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Titlebook: Interdisciplinary Long-Term Treatment of Bariatric and Metabolic Surgery Patients; Christine Stier,Sonja Chiappetta Book 2023 The Editor(s

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楼主: Gullet
发表于 2025-3-23 11:33:22 | 显示全部楼层
Follow-up Intervals and Priorities,ry can finally be reduced to a regular annual consultation. An urgent regulation is still needed for the billing of these guideline-compliant services that are also demanded by the health insurance companies.
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Early Postoperative Complaints,patient to the respective surgical obesity center in case of suspicion. Patients with morbid obesity are high-risk patients and in case of postoperative complications, a rapid intervention is necessary to keep the perioperative morbidity and mortality as low as possible.
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Bone Metabolism and Osteoporosis,tored after bariatric and metabolic surgery. The risk of developing postoperative secondary hyperparathyroidism and postoperative osteoporosis must be minimized by physical exercise and by regular supplementation of calcium and vitamin D.
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Pregnancy After Bariatric and Metabolic Surgery,e, it is recommended to prevent pregnancy in the first 12 (up to even 24 months) by using reliable contraception, in order to allow and stabilize the maximum weight loss through the surgery before conception, and to prevent any macro- and micronutrient deficiencies and electrolyte imbalances.
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Addiction Transfer,decrease in food addiction-like behavior. However, the risk of addiction transfer and the risk of developing a “new” dependency are discussed in the scientific literature. For this reason, every patient should be asked about and examined with regard to the problem of addiction transfer as part of the follow-up examinations.
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Drug Absorption/Postoperative Adjustment of Chronic Medication,the metabolizing enzymes (cytochromes P450) and the arrival in more distal small intestine segments can lead to increased oral bioavailability. A change in the intestinal motility can also alter the transit time of a drug and thus cause a changed oral bioavailability.
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