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Added: Oct 30, 2011
From: orthomolecularpower
Duration: 1:23
TABLE 1. COMPLICATIONS OF BARIATRIC SURGERY SIDE EFFECTS OF OPERATION COMPLICATIONS OF OPERATION Nausea Anastomotic leak Vomiting Acute gastric distention Diarrhea Internal hernia Dumping syndrome Stomal ulceration Nutrient deficiency Stomal stenosis Cholelithiasis Staple line disruption COMPLICATIONS OF BARIATRIC surgery can be separated into "true" COMPLICATIONS associated with the operation and "SIDE EFFECTS" associated with the alteration in the upper gastrointestinal anatomy ( Table 1 ). The perioperative mortality of BARIATRIC surgery is less than 1% and is usually associated with anastomotic leaks with peritonitis (75%) or pulmonary embolism (25%).[2] Symptoms of an anastomotic leak can be overt with frank peritoneal signs or vague, with symptoms of mild abdominal PAIN, shoulder PAIN, back PAIN, unexplained tachycardia, or alteration in urination and bowel frequency. Given the devastating outcome of anastomotic leaks, there should be a low threshold for evaluation with water-soluble contrast agents and surgical exploration. Another early COMPLICATION of gastric bypass surgery is ACUTE gastric distention secondary to edema and obstruction at the enteroenterostomy. This COMPLICATION may lead to staple line dehiscence or GASTROENTEROSTOMIC LEAKS. ACUTE gastric distention can be treated with radiographic-guided percutaneous gastrostomy or reoperation with tube gastrostomy. Given the alteration in the upper gastrointestinal anatomy, certain SIDE EFFECTS of BARIATRIC surgery can be expected and ameliorated through patient education and postoperative treatment. In addition, patients with gastric bypass surgery should also be monitored for NUTRITIONAL DEFICIENCIES and should take a multivitamin containing B-12 and folate, along with a calcium supplement. MANY PATIENTS EXPERIENCE SYMPTOMS OF IRON DEFICIENCY AND ANEMIA; THESE ARE POTENTIALLY SERIOUS PROBLEMS AFTER GASTRIC BYPASS, PARTICULARLY IN WOMEN WHO ARE MENSTRUATING. COMBINED WITH BLOOD LOSS DURING MENSES, DUODENAL BYPASS AND SURGERY-INDUCED IRON MAL ABSORPTION MAKE THESE WOMEN PARTICULARLY SUSCEPTIBLE TO IRON-DEFICIENCY ANEMIA. PROPHYLACTIC ORAL IRON SUPPLEMENTATION IS RECOMMENDED FOR THESE PATIENTS. Nausea and Vomiting Nausea and vomiting are the most common complaints after BARIATRIC surgery, and they are typically associated with inappropriate diet and noncompliance with a gastroplasty diet (ie, eat undisturbed, chew meticulously, never drink with meals, and wait 2 hours before drinking after solid food is consumed). If these symptoms are associated with epigastric PAIN, significant dehydration, or not explained by dietary indiscretions, an alternative diagnosis must be explored. One of the most common COMPLICATIONS causing nausea and vomiting in gastric bypass patients is anastomotic ulcers, with and without stomal stenosis. Ulceration or stenosis at the gastrojejunostomy of the gastric bypass has a reported incidence of 3% to 20% (Figure 5 A,B).[8,15,34] Although no unifying explanation for the etiology of anastomotic ulcers exists, most experts agree that the pathogenesis is likely multifactorial. These ulcers are thought to be due to a combination of preserved acid secretion in the pouch, tension from the Roux limb, ischemia from the operation, nonsteroidal anti-inflammatory drug (NSAID) use, and perhaps Helicobacter pylori infection.[35] Evidence suggests that little acid is secreted in the gastric bypass pouch; however, staple line dehiscence may lead to excessive acid bathing of the anastomosis. Treatment for both marginal ulcers and stomal ulcers should include avoidance of NSAIDs, antisecretory therapy with proton-pump inhibitors, and/or sucralfate. In addition, H pylori infection should be identified and treated, if present.
Channel: Tech
Tags: overweight f-glutathione
Rating: ( ratings) Views: 97 Comments: 1
OteroRamosAndres Says:
Feb 27, 2012 - Hola, una pregunta: segun el video que muestras, aquel hombre ha bajado 135 Kg omando glutation?