What are the energy requirements for CKD? What will be an ...

[oliviahorn72]

What are the energy requirements for CKD?
 
  What will be an ideal response?

Question 2

By performing an Internet search or literature review, find one example of a bariatric surgery program. Describe the information that is provided for the patient regarding qualification for surgery.
 
  Outline the personnel involved in the evaluation and care of the patient in this particular program.

[jharrington11]

Answer to Question 1

 Adults with CKD (not on dialysis): 23-35 kcal/kg
 Adults on dialysis (< 60 yrs): 35 kcal/kg
 Adults on dialysis (> 60 yrs): 30-35 kcal/kg

Answer to Question 2

Internet search information is taken from: http://www.obesityhelp.com/forums/vsg/about_vertical_sleeve_gastrectomy.html
Qualification information: for low-BMI individuals that should consider this procedure:
 Those concerned by long-term complications of intestinal bypass
 Those who are concerned about a lap-band, or inserting a foreign object into the abdomen
 Those who have other medical problems that prevent them from having weight-loss surgery such as anemia, Crohn's disease, extensive prior surgery, severe asthma requiring frequent steroid use, and other complex medical conditions
 People who need to take anti-inflammatory medications; VSG presents a lower risk for development of ulcers after taking anti-inflammatory meds after surgery
Personnel involved:
 Laparoscopic Associates of San Francisco (LAPSF)
 Obesityhelp.com
 In more than 700 patients, there were no deaths, no conversions to open and a leak rate of less than 1. (obesityhelp.com)
 Study showed that two-year weight-loss results from the vertical gastrectomy were similar to the roux-en-Y.
 57 weight loss using the vertical gastrectomy compared to 41 for the lap-band procedure.
 This case is associated with a team of several doctors from LAPSF.