Alcohol and the Bariatric Patient: When One Drink Becomes Two Drinks.
[Alcohol and the Bariatric Patient: When One Drink Becomes Two Drinks]. Praxis (Bern 1994). 2019 Sep;108(11):753-754 Authors: Suter PM, Perger L PMID: 31480957 [PubMed - in process]
Abstract PURPOSE: The aim of this original research is to evaluate the effect of SG on alcohol intake symptoms, blood alcohol content (BAC), and alcohol metabolite levels. METHODS: At 0-6-12 months after SG, BAC of patients was measured at 0, 15, 30, and 60 min, and then every 30 min, and urinary metabolite (ethanol and acetaldehyde) levels were measured 2 h after consuming a standard red wine drink. Symptoms perceived by patients were evaluated using symptom alcoholization post-obesity surgery scores. RESULTS: Thirty obese patients (12 men/18 women; mean body mass index, 44 &p...
Publication date: Available online 6 November 2019Source: The American Journal of SurgeryAuthor(s): M. Kwak, J.H. Mehaffey, A. Hsu, R.B. Hawkins, B. Schirmer, P.T. Hallowell
DR. JAMES MADURA (Phoenix, Arizona): You present a nice attempt to assess the effects of bariatric surgery on the long-term development of NASH and hepatocellular carcinoma in a group of patients who have undergone bariatric surgery compared to a propensity matched group.
AbstractPurpose of ReviewThis review summarizes our current understanding of the metabolic syndrome (MetS) in children and adolescents. Special emphasis is given towards diagnostic criteria and therapeutic options.Recent FindingsConsistent diagnostic criteria to define MetS in childhood and adolescence are not available to date. There is common agreement that the main features defining MetS include (1) disturbed glucose metabolism, (2) arterial hypertension, (3) dyslipidemia, and (4) abdominal obesity. However, settings of cut-off values are still heterogeneous in the pediatric population. Additional features that may defi...
We report a case of a post RYGB patient with severe malnutrition who developed non-alcoholic fatty liver disease. Severe chronic malnutrition predisposed by bariatric surgery is considered as potential mechanism of hepatic steatosis. Liver function should be routinely monitored for post bariatric patients with nutritional risk. Proper enteral and parenteral nutrition support can be a major treatment for hepatic steatosis induced by severe malnutrition.
Conclusions: The 30-day readmission rate in patients with AH was high and stable during the study period. Factors associated with readmission may be helpful for development of consensus-based expert guidelines, treatment algorithms, and policy changes to help decrease readmission in AH.
The type 2 diabetes and obesity epidemics also lead to a rapid increase of non-alcoholic steatohepatitis (NASH) with a high risk for development of hepatocellular carcinomas. Currently, there is no approved therapy for NASH except lifestyle modification. While the effectiveness of new medical therapies and bariatric surgery are investigated, there are no studies directly comparing these therapies. In this meta-analytic approach, we compare bariatric surgery with medical treatment to provide a basis for future studies.
We present a patient after sleeve gastrectomy who was presumed to have WE; after detailed neuropsychological assessment, the condition was better conceptualized as a conversion disorder. The case illustrates the heretofore unrecognized role of bariatric surgery in the development of functional symptoms and demonstrates the importance of neuropsychological assessment in detecting functional symptoms. PMID: 31656438 [PubMed]
Bariatric surgery is associated with an increased risk of alcohol use disorder and little empirical data exists regarding who develops alcoholic liver disease (ALD) and ultimately requires liver transplantation. Understanding which patients are at highest risk may inform clinical practice and help reduce alcohol-related complications post-bariatric surgery.
Obesity is a worldwide epidemic leading to non-alcoholic fatty liver disease. Alterations of liver fat by magnetic resonance imaging (MRI) following bariatric surgery is a promising feature, but few studies have been fully elucidated. Purpose. MRI was used to determine alterations of liver fat fraction (LFF) features following surgery. These were compared with the clinical non-alcoholic steatohepatitis score (C-NASH score) and evaluated for predictive factors for score changes postoperatively. Methods.