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Clinical Examination of a Post-bariatric Surgery Patient

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Management of Nutritional and Metabolic Complications of Bariatric Surgery

Abstract

Like all the other surgeries, bariatric surgeries are not free from complications. Apart from surgical complications like leak, bleed, internal hernia, stenosis, there are a myriad of metabolic complications that can occur secondary to surgically altered GI physiology and nutritional deficiencies. Most of these complications are insidious in nature and present with subtle signs and symptoms.

Outpatient visits are a good time to pick up these complications before they progress to morbid and/or irreversible conditions. A thorough history and physical examination including a complete systemic examination help with early detection of the complications.

Since bariatrics is an evolving science, many rare complications are poorly reported as well as are prone to be detected late. Therefore, a high index of suspicion and workup of any symptoms out of ordinary is essential.

In this chapter, we will focus on history and clinical examination to rule out any metabolic or psychosocial complications after bariatric surgery.

Listen to your patient. He is telling you the diagnosis!

—William Osler

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Baig, S., Priya, P., Agarwal, M. (2021). Clinical Examination of a Post-bariatric Surgery Patient. In: Bhasker, A.G., Kantharia, N., Baig, S., Priya, P., Lakdawala, M., Sancheti, M.S. (eds) Management of Nutritional and Metabolic Complications of Bariatric Surgery. Springer, Singapore. https://doi.org/10.1007/978-981-33-4702-1_6

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  • DOI: https://doi.org/10.1007/978-981-33-4702-1_6

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  • Publisher Name: Springer, Singapore

  • Print ISBN: 978-981-33-4701-4

  • Online ISBN: 978-981-33-4702-1

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