NFS 444 Lecture Notes - Lecture 30: Vitamin B12 Deficiency, High Fructose Corn Syrup, Inflammatory Bowel Disease
6 Feb 2017
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Document Summary
Bariatric surgery effective treatments for morbid obesity, can affect health and nutritional status, requires lifelong management. Restrictive works by reducing food intake by reducing size of stomach. Malabsorpive and restrictive much greater success than others, 75% of all bariatric surgeries: roux-en-y gastric bypasss decrease size of stomach and bypass a large section of small intestine dudodenum and part of ileum. Malabsorptive not often used because of complications: bileopancreatic diversion bypass most of small intestine, jejunal-ileal bypass very danger because bypassing ileum, malabsorption and liver problems. Bmi > 35 with comorbidities (dm, htn, osteoarthritis, sleep apnea) Untreated major depression, binge eating disorder, drug/alcohol abuse, sever. Chd/surgical risk, severe coagulopathy (clotting impairment) inability to comply with lifelong nutritional requirements. Day 1-2 ice chips, small sips of water. 1-2 weeks full liquid diet weeks 3-4 puree diet progress to soft foods, then regular foods. 5-6 small meals/day separate solids from liquids by 30 minutes chew foods well.
