0,45 CME

Cancer du col de l'utérus et sa prise en charge

Conférencier: Dr Pradeep Kumar Karumanchi

Consultant Radiation OncologistYashoda Hospitals.

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Description

Cervical cancer is a risk for all women. Women over 30 are most likely to experience it. Cervical cancer is mostly brought on by persistent human papillomavirus (HPV) infection. A common virus called HPV is transmitted during sex from one person to another. At some time in their life, at least half of those who engage in sexual activity will have HPV, yet few women will get cervical cancer.

Cervical cancer can be avoided with the use of screening tests and the HPV vaccine. Early detection of cervical cancer results in extremely effective treatment, a long survival time, and a high quality of life.

One member of the team treating cervical cancer is a gynecologic oncologist (a doctor who specialises in cancers of female reproductive organs). recommended cervical cancer treatment.

The treatments for cervical cancer are radiation, chemotherapy, surgery, targeted therapy and immunotherapy.

Résumé

  • Rayan Saleh, a clinical dietitian, presented on bariatric surgery, covering both non-surgical (intra-gastric balloons) and surgical procedures (gastric banding, bypass, sleeve gastrectomy, etc.). Bariatric surgery is recommended for obese individuals with a BMI over 40, or those with a BMI between 35-39.9 accompanied by comorbidities like heart disease, sleep apnea, or type 2 diabetes.
  • Patient selection involves adults (generally over 18) meeting BMI criteria and undergoing a multidisciplinary pre-operative evaluation. Contraindications include severe heart failure, unstable coronary artery disease, active cancers, or psychiatric conditions like neuroses and schizophrenia.
  • The pre-operative protocol includes evaluation by a multidisciplinary team and patient education regarding risks, benefits, and financial aspects. A minimum weight loss of 5-10% is typically required pre-operatively, achieved through low-calorie, low-carb, high-protein diets. Two days before surgery, a full liquid diet is commonly implemented.
  • Post-operative diets progress through four stages: clear liquid (days 0-3), full liquid (days 4-14), pureed (blended), and soft diets. Progression depends on doctor protocol and patient tolerance. The final stage, a lifelong stabilization diet, emphasizes high protein, low fat, and low sugar.
  • Problems post-surgery can include dumping syndrome (early or late onset), managed via lifestyle changes like smaller, frequent meals. Vitamin and mineral supplementation is essential, guided by doctor prescriptions and follow-up blood tests. Supplements include multivitamins, B12, iron, calcium, and vitamin D.
  • Benefits of bariatric surgery include reduced death risk, improvement of related diseases, and sustained weight loss. Weight loss is measured as a percentage of excess weight loss. Physical activity, pre- and post-surgery, is crucial for optimal results, starting with light exercises and gradually increasing intensity.

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