13 results
Prevention and Treatment of Nutritional Complications after Bariatric Surgery
Types of Bariatric Surgery:
 • Adjustable Gastric Banding
Prevention and Treatment ... of Nutritional ... Liver Disease • Vitamin ... #Surgery #Diagnosis ... #Deficiencies #Gastroenterology
Nutrient Deficiencies and Supplementation Post Gastric Bypass Surgery
Nutrient Deficiencies:
 • Most frequent in the malabsorptive surgeries
folate, iron, B12 ... Phos, Ca+, Bl, B12 ... and Hepatology ... Bypass #Surgery #bariatric ... #nutrition #Vitamin
Micronutrient Deficiencies After Gastric Bypass
Fat-Soluble Vitamins:
 • Vitamin A - Night/complete blindness, xeropthalmia (pathologic dryness of
: • Vitamin A - ... B12 - Macrocytic ... #nutrition #table ... #differential #diagnosis ... #bariatric
Causes of Iron Deficiency
 • Inadequate Intake: Vegetarian/vegan diet, Malnutrition
 • Increased Body Needs: Infants/preschoolers, Pregnancy,
Vegetarian/vegan diet ... Pregnancy, EPO treatment ... AI gastritis, Bariatric ... #differential #diagnosis ... #causes #nutrition
Vitamin B12 (Cobalamin) Deficiency
Etiology:
 • Vit B12 - aka cobalamin. Present in foods derived from animal
Vitamin B12 (Cobalamin ... : • History - Diet ... conditions, surgeries (bariatric ... Check for IF ab Treatment ... #management #nutrition
Diagnosing Vitamin B12 and/or Folate Deficiency

It turns out that simply measuring serum levels of B12 or
Diagnosing Vitamin ... inadequate to diagnosis ... Since B12 is involved ... Also B12 is involved ... #Nutrition #Hematology
Complications after Bariatric Surgery
Post Bariatric Intestinal Failure:
 • Severe protein malnutrition after bariatric surgery
 • More
nutrients • TPN for treatment ... hyperglycemia and vitamin ... excluded limb • Treatment ... and Hepatology ... #diagnosis #differential
Diets and Inflammatory Bowel Disease (IBD)
Diet affects IBD by 3 mechanisms
1. Microbiome ( ↓ diversity)
2. Mucosal
Key Points • Nutrition ... Table summarizes ... energy intake x 8-12 ... #table #management ... #treatment
Irritable Bowel Syndrome (IBS) - Diagnosis and Management Summary
Diagnosis:
 • Use a positive diagnostic strategy with
IBS is NOT a diagnosis ... Treatment: • Global ... trial low FODMAP diet ... and Hepatology ... #treatment
Etiologies of Vitamin B12 Deficiency
 • Inadequate intake - Rare but seen in very strict vegans
This is a recently ... pump blockers is ... with H. pylori is ... #differential #diagnosis ... #hematology #nutrition