Let me to you ,how to loss weight fastest ,healthy weight loss and best weight loss program
fastest weight loss,healthy weight loss,best weight loss program
This document discusses a study that measured the contributions of restriction and malabsorption to weight loss following Roux-en-Y gastric bypass (RNY). The study found that:
1) 5 months after RNY, malabsorption reduced calorie absorption by 124 kcal/day while restriction reduced it by 2,062 kcal/day, with restriction being 16 times more important.
2) 14 months after RNY, malabsorption reduced calorie absorption by 172 kcal/day, compared to 1,418 kcal/day from restriction, showing restriction's effect was beginning to fade.
3) RNY primarily causes weight loss through restriction of food intake rather than malabsorption, with mal
Morbid obesity and surgical managementGaurav Gupta
The document discusses morbid obesity and surgical management options. It defines morbid obesity as being 100 pounds or more overweight, or having a BMI over 40 kg/m2. Surgical procedures like gastric bypass, sleeve gastrectomy, and gastric banding are recommended when lifestyle changes fail to achieve weight loss. These procedures work by restricting food intake, slowing stomach emptying, or reducing nutrient absorption. Complications can include leaks, strictures, nutritional deficiencies, and infection, but bariatric surgery is generally effective for achieving long-term weight loss and resolving obesity-related health conditions.
Rivision surgery after laparoscopic sleeve gastrectomyIbrahim Abunohaiah
Revision Surgery After Laparoscopic Sleeve Gastrectomy
Introduction to bariatric surgery
When to Revise a Weight Loss Surgery?
Options for redo surgery.
Laparoscopic Roux-en-Y gastric Bypass.
Duodenal Switch surgery is a very useful bariatric surgery for patients suffering from obesity. Approximately, the patients of DS lose around 60 to 80% of their surplus body weight and they experience nominal weight regain. For the patients of BMI greater than 50 this very surgery is very effective.
This document discusses intragastric balloons as a treatment for obesity. It defines obesity and provides obesity prevalence statistics. Intragastric balloons work by making patients feel full faster and keeping food in the stomach longer. The document discusses the history of intragastric balloons including the Garren-Edwards bubble and the development of the BIB system. It provides details on placement and removal of the BIB system, post-placement care, complications and their management, contraindications, literature on results showing 15kg weight loss on average, and concludes that the BIB system is generally safe and effective for weight loss and dietary education.
This document discusses weight regain after bariatric surgery and options for revisional surgery. It notes that 50% of patients regain some weight within 2 years of bariatric surgery. Evaluation of weight regain involves assessing patient factors like diet, lifestyle, and medical issues. Revisional surgery depends on the primary procedure and patient characteristics. Options presented include pouch resizing, band adjustment or removal, converting to a different procedure like sleeve gastrectomy or Roux-en-Y gastric bypass. While revisional surgery can provide further weight loss, risks are generally higher than primary procedures and long-term outcomes require more study. Careful patient evaluation and multidisciplinary support are important.
This document discusses a study that measured the contributions of restriction and malabsorption to weight loss following Roux-en-Y gastric bypass (RNY). The study found that:
1) 5 months after RNY, malabsorption reduced calorie absorption by 124 kcal/day while restriction reduced it by 2,062 kcal/day, with restriction being 16 times more important.
2) 14 months after RNY, malabsorption reduced calorie absorption by 172 kcal/day, compared to 1,418 kcal/day from restriction, showing restriction's effect was beginning to fade.
3) RNY primarily causes weight loss through restriction of food intake rather than malabsorption, with mal
Morbid obesity and surgical managementGaurav Gupta
The document discusses morbid obesity and surgical management options. It defines morbid obesity as being 100 pounds or more overweight, or having a BMI over 40 kg/m2. Surgical procedures like gastric bypass, sleeve gastrectomy, and gastric banding are recommended when lifestyle changes fail to achieve weight loss. These procedures work by restricting food intake, slowing stomach emptying, or reducing nutrient absorption. Complications can include leaks, strictures, nutritional deficiencies, and infection, but bariatric surgery is generally effective for achieving long-term weight loss and resolving obesity-related health conditions.
Rivision surgery after laparoscopic sleeve gastrectomyIbrahim Abunohaiah
Revision Surgery After Laparoscopic Sleeve Gastrectomy
Introduction to bariatric surgery
When to Revise a Weight Loss Surgery?
Options for redo surgery.
Laparoscopic Roux-en-Y gastric Bypass.
Duodenal Switch surgery is a very useful bariatric surgery for patients suffering from obesity. Approximately, the patients of DS lose around 60 to 80% of their surplus body weight and they experience nominal weight regain. For the patients of BMI greater than 50 this very surgery is very effective.
This document discusses intragastric balloons as a treatment for obesity. It defines obesity and provides obesity prevalence statistics. Intragastric balloons work by making patients feel full faster and keeping food in the stomach longer. The document discusses the history of intragastric balloons including the Garren-Edwards bubble and the development of the BIB system. It provides details on placement and removal of the BIB system, post-placement care, complications and their management, contraindications, literature on results showing 15kg weight loss on average, and concludes that the BIB system is generally safe and effective for weight loss and dietary education.
This document discusses weight regain after bariatric surgery and options for revisional surgery. It notes that 50% of patients regain some weight within 2 years of bariatric surgery. Evaluation of weight regain involves assessing patient factors like diet, lifestyle, and medical issues. Revisional surgery depends on the primary procedure and patient characteristics. Options presented include pouch resizing, band adjustment or removal, converting to a different procedure like sleeve gastrectomy or Roux-en-Y gastric bypass. While revisional surgery can provide further weight loss, risks are generally higher than primary procedures and long-term outcomes require more study. Careful patient evaluation and multidisciplinary support are important.
This document discusses how the length of the Roux limb in gastric bypass surgery may impact outcomes. It notes that while longer Roux limbs between 150-200 cm do not significantly impact weight loss, even more distal bypass with Roux limbs of only 50-75 cm from the ileocecal valve can cause greater weight loss but also increases risks of nutritional deficiencies. The document reviews evidence from studies comparing standard to longer or more distal Roux limb lengths and their effects on weight loss and complications.
Bariatric surgery, also known as weight loss surgery, refers to various procedures that modify the gastrointestinal tract to reduce nutrient intake and absorption, helping obese individuals lose weight. The most common procedures are gastric bypass surgery, sleeve gastrectomy, adjustable gastric banding, and biliopancreatic diversion with duodenal switch. These procedures have advantages like substantial and long-term weight loss but also risks like nutritional deficiencies, complications from surgery, and potential need for reoperation or band removal.
This document provides an overview of bariatric surgery in Odisha, India. It begins with definitions of bariatric surgery and classifications of BMI. It then discusses the comorbidities of obesity and guidelines for determining who is a suitable candidate for bariatric surgery. The document outlines various bariatric procedures including restrictive, malabsorptive, and combination procedures. It also discusses pre-op assessment, investigations, tools used in bariatric surgery, pathophysiology including the role of GI hormones, and videos demonstrating sleeve gastrectomy and Roux-en-Y gastric bypass procedures.
Bariatric surgery, especially Roux-en-Y gastric bypass (RYGB), has been shown to be an effective treatment for type 2 diabetes, resulting in blood glucose level improvement in over 75% of cases. This improvement often occurs before significant weight loss and is attributed to changes in gastrointestinal hormones and intestinal glucose metabolism following surgery. Studies in animals and humans indicate that RYGB increases production of hormones like GLP-1 and PYY that promote satiety while decreasing ghrelin, and alters intestinal cells to break down more glucose locally before absorption into the bloodstream.
This document discusses bariatric surgeries including laparoscopic sleeve gastrectomy (LSG) and laparoscopic adjustable gastric banding (LAGB). It defines morbid obesity and the criteria for who needs bariatric surgery. It describes the mechanisms of action, preoperative evaluation, operative procedures, postoperative care, outcomes and complications of LSG and LAGB. LSG involves dividing the stomach along the greater curvature to create a tubular sleeve while LAGB places an adjustable band around the top of the stomach to restrict intake. Both aim to induce weight loss through restriction of food intake.
Annual scientific congress perth siea vs diepdrmoradisyd
The document discusses a study comparing abdominal drain volumes and seroma rates between SIEA (superficial inferior epigastric artery) flaps and DIEP (deep inferior epigastric perforator) flaps for breast reconstruction. The study found that SIEA flaps had significantly higher abdominal drain volumes than DIEP flaps, though length of hospital stay was only increased by about 1 day. SIEA flaps also showed a non-significant trend toward higher rates of outpatient seroma aspiration. While SIEA flaps are less invasive than DIEP flaps, this study suggests they may be associated with increased abdominal seroma rates post-operatively.
BARIATRIC SURGERY IN TREATMENT OF MORBIDLY OBESE PATIENTSweightlossindia
Only surgery has proven effective over the long term
for most patients with clinically severe obesity.”
- NIH Consensus Conference Statement, 1991
Surgery for the treatment of clinically severe obesity
is endorsed by:
The National Institutes of Health
The American Medical Association
The National Institute of Diabetes and Digestive
and Kidney Diseases
American Association of Family Practitioners
Bariatric surgery, also known as weight loss surgery, includes procedures that reduce the size of the stomach or alter the small intestine to induce weight loss. The most common procedures are gastric bypass surgery, sleeve gastrectomy, and adjustable gastric banding. Bariatric surgery is recommended for patients with a body mass index (BMI) of at least 40, or 35 with serious comorbidities. It can result in significant long-term weight loss of 30-50% of excess body weight and reduction of obesity-related medical conditions. While generally effective, bariatric surgery carries risks of nutritional deficiencies, leaks, infections and other complications. Careful diet and lifestyle changes are important for success after surgery.
1) Bariatric surgery is recommended for patients with a BMI over 40, or over 35 with significant comorbidities. It includes both restrictive procedures that reduce stomach size and malabsorptive procedures that alter digestion.
2) The Roux-en-Y gastric bypass is the most commonly performed procedure, resulting in 60-80% excess weight loss. However, it is technically complex with greater risks. Sleeve gastrectomies have increased in popularity as they are less complex but still effective.
3) Careful patient selection and lifelong nutritional supplementation and monitoring are important for success and safety. Outcomes have greatly improved with experience and new procedures continue to be developed and refined.
Patients with bulimia nervosa exhibited delayed gastric emptying compared to controls. Their gastric emptying significantly improved after terminating binge/purge behaviors through treatment. The normalization of gastric emptying after treatment may be due to, or help enable, a return to normal eating patterns for those with bulimia nervosa. Further research will test if accelerating gastric emptying can reduce binge episodes for bulimia patients.
التغذية لمرضي الجراحة
للزملاء المتقدمين لامتحانات اجنبية زي MRCS
و للزملاء اللي منتقلين حديثا للعمل بالمملكة المتحدة او بينوو العمل فيها
تابعونا علي الصفحة الجراح
https://www.facebook.com/algarra7/
عنوان الفيديوعلى اليوتيوب
https://youtu.be/PNe2e41pv_w
Let me to you ,how to loss weight fastest ,healthy weight loss and best weight loss program
fastest weight loss,healthy weight loss,best weight loss program
Let me to you ,how to loss weight fastest ,healthy weight loss and best weight loss program
fastest weight loss,healthy weight loss,best weight loss program
Your decision to join G-Life Unlimited will surely make your dream come true. It feels good to see how a breath of hope gives life to a origin of an idea that promises to grow into a robust plant that would yield remarkable fruits; fruits that give nourishment to the body and the human spirit.
Eli was named after the first three letters of his mother Elizabeth's name. He was born in New Zealand but has lived in Japan since age 5. His father is from Greece, mother from New Zealand with Scottish and Dutch heritage, and brother Oscar was also born in New Zealand.
RNY = Minimal Fat Malabsorption vs MGB = Major Fat MalabsorptionDr. Robert Rutledge
The document discusses malabsorption following Roux-en-Y gastric bypass surgery. It examines the differences between restriction and malabsorption in energy absorption after this procedure. The key findings from a 2010 study are:
1) Early after surgery, restriction from reduced food intake reduced energy absorption by over 16 times more than malabsorption
2) At 14 months, restriction still reduced energy absorption more than malabsorption, though the effect of restriction was beginning to fail
3) Malabsorption alone only accounted for a 6-11% reduction in calorie absorption after Roux-en-Y gastric bypass.
Intragastric Balloons for Treatment of ObesityHossam Ghoneim
Intragastric balloons like the BIB system work by filling the stomach and promoting feelings of fullness, slowing gastric emptying and aiding in weight loss of 15-30 kg on average. Placement involves endoscopy to fill the stomach with saline for up to 6 months. Strict guidelines around patient selection, diet, follow up and removal are required to achieve weight loss safely with minimal complications. Intragastric balloons are best used as part of a comprehensive treatment program including lifestyle changes for obese patients who are motivated to lose weight.
Weight loss surgery - is it the right choice? By TruweightTruweight
If you think that you are too busy to follow a healthy way to lose weight then you need to at least consider the risks associated with Weight Loss Surgeries and their side effects.
Management of Constipation in women Dr. SHARDA JAIN Dr. JYOTI AGARWAL Dr. ...Lifecare Centre
Constipation can negatively impact women's quality of life at any age. It is defined as infrequent bowel movements, hard stools, straining, and incomplete evacuation. Common causes include low fiber intake, pregnancy, medications, and irritable bowel syndrome. Treatment focuses on increasing fiber and fluid intake, exercise, and if needed, laxatives. Laxatives include bulk-forming, osmotic, and stimulant types. The goals of treatment are to relieve constipation and maintain regular bowel movements through lifestyle changes.
This document discusses how the length of the Roux limb in gastric bypass surgery may impact outcomes. It notes that while longer Roux limbs between 150-200 cm do not significantly impact weight loss, even more distal bypass with Roux limbs of only 50-75 cm from the ileocecal valve can cause greater weight loss but also increases risks of nutritional deficiencies. The document reviews evidence from studies comparing standard to longer or more distal Roux limb lengths and their effects on weight loss and complications.
Bariatric surgery, also known as weight loss surgery, refers to various procedures that modify the gastrointestinal tract to reduce nutrient intake and absorption, helping obese individuals lose weight. The most common procedures are gastric bypass surgery, sleeve gastrectomy, adjustable gastric banding, and biliopancreatic diversion with duodenal switch. These procedures have advantages like substantial and long-term weight loss but also risks like nutritional deficiencies, complications from surgery, and potential need for reoperation or band removal.
This document provides an overview of bariatric surgery in Odisha, India. It begins with definitions of bariatric surgery and classifications of BMI. It then discusses the comorbidities of obesity and guidelines for determining who is a suitable candidate for bariatric surgery. The document outlines various bariatric procedures including restrictive, malabsorptive, and combination procedures. It also discusses pre-op assessment, investigations, tools used in bariatric surgery, pathophysiology including the role of GI hormones, and videos demonstrating sleeve gastrectomy and Roux-en-Y gastric bypass procedures.
Bariatric surgery, especially Roux-en-Y gastric bypass (RYGB), has been shown to be an effective treatment for type 2 diabetes, resulting in blood glucose level improvement in over 75% of cases. This improvement often occurs before significant weight loss and is attributed to changes in gastrointestinal hormones and intestinal glucose metabolism following surgery. Studies in animals and humans indicate that RYGB increases production of hormones like GLP-1 and PYY that promote satiety while decreasing ghrelin, and alters intestinal cells to break down more glucose locally before absorption into the bloodstream.
This document discusses bariatric surgeries including laparoscopic sleeve gastrectomy (LSG) and laparoscopic adjustable gastric banding (LAGB). It defines morbid obesity and the criteria for who needs bariatric surgery. It describes the mechanisms of action, preoperative evaluation, operative procedures, postoperative care, outcomes and complications of LSG and LAGB. LSG involves dividing the stomach along the greater curvature to create a tubular sleeve while LAGB places an adjustable band around the top of the stomach to restrict intake. Both aim to induce weight loss through restriction of food intake.
Annual scientific congress perth siea vs diepdrmoradisyd
The document discusses a study comparing abdominal drain volumes and seroma rates between SIEA (superficial inferior epigastric artery) flaps and DIEP (deep inferior epigastric perforator) flaps for breast reconstruction. The study found that SIEA flaps had significantly higher abdominal drain volumes than DIEP flaps, though length of hospital stay was only increased by about 1 day. SIEA flaps also showed a non-significant trend toward higher rates of outpatient seroma aspiration. While SIEA flaps are less invasive than DIEP flaps, this study suggests they may be associated with increased abdominal seroma rates post-operatively.
BARIATRIC SURGERY IN TREATMENT OF MORBIDLY OBESE PATIENTSweightlossindia
Only surgery has proven effective over the long term
for most patients with clinically severe obesity.”
- NIH Consensus Conference Statement, 1991
Surgery for the treatment of clinically severe obesity
is endorsed by:
The National Institutes of Health
The American Medical Association
The National Institute of Diabetes and Digestive
and Kidney Diseases
American Association of Family Practitioners
Bariatric surgery, also known as weight loss surgery, includes procedures that reduce the size of the stomach or alter the small intestine to induce weight loss. The most common procedures are gastric bypass surgery, sleeve gastrectomy, and adjustable gastric banding. Bariatric surgery is recommended for patients with a body mass index (BMI) of at least 40, or 35 with serious comorbidities. It can result in significant long-term weight loss of 30-50% of excess body weight and reduction of obesity-related medical conditions. While generally effective, bariatric surgery carries risks of nutritional deficiencies, leaks, infections and other complications. Careful diet and lifestyle changes are important for success after surgery.
1) Bariatric surgery is recommended for patients with a BMI over 40, or over 35 with significant comorbidities. It includes both restrictive procedures that reduce stomach size and malabsorptive procedures that alter digestion.
2) The Roux-en-Y gastric bypass is the most commonly performed procedure, resulting in 60-80% excess weight loss. However, it is technically complex with greater risks. Sleeve gastrectomies have increased in popularity as they are less complex but still effective.
3) Careful patient selection and lifelong nutritional supplementation and monitoring are important for success and safety. Outcomes have greatly improved with experience and new procedures continue to be developed and refined.
Patients with bulimia nervosa exhibited delayed gastric emptying compared to controls. Their gastric emptying significantly improved after terminating binge/purge behaviors through treatment. The normalization of gastric emptying after treatment may be due to, or help enable, a return to normal eating patterns for those with bulimia nervosa. Further research will test if accelerating gastric emptying can reduce binge episodes for bulimia patients.
التغذية لمرضي الجراحة
للزملاء المتقدمين لامتحانات اجنبية زي MRCS
و للزملاء اللي منتقلين حديثا للعمل بالمملكة المتحدة او بينوو العمل فيها
تابعونا علي الصفحة الجراح
https://www.facebook.com/algarra7/
عنوان الفيديوعلى اليوتيوب
https://youtu.be/PNe2e41pv_w
Let me to you ,how to loss weight fastest ,healthy weight loss and best weight loss program
fastest weight loss,healthy weight loss,best weight loss program
Let me to you ,how to loss weight fastest ,healthy weight loss and best weight loss program
fastest weight loss,healthy weight loss,best weight loss program
Your decision to join G-Life Unlimited will surely make your dream come true. It feels good to see how a breath of hope gives life to a origin of an idea that promises to grow into a robust plant that would yield remarkable fruits; fruits that give nourishment to the body and the human spirit.
Eli was named after the first three letters of his mother Elizabeth's name. He was born in New Zealand but has lived in Japan since age 5. His father is from Greece, mother from New Zealand with Scottish and Dutch heritage, and brother Oscar was also born in New Zealand.
RNY = Minimal Fat Malabsorption vs MGB = Major Fat MalabsorptionDr. Robert Rutledge
The document discusses malabsorption following Roux-en-Y gastric bypass surgery. It examines the differences between restriction and malabsorption in energy absorption after this procedure. The key findings from a 2010 study are:
1) Early after surgery, restriction from reduced food intake reduced energy absorption by over 16 times more than malabsorption
2) At 14 months, restriction still reduced energy absorption more than malabsorption, though the effect of restriction was beginning to fail
3) Malabsorption alone only accounted for a 6-11% reduction in calorie absorption after Roux-en-Y gastric bypass.
Intragastric Balloons for Treatment of ObesityHossam Ghoneim
Intragastric balloons like the BIB system work by filling the stomach and promoting feelings of fullness, slowing gastric emptying and aiding in weight loss of 15-30 kg on average. Placement involves endoscopy to fill the stomach with saline for up to 6 months. Strict guidelines around patient selection, diet, follow up and removal are required to achieve weight loss safely with minimal complications. Intragastric balloons are best used as part of a comprehensive treatment program including lifestyle changes for obese patients who are motivated to lose weight.
Weight loss surgery - is it the right choice? By TruweightTruweight
If you think that you are too busy to follow a healthy way to lose weight then you need to at least consider the risks associated with Weight Loss Surgeries and their side effects.
Management of Constipation in women Dr. SHARDA JAIN Dr. JYOTI AGARWAL Dr. ...Lifecare Centre
Constipation can negatively impact women's quality of life at any age. It is defined as infrequent bowel movements, hard stools, straining, and incomplete evacuation. Common causes include low fiber intake, pregnancy, medications, and irritable bowel syndrome. Treatment focuses on increasing fiber and fluid intake, exercise, and if needed, laxatives. Laxatives include bulk-forming, osmotic, and stimulant types. The goals of treatment are to relieve constipation and maintain regular bowel movements through lifestyle changes.
This document discusses various surgical procedures for treating obesity, including restrictive, malabsorptive, and combination procedures. It provides details on laparoscopic sleeve gastrectomy, gastric bypass, adjustable gastric banding, and intragastric balloons. Complications of bariatric surgery are also outlined. The document recommends bariatric surgery for patients with a BMI over 40, or over 35 with obesity-related health conditions, when more conservative weight loss methods have failed.
Short bowel syndrome (SBS) occurs when extensive segments of the small intestine are resected, severely compromising absorptive capacity. It is a leading cause of intestinal failure in infants, with an incidence of 0.1-0.5% among live births and ICU admissions. The minimal length of small intestine needed to survive is 15-38 cm, though adaptation allows survival with even shorter lengths. Management involves total parenteral nutrition, optimizing enteral nutrition, and treating complications until the remnant intestine sufficiently adapts through processes like increased blood flow and growth. With current treatment, 80% of infants with SBS achieve full enteral nutrition within a year.
Bariatric surgery is effective for treating morbid obesity. Common procedures include gastric bypass and gastric banding, which achieve weight loss through restriction and malabsorption. Candidates must have a BMI over 40 or over 35 with comorbidities. Risks include leaks and DVTs. Weight loss improves related conditions like diabetes. Plastic surgery after significant weight loss addresses excess skin.
This document provides an overview of the approach to malabsorption syndrome. It discusses the mechanisms of malabsorption including defects that can occur in the luminal, mucosal, and post-absorptive phases. It describes specific causes of carbohydrate, protein, and fat malabsorption. Clinical manifestations can range from severe steatorrhea and weight loss to subtle changes on labs. The diagnostic approach involves considering malabsorption based on history and physical, confirming with hematological and biochemical tests, and evaluating the underlying cause with tests like imaging, endoscopy, and nutrient absorption tests.
Nutrition is an important but often overlooked part of cancer care. Malnutrition can negatively impact treatment tolerance, survival rates, quality of life, and length of hospitalization for cancer patients. A variety of factors like the symptoms of cancer, its treatments, and a condition called cancer cachexia can profoundly diminish a patient's dietary intake and nutritional status. A comprehensive nutritional assessment and individualized nutrition care plan are recommended for cancer patients, with the goals of improving nutritional status in the short term and normalizing nutrient intake in the long term. Enteral nutrition is generally preferred over parenteral nutrition when possible. Food safety guidelines rather than restrictive diets are advised for neutropenic patients. Nutrition support can help manage treatment side effects and
This document summarizes the results of a survey of 102 bariatric surgeons from around the world on their opinions of various weight loss procedures. The survey found that the experts judged the lap band as the worst procedure and the mini-gastric bypass (MGB) as the best procedure. Specifically, 46.4% said the band was a bad operation, while only 3.6% said the MGB was bad. Additionally, 67.9% of experts said the MGB was the best procedure, more than any other operation. The document concludes the MGB is a short, simple, and effective procedure that is durable long-term and better treats obesity and diabetes than restrictive procedures like the band or sleeve.
This document discusses nutrition for patients with compromised immune systems, such as cancer patients. It covers several key points:
1) Malnutrition is common in cancer patients and worsens treatment outcomes. Up to 40% of cancer deaths are related to malnutrition.
2) Nutritional assessments should be conducted to determine requirements and risks. Enteral nutrition is preferred over parenteral nutrition when possible.
3) Symptoms like nausea can profoundly impact diet. Early intervention is important to manage side effects.
4) "Cancer cachexia" describes weight loss despite adequate calories due to factors like increased breakdown of fat and protein. It is associated with worse outcomes.
5) Nutrition guidelines provide recommendations on cal
This document discusses the pathogenesis, diagnosis, and treatment of morbid obesity. It covers the chronic disease management model for primary care of patients with overweight and obesity. Key aspects include calculating BMI, assessing weight-related risks, setting weight loss and lifestyle goals, and referring patients for bariatric surgery if appropriate. The document also describes various bariatric surgery procedures like gastric banding, gastric bypass, sleeve gastrectomy, and duodenal switch. It provides details on patient selection, pre- and post-operative care, outcomes, and complications of these procedures.
Bariatric surgery is a safe and effective treatment option for those affected by severe obesity. Gastric bypass surgery is a type of weight-loss surgery. It's important to understand risks and results of gastric bypass and other types of bariatric surgery.
The document discusses obesity, its causes, measurements, classifications, and treatments including metabolic/bariatric surgery. It defines obesity as a chronic disease influenced by genetics and environment. Surgical treatments include restrictive procedures like gastric banding and sleeve gastrectomy, as well as malabsorptive procedures like Roux-en-Y gastric bypass and biliopancreatic diversion that restrict food intake and interfere with nutrient absorption. The goal of metabolic surgery is to achieve significant and long-term weight loss and improve medical comorbidities beyond just diet and lifestyle changes.
The document discusses a study on the contribution of malabsorption versus food intake restriction to weight loss after Roux-en-Y gastric bypass (RYGB) surgery. The study found that:
1) 5 months after RYGB, malabsorption accounted for 124 kcal/day reduction in energy absorption while restriction accounted for 2062 kcal/day, with restriction being 16 times more important.
2) 14 months after RYGB, malabsorption accounted for 172 kcal/day reduction while restriction accounted for 1418 kcal/day, with restriction being 8 times as important.
3) On average, malabsorption contributed 6-11% of the total reduction in caloric
This document discusses nutrition therapy for bariatric surgery patients with morbid obesity. It outlines the multidisciplinary pre-surgical evaluation process and post-surgical diet progression from clear liquids to soft foods to a regular diet. Common nutritional deficiencies after different bariatric procedures are described along with supplementation recommendations. Lifelong vitamin supplementation is emphasized to prevent deficiencies. Bariatric surgery is shown to effectively treat obesity-related comorbidities and improve quality of life when combined with lifestyle changes.
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 various weight loss methods, including fad diets, more sustainable diets, and extreme weight loss methods. It defines fad diets as those that promise fast weight loss without scientific basis by eliminating food groups. It then summarizes several popular diets, including the Atkins, Zone, and Abs diets. It also lists extreme weight loss methods like stomach stapling, insulin abuse, liposuction, laxative abuse, plastic wrap, tapeworms, and smoking and analyzes the danger and success rates of each. Finally, it briefly mentions some popular weight loss pill ingredients.
This document discusses the pathophysiology of bariatric surgery. It notes that obesity is a global epidemic impacting over 1.7 billion people. Bariatric surgery is effective for weight loss and treating obesity-related comorbidities. The main procedures discussed are sleeve gastrectomy, Roux-en-Y gastric bypass, and biliopancreatic diversion with duodenal switch. These work through restriction, malabsorption, or both. Gut hormones like ghrelin and GLP-1 play an important role in appetite and glucose regulation after surgery. The author also shares their experience performing various bariatric procedures in India.
TEST BANK For Community Health Nursing A Canadian Perspective, 5th Edition by...Donc Test
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Rasamanikya is a excellent preparation in the field of Rasashastra, it is used in various Kushtha Roga, Shwasa, Vicharchika, Bhagandara, Vatarakta, and Phiranga Roga. In this article Preparation& Comparative analytical profile for both Formulationon i.e Rasamanikya prepared by Kushmanda swarasa & Churnodhaka Shodita Haratala. The study aims to provide insights into the comparative efficacy and analytical aspects of these formulations for enhanced therapeutic outcomes.
- Video recording of this lecture in English language: https://youtu.be/kqbnxVAZs-0
- Video recording of this lecture in Arabic language: https://youtu.be/SINlygW1Mpc
- Link to download the book free: https://nephrotube.blogspot.com/p/nephrotube-nephrology-books.html
- Link to NephroTube website: www.NephroTube.com
- Link to NephroTube social media accounts: https://nephrotube.blogspot.com/p/join-nephrotube-on-social-media.html
Integrating Ayurveda into Parkinson’s Management: A Holistic ApproachAyurveda ForAll
Explore the benefits of combining Ayurveda with conventional Parkinson's treatments. Learn how a holistic approach can manage symptoms, enhance well-being, and balance body energies. Discover the steps to safely integrate Ayurvedic practices into your Parkinson’s care plan, including expert guidance on diet, herbal remedies, and lifestyle modifications.
8 Surprising Reasons To Meditate 40 Minutes A Day That Can Change Your Life.pptxHolistified Wellness
We’re talking about Vedic Meditation, a form of meditation that has been around for at least 5,000 years. Back then, the people who lived in the Indus Valley, now known as India and Pakistan, practised meditation as a fundamental part of daily life. This knowledge that has given us yoga and Ayurveda, was known as Veda, hence the name Vedic. And though there are some written records, the practice has been passed down verbally from generation to generation.
Basavarajeeyam is an important text for ayurvedic physician belonging to andhra pradehs. It is a popular compendium in various parts of our country as well as in andhra pradesh. The content of the text was presented in sanskrit and telugu language (Bilingual). One of the most famous book in ayurvedic pharmaceutics and therapeutics. This book contains 25 chapters called as prakaranas. Many rasaoushadis were explained, pioneer of dhatu druti, nadi pareeksha, mutra pareeksha etc. Belongs to the period of 15-16 century. New diseases like upadamsha, phiranga rogas are explained.
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Local Advanced Lung Cancer: Artificial Intelligence, Synergetics, Complex Sys...Oleg Kshivets
Overall life span (LS) was 1671.7±1721.6 days and cumulative 5YS reached 62.4%, 10 years – 50.4%, 20 years – 44.6%. 94 LCP lived more than 5 years without cancer (LS=2958.6±1723.6 days), 22 – more than 10 years (LS=5571±1841.8 days). 67 LCP died because of LC (LS=471.9±344 days). AT significantly improved 5YS (68% vs. 53.7%) (P=0.028 by log-rank test). Cox modeling displayed that 5YS of LCP significantly depended on: N0-N12, T3-4, blood cell circuit, cell ratio factors (ratio between cancer cells-CC and blood cells subpopulations), LC cell dynamics, recalcification time, heparin tolerance, prothrombin index, protein, AT, procedure type (P=0.000-0.031). Neural networks, genetic algorithm selection and bootstrap simulation revealed relationships between 5YS and N0-12 (rank=1), thrombocytes/CC (rank=2), segmented neutrophils/CC (3), eosinophils/CC (4), erythrocytes/CC (5), healthy cells/CC (6), lymphocytes/CC (7), stick neutrophils/CC (8), leucocytes/CC (9), monocytes/CC (10). Correct prediction of 5YS was 100% by neural networks computing (error=0.000; area under ROC curve=1.0).
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Weight loss surgery-fact_sheet
1. Weight-Loss Surgery Overview
Weight-loss surgery is a well-established method of long-term weight control for morbidly obese
adults. Compared to non-surgical treatments, weight-loss surgery yields the longest period of
sustained weight loss in patients who have failed other therapies.1
Fueled by the dismal failure of dieting, the marked improvement in quality of life and the quick
recovery with minimally invasive techniques, the number of weight-loss surgery procedures
performed annually has surged over the last several years. According to a recent report from
the Department of Health and Human Service’s (HHS) Agency for Healthcare Research and
Quality (AHRQ), from 1998 to 2004, the total number of bariatric surgeries performed in the
United States increased nine-fold, from 13,386 to 121,055.2
Weight-Loss Surgery Overview:3,4
There are three categories of weight-loss surgery: malabsorptive, restrictive and combination.
Malabsorptive: Shortens and re-configures the digestive tract to limit the number of
calories and nutrients that can be absorbed. Procedures that are only malabsorptive, as
opposed to combination restrictive and malabsorptive procedures, are not commonly
performed today.
Restrictive: Reduces the amount of food the stomach can hold but does not interfere with
normal digestion and absorption of food and nutrients. Options include:
• Adjustable Gastric Banding – The LAP-BAND® System is the first FDA-approved
http://lose-weight.co.tv/
adjustable gastric band for use in weight reduction. Using laparoscopic surgical
techniques, the device is placed around the top portion of a patient’s stomach, creating a
small pouch. By reducing stomach capacity, the LAP-BAND® System can help achieve
long-term weight loss by creating an earlier feeling of satiety. The
LAP-BAND® System is adjustable, which means that the inflatable band can be
tightened or loosened to help the patient achieve a level of satiety while maintaining a
healthy diet. In follow-up visits, the surgeon can easily adjust the diameter of the band
by adding saline via an access port just under the patient’s skin. This allows the band to
be modified to meet a patients needs, which can change over time.5 The
LAP-BAND® System is a reversible weight-loss surgery option as it can be
removed at any time.
• Vertical Banded Gastroplasty (VBG) – A surgery where the upper stomach near the
esophagus is stapled vertically to create a small pouch along the inner curve of the
stomach. The outlet from the pouch to the rest of the stomach is restricted by a band
made of special material. The band delays the emptying of food from the pouch,
causing a feeling of fullness. Although VBG was farily common in the late 1980s and
early 1990s, it has been superseded since 1995 by adjustable band and combination
procedures. Other gastroplasty procedures, including horizontal gastroplasty and
gastric partitioning without a band, are no longer performed because of their high rates
of failure.
2. Combination: Restricts the amount of food the stomach can hold and reduces the number
of calories absorbed by re-configuring the digestive tract. Options include:
• Gastric Bypass (also called Roux-en-Y Gastric Bypass [RYGB]) – With this surgery, the
stomach is first stapled to make a smaller pouch, then most of the stomach and the
upper part of the intestine (the duodenum) is bypassed by attaching (usually stapling) a
lower part of the intestine (the jejunum) to the small stomach pouch. The result is that
the individual can not eat as much and absorbs fewer nutrients and calories.
• Biliopancreatic Diversion (BPD) – About 70% of the stomach is removed, though the
remaining capactiy is greater than with RYGB, so patients eat relatively normal-sized
meals. The remaining smaller stomach pouch is connected to the final segment of the
small intestine (the ileum), bypassing both the duodenum and the jejunum. As a result,
the protein, carbohydrate and fat in foods are not mixed with the bile and pancreatic
enzymes that would normally break them down until they reach the the ileum, so their
absorption is greatly reduced.
http://lose-weight.co.tv/
3. OVERVIEW OF MAJOR WEIGHT-LOSS SURGERY OPTIONS3,4
Combination Malabsorptive and
Restrictive
Restrictive
Biliopancreatic Gastric Bypass Vertical Banded LAP-BAND® System
Diversion (BPD) Gastroplasty
Weight Loss • Greatest amount • Rapid initial weight • Consistent and • Consistent and
of initial weight loss continued long- continued long-
loss due to high • Some weight term weight loss term weight loss
levels of regain over several
malabsorption years
Permanent/ • Permanent • Permanent • Extremely difficult • No permanent
Reversible alterations to alterations to to reverse alterations to
stomach stomach and • Non-adjustable stomach or
• Non-adjustable digestive process digestive process
• Non-adjustable • Band adjustable
and removable
Vitamin and • Decreased vitamin • Decreased vitamin • No vitamin or • Little vitamin or
Mineral Loss and mineral and mineral mineral loss mineral loss, if any
absorption – may absorption – may • Vitamin/protein • Vitamin/protein
lead to malnutrition lead to malnutrition supplements are supplements are
http://lose-weight.co.tv/
• Requires lifelong
monitoring for
malnutrition,
anemia and bone
• Daily
vitamin/mineral
supplements
required
recommended recommended
disease • Lifelong medical
follow-up and
monitoring of blood
levels
Procedure/ • Requires cutting • Requires cutting • Requires cutting • No stomach
Recovery and stapling of and stapling of and stapling of cutting, stapling or
stomach and stomach and stomach intestinal re-routing
bowel bowel • Rarely performed • Safer and less
• More operative • More operative with minimally invasive procedure
complications than complications than invasive approach • Lower early
with all other with LAP-BAND® complication rate
surgery options System • Reduced pain,
• Highest mortality • Higher mortality length of hospital
rate as compared rate than stay and recovery
to other LAP-BAND® period
procedures System or VBG
procedures
Contact: Cathy Taylor
Allergan, Inc.
Tel: 714-246-5551
Cell: 949-293-4453
Taylor_Cathy@allergan.com