1.

Record Nr.

UNINA9910484899703321

Titolo

Management of nutritional and metabolic complications of bariatric surgery / / edited by Miloni Shah Sancheti, 5 others

Pubbl/distr/stampa

Singapore : , : Springer, , [2021]

©2021

ISBN

981-334-702-3

Descrizione fisica

1 online resource (362 pages) : illustrations

Disciplina

617.05

Soggetti

Surgery

Cirurgia de l'obesitat

Metabolisme

Nutrició

Complicacions (Medicina)

Llibres electrònics

Lingua di pubblicazione

Inglese

Formato

Materiale a stampa

Livello bibliografico

Monografia

Nota di bibliografia

Includes bibliographical references.

Nota di contenuto

Intro -- Foreword -- Foreword -- Preface -- Contents -- 1: The Disease That Is Obesity -- 1.1  Introduction -- 1.2  The Epidemiology of Obesity in 2019 -- 1.3  Causes of Obesity -- 1.4  Consequences of Obesity -- 1.5  Discussion -- 1.6  Conclusion -- References -- 2: Associated Co-morbid Conditions of Clinically Severe Obesity -- 2.1  Introduction -- 2.2  Impaired Glucose Tolerance and Diabetes Mellitus -- 2.3  Hypertension -- 2.4  Heart Disease -- 2.5  Dyslipidemia -- 2.6  Cerebrovascular Disease -- 2.7  Metabolic Syndrome -- 2.8  Pulmonary Diseases -- 2.9  Gastrointestinal Diseases -- 2.10  Reproductive Disease -- 2.11  Psychosocial and Psychiatric Problems -- 2.12  Osteoarthritis -- 2.13  Cancer -- 2.14  Conclusions -- References -- 3: Pre-existing Nutritional Deficiencies Associated with Obesity -- 3.1  Introduction -- 3.2  Obesity: A State of Malnutrition -- 3.3  Causes of Nutritional Deficiencies in Individuals Suffering from Obesity -- 3.4  An Overview on Physiology of Various Nutrients in the Body -- 3.4.1  Iron -- 3.5  Calcium and Vitamin D -- 3.6  Water Soluble: B-Vitamins -- 3.7  Fat-Soluble Vitamins: Vitamin A, E and K -- 3.8  Zinc -- 3.9  



Management of Pre-operative Nutritional Deficiencies -- 3.10  Conclusion -- References -- 4: Bariatric Procedures: Anatomical and Physiological Changes -- 4.1  Introduction -- 4.2  Anatomical Changes of Procedures Without Small Bowel Diversion -- 4.2.1  Laparoscopic Adjustable Gastric Band -- 4.2.2  Laparoscopic Sleeve Gastrectomy -- 4.3  Anatomical Changes in Procedures with Small Bowel Diversion -- 4.3.1  Roux-en-Y Gastric Bypass -- 4.3.2  One-Anastomosis Gastric Bypass -- 4.3.3  Biliopancreatic Diversion with Duodenal Switch -- 4.4  Physiological Changes on GI Tract After Bariatric Procedures -- 4.5  Food Intake -- 4.6  Gastric Emptying: Digestive Motility -- 4.7  Digestion and Absorption.

4.8  Micronutrient Deficiencies -- 4.9  Macronutrient Deficiencies -- 4.10  Enterohormones -- 4.11  Gut Microbiota -- 4.12  Conclusion -- References -- 5: Nutritional Deficiencies After Bariatric Surgery -- 5.1  Introduction -- 5.2  Mechanism of Deficiency -- 5.3  Macronutrients -- 5.4  Micronutrients -- 5.5  Clinical Manifestation -- 5.6  Lab Tests -- 5.7  Supplementation -- 5.8  Case Reports -- 5.8.1  Case 1 -- 5.8.2  Case 2 -- References -- 6: Clinical Examination of a Post-bariatric Surgery Patient -- 6.1  Introduction -- 6.2  History -- 6.2.1  Scoring Systems -- 6.3  Examination -- References -- 7: Gastrointestinal Complications of Bariatric Surgery -- 7.1  Introduction -- 7.2  Reflux -- 7.2.1  Adjustable Gastric Band -- 7.2.2  Laparoscopic Sleeve Gastrectomy (SG) -- 7.2.3  One Anastomosis Gastric Bypass (OAGB) -- 7.3  Barret's Oesophagus and Adenocarcinoma -- 7.4  Nausea and Vomiting -- 7.5  Marginal Ulcers -- 7.5.1  Diagnosis -- 7.5.2  Management -- 7.6  Diarrhoea -- 7.7  Steatorrhoea and Pancreatic Exocrine Insufficiency -- 7.8  Constipation -- 7.9  Dumping Syndrome -- 7.9.1  Diagnosis -- 7.10  Small Intestinal Bacterial Overgrowth -- 7.11  Gallstones -- 7.12  Taste Alteration -- 7.13  De Novo Food Intolerance -- 7.14  Nesidioblastosis -- 7.14.1  Portal and Mesenteric Vein Thrombosis -- 7.14.1.1  Bile Acid Malabsorption -- 7.14.1.2  Short Bowel Syndrome -- References -- 8: Pulmonary Complications After Bariatric Surgery -- 8.1  Introduction -- 8.1.1  Etiology and Pathophysiology of Pulmonary Complication in Obese -- 8.2  Obstructive Sleep Apnea and Obesity Hypoventilation Syndrome -- 8.3  Aspiration of Gastric Acid -- 8.4  Venous Thromboembolism -- 8.4.1  Prevention of VTE post bariatric surgery -- 8.4.2  Diagnosis -- 8.4.3  Management -- 8.5  Postoperative Respiratory Complications in Bariatric Population.

8.5.1  Prevention of PRC After Bariatric Surgery -- 8.5.2  Management of PRC After Bariatric Surgery -- 8.6  Chronic Pulmonary Complications After Bariatric Surgery -- References -- 9: Management of Nutritional and Metabolic Complications of Bariatric Surgery: Hepatic Complications After Bariatric Surgery -- 9.1  Introduction -- 9.2  Incidence/Prevalence -- 9.2.1  Elevated Liver Enzymes -- 9.2.2  Protein Deficiency and Hypoalbuminemia -- 9.2.3  Hyperammonemia -- 9.2.4  Liver Insufficiency or Failure -- 9.3  Symptoms of Hepatic Complication -- 9.4  Diagnosis -- 9.5  Management -- 9.6  Take Home Message -- References -- 10: Renal Complications After Bariatric Surgery -- 10.1  The Relationship Between Obesity, Diabetes, and Renal Disease -- 10.2  Early Postoperative Complications -- 10.3  Nephrolithiasis -- 10.4  Safety of Bariatric and Metabolic Surgery in Patients with Chronic Kidney Disease -- 10.5  Considerations in Transplant Candidates/Recipients -- 10.6  Risk Reduction After Metabolic Surgery -- 10.7  Improvement of Kidney Function After Metabolic Surgery -- 10.8  Conclusions -- References -- 11: Endocrine and Metabolic Complications After Bariatric Surgery -- 11.1  Introduction -- 11.2  Incidence of Endocrine and Metabolic Complications of Bariatric Surgery



-- 11.2.1  Incidence of Derangements of Calcium Metabolism -- 11.2.2  Incidence of Bone Density Loss and Fracture Risk -- 11.2.3  Incidence of Hypoglycemia -- 11.2.4  Incidence of Derangements of the Thyroid Axis -- 11.2.5  Incidence of Changes in the Gonadal Axis -- 11.3  Adverse Endocrine and Metabolic Sequelae After Bariatric Surgery -- 11.4  Pathophysiology of the Enlisted Adverse Sequelae -- 11.4.1  Pathophysiology of Calcium and Bone Metabolism -- 11.4.2  Pathophysiology of Glucose Metabolism -- 11.4.3  Pathophysiology of the Thyroid Axis -- 11.4.4  Pathophysiology of Gonadal Axis.

11.5  Diagnosis -- 11.5.1  Diagnosis of Derangements of Calcium and Bone Metabolism -- 11.5.2  Diagnosis of Derangements of Glucose Metabolism -- 11.5.3  Diagnosis of Derangements of the Thyroid Axis -- 11.5.4  Diagnosis of Derangements of the Gonadal Axis -- 11.6  Management -- 11.6.1  Management of Derangements of Calcium and Bone Metabolism -- 11.6.2  Management of Derangements of Glucose Metabolism -- 11.6.3  Management of Derangements of the Thyroid Axis -- 11.6.4  Management of Derangements of the Gonadal Axis -- References -- 12: Cardiovascular Complications After Bariatric and Metabolic Surgery -- 12.1  Introduction -- 12.2  Incidence/Prevalence -- 12.2.1  Mortality Risk After Cardiovascular Complication -- 12.3  Pathophysiology -- 12.3.1  Arrhythmia -- 12.3.2  Venous Thromboembolism -- 12.3.3  Cardiac Complications -- 12.3.4  Cardiovascular Effect of BMS -- 12.4  Clinical events and Diagnosis -- 12.4.1  Arrhythmias -- 12.4.2  Venous Thromboembolism -- 12.4.3  Myocardial Ischaemia and Infarction -- 12.4.4  Heart Failure -- 12.4.5  Chronic Cardiovascular Complications -- 12.5  Management -- 12.5.1  Arrhythmias -- 12.5.2  Venous thromboembolism -- 12.5.3  Myocardial Infarction -- 12.5.4  Heart Failure -- 12.6  Prevention of Cardiovascular Complications After BMS -- References -- 13: Neurological Complications After Bariatric Surgery -- 13.1  Introduction -- 13.2  Conclusion -- References -- 14: Musculoskeletal Complications After Bariatric Surgery -- 14.1  Introduction -- 14.2  Incidence/Prevalence -- 14.3  Adverse Sequelae Regarding Musculoskeletal Complications -- 14.4  Pathophysiology of the Enlisted Adverse Sequelae -- 14.5  Diagnosis -- 14.6  Follow-Up -- 14.7  Management -- 14.8  Take-Home Message -- References -- 15: Reproductive Complications After Bariatric Surgery in Males and Females -- 15.1  Female Reproductive System.

15.1.1  Introduction -- 15.1.2  Obesity and Infertility -- 15.1.3  Sexual Dysfunction and Pelvic Floor Disorders -- 15.1.3.1  Effect of Surgery on Sexual Function -- 15.1.3.2  Effect of Surgery on Pelvic Floor Disorders -- 15.1.4  Hormonal Changes in Women After BMS -- 15.1.5  Pregnancy and Bariatric Surgery -- 15.1.5.1  Pregnancy Outcomes and Surgery-to-Conception Interval -- 15.1.5.2  Gestational Diabetes and Oral Glucose Tolerance Test -- 15.1.5.3  Nutritional Deficiencies and Birth Defects -- 15.2  Male Reproductive Complications -- 15.2.1  Introduction -- 15.2.2  Male Obesity-Secondary Hypogonadism (MOSH) -- 15.2.2.1  Sex Hormones -- 15.2.2.2  Sperm and Seminal Fluid -- 15.2.2.3  Erectile Dysfunction (ED) and Sexual Quality of Life -- 15.2.3  Conclusion -- References -- 16: Hair Skin and Nail Related Complications After Bariatric Surgery -- 16.1  Introduction -- 16.2  Incidence and Prevalence -- 16.3  Pathophysiology -- 16.3.1  Obesity and Pre-existing Nutritional Deficiencies -- 16.3.2  Pathophysiology of Metabolic Complications Post-Bariatric Surgery -- 16.3.3  Bariatric Surgery and Hair -- 16.3.3.1  Hair Growth Cycle -- 16.3.3.2  Weight Loss Surgery and Hair Loss Association -- 16.3.4  Bariatric Surgery and Skin -- 16.3.4.1  Obesity and Its Effect on Skin -- 16.3.4.2  Weight Loss Surgery and Dermatologic Complications -- 16.3.4.3  Psoriasis



and Bariatric Surgery -- 16.3.4.4  Necrobiosis Lipoidica and Bariatric Surgery -- 16.3.5  Bariatric Surgery and Nails -- 16.4  Diagnosis -- 16.5  Management -- 16.5.1  Nutritional Supplementation After Bariatric Surgeries -- 16.5.2  Role of Dermatologist -- 16.5.2.1  Hair Fall Treatment -- 16.5.3  Emerging Treatments -- 16.5.3.1  QR678 -- 16.6  Take-Home Message -- References -- 17: Ophthalmological Complications After Bariatric Surgery -- 17.1  Introduction.

17.2  Bariatric Surgery and Diabetic Retinopathy.