Study: Bariatric surgeries can double peak blood alcohol levels, patients may be unaware

(University of Illinois at Urbana-Champaign, News Bureau) Two popular forms of bariatric surgery may dramatically change women's sensitivity to and absorption of alcohol - but patients may be unaware, according to research led by professor of food science and human nutrition M. Yanina Pepino, left. Maria Belen Acevedo, a postdoctoral research associate in the department, was the first author of the study
Source: EurekAlert! - Medicine and Health - Category: International Medicine & Public Health Source Type: news

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In the current manuscript (1) the authors reported the results of diagnostic upper endoscopy for a cohort of 250 consequent patients who presented with complaints after Roux en Y gastric bypass (RYGB). Ninety-eight patients (39.2%) with a relevant finding at upper endoscopy were identified, mostly marginal ulcer and stomal stenosis. The postoperative endoscopic findings can help us better understand long term complications following bariatric surgery. The authors should be commended for identifying risks factors to an abnormal upper endoscopy (male sex, smoking, alcohol consumption, referral reason and prior imaging studies).
Source: Surgery for Obesity and Related Diseases - Category: Surgery Authors: Source Type: research
Non-alcoholic fatty liver disease (NAFLD) is considered the hepatic manifestation of the metabolic syndrome, as it is closely related to obesity, dyslipidemia and insulin resistance [1]. Accordingly, the prevalence of NAFLD and non-alcoholic steatohepatitis (NASH), NAFLD ’s later evolutive stage, are increasing at the same pace as obesity becomes a global epidemic. In fact, today, NAFLD is considered to be the number one cause of chronic liver disease worldwide [2-4]. As no specific drugs have yet been approved for NAFLD, at present, the only effective treatment i s weight loss through diet and exercise.
Source: Surgery for Obesity and Related Diseases - Category: Surgery Authors: Tags: Review articles Source Type: research
Publication date: March 2020Source: The American Journal of Surgery, Volume 219, Issue 3Author(s): M. Kwak, J.H. Mehaffey, A. Hsu, R.B. Hawkins, B. Schirmer, P.T. Hallowell
Source: The American Journal of Surgery - Category: Surgery Source Type: research
Authors: Bhootra K, Bhootra AR, Desai K, Bhootra RK, R MS Abstract Cases have been reported about refeeding syndrome after bariatric surgery for obesity, in head and neck cancer patients, in patients with anorexia nervosa, hyperemesis gravidarum, in persons on hunger strike, malnourished alcoholic persons and persons doing religious fasting. Refeeding after prolonged fasting can cause severe morbidity and even mortality, if not done properly. Depletion of intracellular electrolytes, depletion of nutrients and vitamins, decreased BMR, decreased renal functions, decreased insulin, decreased GI functions all contribut...
Source: Journal of the Association of Physicians of India - Category: General Medicine Tags: J Assoc Physicians India Source Type: research
AbstractBariatric and metabolic surgery is associated with significant improvement in obesity-related comorbidities, but for patients with non-alcoholic fatty liver disease (NAFLD), clinical outcomes are dependent on the severity of liver disease, i.e. improvement of NAFLD in most patients but increased risks of fulminant hepatic failure and/or bleeding varices in patients with more advanced cirrhosis. Our study showed that absolute values of liver enzymes were poor indicator of risk of liver fibrosis. The use of AST/ALT ratio, Fib 4 or NAFLD scores were appropriate screening tools, with each risk score appearing to pick o...
Source: Obesity Surgery - Category: Surgery Source Type: research
The objective of this study was to assess the apnea-hypopnea index (AHI) and lower minimum oxygen saturation, markers of OSA, in patients undergoing bariatric surgery (BSx) with perioperative liver biopsy to detect NAFLD.MethodsThis was a single center cross-sectional study of 61 patients undergoing BSx who consented to have a perioperative wedged liver biopsy. Biochemical, clinical, anthropometric variables, and a sleep study test were performed prior to BSx.ResultsNAFLD was diagnosed in 49 (80.3%) patients; 12 had normal liver (NL). Those with NAFLD had significantly higher (p 
Source: Obesity Surgery - Category: Surgery Source Type: research
BACKGROUND: Roux-en-Y gastric bypass (RYGB) and sleeve gastrectomy (SG), the most common bariatric surgeries performed worldwide, increase the risk to develop an alcohol use disorder. This might be due, in part, to surgery-related changes in alcohol pharma...
Source: SafetyLit - Category: International Medicine & Public Health Tags: Alcohol and Other Drugs Source Type: news
Authors: Valentí V, Cienfuegos JA, Becerril Mañas S, Frühbeck G Abstract Bariatric-metabolic surgery is the safest, most effective and long-lasting treatment for obesity and its associated co-morbidities, whether they be metabolic (type 2 diabetes, hyperlipidemia non-alcoholic fatty liver disease) or cardiovascular (myocardial infarction, stroke). Due to the obesity pandemic, bariatric-metabolic surgery is the second most frequent intra-abdominal procedure and the gastroenterologist and the surgeon must be aware of the physiologic changes caused by the anatomic reconfiguration following surgery. ...
Source: Revista Espanola de Enfermedades Digestivas - Category: Gastroenterology Tags: Rev Esp Enferm Dig Source Type: research
(University of Illinois at Urbana-Champaign, News Bureau) Two popular forms of bariatric surgery may dramatically change women's sensitivity to and absorption of alcohol - but patients may be unaware, according to research led by professor of food science and human nutrition M. Yanina Pepino, left. Maria Belen Acevedo, a postdoctoral research associate in the department, was the first author of the study
Source: EurekAlert! - Medicine and Health - Category: International Medicine & Public Health Source Type: news
AbstractBackgroundObesity is a worldwide epidemic leading to non-alcoholic fatty liver disease. Alterations in the liver fat fraction (LFF) assessed by MRI following bariatric surgery is a promising feature; however, few studies have been fully elucidated.PurposeTo determine the alterations in the LFF features following surgery using MRI, to determine the correlation with the clinical non-alcoholic steatohepatitis score (C-NASH score), and to identify the predictive factors for postoperative score changes.MethodsPatients (n = 69) underwent MRI to measure the LFF at baseline and 3 months postoperatively. ...
Source: Obesity Surgery - Category: Surgery Source Type: research
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