martes, 28 de enero de 2014

Guías sobre manejo de la obesidad

Guías sobre manejo de la obesidad


Guías Mundiales de la Organización Mundial de Gastroenterología
Contenido: Aspectos generales, Manejo de la obesidad, Obesidad en el adulto mayor, Cascadas, Apéndices y evidencia
http://www.worldgastroenterology.org/assets/export/userfiles/Obesity_MASTER_SP.pdf


El papel futuro de las hormonas intestinales en el manejo de la obesidad

The future role of gut hormones in the treatment of obesity.
Troke RC, Tan TM, Bloom SR.
Ther Adv Chronic Dis. 2014 Jan;5(1):4-14.
Abstract
The obesity pandemic presents a significant burden, both in terms of healthcare and economic outcomes, and current medical therapies are inadequate to deal with this challenge. Bariatric surgery is currently the only therapy available for obesity which results in long-term, sustained weight loss. The favourable effects of this surgery are thought, at least in part, to be mediated via the changes of gut hormones such as GLP-1, PYY, PP and oxyntomodulin seen following the procedure. These hormones have subsequently become attractive novel targets for the development of obesitytherapies. Here, we review the development of these gut peptides as current and emerging therapies in the treatment of obesity.

http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3871274/pdf/10.1177_2040622313506730.pdf


Nutrición para pacientes con ganancia de peso después de cirugía bariátrica
Nutrition Care for Patients with Weight Regain after Bariatric Surgery.
Johnson Stoklossa C, Atwal S.
Gastroenterol Res Pract. 2013;2013:256145. Epub 2013 Nov 19.
Abstract
Achieving optimal weight outcomes for patients with obesity is important to the management of their chronic disease. All interventions present risks for weight regain. Bariatric surgery is the most efficacious treatment, producing greater weight losses that are sustained over more time compared to lifestyle interventions. However, approximately 20-30% of patients do not achieve successful weight outcomes, and patients may experience a regain of 20-25% of their lost weight. This paper reviews several factors that influence weight regain after bariatric surgery, including type of surgery, food tolerance, energy requirements, drivers to eat, errors in estimating intake, adherence, food and beverage choices, and patient knowledge. A comprehensive multidisciplinary approach can provide the best care for patients with weight regain. Nutrition care by a registered dietitian is recommended for all bariatric surgery patients. Nutrition diagnoses and interventions are discussed. Regular monitoring of weight status and early intervention may help prevent significant weight regain.

http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3852093/pdf/GRP2013-256145.pdf



Atentamente
Anestesiología y Medicina del Dolor
www.anestesia-dolor.org

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