Internal Hernias in Pregnant Females with Roux-en-Y Gastric Bypass: A Systematic Review
Bariatric surgery has become of the most effective solutions for sustained weight loss in the world . Laparoscopic Roux-en-Y gastric bypass (LRYGB) is one of the most common procedures for treatment of morbid obesity. Females are more likely to undergo a bariatric procedure for weight loss. While significant and sustained weight loss is the primary advantage to bariatric surgery, other positive outcomes include improved fertility in women . This improved fertility can increase the chances of pregnancy.
ConclusionOur experimental findings offer a promising prospect for the use of HCY2 in the management of obesity through the regulation of AMPK/PGC1 pathways.Graphical Abstract
Publication date: Available online 19 July 2019Source: Materials Chemistry and PhysicsAuthor(s): Tzu-Ting Chou, Rui-Wen Song, Hao Chen, Jenq-Gong DuhAbstractThe collapse-free joints were successfully built under a low reflowing temperature of 185°C via using the Sn-Ag-Cu(-Ni)/Sn-Bi hybrid solders. Such a structure with middle and low melting points solders could prevent the infrastructure of 3D packages from collapse caused by overweight of stacked dies on substrates. Furthermore, a low bonding temperature could reduce the consumption of thermal budget during chip fabrication. By introducing Ni-doped Sn-Ag-Cu solder, t...
Publication date: Available online 20 July 2019Source: Biochimica et Biophysica Acta (BBA) - Molecular Basis of DiseaseAuthor(s): Tina Hörbelt, Birgit Knebel, Pia Fahlbusch, David Barbosa, Daniella Herzfeld de Wiza, Frederique Van de Velde, Yves Van Nieuwenhove, Bruno Lapauw, G. Hege Thoresen, Hadi Al-Hasani, Dirk Müller-Wieland, D. Margriet Ouwens, Jorg KotzkaAbstractSecreted frizzled-related protein (sFRP) 4 is an adipokine with increased expression in white adipose tissue from obese subjects with type 2 diabetes and non-alcoholic fatty liver disease (NAFLD). Yet, it is unknown whether sFRP4 action contributes ...
CONCLUSIONSRYGB offers sustained, long-term weight loss with significant resolution of major comorbidities in older veterans, with acceptably low morbidity and mortality.
Conclusion: :OSA is not uncommon in asthma patients. Careful assessment of sleep related symptoms and demographic parameters of asthma patients are essential to suspect diagnosis of OSA. Additional factors like smoking, obesity, GERD and allergic rhinitis are important contributing factor for higher risk of OSA among asthma patients. Early diagnosis of OSA in asthma patients by polysomnography may have a clinical benefit in the management of both diseases. PMID: 31321930 [PubMed - in process]
Authors: Plagens-Rotman K, Przybylska R, Gerke K, Jaracz K, Serafinowska J, Sadowska-Przytocka A, Adamski Z, Czarnecka-Operacz M PMID: 31320864 [PubMed]
Internal hernias are well-recognized complications of Roux-en-Y gastric bypass (RYGB) surgery that arise in consequence of procedure induced mesenteric defects1, 2.
Improved fertility following a Roux-en-Y gastric bypass (RYGB) can lead to pregnancy and increase the risk of internal herniation. A developing fetus and symptoms of pregnancy can mask the diagnosis and delay intervention, leading to deleterious maternal and fetal consequences. The aim of this systematic review is to summarize the literature regarding internal hernias during pregnancy, their management, and patient outcomes. A comprehensive literature search was undertaken on PubMed and Google Scholar to identify cases of internal hernias presenting during pregnancy after RYGB.
Background: Management of abdominal pain in a pregnant patient with a history of Roux-en-Y gastric bypass presents unique challenges. Internal hernias are the most common cause of small bowel obstruction after LRYGBP. Internal hernia can result in closed loop obstruction, bowel necrosis, gastric perforation, and death. Presentation: A 29-year-old female 30-week pregnancy with a history of laparoscopic Roux-en-Y gastric bypass 5 years ago. She had a 24 hours of LUQ pain with vomiting. Her pain was attributed initially to UTI.
AbstractBariatric surgery is most commonly carried out in women of childbearing age. Whilst fertility rates are improved, pregnancy following bariatric surgery poses several challenges. Whilst rates of many adverse maternal and foetal outcomes in obese women are reduced after bariatric surgery, pregnancy is best avoided for 12 –24 months to reduce the potential risk of intrauterine growth retardation. Dumping syndromes are common after bariatric surgery and can present diagnostic and therapeutic challenges in pregnancy. Early dumping occurs due to osmotic fluid shifts resulting from rapid gastrointestinal food t...