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José Manuel Martínez Moreno, Alexander Reyes-Ortiz, José María Lage Sánchez, Pilar Sánchez-Gallegos, Manuel Garcia-Caballero
BACKGROUND: The aim of this study was to study the process of intestinal adaptation in the three limbs of the small intestine after malabsorptive bariatric surgery: the biliopancreatic limb, the alimentary limb, and the common channel. These limbs are exposed to different stimuli, namely, gastrointestinal transit and nutrients in the alimentary limb, biliopancreatic secretions in the biliopancreatic limb, and a mix of both in the common channel. We also wished to investigate the effect of glutamine supplementation on the adaptation process...
December 2017: Obesity Surgery
Luis Vásquez, Julissa Guevara, Victor Aguilar, Monica Menéndez, Eduar Bravo, Patricia Guzman Rojas, Catherina Pichilingue, Arturo Zegarra, Jorge Huerta-Mercado, José Pinto, Ricardo Prochazka, Vanessa Valenzuela, Alejandro Bussalleu
Chronic actinic enteritis is a malfunction of the small bowel, occurring in the 6 months post-radiotherapy, and it can be manifestated as malabsortion, stenosis, fistula formation, local abscesses, perforation and bleeding, We report a case of an elderly patient who presents an episode of obscure gastrointestinal bleeding (OGIB) secondary to actinic enteritis. She is a 64-year- old female patient with the past medical history of cervical cancer who received radiotherapy and brachytherapy. One year after the treatment, the patient presents a chronic episode of melena and symptomatic anemia and 1 week before the admission she had hematochezia...
April 2016: Revista de Gastroenterología del Perú: órgano Oficial de la Sociedad de Gastroenterología del Perú
Josep Vidal, Amanda Jiménez, Ana de Hollanda, Lílliam Flores, Antonio Lacy
In recent years, a marked increase in the relative use of sleeve gastrectomy (SG) has occurred. However, long-term head-to-head comparison of the impact of this bariatric surgery (BS) procedure with the still considered "gold standard" Roux-en-Y gastric bypass (GBP) in subjects with type 2 diabetes mellitus (T2DM) is surprisingly low. The aim of this review manuscript is to appraise current evidence on the potential of GBP and SG as long-term therapeutic tool for subjects with T2DM. In our opinion, unfortunately, review of current literature does not allow to properly answer which of the two surgeries would be better as procedure of choice for subjects with T2DM...
October 2015: Current Atherosclerosis Reports
Margarida Dantas Brito, Ângelo Martins, Rui Henrique, José Mariz
Celiac disease is an autoimmune disorder in which a genetic predisposition and the ingestion of wheat gluten triggers a deleterious immune response. This response is complex and may lead to manifestations other than enteropathyha: hepatitis, dermatitis and neuropathy. There is higher risk for neoplasia. We observed an atypical case, corresponding to a 69-year old female presenting with complicated celiac disease. The patient was referred following the histological examination of an enterectomy specimen, which unexpectedly revealed an enteropathy-associated T cell lymphoma in a background of celiac disease...
November 19, 2014: Hematology Reports
Fernando Man, Luis María Bustos Fernández
Irritable bowel syndrome is a highly prevalent condition responsible for almost one third of visits to the gastroenterologist and huge expenses for diagnosis, treatment and loss of working days. A unique pathophysiologic mechanism has not been elucidated yet and several possibilities have been proposed such as senso-perception and motor disturbances, the effect of stress and anxiety, serotonin receptor failures, activation of abnormal brain areas and pain modulation differences, among others. The absence of a biological marker has led the investigators to consider this syndrome as an exclusion diagnostic condition, once the organic diseases have been discarded The changes in gut microbiota have recently raised great interest among gastroenterologists...
December 2013: Acta Gastroenterologica Latinoamericana
Ana M Ramos-Leví, Andrés Sánchez-Pernaute, Miguel A Rubio Herrera
We present a patient who underwent successful classic duodenal switch and developed a marked dermatitis with a significant functional limitation. This is an unusual complication, despite the relatively moderate prevalence of nutrient deficiency after this type of bariatric surgery. We discuss possible pathogenic mechanisms and emphasize the importance of an appropriate nutritional management.
July 2013: Nutrición Hospitalaria: Organo Oficial de la Sociedad Española de Nutrición Parenteral y Enteral
Ana M Ramos-Leví, Natalia Pérez-Ferre, Andrés Sánchez-Pernaute, Antonio J Torres García, Miguel A Rubio Herrera
Vitamin A deficiency may occur after malabsorptive bariatric surgery. However, it rarely entails important functionally limiting symptoms. We present the case of a woman who underwent bariatric surgery and developed ocular dryness, xeroderma and hearing loss due to severe vitamin A deficiency. We illustrate an outstanding and exceptional case of the consequences of an excessive and uncontrolled malabsorption.
July 2013: Nutrición Hospitalaria: Organo Oficial de la Sociedad Española de Nutrición Parenteral y Enteral
E Cáncer, V Abilés, J Abilés, M A Martínez Olmos, I Bretón, N Peláez, V Álvarez, J M Culebras, R A Mazure
INTRODUCTION: Obesity is a chronic disease for which several modalities of treatment are investigated today. One of them is the set of minimally aggressive techniques that have been added to the intragastric balloon. OBJECTIVE: To review the minimally invasive techniques described in the last years for the treatment of obesity. MATERIAL AND METHOD: It consisted in reviewing the bibliography through the habitual finders, in addition to the obtained data of the companies...
July 2012: Nutrición Hospitalaria: Organo Oficial de la Sociedad Española de Nutrición Parenteral y Enteral
M J Amaya García, F J Vilchez López, C Campos Martín, P Sánchez Vera, J L Pereira Cunill
The morbid obesity is a chronic disease with increasing prevalence and that associates an important morbility and mortality. The bariatric surgery is the most effective treatment to secure a weight reduction maintained in the time and a diminution in the rates of complications associated to the obesity. The overweight and the obesity are risk factors for the deficit of several micronutrients like vitamins B1, B6, C, folic acid and D, minerals like the iron and trace elements like zinc, generally by dietetic deficit...
March 2012: Nutrición Hospitalaria: Organo Oficial de la Sociedad Española de Nutrición Parenteral y Enteral
O I Sokolova, A V Dem'ianov, L S Bovers, E S Did'e, Iu Ia Sokolova
The FTA technology was applied for sampling, archiving, and molecular analysis of the DNA isolated from stool samples to diagnose and identify microsporidia, the intracellular opportunistic parasites which induce malabsortion syndrome in immunosuppressed humans, particularly in patients with AIDS. Microsporidia DNA was successfully amplified in 6 of 50 stool samples of HIV-positive patients of the S. P. Botkin Memorial Infectious Disease Hospital (St. Petersburg) applied to FTA cards (FTA-Cars, Whatman Inc...
2011: Tsitologiia
Natan Zundel, Juan D Hernandez
Bariatric surgery has become more common due to the worldwide obesity epidemic. A shift from open to laparoscopic surgery has occurred in the last 2 decades, because of its advantages. Revisional surgery after bariatric procedures is becoming an important issue, and restrictive procedures account for a large proportion of these interventions. Three restrictive procedures are currently in use: laparoscopic adjustable gastric banding, laparoscopic sleeve gastrectomy and vertical banded gastroplasty. The first two procedures are more commonly used, and the third is losing favor with surgeons...
October 2010: Surgical Laparoscopy, Endoscopy & Percutaneous Techniques
Virginia Ruiz-Esquide, Pilar Peris, Laia Gifre, Nuria Guañabens
Obesity is an ever-increasing disease in our environment, and a major risk factor for the development of other chronic diseases that increase morbidity and mortality. Bariatric surgery is an effective treatment for obesity, since it not only allows a significant and sustained loss of weight, but also an important reduction of its co-morbidities. However, this treatment is not free of complications, since along with weight loss, frequent nutritional and metabolic deficiencies have been described. These complications are particularly frequent when mixed surgical procedures with a restrictive and malabsortive component such as Roux-en-Y gastric bypass and biliopancreatic diversion are performed...
February 26, 2011: Medicina Clínica
Diego Felipe Gaia, José Honório Palma, João Nelson Rodrigues Branco, Enio Buffolo
Obesity and its correlated comorbidities are nowadays considered a public health concern. In the last few years, a myriad of strategies searched an effective procedure to reduce weight and decreases related comorbidities. Among these strategies, the bariatric procedures have been achieved a significantly increase, being able to promote an expressive and lasting weight reduction. Diverse early and late complications are described and related to restrictive and malabsortive bariatric procedures. In this report we describe two cases of cardiovascular complications (aortic dissection and aneurysm) in the late postoperative period of the bariatric procedures...
July 2008: Revista Brasileira de Cirurgia Cardiovascular
Manuela Elía Guedea, José Antonio Gracia Solanas, Pablo Royo Dachary, José Manuel Ramírez Rodríguez, Vicente Aguilella Diago, Mariano Martínez Díez
INTRODUCTION: Biliopancreatic diversion by Scopinaro (BD) is a mixed (malabsortive and restrictive) bariatric technique that is successful in achieving long lasting weight lost in super obese patients. In fact, the diarrhoea (steatorrhea) that is expected after any malabsortive technique can sometimes cause significant nutritional changes and anal disease: these patients are frequently referred to our coloproctology outpatient clinic due to haemorrhoids, fissures, anal sepsis and fistula basically due to changes in quality and quantity of their faeces...
September 2008: Cirugía Española
Eduardo A Cueto Rua, Luciana Guzmán, Gabriela Nanfito, Soledad Barrera, Ricardo Drut
We are reporting ten recently diagnosed children with celiac disease who presented neither undernutrition nor symptoms suggesting malabsortion syndrome. All showed IgA, EMA and just eight tTG2 autoantibodies. Biopsies allowing histopathologic diagnosis were taken after detailed endoscopic examina- tion from proximal duodenum. Samples from distal duodenum were within normal histologic range. The findings are particularly interesting in order to explain cases with aparent disagreements between clinical, laboratory and histopathologic data...
April 2008: Archivos Argentinos de Pediatría
Marco Díaz Santisteban
INTRODUCTION: To observe microscopically the ileal mucosa invaded by lymphomononuclear in patients with chronic diarrhea, despite of normality of its endoscopic aspect leaded to name this discovery as microscopic ileitis. This investigation look answer to the question: is the microscopic ileitis associated to chronic diarrhea? MATERIAL AND METHODS: Microscopic ileitis was looked for in 30 patients with chronic diarrhea and 30 without it, using cases controls design matched up according to sex and age with pathologist and endoscopists blinded to participant's condition...
July 2007: Revista de Gastroenterología del Perú: órgano Oficial de la Sociedad de Gastroenterología del Perú
Salim Afzal, Iftikhar Qayum, Iftikhar Ahmad, Salma Kundi
BACKGROUND: Ileocecal Tuberculosis (TB) is difficult to diagnose clinically as getting histological specimens means resorting to surgery, which is often hazardous and complicated in sick, anemic and emaciated patients with malabsortion syndrome. The present study was undertaken as an attempt to devise clinical criteria for diagnosis of ileocecal TB without resorting to invasive surgery. METHODS: 52 patients with suspected ileocecal TB were assigned pre-determined criteria based on clinical signs, symptoms and simple laboratory investigations...
October 2006: Journal of Ayub Medical College, Abbottabad: JAMC
D Radivojević, M Guć-Sćekić, M Djurisić, T Lalić, P Minić, E Kanavakis
Cystic fibrosis (CF), is the most common autosomal-recessive disease in Caucasians, with an incidence of approximately 1:2500 live births and a carrier frequency of approximately 4-5%. Causes of the disease are mutations in the CF gene which is located on chromosome 7 (region 7q31). Although a single mutation, a deletion of phenylalanine at position 508 (DF508) in exon 10, accounts for almost 70% of all CF chromosomes, over 900 other mutations have been identified in this large gene. CF gene encodes a membrane protein, which functions as aion channel- CFTR (cystic fibrosis transmembrane regulator protein)...
May 2001: Srpski Arhiv za Celokupno Lekarstvo
José Ibiapina Siqueira Neto, Ana Carolina Leite Vieira Costa, Francisco George Magalhães, Gisele Sampaio Silva
UNLABELLED: Celiac disease (CD/ Nontropicalsprue, gluten-sensitive enteropathy) is a malabsortive condition in which an allergic reaction to the cereal grain-protein gluten (present in wheat, rye and barley) causes small intestine mucosal injury. The onset is in the first four decades of life, with a female to male ratio of 2:1. It may be associated with a wide spectrum of neurological manifestations including cerebellar ataxia, epileptic seizures, dementia, neuropathy, myopathy and multifocal leucoencephalopathy...
December 2004: Arquivos de Neuro-psiquiatria
B Moreno Esteban, A Zugasti Murillo
The indication of bariatric surgery as therapeutic procedure for morbid obese patients requires the application of selection criteria which deal with the degree of obesity, associated complications and previous failure of conventional therapy. Alcohol or drug addiction and concomitant serious disease are contraindications for bariatric surgery. Before operation, a full assessment is needed to identify possible eating behaviour disturbances and associated comorbidity such as cardiovascular disease, sleep apnoea, metabolic and psychiatric alterations which might induce intra and postoperative complications...
April 2004: Revista de Medicina de la Universidad de Navarra
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