11 results
Prevention and Treatment of Nutritional Complications after Bariatric Surgery
Types of Bariatric Surgery:
 • Adjustable Gastric Banding
Prevention and Treatment ... • Adjustable Gastric ... Surgery: • Dumping Syndrome ... #Differential #Treatment ... #Deficiencies #Gastroenterology
Types of Bariatric Surgery
Adjustable Gastric Banding:
 • Decreasing in prevalence, 3% of bariatric surgeries performed
 •
bypassing small bowel ... Complications — dumping syndrome ... internal hernia, bowel ... preserved less dumping syndrome ... #bypass #gastroenterology
Management of Abdominal Distension and Bloating - Treatment Algorithm

Definitions
Pathophysiology
Organic/Pathologic Etiologies:
 • Small Intestinal Bowel Overgrowth (SIBO)
Small Intestinal Bowel ... Fundoplication, Bariatric ... Gastroparesis • Chronic Gastric ... Syndrome • Chronic ... #gastroenterology
Complications after Bariatric Surgery
Post Bariatric Intestinal Failure:
 • Severe protein malnutrition after bariatric surgery
 • More
Consider refeeding syndrome ... nutrients • TPN for treatment ... bolus to the small bowel ... bypass causes increased ... Complications #gastric
Nutrient Deficiencies and Supplementation Post Gastric Bypass Surgery
Nutrient Deficiencies:
 • Most frequent in the malabsorptive surgeries
Supplementation Post Gastric ... folate, iron, B12 ... • Persistent nausea ... Phos, Ca+, Bl, B12 ... Bypass #Surgery #bariatric
Micronutrient Deficiencies After Gastric Bypass
Fat-Soluble Vitamins:
 • Vitamin A - Night/complete blindness, xeropthalmia (pathologic dryness of
Deficiencies After Gastric ... 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 (IBS) - ... Rifaximin- up to 3 courses ... #gastroenterology ... #treatment
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
Chronic Abdominal Pain Causes - Differential Diagnosis Framework

Many patients with chronic abdominal pain have had prior
AMI • PUD • Gastric ... • Irritable bowel ... syndrome • Celiac ... • Inflammatory bowel ... Differential #Diagnosis #gastroenterology
Irritable Bowel Syndrome (IBS) - Diagnosis and Management Summary
Diagnosis:
 • Use a positive diagnostic strategy with
Irritable Bowel ... Syndrome (IBS) - ... for diagnosis Treatment ... IBS #Irritable #Bowel ... #treatment