scholarly journals Score twice before you cut once: a clinical case of reconstructive bariatric surgery after obesity surgery in a patient with postoperative hypothyroidism and hypoparathyroidism

2021 ◽  
Vol 12 (3) ◽  
pp. 92-97
Author(s):  
N. I. Volkova ◽  
Yu. S. Degtyareva ◽  
M. A. Burikov
Keyword(s):  
Type 2 Diabetes ◽  
Bariatric Surgery ◽  
Vitamin D ◽  
Small Intestine ◽  
Clinical Case ◽  
Clinical Observation ◽  
Reverse Inclusion ◽  
Postoperative Hypoparathyroidism ◽  
History Of

Hundreds of thousands of bariatric surgeries are performed worldwide every year. Th ey have long been proven to be safe and eff ective in treating obesity and type 2 diabetes. Along with an unconditional positive eff ect, these interventions, especially shunting ones, are characterized by specifi c complications. In the absence of proper correction, they can become fatal for patients. One of these complications is malabsorption leading to a defi ciency of vitamins and microelements, which in most cases, is amenable to timely correction in the postoperative period. However, there are situations when it is not possible to carry out an eff ective correction and it becomes necessary to perform reconstructive interventions with the reverse inclusion of the small intestine in the digestion, which is associated with great diffi culties. Th e authors demonstrated this situation in the description of clinical observation of a patient with postoperative hypothyroidism and history of postoperative hypoparathyroidism, who underwent bariatric surgery. Impaired absorption of drugs (L-thyroxine, calcium, and vitamin D), and therefore, uncompensated hypothyroidism and hypocalcemia was an indication for reconstructive surgery.

scholarly journals Association of Vitamin D Deficiency and Degree of Coronary Artery Disease in Cardiac Patients with Type 2 Diabetes

2017 ◽  
Vol 2017 ◽  
pp. 1-11 ◽  
Author(s):  
Ewelina A. Dziedzic ◽  
Jakub S. Gąsior ◽  
Mariusz Pawłowski ◽  
Marek Dąbrowski
Keyword(s):  
Type 2 Diabetes ◽  
Vitamin D ◽  
Coronary Artery ◽  
Coronary Arteries ◽  
Cardiac Patients ◽  
Coronary Syndrome ◽  
Patients With Diabetes ◽  
History Of ◽  
Artery Disease

Several modifiable factors may influence cardiac function in diabetic patients. The aim of the study was to evaluate the influence of vitamin D level on the stage of coronary atherosclerosis in cardiac patients diagnosed with type 2 diabetes. The study was performed in 337 consecutive patients undergoing coronarography. The stage of atherosclerosis was evaluated using Coronary Artery Surgery Study Score. The plasma 25(OH)D concentration was determined by an electrochemiluminescence method. Patients without significant lesions in coronary arteries presented the highest 25(OH)D level, significantly higher than patients with one-, two-, and three-vessel coronary artery disease (CAD) (p<0.01). Significantly lower level of the 25(OH)D was observed in patients hospitalized due to acute coronary syndrome (ACS) in comparison to patients hospitalized due to stable CAD (p<0.001). Lower 25(OH)D levels were observed in patients with the history of myocardial infarction (MI) in comparison to patients without previous MI (p<0.001). In cardiac patients with diabetes, the higher number of stenotic coronary arteries is associated with lower values of the 25(OH)D. A group of male cardiac patients with diabetes with significant stenosis in three coronary arteries, hospitalized due to acute coronary syndrome, with a history of previous MI and hyperlipidemia presented the lowest vitamin D level.

Type 2 Diabetes Mellitus and Bariatric Surgery: Impact on Parathyroid Hormone, Calcium, and Vitamin D Levels

2022 ◽  
Author(s):  
Fernando Mendonça ◽  
João Sérgio Neves ◽  
Maria Manuel Silva ◽  
Daniela Salazar ◽  
Maria João Ferreira ◽  
...  
Keyword(s):  
Diabetes Mellitus ◽  
Type 2 Diabetes ◽  
Bariatric Surgery ◽  
Vitamin D ◽  
Type 2 Diabetes Mellitus ◽  
Parathyroid Hormone ◽  
Vitamin D Levels

scholarly journals History of bariatric surgery and COVID 19 outcomes in patients with type 2 diabetes: results from the CORONADO study

Obesity ◽  
2021 ◽  
Author(s):  
Claire Blanchard ◽  
Tanguy Perennec ◽  
Sarra Smati ◽  
Blandine Tramunt ◽  
Béatrice Guyomarch ◽  
...  
Keyword(s):  
Type 2 Diabetes ◽  
Bariatric Surgery ◽  
History Of

Clinical case report: Treatment and care results for post-traumatic infection in patients with type II diabetes at the General Clinic of the Hanoi University of Public Health

2020 ◽  
Vol 04 (04) ◽  
pp. 72-79
Author(s):  
Thi Anh Van Nguyen ◽  
Van Bong Phung ◽  
Thi Lan Dinh ◽  
Thi Kim Dung Nguyen
Keyword(s):  
Public Health ◽  
Type 2 Diabetes ◽  
Clinical Case ◽  
Nutrition Therapy ◽  
Infrared Light ◽  
Wound Type ◽  
History Of ◽  
Post Traumatic ◽  
Receive Treatment

Objectives of the study: To describe a clinical case of care and treatment of severe post-traumatic wounds in a patient with type 2 diabetes at the General Clinic of Hanoi University of Public Health. Patient: A 56-year-old man with a history of type 2 diabetes who did not receive treatment regularly, entered the clinic on August 9, 2018, for the reason of pain and runny pus at the forearm wound. Two months ago, the patient fell down the stairs, injured his forearm, and had an extensive ulcer wound that got infected. The patient was treated at many hospitals but the wound was not healed, deep ulcers had to be cut and kept it open. After that, the patient admitted to the clinic, was performed some subclinical tests, received internal treatment combined with surgery, was cared for the wound by infrared light, and followed a nutrition plan for diabetics. After 4 months of treatment, the wound healed, formed a scar, and painless. Conclusion: Treating infected wounds in patients with special conditions is extremely difficult. To heal quickly, we can combine many treatments such as internal medicine, surgery, and physical therapy, nutrition therapy. Keywords: infected wound, type 2 diabetes

Abstract #421 Association of Vitamin D Levels with the Severity of Fibrosis in NAFLD Patients with Type 2 Diabetes

2019 ◽  
Vol 25 ◽  
pp. 199-200
Author(s):  
Prathyusha Chitrapu ◽  
Shilpa Jain ◽  
Aaron Thrift ◽  
Maya Balakrishnan ◽  
Ruchi Gaba
Keyword(s):  
Type 2 Diabetes ◽  
Vitamin D ◽  
Vitamin D Levels

Abstract #724: Bariatric Surgery Restores Both Cardiac and Sudomotor Autonomic C-Fiber Dysfunction Towards Normal in Obese Subjects with Type 2 Diabetes

2016 ◽  
Vol 22 ◽  
pp. 159
Author(s):  
Carolina Casellini ◽  
Joshua Edwards ◽  
Henri Parson ◽  
Kim Hodges ◽  
David Lieb ◽  
...  
Keyword(s):  
Type 2 Diabetes ◽  
Bariatric Surgery ◽  
C Fiber ◽  
Obese Subjects
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