Thursday, November 30, 2017

Freed Colombian soldiers go through medical examination protocols

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Robotic surgery A surgical approach where robotic arms enhance the precision of...

Robotic surgery A surgical approach where robotic arms enhance the precision of... http://dratef.net/photos/robotic-surgery-a-surgical-approach-where-robotic-arms-enhance-the-precision-of/ [ad_1]

Robotic surgery
A surgical approach where robotic arms enhance the precision of surgeon's maneuver

Increased precision means less trauma, less bleeding, and speedier recovery
-
#roboticsurgery #surgeon #missurgery #laparoscopicsurgery


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A Few Complications From Hemorrhoids

A Few Complications From Hemorrhoids http://dratef.net/articles/a-few-complications-from-hemorrhoids/


In most cases of hemorrhoids, conservative home treatment is all that is needed to resolve the problem. However, some individuals do experience repeated bouts of them, and in some cases, complications can result. Typically, in cases where the typical hemorrhoid symptoms of minor itching and burning incidence, complications are rare.

Thrombosed hemorrhoids, strangulated hemorrhoids, and very rare secondary conditions such as anemia can be a few complications of hemorrhoids you would encounter, however.

Thrombosed hemorrhoids form when external hemorrhoids develop a blood clot. This can be very painful and demand prompt medical treatment. Additional stress on an ordinary external hemorrhoid due to constipation or a coughing attack can cause a hemorrhoid to develop a blood clot. When this happens, the pain can be very severe, and it is best to see a doctor right away. If it is not taken care of, infection and even gangrene can set in, though this is quite quite rare. The best way to prevent the complication of a thrombosed hemorrhoid is by treating them as soon as you know about them.

Not all thrombosed hemorrhoids result in severe pain, however. This particular hemorrhoid looks like a red, blue, or flesh colored lump. In some cases, they may resolve them after about a week. Anyone who has a suspected thrombosed hemorrhoid that is not causing pain and does not appear to be worsening may wait for a week to see if it resolves itself before seeking medical treatment. Thrombosed hemorrhoids that are painful or that do not appear to be resolving on their own should receive medical treatment.

Removal of thrombosed hemorrhoids is easier if it is done before there are any complications. Furthermore, recovery is faster and less painful, so there is every reason for someone who suspects that they have one - particularly if they are in pain - to see a doctor as soon as possible.

A complication from internal hemorrhoids is what is known as a strangulated hemorrhoid. When an internal hemorrhoid prolapses through the anus and swells, the muscles that control the opening and closing of the anal opening can cut the blood supply to the hemorrhoid, which can cause hemorrhoidal tissues to die. The result is severe pain and the possibility of bleeding and pus formation. Surgery is required to prevent further complications such as infection.

If bleeding from hemorrhoids is chronic, even at a low level, it can result in anemia. Anemia is a condition where there are not enough healthy red blood cells to carry oxygen to cells, and it results in weakness and tiredness. If it's bad enough, anemia can be life threatening.

Some people may believe that hemorrhoids, left untreated, develop into cancer, but this is not true. The problem is, both hemorrhoids and cancer can cause bleeding. If a person experiences rectal bleeding and is older than 50, doctors consider it important to do tests to rule out dangerous causing such as cancer. If the problem turns out to be hemorrhoids, then treatment proceeds as it would in any other age patient.























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This is orchidopexy, a surgery to relocate the testicle to the scrotum in a cond...

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This is orchidopexy, a surgery to relocate the testicle to the scrotum in a condition called cryptorchidism. However, if the testicle is located in the abdomen, staged procedure is performed. First step of Stephen Fowler laparoscopic orchidopexy using single port by sometech is shown here. This method is quite effective (IMHO)A if u don't have access to pediatric standard trochars (you know, the shorter one that my hospital hasn't invested for years😛). #laparoscopicsurgery #stephenfowler #minimalinvasiveanak #minimalinvasiveorchidopexy #bedahanaktng #pediatricsurgery


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APPENDICITIS-Keyhole Surgery- 5min demo (Laparoscopic Appendectomy)

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What to Eat and What to Avoid

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Is Your Guinea Pig Losing Weight?

Is Your Guinea Pig Losing Weight?, http://dratef.net/weightloss/articles/is-your-guinea-pig-losing-weight/, , http://dratef.net/weightloss, , Weight loss is very common in guinea pigs and is not a cause for panic. But when you notice your guinea pig losing weight, you should monitor the situation very carefully to make sure everything's going right. Naturally, this means you should regularly weigh your pig (twice a week is advisable) and look for a significant change in weight.How much is a "significant" change in weight?A guinea pig's weight will normally differ by a few grams every time you weigh. This is because of hydration, food (or lack thereof) etc. So a difference of up to 35 grams (1., Weight loss is very common in guinea pigs and is not a cause for panic. But when you notice your guinea pig losing, admin

Laparoscopic Surgery Vs Open Surgery -- Dr. Hafeez Rahman, Chairman of Sunrise Group of Hospitals

Laparoscopic Surgery Vs Open Surgery -- Dr. Hafeez Rahman, Chairman of Sunrise Group of Hospitals http://dratef.net/videos/laparoscopic-surgery-vs-open-surgery-dr-hafeez-rahman-chairman-of-sunrise-group-of-hospitals/ , [ad_1] ,

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Pregnancy Gallbladder Removal Surgery, Darrin Hansen MD, Salt Lake City, Utah

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Doctor Appointment App

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Bad Trauma Doctors In Training (DK4)

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How to Prepare / Crack NEET 2018 without Coaching

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Incline Barbell Triceps Extension - Male Fitness Training

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Incline Barbell Triceps Extension - Male Fitness Training

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Laparoscopic Cholecystectomy (Gallbladder Surgery) with Anomalous Right Hepatic Artery

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Possible Compllications After Breast Reduction

Possible Compllications After Breast Reduction http://dratef.net/articles/possible-compllications-after-breast-reduction/


Breast reduction , like any other surgical procedures, is likely to have possible complications and problems. Although serious breast reduction complications are a rare occurrence, no surgeon can guarantee a breast reduction without problems. In addition to specific breast reduction risks , possible complications after a breastfeeding surgery include nipple loss, change in nipple sensation, skin loss or abnormal scarring.

Nipple loss

It is possible for the tissue of a nipple to die, partially or completely, the latter being an uncommon but serious complication of breast reduction . If complete nipple loss occurs, it is possible to reconstruct a nipple from local breast skin or from a graft skin taken from the upper, inner thigh. Nipple reconstruction is usually delayed until six months after the original operation, during which time an adhesive artificial nipple can be worn if desired.

Change in nipple sensation

Although some women experience increased nipple sensation after breast reduction, some loss of sensation can occur and may be permanent.

Skin loss

It is quite common for the skin at the junction of the two scars on the breast to be slow to heal. It is illegally that infection will lead to skin loss, which requires additional surgery and results in increased scarring.

Infection

Another common breast reduction complications involve infections and delayed healing. The risk of infections can be minimized by washing the breast area, especially the incision sites, with antibacterial soap. In the event of an infection, a patient should immediately consult the surgeon for medical advice.

Abnormal scarring

Vertical scars can stretch, both in width and length, but they usually fade in time without the need for additional treatment, although they never disappear. However, pronounced scars can develop after breast reduction, usually under the breast, and the operation is therefore sometimes performed through a single vertical incision to reduce scarring.

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Doctor stretching his patient arm in medical office

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Laparoscopic Inguinal Bilateral Hernia Repair Surgery and Recovery

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npg bilateral pyeloplasty ntsc.mpg

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Doctor Writes a Recipe

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#ahmedabadfitness #weightlosschallenge #weightloss #AntyodayaYoga #fitnessmotiva...

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Justice Karan, SC judges and medical examination | Special report

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Lose Belly Fat Faster With These 4 Herbs & Spices

Lose Belly Fat Faster With These 4 Herbs & Spices, http://dratef.net/weightloss/articles/lose-belly-fat-faster-with-these-4-herbs-spices/, , http://dratef.net/weightloss, , In this article I would like to talk about 4 powerful spices and herbs that you should add to your diet to help lose belly fat faster.To lose weight, lose belly fat, gain lean muscle, and improve your overall health, it is obviously very important to make sure you are getting plenty of water daily, plenty of sleep every night, exercising (cardio + weight training), eat several small meals daily, and eat the proper foods. The proper foods in general categories would be fiber, complex carbohydrates, fruits & veggies, protein, and healthy fats., In this article I would like to talk about 4 powerful spices and herbs that you should add to your diet to help lose, admin

3D Anatomy Courseware | Visible Body

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MUSC GI Surgery: surgical options for chronic pancreatitis

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Low back disc pain 2 years after stem cell therapy by Harry Adelson, N.D.

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3D Model of Bacterial Cell Structure

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Laparoscopy of Cirrhosis and Liver Biopsies

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#laparoscopic #bariatric #surgery. عمل جراحي #لاپاروسكوپي #چاقي...

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#laparoscopic #bariatric #surgery. عمل جراحي #لاپاروسكوپي #چاقي


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Yogi - Health Beauty & Yoga WordPress Theme

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How To Do The Bent Over Two-Arm Long Bar Row - Male Fitness Training

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How To Do The Bent Over Two-Arm Long Bar Row - Male Fitness Training

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Laparoscopic Subtotal Gastrectomy with Gastrojejunostomy

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Cholecystectomy Complications - Before Surgery Try a Simple Gallstone Remedy

Cholecystectomy Complications - Before Surgery Try a Simple Gallstone Remedy http://dratef.net/articles/cholecystectomy-complications-before-surgery-try-a-simple-gallstone-remedy/


Did you know that cholecystectomy complications are one of the greatest concerns with gallbladder surgery? Although complications include an increased risk of cancer, still more than 500,000 surgeries are performed in America alone.

Although this surgery is a very common type of surgery, many doctors and experts are now asking whether surgery is the best path for those who suffer from gallstones. Many are now recommending a simple gallstone remedy that has a remarkably high success rate.

Have you considered a simple gallstone remedy instead of surgery?

What Your Surgeon Should Tell You

Most people who are suffering from gallstones blocking the bile ducts (also called acute cholecystitis) are immediately recommended to get a cholecystectomy (gallbladder surgery). Unfortunately, many patients spend almost $ 15,000 for surgery and hospital bills.

But before you go under the knife to remove your organ, the gallbladder, many doctors are now suggesting a simple gallbladder flush that could save you thousands and your organ. In fact, it could also save you from being diagnosed with cancer 20 years from now.

Here are some of the complications that are associated with gallbladder surgery.

Complications of Gallbladder Surgery

Obviously, your gallbladder does have a purpose and it involves helping you digest food. The gallbladder collections and stores bile from the liver's byproduct and then releases it during the appropriate times during digestion.

Without this often important organ, you risk the following complications.

1. Removing your gallbladder increases your risk of bowel and colon cancers.

2. People who have had their gallbladder removed have a higher blood cholesterol level. And as you may know, high cholesterol often can lead to other heart problems.

3. Many sufferers also experience stomach pains, diarrhea or nausea after surgery because of bile leaks. Sometime emergency surgeries must be performed to fix the problem.

4. A recent survey revealed that almost 50% of patients have at least one complaint about the post-surgery. Most complaints include abdominal discomfort after surgery that can last up to two years.

5. One major complication with surgery is injury to the bile duct because of limited viscosity during surgery. This can create more adverse effects to the abdominal discomfort.

A Simple Gallstone Remedy

If you are in the least bit worried about your gallbladder surgery, please take time to visit our website about a simple gallstone remedy. We offer the only gallbladder flush remedy that is 100% guaranteed for 6 months. Pass your gallstones in less than 24 hours with our step by step treatment. And picture yourself calling to cancel your surgery by tomorrow.

Gallstones Remedy Report























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Snapdeal employee Dipti Sarna taken for medical examination

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Inguinal Hernias / Hydroceles Cost Treatment Open and Laparoscopic Cost Surgery Treatment in India

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Meal Replacement Nutritional Protein Shake Whole Food Vanilla. No GMO No Gluten All Natural. Multisource Protein Blend,...

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Life or Death on Hospital Reality Show, 'New York Med'

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Life or Death on Hospital Reality Show, 'New York Med'

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Laparoscopic Adjustable Gastric Band: Live Surgery, Dr Geoffrey Draper, Melbourne Bariatrics

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Laparoscopic Adjustable Gastric Band: Live Surgery, Dr Geoffrey Draper, Melbourne Bariatrics

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Pregnancy Gallbladder Removal Surgery, Darrin Hansen MD, Salt Lake City, Utah

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Liposuction Complications and Dangers

Liposuction Complications and Dangers http://dratef.net/articles/liposuction-complications-and-dangers/


Liposuction is a very popular cosmetic surgery. Because it can be done in a doctor's office and does not have to be done in a hospital, people assume that it is perfectly safe. While most liposuction procedures go well, there is always a risk when you decide to have an electrical surgery.

If too much fat is removed from the same area in one treatment, or if too too many areas of the body are having liposuction at the same time there is an increased risk of complication. Extensive liposuction can leave the body with sagging skin, dents and bumps. If a patient wants extensive liposuction, the cosmetic surgeon should schedule the procedures a few days apart to give the body time to adjust.

If a patient has an adverse reaction to anesthesia it can result in death, cardiac arrest or cardiac arrhythmia. Some other severe complications of liposuction can be blood clots, internal bleeding, permanent nerve damage, seizures and brain damage from an adverse reaction to anesthesia. These severe complications are rare, but they do happen.

Some minor complications of liposuction are swelling, bruising, scarring, lumps, sagging skin, discolored skin, and numbness. If you suffer from any complication following your surgery, consult your surgeon immediately. Do not allow the problem to persist without seeking medical attention because a minor problem can escalate to a serious one if left untreated.

When consulting with your cosmetic surgeon about a liposuction technique, ask about the possible complications of the surgery. Ensure that you disregard your entire medical history to the surgeon so that you can minimize your risk of a complication. It is very important that the plastic surgeon is aware of all medications you are taking, even if it is a vitamin, because the medication or vitamin can interact with the anesthesia or other drugs that will be administrated on the day of surgery.

To further minimize your risk of complications, you should understand the surgeon's post-op instructions. You must follow your surgeon's instructions to avoid complications.























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An Introduction to LASIK

An Introduction to LASIK http://dratef.net/articles/an-introduction-to-lasik/


History of LASIK

Over the years, especially in the latter half of the 20th century, rapid advancements have been made in the field of ophthalmology. Earlier eye surgery was a complex procedure involving invasive surgery and long recovery periods. The invention of the laser changed all that. Its use in a wide variety of fields included eye surgery as well.

Though LASIK surgery was itself developed in 1990 by Dr. Ioannis Pallikaris of Greece and Dr. Lucio Buratto of Italy, the concept of LASIK itself was formulated in 1970. In that year, Dr. Jose Barraquer came out with the first official microkeratome. A microkeratome is a device used to alter the shape of the cornea, a central component of the eye, by cutting thin flaps of it. This process was called keratomileusis. Keratomileusis was a procedure to correct the refraction of the cornea. This was achieved by removing a deep corneal lamella, freezing it, altering its curvature into a new one, and then replacing it.

LASIK is the abbreviation for a surgical procedure of the cornea - Laser-assisted In Situ Keratomileusis. This procedure was jointly developed by the two doctors named above by the fusion of two techniques - keratomileusis, which I have described earlier, and keratectomy. LASIK eye surgery is very widely used nowadays because of two important reasons:

o Improved accuracy compared to other earlier corrective procedures involving the eye or cornea.

o Lesser complications compared to other existing techniques of its time.

In the United States, the first LASIK surgery was performed by Dr. Stephen Brint and Dr. Stephen Blade in 1991. In Germany the first LASIK surgery was performed in 1991 itself by Dr. Tobias Neuhann and Dr. Thomas using an automated keratome.

AS a side note, there is also the LASIK hair removal procedure. This is a procedure wherein extra hair in any part of the body can be removed by destroying the root of the hair follicle.

The LASIK Procedure

LASIK eye surgery is done in two stages:

o The pre-operative stage

o The operation itself

During the pre-operative stage contact lens users are asked to refrain from wearing them for a period varying from between a week to 10 days. Initial examinations of the cornea of the patient are made to detect irregularities in corneal shape, such as astigmatism. The examination is done using a computer-controlled scanner that shots low-power lasers to create a map of the person's cornea. The surgeon prepares the coordinates for the surgery - the amount of corneal tissue to be removed, the location of the tissue, etc. the patient is also advised to use a mild antibiotic to reduce the chances of the cornea getting infected post-LASIK surgery.

At the start of the operation the patient is administered localized anesthesia in the form of an eye drop. The patient is usually awake during the procedure; he may however be given a sedative. The initial incision is made using a microkeratome or a femtosecond laser and a flap of the cornea at the designated location is cut. In doing so, the flap is folded back to expose the stroma, which is the mid-section of the cornea. Next an excimer laser is used to realign the stroma.

All through the process, the position of the eye is tracked by a computer, at speeds of 4,000 times per second.

LASIK Eye Surgery Complications

While LASIK surgery has its advantages, it has a few side effects as well. LASIK eye surgeons point out that there may be complications arising out of LASIK surgery, though these are not too frequently seen.

After LASIK surgery, a patient may encounter any of the following:

o Halo/starbursts near sources of light

o Visual acuity fluctuation

o Under/overcorrection

o Double vision

o Striae, or wrinkles in the corneal flap

o Erosion of the epithelium

o Induced astigmatism

o Sensitivity to light

o Decentered ablation

Different LASIK Procedures

The popularity of LASIK as a surgical procedure has ensured the mushrooming of LASIK centers all across the United States. You could probably have a LASIK center right around the corner! Different LASIK eye centers use different LASIK procedures. In this section we will take a look at some of the procedures on offer in different parts of the United States, and also look at some newer procedures being used nowadays.

Conventional LASIK: This is the traditional method of performing LASIK, wherein the flap of the cornea is cut using a blade, or a microkeratome. While this process has its own merits, demerits include the possibility of flap-related complications, such as a:

o Folded flap

o Displaced flap

o Slipped flap

o Diffuse lamellar keratitis

o Epithelial ingrowth

Bladeless LASIK: This involves having the incision made using another laser, a femtosecond or IntraLase. This minimizes the risk of complications that may arise out of a LASIK usng a microkeratome.

LASEK Eye Surgery: Laser Epithelial Keratomileusis (LASEK) is a variation of the traditional LASIK surgery. It is performed by a LASIK surgeon on a patient whose cornea is too thin for LASIK to be performed. An alcohol solution is used to make the removal of the epithelium easier. The disadvantage is that it entails a longer recovery period compared to traditional LASIK surgery techniques.

Epi-LASIK: Epithelial Laser In Situ Keratomileusis (Epi-LASIK) is another type of LASIK procedure that attempts to bring together the best of LASIK, PRK and LASEK. Epi-LASEK cuts out the complications that can arise out of LASIK, and also allows the patient a faster recovery time than PRK or LASEK.

WaveFront LASIK or Custom Wavefront: Wavefront LASIK or Custom Wavefront is a LASIK procedure that provides high precision corrections to corneal defects. The degree of precision is many times sharper than that given by lenses or even conventional LASIK. This is possible because Wavefront LASIK uses three dimensional measurements of the image-processing abilities of the human eye to aid the laser rearrange the cornea to eliminate corneal defects.

With the arrival of Wavefront LASIK, one can also improve the quality of their vision, in terms of being able to see things better in different circumstances than normally possible. It enables one to enhance the contrast sensitivity of the eye. Studies show that the increase in contrast sensitivity in nearly two times that of LASIK.

While it is difficult to determine which of these is the best LASIK procedure, the sensible thing to do would be to realize that each procedure has its own advantages and is suited to individual situations and scenarios. With the different LASIK vision centers providing different kinds of LASIK procedures, one has the luxury of making comparisons between the different options in terms of usability, price, etc. and then choosing the procedure that most suits his requirements.

References

o http://www.allaboutvision.com/visionsurgery/

o http://www.globallaservision.com

o http://www.seewithlasik.com

o http://www.answers.com/topic/lasik?method=6























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Management of Nutrition Complications of Bariatric Surgery

Management of Nutrition Complications of Bariatric Surgery http://dratef.net/articles/management-of-nutrition-complications-of-bariatric-surgery/


Obesity has become an epidemic in the United States that continues to increase at alarming rates every year. Obesity is a life threatening disease and can potentially compromise the life of a person. Bariatric surgery, also known as weight-loss surgery is currently the most common and primary treatment for severely obese patients, resulting in permanent weight-loss and improvement of serious medical conditions associated with obesity. This treatment, although very effective, causes nutritional complications and that requires adequate nutrition and multivitamin supplementation.

Bariatric Surgery

Bariatric surgery has been found to be the most effective method to treat morbidly obese patients, and reduce the adverse effects of related medical problems, such as heart disease, diabetes, high blood pressure, and high cholesterol. Roux-en-Y gastric bypass (RYGBP) is the most common performed procedure for patients undergoing bariatric surgery because it offers greater weight loss and permanent results. Candidates for bariatric surgery must have a body mass index (BMI) of 40 or more or a BMI of 35 or more with an obesity-related condition, and have tried all other conventional weight loss methods. Weight loss is achievable through a significant reduction of the size of the stomach, thereby reducing food intake and absorption of nutrients. Patients who have this type of surgery lose an average of 60% to 70% of excess body weight, but unfortunately they are at higher risk for nutritional deficiencies. It is therefore of extreme importance to ensure compliance to healthy dietary guidelines and adequate multivitamin supplementation.

Nutritional Complications of Bariatric Surgery

Nutritional deficiencies have been of great concern among the surgeons, dietitians and patients because they are frequent after bariatric surgery. Nutritional complications may result as a consequence of the malabsorptive and restrictive nature of this surgical procedure. The most common nutritional deficiencies of bariatric surgery include protein, iron, vitamin B-12, calcium, folate, and fat-soluble vitamins (A, D, E, and K). Evidence shows that development of iron deficiency anemia is likely to occur in patients following bariatric surgery. Often, daily oral supplementation is sufficient to correct iron deficiency. Vitamin B-12 deficiency can also cause anemia, it is there before highly recommended that a daily oral supplement be taken or that a monthly injection be given. Calcium deficiency can usually be prevented by taking a calcium supplement every day. Most nutritional deficiencies, however, can be managed through proper diet, pancreatic enzyme replacement, and the use of a multivitamin and mineral supplement. Additionally, postoperative care must include the intervention of a team of certified bariatric surgeons, doctors, and experienced dietitians to prevent and treat severe complications.

Nutrition Intervention and Education

Nutrition interventions to monitor and correct these deficiencies require compliance with a diet low in calories, appropriate protein level, and multivitamin supplementation to avoid severe complications. Permanent dietary changes consist of portion control, avoidance of fat, sodas and sweets, consumption of nutrient lean foods, eat more fruits and vegetables, eat slowly and chew foods thoroughly, refrain from drinking liquids when eating solid foods, maintain adequate protein take as well as fluid, and last but not least small meals should be consumed throughout the day and vitamins should be taken between meals for optimal absorption.

Adequate Nutrition and Multivitamin Supplementation is key

The severity of obesity is greater than most people seem to realize, obesity can potentially compromise the life of a person if left untreated. Bariatric surgery can be life-saving, and inevitably provide the patients with a better quality of life. Studies have found that the majority of obese patients who underwent bariatric surgery have experienced permanent weight loss. The medical problems associated with obesity have been either completely resolved or improved after bariatric surgery. However, patients may develop nutritional complications following surgery. The most commonly observed nutrient deficiencies are protein, iron, vitamin B-12, calcium, folate, and fat-soluble vitamins (A, D, E, and K). Adequate multivitamin and mineral supplementation can correct these deficiencies. In addition, postoperative support plays an essential role in the prevention and treatment of nutritional complications.























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NusaPure Potent Probiotic Supplement: Improve Digestion, Increase Energy, and Promote Weight Loss: Probiotics for Men,...

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Laparoscopic Appendicectomy: Live Surgery, Dr Geoffrey Draper, normal appendix

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Wide Grip Preacher Curls (variation) - Male - Fitness Training

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Surgeon Male 01

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Surgeons Performing A Medical Procedure (2 Of 15)

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Pharmacy / Pharmakon / Poison

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The patients are suffering, please give them Emergency Surgery immediately!This free game is very fun.
There are 3 Stages in this game:
Stage 1 - Car Accident
Lisa has a car accident and her nose and legs are injured. Please call 911 and get an ambulance. She needs Emergency Surgery right now! This is not just a kids game, but also adult like to play fun games.There are 5 parts in this stage:
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• Leg Emergency Surgery
Stage 2 - Pregnant Mommy's Accident
Emily is going to give birth in a month. But she fell down while walking and she is bleeding right now! Please get an ambulance and take her to the hospital! She needs s caesarean now.There are many most fun game in it. There are 5 parts in this stage:
• Accident of the pregnant mommy
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Stage 3 - Gunshot
Jack is a police officer and he was shot by a robber. He is dying and he needs surgery right now! Please help him get an ambulance and take him to the hospital. Please save him! But also very suitable for girls game.There are 4 parts in this stage:
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Could you please save all of them?
Find more free online games, please browse the website http://www.6677g.com No need to download!

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Laparoscope holder. "Solo-surgery". Laparoscopy

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100% Natural African Mango 1200 Extract Weight Loss Diet 180 Caps Made In USA

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Well... I had a good run. Hope they don't keep me this time. #DontWorryTheyWill ...

Well... I had a good run. Hope they don't keep me this time. #DontWorryTheyWill ... http://dratef.net/photos/well-i-had-a-good-run-hope-they-dont-keep-me-this-time-dontworrytheywill/ [ad_1]

Well... I had a good run. Hope they don't keep me this time. #DontWorryTheyWill #JustMyLuck #EightMonthsWithoutAVisit #HerniaIssues #FuckMyLife #SurgicalComplications #ProbablyNotAnotherHernia #ProbablyAnAbscess #HowManyHashtagsDoINeed? #WeGetItStupidYoureSick #EnoughAlready #WhineyBitch


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