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Vitamin B 12 deficiency is quite common after gastric bypass surgery with reported rates of 30% in some clinical trials. [journal 13] Sublingual B 12 (cyanocobalamin) appears to be adequately absorbed. In cases where sublingual B 12 does not provide sufficient amounts, injections may be needed. Protein malnutrition is a real risk.
A person may need surgery if dumping syndrome is caused by previous gastric surgery or if the condition is not responsive to other treatments. For most people, the type of surgery depends on the type of gastric surgery performed previously. However, surgery to correct dumping syndrome often has unsuccessful results. [1]
Postperfusion syndrome, also known as "pumphead", is a constellation of neurocognitive impairments attributed to cardiopulmonary bypass (CPB) during cardiac surgery. Symptoms of postperfusion syndrome are subtle and include defects associated with attention, concentration, short-term memory, fine motor function, and speed of mental and motor ...
Monitoring any effects medication may have on symptoms. [4] Low-carbohydrate diet and/or frequent small meals is the first treatment of this condition. The first important point is to add small meals at the middle of the morning and of the afternoon, when glycemia would start to decrease.
Dumping syndrome (rapid emptying of undigested stomach contents) is another common complication of bariatric surgery, especially after Roux-en-Y, which is further classified into early and late dumping syndrome. [48] Dumping syndrome in some cases may be associated with more efficient weight loss, however, it can be uncomfortable. [48]
When diagnosing afferent loop syndrome, abdominal CT is regarded as the preferred radiographic investigation. [3] The treatment of afferent loop syndrome is determined by the underlying cause. [1] Surgical therapy, such as adhesiolysis, bypass, or limb reconstruction, can usually eliminate the source in patients with benign etiologies. [4]
Antrectomy is an invasive surgery that is only performed when patients experience bleeding, perforation, obstruction, and malignancy. Treatment alternatives are based on their diagnosis. For gastric outlet obstruction (GOO), balloon dilation is a new option for treatment.
The alkaline environment causes the retained gastric tissue to produce acid, which may result in ulcers in a rare complication known as retained antrum syndrome. All patients lose weight after gastrectomy, although the extent of weight loss is dependent on the extent of surgery (total gastrectomy vs partial gastrectomy) and the pre-operative BMI.
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