4th Pediatric Infectious Diseases Conference
 
 
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Bariatric Surgery for the Adolescence
Bariatric Surgery for the Adolescence
Bariatric Surgery for the Adolescence
Bariatric Surgery for the Adolescence
Bariatric Surgery for the Adolescence
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Pedi Poll
Today's Poll
Should teicoplannin, colistin be used in case of neonatal sepsis where culture does not reveal any organism_?
No, it should be used only after drug sensitivity report
Yes, under guidance of an infectious disease expert
BARIATRIC SURGERY FOR THE ADOLESCENCE
BARIATRIC SURGERY FOR THE ADOLESCENCE
Dr Sunita Goel
Consultant Anesthesiologist
Mumbai

 
Post-Operative concerns :

  • Patients must adhere to guidelines regarding diet and vitamin/mineral supplementation.

  • Gastric Bypass results in significantly enforced very low caloric, low carbohydrate dietary intake, requiring attention to adequate (0.5gm/kg) daily protein intake.

  • Micronutrients, including calcium, Vit B12, folate, multivitamins - thiamine and iron must be supplemented after gastric bypass.

  • NSAID's medications should be avoided, to reduce the risk of intestinal ulceration and bleeding.

  • Pregnancies can be safely supported after bariatric surgery, reliable contraception should be used for at least 1st year after the operation.

Longterm Follow up:

Meticulous, life long, medical supervision of adolescent patients who undergo bariatric surgery is essential. Early hematologic or metabolic complications can be detected with periodic assessments of blood counts, blood chemistry profile and body composition.

Side Effects:

  • Compromise linear growth

  • Early Complications: Wound Infections
                                   Pulmonary Embolism
                                   Stomal Stenosis dilatation)
                                   Dehydration
                                   Ulcers
  • Late Complications:

Gastric Bypass :

  • Intestinal Leak

  • Thromboembolic Disease

  • Small bowel Obstruction

  • Incisional hernia

  • Symptomatic cholelithiasis

  • Protein Caloric Malnutrition

  • Micro Nutrient Deficiency - Iron, Calcium and Vit B12

PEDIATRIC ANESTHESIA : EXPERTISE VIEWS
PEDIATRIC ANESTHESIA : EXPERT VIEWS
PEDIATRIC ANESTHESIA : EXPERTISE VIEWS
PEDIATRIC ANESTHESIA : EXPERTISE VIEWS
 
 
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