Bariatric patient from the point of view of a nutritionist

Nowadays obesity is one of the biggest worldwide problem. The predominant factor that may result in obesity is an excesive amount of energy and low physical activity. At the present time there are two overwhelming methods to fight obesity- conservative treatment and bariatric surgery. The second one is regarded as the most effective way to reduce body weight of the people suffering from the morbid obesity. Surgical treatment can only be efficient when it is followed by introducing dietary indications, both before and after the surgery. The bariatric patients have to be monitored by medical staff including the dietician to help them change eating habits. The dietician’s support is also crucial to avoid nutrient deficiency and digestive system ailments

Rzadki przypadek rzekomego tętniaka tętnicy wątrobowej

Tętniaki tętnicy wątrobowej należą do rzadkich, ale potencjalnie zagrażających życiu patologii naczyniowych. Są one zwykle wykrywane przypadkowo podczas badań obrazowych w trakcie diagnostyki z innych powodów. W pracy przedstawiono bardzo rzadki przypadek tętniaka rzekomego gałęzi tętnicy wątrobowej z przetoką do lewej gałęzi żyły wrotn

Physical activity as one of the elements of a comprehensive obesity treatment

Obesity is nowadays a disease of civilization contributing to the increase in mortality worldwide, especially in developing and developed countries. There is a need to take action to normalise the weight of as many people as possible, bearing in mind disadvantageous to the health and the life, effects of exaggerated increasing the amount of the fatty tissue. In this connection, the need to shape patterns of pro-healthy behaviour should be particularly emphasised. The implementation of appropriate physical activity should be one of the basic elements of a comprehensive obesity treatment. Taking into account a wide range of exercises, it is important to choose the right activity for a given person, taking into account their abilities and performance, as well as indications and contraindications to a specific form of training. A key role in the weight reduction process is played by the determination to continue the recommendations made in a long-term and systematic manner. If attempts of the non-invasive treatment turn out to be ineffective, sick persons with the obesity can be qualified for the bariatric surgery. Implementing the physical activity in the period before and post-operative is bringing the sequence of beneficial changes in the body of the patient. It often improves the well-being of patients as well as results in the faster convalescence and lowering the risk of complications. Both the non-invasive and surgical treatment of obesity should be complemented by the introduction of appropriate physical activity. </p

Rare case of hepatic artery pseudoaneurysm

Hepatic artery aneurysms are rare, but potentially life-threatening vascular pathologies. They are usually discovered incidentally during imaging diagnostics of different pathologies. The study presented a rare case of hepatic artery pseudoaneurym with a fistula to the left branch of the portal vein

Evaluation of the capacity of patients with pathological obesity, in a six-minutes march test, before and after laparoscopic sleeve gastrectomy

The aim of a study: The aim of the study was to assess the efficiency of patients with pathological obesity after laparoscopy sleeve gastrectomy in a six-minute march test.Material and methods: The study was conducted on a group of 30 patients with giant obesity hospitalized in the Surgery Clinic of the 10th Military Research Hospital and Polyclinic in Bydgoszcz. The patient was evaluated on the day before the laparoscopic gastrectomy and one month after the surgery. In all patients a six-minute march test was performed and the author's questionnaire was used.Results: As a result of the operation, an average weight loss of 10 kg was observed in the patients, an improvement in efficiency, as well as the resignation or significant reduction in symptoms of coexisting diseases. Based on a 6-minute march test it was found that the distance covered by the patients increased by 30 m.Conclusions: 1. Bariatric surgeries are an effective method of weight reduction for patients with massive obesity. 2. As a result of the procedure, the number of ailments complained about by the patients has decreased. 3. The weight reduction in obese people as a result of a bariatric procedure, increases the functional ability to walk, assessed with a 6-minute march test. 4. The 6-minute march test provides useful information on the functional status of obese patients undergoing bariatric surgery. It is a simple, safe and efficient method for assessing the performance of patients with severe obesity.</p