12 results
Prevention and Treatment of Nutritional Complications after Bariatric Surgery
Types of Bariatric Surgery:
 • Adjustable Gastric Banding
of Nutritional ... Liver Disease • Vitamin ... and Nutrient Deficiencies ... #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
B12 - Macrocytic ... uw_IMresidency #nutrient ... #nutrition #table ... #differential #diagnosis ... #bariatric
Complications after Bariatric Surgery
Post Bariatric Intestinal Failure:
 • Severe protein malnutrition after bariatric surgery
 • More
before repleting nutrients ... • TPN for treatment ... hyperglycemia and vitamin ... and Hepatology ... #diagnosis #differential
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
Vitamin B12 (Cobalamin) Deficiency
Etiology:
 • Vit B12 - aka cobalamin. Present in foods derived from animal
Vitamin B12 (Cobalamin ... conditions, surgeries (bariatric ... Check for IF ab Treatment ... @taleanski #Vitamin ... #management #nutrition
Reticulocyte Production Index = (Retic %) x (Hct / 45) / Maturation Factor
The maturation factor is
maturation factor is ... inflammation • Nutrient ... chronic blood loss), Vitamin ... B12, Folate • ... #differential #diagnosis
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
Tongue Pathology 

Geographic tongue, fissured tongue, and hairy tongue are the most common tongue problems and
do not require treatment ... an underlying nutritional ... iron, folic acid, vitamin ... B12, riboflavin ... Recognition and diagnosis
Diets and Inflammatory Bowel Disease (IBD)
Diet affects IBD by 3 mechanisms
1. Microbiome ( ↓ diversity)
2. Mucosal
Table summarizes ... energy intake x 8-12 ... replicate the nutrients ... #table #management ... #treatment