000			03480cam a2200325 a 4500
003			EG-GiCUC
008			180830s2017 ua dh f m 000 0 eng d
040			_aEG-GiCUC _beng _cEG-GiCUC
041	0		_aeng
049			_aDeposite
097			_aPh.D
099			_aCai01.11.14.Ph.D.2017.Mo.N
100	0		_aMohammed Fathi Mahmoud Elshal
245	1	0	_aNutritional derangements after sleeve gastrectomy / _cMohammed Fathi Mahmoud Elshal ; Supervised Ibrahim Galal Khalifa , Mohammed Hassan Ali , Tarek Osama Hegazy
246	1	5	_aقياس التغيرات الغذائية بعد عملية تكميم المعدة بالمنظار
260			_aCairo : _bMohammed Fathi Mahmoud Elshal , _c2017
300			_a138 P. : _bcharts , facsimiles ; _c25cm
502			_aThesis (Ph.D.) - Cairo University - Faculty of Medicine - Department of General Surgery
520			_aBackground: As obesity continues to be one of the greatest health struggles of our time, bariatric surgery is a valuable therapeutic tool for both the treatment of morbid obesity and associated co-morbid conditions. Regardless of the procedure performed, there are nutritional deficiencies (Vitamin B12, Vitamin D, Proteins, Iron, Zinc and calcium) that can occur both pre and post-operatively, and pose a challenge to patient and clinician alike. Patients and Methods: Our study was conducted on 50 morbidly obese patients presenting to the bariatric and metabolic surgery clinic in the Cairo university hospital (Kasr Alaini School of medicine). Out of these 50 morbidly obese patients, 36 were females (72%) and 14 were males (28%).The mean age was 31.96 ± 8.27.The mean body mass index (BMI) was 51.34 ± 8.51 kg/m2. Patients were examined preoperatively, 3 and 6 months postoperatively for short term results with regard %EWL, control of preoperative comorbidities and important laboratory parameters (Hemoglobin level, iron level, Vitamin B12, Calcium, Vitamin D, Zinc level, Copper level & Albumin level). Results: In our study, the prevalence of preoperative,3 and 6 months postoperative vitamin and micronutrient derangements was as follows: microcytic hypochromic anemia (9 patients (18%) preoperative, 21 patients (42%) at 3 months & 27 patients (54%) at 6 months), iron deficiency (7 patients (14%) preoperative, 18 patients (36%) at 3 months &23 patients (46%) at 6 months), vitamin B12 deficiency (8 patients (16%) preoperative), vitamin b12 excessin 34 patients (68%) at 3 months &40 patients (80%) at 6 months), protein calorie malnutrition (hypoalbuminemia) (6 patients (12%) preoperative, 9 patients (18%) at 3 months &12 patients (24%) at 6 months), vitamin D deficiency (32 patients (64%) preoperative, 37 patients (74%) at 3 months &42 patients (84%) at 6 months), hypocalcemia (22 patients (44%)preoperative, 29 patients (58%) at 3 months &39 patients (78%) at 6 months), low copper level (2 patients (4%) preoperative, 3 patients (6%) at 3 months &5 patients (10%) at 6 months) and low zinc level (2 patients (4%) preoperative, 12 patients (24%) at 3 months &13 patients (26%) at 6 months)
530			_aIssued also as CD
653		4	_aNutritional derangements sleeve gastrectomy
653		4	_aSleeve gastrectomy
653		4	_aVitamin B12
700	0		_aIbrahim Galal Khalifa , _eSupervisor
700	0		_aMohammed Hassan Ali , _eSupervisor
700	0		_aTarek Osama Hegazy , _eSupervisor
905			_aNazla _eRevisor
905			_aShimaa _eCataloger
942			_2ddc _cTH
999			_c67203 _d67203