Bariatric patient challenges

As the overweight and obese population increases, one must be mindful of the implications on the delivery of dental care to this group. Appropriate facilities must be available, which may warrant structural and equipment adaptations to clinical and non-clinical areas. The complexity of dental treatment planning and delivery may be compounded by medical comorbidities, and careful consideration must be given to the suitability and safety of conscious sedation and general anaesthesia in order to facilitate treatment. This article aims to discuss how safe provision and equitable access to dental care can be achieved for the bariatric population. CPD/Clinical Relevance: This article aims to discuss the challenges posed by the increase in the overweight and obese population and considerations to be taken for provision of safe and equitable bariatric dental care.

Download Full-text

P-59: Bariatric patient advisory Council

Surgery for Obesity and Related Diseases ◽

10.1016/j.soard.2009.03.127 ◽

2009 ◽

Vol 5 (3) ◽

pp. S44

Author(s):

Christine Tea

Keyword(s):

Advisory Council ◽

Bariatric Patient

Download Full-text

44 The High-Risk Bariatric Patient

Minimally Invasive Bariatric Surgery ◽

10.1007/978-1-4939-1637-5_44 ◽

2014 ◽

pp. 417-422

Author(s):

Eric Ahnfeldt ◽

Monica Dua ◽

Derrick Cetin

Keyword(s):

High Risk ◽

Bariatric Patient

Download Full-text

Comparison of weight loss, food consumption and frequency of vomiting among Roux-en-Y gastric bypass patients with or without constriction ring

ABCD Arquivos Brasileiros de Cirurgia Digestiva (São Paulo) ◽

10.1590/s0102-6720201400s100011 ◽

2014 ◽

Vol 27 (suppl 1) ◽

pp. 43-46 ◽

Cited By ~ 3

Author(s):

Silvia Leite FARIA ◽

Orlando Pereira FARIA ◽

Mariane de Almeida CARDEAL

Keyword(s):

Weight Loss ◽

Gastric Bypass ◽

Medical Records ◽

Excess Weight Loss ◽

Gastric Pouch ◽

Excess Weight ◽

Bariatric Patient ◽

Constriction Ring ◽

Ring Group ◽

Weight Protein

BACKGROUND: After Roux-en-Y gastric bypass to avoid rapid gastric emptying, dumping syndrome and regained weight due to possible dilation of the gastric pouch, was proposed to place a ring around the gastric pouch. AIM: To compare weight loss, consumption of macronutrients and the frequency of vomiting among patients who underwent Roux-en-Y gastric bypass with and without the placement of a constriction ring around the pouch. METHOD: A retrospective study, in which an analysis of medical records was carried out, collecting data of two groups of patients: those who underwent the operation with the placement of a constriction ring (Ring Group) and those who underwent without the placement of a ring (No-Ring Group). The food intake data were analyzed using three 24-hour recalls collected randomly in postoperative nutritional accompaniment. Data on the percentage of excess weight loss and the occurrence of vomiting were collected using the weight corresponding to the most recent report at the time of data collection. RESULTS: Medical records of 60 patients were analyzed: 30 from the Ring Group (women: 80%) and 30 from the No-Ring Group (women: 87%). The average time since the Ring Group underwent the operation was 88±17.50 months, and for the No-Ring Group 51±15.3 months. The percentage of excess weight loss did not differ between the groups. The consumption of protein (g), protein/kg of weight, %protein and fiber (g) were higher in the No-Ring Group. The consumption of lipids (g) was statistically higher in the Ring Group. The percentage of patients who never reported any occurrence was statistically higher in the No-Ring Group (80%vs.46%). The percentage who frequently reported the occurrence was statistically higher in the Ring Group (25%vs.0%). CONCLUSION: The placement of a ring seems to have no advantages in weight loss, favoring a lower intake of protein and fiber and a higher incidence of vomiting, factors that have definite influence in the health of the bariatric patient.

Download Full-text