What is the success rate of ETS surgery?

Arterial Hypertension Research Project

Metabolic Bariatric Surgery generates proven advantages in patients with Obesity, Hypertension and Diabetes. Dr. Jorge Harraca, Chief of the Bariatric and Metabolic Surgery Service of Grupo Gamma, explains these benefits that can mean an important change in patients’ lives.

Among the diseases associated with obesity, there are two potentially more serious ones: Type 2 Diabetes and Arterial Hypertension. These two conditions, together with obesity, constitute the so-called “metabolic syndrome”, which has a negative impact on the life expectancy of those who suffer from it.

The second disease, which involves an important cardiovascular risk and is also very serious, is arterial hypertension. In a clearly lower percentage than in the case of diabetes, but in more than 50 percent of the operated cases this condition improves or disappears.

This effect of bariatric surgery on type 2 diabetes and hypertension is the reason why it is called “Metabolic Surgery”. Such is the effect of this type of surgery on type 2 diabetes that, at present, research studies are being carried out on non-obese diabetic patients, in whom these operations are performed with marked success.

What type of anesthesia is used in a hypertensive patient?

In controlled hypertensive patients, local anesthetics WITH vasoconstrictor should be used in appropriate therapeutic doses and concentrations, no higher than 1:100,000 for epinephrine (xylocaine) and 1:20,000 for levonordephrine (carbocaine), or felipressin (Cytanest) at 1:2,000,000.

What happens if you have surgery with high blood pressure?

Elevated blood pressure during a surgical procedure puts the patient at increased risk for profuse bleeding, hematoma and major complications such as cardiovascular or cerebrovascular events.

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How does high blood pressure behave in the world?

Hypertension already affects one billion people worldwide and can cause heart attacks and strokes. Researchers estimate that hypertension is the cause of nine million deaths annually.

Arterial hypertension who 2021

Bariatric surgery is a procedure indicated for patients with morbid obesity, defined as a body mass index (BMI) greater than or equal to 40 kg/m² or with BMI≥ 35 kg/m² with comorbidities. Several investigations have shown how this procedure, in its different modalities (Bypass, Gastric Sleeve – Sleeve, Minibypass and Roux-en-Y bypass), improves comorbidities, decreases alterations in the metabolic profile such as glycemia, lipids, blood pressure figures and can even favor the resolution of type 22 diabetes.

This is a descriptive cross-sectional study with patients attending the Endocrinology office of Colsubsidio IPS in Bogota, Colombia, from different areas of the country. This study follows the ethical principles proposed by the Declaration of Helsinki.

Weight was measured with a Detecto scalewebb.city.mo.usa scale with a capacity of up to 175 kilos and height with a Detecto scale measuring rod with a capacity of up to 2 meters. Blood pressure was measured using a WelchAllyn sphygmomanometer reference CE0297.

What is the BP in a patient with hypertensive crisis?

We consider hypertensive crisis to be an acute elevation of blood pressure of 190/110 mmHg or higher.

How should a person with hypertension sleep?

Sleep well

Sleep is restorative, and much more in the case of people who suffer from arterial hypertension, since rest allows the body’s blood pressure to stabilize and thus avoid altering the body. It is recommended to sleep between 7 to 8 hours, if they were less it could generate health problems.

What happens if you have surgery with low blood pressure?

Intraoperative hypotension is a common side effect of general anesthesia that can lead to insufficient organ perfusion. However, the relationship between hypotension during noncardiac surgery and unfavorable outcomes is unclear. general for different blood pressure thresholds.

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Arterial hypertension who 2020

The anesthesiologist should have a previous interview with the patient before he/she arrives to the operating room, this can be done in the office or in the patient’s room. A detailed explanation of what is going to happen, added to know the person who is going to take care of you during the surgery, generates confidence, decreases anxiety and fear. Most patients express fear of neck punctures and express the desire not to “hear” or “feel” anything in the operating room. All these fears are overcome by the interview and adequate intraoperative sedation. It should be established whether the patient is fit for surgery, what associated diseases exist, medication intake, previous anesthetic experience and perform a physical examination with special attention to the airway and cervical spine, external jugular veins, superficial veins of the arm opposite to the side to be operated, the neck in general, the shoulder to be operated and a complete evaluation of the peripheral nervous system at the level of the brachial plexus and its terminal branches, documenting any motor and/or sensory deficit in this territory.

What is a controlled hypertensive patient?

The concept of controlled hypertension has changed in the last 2 decades. It is currently accepted that a hypertensive patient, diagnosed as such, has control of hypertension when he or she has blood pressure figures of less than 140 mmHg systolic blood pressure and less than 90 mmHg diastolic blood pressure.

Why does the pressure suddenly rise?

Your body produces a surge of hormones when you are in a stressful situation. These hormones temporarily increase blood pressure and cause your heart to beat faster and blood vessels to constrict. There is no evidence that stress alone causes high blood pressure over the long term.

What is arterial hypertension article?

In clinical practice, arterial hypertension is defined as chronic elevation of blood pressure (equal to or greater than 140 mmHg for systolic pressure, and/or equal to or greater than 90 mmHg for diastolic pressure).

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Thesis on hypertension in older adults

A partial hepatectomy is surgery to remove the liver completely. Only people with good liver function who are healthy enough for surgery and who have a single tumor that has not grown into the blood vessels can have this operation.

Imaging studies, such as CT or MRI with angiography, are first performed to see if the cancer can be completely removed. Even so, sometimes it is discovered during surgery that the cancer is too large or has spread too far to remove so that the planned surgery cannot be performed.

Patients in Child-Pugh class A are more likely to have sufficient liver function to undergo surgery. Patients in class B are less likely to be able to have surgery. Surgery is generally not an option for class C patients.

Liver resection is a major operation that should only be performed by experienced and trained surgeons. Because people with liver cancer usually have other liver problems in addition to the cancer, surgeons have to remove enough liver to try to remove all of the cancer, but also leave enough liver for function.

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