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diagnosis management bypass differential gastric nutrition surgery bowel complications ibs irritable nutrient oncology vitamin anemia aplastic cirrhosis hepatology hepatopulmonary hps
Prevention and Treatment of Nutritional Complications after Bariatric Surgery Types of Bariatric Surgery: • Adjustable Gastric Banding
Prevention and Treatment ... Surgery: • Dumping Syndrome ... Vitamin and Nutrient Deficiencies ... #Differential #Treatment ... #Gastroenterology
Nutrient Deficiencies and Supplementation Post Gastric Bypass Surgery Nutrient Deficiencies: • Most frequent in the malabsorptive surgeries
folate, iron, B12 ... • Persistent nausea ... Phos, Ca+, Bl, B12 ... and Hepatology ... Bypass #Surgery #bariatric
Complications after Bariatric Surgery Post Bariatric Intestinal Failure: • Severe protein malnutrition after bariatric surgery • More
Consider refeeding syndrome ... hyperglycemia and vitamin deficiencies ... ) Dumping Syndrome ... Gastric bypass causes ... and Hepatology
Micronutrient Deficiencies After Gastric Bypass Fat-Soluble Vitamins: • Vitamin A - Night/complete blindness, xeropthalmia (pathologic dryness of
Micronutrient Deficiencies ... ataxia), Korsakoff syndrome ... anemia • Vitamin B12 ... vitamin #nutrition #table ... differential #diagnosis #bariatric
Irritable Bowel Syndrome (IBS) - Management Global IBS Symptoms: - Limited trial low FODMAP diet
Irritable Bowel Syndrome ... Rifaximin- up to 3 courses ... and Hepatology ... Irritable #Bowel #Syndrome ... #treatment
Irritable Bowel Syndrome (IBS) - Diagnosis and Management Summary Diagnosis: • Use a positive diagnostic strategy with
Irritable Bowel Syndrome ... for diagnosis Treatment ... Rifaximin- up to 3 courses ... and Hepatology ... #treatment
Myelodysplastic Syndromes (MDS) What? Myelodysplastic syndromes are a group of disorders caused by blood cells that are poorly
Out Secondary Causes ... Nutritional: vitamin B12 ... factor (GCSF) treatments ... marrow studies Treatment ... #diagnosis #hematology
Aplastic Anemia - Overview Who? • M = F • 3 peaks: 1) Childhood 2) 15-25 years 3) >60 years What? • Aplastic anemia
and petechiae Causes ... - Parvovirus B19 ... • Parvovirus B19 ... aplastic anemia Treatment ... Anemia #oncology #hematology
Sjogren's Syndrome Overview Epidemiology: • F > M: 9:1 • 5-6th Decades (can be any age) Autoimmune exocrinopathy multisystemic disease
Sjogren's Syndrome ... Hypocomplementemia • Can cause ... Nephrogenic DI Hematologic ... Cryoglobulinemia (4%-12% ... Adenocarcinoma Treatment
Hepatopulmonary Syndrome - Illness Script HPS is a pulmonary disorder of chronic liver disease characterized by a
arteriovenous shunting causes ... the left heart TREATMENT ... mortality rate of ~12% ... only definitive treatment ... cirrhosis #diagnosis #hepatology
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