21 results
Prevention and Treatment of Nutritional Complications after Bariatric Surgery
Types of Bariatric Surgery:
 • Adjustable Gastric Banding
Prevention and Treatment ... Surgery: • Dumping Syndrome ... #Surgery #Diagnosis ... #Differential #Treatment ... #Deficiencies #Gastroenterology
Management of Abdominal Distension and Bloating - Treatment Algorithm

Definitions
Pathophysiology
Organic/Pathologic Etiologies:
 • Small Intestinal Bowel Overgrowth (SIBO)
Fundoplication, Bariatric ... Gastric Outlet ... Irritable Bowel Syndrome ... Dyssynergia Diagnostics ... #gastroenterology
Nutrient Deficiencies and Supplementation Post Gastric Bypass Surgery
Nutrient Deficiencies:
 • Most frequent in the malabsorptive surgeries
Supplementation Post Gastric ... folate, iron, B12 ... • Persistent nausea ... and Hepatology ... Bypass #Surgery #bariatric
Complications after Bariatric Surgery
Post Bariatric Intestinal Failure:
 • Severe protein malnutrition after bariatric surgery
 • More
Consider refeeding syndrome ... nutrients • TPN for treatment ... bypass causes increased ... and Hepatology ... #diagnosis #differential
Wernicke Encephalopathy - Acute B1 (Thiamine) Deficiency - Diagnosis and Management
Diagnosis - Caine Criteria (2 of
Chronic alcoholism ... of pregnancy • Bariatric ... Anorexia nervosa Treatment ... development of Korsakoff syndrome ... (chronic B1 deficiency
Micronutrient Deficiencies After Gastric Bypass
Fat-Soluble Vitamins:
 • Vitamin A - Night/complete blindness, xeropthalmia (pathologic dryness of
ataxia), Korsakoff syndrome ... anemia • Vitamin B12 ... vitamin #nutrition #table ... #differential #diagnosis ... #bariatric
Causes of Biliary Dilatation - Differential Diagnosis
 • Physiological: ↑ Age, Cholecystectomy, Opioid dependence, Post-sphincterotomy
 •
Causes of Biliary ... - Differential Diagnosis ... sludge), Mirizzi's syndrome ... Inflammatory: Chronic ... #hepatology #gastroenterology
Diagnostic Framework for Anemia (Morphological Approach - MCV)
Low MCV - <80fL - "Microcytic"
 • Iron deficiency
Diagnostic Framework ... Megaloblastic: Vitamin B12 ... Myelodysplastic syndrome ... #differential #diagnosis ... #causes #hematology
Chronic Abdominal Pain Causes - Differential Diagnosis Framework

Many patients with chronic abdominal pain have had prior
Diagnosis Framework ... did not yield a diagnosis ... • Budd-Chiari syndrome ... AMI • PUD • Gastric ... #Diagnosis #gastroenterology
Vitamin B12 (Cobalamin) Deficiency
Etiology:
 • Vit B12 - aka cobalamin. Present in foods derived from animal
• Common Causes ... malabsorption (d/t reduced gastric ... conditions, surgeries (bariatric ... , gastric, intestinal ... Check for IF ab Treatment