|
|
Affect of bariatric treatment of diabetes compensation
Zemčáková, Simona ; Matoulek, Martin (advisor) ; Mráz, Miloš (referee)
This bachelor thesis deals with problems of obesity, diabetes mellitus and subsequent medical complications. We will focus on topic of obesity in the theoretical part. Obesity has become a global epidemic. In this thesis we will focus on the treatment of obesity and the follow up topic of diabetes mellitus in great detail. Diabetes mellitus counts as a disease of obesity. Diabetes mellitus causes grave illness when we do not keep to regime measures. Successful changes lifestyle, eating habits and increased physical activity have a positive impact on the health of the patient. If these measure do not help to improve the patient's health, then we turn to surgical treatment. We will compare the affect of different methods with metabolic parameters. The 54 patients participated in the scientific research, there of 33 diabetics and 21 nondiabetics. It was caused by a significiant decrease in weight reduction in both groups. The method of gastric bypass showed the biggest affect in weight reduction by group of diabetics. The weight loss is 32,6 kg after two years. The method of sleeve gastrectomy reduced blood glucose the best in the years after the surgical intervetion. From blood glucose 7,27 mmol/l to 5,62 mmol/l. The same method has a good affect in decrease of glycated hemoglobin. From 6,09 % to...
|
|
|
The Effect of Bariatric Operations on the Compensation of Diabetes Mellitus
Horáková, Jitka ; Matoulek, Martin (advisor) ; Haluzík, Martin (referee)
This bachelor thesis deals with the problem of obesity and diabetes mellitus in today's society. The theoretical part brings a closer look at the problem of obesity, the complications resulting from it and the possible ways of therapy. Further it discusses the problem of diabetes mellitus and the influence of obesity on diabetes mellitus type 2 that causes serious health complications. The thesis describes the treatment options of the mentioned diseases, especially focusing on lifestyle changes (dietary regimen, physical activity) and bariatric surgery that significantly contributes to weight reduction and reduction of complications risks. The practical part of the thesis deals with the research in this area, comparing a group of diabetic and non-diabetic patients undergoing the bariatric surgery. Furthermore, it focuses on the impact of the bariatric surgery on the compensation of diabetes mellitus. Keywords: obesity, diabetes mellitus, dietary treatment, bariatric operations
|
|
|
Pitfalls of the surgical treatment of obesity from the patient's point of view
Hakenová, Renata ; Heczková, Jana (advisor) ; Stoklasová, Radka (referee)
This thesis examines the surgical treatment of obesity from the perspective of the patient. The theoretical portion deals with etiopathogenesis, diagnosis, complications, related illnesses, conservative and surgical treatments (definitions, overview and types, principles of basic bariatric approaches, as well as effects and indications, side effects, and results of treatment. It also includes the specifics of the pre-operative preparation, immediate and long- term post-operative care, psychological preparation and post-bariatric-surgery nutrition. The empirical portion consists of quantitative research in the form of a survey instrument with closed-end questions with the possibility of individual responses. The respondents were patients who had been diagnosed as morbidly obese or third-degree obesity and who had also been through surgery within the past three years. One hundred and fifty surveys were distributed, 125 were returned, and 10 of those were not used for incompleteness, and another 6 were not used because the respondents did not meet the criteria. One of the primary goals of the research was to ascertain the information that patients were missing before bariatric surgery and whether this information had a significant effect on the result of the bariatric approach. Another primary goal of...
|
|
|
Bariatric Surgery and Obese Patients' Motivation
Laštovičková, Jitka ; Tollarová, Blanka (advisor) ; Šmídová, Olga (referee)
This diploma thesis deals with obese patients' motivation to undergo or refuse a bariatric surgery in obesity treatment. The aim of the thesis was to create an overview of patient's motivation to undergo or refuse a bariatric surgery, to show an obese patient's situation (a candidate for a bariatric surgery) from a closer perspective and offer recommendations for the work with obese patients. The qualitative research method in a form of a semistructured interview with the obese patients, who are being treated in obesity ambulances, and with the psychologists, who work with obese patients, was used to analyse the theme of the research. The eight interviews were conducted and analysed with open coding. Obese patients are motivated to undergo a bariatric surgery by improvement of their health, increased attractiveness and by expectation of their obesity's final solution. Obese patients don't want to undergo a bariatric surgery because they're convinced, that they could manage to lose weight and keep it without undergoing a bariatric surgery. Also because they are worried about the bariatric surgery, its complications, its restrictions, required anesthesia and about the failure after undergoing bariatric surgery. Obese patients' motivation to undergo or refuse a bariatric surgery is also influenced by...
|
|
|
Influence of bariatric surgery on the physical and mental condition of the patient
Fořtová, Tereza ; Heczková, Jana (advisor) ; Chvojková, Kateřina (referee)
INTRODUCTION TO THE ISSUE: Obesity together with possible occurrence of many difficulties carries with it negative effect on physical and mental health. Many patients with severe obesity (class 3) cannot do physical activities or usual daily activities. These patients suffer from feelings of inferiority, decreased self-esteem and other mental issues. It could be classified as a vicious cycle for patients, but the bariatric surgery offers a way out. A gastric bypass is one of the bariatric procedures which is very helpful to reduce the weight of the patients who belongs into class 3 obesity. OBJECTIVES, METHODOLOGY: The main goal of this study was to find out if applying the gastric bypass to patients has positive or negative effect for their obesity level, quality of life, physical and mental state. The research sample was consisted of patients who were about to undergo gastric bypass. The patient's weight, BMI and body fat ratio were monitored to obtain data related to the assessment of the severity of obesity. The quality of life was evaluated using the SF-36 questionnaire (Short form 36). The standardized MAF (Multidimensional Assessment of Fatigue Scale) was used to review of patient's fatigue. The mental state of patients was subjectively assessed using the standardized HADS scale (Hospital...
|
|
|
Influence of bariatric surgery on the physical and mental state of the patient
Fořtová, Tereza ; Maffei Svobodová, Ludmila (advisor) ; Pucholtová, Romana (referee) ; Kulhavá, Miluše (referee)
1) INTRODUCTION: Obesity is a global problem and its the prevalence is constantly rising. Overweight and obesity are key risk factors for many diseases. Obese patients are a greater economic burden for the state, they often rely on the help of others. The goal of obesity treatment is to reduce weight and then keep it within the recommended range. In an obese patient, it is not always just about the actual weight loss, but also about treating the associated diseases caused by obesity. Bariatric surgery allows patients to lose weight in a relatively short period of time and has a very positive effect on associated diseases. 2) OBJECTIVE: The aim of this diploma thesis was to evaluate the physical and mental condition before and after gastric bypass and to determine whether this surgery has a positive or negative effect on the physical and mental condition of the patient. The objective was further divided into sub-goals and hypotheses. 3) METHODOLOGY: The research was carried out using a quantitative method. This is an observational study, in which the mental and physical condition and advancement of patients who were about to undergo bariatric surgery - gastric bypass - were monitored for 6 months. Mental status was monitored using four standardized questionnaires: MAF, HADS, iADL, SF-36 in four time...
|
|
|
Bariatric surgery and compensation of diabetes
Patková, Barbora ; Matoulek, Martin (advisor) ; Peška, Tomáš (referee)
Introduction: Obesity and type 2 diabetes mellitus (hereinafter referred to as DM2T) are called the greatest epidemic of the 21st century. Its occurrence is on the rise not only in the Czech Republic but all around the world. Overweight and obesity are the key factors in developing DM2T, they are affecting the occurrence of the disease in men in 64 % and 77 % in women. Based on the observations, nearly 60 % of the population in the Czech Republic are considered obese or overweight. Bariatric/Metabolic surgery is one of the most effective treatments of the DM2T. Objectives: The objective of this thesis is to describe and analyze the effect of each bariatric surgery on the patients of 3rd Internal Clinic of Endocrinology and Metabolism, General University Hospital and 1st Medical Faculty, Charles University in Prague within the first two years post-surgery. The same time period is observed to monitor the DM2T compensation depending on the type of bariatric surgery. Methodology: 128 patients were observed (including 52 patients diagnosed with DM2T), that underwent the bariatric surgery. The data were gathered from the medical records in the hospital's information system Medea. These data were further analyzed, processed and assessed in Microsoft Excel and also together with the agency STEM/MARK a.s....
|
|
|
Pitfalls of the surgical treatment of obesity from the patient's point of view
Hakenová, Renata ; Heczková, Jana (advisor) ; Stoklasová, Radka (referee)
This thesis examines the surgical treatment of obesity from the perspective of the patient. The theoretical portion deals with etiopathogenesis, diagnosis, complications, related illnesses, conservative and surgical treatments (definitions, overview and types, principles of basic bariatric approaches, as well as effects and indications, side effects, and results of treatment. It also includes the specifics of the pre-operative preparation, immediate and long- term post-operative care, psychological preparation and post-bariatric-surgery nutrition. The empirical portion consists of quantitative research in the form of a survey instrument with closed-end questions with the possibility of individual responses. The respondents were patients who had been diagnosed as morbidly obese or third-degree obesity and who had also been through surgery within the past three years. One hundred and fifty surveys were distributed, 125 were returned, and 10 of those were not used for incompleteness, and another 6 were not used because the respondents did not meet the criteria. One of the primary goals of the research was to ascertain the information that patients were missing before bariatric surgery and whether this information had a significant effect on the result of the bariatric approach. Another primary goal of...
|
|
|
Bariatric Surgery and Obese Patients' Motivation
Laštovičková, Jitka ; Tollarová, Blanka (advisor) ; Šmídová, Olga (referee)
This diploma thesis deals with obese patients' motivation to undergo or refuse a bariatric surgery in obesity treatment. The aim of the thesis was to create an overview of patient's motivation to undergo or refuse a bariatric surgery, to show an obese patient's situation (a candidate for a bariatric surgery) from a closer perspective and offer recommendations for the work with obese patients. The qualitative research method in a form of a semistructured interview with the obese patients, who are being treated in obesity ambulances, and with the psychologists, who work with obese patients, was used to analyse the theme of the research. The eight interviews were conducted and analysed with open coding. Obese patients are motivated to undergo a bariatric surgery by improvement of their health, increased attractiveness and by expectation of their obesity's final solution. Obese patients don't want to undergo a bariatric surgery because they're convinced, that they could manage to lose weight and keep it without undergoing a bariatric surgery. Also because they are worried about the bariatric surgery, its complications, its restrictions, required anesthesia and about the failure after undergoing bariatric surgery. Obese patients' motivation to undergo or refuse a bariatric surgery is also influenced by...
|
|
|
Affect of bariatric treatment of diabetes compensation
Zemčáková, Simona ; Matoulek, Martin (advisor) ; Mráz, Miloš (referee)
This bachelor thesis deals with problems of obesity, diabetes mellitus and subsequent medical complications. We will focus on topic of obesity in the theoretical part. Obesity has become a global epidemic. In this thesis we will focus on the treatment of obesity and the follow up topic of diabetes mellitus in great detail. Diabetes mellitus counts as a disease of obesity. Diabetes mellitus causes grave illness when we do not keep to regime measures. Successful changes lifestyle, eating habits and increased physical activity have a positive impact on the health of the patient. If these measure do not help to improve the patient's health, then we turn to surgical treatment. We will compare the affect of different methods with metabolic parameters. The 54 patients participated in the scientific research, there of 33 diabetics and 21 nondiabetics. It was caused by a significiant decrease in weight reduction in both groups. The method of gastric bypass showed the biggest affect in weight reduction by group of diabetics. The weight loss is 32,6 kg after two years. The method of sleeve gastrectomy reduced blood glucose the best in the years after the surgical intervetion. From blood glucose 7,27 mmol/l to 5,62 mmol/l. The same method has a good affect in decrease of glycated hemoglobin. From 6,09 % to...
|
guest ::
