Gene/Protein Disease Symptom Drug Enzyme Compound
Pivot Concepts:   Target Concepts:
Query: UMLS:C0162316 (iron deficiency anemia)
3,806 document(s) hit in 31,850,051 MEDLINE articles (0.00 seconds)

Malabsorptive bariatric procedures have a long history beginning with jejunoileal bypass, which was first performed in 1950s. The biliopancreatic diversion (BPD) has gained more prominence in Europe since its introduction by Scopinaro in 1976 The BPD has been modified and popularized by Hess in the United States and Marceau in Canada to include a sleeve gastrectomy and duodenal switch in order to decrease the incidence of marginal ulceration and iron deficiency anemia. Moreover the common channel was lengthened to 100 cm to decrease the incidence of long-term malnutrition. More recently Vassallo and coll. introduced a BPD associated with a transitory vertical gastroplasty (TGR). Aim of this study is to compare the results after 2 years follow-up in 15 obese patients who underwent the classical Scopinaro's BPD (group A) and 15 obese patients operated on BPD associated with TGR (group B).The mean preoperative BMI was 47.9 in the Group A and 48.6 in Group B. The BMI trend was after 6, 12 and 24 months: 39.1, 37.2, 33.1 in Group A and 37.3, 35.5, 31.4 in Group B. We observed in BPD+TGR one case of acute pancreatitis and 3 case of gastric paralysis in group A. No mortality was registered. Patients treated by BPD+TGR had better results in terms of weight loss and metabolic complications.
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PMID:[Comparision between a bilio-pacreatic diversion with or without gastroresection after 2 years of follow-up in the treatment of the pathological obesity]. 1909 25

Postpolypectomy bleeding and perforation are the most common complications of colonoscopy. A case of acute pancreatitis and ileus after colonoscopy is described. A 60-year-old woman underwent a gastroscopy and colonoscopy for investigation of iron deficiency anemia. Gastroscopy was normal; however, the colonoscope could not be advanced beyond the splenic flexure due to a tight angulation. Two polypectomies were performed in the descending colon. After the procedure, the patient developed a distended, tender abdomen. Bloodwork was remarkable for an elevated amylase level. An abdominal x-ray and computed tomography scan showed pancreatitis (particularly of the tail), a dilated cecum and a few air-fluid levels. The patient improved within 24 h of a repeat colonoscopy and decompression tube placement. The patient had no risk factors for pancreatitis. The causal mechanism of pancreatitis was uncertain but likely involved trauma to the tail of the pancreas during the procedure. Our patient developed ileus, likely secondary to pancreatitis. The present case is the first report of clinical pancreatitis and ileus associated with colonoscopy.
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PMID:Acute pancreatitis and ileus post colonoscopy. 1966 99