Background: Small bowel length measurements and estimation have high clinical importance, especially in bariatric surgeries to prevent postoperation malnutrition. This study aimed to investigate the possible correlation between demographic and anthropometric factors with small bowel length.
Materials and methods: This cross-sectional study was performed on 150 patients that were candidates of abdominal surgeries. Anthropometric factors including age, gender, weight, height, body mass index, right wrist and waist circumstance, length of the right hand 2nd and 4th fingers and 2nd to 4th finger ratio, and length of the right hemithorax were obtained. Whole length of the small bowel was measured during surgery from the ligament of Treitz to the ileocecal junction between the mesenteric and antimesenteric border of the intestine.
Results: The mean small bowel length was 5.45 ± 1.62 meters and significantly lower in women compared to men (P = 0.003) and had a significant direct relationship with height (r = 0.3, P < 0.001), an inverse relationship to 2nd to 4th finger ratio (= -0.34, P < 0.001). There were the same correlations between small intestine length with height and the 2nd to 4th finger ratio in open surgeries (P < 0.05). There was a correlation between age (r = 0.33, P = 0.032), weight (r= -0.60, P, 0.001), waist circumstance (r = -0.43, P = 0.004), and length of the right hemithorax (r = -0.47, P = 0.001).
Conclusions: Using demographic and anthropometric factors, we could predict the small bowel length. These results could be further used in bariatric surgeries to avoid possible malnutrition.
{"title":"Using Anthropometric and Demographic Factors to Predict Small Bowel Length to Prevent Malnutrition in Bariatric Surgery.","authors":"Masoud Sayadishahraki, Mohsen Mahmoudieh, Behrooz Keleidari, Hamid Melali, Mahmood Heidary, Sayed Mohsen Hosseini, Mohamad Davud Qane","doi":"10.4103/abr.abr_83_21","DOIUrl":"10.4103/abr.abr_83_21","url":null,"abstract":"<p><strong>Background: </strong>Small bowel length measurements and estimation have high clinical importance, especially in bariatric surgeries to prevent postoperation malnutrition. This study aimed to investigate the possible correlation between demographic and anthropometric factors with small bowel length.</p><p><strong>Materials and methods: </strong>This cross-sectional study was performed on 150 patients that were candidates of abdominal surgeries. Anthropometric factors including age, gender, weight, height, body mass index, right wrist and waist circumstance, length of the right hand 2<sup>nd</sup> and 4<sup>th</sup> fingers and 2<sup>nd</sup> to 4<sup>th</sup> finger ratio, and length of the right hemithorax were obtained. Whole length of the small bowel was measured during surgery from the ligament of Treitz to the ileocecal junction between the mesenteric and antimesenteric border of the intestine.</p><p><strong>Results: </strong>The mean small bowel length was 5.45 ± 1.62 meters and significantly lower in women compared to men (<i>P</i> = 0.003) and had a significant direct relationship with height (<i>r</i> = 0.3, <i>P</i> < 0.001), an inverse relationship to 2<sup>nd</sup> to 4<sup>th</sup> finger ratio (= -0.34, <i>P</i> < 0.001). There were the same correlations between small intestine length with height and the 2<sup>nd</sup> to 4<sup>th</sup> finger ratio in open surgeries (<i>P</i> < 0.05). There was a correlation between age (<i>r</i> = 0.33, <i>P</i> = 0.032), weight (r= -0.60, P, 0.001), waist circumstance (<i>r</i> = -0.43, <i>P</i> = 0.004), and length of the right hemithorax (<i>r</i> = -0.47, <i>P</i> = 0.001).</p><p><strong>Conclusions: </strong>Using demographic and anthropometric factors, we could predict the small bowel length. These results could be further used in bariatric surgeries to avoid possible malnutrition.</p>","PeriodicalId":55589,"journal":{"name":"Bariatric Nursing and Surgical Patient Care","volume":"5 1","pages":"209"},"PeriodicalIF":0.0,"publicationDate":"2023-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10699222/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82857937","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Combating the complexities of obesity requires an integral leadership approach at national, state, and local levels. Policies at each of these levels must employ ethical humanistic care that incorporates understanding of the social determinants of health. The aim of this paper is to examine the potential policy influences that the interrelated causes and effects of obesity have at individual and population levels. Further, the aim is to increase health professional awareness of how they can serve as integral leaders in health reform to alleviate the obesity epidemic.
{"title":"Obesity, Integral Leadership, and Health Policy","authors":"A. Greer","doi":"10.1089/BAR.2012.9957","DOIUrl":"https://doi.org/10.1089/BAR.2012.9957","url":null,"abstract":"Combating the complexities of obesity requires an integral leadership approach at national, state, and local levels. Policies at each of these levels must employ ethical humanistic care that incorporates understanding of the social determinants of health. The aim of this paper is to examine the potential policy influences that the interrelated causes and effects of obesity have at individual and population levels. Further, the aim is to increase health professional awareness of how they can serve as integral leaders in health reform to alleviate the obesity epidemic.","PeriodicalId":55589,"journal":{"name":"Bariatric Nursing and Surgical Patient Care","volume":"7 1","pages":"189-191"},"PeriodicalIF":0.0,"publicationDate":"2012-12-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1089/BAR.2012.9957","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"60818133","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Morbid obesity, defined as a body mass index (BMI) greater than 40 kg/m2 has implications for patient morbidity and mortality, hospital length of stay, resource allocation, and cost. Over time, physiologic changes related to morbid obesity occur in all body systems, and are particularly evident in the pulmonary system. Loss of functional residual capacity (FRC), restrictive and obstructive airway patterns, and alterations in gas exchange predispose the morbidly obese patient to conditions such as obstructive sleep apnea (OSA) and obesity hypoventilation syndrome (OHS). These conditions contribute to a marked decrease in pulmonary reserve, and when systemic insults such as traumatic injury or illness occur, respiratory failure may develop. Pulmonary anatomy and physiology, including lung capacities, compliance, resistance, and morphological changes that occur over time in the morbidly obese patient, will be discussed. Airway management and mechanical ventilation strategies used in the treatment of acute re...
{"title":"Pulmonary Considerations and Management of the Morbidly Obese Patient","authors":"Susannah Sherwood, M. Bauman, A. Shephard","doi":"10.1089/BAR.2012.9962","DOIUrl":"https://doi.org/10.1089/BAR.2012.9962","url":null,"abstract":"Morbid obesity, defined as a body mass index (BMI) greater than 40 kg/m2 has implications for patient morbidity and mortality, hospital length of stay, resource allocation, and cost. Over time, physiologic changes related to morbid obesity occur in all body systems, and are particularly evident in the pulmonary system. Loss of functional residual capacity (FRC), restrictive and obstructive airway patterns, and alterations in gas exchange predispose the morbidly obese patient to conditions such as obstructive sleep apnea (OSA) and obesity hypoventilation syndrome (OHS). These conditions contribute to a marked decrease in pulmonary reserve, and when systemic insults such as traumatic injury or illness occur, respiratory failure may develop. Pulmonary anatomy and physiology, including lung capacities, compliance, resistance, and morphological changes that occur over time in the morbidly obese patient, will be discussed. Airway management and mechanical ventilation strategies used in the treatment of acute re...","PeriodicalId":55589,"journal":{"name":"Bariatric Nursing and Surgical Patient Care","volume":"7 1","pages":"160-166"},"PeriodicalIF":0.0,"publicationDate":"2012-12-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1089/BAR.2012.9962","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"60819096","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
In the 2000 publication, To Err is Human, experts reported that as many as 98,000 people die in any given year from medical errors that occur in U.S. hospitals. In 2012, William Charney argues that, to make matters worse, this has been a growing problem for more than a decade, with little to no systemic approach to address the problem. Charney explains that, in 2009, 788,558 deaths in the United States occurred as a result of medical errors and hospital acquired infections, representing one-third of all deaths in America that year.1 This article explores the role of the bariatric nurse in developing moral courage to address the threat of workplace bullying on patient safety.
{"title":"Bullying, Moral Courage, Patient Safety, and the Bariatric Nurse","authors":"S. Gallagher","doi":"10.1089/BAR.2012.9954","DOIUrl":"https://doi.org/10.1089/BAR.2012.9954","url":null,"abstract":"In the 2000 publication, To Err is Human, experts reported that as many as 98,000 people die in any given year from medical errors that occur in U.S. hospitals. In 2012, William Charney argues that, to make matters worse, this has been a growing problem for more than a decade, with little to no systemic approach to address the problem. Charney explains that, in 2009, 788,558 deaths in the United States occurred as a result of medical errors and hospital acquired infections, representing one-third of all deaths in America that year.1 This article explores the role of the bariatric nurse in developing moral courage to address the threat of workplace bullying on patient safety.","PeriodicalId":55589,"journal":{"name":"Bariatric Nursing and Surgical Patient Care","volume":"7 1","pages":"156-159"},"PeriodicalIF":0.0,"publicationDate":"2012-12-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1089/BAR.2012.9954","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"60818450","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Policy at the Point of Care","authors":"K. Seidl","doi":"10.1089/BAR.2012.9955","DOIUrl":"https://doi.org/10.1089/BAR.2012.9955","url":null,"abstract":"","PeriodicalId":55589,"journal":{"name":"Bariatric Nursing and Surgical Patient Care","volume":"7 1","pages":"151-152"},"PeriodicalIF":0.0,"publicationDate":"2012-12-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1089/BAR.2012.9955","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"60818504","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Melanie Mabrey, Allison A. Vorderstrasse, M. Champagne, L. C. Pickett
Introduction: Bariatric surgery is being recommended for select patients with diabetes for improvement in glycemic control or possibly remission of diabetes. Diabetes remission does not happen immediately. In an effort to meet the changing glycemic control needs for bariatric surgery patients safely, a project was developed using intravenous (IV) insulin on a general surgery nursing unit. Methods: Bariatric surgery patients were identified as requiring IV insulin in the perioperative period. Nursing education was provided, and IV insulin was administered using an established tool on the general surgery floor. We retrospectively reviewed the first 10 patients treated with the protocol compared with case-matched controls. Results: The protocol was utilized in 83% of the patients meeting IV insulin criteria. No hypoglycemic events occurred. There was a significant interaction effect by treatment group and time for blood glucose during the first 24 hours postoperatively. The patients on IV insulin had a signi...
{"title":"Continuous intravenous insulin: An evaluation in bariatric patients outside of the intensive care unit","authors":"Melanie Mabrey, Allison A. Vorderstrasse, M. Champagne, L. C. Pickett","doi":"10.1089/BAR.2012.9956","DOIUrl":"https://doi.org/10.1089/BAR.2012.9956","url":null,"abstract":"Introduction: Bariatric surgery is being recommended for select patients with diabetes for improvement in glycemic control or possibly remission of diabetes. Diabetes remission does not happen immediately. In an effort to meet the changing glycemic control needs for bariatric surgery patients safely, a project was developed using intravenous (IV) insulin on a general surgery nursing unit. Methods: Bariatric surgery patients were identified as requiring IV insulin in the perioperative period. Nursing education was provided, and IV insulin was administered using an established tool on the general surgery floor. We retrospectively reviewed the first 10 patients treated with the protocol compared with case-matched controls. Results: The protocol was utilized in 83% of the patients meeting IV insulin criteria. No hypoglycemic events occurred. There was a significant interaction effect by treatment group and time for blood glucose during the first 24 hours postoperatively. The patients on IV insulin had a signi...","PeriodicalId":55589,"journal":{"name":"Bariatric Nursing and Surgical Patient Care","volume":"7 1","pages":"172-182"},"PeriodicalIF":0.0,"publicationDate":"2012-12-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1089/BAR.2012.9956","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"60818518","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Background: The rise in obesity in the United States has led to an increase in the number of bariatric procedures performed annually to treat obesity. It has become the only treatment method that provides significant and sustained weight loss in obese patients with resultant improvement in obesity-related comorbidities.1 Objective: The aim of this project was to evaluate the knowledge and attitudes of the nurses regarding aspects of bariatric surgery at a hospital that is a Center for Excellence for bariatric surgery. Methods: A voluntary survey was conducted using SurveyMonkey® to assess the nurses' current knowledge of bariatric surgical procedures and attitudes toward patients undergoing bariatric surgery. Results: The results of the survey showed that 66.7% had no previous experience of caring for bariatric surgical patients, 3.3% did not understand gastric bypass surgery, 6.7% did not understand the sleeve, and 26.7% did not understand the duodenal switch surgery. In addition, 43.3% felt that bariatr...
{"title":"Assessing the Nurses' Knowledge of Bariatric Surgery: A Performance Improvement Project","authors":"Lindsay Ponstein","doi":"10.1089/BAR.2012.9959","DOIUrl":"https://doi.org/10.1089/BAR.2012.9959","url":null,"abstract":"Background: The rise in obesity in the United States has led to an increase in the number of bariatric procedures performed annually to treat obesity. It has become the only treatment method that provides significant and sustained weight loss in obese patients with resultant improvement in obesity-related comorbidities.1 Objective: The aim of this project was to evaluate the knowledge and attitudes of the nurses regarding aspects of bariatric surgery at a hospital that is a Center for Excellence for bariatric surgery. Methods: A voluntary survey was conducted using SurveyMonkey® to assess the nurses' current knowledge of bariatric surgical procedures and attitudes toward patients undergoing bariatric surgery. Results: The results of the survey showed that 66.7% had no previous experience of caring for bariatric surgical patients, 3.3% did not understand gastric bypass surgery, 6.7% did not understand the sleeve, and 26.7% did not understand the duodenal switch surgery. In addition, 43.3% felt that bariatr...","PeriodicalId":55589,"journal":{"name":"Bariatric Nursing and Surgical Patient Care","volume":"7 1","pages":"167-171"},"PeriodicalIF":0.0,"publicationDate":"2012-12-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1089/BAR.2012.9959","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"60818259","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Purpose: Over the past 2 years, University of California at Davis Medical Center has hired 22 new graduate Registered Nurses to their Vascular and Gastrointestinal Surgery Telemetry Unit. The purpose of this paper is to describe our experience and to share what we found new graduate nurses needed to know about caring for bariatric patients. Significance: We are providing information that will be useful in orienting new graduate nurses in caring for all types of bariatric patients. There was consensus among the new graduate nurses that, while in nursing school, there was a lack of instruction in this area. Methodology: Twenty-two new graduate nurses and their managers attended a workshop called the Rising Stars in February 2011. One purpose of this workshop was to obtain direct input from the new nurses about what was needed during orientation. A survey was also administered to assess their level of knowledge pertaining to bariatric patient care. Results: The results of this workshop included the developme...
{"title":"What New Graduate Nurses Need to Know About Caring for Bariatric Patients","authors":"C. Weiss","doi":"10.1089/BAR.2012.9961","DOIUrl":"https://doi.org/10.1089/BAR.2012.9961","url":null,"abstract":"Purpose: Over the past 2 years, University of California at Davis Medical Center has hired 22 new graduate Registered Nurses to their Vascular and Gastrointestinal Surgery Telemetry Unit. The purpose of this paper is to describe our experience and to share what we found new graduate nurses needed to know about caring for bariatric patients. Significance: We are providing information that will be useful in orienting new graduate nurses in caring for all types of bariatric patients. There was consensus among the new graduate nurses that, while in nursing school, there was a lack of instruction in this area. Methodology: Twenty-two new graduate nurses and their managers attended a workshop called the Rising Stars in February 2011. One purpose of this workshop was to obtain direct input from the new nurses about what was needed during orientation. A survey was also administered to assess their level of knowledge pertaining to bariatric patient care. Results: The results of this workshop included the developme...","PeriodicalId":55589,"journal":{"name":"Bariatric Nursing and Surgical Patient Care","volume":"7 1","pages":"153-155"},"PeriodicalIF":0.0,"publicationDate":"2012-12-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1089/BAR.2012.9961","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"60818543","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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