相关实验视频
Updated: May 20, 2025

08:16
One-anastomosis Gastric Bypass OAGB in Rats
Published on: November 10, 2018
10.8K
肥胖症的欧米茄环胃旁路术后的高血性脑病:一个病例报告和讨论
Maurine Allard1, Mylène Guiho1, Audrey Le Ruyet-Le Henaff2
1Department of Endocrinology-Diabetology-Nutrition, Home Parenteral Nutrition Centre, CHU Rennes, Rennes, France.
Clinical nutrition ESPEN
|April 11, 2025
概括
肥胖手术后的一种严重并发症,高血性脑病变,需要及时诊断. 在患有神经症状的患者中,检测氨量升高 (氨血) 非常重要.
科学领域:
- 医学科学 医学科学 医学科学
- 胃肠病学 胃肠病学
- 神经学 神经学
背景情况:
- 超氨血性脑病变是一种罕见的,危及生命的疾病,发生在减肥手术后.
- 肥胖手术,特别是胃绕道,可以导致严重的营养不良和代谢障碍.
研究的目的:
- 为了突出肥胖手术和高血性脑病变之间的关键联系.
- 强调在患有神经症状的患者中考虑高氨血的重要性.
主要方法:
- 一个43岁的女性病例报告,有Omega-loop胃旁路病史,出现脑病变.
- 临床评估,包括对水,呼吸障碍和严重营养不良的评估.
- 生物化学研究显示高氨血,低蛋白血和高氨血.
主要成果:
- 患者经历了多次昏迷的情节.
- 调查排除了尿素循环障碍,指向胃绕道后的营养缺乏症.
- 严重营养不良被确定为主要导致的因素.
结论:
- 患有肥胖性手术病史的患者的脑病症症状需要对高氨血和营养不良进行调查.
- 氨水平测试对于诊断腹手术后的神经并发症至关重要.
相关概念视频
Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy
38
Sigmoidoscopy and laparoscopy are distinct medical procedures that enable physicians to internally inspect different parts of the GI tract. Although they serve different purposes, each is essential for diagnosing and, in some cases, treating various medical conditions.
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
38
Enteral Nutrition II: Nasointestinal and Gastrostomy Feeding
51
Enteral nutrition encompasses various methods of delivering nutrition directly to the gastrointestinal (GI) tract, bypassing traditional oral intake. It is particularly beneficial for patients who cannot eat by mouth but have a functioning digestive system. Key methods include nasointestinal feeding, gastrostomy, and jejunostomy, each suited to different clinical scenarios based on the patient's needs and condition.
Nasointestinal Feeding
Nasointestinal feeding involves placing a tube...
Nasointestinal Feeding
Nasointestinal feeding involves placing a tube...
51
Enteral Nutrition I: Orogastric and Nasogastric Feeding
157
Enteral nutrition delivers nutrients directly to the stomach or small intestine through a tube. This method is appropriate for patients who cannot eat but still have a functioning digestive system. It is also beneficial for individuals with swallowing difficulties, anorexia, malabsorption, or those who have undergone gastrointestinal (GI) surgery.
Orogastric (OG) and nasogastric (NG) feeding are two standard methods used for enteral nutrition. Enteral nutrition is often preferred over...
Orogastric (OG) and nasogastric (NG) feeding are two standard methods used for enteral nutrition. Enteral nutrition is often preferred over...
157
Endoscopic Procedures I: Esophagogastroduodenoscopy
43
An Esophagogastroduodenoscopy (EGD) is a diagnostic procedure in which an endoscopist uses a flexible, lighted endoscope to visualize the upper gastrointestinal (GI) tract. The procedure includes visualizing the oropharynx, esophagus, stomach, and the first part of the small intestine, the duodenum.
During an EGD, the endoscope can be used to:
During an EGD, the endoscope can be used to:
43
Overview of Protein Metabolism
633
Proteins are broken down into amino acids during digestion. Unlike fats and carbohydrates, which are stored for later use, proteins are not. Instead, amino acids are either used to produce ATP through oxidation or contribute to the creation of new proteins for the growth and repair of the body. Any surplus amino acids from the diet are converted into glucose or triglycerides rather than excreted.
Amino acids play various roles in the body once they are absorbed into cells. They are restructured...
Amino acids play various roles in the body once they are absorbed into cells. They are restructured...
633
Binge Eating Disorders
45
Binge eating disorder is a significant mental health condition characterized by recurrent episodes of excessive food consumption within a short period, accompanied by a perceived loss of control over eating behavior. Unlike occasional overeating, binge eating disorder is marked by distressing emotions such as guilt, shame, and anxiety following binge episodes. The disorder affects individuals across different ages and backgrounds, with profound implications for physical and psychological...
45

