scholarly journals Unsolved issues related to multivitamin and multimineral support for patients following bariatric surgery

2020 ◽  
Vol 16 (4) ◽  
pp. 31-36
Author(s):  
Aleksandra I. Malykhina ◽  
Yuriy I. Yashkov ◽  
Maksim L. Maksimov
Keyword(s):  
Duodenal Switch ◽  
Cost Effective ◽  
Review Article ◽  
Bariatric Operation ◽  
Single Anastomosis ◽  
Macro And Micronutrients ◽  
Sufficient Vitamin ◽  
Fat Soluble Vitamins ◽  
Working Out ◽  
Type Of Surgery

In the review article the authors discuss unsolved issues regarding vitamin and mineral support of patients undergoing bariatric/metabolic operations. Many patients refer for the surgery already having deficiencies of macro- and micronutrients and need preoperative preparation for improving of vitamin-mineral status. Vitamin-mineral support is indicated after each bariatric operation, however the volume of nutritive support and the choice and doses of vitamins and minerals can be varied depending on type of surgery. Hypoabsorptive procedures such as duodenal switch or SADI-S (Single anastomosis duodenoileal bypass with sleeve gastrectomy) usually demand more significant protein, calcium and iron supplementations together with administration of multivitamin complexes containing fat-soluble vitamins. Existing standard vitamin-mineral complexes may not contain necessary doses of iron, calcium, fat-soluble and other vitamins as well as some microelements like cooper, zink, selenium etc. Thus, sufficient vitamin-mineral support may need up to 10 tablets or pills daily depending on kind of surgery. That can influence on patients compliance, lead to refusal of supplementations and thus to undesirable metabolic consequences after surgery. The authors have concluded about necessity of working out of cost-effective domestic series of vitamin-mineral combinations with high bio-availability specially adapted to every class of bariatric/metabolic operation. To authors opinion this can lead to better patients compliance and can prevent undesirable side effects after metabolic surgery.

Should we still be testing for asymptomatic non-specific urethritis in departments of genitourinary medicine?

2005 ◽  
Vol 16 (4) ◽  
pp. 273-277 ◽  
Author(s):  
P J Horner
Keyword(s):  
Current Practice ◽  
Cost Effective ◽  
Review Article ◽  
Nucleic Acid Amplification ◽  
Sexually Transmitted ◽  
Non Invasive ◽  
Genitourinary Medicine ◽  
The Cost ◽  
Urine Specimens ◽  
Asymptomatic Men

It has recently been advocated that non-invasive testing with first-catch urine specimens using nucleic acid amplification techniques, to detect Chlamydia trachomatis and Neisseria gonorrhoeae, should replace routine microscopy on asymptomatic men. Although it is assumed that this strategy will be cost effective, the available evidence suggests that this will result in fewer sexually transmitted infections being averted than continuing the current practice of screening for urethritis and testing for both microorganisms in asymptomatic men. This review article summarizes the available evidence and argues that research is urgently needed in order to properly evaluate the cost-effectiveness of detecting urethritis in asymptomatic men.

scholarly journals Indirect Laryngeal Surgery in the Clinical Voice Laboratory: The Renewal of a Lost Art

2000 ◽  
Vol 79 (5) ◽  
pp. 350-361 ◽  
Author(s):  
Norman D. Hogikyan ◽  
Melissa Pynnonen
Keyword(s):  
Cost Effectiveness ◽  
General Anesthesia ◽  
Recent Literature ◽  
Low Cost ◽  
Cost Effective ◽  
Topical Anesthesia ◽  
High Quality ◽  
Advantages And Disadvantages ◽  
Laryngeal Surgery ◽  
Type Of Surgery

Since the advent of precision instruments and safe techniques for direct laryngoscopic surgery under general anesthesia, indirect laryngeal surgery has become very uncommon. A review of the recent literature finds that few authors advocate indirect surgery under topical anesthesia, and many otolaryngologists dismiss this technique as being either of only historical interest or an idiosyncratic method practiced only by a handful of clinicians. The societal mandate for cost-effective healthcare and the availability of relatively low-cost, high-quality endoscopes and video equipment warrant a renewed and broader interest in this type of surgery. In this article, we review a series of 27 indirect surgical procedures performed under topical anesthesia in the clinical voice laboratory. We discuss the indications, outcomes, advantages, and disadvantages of this surgery, and we present a brief analysis of its cost-effectiveness. We conclude that indirect laryngeal surgery in the clinical voice laboratory is an effective, safe, efficient, and less costly alternative to some procedures routinely performed under general anesthesia.

Conversion of Laparoscopic Roux en Y Gastric Bypass (RYGB) to Single Anastomosis Duodenal Switch (SADS)

2019 ◽  
Vol 29 (10) ◽  
pp. 3412-3413
Author(s):  
Anna Casajoana ◽  
Billie Borden ◽  
Sharon Zarabi ◽  
Mitchell Roslin
Keyword(s):  
Gastric Bypass ◽  
Duodenal Switch ◽  
Single Anastomosis ◽  
Single Anastomosis Duodenal Switch

Chances of Normal BMI Following Single-Anastomosis Duodenal Switch (SDS)

2018 ◽  
Vol 14 (11) ◽  
pp. S151-S152
Author(s):  
Sarah Pearlstein ◽  
Mitch Roslin ◽  
Ali Shayesteh ◽  
Deborah Allis
Keyword(s):  
Duodenal Switch ◽  
Single Anastomosis ◽  
Single Anastomosis Duodenal Switch

Effect of Hippophae rhamnoides extract on Cisplatin-induced ototoxicity in Guinea Pigs

2017 ◽  
Author(s):  
Ertugrul Erhan ◽  
Renad Mammadov ◽  
Durdu Altuner ◽  
Ferda Cimen ◽  
Nezahat Kurt ◽  
...  
Keyword(s):  
Gene Expression ◽  
Guinea Pigs ◽  
Cost Effective ◽  
Hippophae Rhamnoides ◽  
Fruit Extract ◽  
Hippophaë Rhamnoides ◽  
Anti Oxidant ◽  
Histopathological Results ◽  
Fat Soluble Vitamins ◽  
Gene Expression Levels

No previous studies have examined the effect of Hippophae rhamnoides fruit extract (HRE), which contains both water and fat soluble vitamins, on cisplatin-induced ototoxicity. Therefore, the aim of the study was to investigate the effects of HRE on cisplatin-induced ototoxicity in Guinea pigs and to evaluate the biochemical, gene expression and histopathological changes associated with cisplatin use. Experimental animals were divided into three groups: healthy (HG), HRE+cisplatin (HRC) and cisplatin control (CCG) groups. Biochemical, gene expression and histopathological examinations were carried on the removed inner ear tissues. In the HRC group, the oxidant parameter was lower and the anti-oxidant parameter was higher than in the CCG. These results are supported by gene expression levels and histopathological results. The use of HRE against cisplatin-induced oxidative ototoxicity may be easier, more cost effective and more beneficial than the use of vitamins alone or in combination with each other.

Sign in / Sign up

Export Citation Format

Share Document