Publications by authors named "Joanna Parkitna"

Type 2 diabetes mellitus (T2DM) is a chronic metabolic disorder exacerbated by obesity. Single Anastomosis Sleeve-Ileal Bypass (SASI) has emerged as a promising metabolic bariatric procedure that combines sleeve gastrectomy and ileal bypass, facilitating substantial weight loss and T2DM remission through restrictive and malabsorptive mechanisms. This study aims to evaluate the effects of SASI on T2DM remission, weight loss, and safety in one year follow-up.

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Article Synopsis
  • SASI (single anastomosis sleeve ileal) bypass is effective for significant weight loss in obese patients, averaging 90.1% excess weight loss over a 26-month follow-up.
  • However, there are potential risks of nutritional deficiencies, as 25% of patients developed anemia and 5% experienced iron deficiency post-surgery.
  • Monitoring iron levels and anemia is crucial after the procedure, given that changes in limb length during the bypass don't notably affect hemoglobin or iron levels.
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The problem of gastroesophageal reflux disease among bariatric patients is constantly growing. While bariatric surgery is the most effective method of treating obesity and related diseases, not all surgical procedures lead to improvement or resolution of gastroesophageal reflux disease. The search for the "ideal" surgical procedure for this group of patients is ongoing.

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Adaptation is defined as a specific kind of human accommodation to a particular environment. Such definition allows to describe professional adaptation as a process which prepares an employee to work effectively in a given position. Professional adaptation may comprise an employee's adaptation for professional work as well as his working community.

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