ABSTRACT
Body fat is regulated by a complex neuroendocrine system,making it difficult to maintain weight loss achieved via caloricrestriction. Bariatric surgery produces greater weight lossand weight loss that is more durable than caloric restriction,and therefore is currently the most effective therapy forobesity. Sodium-glucose-co-transporter inhibitors areglucose lowering drugs that reduces plasma glucose levelsby inhibiting glucose and sodium reabsorption in the kidneys,resulting in glycosuria.Sleeve gastrectomy is one such bariatric surgical procedurethat involves the creation of a reduced stomach lumen alongthe lesser curvature of the stomach through the removal ofgastric tissues along the greater curvature from the fundusto the antrum. Stomach capacity is typically reduced 80%or more, and the intestine remains intact. This procedureproduces dramatic weight loss in humans and in rodents. Infact, recent reports indicate that its efficacy is close to that ofthe more common Roux-en Y gastric bypass.There are many diverse factors on which operative mortalityof bariatric surgery depends such as facility related, surgeonrelated, followed by patient and procedure-related. Tominimize operative mortality, specific factors were consideredfor the specific patients. As a result, to treat type 2 diabetes inassociation with obesity, slightly obese patients or overweightpatients were treated with conventional bariatric proceduresworldwide. For the management of morbidity obese diabeticpatients, there is no single or standard procedure
ABSTRACT
Introduction headache is one of the most common symptomand collectively headache is among the most commonsymptom of the neurodisorders, however there might beseveral reasons behind different sort of headache, headachecan also be classified as1. Odontogenic headache2. Non odontogenic headacheCase report: Here we are going to discuss an unusual casereport of headache. A middle aged Asian male presented withheadache in the department of cardiology with a history ofmigraine of 20 years ago and he was suspecting the headachebecause of high bp 90/ 160. He was prescribed with Aceinhibitors. Still he was suffering from daily persistent headachewith pain intensity 4/10. Subsequently he was suggested to seethe neurologist. the patient was without any red flag sign, headand neck examination was normal. This headache was alwaysworsen in the evening and night hours, after taking calciumchannel blockers headache was relieved for several hours butagain started in the early morning hours. This was wakeningheadache. This headache was also relieved after maintainingcross ventilation in the room. Headache was unilateral, nevercrossed the midline, intensity varied from mild to severeshooting pain, worsened by hot and cold winds directly orindirectly on the head. Patient also had acupressure therapy onyin tang and tai-yang acupoints but he can't get a stable relief.Conclusion: Careful and thorough history taking skills arethe key points for diagnosing exact cause and origin of aheadache. It may reduce useless financial burden in the stabletreatment of headache.