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differential algorithm abdominal bariatric bloating bypass causes complications disease disorders distension gastric hematology ileal laboratory management pouch testing tests thrombocytosis
Management of Abdominal Distension and Bloating - Treatment Algorithm Definitions Pathophysiology Organic/Pathologic Etiologies: • Small Intestinal Bowel Overgrowth (SIBO)
Small Intestinal Bowel ... Intolerance • Celiac ... • Prior GEJ surgery ... • Irritable Bowel ... #gastroenterology
Causes of Thrombocytosis - Differential Diagnosis Algorithm Spurious: • Artifact (redo CBC) Autonomous: • Essential thrombocytosis • Polycythemia
- Differential Diagnosis ... disorders • Celiac ... Damage: • Post-op surgery ... effect following treatment ... malignancy • Iron deficiency
Commonly Used Diagnostic Tests for Celiac Disease Tissue transglutaminase (tTG) IgA antibodies - Most reliable noninvasive test
Commonly Used Diagnostic ... expensive Small bowel ... Reflects response to treatment ... Laboratory #Tests #Diagnosis ... #Workup #Table
Ileal Pouch Disorders - Differential Diagnosis • Surgical/Mechanical: Anastomotic leak, Pelvic sepsis, Sinus, Fistula, Strictures, Efferent
Small bowel bacterial ... Bone loss, Vit D/B12 ... deficiency, Renal ... stone, Celiac disease ... #surgery #gastroenterology
Complications after Bariatric Surgery Post Bariatric Intestinal Failure: • Severe protein malnutrition after bariatric surgery • More
nutrients • TPN for treatment ... bolus to the small bowel ... excluded limb • Treatment ... and Hepatology ... #diagnosis #differential
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