abdominal compartment sydrome

[Guest guest]

The chronic ACS is exacerbated by surgery. Most references you will

find are referring to trauma induced ACS. Of more value to me is the

description of the chronic syundrome that is exacerbated by surgery.

Dr Sugarman has written about this. At:

http://members.nbci.com/diabetesm/advances_in_surgical_management_.htm

Dr. Harvey Sugerman[20] presented compelling data showing that

morbidly obese people have what he refers to as " chronic abdominal

compartment syndrome. " This syndrome of extreme central obesity leads

to intra-abdominal hypertension and is associated with all of the

familiar comorbidities of obesity such as hypertension,

hypertriglyceridemia, type 2 diabetes, and atherosclerosis. In

addition, his data suggest that the abnormal abdominal pressure leads

to urinary incontinence, pseudotumor cerebri, gastroesophageal reflux

disease, venous stasis, abdominal hernias, and obesity

hypoventilation syndrome. In his studies, patients examined 34 months

after gastric bypass surgery had lost 69% of their excess weight,

with a decrease in BMI from 52 to 33. In addition, urinary bladder

pressures and lumbar cerebrospinal fluid pressures had dramatically

decreased.

=======

I'll have to look for the source of the citation here.

> >

> Rao Ivatury, MD, of the Medical College of Virginia reviewed the

> pathophysiology and diagnosis of intra-abdominal hypertension and

> intra-abdominal compartment syndrome which, he

> pointed out, are not synonymous terms.[2] Elevated intra-abdominal

> pressure with systemic signs and symptoms of that pressure results