000			02977cam a2200325 a 4500
003			EG-GiCUC
008			161018s2016 ua dh f m 000 0 eng d
040			_aEG-GiCUC _beng _cEG-GiCUC
041	0		_aeng
049			_aDeposite
097			_aM.Sc
099			_aCai01.11.14.M.Sc.2016.Ah.F
100	0		_aAhmed Adel Shalaby Alattar
245	1	0	_aFood intolerance after laparoscopic sleeve gastrectomy / _cAhmed Adel Shalaby Alattar ; Supervised Mohammed Hassan Ali , Hany Ahmed Samy , Athar Samir Mahmoud Elward
246	1	5	_aمدى تحمل الطعام بعد عمليات تكميم المعدة
260			_aCairo : _bAhmed Adel Shalaby Alattar , _c2016
300			_a73 P. : _bcharts , facsimiles ; _c25cm
502			_aThesis (M.Sc.) - Cairo University - Faculty of Medicine - Department of General Surgery
520			_aBackground: The incidence of obesity has significantly increased worldwide. Surgery has proven to be the most effective long-term treatment for sustained weight loss and improvement of comorbidities in morbidly obese patients. Laparoscopic sleeve gastrectomy (LSG) is a relatively new procedure for weight loss with lower surgical risks, which is particularly suitable for those patients at highest risk for surgery, either because of their comorbidities or their weight. Food tolerance is a major part in the new life style of patients and has to be assessed and managed thoroughly. Existing data evaluating food tolerance and comparing different procedures proved the improvement of food tolerance for LSG patients over time. Methods: A total of 50 patients were followed up after LSG over 6 months. Quality of alimentation questionnaire was used to evaluate food tolerance 1, 3 and 6 months post-operatively. Additionally, fluid tolerance was assessed during the visits as well as a separate GERD questionnaire (GSFQ) score. Patients{u2019} demographics and weight loss were analyzed and correlated with GERD, food tolerance score and fluid tolerance. Results: At 3 months, the mean FTS was 14.1 ± 5.1, the mean GERD score was 4.1 ± 3.62, 25.9 % suffered water intolerance while 20.4 % suffered other fluids intolerance. At 6 months, the mean FTS was 17.68 ± 6.2, the mean GERD score was 2.27 ± 2.81, 14 % suffered water intolerance and 6 % suffered other fluids intolerance. A significant correlation between GERD score and FTS was found at 3 months (r = -0.200, p=0.037). A statistical significance was found between FTS < 3 months and FTS < 6 months (p <0.001). The mean % of EWL was 65.5 % ± 18.2 % and 52 % achieved successful weight loss at 6 months (> 50% EWL)
530			_aIssued also as CD
653		4	_aLaparoscopy
653		4	_aMorbid obesity
653		4	_aSleeve gastrectomy
700	0		_aAthar Samir Mahmoud Elward , _eSupervisor
700	0		_aHany Ahmed Samy , _eSupervisor
700	0		_aMohammed Hassan Ali , _eSupervisor
905			_aEnas _eCataloger
905			_aNazla _eRevisor
942			_2ddc _cTH
999			_c58165 _d58165