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Esophageal Siderosis: An Unusual Complication of Oral Iron Therapy.
ACG Case Rep J
March 2025
Division of Gastroenterology and Hepatology, University of Virginia Medical Center, Charlottesville, VA.
Iron is the most common nutritional deficiency encountered in the United States, with over 15% of Americans using some form of daily oral iron supplementation. Although commonly associated with minor gastrointestinal side effects, severe gastrointestinal complications are rare. Direct cytotoxic mucosal damage and subsequent ulcer formation have rarely been reported.
View Article and Find Full Text PDFPreventing and Managing Pre- and Postoperative Micronutrient Deficiencies: A Vital Component of Long-Term Success in Bariatric Surgery.
Nutrients
February 2025
Department of Medicine, Surgery and Dentistry "Scuola Medica Salernitana", University of Salerno, 84081 Baronissi, Italy.
Bariatric surgery (BS) is an effective treatment for severe obesity and its related comorbidities, such as type 2 diabetes and hypertension. However, the anatomical and physiological changes associated with these procedures significantly increase the risk of preoperative and postoperative micronutrient deficiencies, which can lead to severe complications such as anemia, osteoporosis, and neurological disorders. This narrative review examines the prevalence and clinical implications of micronutrient deficiencies in BS patients, as well as evidence-based strategies for their prevention and management.
View Article and Find Full Text PDF[Robotic Gastrectomy Contributed to Safe Surgery in a Patient with Gastric Cancer with Severe Pulmonary Dysfunction Due to Myasthenia Gravis].
Gan To Kagaku Ryoho
February 2025
Dept. of Digestive Surgery, Kyoto First Red Cross Hospital.
Robotic gastrectomy is a safe and minimally invasive approach that may reduce the risk of complications in patients with severely impaired pulmonary function. Here, we report the successful treatment of an 80-year-old patient with gastric cancer and myasthenia gravis(MG)using perioperative respiratory rehabilitation and robotic gastrectomy with D2 lymphadenectomy. Patients with gastric cancer and severe pulmonary dysfunction are at a risk of postoperative respiratory disorders, including severe pneumonia.
View Article and Find Full Text PDFLegacy of the Tehran Obesity Treatment Study: Findings from 10 Years Bariatric Surgery Survey.
Int J Endocrinol Metab
October 2024
Obesity Research Center, Research Institute for Endocrine Sciences, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Context: This paper aims to review the findings of the Tehran Obesity Treatment Study (TOTS) on obesity and bariatric surgery (BS).
Evidence Acquisition: The objective of this review is to assess all aspects of BS in individuals with severe obesity, focusing on research conducted within the TOTS framework.
Results And Conclusions: The TOTS studies have produced significant national-level findings, highlighting critical issues related to the effectiveness and outcomes of bariatric procedures, the importance of comprehensive nutritional management, and the complications associated with these interventions in this population.
Effect of epidural labour analgesia on gastric emptying during labour: A prospective controlled study.
Eur J Obstet Gynecol Reprod Biol
March 2025
Department of Anesthesiology, Maternal and Child Health Hospital of Hubei Province, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430070,China. Electronic address:
Background: Epidural analgesia is frequently used to alleviate labour pain, and dietary management during labour is of crucial importance. Therefore, this study investigates the impact of epidural analgesia for labour on gastric emptying in parturient women.
Methods: A total of 70 full-term parturient women were recruited and divided into two groups: the epidural analgesia group (LA, n = 35) and the non-epidural analgesia group (NA, n = 35).
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