Probiotics, prebiotics, and symbiotics in the treatment of obesity: A new vision.

Obesity is a chronic non-communicable disease whose prevalence has doubled during the last three decades, becoming, along with its metabolic complications, a worldwide public health problem. Recently, the alteration of the intestinal microbiota balance, known as dysbiosis, has been identified as a possible pathophysiological process that promotes weight gain in individuals who suffer from it. Dietary intervention with prebiotics, probiotics, or symbiotics aimed at correcting intestinal dysbiosis in obese patients can provide health benefits by facilitating weight loss and maintenance, improving constipation, glucose, and lipid levels, as well as immunity and expression of regulatory cytokines, thus contributing to the reduction of the chronic inflammatory process of intestinal cells

Tratamiento conservador para hemorragia posterior a bypass gástrico reporte de caso

Hemorrhage is a rare complication in bariatric surgery, where its prevalence is up to 4% of procedures, and this will vary according to the different procedures performed, also the hemorrhage that occurs after bariatric surgery is classified as acute, early, late and chronic, it also depends on the site of bleeding because it can be intra-abdominal and intraluminal. A 29-year-old male patient with a history of type 2 diabetes mellitus and grade I obesity, who underwent gastric bypass surgery, presented with melena on several occasions after surgery, in addition to generalized asthenia, which led to a diagnosis of gastrointestinal bleeding. The appropriate treatment is surgery; however, it was decided to perform conservative treatment. This management is expectant since it helps to solve most of the cases as a whole, it also allows the patient to improve his clinical picture and reduces the possibility of warning signs, on this occasion it presented a total efficacy with an excellent recoveryLa hemorragia es una complicación rara en la cirugía bariátrica, donde su prevalencia es de hasta 4% de procedimientos, y esta variará de acuerdo con los distintos procedimientos realizados, además la hemorragia que ocurre posterior a una cirugía bariátrica se clasifica como aguda, temprana, tardía y crónica, también depende del lugar de la hemorragia debido a que puede ser intraabdominal e intraluminal. Paciente masculino de 29 años de edad, con antecedentes de diabetes mellitus tipo 2 y obesidad grado I, a quien se le realizó un bypass gástrico, presenta al post quirúrgico inmediato melenas por varias ocasiones, a esto se le suma astenia generalizada, lo que lleva a plantear el diagnóstico de hemorragia digestiva. El tratamiento adecuado es la cirugía, sin embargo, se decide realizar tratamiento conservador. Este manejo es expectante ya que ayuda a resolver en conjunto la mayoría de los casos, así mismo permite al paciente mejorar su cuadro clínico y reduce la posibilidad de que existan signos de alerta, en esta ocasión presentó una eficacia total con una excelente recuperació