What I would check first on bariatric surgery history is whether the thing being measured moved or whether the way of measuring it moved. Those look identical in a graph.
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Clinical · Special populations · continued
Bariatric surgery history: altered anatomy, altered expectations posts 31–40
This is a continuation of a long topic, addressed by post number rather than by page. Start at post 1 · go to the accepted answer.
cannula_notes, post #11: Post #9 put the caveat in the right place and I want to underline it. Medullary thyroid carcinoma history: an absolute contraindication because of the preclinical findings in rodent toxicology. The history (personal or family, especially multiple endocrine neoplasia type 2) is an important screening question. That has held every time I… Go to post
A definition problem is doing most of the work in this bariatric surgery history discussion. Once the term is pinned down I suspect the disagreement mostly goes away and what is left is small.
Narrowing post #31, because the general version has more than one answer.
Being outside the studied population does not mean a treatment is unsafe. It means the usual evidence is not available and the reasoning has to be explicit.
The confident version of this sentence would be wrong, so here is the hedged one.
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Reading this bariatric surgery history thread as someone who came in with a fixed view: the third and seventh replies moved me and the confident ones did not.
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t.lindqvist, post #16: Post #13 is the version of this I will quote in future. One addition. Pancreatitis history: the compounds can rarely trigger pancreatitis. A history of pancreatitis makes monitoring for recurrence more important during titration. That is what I would do. It may not be what is correct. Go to post
Post #35 is the version of this I will quote in future. One addition.
Gastroparesis: pre-existing severe delayed gastric emptying can worsen with compounds that slow it further. Discussion with a clinician is prudent if this history exists.
A single observation, in a thread that deserves better than single observations.
i.coelho, post #5: Building on post #4 rather than restating it. Genetic and ancestry-related differences in response are asked about regularly and the published evidence is thin enough that the honest answer is short. That is one dataset and I would not build a rule on it. Go to post
Answering the question post #35 raises rather than the one it answers.
Bariatric surgery history was covered in the wiki last year and the page has a review date on it, which is a better starting point than my memory of a thread.
Collapsed as off-topic by two members at trust level 3 or above
Worth separating two things that post #35 runs together.
Post-surgical populations, particularly after procedures affecting the gastrointestinal tract, interact with a delayed-emptying mechanism in ways that need specialist input.
That is the honest state of it as of this week.
Adding a small correction to the bariatric surgery history summary above rather than a disagreement with it. The substance holds; one of the figures is out by a factor that matters.
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This topic was referenced in
- About the Special populations categoryClinical › Special populations · 4 replies
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