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Prevention and Treatment of Nutritional Complications after Bariatric Surgery
Types of Bariatric Surgery:
 • Adjustable Gastric Banding
Prevention and Treatment ... Switch (BPD-DS) Management ... : • Dumping Syndrome ... #Diagnosis #Differential ... #Deficiencies #Gastroenterology
Acute Esophageal Necrosis
History: Hematemesis and/or melena (70%), Dysphagia, Epigastric/chest pain, Sepsis
Diagnosis EGD and Biopsy
Differential: Melanosis, Melanoma,
Epigastric/chest pain, Sepsis ... EGD and Biopsy Differential ... Klebsiella, pneumoniae) Management ... PPI gtt, GI and Surgery ... #gastroenterology
Management of Abdominal Distension and Bloating - Treatment Algorithm

Definitions
Pathophysiology
Organic/Pathologic Etiologies:
 • Small Intestinal Bowel Overgrowth (SIBO)
Management of Abdominal ... • Prior GEJ surgery ... Fundoplication, Bariatric surgery ... Irritable Bowel Syndrome ... #gastroenterology
Portal Hypertension Classification by site of vascular obstruction
1) Post-hepatic Post-sinusoidal: Budd-Chiari syndrome
2) Intrahepatic Post-sinusoidal: Veno-occlusive disease
3)
Post-sinusoidal: Budd-Chiari syndrome ... thrombosis due to sepsis ... trauma including surgery ... Classification #gastroenterology ... #diagnosis #differential
Algorithm for the Evaluation of Chronic Diarrhea (< 7 days)
Exclude:
1. Causes of acute diarrhea
2. Lactose intolerance
3.
Irritable bowel syndrome ... Previous gastric surgery ... Chronic #Diarrhea #management ... #algorithm #workup ... #diagnosis #differential
Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
 -
Shock - Differential ... Distributive: Sepsis ... Abdominal compartment syndrome ... Dehydration Shock Treatment ... #management
Peri-operative Hyperthermia - Guidelines for Crises in Anaesthesia
If prolonged or ≥ 39 C this is a
Treatment depends ... anaesthesia • Sepsis ... #Hyperthermia #Differential ... Checklist #Diagnosis #Management ... #Workup
Complications after Bariatric Surgery
Post Bariatric Intestinal Failure:
 • Severe protein malnutrition after bariatric surgery
 • More
Consider refeeding syndrome ... nutrients • TPN for treatment ... deficiencies) Dumping Syndrome ... excluded limb • Treatment ... #diagnosis #differential
Myasthenia Gravis Overview

Myasthenia Gravis is an autoimmune disorder of the postsynaptic neuromuscular junction.  Ab to
thyroid, Sjogren syndrome ... “dropping head syndrome ... life-threatening Differential ... Drugs, infection, surgery ... Gravis #diagnosis #management
Acute Pancreatitis - Diagnosis and Management - GrepMed Handbook

Presentation: 
 • Epigastric abdominal pain (90%, characteristically
Diagnosis and Management ... • Other: ERCP/surgery ... Imaging findings Workup ... hemorrhage Management ... #Treatment #Gastroenterology