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Buurke P, Bleeker WA, Kemler MA. Combined abdominoplasty and stoma repositioning: A successful approach for addressing stomal retraction and problematic stoma care: A case study. Int J Surg Case Rep 2023; 110:108763. [PMID: 37651804 PMCID: PMC10510081 DOI: 10.1016/j.ijscr.2023.108763] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/02/2023] [Revised: 08/27/2023] [Accepted: 08/27/2023] [Indexed: 09/02/2023] Open
Abstract
INTRODUCTION This case report discusses the management of challenging stoma care in an overweight patient, focusing on the successful application of abdominoplasty combined with stoma repositioning. The increasing abdominal mass in overweight patients often leads to stoma retraction and mechanical stress, necessitating innovative and less invasive interventions. CASE PRESENTATION The subject is a 40-year-old female with a body mass index of 28.41 kg/m2, who was experiencing complications in stoma care due to recent weight gain. Through a collaborative effort between a plastic and a general surgeon, the patient underwent abdominoplasty combined with stoma repositioning, leading to significant improvements in stoma care and cosmetic results. DISCUSSION Despite the limited amount of literature on abdominoplasty combined with stoma revision, this case report contributes to the evidence supporting it as an effective alternative for persistent stoma dysfunction in overweight patients. This innovative surgical approach represents a viable solution to address stomal retraction and leakage. CONCLUSION The case report underscores the potential benefits of abdominoplasty combined with stoma repositioning in overweight patients with persistent stoma care problems. Although the risk of wound contamination must be taken into account, this combined procedure can enhance patient outcomes. The study provides valuable insights for healthcare professionals managing stoma care in overweight patients.
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Affiliation(s)
- P Buurke
- Department of Plastic Surgery Martini Hospital, van Swietenplein 1, Groningen, Groningen 9728NT, the Netherlands.
| | - W A Bleeker
- Department of General Surgery, Wilhelmina Hospital, Europaweg-zuid 1, Assen, Drenthe 9401 RK, the Netherlands
| | - M A Kemler
- Department of Plastic Surgery Martini Hospital, van Swietenplein 1, Groningen, Groningen 9728NT, the Netherlands
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Current Overview on Clinical Management of Chronic Constipation. J Clin Med 2021; 10:jcm10081738. [PMID: 33923772 PMCID: PMC8073140 DOI: 10.3390/jcm10081738] [Citation(s) in RCA: 25] [Impact Index Per Article: 8.3] [Reference Citation Analysis] [Abstract] [Key Words] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/22/2021] [Revised: 04/09/2021] [Accepted: 04/13/2021] [Indexed: 12/12/2022] Open
Abstract
Constipation is one of the major gastrointestinal disorders diagnosed in clinical practice in Western countries. Almost 20% of population suffer from this disorder, which means constipation is a substantial utilization of healthcare. Pathophysiology of constipation is complex and multifactorial, where aspects like disturbance in colonic transit, genetic predisposition, lifestyle habits, psychological distress, and many others need to be taken into consideration. Diagnosis of constipation is troublesome and requires thorough accurate examination. A nonpharmacological approach, education of the patient about the importance of lifestyle changes like diet and sport activity state, are the first line of therapy. In case of ineffective treatment, pharmacological treatments such as laxatives, secretagogues, serotonergic agonists, and many other medications should be induced. If pharmacologic treatment fails, the definitive solution for constipation might be surgical approach. Commonness of this disorder, costs of medical care and decrease in quality life cause constipation is a serious issue for many specialists. The aim of this review is to present current knowledge of chronic constipation and management of this disorder.
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Fijan S, Frauwallner A, Varga L, Langerholc T, Rogelj I, Lorber M, Lewis P, Povalej Bržan P. Health Professionals' Knowledge of Probiotics: An International Survey. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2019; 16:ijerph16173128. [PMID: 31466273 PMCID: PMC6747149 DOI: 10.3390/ijerph16173128] [Citation(s) in RCA: 26] [Impact Index Per Article: 5.2] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 07/18/2019] [Revised: 08/24/2019] [Accepted: 08/26/2019] [Indexed: 12/18/2022]
Abstract
The objective of this study was to survey health professionals to investigate their knowledge of probiotics. An online survey was conducted to gather data on the knowledge of health professionals. The online survey was distributed via email and social media platforms using snowball sampling. A total of 1066 health professionals (859; 80.6% female) from 30 countries responded to the survey. Most of the respondents evaluated their knowledge of probiotics as medium (36.4%) or good (36.2%). Only 8.9% of the respondents rated it as excellent. No statistical difference in knowledge was found between male and female health professionals. Over 80% of pharmacists, allied health professionals, medical doctors and dentists, and other health professionals knew the correct definition of probiotics as “live microorganisms that, when administered in adequate amounts, confer a health benefit on the host”, whereas three quarters of registered nurses and midwives and less than two thirds of psychologists identified the correct definition. Statistically, more female than male health professionals knew the correct definition of probiotics. The most frequently recognized species of bacteria containing probiotic strains were Lactobacillus acidophilus (92%), Bifidobacterium bifidum (82%), and Lactobacillus rhamnosus (62%). The opinions on when it is best to take probiotics were different (χ2 = 28.375; p < 0.001), with 90.2% of respondents identifying that probiotics have beneficial effects if taken during antibiotic therapy, 83.5% for diarrhea, 70.6% for constipation, 63.3% before traveling abroad, and 60.4% for treating allergies. Almost 79% of health professionals involved in this study have advised their patients to use probiotics and 57.5% of the respondents wanted to learn more about probiotics. All things considered, health professionals have a medium level of knowledge of probiotics, which could be improved by the implementation of targeted learning programs. As probiotics have many beneficial effects in a wide range of health areas, health professionals need to adopt the use of probiotics in clinical practice.
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Affiliation(s)
- Sabina Fijan
- Faculty of Health Sciences, University of Maribor, Žitna ulica 15, 2000 Maribor, Slovenia.
| | - Anita Frauwallner
- Institut Allergosan, Pharmazeutische Produkte Forschungs- und Vertriebs GmbH, Gmeinstrasse 13, 8055 Graz, Austria
| | - László Varga
- Department of Food Science, Faculty of Agricultural and Food Sciences, Széchenyi István University, Lucsony u. 15-17., 9200 Mosonmagyaróvár, Hungary
| | - Tomaž Langerholc
- Department of Microbiology, Biochemistry, Molecular Biology and Biotechnology, Faculty of Agriculture and Life Sciences, University of Maribor, Pivola 10, 2311 Hoče, Slovenia
| | - Irena Rogelj
- Institute of Dairy Science and Probiotics, Biotechnical Faculty, University of Ljubljana, Groblje 3, 1230 Domžale, Slovenia
| | - Mateja Lorber
- Faculty of Health Sciences, University of Maribor, Žitna ulica 15, 2000 Maribor, Slovenia
| | - Peter Lewis
- School of Nursing and Midwifery, University of Western Sydney, Locked Bag 1797, Penrith, NSW 2751, Australia
| | - Petra Povalej Bržan
- Faculty of Medicine, University of Maribor, Taborska ulica 8, 2000 Maribor, Slovenia
- Faculty of Electrical Engineering and Computer Science, University of Maribor, Koroška cesta 46, 2000 Maribor, Slovenia
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Chambers L, Avery A, Dalrymple J, Farrell L, Gibson G, Harrington J, Rijkers G, Rowland I, Spiro A, Varela‐Moreiras G, Vokes L, Younge L, Whelan K, Stanner S. Translating probiotic science into practice. NUTR BULL 2019. [DOI: 10.1111/nbu.12385] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/14/2022]
Affiliation(s)
| | - A. Avery
- University of Nottingham Nottingham UK
| | - J. Dalrymple
- Primary Care Society for Gastroenterology London UK
| | | | | | | | - G. Rijkers
- University College Roosevelt Middelburg The Netherlands
| | | | - A. Spiro
- British Nutrition Foundation London UK
| | | | - L. Vokes
- British Dietetic Association Birmingham UK
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Dimidi E, Cox C, Scott SM, Whelan K. Probiotic use is common in constipation, but only a minority of general and specialist doctors recommend them and consider there to be an evidence base. Nutrition 2019; 61:157-163. [DOI: 10.1016/j.nut.2018.11.013] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/30/2018] [Revised: 10/20/2018] [Accepted: 11/17/2018] [Indexed: 01/06/2023]
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