[The Application of Uncut Roux-en-Y Esophagojejunostomy With Distal Jejunal Pouch on Behalf of the Stomach Surgery in the Digestive Tract Reconstruction After Total Gastrectomy].
[The application of uncut Roux-en-Y esophagojejunostomy with distal jejunal pouch on behalf of the stomach surgery in the digestive tract reconstruction after total gastrectomy].
Filed under: Eating Disorders
Zhonghua Wai Ke Za Zhi. 2012 Aug; 50(8): 699-703
Sun YS, Ye ZY, Shao QS, Zhang Q, Xu XD, Hu JF, Shi D
To study the clinical value of uncut Roux-en-Y esophagojejunostomy with distal jejunal pouch on behalf of the stomach (URYAJP) surgery in the digestive tract reconstruction after total gastrectomy.A retrospective analysis of radical resection of the whole stomach in 486 cases of gastric cancer patients, divided into the URYAJP group (n = 189), the P-loop Roux-en-Y behalf of the stomach surgery (PRY) group (n = 150) and pure Roux-en-Y reconstruction (RY) group (n = 147). Three groups were compared in patients with surgical reconstruction time, the occurrence of postoperative complications, the postoperative weight after 6, 12 and 24 months, the single meal food intake and prognostic nutritional index (PNI) and Visick points class situation after 12 and 24 months.(1) The URYAJP group and RY group had no significant difference in digestive tract reconstruction time ((37 ± 6) minutes and (38 ± 6) minutes respectively), but PRY group was significantly prolonged ((47 ± 6) minutes, t = 7.52 and 6.54, P < 0.05). (2) In the comparison of the incidence of complications, URYAJP group has 2.1% rate of Roux stay syndrome (RSS) incidence, significantly less than PRY group (21.3%) and RY group (19.7%) (?(2) = 14.84, P < 0.05). (3) In the comparison the postoperative nutritional status, URYAJP group clear asset, showing the degree of ((3.1 ± 1.0) kg) weight loss after 12 months (t = 25.03 and 22.99, P < 0.05). And after 12, 24 months, a single meal eating reached the preoperative level is 94.8% and 96.9% in URYAJP group, while PRY group and RY group is less than 50% (?(2) = 61.10, 69.17, 65.17 and 73.29, P < 0.05). URYAJP Group reach the preoperative levels of PNI in 24 months after surgery, while PRY and RY group were still lower than peroperation (t = 106.97 and 100.37, P < 0.05). (4) The Visick points class I-II postoperative 12 and 24 months in URYAJP group were 92.7% and 93.8%, significantly better than group B and C (?(2) = 10.63, 14.19, 10.10 and 10.74, P < 0.05).URYAJP surgery give full play to maintain intestinal continuity, simple operation, and advantages of food storage bags, it can reduce the long-term postoperative complications, improve the nutritional status of patients and improve quality of life. It is worthy of promoting a way of gastrointestinal reconstruction. HubMed – eating
Baroreflex sensitivity and heart rate variability are enhanced in patients with anorexia nervosa.
Filed under: Eating Disorders
Int J Cardiol. 2012 Nov 15;
Jacoangeli F, Mezzasalma FS, Canto G, Jacoangeli F, Colica C, de Lorenzo A, Iellamo F
A qualitative study of the aspirations and challenges of low-income mothers in feeding their preschool-aged children.
Filed under: Eating Disorders
Int J Behav Nutr Phys Act. 2012 Nov 16; 9(1): 132
Herman AN, Malhotra K, Wright G, Fisher JO, Whitaker RC
ABSTRACT: BACKGROUND: The prevalence of obesity among preschool-aged children has increased, especially among those in low-income households. Two promising behavioral targets for preventing obesity include limiting children’s portion sizes and their intake of foods high in solid fats and/or added sugars, but these approaches have not been studied in low-income preschoolers in the home setting. The purpose of this study was to understand the contextual factors that might influence how low-income mothers felt about addressing these behavioral targets and mothers’ aspirations in feeding their children. METHODS: We recruited 32 English-speaking women in Philadelphia, Pennsylvania who were eligible for the Supplemental Nutrition Assistance Program and who were the biologic mothers of children 36 to 66 months of age. Each mother participated in 1 of 7 focus groups and completed a brief socio-demographic questionnaire. Focus group questions centered on eating occasions, foods and drinks consumed in the home, and portion sizes. Each focus group lasted 90 minutes and was digitally recorded and transcribed verbatim. Three authors independently identified key themes and supporting quotations. Themes were condensed and modified through discussion among all authors. RESULTS: Thirty-one mothers identified themselves as black, 15 had a high school education or less, and 22 lived with another adult. Six themes emerged, with three about aspirations mothers held in feeding their children and three about challenges to achieving these aspirations. Mothers’ aspirations were to: 1) prevent hyperactivity and tooth decay by limiting children’s sugar intake, 2) use feeding to teach their children life lessons about limit setting and structure, and 3) be responsive to children during mealtimes to guide decisions about portions. Especially around setting limits with sweets and snack, mothers faced the challenges of: 1) being nagged by children’s food requests, 2) being undermined by other adults in the family, and 3) having bad memories from childhood that made it hard to deny children’s food requests. CONCLUSIONS: Although the primary aspirations of low-income mothers in feeding their preschool-aged children were not focused on children’s weight, these aspirations were compatible with obesity prevention strategies to limit children’s portion sizes and their intake of solid fats and/or added sugars.
HubMed – eating
Living with coeliac disease and a gluten-free diet: a Canadian perspective.
Filed under: Eating Disorders
J Hum Nutr Diet. 2012 Nov 15;
Zarkadas M, Dubois S, Macisaac K, Cantin I, Rashid M, Roberts KC, La Vieille S, Godefroy S, Pulido OM
OBJECTIVE: Strict adherence to a gluten-free diet is the only treatment for coeliac disease. The gluten-free diet is complex, costly and impacts on all activities involving food, making it difficult to maintain for a lifetime. The purpose of this cross-sectional study was to evaluate the difficulties experienced, the strategies used and the emotional impact of following a gluten-free diet among Canadians with coeliac disease. METHODS: A questionnaire was mailed to all members (n = 10 693) of both the Canadian Celiac Association and the Fondation québécoise de la maladie cœliaque in 2008. RESULTS: The overall response rate was 72%. Results are presented for the 5912 respondents (?18 years) reporting biopsy-confirmed coeliac disease and/or dermatitis herpetiformis. Two-thirds never intentionally consumed gluten. Women reported significantly greater emotional responses to a gluten-free diet but, with time, were more accepting of it than men. Difficulties and negative emotions were experienced less frequently by those on the diet for >5 years, although food labelling and eating away from home remained very problematic. Frustration and isolation because of the diet were the most common negative emotions experienced. CONCLUSIONS: The present study quantifies the difficulties experienced, the strategies used and the emotional impact of following a gluten-free diet. It highlights the need to improve the training and education of dietitians, other health providers and the food service industry workers about coeliac disease and a gluten-free diet, with the aim of better helping individuals improve their adherence to a gluten-free diet and their quality of life.
HubMed – eating
[Epidemiology and risk factors of the prostate cancer].
Filed under: Eating Disorders
Pol Merkur Lekarski. 2012 Sep; 33(195): 163-7
Stasiewicz D, Staros?awska E, Brzozowska A, Mocarska A, Losicki M, Szumi?o J, Burdan F
Prostate cancer is the most common malignancy of male genital organs. The etiology of the disease is complex and remains mainly unclear. The only established risk factors are advancing age, ethnicity and genetics, including changing in expression of ELAC2, RNASEL, MSR1 and HOXB13 genes as well as low number of CAG repeats in the androgen receptor gene. There are number of coexisting environmental risk factors, such as eating habits mostly diet reach in animal fats. An early sexual initiation and sexually transmitted infections, both viral (HSV-2, HPV-18 and -16, CMV) and bacterial (Neisseria gonorrhoea, Treponema pallidum, Chlamydia trachomatis) were also included. The etiology of prostate cancer also involves the influence of hormones – androgens and estrogens, as well as chronic inflammation of the prostate. In contrast to the incidence rate, which varies significantly depending on the geographic region, the incidence of the malignancy at autopsy is similar.
HubMed – eating
Girl talks about eating disorder – I am the girl in the video and i wanted to talk about my battle with eating disorders its one of the hardest things i have absoloutly ever ever ever been through and i understand those who are struggling with it so MSG me if you want to. Please refrains from calling me rude names it would be greatly appreciated, I know what its like, and sorry about the bad quality it was taken on my Ipod. I have had AMAZING supports in my life, but it’s stilla battle which should tell you something about it. My pastor Told me this as i sat with a littl ebit of food,crying and breathing hard he said In Christ we are more then conquerers. and its a bible verse but its true, Jesus is actually the only one who was able to help me live. to survive this eating disorders, YOU CAN DO IT!! I BELIEVE IN YOU! my PRAYERS GO OUT TO YOU. iloveyou! and I care. Anorexics-You guys really need to know how difficult it is for the people who love us watching us waste away and I know right now you might not car emuch but you will eventually. I dont want to hear about ANYONE dying from ANA. she is a deamon and she us useless YOU GUYS CAN DO IT. Bulimics-I can relate to you lovies also, you need to know that your killing yourself,and that rush you get…is actually electrelies being thrown off that palpitations yeah thats Mia killing you,ILOVEYOU GUYS YOU CAN DOIT i understand both disorders. because I HAVE both xoxoxo
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