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Understand the reversal of bariatric operations

Understand the reversal of bariatric operations

Reversal of bariatric surgery is a very rare situation, since the physiological actions for weight loss and improvement of associated diseases cease to function when the anatomy of the digestive tract returns to normal.

There is no clear and regulated indication for reversal. There are some descriptions in medical literature of few reversals for various causes such as hypoglycemia refractory to clinical measures and even extreme weight loss, but the sum of the number of cases that have been reversed and reported in literature fit the fingers. Y de Roux, where the stomach is reduced and food is diverted from the initial portion of the intestine is the most frequently performed operation in Brazil and the world and is reversible, but it is technically challenging.

Vertical gastrectomy is not reversible , since a piece of the stomach is removed, being a disadvantage of the procedure, in addition to the lower long-term efficacy of this operative technique.

In the rare cases of indication of reversion of operations, as they are in reduced number, there is no guideline the best way to do it. The few descriptions of medical articles report reoperations either by open or laparoscopic approach.

Much care must be taken with the decision to reverse the surgeries, since as mentioned above, all actions of the operations end. Also the anatomy of surgeries should be analyzed through imaging tests and balancing the advantages and disadvantages of these procedures. Some non-medical journals addressed the issue of reversal of operations in certain situations such as for the treatment of acquired immunodeficiency syndrome adult (AIDS). This is no indication of reversal. Some medical studies have clearly demonstrated the advantages of bariatric operations in AIDS patients when these patients are indicated and there has been no change in the absorption or action of anti-viral drugs. Reversing a bariatric operation, especially gastric bypass is very rare. The great care lies in the indication of reversal and the surgical technique is challenging.


Study reveals insomnia can increase up to 45% chance of having a heart attack. Check out habits for better sleep.

Study reveals insomnia can increase up to 45% chance of having a heart attack. Check out habits for better sleep.

Has shown that people who sleep poorly on most nights are more at risk of having a heart attack than those who do not have problems sleeping. The analysis was led by a researcher at the Norwegian University of Science and Technology and involved more than 50,000 Norwegian adults. All participants were from a national health survey conducted between 1995 and 1997.

(Health)

8 Uses for Vaseline you did not know

8 Uses for Vaseline you did not know

Also known as liquid paraffin, petroleum jelly is a derivative of petroleum. "It forms a layer on the skin, as if it were a sealant, which prevents it from losing its natural hydration," says dermatologist Melissa Chaves. Present in the formulation of many cosmetics, petroleum jelly is a substance that can be used in various beauty tricks, which specialists teach below: 1.

(Health)