spare time physical inactivity, but does not improve eating habits. Public health interventions should focus on the reinforcement of leisure time physical activity, besides nutrition education and behavioral education programs in order to prevent obesity in the adulthood.
This document discusses methods for assessing the nutritional status of a community. It describes direct methods like anthropometric measurements of height, weight, and body mass index (BMI). Indirect methods include analyzing economic, cultural, and social factors. The main goals of nutritional assessment are to identify malnutrition risks, current cases of malnutrition, and inform health programs and interventions. Assessment results can be used to take action by developing solutions based on the nutritional situation and available resources.
This document discusses various methods for assessing nutritional status, including direct methods like anthropometric measurements, biochemical tests, clinical exams, and dietary evaluations as well as indirect methods using community health data. It provides details on anthropometric indicators like BMI, waist circumference, and hip measurements. Clinical exams can identify signs of deficiencies in hair, mouth, eyes, nails, skin, thyroid, and bones. Biochemical tests of blood and urine are useful to detect early nutritional changes. Dietary assessments include 24-hour recalls, food frequency questionnaires, and food diaries.
1) The Mini Nutritional Assessment (MNA) is a screening tool developed to identify malnutrition in elderly aged 65+. It consists of 18 questions that assess anthropometric, dietary, and health factors.
2) Validation studies in the 1990s involving over 600 subjects found the MNA to have 96% sensitivity and 98% specificity in detecting malnutrition. It could classify nutritional status without invasive tests.
3) More recent studies have also found the MNA to be effective at predicting health outcomes like mortality and infection risk. However, some studies found other tools may better predict certain outcomes.
Nutritional assessment in chronic liver diseaseShaimaa Elkholy
Protein Energy Malnutrition (PEM) is highly prevalent among patients with chronic liver disease. One of the problems is how to assess these patients nutritionally. yet no standard golden rule for their nutritional assessment.
This review paper examines evidence on dietary and other factors that influence weight gain and obesity at the population level. It finds convincing evidence that regular physical activity and high fiber intake protect against obesity, while sedentary lifestyles and consumption of calorie-dense, nutrient-poor foods increase obesity risk. It recommends a range of strategies to address obesity, including making healthy foods more available, limiting marketing of unhealthy foods to children, promoting active transportation, and improving health services and messaging around nutrition and physical activity. Comprehensive programs are needed to reverse obesity epidemic trends affecting both rich and poor countries.
This document summarizes a seminar on bariatric surgery presented by several professors and doctors. It defines obesity and bariatric surgery. It discusses the prevalence of obesity, causes, medical risks, guidelines for treatment, and various bariatric procedures such as gastric bypass and gastric banding. The seminar provided an overview of obesity as a disease and the role of bariatric surgery as an effective treatment option.
The document discusses obesity, its causes, health risks, and current treatment options. It defines obesity as a BMI of 30 or higher and notes that obesity increases the risk of diseases like diabetes and heart disease. Several prescription drugs are available to treat obesity, but they often only result in 3-4% weight loss and have side effects. Research is ongoing to develop safer and more effective anti-obesity drugs, including from herbal sources, but outcomes have not been promising so far. Lifestyle changes like diet and exercise remain important for long-term obesity management.
The document discusses obesity, including its types, rates, causes, and effects on health. It addresses the main types of obesity defined by BMI, trends showing increasing obesity rates in both adults and children, dietary and lifestyle factors that can cause obesity, and how excess weight is associated with higher risks of diseases and health conditions like diabetes, cardiovascular disease, and some cancers. Prevention focuses on maintaining a healthy diet and active lifestyle to avoid excess weight gain and related health issues.
This document discusses carcinoma of the stomach. It provides background on the epidemiology of gastric cancer, including that it is the second most common cause of cancer death worldwide. Risk factors discussed include diet high in salts and smoked foods, H. pylori infection, smoking, and genetic factors in a small percentage of cases. The anatomy of the stomach and potential causes of gastric cancer like previous surgery or ulcers are also summarized.
Nutritional Trends and Implications for Weight Loss Surgerymilfamln
Learning Objectives:
1. Describe and list the types of bariatric surgeries.
2. Identify current practice guidelines for MNT in bariatrics.
3. Identify key factors in pre-op assessments for long-term success.
This document discusses obesity in women from an obstetrics and gynecology perspective. It covers the rise in obesity rates in the UK, the science behind obesity including genes and hormones, general health risks of obesity like cancer and infertility, effects of obesity during pregnancy, and considerations for contraception. The summary emphasizes that obese women should be viewed holistically and discusses should be had regarding their risks of cancer, conception issues, and pregnancy outcomes which patients may not be aware of. A multidisciplinary approach is needed.
Resurge - The Godzilla Of Offers - Resurge weight loss.Med Gaith
Resurge- The Godzilla Offers is a blend of natural products that are helpful to losing weight, boosting the immune system, increasing metabolism, and relieving stress. it is effective against problems that in one way or another are related to weight gain. It is made in the USA and approved by the Food and Drug Administration (FDA).
Obesity is a chronic, debilitating, life long disease giving rise to many other diseases. Severe obesity is
associated with co-morbidities including type 2 DM, hypertension, dyslipidemia, obstructive sleep apnoea,
obesity hypoventilation syndrome, polycystic ovarian syndrome, stateohepatosis, asthma, back and lower
limb degenerative problem, cancer and premature death. Morbid obesity has acquired epidemic proportions in the west. Traditional approaches to weight loss including diet, exercise and medication achieve no more than 5-10 % reduction in body weight with high relapse rates. So far, there was no effective remedy for morbid obesity. Bariatric surgery is the only effective means of achieving long term weight loss in the severely obese. The international guideline for bariatric surgery are BMI > 40 kg/m2 BMI > 35 kg/m2 together with obesity related disease. Bariatric surgery can achieve sustained weight loss durable to at least 15 years and causes marked improvement in co-morbidities.
1) Obesity rates have doubled worldwide in the past few decades and over 1 billion people are now overweight or obese globally.
2) Developing countries are beginning to experience nutrition transitions where physical activity levels decrease and diets become more calorie-dense, leading to growing obesity problems.
3) Bariatric surgery is an effective treatment for severe obesity, resulting in over 60% excess weight loss on average and resolution of related health conditions like diabetes and hypertension for the majority of patients.
This document discusses obesity and its management through diet and exercise. It provides definitions of obesity based on BMI and waist circumference. Obesity is a risk factor for many health conditions. Dietary intervention is key to weight loss, including low-calorie, low-fat, low-carbohydrate diets, and very low-calorie diets. Exercise alone does not lead to significant weight loss but helps maintain weight lost through diet. Combining calorie restriction and exercise can result in 5-9% weight loss over 6 months.
Approximately 35% to 60% of all patients with head and neck cancer are malnourished at the
time of their diagnosis because of tumor burden and obstruction of intake or the anorexia and cachexia
associated with their cancer. The purpose of this presentation is to provide a contemporary review of the
nutritional aspects of care for patients with head and neck cancer.
Ulcerative colitis is an inflammatory bowel disease that causes inflammation and tiny ulcers on the lining of the colon. It typically begins in the rectum and spreads upward. Most patients are diagnosed between ages 15-25 or in their 60s. Stress can exacerbate ulcerative colitis over time. Dietary risk factors include high intake of red meat, processed meat, alcohol, sulphur, and certain fats and vitamins. Treatment may include dietary modifications in addition to medication. A case study describes a patient presenting with appetite loss, weight loss, and abdominal pain who was diagnosed with ulcerative colitis and anemia and prescribed a low-fiber, moderate-fat, moderate-carbohydrate diet high in protein
Malnutrition is common in cancer patients, affecting 40-80% during their disease course. It negatively impacts treatment outcomes, mortality, and quality of life. Early screening and nutritional interventions can help prevent weight loss and treatment interruptions. A multidisciplinary team approach is needed to address nutritional status from diagnosis onward through cancer treatment. Screening tools help identify at-risk patients who need comprehensive assessment and individualized nutritional support through diet, oral supplements, enteral feeding, or parenteral nutrition as needed. Exercise should also be encouraged to preserve muscle mass. Prioritizing nutritional care represents good clinical practice that can optimize cancer treatment.
- Maltose provides easily digestible carbohydrates as an energy source for dialysis patients.
- HDMAX offers specialized nutrition to address nutritional deficits in dialysis patients, such as protein and mineral losses during dialysis.
- It provides balanced nutrition tailored to the needs of dialysis patients, including appropriate levels of protein, carbohydrates, lipids, fibers, vitamins and restricted minerals like potassium that are controlled in dialysis patients.
xenixal presentation done by heba to al razi teamheba abou diab
Xenical is a medication used to aid weight loss and maintain weight loss when taken along with a reduced-calorie diet. It works by inhibiting the absorption of dietary fat in the stomach and intestines. Common side effects include oily or fatty stools but are generally mild. Studies show Xenical leads to 5-10% weight loss over one year when combined with lifestyle changes and helps improve obesity-related conditions like diabetes.
- The document discusses an integrated approach to cancer prevention and treatment through lifestyle changes.
- It presents a model showing how lifestyle factors like nutrition, exercise, stress, and social support can affect cancer development over many years and influence whether cancer progresses or not.
- Evidence from studies on nutrition, exercise, stress management, and social support suggest that adopting a healthy lifestyle may reduce cancer risk and slow cancer progression. The Prostate Cancer Lifestyle Trial found significant benefits of lifestyle changes for men with early-stage prostate cancer.
Similar to Bariatric surgery mechanisms, indications and outcomes (20)
The document discusses laparoscopy procedures for various gynecological conditions such as infertility, chronic pelvic pain, ectopic pregnancy, and oncological issues. It notes that laparoscopy can be used for both diagnostic and operative purposes. It then discusses different techniques for laparoscopic access such as direct trocar insertion versus Verres needle insertion. It reviews studies comparing complication rates between different access techniques. The document emphasizes the importance of evidence-based medicine and following guidelines from organizations like NICE when determining appropriate diagnostic tests and treatments for conditions like infertility.
The document discusses laparoscopy procedures for various gynecological conditions. It begins by outlining conditions that can be diagnosed or treated via laparoscopy, including infertility, ectopic pregnancy, adhesions, endometriosis, ovarian masses, hysterectomy, uterine fibroids, and gynecological oncology issues. It then discusses different laparoscopy access techniques such as direct trocar insertion, open laparoscopy, and Verres needle insertion. It provides data on complication rates for different access methods. The document also discusses techniques for avoiding major vascular injuries during access. In summary, the document provides an overview of laparoscopy procedures and techniques for gynecological conditions.
Nuovo metodo ad ultrasuoni per il trattamento dei calcoli renaliMerqurio
This document describes a novel method using focused ultrasound to reposition kidney stones. Researchers created a kidney phantom with an artificial collecting system and lower pole. Both artificial and human kidney stones were placed in the lower pole. An ultrasound imaging probe was used to locate the stones, while a separate focused ultrasound probe could deliver bursts of ultrasound to move the stones. In experiments, stones were successfully repositioned from the lower pole to the collecting system in seconds, moving at about 1 cm/s. This noninvasive method shows promise for aiding stone clearance after surgery or during medical expulsive therapy.
Litotrissia percutanea laparoscopica nel rene pelvico casi cliniciMerqurio
This document describes a novel technique of laparoscopically assisted percutaneous pyelolithotomy for treating kidney stones in pelvic kidneys. The technique was used in 3 patients with large pelvic kidney stones who were not suitable candidates for standard percutaneous or laparoscopic approaches. The procedure involves using laparoscopy to expose the renal pelvis, then inserting a needle percutaneously into the pelvis under direct visualization. The tract is dilated and a nephroscope is used to remove stones without needing to incise or suture the pelvis. This approach provides direct access to the pelvis without risks of standard percutaneous or laparoscopic techniques. All 3 patients were successfully treated with no complications and no
Chirurgia di preservazione dell'udito. lento progresso e nuove strategieMerqurio
This study evaluated hearing outcomes for 115 patients who underwent hearing preservation surgery for acoustic neuromas. The goal was to determine the tumor size and level of pre-operative hearing that resulted in high rates of preserved hearing. Two groups of patients were evaluated based on tumor size - those with tumors ≤ 10mm and those >10mm. Patients with tumors ≤ 10mm and good pre-operative hearing (≤20dB PTA, ≥80% SDS) had a 76% success rate of preserved hearing. Patients with smaller tumors but poorer pre-operative hearing had lower success rates. The authors concluded that hearing preservation surgery is most effective for acoustic neuromas ≤10mm with good pre-operative hearing and can be an optimal treatment
Il trattamento chirurgico dei tumori del labbroMerqurio
This document summarizes a study on the surgical management of lip cancer. The study examined 32 patients treated for lip cancer over 5 years. Most cases involved squamous cell carcinoma of the lower lip. Surgical excision of the tumor was performed with oncologically appropriate margins. Reconstruction after surgery posed challenges, especially for advanced or extensive lesions. Local flaps from the lip or surrounding tissues were often used for reconstruction. Neck dissection was also performed in some cases to control lymph node metastases. While early stage tumors had good postoperative outcomes, advanced lesions resulted in greater functional impairments like drooling or chewing difficulties after surgery. The document discusses the surgical and reconstructive techniques used to treat lip cancers while aiming to preserve lip appearance and
Il trattamento chirurgico dei tumori del labbroMerqurio
The document summarizes the surgical management of lip cancer. It discusses that lip cancer is most commonly squamous cell carcinoma, usually originating in the lower lip. The management of lip cancer involves controlling the primary tumor with appropriate margins while allowing for oral competence, as well as potential neck metastases. Reconstruction is challenging, especially for advanced lesions, requiring preoperative planning and various surgical techniques. Early stage tumors have better prognostic and functional outcomes after surgery compared to advanced lesions. The authors report their experience treating lip tumors and managing neck metastases.
Effetti degli integratori di calcio sul rischio di infarto del miocardio e di...Merqurio
This meta-analysis investigated whether calcium supplements increase the risk of cardiovascular events. It analyzed 15 eligible randomized controlled trials involving over 11,000 participants who took calcium supplements for an average of 4 years. The analysis found a small increased risk of myocardial infarction among those taking calcium supplements compared to placebo, with 143 people experiencing a heart attack in the calcium group versus 111 in the placebo group. There was also a non-significant trend towards increased risks of stroke and cardiovascular death. These modest increases in risk could translate to a significant burden of disease at the population level given widespread calcium supplement use. The results suggest a reassessment of calcium supplements for osteoporosis is warranted.
Il trattamento chirurgico dei tumori del labbroMerqurio
This document summarizes a study on the surgical management of lip cancer. The most common type of lip cancer is squamous cell carcinoma, usually occurring on the lower lip. Treatment involves complete excision of the primary tumor with oncologically appropriate margins while preserving lip structure and function during reconstruction. For early-stage tumors, surgery results in good aesthetic and functional outcomes. More advanced tumors require complex reconstruction techniques using local or regional flaps to restore lip shape, texture, and mobility. Management of possible neck metastases is also important, as lymph node involvement significantly reduces survival rates. The authors report their experience treating 32 cases of lip cancer with surgical excision and various reconstructive procedures.
La sindrome rino bronchiale. indagine conoscitiva sio-aimar.Merqurio
This study aimed to standardize the diagnosis and treatment of rhino-bronchial syndrome (RBS), which links inflammation of the upper and lower airways. 159 patients meeting criteria for RBS underwent a two-level diagnostic protocol including endoscopy and spirometry. RBS was confirmed in 116 patients who had higher rates of allergic and infectious diseases than unconfirmed cases. Common symptoms were nasal obstruction, rhinorrhea, cough, and dyspnea. After 3 months of treatment including steroids, antibiotics, and nasal lavage, 96% of patients recovered. The study proposes a diagnostic workflow and highlights the importance of correct diagnosis through multidisciplinary evaluation for effective treatment of RBS.
La sindrome rino bronchiale. indagine conoscitiva sio-aimar.Merqurio
This document describes a survey conducted by the Italian Society of Otorhinolaryngology and the Interdisciplinary Scientific Association for the Study of Respiratory Diseases to better understand the epidemiology, diagnosis, and treatment of rhino-bronchial syndrome. 159 patients from 9 ENT and pulmonology centers were enrolled based on clinical history and symptoms. 116 patients received a confirmed diagnosis based on examinations of the upper and lower airways. Allergic and infectious diseases were more common in patients with a confirmed diagnosis. After 3 months of standard treatment, 96% of patients recovered. The study proposes a diagnostic workflow and emphasizes the importance of correct diagnosis through multidisciplinary evaluation and treatment.