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Translation of ", dolor de estómago," in English. En consecuencia se producen gasesdolor de estómago, espasmos y diarrea. The intake of milk thus can result in production of gasesstomach ache, spasms and diarrhoea.

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Several small cuts will be made in Stomach pains after weight loss abdomen. Gas will be pumped in to inflate your abdomen. This will make it easier for the doctor to see. A laparoscope and surgical tools will be inserted through the incisions.

A laparoscope is a thin, lighted tool with a tiny camera. It sends images of your abdominal cavity to a monitor in the operating room. Your doctor will operate while viewing the area on this monitor. Surgical staples will be used to create a small pouch at the top of your stomach.

This pouch, which Stomach pains after weight loss hold about 1 cup of food, will be your new, smaller stomach. A normal stomach can hold cups of food. Next, the small intestine will be cut and attached to the new pouch.

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With the intestinal bypass, food will now move from the new stomach pouch to the middle section of the small intestine. It will skip the lower stomach Stomach pains after weight loss the upper section of the small intestine. Finally, the upper section of the small intestine will be attached to the middle section of the small intestine. This will allow fluid that the lower stomach makes to move down the upper section of the small intestine and into the middle section.

Be aware that in some cases, the doctor may need to switch to an open surgery. During an open surgery, a larger cut in the abdomen will be made to do the surgery.

Anesthesia will prevent pain during surgery. Pain and discomfort after the procedure can be managed with medications.

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In a clinical trial Stomach pains after weight loss orlistat, the rates of cholelithiasis as an adverse event were 2.

Presumptively undiagnosed diclofenac were the ipecacs. The acute effect of a single dose of orlistat mg is lower plasma TG and free fatty acids in the early postprandial period.

Hypersensitivity to orlistat; malabsorption syndrome; cholestasis; gallbladder disease; hypothyroidism; organic causes of obesity; anorexia nervosa, bulimia nervosa; organic causes of obesity, lactation.

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Safety and efficacy in children. Swallow the capsule whole with a glass of water. Side effects of orlistat are typically minor and can be largely avoided if you pay attention to the amount of fat in your diet.

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CiteScore mide la media de citaciones recibidas por artículo publicado. SJR es una prestigiosa métrica basada en la idea que todas las citaciones no son iguales.

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SJR usa un algoritmo similar al page rank de Google; es una medida cuantitativa y cualitativa Stomach pains after weight loss impacto de una publicación. A bezoar is an accumulation of organic substances within the gastrointestinal tract. Rapunzel syndrome is a rare and infrequent form of a trichobezoar with a tail that Stomach pains after weight loss beyond the stomach into the small bowel.

We present Stomach pains after weight loss the case of a year-old girl referred to our center for abdominal pain. The patient had a past history of trichophagia of several-week progression, chronic abdominal pain, unmeasured weight loss, and predominantly postprandial nausea and gastric vomiting for the past 7 days.

Upon physical examination, the patient was dehydrated, with generalized pallor, abdominal distension, and a palpable and painful mass in the epigastrium. Laboratory work-up reported hemoglobin of 8.

The rest of the laboratory tests were normal. Computed tomography scan identified an intragastric tumor extending Stomach pains after weight loss the duodenum that had no contrast medium enhancement Fig. Double-dose contrast-enhanced computed axial tomography scan showing the presence of an intragastric tumor with spirals of varying densities, alternating with air and partial passage of the water-soluble contrast medium.

Exploratory laparotomy revealed a large intraluminal mass in the stomach. After gastrotomy, a large trichobezoar was found that extended into the small bowel, Dietas rapidas it was removed.

The patient did not present with any postoperative complications and was released on the 6th day after the procedure Fig. Surgical specimen of the trichobezoar molded into the shape of the stomach and small bowel.

Following the medical-surgical treatment, Stomach pains after weight loss patient was diagnosed with depressive disorder, anxiety syndrome, and poor self-esteem. She was initially treated at the medical psychology service and later referred to the pediatric psychiatry service at another center for her integrated treatment.

Rapunzel syndrome was first described by Vaughan in Since then, fewer than cases have been described in the medical literature, with varying clinical Stomach pains after weight loss. Different authors have used different criteria for reporting their cases of Rapunzel syndrome.

Some have defined it as a gastric trichobezoar with a tail extending to the ileocecal valve, others have described it simply as a trichobezoar with a long tail that can extend into the jejunum, ileum, or ileocecal valve, and still others have defined it as a trichobezoar of any size that presents with bowel obstruction. Trichobezoar, a hairball in the proximal part of the gastrointestinal tract, is a rare condition and is seen almost exclusively in young women.

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Stomach pains after weight loss Human hair is resistant to digestion and peristalsis because of its smooth surface, and thus accumulates in the folds of the stomach mucosa. After a period of time, the continued ingestion of hair results in its impaction, together with mucus and food, causing the formation of a trichobezoar. In the majority of cases, it is confined to the stomach.

Stomach pains after weight loss

Nevertheless, in some cases, the trichobezoar extends beyond the pylorus into the jejunum, ileum, and even the colon. Patients with bezoars usually present with nonspecific gastrointestinal symptoms, such as abdominal pain, anorexia, and vomiting.

Severe complications Stomach pains after weight loss occur, including obstruction, bleeding, or perforation. The majority of patients deny any past history of trichotillomania or trichophagia, even when specifically asked. Therefore, psychiatric evaluation and management is recommended. Diagnostic studies include ultrasound, tomography, and panendoscopy.

Computed axial tomography has a high accuracy rate, but ultrasound precision is not as high in Stomach pains after weight loss cases. Computed tomography reveals a well-circumscribed lesion in the gastric region composed of concentric spirals of different densities with air bubbles mixed up inside them.

Oral contrast medium fills the most peripheral interstices of the lesion and a thin band of contrast medium circumscribes it. The absence of filling upon intravenous contrast medium-enhancement rules out a neoplastic lesion.

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Endoscopy plays the most important role Stomach pains after weight loss gastric bezoar detection, as well as in treating some of them. Tomography is useful for detecting small gastric bezoars and those in the small bowel. A tomography scan is particularly valuable in patients that need surgical management of small bowel bezoars, not only Stomach pains after weight loss it shows the obstructed site in the bowel, but also because it enables multiple bezoars to be observed.

Conservatively managed cases have a poor prognosis and therefore surgical management is recommended once the preoperative diagnosis has been made.

However, the majority of cases are diagnosed during laparotomy. Surgical removal through gastrotomy and enterotomy is suggested when necessary. Laparoscopic management can be successful for extracting a hairball.

Other minimally invasive modalities are emerging, such as extracorporeal lithotripsy, endoscopic lithotripsy, and laser fragmentation.

Their role and success rate still need to be established and at present the criterion standard is open surgical management.

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In our case, the patient presented with clinical symptoms of abdominal pain and weight loss, and with Stomach pains after weight loss known past history of trichotillomania. The diagnosis of Rapunzel syndrome was made after seeing the results of the computed axial tomography scan.

It was decided that endoscopy would not add any new information to the diagnosis and given that the patient presented with Dietas rapidas of bowel obstruction and extension of Stomach pains after weight loss trichobezoar into the small bowel, the first choice for management was surgical rather than endoscopic.

Even though Rapunzel syndrome is the rare presentation of a trichobezoar that extends through the stomach and into the small bowel, it should always be included in the differential diagnosis in children that present with abdominal pain, vomiting, or weight loss. A previous history of trichophagia is essential for diagnostic suspicion. No financial support was received in relation to this article. The authors declare that there is no conflict of interest. Síndrome de Rapunzel: una causa rara de dolor Stomach pains after weight loss.

Revista de Gastroenterología de México. Opción Open Access. Artículo anterior Artículo siguiente. Lee este artículo en Español. Descargar PDF. Beristain-Silva aR. Cordero-Barberena bJ. Autor para correspondencia. Este artículo ha recibido.

Under a Creative Commons license. Información del artículo. Texto completo. Rapunzel syndrome is a rare and infrequent form of a trichobezoar with a tail that extends beyond the stomach into the small bowel. The patient had a past history of trichophagia of several-week progression, chronic abdominal pain, Stomach pains after weight loss weight loss, and predominantly postprandial nausea and gastric vomiting for the past 7 days.

Upon physical examination, the patient was dehydrated, with generalized pallor, abdominal distension, and a palpable and painful mass in the epigastrium.

Double-dose contrast-enhanced computed Stomach pains after weight loss tomography scan showing the presence of an intragastric tumor with spirals of varying densities, alternating with air and partial passage of the water-soluble contrast medium.

Figure 1. Surgical specimen of the trichobezoar molded into the shape of the stomach and small bowel. Figure 2.

Naik, V. Gupta, S. Naik, et al. Dig Surg, 24pp.

Como bajar de peso 30 kilos en dos meses y

Gorter, C. Kneepkens, E. Mattens, et al. Management of trichobezoar: Case report and literature review. Pediatr Surg Int, 26pp.

Stomach pains after weight loss

Zent, C. Cothren, E. J Am Coll Surg,pp. Rabie, A.

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World J Gastrointest Endosc, 7pp. Asociación Mexicana de Gastroenterología. Suscríbase a la newsletter. Síndrome de Rapunzel: una causa rara de dolor Guía para autores Envío de manuscritos Ética editorial.

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